Bw’oba maama omwagazi ng’osuubira omwana, oteekwa okuba ng’owulidde bingi ku ‘obulumi bw’okuzaala’, era oyinza n’okutya katono. Ebiseera ebisinga, bwe tulowooza ku ‘obulumi bw’okuzaala’, tulowooza ku kulumwa olubuto. Naye ku bamaama abamu bwe baba kumpi okuzaala omwana, bafuna obulumi bw’omugongo obutagumiikiriza nga bubi okusinga obulumi mu lubuto. Leero, twogera ku mbeera eno eyitibwa ‘back labor’, abantu bangi gye bayitamu naye nga tebamanyi bulungi.
‘Okuzaala mu mugongo’ kye ki? Obulumi buno buwulira butya?
Mu ngeri ennyangu, okuzaala omugongo bulumi bwa maanyi mu mugongo gwo ogwa wansi ng’ozaala. Kino tekiba ng’omugongo ogwa bulijjo. Lowooza ku kino, obulumi obw’okuzaala obwa bulijjo bujja mu mayengo. Zibeera za maanyi okumala akaseera ate ne zikka. Naye obulumi obuwulirwa ng’ozaala omugongo bwa njawulo.
- Bamaama bangi kino bakigamba ng’obulumi obutagumiikiriza era obw’amaanyi obuva mu mugongo ogwa wansi .
- Ekisinga obukulu nti obulumi buno tebukendeera wakati w’amayengo ng’obulumi obwa bulijjo. Waliwo okulumwa omugongo buli kiseera . Ebbidde eryo erya ‘obulumi bw’okuzaala’ bwe lijja, obulumi buno obw’omugongo bweyongera.
- Oluusi kino kiyinza okuwerekerwako obulumi obuwulira ng’ebinywa by’omugongo binywezeddwa mu bwangu (okusannyalala).
Kino si kya bulijjo nga bw’oyinza okulowooza. Omuwendo omunene ogwa bamaama abazaala bafunye kino. N’olwekyo, kikulu nnyo okukimanya ku kino.
Lwaki omugongo gunnuma bwe guti? Ka tulabe ezimu ku nsonga eziviiriddeko.
Ensonga enkulu lwaki ' back labor ' y'embeera y'omwana munda mu nnabaana wo. Ebiseera ebisinga, ffeesi y’omwana ekyusibwa ng’eyolekera omugongo gwo. Naye oluusi ffeesi y’omwana ekyuka n’eyolekera olubuto lwo. Mu by’obusawo kino tukiyita ekifo kya ‘Occiput Posterior’ .
Teebereza kino bwe kibaawo, ekitundu ekikaluba era eky’emabega eky’omutwe gw’omwana kikuba butereevu ku ggumba ly’omukira gwo. Puleesa eyo y’esinga okuvaako obulumi buno obw’amaanyi.
Kyokka, ekifo omwana w’abeera si kye kivaako kino bulijjo. Ensonga endala nazo zisobola okukosa kino.
| Ensonga | Ennyinyonnyola ennyangu |
|---|---|
| Obulumi bw’omugongo ng’oli mu nsonga | Okunoonyereza kuzudde nti abakyala abatera okulumwa omugongo mu nsonga zaabwe eza buli mwezi batera okufuna ‘okuzaala omugongo’, awatali kufaayo ku mbeera y’omwana. |
| Sayizi yo n'omwana wo | Singa omubiri gwo naddala omubiri gwo guba mumpi ate ng’omwana abeera munene katono, ekifo omwana w’ayinza okutuuka obulungi mu kisambi kiba kitono. Kino nakyo kiyinza okukuteeka akazito ku mugongo. |
| Enkula y’ekisambi kyo | Buli mukyala amagumba g’omu kifuba ga njawulo mu nkula n’obunene. Enkula y’ekisambi kyo nayo eyinza okwongera ku bulabe bw’okuzaala omugongo. |
| Enyimirira Yo | Mu kiseera ky’olubuto, bw’otokuuma mbeera nnungi ey’okutuula n’okuyimirira, ekisambi kyo kiyinza okulengejja mu maaso oba emabega. Kino era kiyinza okuvaako omwana okubeera mu mbeera enkyamu. |
Kino ‘okuzaala mu mugongo’ kya bulabe eri omwana?
Ekisooka era ekisinga obukulu okwogera kiri nti obulumi buno obw’omugongo bwokka tebujja kukukola bulabe butereevu oba omwana wo, n’olwekyo tokyeraliikirira nnyo.
Kyokka obuzibu si bulumi, wabula embeera y’omwana y’ereeta obulumi. Omwana bw’aba mu mbeera nga ‘Occiput Posterior’, ebizibu ebitonotono oluusi bisobola okubaawo ng’omwana agenda wansi mu mulyango gw’okuzaala. Mu bino mulimu:
- Eddagala eriweweeza ku bulumi liyinza okwetaagisa kubanga obulumi tebugumiikiriza.
