Wopɛ sɛ wusua awo mu dɛmdi ho ade? Nsuro, momma yɛnka ho asɛm!

Sɛ worehwɛ kwan sɛ wobɛyɛ ɛna, anaasɛ worehwɛ kwan sɛ ɔmannifo foforo bɛka w’abusua ho a, apɛde kɛse a ɛwɔ w’adwene mu ne akokoaa a ɔwɔ apɔwmuden. Nanso ɛtɔ mmere bi a, mpofirim no, wobetumi awo akokoaa no a nsakrae bi aba ne nyin mu. Eyi ne nea yɛfrɛ no “ Awo mu Mfomso”. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne awerɛhow nka kakra bere a wote asɛm yi. Nanso mma ɛnhaw wo. Ɛho hia paa sɛ yenya eyi ho ntease a ɛfata. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri na ɛnyɛ den koraa.

Dɛn ne awo mu dɛmdi?

Sɛ yɛbɛka no tiawa a, awo mu dɛmdi yɛ nkɔso a ɛnteɛ a ɛba bere a awotwaa no nyin no. Saa nsakrae yi betumi aka akokoaa no nipadua no fã biara. Nnuruyɛfo betumi ahu awo mu dɛmdi ahorow bi bere a wɔyem no . Wobetumi ahu afoforo nso bere a wɔawo akokoaa no akyi anaa bere a akokoaa no anyin kakra no. Mpɛn pii no, wohu tebea horow yi wɔ akokoaa nkwa afe a edi kan no mu. Nanso, ɛho hia sɛ yɛkae sɛ ɛnyɛ awo mu dɛmdi nyinaa na wotumi hu wɔ akyi .

Bere a awo mu dɛmdi ahorow bi betumi de wɔn nkwa ato asiane mu no, ɛnyɛ ne nyinaa na ɛte saa. Ɔkwan a wɔfa so ka abofra no gyina tebea a wɔrehu no so. Ebia awo mu dɛmdi ahorow bi bɛsakra sɛnea abofra te. Nanso afoforo betumi aka sɛnea abofra susuw nneɛma ho, sɛnea ɔkeka ne ho, na ɔyɛ da biara da nnwuma.

Dɛn ne awo mu dɛmdi a ɛtaa ba?

Eyinom ne awo mu dɛmdi a ɛtaa ba no bi:

• Anofafa a apaapae ne/anaasɛ anom a apaapae.
• Nneɛma a ɛnteɛ wɔ nnompe nyin mu, te sɛ ne tenten tiaa , akwaa a ɛyera, anaa scoliosis.
• Koma mu tebea horow a wonya fi awo mu .
• Chromosome abnormalities – Nhwɛso bi ne tebea bi a wɔfrɛ no Down syndrome .
• Clubfoot a ɛyɛ .
• Tebea horow a ɛna no nsa a ɔnom bere a ɔyem (Fetal alcohol syndrome) de ba.
• Sickle cell mogya a ɛtɔ kɔ nipadua mu.

Saa list yi nwie pɛyɛ, ebia awo mu dɛmdi afoforo pii te sɛ eyi wɔ hɔ.

Awo mu dɛmdi abu so dɛn?

Nokwarem no, awo mu dɛmdi ntaa mma sɛnea ebia wususuw no. Sɛ nhwɛso no, sɛnea akontaabu a ɛwɔ United States kyerɛ no, wɔwo akokoaa a awo mu dɛmdi wɔ simma anan ne fã biara mu. Ɛno kyerɛ sɛ nkokoaa 33 biara a wɔwo wɔn no mu bɛyɛ biako betumi anya awo mu dɛmdi bi. Eyi kyerɛ sɛ eyi yɛ tebea a abu so koraa.

So ɛteɛ sɛ wɔde asɛmfua "congenital disorder" bedi dwuma?

“Awo mu dɛmdi” yɛ asɛmfua a ɛteɛ wɔ aduruyɛ mu. Wɔde kyerɛkyerɛ nsakrae a ɛba nipadua no nhyehyɛe mu wɔ awotwaa no fã mu. Enti, mfomso biara nni ho sɛ yɛbɛfrɛ tebea bi sɛ “awo mu dɛmdi.”

