Placenta Accreta - Tukyogere ku nsonga eno?

Okufuna olubuto kye kiseera ekisinga okulabika obulungi n'obuvunaanyizibwa mu bulamu bwa maama. Mu kiseera kino, kya bulijjo nnyo okuwulira ng’otya katono n’okwagala okumanya ebigenda mu maaso munda mu mubiri gwo n’obulamu bw’omwana wo. Olwaleero tugenda kwogera ku mbeera eyenjawulo abantu bangi gyebatawulirangako, naye nga nkulu nnyo buli maama ali olubuto okugimanya. Oyo ye Placenta Accreta . Tofaayo, tujja kwogera ku buli kimu mu ngeri ennyangu era mu ngeri entegeerekeka.

Okusooka, ka tulabe, enseke eno kye ki?

Mu ngeri ennyangu, enseke y’omutala wakati wo n’omwana wo ng’oli lubuto. Kye kitundu eky’enjawulo ekikula munda mu nnabaana. Okuyita mu nseke eno omwana mw’afunira omusaayi gwonna, omukka gwa oxygen, n’ebiriisa omubiri gwo bye gwetaaga. Era okuyita mu nnabaana ono, kasasiro w’omwana w’aggyibwamu.

Ekitera okubaawo nti omwana bw’amala okuzaalibwa, enseke yeekutula ku bbugwe wa nnabaana ku bwayo. Kino era tukiyita "okuzaala mu nnabaana."

Kale, embeera eno ey’amaanyi eyitibwa Placenta Accreta y’eruwa?

Ensigo Accreta ye nnabaana bwe yeekwata ennyo era nga yeekwata nnyo ku bbugwe wa nnabaana, ekintu ekitali kya bulijjo. Mu budde obwabulijjo, enseke yeekwata ku lugoye olugonvu lwokka olwa nnabaana (endometrium). Kyokka, mu mbeera eno, enseke esobola okwekwata n’okusingawo, okutuukira ddala mu binywa bya nnabaana .

Kino bwe kikwatagana bulungi, enseke tesobola bulungi kuvaayo ng’omwana amaze okuzaalibwa. Bw’ogezaako okugiggyamu, kiyinza okuvaamu omusaayi omungi. Kino kye kizibu ekikulu era ekisinga okuba eky’obulabe wano.

Waliwo ebika bibiri ebikulu ebya Placenta Accreta:

Embeera eno egabanyizibwamu ebika ebikulu bisatu, okusinziira ku buziba enseke bw’ekwata ku bbugwe wa nnabaana. Kino katukitegeere n'emmeeza.

Lwaki embeera eno ebaawo?

Omuwendo gw’abantu abaloopebwa ku mbeera eno gweyongedde katono mu myaka egiyise. Ensonga enkulu evuddeko kino ezuuliddwa ng’omuwendo gw’abalongoosa (C-sections) okweyongera .

Kuba akafaananyi ng’obadde ozaala omwana eyasooka ng’okozesa C-section. Okulongoosa okwo kulekawo enkovu entono (enkovu) mu bbugwe wa nnabaana. Mu lubuto oluddako, singa embuto esimbibwa mu nkovu eyo oba okumpi nayo, enseke ejja kukula waggulu ku nkovu eyo, so si mu bitundu bya nnabaana ebiramu. Olw’okuba ebitundu by’enkovu tebiwanvuwa ng’ebitundu bya nnabaana ebya bulijjo, enseke etera okwekwata mu buziba mu ngeri etaali ya bulijjo.

Ebintu ebirala ebiyinza okuleeta akabi:

Ng’oggyeeko C-section , okulongoosa oba embeera endala ezireeta enkovu mu nnabaana nazo zisobola okwongera ku bulabe buno.

• Myomectomy: Okulongoosa okuggyamu obuwuka obuyitibwa fibroids mu nnabaana.
• Okulongoosa okulala okukolebwa ku nnabaana (e.g. Hysteroscopic surgery, Endometrial ablation).
• Okubeera n'embeera eyitibwa placenta previa . Kino kitegeeza nti enseke esangibwa wansi mu nnabaana, ng’ebikka omumwa gwa nnabaana. Abantu nga 80% abalina placenta accreta nabo balina embeera eno.
• Okubeera nga wa myaka egisukka mu 35.
• Nga yazaala abaana abawerako emabegako.

Ntegeera ntya oba nnina embeera eno?