- Maama awulira ng’akooye nnyo olw’okuzaala okumala ebbanga eddene.
- Forceps oba ebyuma ebiwunyiriza omwana biyinza okukozesebwa okuggyamu omwana.
- Okulongoosa episiotomy kiyinza okwetaagisa.
- N’ekisembayo, okubeera n’okuddukira mu kuzaala mu ngeri ya cesarean .
Naye amawulire amalungi, ebiseera ebisinga, kwe kuzaalaBajja kutuuka ekiseera bafuuse ekifo ekituufu ku lwabwe. Bwe kitaba bwe kityo, okusinziira ku mutendera gw’okuzaala gw’oli, omusawo wo oba omuzaalisa ayinza okugezaako okukyusa omwana mu ngalo mu kifo ekituufu.
Omanya otya ekifo ky'omwana?
Engeri esinga obulungi kwe kukeberebwa ultrasound scan . Ate era omusawo oba omuzaalisa alina obumanyirivu asobola okuwulira olubuto lwo n’afuna ekirowoozo ku mbeera y’omwana.
Waliwo engeri y’okuziyiza kino?
Kizibu okukakasa nti kino kisobola okuziyizibwa 100%. Wabula waliwo ebintu ebimu ebiyinza okuyamba okuteeka omwana mu mbeera ennungi n’okukendeeza ku bulabe buno. Bino bye bintu ebiyinza okukolebwa okuva mu kiseera ky’olubuto.
- Tuula ku mupiira gwa dduyiro okumala akaseera buli lunaku ng’oli lubuto.
- Tobbira mu sofa enzito n’ebifo eby’okusulamu okumala ebbanga ddene.
- Bw’oba otudde, gezaako okutuula amaviivi go gabeere wansi okusinga ebisambi byo .
- Weewale okugalamira ku mugongo ng’ozaala. Bw’oba olina okugalamira, kyukira ku ludda lwo .
- Tuula ku mugongo (emabega) ku ntebe oba mu kaabuyonjo ng’ozaala.
- Weenyigira mu dduyiro ayamba gravity okukka omwana wansi, gamba ng’okutambula n’okukola squats.
Ofuna otya obuweerero okuva mu bulumi bw’okuzaala mu mugongo?
Okay, kati ka tulabe engeri ki gy’oyinza okufunamu obuweerero okuva mu bulumi buno obw’amaanyi singa bubaawo. Ekisinga obukulu kwe kukyusa ennyimiririra yo nga tosibye mu maaso. Okugatta ku ekyo, osobola okugezaako ebintu bino.
- Teeka compress eyokya oba ennyogovu ku mugongo gwo ogwa wansi.
- Counter pressure: Saba munno oba omuntu akuyambe okussa puleesa ennywevu n’engalo oba omupiira gwa ttena mu kifo omugongo we gukuluma.
- Obujjanjabi bw’amazzi: Okunaaba oba okunaaba mu bbugumu emirundi mingi kikendeeza ku bulumi.
- Masaagi: Okusiiga omugongo ogwa wansi kiyinza okukuwa obuweerero obw’amaanyi.
- Eddagala eriweweeza ku bulumi: Singa tewali n’emu ku zino ekuwa buweerero, osobola okwogera n’omusawo wo ku ddagala eriweweeza ku bulumi mu by’obujjanjabi, gamba ng’okubudamya epidural oba spinal anesthesia .
Bino byonna kikulu nnyo okuteesa n’omusawo wo nga tonnazaala ku nkola ekusinga.
Obubaka Obutwala Awaka
- Okuzaala omugongo bulumi bwa maanyi nnyo, obutasalako mu mugongo ogwa wansi obubaawo ng’ozaala, bw’ogeraageranya n’obulumi obwa bulijjo obw’okuzaala.
- Ensonga enkulu lwaki kino kibaawo y’embeera y’omwana mu nnabaana (naddala embeera ya Occiput Posterior).
- Obulumi buno bwokka tebulina bulabe eri omwana oba ggwe. Wabula ekifo ky’omwana ekivaako obulumi oluusi kiyinza okwetaagisa okujjanjabibwa (forceps, C-section).
- Okukuuma ennyimiririra entuufu n’okukola dduyiro ng’oli lubuto kiyinza okukendeeza katono ku bulabe bwa kino okubaawo.
- Waliwo enkola ezimalawo obulumi nga massage, okusiiga mu bbugumu/ennyogoga, okukyusa ebifo, n’okumira eddagala eriweweeza ku bulumi ng’omusawo bw’akulagidde.
- Bw’oba olina ekikweraliikiriza oba okubuusabuusa ku mbeera y’omwana wo oba ‘okuzaala mu mugongo’, totya kwogera na musawo wo ku nsonga eyo.
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