Kya bulijjo okuwulira okutya n'okweraliikirira okungi ng'owulira ekigambo ky'otomanyi nga "Trisomy 18" ng'oyogera n'omusawo wo ku mwana wo ali mu lubuto. Eno mbeera ya ngeri ki, lwaki kino kigenda mu maaso, era waliwo ekikyamu ekyajja mu birowoozo byange? Tofaayo. Leero, ka tutegeere embeera eyitibwa Trisomy 18 mu ngeri ennyangu ennyo, nga tulinga ayogera ne mukwano gwaffe.
Ddala Trisomy 18 kye ki?
Mu ngeri ennyangu, obulwadde bwa trisomy 18 mbeera ereetebwa obuzibu ku chromosomes ezitambuza amawulire agakwata ku buzaale mu mibiri gyaffe. Erinnya eddala eriyitibwa Edwards syndrome , nga bassa ekitiibwa mu musawo eyasooka okunnyonnyola embeera eno.
Lowooza ku mubiri gwaffe ng’ekizimbe ekinene. Pulaani y’ekizimbe kino eri mu bintu ng’ebitabo ebiyitibwa chromosomes. Ensengekera z’obuzaale eziri munda mu bitabo bino bye biragiro ebikwata ku ngeri buli kitundu ky’omubiri gwaffe, okuva ku langi y’enviiri zaffe okutuuka ku ngeri omutima gwaffe gye gukolamu, gye kirina okukula.
Mu budde obwabulijjo, omwana omulamu obulungi afuna chromosomes 23 okuva ku maama ate 23 okuva ku taata. Omugatte guli 46. Zino zisengekeddwa babiri babiri. Ekyo kitegeeza nti waliwo kkopi bbiri eza chromosome 1, kkopi bbiri eza chromosome 2, n’ebirala, okutuuka ku 23.
Kyokka mu mbeera ya trisomy 18, mu kifo kya kkopi bbiri eza bulijjo eza chromosome 18, kkopi ey’enjawulo, kwe kugamba, kkopi ssatu, ebeerawo mu butoffaali bw’omwana. "Tri" kitegeeza bisatu. Eno y'ensonga lwaki kiyitibwa "trisomy 18." Chromosome eno ey’enjawulo esobola okuleeta obuzibu obw’enjawulo mu nkula y’ebitundu bingi mu mubiri gw’omwana.
Waliwo ebika by’obulwadde bwa trisomy 18?
Yee, okusinga waliwo ebika bisatu:
1. Full Trisomy 18 : Kino kye kika ekisinga okubeerawo. Wano, buli katoffaali mu mubiri gw’omwana kalina ekirungo kya chromosome eky’e 18 eky’enjawulo.
2. Partial Trisomy 18: Kino tekitera kubaawo nnyo. Mu kifo ky’okubeera n’ensengekera y’obutonde (chromosome) ey’enjawulo enzijuvu, ekitundu kyokka ku nsengekera y’obutonde (chromosome 18) eky’enjawulo kye kiri mu butoffaali. Ekitundu kino eky’enjawulo era kiyinza okugattibwa ku chromosome endala (translocation).
3. Mosaic Trisomy 18: Eno nayo mbeera etali ya bulijjo. Wano, obutoffaali obumu bwokka obuli mu mubiri gw’omwana bwe bulina ensengekera y’obutonde (chromosome) ey’enjawulo. Obutoffaali obulala buba bwa bulijjo. Kiringa obutoffaali obw’enjawulo bwe butabuddwa wamu nga tile za mosaic.
Embeera eno ya bulijjo etya?
Obuzibu obw’okubiri obusinga okutawaanya ensengekera y’obutonde ye trisomy 18. Obusooka bwe buzibu obumanyiddwa ennyo obwa Down syndrome , oba trisomy 21.
Okusinziira ku bibalo, abaana nga omu ku buli 5,000 abazaalibwa ayinza okuba n’obulwadde bwa trisomy 18. Ku bano, abasinga okuloopebwa be bawala. Kyokka, mu butuufu, abaana abalala bangi abazaalibwa mu lubuto bakosebwa embeera eno. Wabula olw’okuba ebizibu ebiva mu mbeera eno biba bya maanyi, ebiseera ebisinga abalongo abo babula mu lubuto nga bali lubuto.
Bubonero ki obw’omwana alina obulwadde bwa trisomy 18?
Abalongo abazaalibwa n'obulwadde bwa trisomy 18 batera okuba abatono ennyo era nga banafu . Bayinza okuba n‟ebizibu by‟obulamu eby‟amaanyi ebiwerako n‟enkyukakyuka mu mubiri. Ebimu ku bino biwandiikiddwa mu kipande wansi.
| Ekitundu ky’omubiri | Obubonero obulabika |
|---|---|
| Omutwe ne ffeesi | Omutwe omutono okusinga ogwa bulijjo (microcephaly), akawanga akatono (micrognathia), amatu agateekeddwa wansi, n’ennyindo ezikutuse. |
| Emikono n’ebigere | Emikono egyanyiga (engalo nga zizingiddwa ku ndala), ebigere nga biwuuma wansi. |
| Omutima | Ebituli wakati w’ebisenge by’omutima (obulema mu bitundu by’omutima oba obuzibu bw’omusuwa gw’omu lubuto). |
| Ebitundu ebirala | Obulema mu mawuggwe, ekibumba, n’olubuto/ekyenda. |
| Embeera eya bulijjo | Okukula kugenda mpola nnyo.(okukula okukendeera), obuzibu mu kuliisa, okukaaba okunafu, n’okulwawo ennyo mu magezi n’enkulaakulana. |
Kiki ekivaako kino? Ani ali mu kabi?