Nanso, nea ɛho hia sen biara no, mfrɛ obi a ɔwɔ awo mu dɛmdi "odi dɛm" anaa "odi dɛm." Wɔn nipadua mu nsonsonoe nkyerɛ nnipa ko a wɔyɛ. Ɛho hia sɛ wokwati sɛ wode kasa a ɛyɛ yaw, a enye bedi dwuma bere a woreka awo mu dɛmdi, anaa nnipa a wɔwɔ awo mu dɛmdi ho asɛm no.

Sɛ ɛyɛ den ma wo sɛ wode asɛmfua "awo mu dɛmdi" bedi dwuma a, wubetumi de nsɛmfua afoforo te sɛ eyinom adi dwuma:

• Congenital abnormalities – kyerɛ sɛ, nneɛma a ɛnteɛ a ɛwɔ hɔ wɔ awo mu.
• Tebea horow a wonya fi awo mu.
• Nipadua mu nkwaadɔm a ɛnteɛ.

Dɛn ne awo mu dɛmdi ho sɛnkyerɛnne?

Awo mu dɛmdi ho sɛnkyerɛnne betumi afi nea emu nyɛ den so kosi nea emu yɛ den so. Wobetumi aka nipadua no fã biara, a nnompe ne emu akwaa ahorow ka ho.

Nsɛnkyerɛnne a wohu bere a wɔyem

Wɔ nyinsɛn mu no, nnuruyɛfo de nhwehwɛmu ahorow a wɔde hwehwɛ nneɛma mu di dwuma de hwɛ sɛ ebia awo mu dɛmdi ho sɛnkyerɛnne bi wɔ hɔ anaa. Nsɛnkyerɛnne a ebetumi ada adi saa bere yi bi ne:

• Protein dodow a ɛwɔ mogya mu nhwehwɛmu mu a ɛba fam anaa ɛboro nea wɔhwɛɛ kwan no so.
• Ultrasound nhwehwɛmu kyerɛ sɛ nsu foforo wɔ akokoaa no kɔn akyi.
• Scan a wɔde hwehwɛ awotwaa no koma mu (fetal echocardiogram) kyerɛ sɛ nneɛma a ɛnteɛ wɔ nipadua no mu akwaa te sɛ koma no nhyehyɛe mu.

Nsɛnkyerɛnne a wohu bere a wɔawo akokoaa no akyi

Awo mu dɛmdi ahorow bi ntumi nna adi kosi sɛ wɔbɛwo akokoaa no, anaasɛ awo akyi nna kakraa bi pɛ. Nsɛnkyerɛnne a wɔtaa hu wɔ nkokoaa ne mmofra a wɔretu mmirika mu no bi ne:

• Koma no bɔ a ɛnyɛ ne kwan so.
• Ɛyɛ den sɛ wobɛhome nkutoo.
• Wɔremmua sɛ wɔbɛfrɛ obi din anaa dede a ano yɛ den.
• Ɛnyɛ sɛ wode w’ani bedi w’ankasa anaa ade bi a ɛwɔ w’anim akyi.
• Ɛyɛ den sɛ wubedi nufusu na woanom.
• Sɛ́ obi benya anim pɔtee bi a ɛyɛ soronko wɔ ne ti, n’anim, n’ani, n’aso, ne n’ano mu.
• Nkɔso mu nsɛntitiriw a ɛfata mfe a obi adi (e.g., sɛ wɔanhuruhuruw anaasɛ wɔantra ase).
• Ahomegye ne abufuw a ɛkɔ so daa.

Eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ.Sɛ wuhu biribi a ɛyɛ nwonwa anaa ɛsono wɔ wo ba no ho, anaa sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ wo ba no duruyɛfo nkyɛn ntɛm ara.

Dɛn na ɛde awo mu dɛmdi ba?

Nneɛma pii betumi ama obi anya awo mu dɛmdi. Wɔn titiriw ne:

• Nsakrae a ɛba awosu mu nneɛma mu.
• Sɛ́ nnuru bi ho nsunsuanso bɔne.
• Nneɛma anaa nnuru bi a wɔde wɔn ho bɛhyɛ mu.
• Nyinsɛn mu nsɛnnennen.

