Annettee Nakimuli

**Annettee Olivia Nakimuli**  Tun daga 17 ga watan Fabrairu,shekara ta  2021, tana aiki a matsayin Dean na Makarantar Kiwon Lafiya ta Jami'ar Makerere, makarantar likita mafi tsufa a Gabashin Afirka. A lokaci guda tana aiki a matsayin Shugabar Sashen Obstetrics da Gynecology a wannan makarantar likita, rawar da ta taka tun daga shekara ta 2016.  Ita ce kuma shugabar Kwalejin Gabas ta Tsakiya da Kudancin Afirka ta haihuwa da Gynecology. 

## Tarihi da ilimi
An haife ta ne a Yankin Buganda na Uganda . Bayan ta halarci makarantun firamare da sakandare, an shigar da ita Jami'ar Makerere don nazarin likitancin ɗan adam. Digiri na farko shi ne Bachelor of Medicine da Bachelor of Surgery (MBChB). An kuma samo Jagoran Magunguna a cikin Obstetrics da Genecology (MMed Obs & Gyn) daga Makerere . Daga baya, Jami'ar Makerere ta ba ta digiri na Doctor of Philosophy (PhD) tare da hadin gwiwar Jami'ar Cambridge .  Rubutun ta na takardar jarabawar PhD an kira shi "The Role of Natural Killer Cells in Pre-eclampsia in an African Population".

## Ayyuka
Nakimuli mai bincike ne na asibiti a cikin rikitarwa na ciki, tare da mai da hankali kan pre-eclampsia da eclampsia tsakanin matan Afirka da ke kudu da Sahara. Ayyukanta, tare da abokan aiki daga Jami'ar Cambridge sun gano wani kwayar halitta, wanda ke da alaƙa da kariya daga ci gaban pre-eclampsia (Nakimuli et al., PNAS a shekara ta 2015). An bayyana wannan yankin na kwayar halitta ne kawai tsakanin mutanen da suka fito daga Afirka. Ana ci gaba da ƙarin aiki a wannan yanki.

Ta wallafa ko'ina a cikin wallafe-wallafen da aka sake dubawa kuma tana da fiye da wallafe-rubuce 65 da sunanta.

## Sauran ayyuka
A matsayinta na shugabar makarantar likita a Makarantar Kiwon Lafiya ta Jami'ar Makerere, a cikin Kwalejin Kimiyya ta Kiwon Lafiyar Jami'ar makerere, Nakimuli a lokaci guda tana aiki a matsayin shugabar sashen obstetrics da gynecology a wannan makarantar likita. Har ila yau, ita ma mai ba da shawara ce a fannin ilimin haihuwa da ilimin mata a asibitin Mulago National Referral, asibitin koyarwa na Makarantar Kiwon Lafiya ta Jami'ar Makerere . 

Tana aiki a kwamitocin kasa da kasa da yawa, ciki har da:

* Uganda Maternal and Newborn Kungiyar aiki ta fasaha, Kwamitin Gudanarwa na MultiOmics for Mothers and Infants (MOMI) Consortium a Gidauniyar Bill da Melinda Gates . 

* Ta taba aiki a matsayin Mataimakin Shugaban Kwalejin Gabas ta Tsakiya da Kudancin Afirka na Obstetrics da Gynaecology (ECSACOG) wanda aka kafa a shekarar 2017".

## Abubuwan da suka faru kwanan nan
A cikin kwata na huɗu na shekara ta 2021, Mataimakin Farfesa Nakimuli an ba shi tallafin bincike na shekaru biyar wanda ya kai dala miliyan 1, daga Gidauniyar Gates. The Calestous Juma Science Leadership Fellowship, shine don bincike a cikin "Great Obstetrical Syndromes" (GOS), gami da jinkirin girma na ciki, haihuwa, haihuwa kafin haihuwa, pre-eclampsia da eclampsia, tsakanin mata na asalin Afirka.

