Essanyu lyowulira ng’omwana wo amaze okujja mu nsi eno teriyinza kwolesebwa mu bigambo, nedda? Naye awamu n’essanyu lino, tulina okumanya enkyukakyuka mu mubiri gwo nga maama. Kya bulijjo okuvaamu omusaayi okutuuka ku ddaala eritali limu ng'omaze okuzaala omwana . Naye singa omusaayi ogwo gweyongera okutuuka ku kigero ekitafugibwa, kiyinza okuba embeera ey’akabi. Ekimu ku bizibu ebikulu ebiyinza okuvaamu mu kiseera ng’ekyo ye Uterine Atony. Ka twogere ku kino leero, awatali kutya, mu ngeri ennyangu.
Uterine Atony kye ki?
Mu ngeri ennyangu, mu lubuto lwo lwonna, nga luno luweza emyezi 9, omwana wo afuna ebiriisa byonna ne oxygen by’ayagala ng’ayita mu misuwa gy’omusaayi mu nnabaana wo. Omwana bw’amala okuzaalibwa, nnabaana bw’azaala, emisuwa gino gigguka.
Ekitera okubaawo, amangu ddala ng’omwana amaze okuzaalibwa, ebinywa mu nnabaana bikonziba nnyo, ne biggalawo emisuwa gino egy’omusaayi egyggule ne biyimiriza okuvaamu omusaayi. Kilowoozeeko ng’okusika payipu y’amazzi n’omukono gwo amazzi ne galekera awo okukulukuta.
Kyokka mu mbeera eyitibwa Uterine Atony , ebinywa bya nnabaana tebikonziba nga bwe kisuubirwa. Bafuuka ba loose era "abagayaavu" (ekyo kye kibeera atony). Olwo, emisuwa egyo egyaggule gitandika okuvaamu omusaayi nga tegufugibwa.
Kino kiyinza okubaawo nga bazaala mu bukyala oba nga balongoosa. Era kiyinza okubaawo oluvannyuma lw’okuvaamu olubuto. Olina okujjukira nti eno mbeera ya maanyi nnyo nga yeetaaga obujjanjabi obw'amangu .
Biki ebiyongera ku bulabe bw’embeera eno?
Embeera eno tebeerawo mu buli muntu. Wabula abantu abamu bayinza okuba mu bulabe obusingako katono olw’ensonga ezimu. Eno y’ensonga lwaki omusawo wo bulijjo amanyi ensonga zino ez’obulabe.
| Ensonga y’akabi | Nga kinnyonnyoddwa mu ngeri ennyangu |
|---|---|
| Omulimu omuwanvu era omuzibu | Oluvannyuma lw’okuzaala okumala ebbanga eddene n’okuzaala okuzibu, ebinywa bya nnabaana bisobola okukoowa. |
| Okukonziba kwa nnabaana okuyitiridde | Singa omwana azitowa nnyo (e.g., kkiro ezisukka mu 4), singa aba balongo, oba singa wabaawo amazzi amangi (amazzi) mu nnabaana (polyhydramnios), nnabaana ayinza okunyigirizibwa ennyo. |
| Okutonda ekimuli mu ngeri ey’ekikugu | Omwana bw’azaalibwa ng’amuwa eddagala nga oxytocin n’okuleeta okuzaala okumala ebbanga eddene. |
| Ebizimba ebiyitibwa Fibroids | Ebiwuziwuzi mu nnabaana bisobola okulemesa nnabaana okukonziba obulungi. |
| Embeera ezisiigibwa | Obulwadde bw’obuwuka obuzingiramu omwana (chorioamnionitis). |
| Obunene | Okugejja ennyo nakyo kireeta akabi. |
Bubonero ki obulaga kino?
Akabonero akakulu era ak'obulabe ak'embeera eno kwe kuvaamu omusaayi omungi ogutafugibwa oluvannyuma lw'okuzaala ( Postpartum Hemorrhage ) .
Wadde nga kyabulijjo okuvaamu omusaayi katono ng’omaze okuzaala, bw’owulira ng’omusaayi guyitiridde, oba paadi gy’okozesa bw’enywera ddala mu bbanga ttono, gamba ng’essaawa emu, oba bw’oba oyita mu bikuta by’omusaayi ebinene, tokitwala nti kya bulijjo. Tegeeza omusawo wo oba abakozi ba ba nnamusa mu bwangu.
Omusaayi oguyitiridde bwe gufuluma mu mubiri, n’obubonero obulala buyinza okulabika.
- Puleesa eya wansi (Hypotension) .
- Omutima okweyongera okukuba
- Omubiri gufuuka munnyogovu era nga gufuukuuse
- Okuwulira ng’aziyira, amaaso nga gafuuka bbululu
- Okukendeera kw’omusulo ogufuluma
- Okubulwa okutegeera mu mbeera ezisinga okuba ez’amaanyi
Omusawo kino akitegeera atya?