Saa nneɛma yi nyinaa ka akokoaa no nkɔso. Mpɛn pii no, eyinom yɛ nneɛma a yentumi nyɛ ho hwee, enti kakraa bi pɛ na yebetumi ayɛ de asiw ano.

Kakraa bi fa awotwaa no nyin fã ahorow ho

Nneɛma atitiriw abien na akokoaa nyin bere a wɔanyinsɛn no wɔ awotwaa mu akyi.

1. Embryo stage: Eyi ne adapɛn 10 a edi kan wɔ nyinsɛn akyi. Eyi ne bere a akokoaa no nipadua mu nhyehyɛe atitiriw ne ne akwaa ahorow fi ase hyehyɛ. Asiane a ɛwɔ hɔ sɛ obi benya awo mu dɛmdi no yɛ kɛse wɔ saa nkwaboaa no fã yi mu, efisɛ akwaa no da so ara nyin. Sɛ nhwɛso no, sɛ ɛna no nya biribi a epira wɔ nyinsɛn akyi adapɛn abien kosi du a, ebetumi apira akokoaa no kɛse.

2. Fetal stage: Eyi ne nyinsɛn no fã a aka. Wɔ saa bere yi mu no, akwaa a ɛrenyin no kɔ so nyin na mpɛn pii no akokoaa no nyin.

Sɛnea aduruyɛ ho nyansahu kyerɛ no, mprempren wonim nea ɛde awo mu dɛmdi bɛyɛ 30% pɛ ba. Ɛno kyerɛ sɛ bɛyɛ 70% no, wɔanhu nea ɛde ba pefee. Ebia awo mu dɛmdi 50% kosi 70% yɛ nea ɛba kwa, na wonnim nea ɛde ba.

Awosu mu Nneɛma ne Awo mu Mfomso

Awo mu dɛmdi bɛyɛ 20% fi awosu mu nneɛma. Yɛn nipadua mu nkwammoaa wɔ chromosomes, mpɛn pii no 46. Chromosome biara kura awosu mu nkwaadɔm mpempem pii. Awosu mu abɔde biara kura nhyehyɛe a ɛbɛma yɛn nipadua no fã pɔtee bi anyin anaa ayɛ adwuma. Sɛ obi wɔ chromosomes pii dodo anaa kakraa bi dodo a, nkrasɛm a nkwammoaa no nya no yɛ basaa.

Nsakrae a ɛba chromosomes mu no betumi aba wɔ akwan a edidi so yi so:

• Chromosome foforo a wubenya: Nhwɛso bi ne Down syndrome. Nnipa a wɔwɔ saa tebea yi wɔ chromosome 21 no bi foforo.
• Nkwammoaa mu nkwaadɔm a enni nipadua mu: Turner syndrome yɛ tebea a wɔwo obi a onni X ɔbarima ne ɔbea nkwaboaa no fã bi anaa ne nyinaa.
• Chromosomes a wɔapopa: Nhwɛso bi ne Prader-Willi syndrome, baabi a awosu mu nsɛm a ɛwɔ chromosome 15 so no fã bi nni hɔ.
• Chromosomes a wɔatu akɔ baabi foforo / Translocation: Chromosomes a efi baabi a ɛfata kɔ beae foforo.

Awo mu dɛmdi ahorow bi fi awo mu.Ɛno kyerɛ sɛ obi a ɔwɔ abusua no mu betumi anya bi na ebetumi aba abofra no nso mu. Afoforo nso ba bere ne bere mu, a ɛkyerɛ sɛ abusua no mu biara nni hɔ a wanya bi pɛn.

Nnuru bi ne awo mu dɛmdi

Nnuru bi betumi aka akokoaa a ɔrenyin no na ama awo mu dɛmdi. Nhwɛso ahorow bi:

• Isotretinoin (aduru a wɔde sa akisikuru – Accutane® anaa Roaccutane®) .
• Nnuru bi a wɔde ma wɔ akisikuru ho (Antiepileptic nnuru), s.e. valproic acid a wɔde yɛ aduru
• Lithium a wɔde yɛ nneɛma
• Warfarin (aduru a ɛmma mogya ntumi nkɔ mu) .

