Kya bulijjo okuwulira ng’otya katono n’okutya ng’omusawo w’omwana wo omuto akugamba nti beetaaga okukola sikaani y’omutwe. "Walibaawo ekintu ekituuka ku mwana wange? Kino kinaaluma? Lwaki bakola kino?" Oyinza okuba n’ebibuuzo bingi ebikudduka mu birowoozo. Naye tosattira wadde okutya. Leero twogera ku sikaani ey’enjawulo eyitibwa Cranial Ultrasound, etera okukolebwa ku balongo. Mu butuufu kigezo kya bulabe nnyo, tekiruma, era kyangu nnyo.
Mu ngeri ennyangu, Cranial Ultrasound eno kye ki?
Cranial Ultrasound kigezo ekikozesa amaloboozi okukola ebifaananyi by’obwongo bwaffe obw’omunda, okufaananako n’okukuba ekifaananyi. Kino kirina ebika bibiri ebikulu: ekimu kya Head Ultrasound, ate ekirala kya Transcranial Doppler. Kati teebereza, mu kugezesebwa kuno, ekyuma eky’enjawulo kiweereza amaloboozi mu mutwe. Oluvannyuma, amayengo ago bwe gakomawo, kompyuta ekola ebifaananyi eby’omunda mu bwongo. Okuva mu bifaananyi bino ebiddugavu n’ebyeru, abasawo basobola okulaba obulungi ensengekera eziri munda mu bwongo, awamu n’amazzi agakulukuta munda mu binnya ebiri munda mu bwongo (kino tukiyita `(Ventricles)` mu ngeri y’obusawo). Okukebera kuno kusinga kukolebwa
ku baana abali wansi w'emyezi 6 . Waliwo ensonga ey’enjawulo lwaki ekyo kivaako. Obutafaananako bantu bakulu, amagumba g’ekiwanga ky’abalongo tegannaba kugatta wamu mu bujjuvu. Oyinza okuba nga weetegereza ekitundu
ekigonvu ekiringa T waggulu ku mutwe ekiyitibwa ``cerebrospinal cord''. Mu bbanga eryo, amayengo g’amaloboozi gasobola okuyita mu bwongo awatali kulemesa kwonna. Wabula oluusi, okukebera kuno kukozesebwa n’okulongoosebwa obwongo ku bantu abakulu.
Mu mbeera ki ezikolebwa okukebera omutwe (head ultrasound)?
Waliwo ensonga eziwerako lwaki omusawo ayinza okulagira sikaani eno. Ka tuzitunuulire kimu ku kimu.
Ezimu ku
mbeera enkulu ezikeberebwa mu baana abazaalibwa nga tebanneetuuka Embeera endala eziyinza okuzuulibwa n’obubonero obumu obuyinza okulaga nti sikaani | Ensonga lwaki omuntu akeberebwa | Okunnyonnyola |
|---|
| Okuzaala nga tebanneetuuka | Singa omwana wo azaalibwa nga bukyali wiiki ezisukka mu 3, omusawo wo kumpi ajja kukugamba nti sikaani eno. Kino kikoleddwa okuzuula ebimu ku bizibu by’obwongo ebiyinza okubaawo mu baana abazaalibwa nga tebanneetuuka. |
| Okuvaamu omusaayi munda mu bwongo | Kino tukiyita Okuvaamu omusaayi mu lubuto (IVH) . |
| Okwonooneka kw’ebitundu ebyetoolodde ventricles z’obwongo | Embeera eno eyitibwa Periventricular Leukomalacia (PVL) . |
| Okukuŋŋaanyizibwa kw’amazzi mu bwongo oba mu bitundu by’omubiri ebiyitibwa ventricles | Kino kiyitibwa Hydrocephalus . |
| Endwadde z’obwongo | Kebera oba temuli yinfekisoni yonna mu bwongo oba mu bitundu ebigyetoolodde. |
| Ebizimba, endwadde oba ebizimba ebirala (ebizimba, ebizimba ) . | Kebera oba waliwo okukula okutali kwa bulijjo munda mu bwongo. |
| Omutwe munene okusinga ku sayizi eya bulijjo | Singa okwetooloola omutwe gw’omwana gweyongera mu ngeri etaali ya bulijjo. |
| Fontonelle efuumuuka | Singa ekitundu ekigonvu waggulu ku mutwe kirabika nga kibuguma ebweru. |
| Obubonero bw’obuzibu ku bwongo oba obusimu | Singa omwana yeeyisa mu ngeri etaali ya bulijjo oba singa wabaawo okuteebereza nti alina obuzibu mu nkola y’obusimu. |
Kale eno Transcranial Doppler kye ki?