Kino kye kibuuzo abazadde bangi kye babuuza. "Guno musango gwange?"
Nsaba mukitegeere nti obulwadde bwa trisomy 18 tebuva ku nsobi yonna eya maama oba taata, oba okulya, okunywa oba enneeyisa. Ye nsobi ey’okugabanyaamu ensengekera y’obutonde (random chromosome division error) ebaawo ng’eggi oba ensigo zikoleddwa. Tewali kye tuyinza kukola kukiziyiza.
Wabula akabi k’obulema buno mu chromosomal bweyongera katono nga maama akaddiwa (naddala oluvannyuma lw’emyaka 35). Wabula maama ow’emyaka gyonna asobola okuzaala omwana alina obulwadde bwa trisomy 18.
Bw’oba olina dda omwana alina obulwadde bwa trisomy 18, akabi k’okufuna embeera eno mu lubuto lwo oluddako buli wakati wa 0.5% ne 1%. Wabula singa ggwe oba munno mulina enkyukakyuka mu buzaale (translocation) ereeta ekitundu kya trisomy 18, akabi kayinza okuba nga kasingako awo. Kikulu nnyo okwogera n’omusawo wo ku nsonga eno era bwe kiba kyetaagisa, olabe omuwabuzi ku by’obuzaale.
Kino kisobola okuzuulibwa ng’oli lubuto?
Yee, mazima ddala kisoboka. Omusawo ajja kusooka kuggya musaayi ku maama ( screening test ). Wadde kino tekiyinza kuba kikakafu 100%, kiyinza okumanya oba omwana ali mu bulabe obw’amaanyi obw’okubeera n’ekizibu ky’ensengekera y’obutonde (chromosomal defect) nga trisomy 18.
Singa okukebera kuno kulaga nti waliwo akabi, wabaawo okukebera okulala okukakasa embeera.
- Chorionic Villus Sampling (CVS): Akatundu akatono ak’omu lubuto kakwatibwa ne kakeberebwa mu wiiki ezisooka ez’olubuto (wiiki 10-13).
- Amniocentesis: Oluvannyuma lwa wiiki 15, sampuli y’amazzi g’omu lubuto ageetoolodde omwana bagitwala ne bakeberebwa.
Ebigezo bino byombi bisobola okubala obulungi chromosomes z’omwana n’okukakasa n’obukakafu oba balina trisomy 18 oba nedda.
Okugatta ku ekyo, okukebera (ultrasound scan) okukolebwa oluvannyuma lwa wiiki 12 nakyo kisobola okuleeta okwekengera ku mbeera eno ng’otunuulira ebintu ng’okukula kw’omwana, enkula y’omutima, n’embeera y’ebitundu by’omubiri.
Waliwo obujjanjabi bwonna? Ebiseera by'omwana eby'omu maaso bye biruwa?
Guno mulamwa gwa maanyi nnyo okwogerako. Tewali ddagala lya trisomy 18 n'okutuusa kati . Kino kiri bwe kityo kubanga nkyukakyuka ya buzaale ebeera mu buli katoffaali k’omubiri gw’omwana.
Kyokka obutaba na bujjanjabi tekitegeeza nti tewali kiyinza kukolera mwana. Obulabirizi obuyamba omwana busobola okuweebwa okulaba ng‟omwana yeeyagaza era nga mulamu bulungi nga bwe kisoboka.
- Okulongoosa ebintu ebimu, gamba ng’omutima obulema.
- Okuwa eddagala eryetaagisa.
- Feeding tubes singa wabaawo obuzibu mu kunywa amata.
- Obuwagizi eri obuzibu mu kussa.
Abazadde abamu, mu kifo ky’okujjanjaba omwana waabwe n’obulumi, basalawo okumukuuma nga yeeyagaza okumala akaseera katono, n’omukwano n’omukwano. Kino kiyitibwa okulabirira okubudaabudibwa . Okusalawo kuno kwa muntu ku bubwe nnyo. Kikulu okwogera mu lwatu ku ngeri zino zonna n’omusawo wo.
Ebyembi olw’obuzibu obw’amaanyi obw’ebyobulamu obujja n’embeera eno, abaana bangi bawangaala nnyo. Nga kitundu ku baana bonna abazaalibwa bafa mu wiiki esooka. Ebitundu ebitakka wansi wa 10% babeerawo okujaguza amazaalibwa gaabwe agasooka. N’abalongo abo abawonawo beetaaga okujjanjabibwa buli kiseera.
Okulabirira omwana nga ono kiyinza okukukooya abazadde mu birowoozo ne mu mubiri, n’olwekyo kyetaagisa okuba n’obuyambi eri ggwe kennyini n’ab’omu maka go mu lugendo luno.
Obubaka Obutwala Awaka
- Trisomy 18 mbeera ya buzaale ereetebwa okuba ne kkopi ey’enjawulo eya chromosome nnamba 18.
- Kino tekivudde ku nsobi yonna ya bazadde. Kiba kizibu kya buzaale ekitali kya bulijjo.
- Embeera eno osobola okugizuula ng’oyita mu sikaani n’okukeberebwa omusaayi mu ngeri ey’enjawulo ng’oli lubuto.
- Wadde nga tewali ddagala lya njawulo eriwonya embeera eno, waliwo enkola z’okulabirira omwana eziyamba omwana eziyinza okuwa omwana obuweerero.
- Kikulu nnyo eri abazadde aboolekedde embeera eno okunoonya obuyambi bw‟eby‟omwoyo okuva mu basawo, ababuulirira, n‟abantu abalala ab‟omu maka. Yogerako mu lwatu n’omusawo wo ku kintu kyonna.
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