Menya  impamvu umwana agomba kurira iyo akimara kuvuka- Bigenda bite iyo atarize , Biterwa niki?

Iyo umwana avutse, kimwe mu bintu bya mbere abaganga n’ababyeyi baba biteze ni ukumva arize. Kurira k’umwana akivuka ni ikimenyetso gikomeye cyigaragaza ko umwana avukanye ubuzima bwiza, kuko bigaragaza ko yatangiye guhumeka neza kandi ko ibihaha bye bifunguye neza.

Mu gihe umwana ari mu nda ya nyina, ibihaha bye biba byuzuyemo amazi, ntibiba bikora nk’uko bisanzwe. Umwuka umugeraho binyuze mu mitsi imuhuza n’inda ya nyina (placenta). Iyo avutse, icyo gihe umwuka ntuba ugomba guca muri placenta, ahubwo ugomba guca mu bihaha bye. Ni cyo gituma agomba kurira kugira ngo afungure ibihaha, amazi aba arimo asohoke, maze umwuka winjire mu byukuri umwana aba yumva ububabare mu gihe ibyo bice bye byumubiri biba biri kwifungura kunshuro ye ya mbere.

Kurira kandi bifasha kongera kugenda kw’amaraso neza hagati y’umutima n’ibihaha, bityo umubiri wose ugatangira kubona oxygen ikenewe. Nanone, iyo arize bifasha gusukura inzira z’umwuka (amazuru, umunwa)  kugira ngo ntibizibwe n’amazi cyangwa .

Iyo umwana avutse, kimwe mu bintu bya mbere abaganga n’ababyeyi biteze ni ukumva arize. Kurira k’umwana akivuka ni ikimenyetso gikomeye cy’ubuzima bwe, kuko bigaragaza ko yatangiye guhumeka neza kandi ko ibihaha bye bifunguye neza.

Mu gihe umwana ari mu nda ya nyina, ibihaha bye biba byuzuyemo amazi, ntibiba bikora nk’uko bisanzwe. Umwuka umugeraho binyuze mu mitsi imuhuza n’inda ya nyina (placenta). Iyo avutse, icyo gihe umwuka ntuba ugomba guca muri placenta, ahubwo ugomba guca mu bihaha bye. Ni cyo gituma agomba kurira kugira ngo afungure ibihaha, amazi aba arimo asohoke, maze umwuka winjire.

Kurira kandi bifasha kongera kugenda kw’amaraso neza hagati y’umutima n’ibihaha, bityo umubiri wose ugatangira kubona oxygen ikenewe. Nanone, iyo arize bifasha gusukura inzira z’umwuka (amazuru, umunwa n’inkorora) kugira ngo ntibizibwe n’amazi cyangwa umucafu.

Hari impamvu zitandukanye zishobora gutuma umwana atarira akivuka, zirimo:

Kubura umwuka mu gihe cyo kuvuka (asphyxia): Iyo igihe cyo kubyara cyatindijwe cyangwa habayeho ingorane, umwana ashobora kubura oxygen.                                                            Kuvuka atarageza igihe (prematurity): Abana bavuka bakiri bato cyane baba bafite ibihaha bitarakuze neza, bigatuma kutarira kugaragara.                                                                          Ibibazo byo mu bihaha cyangwa umutima: Nko kuba afite amazi menshi mu bihaha, indwara z’umutima cyangwa inzira z’umwuka zifunze.                                                                  Gukoresha imiti ku mubyeyi: Hari imiti imwe ikoreshwa mu gihe cyo kubyara ishobora gutuma umwana ahita agira intege nke, bigatuma atarira.

Ingaruka umwana utarize ashobora guhura nazo

Iyo umwana avutse ntarira, ni ikimenyetso cy’uko ashobora kuba atangiye guhumeka neza. Ibyo bishobora kugira ingaruka zikomeye ku buzima bwe:

Kunanirwa guhumeka (asphyxia neonatorum): Umwana ntashobora kubona umwuka uhagije, bikaba byamutera guhagarika umutima.                                                                             Kubura oxygen (hypoxia): Ubwonko n’ibindi bice by’umubiri by’umwana bishobora kwangirika kubera kubura umwuka.

Kuba yakenera ubutabazi bwihuse: Iyo umwana atarize, abaganga cyangwa ababyaza bamufasha, bamukorera isuku mu kanwa no mu mazuru, bakamuhumisha umubiri, cyangwa bakamufasha guhumeka hifashishijwe imashini (resuscitation).

Ibibazo bikomeye mu buzima: Niba umwana atabonye umwuka vuba, bishobora kumutera ubumuga bwo mu bwonko cyangwa bikamuhitana.

Uko abaganga bafasha umwana utarize

Iyo umwana avutse ntarire, abaganga bahita bakoresha uburyo bwihuse bwo kumufasha: burimo

Kumukuramo amazi mu kanwa no mu mazuru hifashishijwe imashini is asohora amatembabuzi kugira ngo inzira z’umwuka zibe zivemo ayo mazi

Kumuha umwuka wo hanze (oxygen): Niba adahumeka neza, bamushyiraho akuma k’umwuka cyangwa bakoresheje “bag and mask” kugira ngo ahumeke.

Kwifashisha i machini ya intubation: Mu gihe gikomeye, bashobora kumushyiramo umuyoboro mu mwanya w’umwuka kugira ngo ahumeke.

Kurira k’umwana akivuka ni intangiriro y’ubuzima bwe bwo hanze y’inda ya nyina. Ni igikorwa gifite akamaro mu gufungura ibihaha, gutuma amaraso atembera neza, kongera ubushyuhe bw’umubiri no gutanga ikimenyetso cy’uko inzira z’umwuka zikora neza. Iyo umwana atarize, bigaragara nk’icyemezo gikomeye cyo gukenera ubufasha bwihuse kugira ngo ubuzima bwe butamucika.

Bityo, kurira k’umwana akivuka ni ikimenyetso cy’intsinzi y’ubuzima  intangiriro y’urugendo rushya rwo kuba umuntu wigenga.

Author: Elysee Niyonsenga