Placenta Accreta etera okuzuulibwa mu kiseera ky’okukebera eddoboozi ery’omwanguka ng’oli lubuto olwa bulijjo.Sikaani yaayo. Bw’oba ​​olina ekimu ku bintu eby’obulabe ebyogeddwako waggulu, omusawo wo ayinza okufaayo ennyo ku kino n’akola sikaani.

Oluusi, MRI scan esobola okukolebwa okuzuula ddala obuziba bwa nnabaana bwe buyingiddemu. Amawulire gano makulu nnyo eri abasawo okuteekateeka okuzaala.

Naye jjukira nti oluusi kizibu okumanya 100% okuva mu sikaani embeera eno gy’eri ey’amaanyi. Bamaama abamu bazuulibwa n’embeera eno mu kiseera ky’okuzaala.

Bubonero ki obulaga kino?

Ekyewuunyisa wano nti emirundi mingi tewabaawo bubonero bulabika bwa Placenta Accreta. Embeera eno esobola okukula munda mu mubiri gwo nga totegedde nkyukakyuka yonna oba obutabeera bulungi.

Wabula mu mbeera enzibu ennyo nga Placenta Percreta, enseke enyigiriza ebitundu ebirala, ekivaako obulumi mu kifuba oba omusaayi omutono mu musulo.

Kino kiyinza okuleeta bizibu ki?

Ekizibu ekikulu era ekisinga okuba eky’obulabe ku mbeera eno kibaawo ng’ozaala. Okuva bwe kiri nti nnabaana teyawukana ku nnabaana mu ngeri eya bulijjo, ebizibu eby’amaanyi bisobola okubaawo.

Ebiyinza okukosa omwana

• Okuzaala nga tannatuuka: Okusinziira ku buzibu bw’embeera, omwana ayinza okwetaaga okuzaala ng’alongoosebwa nga wabulayo wiiki 3-6 okutuuka ku lunaku lw’okuzaala.
• Olw’okuzaala nga tannatuuka, omwana ali mu bulabe obw’okwongera okwetaaga obujjanjabi mu NICU ( Neonatal Intensive Care Unit) .
• Singa maama afuna omusaayi omungi, omwana ayinza okuzaalibwa mu ngeri ey’amangu nga tategese.

Ebiyinza okukosa maama

Mu mbeera eno, akabi akasinga kali ku maama.

• Okuvaamu omusaayi: Okuvaamu omusaayi omungi, oguyinza okutta omuntu.
• Okuggyamu nnabaana: Emirundi mingi, engeri yokka ey’okukomya omusaayi oguyitiridde n’okutaasa obulamu bwa maama kwe kuggyawo nnabaana ddala mu kiseera kye kimu ng’omwana azaaliddwa. Kino kiyitibwa Cesarean Hysterectomy.

Kijjanjabwa kitya era kiddukanyizibwa kitya?

Bw’oba ​​ozuuliddwa n’obulwadde bwa Placenta Accreta, tosattira. Ttiimu yo ey’abasawo ejja kukola enteekateeka esinga obulungi okukukuuma n’omwana wo.

• Ekitundu kya C ekitegekeddwa:Okuzaala kutegekebwa era kukolebwa nga C-section ng’ebula wiiki ntono olunaku lw’okuzaala lutuuke.
• Okuggyamu nnabaana mu ngeri ey’ekika kya Cesarean Hysterectomy: Emirundi mingi, omwana bw’amala okuzaala, nnabaana aggyibwawo ddala wamu n’enkwaso. Kino bwe kiggwa, tojja kuddamu kusobola kuzaala. Wadde kino kya nnaku, kikulu okukitegeera nti kyetaagisa okutaasa obulamu bwa maama.
• Yogerako ne ttiimu yo ey’abasawo: Omwana wo nga tannazaalibwa, yogerako n’omusawo wo ne ttiimu y’abasawo ku bibuuzo byonna by’oyinza okuba nabyo. Yogera ku kuyonsa oluvannyuma lw’okulongoosebwa n’emikisa gy’okukwata omwana wo kumpi.

Mu mbeera ezimu, singa maama ayagala okuzaala abaana abawera, abasawo bayinza okugezaako okuleka ekitundu ky’enkwaso mu nnabaana. Wabula kino kireeta akabi k’okukwatibwa obulwadde n’okulongoosebwa oluvannyuma. Okusalawo okusinga obulungi ku nsonga eno kukolebwa ttiimu yo ey’abasawo okusinziira ku mbeera gy’olimu.