Sɛ woreyɛ nhyehyɛe anyinsɛn anaasɛ woanyinsɛn dedaw a, wo ne wo duruyɛfo nka nnuru, vitamin, ne nnuru a wɔde ka wo ho a worenom nyinaa ho asɛm. Bisa nnuru biara a wo duruyɛfo bɛkyerɛw ama wo no ho nsunsuanso bɔne nso. Nnyae nnuru biara a wobɛnom a wo duruyɛfo no mpene so.

Esiane nneɛma ne nnuru bi nti

Nneɛma ne nnuru bi a ɛwɔ yɛn nneɛma a atwa yɛn ho ahyia mu no betumi aka akokoaa no nkɔso na ama awo mu dɛmdi.

• Nsaden.
• Nneɛma a ɛma obi yɛ ade tra so – s.e. caffeine (sɛ wɔnom boro so a), nnuru a wɔtɔn, nnubɔne.
• Nnuru a wɔde kum mmoawa anaa nnuru a wɔde kum wura.
• Nneɛma a atwa yɛn ho ahyia a wɔsɛe no.

Wɔ wiase mmeae bi no, na awo mu dɛmdi abu so esiane nnuru a wɔde kum mmoawa a ɛyɛ hu ne nnuru a wɔde kum wura a wɔde di dwuma nti. Eyi ho nhwɛso ne aduru a wɔde kum wura a wɔfrɛ no Agent Orange a wɔde dii dwuma wɔ Vietnam Ko no mu.

Esiane nsɛnnennen a ɛba bere a wɔyem nti

Awo mu dɛmdi nso betumi aba esiane nsɛnnennen bi a ɛba bere a wɔyem nti. Mpɛn pii no, eyinom yɛ nneɛma a awofo no ntumi nyɛ ho hwee, enti sɛ nneɛma a ɛte sɛɛ si a, ebetumi ayɛ yaw paa.

Nhwɛso ahorow:

• Awotwaa mu anohyeto: Amniotic sac a awotwaa no wom no mu paapae bere a nyinsɛn no. Eyi betumi de tebea horow te sɛ amniotic band syndrome a ebetumi asɛe akwaa ahorow aba.
• Nsu a ɛwɔ awotwaa mu a enni hɔ: Nsu a ɛdɔɔso a ɛtwa awotwaa no ho hyia wɔ awotwaa no mu. Eyi betumi de nhyɛso aba akokoaa no so na ama ahurututu asɛe (pulmonary hypoplasia).
• Nyarewa: Nyarewa bi te sɛ toxoplasmosis ne cytomegalovirus betumi aka akokoaa a ɔrenyin no.

Nea ɛbɛyɛ na woakwati saa nsɛnnennen yi no, wo ne oduruyɛfo nkasa mfa akwan horow a wobɛfa so ama wo ne wo awotwaa a ɔrenyin no anya apɔwmuden bere a wonyinsɛn no ho asɛm.

Dɛn ne asiane ahorow a ɛma asiane a ɛwɔ hɔ sɛ obi benya awo mu dɛmdi no yɛ kɛse?

Nneɛma bi anaa akwahosan tebea horow bi betumi ama asiane a ɛwɔ hɔ sɛ wobenya abofra a ɔwɔ awo mu dɛmdi no ayɛ kɛse.

• Asikyireyareɛ.
• Obolo.
• Ɛna mfeɛ (boro mfeɛ 35).
• Awosu mu su a obi wɔ wɔ abusua no mu.
• Nnubɔne a wɔde di dwuma ho haw.
• Nnuru bi a wɔnom.

Sɛ wowɔ tebea bi a ɛte sɛɛ a, wo duruyɛfo betumi aboa wo ma woadi ho dwuma. Wobetumi nso ayɛ nhwehwɛmu de ahwɛ asiane a ɛwɔ hɔ sɛ wubenya awosu mu yare bi.

Ɔkwan bɛn so na wohu awo mu dɛmdi?

Oduruyɛfo betumi ahu awo mu dɛmdi bi wɔ nyinsɛn mu, bere a wɔawo akokoaa no akyi, anaa akyiri yi wɔ n’asetra mu bere a sɛnkyerɛnne ahorow ada adi no. Nhwehwɛmu ahorow si so dua sɛ wɔahu yare no.