## Littattafan da aka zaɓa
* Muryoyi daga gaba: binciken daga nazarin jigogi na binciken duniya na kan layi na masu sana'ar kiwon lafiya da ke fuskantar cutar COVID-19. Wannan binciken ya gano cewa akwai bambance-bambance masu yawa a cikin jagora kan gudanar da shari'ar haihuwa tare da ko ba tare da COVID-19 ba.
* Haɗin namiji a lokacin daukar ciki da haihuwa: ra'ayoyin maza, ayyuka da abubuwan da suka faru yayin kula da mata da suka kamu da matsalolin haihuwa a asibitin Mulago, Uganda. Wannan binciken ya samar da bayanai game da rawar da aka fahimta, tsammanin, gogewa da ƙalubalen da maza da ke son shiga cikin matsalolin lafiyar uwa ke fuskanta, musamman a lokacin daukar ciki da haihuwa.
* Misali na tsinkaya na haɗari don kimantawa da rarraba mata tare da cututtukan hawan jini na ciki a cikin saitunan da ba su da wadata: The miniPIERS (Pre-eclampsia Integrated Estimate of RiSk) binciken binciken da ake tsammani na ƙasashe da yawa. Labarin ya sami damar da ta dace don gano mata da ke cikin haɗarin mummunar sakamako na uwa da ke da alaƙa da cututtukan hawan jini na ciki.
* Tasirin COVID-19 a kan ayyukan kiwon lafiya na uwa, jarirai, yara, jima'i da haihuwa a Kampala, Uganda.
* Kare nasarorin da aka samu da wuya ga uwaye da jarirai a cikin ƙasashe masu karamin karfi da matsakaicin karfi a fuskar COVID-19: kira ga cibiyar tsaro ta sabis. Binciken ya ba da shawarar cewa samar da isasshen kudade don kula da ayyuka masu mahimmanci tare da shirye-shiryen gaggawa don COVID-19 yana da mahimmanci don ba da damar saurin daidaitawa da gyare-gyare don isar da sabis don mayar da martani ga yanayin watsawa daban-daban da matakai na cutar.
* Ciki, haihuwa da preeclampsia a cikin mata na asalin Afirka. Daga cikin wasu binciken ya ba da shawarar cewa akwai matsin lamba na juyin halitta mai ƙarfi da ke aiki yayin daukar ciki da haihuwa a cikin 'yan Afirka.
* Sanin alamun haɗari na ciki yana hango shirye-shiryen haihuwa? Wani zargi na shaidar daga mata da aka yarda da su tare da matsalolin ciki. Binciken ya jaddada bukatar ba da fifiko ga shirye-shiryen gaggawa / rikitarwa yayin zaman kulawa kafin haihuwa.
* Har yanzu haihuwar, mutuwar jarirai da jarirai da kuma wadanda suka kusan rasa wadanda ke haifar da matsaloli masu tsanani na haihuwa: binciken da ake tsammani a asibitoci biyu a Uganda. Wannan binciken ya tabbatar da cewa zubar da jini na antepartum, fashewar mahaifa, preeclampsia mai tsanani, eclampsia, da kuma cutar Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP syndrome), ya haifar da haɗarin haɗarin mutuwar jarirai (har yanzu haihuwa ko mutuwar jarirai). 
* Kusan kuskuren uwa daga asibitoci biyu a Uganda: binciken da ake tsammani game da abin da ya faru, abubuwan da ke ƙayyadewa da abubuwan da ke haifar da hakan.
* Nauyin cututtukan uwa da mutuwa da ke tattare da cututtuken hauhawar jini a cikin ciki: binciken da ake tsammani daga Uganda.

* 'Ba za mu rufe ba, saboda ba za mu iya jinkirta daukar ciki ba": binciken da aka haɗu da shi game da samar da kiwon lafiya na uwaye a cikin unguwanni shida na haihuwa a cikin ƙasashe huɗu na Afirka a lokacin annobar COVID-19. 
* **'KIR2DS5.**' allotypes da suka gane C2 epitope na HLA-C sun zama ruwan dare a tsakanin 'yan Afirka kuma ba su nan daga Turawa. Wannan binciken ya gano cewa *KIR2DS5*005* yana da jerin yarjejeniyar KIR2 DS5 kuma shine kawai allele da aka samu a duka wuraren tsakiya da telomeric na KIR2235.
* Bambance-bambance a cikin mai karɓar immunoglobulin-kamar mai kisan kai da kwayoyin halittar leukocyte na mutum da rigakafin zazzabin cizon sauro.
* Tasirin sabon na'urar alama mai mahimmanci akan mutuwar uwa da cututtuka a cikin saitunan da ba su da wadata: gwaji mai amfani, mai tsayi, mai sarrafawa. 
* Yanayin lokaci da abubuwan da ke da alaƙa da sake haihuwar matasa a Uganda: Binciken binciken yawan jama'a da kiwon lafiya guda shida.
* Tasirin dangi na pre-eclampsia akan nauyin haihuwa a cikin saitin albarkatu mai ƙarancin gaske: Nazarin yiwuwar ƙungiya.

## Dubi kuma

* Ma'aikatar Lafiya ta Uganda

## Manazarta