Omusawo wo.Obulwadde buno businga kuzuulibwa nga bakebera nnabaana.
Oluvannyuma lw’okuzaala mu ngeri eya bulijjo, omusawo ajja kuteeka omukono gwe ku lubuto lwo era akebere nnabaana wo. Bw’oba walongoosebwa, okukeberebwa kuno kukolebwa ku nkomerero y’okulongoosebwa. Mu budde obwabulijjo, oluvannyuma lw’okuzaala, nnabaana wo yandibadde akendedde era n’owulira ng’akalubye ng’olwazi . Wabula mu mbeera z’okusannyalala kwa nnabaana, nnabaana aba munene nnyo era ng’owulira nga mugonvu bw’okwatako.
Omusawo era ajja kukebera okulaba oba waliwo ebirala ebivaako omusaayi guno oguyitiridde. Okugeza nga:
- Waliwo obuvune oba amaziga ku nnabaana oba mu bukyala?
- Ebitundu by’enseke bikyasigadde mu nnabaana (retained placenta)?
Omusawo akakasa embeera ya uterine atony oluvannyuma lw’okukebera bino byonna.
Bujjanjabi ki obukolebwa ku kino?
Kino kya mangu, n’olwekyo obujjanjabi bulina okutandika amangu ddala. Ekigendererwa ekikulu kwe kukomya omusaayi mu bwangu nga bwe kisoboka. Mu kiseera kino, ojja kuweebwa saline okudda mu kifo ky’amazzi agabuze mu mubiri gwo, ne oxygen bwe kiba kyetaagisa. Singa wabaawo omusaayi omungi ogufiirwa, kiyinza okwetaagisa okuteekebwamu omusaayi .
Waliwo enkola z’obujjanjabi eziwerako.
| Enkola y’obujjanjabi | Kiki ekituuka ku kyo? |
|---|---|
| Obujjanjabi bw’abasawo | |
| Okisikini (Pitocin) . | Obusimu obuyamba nnabaana okukonziba. Kino kiweebwa mu misuwa nga kirimu omunnyo. |
| Eddagala eddala (e.g. Methylergonovine, Prostaglandins) . | Lino ddagala eriweebwa okufuula nnabaana okukonziba ennyo. Ezimu ziweebwa ng’empiso, ate endala ziweebwa ng’empeke eziyingizibwa mu bukyala oba mu nseke. |
| Okulongoosa & Enkola Endala | |
| Okupakinga nnabaana/Balooni | Munda mu nnabaana bateekebwamu gaasi oba bbaatule ey’enjawulo, enyweza emisuwa okuva munda n’eyimiriza okuvaamu omusaayi. |
| Okusiba Emisuwa gy’omu nnabaana | Kino kirongooseddwa kitono. Omusuwa omukulu ogugaba omusaayi mu nnabaana gusibibwa, ne guyimiriza omusaayi. |
| Okuggyamu nnabaana | Bwe kiba nga tewali kirala kiyinza kuyimiriza kuvaamu musaayi, ng’ekisembayo , nnabaana wo ayinza okwetaaga okuggyibwawo ddala okusobola okutaasa obulamu bwo. Kino kikwekweto kinene. |
Okuggyamu nnabaana kukolebwa mu mbeera zokka ezitaasa obulamu nga tewali ngeri ndala, n’olwekyo totya mu ngeri eteetaagisa.
Obubaka Obutwala Awaka
- Uterine atony mbeera ng’ebinywa bya nnabaana tebikonziba bulungi oluvannyuma lw’okuzaala, ekivaamu omusaayi oguyitiridde. Eno mbeera ya mangu ey’obujjanjabi eyeetaaga okujjanjabibwa mu bwangu.
- Bw’oba olina ky’oteebereza nti ovaamu omusaayi omungi ng’omaze okuzaala (paadi etonnya mangu, omusaayi omunene guyitawo), tegeeza omusawo oba nnansi amangu ago. Tokiteeka ku bbali.
- Wadde nga waliwo ebintu ebiwerako ebiyinza okuleeta embeera eno, esobola okubaawo mu muntu yenna, n’olwekyo kikulu nnyo okuzaala mu ddwaaliro ng’olina abakozi abatendeke.
- Waliwo obujjanjabi obukola ennyo ku kino. Abasawo bakozesa enkola ez’enjawulo, okuva ku ddagala okutuuka ku kulongoosa, okukomya okuvaamu omusaayi.
- Yogerako mu lwatu n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’olina ku mubiri gwo, nga tonnazaala n’oluvannyuma lw’okuzaala.
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