Kino nakyo kika kya ultrasound. Naye okusinga etunuulira
entambula y'omusaayi munda mu bwongo . Embeera z’obujjanjabi ezimu ziyinza okuvaako emisuwa egigasa omusaayi mu bwongo okufunda (stenosis) oba okuzibikira (vasospasm). Okugezesebwa kuno kuyamba okulaba oba embeera ng’ezo ziriwo. Era, okukebera kuno okwa ``Transcranial Doppler`` kukozesebwa okukebera obulabe bw'okusannyalala mu bantu abakulu n'abaana abalina obulwadde bwa sickle cell.
Ddala okukebera kuno tekuliimu bulabe?
Kino kye kibuuzo ekisinga obunene buli maama ne taata ky’alina. Eky’okuddamu kiri nti,
yee, tekirina bulabe 100% .
Kino si kigezo ekikozesa emisinde nga X-ray . Ekozesa amaloboozi agataliiko bulabe gokka. Kale tekijja kuleeta bulabe bwonna wadde obulumi ku mwana wo.
Kiki ekibaawo mu kiseera ky’okusika?
Enkola eno nnyangu nnyo. Osobola okubeera okumpi ddala n’omwana mu kiseera kino.
- Ekifo: Sikaani eno esobola okukolebwa mu kitongole ky’eddwaaliro ekikola ku by’okukuba ebifaananyi oba oboolyawo mu kifo ekirabirira abaana abato ( NICU ), we basobola okuleetebwa ekyuma ekikwatibwako.
- Okwetegeka: Omwana ajja kuteekebwa amaaso waggulu ku kitanda. Osobola okukwata omwana bw’oba oyagala. Kino kijja kuleetera omwana okuwulira obulungi. Ekisenge kijja kuba kizikiddwa omuntu akola sikaani asobole okulaba obulungi ebifaananyi ebiri ku ssirini ya kompyuta.
- Enkola: Ekiddako, omukugu akwata ekyuma ekitono (transducer oba probe) n’asiiga ggelu omutangaavu ku mutwe gw’omwana, obwongo we buli. Olwo, ekyuma ekyo kitambuzibwa mpola nnyo okudda n’okudda waggulu ku bwongo. Olwo amayengo g’amaloboozi gagenda mu bwongo , era kompyuta n’ekola ebifaananyi.
- Ebiseera: Okugezesebwa kwonna kutwala wakati w’eddakiika 15 ne 30 zokka.
Ekigezo kya Doppler kifaananako bwe kityo, naye ggelu eno bagisiiga mu bulago ne ku ttama. Kitunuulira entambula y’omusaayi okuva mu nsonda eyo. Kiyinza okutwala eddakiika nga 35. Oluusi, bw’oba weetaaga okugenda mu maaso n’okulondoola, oyambala ekitambaala eky’enjawulo ku mutwe okumala eddakiika nga 30 n’onoonya `hits` yonna mu musaayi ogugenda mu bwongo.
Nfuna ntya ebyavaamu?
Oluvannyuma lw’okukeberebwa okuggwa, omusawo akola ku by’okukuba ebifaananyi ajja kwetegereza ebifaananyi ebyo era akole lipoota. Lipoota ejja kuweebwa omusawo ajjanjaba omwana wo.
Omusawo wo olwo ajja ...Bajja kumala kukunnyonnyola amawulire agali mu lipoota era boogere naawe ku ky’olina okuddako.
Obubaka Obutwala Awaka
- ‘Cranial Ultrasound’ kigezo ekitali kya bulabe, ekitaliimu bulumi nga kikozesa amaloboozi okukuba ebifaananyi by’obwongo.
- Kino tekifulumya busannyalazo bwonna, n’olwekyo tekijja kutuusa bulabe ku mwana wo.
- Kino kitera okukolebwa okukebera embeera ng’okuvaamu omusaayi mu bwongo mu baana abali wansi w’emyezi 6 naddala abazaalibwa nga tebanneetuuka.
- Osobola okubeera okumpi n’omwana wo n’omukwata ng’akeberebwa. Kino kijja kumuleetera okuwulira obulungi ennyo.
- Oluvannyuma lw’okufuna lipoota y’okukebera, saba omusawo wo akunnyonnyola ku bibuuzo byonna oba okubuusabuusa kwonna kw’oyinza okuba nakwo ku nsonga eno. Totya.
Cranial Ultrasound, Head Ultrasound, Transcranial Doppler, Baby Scan, Head Scan, Brain Scan, Baby Scan, Cerebral Palsy, Okuvaamu omusaayi mu nnyindo, Periventricular Leukomalacia, Hydrocephalus, Okuzaala nga tannatuuka, Omwana azaalibwa nga tannatuuka, Okukebera abasawo
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