Nhwehwɛmu a Wɔyɛ wɔ Nyinsɛn Mu

Wɔ nyinsɛn mu no, ebia wobɛpaw sɛ wobɛyɛ nhwehwɛmu de ahwehwɛ awo mu dɛmdi ne awosu mu tebea horow mu. Eyinom betumi ayɛ ultrasound anaa mogya mu nhwehwɛmu. Sɛ nhwehwɛmu bi a wɔde hwehwɛ nneɛma mu kyerɛ sɛ biribi a ɛnteɛ a, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu a ɛkyerɛ sɛ obi ahu.

Nhwehwɛmu a wɔyɛ wɔ ɔsram abiɛsa a edi kan mu: Hwɛ akokoaa no mu sɛ ebia koma no mu nsɛm a ɛnteɛ ne nkwaboaa mu tebea horow te sɛ Down syndrome anaa.

• Mogya mu nhwehwɛmu: Ɛkyerɛ protein dodow anaa awotwaa mu DNA a enni mu a ɛkyinkyini wɔ ɛna no mogya mu. Ebia nea efi mu ba a ɛnteɛ bɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ nkwaboaa tebea bi bɛba akokoaa no mu no akɔ soro.
• Ultrasound: Eyi hwɛ sɛ nsu foforo bi wɔ akokoaa no kɔn akyi. Eyi betumi ayɛ komayare ho sɛnkyerɛnne anaasɛ nkwaboaa tebea bi.

Nhwehwɛmu a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abien mu: Hwɛ sɛ ebia ɔhaw ahorow wɔ akokoaa no nhyehyɛe mu anaa.

• Serum screen: Mogya mu nhwehwɛmu a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abien mu no betumi ahwehwɛ chromosomal tebea horow ne/anaasɛ tebea horow te sɛ spina bifida.
• Anomaly ultrasound: Eyi hwɛ sɛnea awotwaa no kɛse te na ɛsan nso hwɛ sɛ ebia ɔwɔ awo mu dɛmdi anaa.

Nsɔhwɛ a Wɔde Hu Nyarewa

Sɛ nea efi nhwehwɛmu bi a wɔadi kan ayɛ mu aba no nyɛ nea ɛfata a, oduruyɛfo no betumi akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo. Wɔyɛ nhwehwɛmu ahorow yi nso wɔ nyinsɛn a asiane kɛse wom mu.

• Fetal echocardiogram: Eyi yɛ ultrasound scan a ɛhwɛ awotwaa no koma pɔtee. Nanso, entumi nhu komayare nyinaa ansa na wɔawo.
• Fetal MRI: Eyi hwehwɛ akokoaa no amemene anaa ntini ahorow mu.
• Chorionic villus sampling (CVS): Saa sɔhwɛ yi fa awotwaa no fã ketewaa bi na ɛsɔ hwɛ sɛ ebia nkwaboaa anaa awosu mu tebea horow wɔ mu anaa.
• Amniocentesis: Woyi amniotic nsu kakraa bi fi mu. Wɔsɔ nkwammoaa a ɛwɔ mu no hwɛ sɛ ebia nkwaboaa mu nkwaadɔm a ɛnyɛ ne kwan so ne awosu mu nsakrae bi wɔ hɔ anaa. Etumi hu ɔyare mmoawa bi te sɛ cytomegalovirus (CMV) nso.

Nnuruyɛfo na wohu awo mu dɛmdi ahorow bi bere a wɔawo akokoaa no akyi nkutoo. Wobetumi ahu tebea horow bi te sɛ anofafa a apaapae bere a wɔawo no. Wohu afoforo nso wɔ mmofraase anaa mpanyin afe so.Hwɛ wo ba no akwahosan yiye, na sɛ wuhu sɛnkyerɛnne biara a, ka kyerɛ wo ba no oduruyɛfo.

Dɛn ne ayaresa a wɔde sa awo mu dɛmdi?

Ayaresa no gyina tebea a wɔahu no so. Mpɛn pii no, wɔde ayaresa no atirimpɔw ne sɛ wɔbɛtew sɛnkyerɛnne ahorow so anaasɛ wɔbɛteɛteɛ nhyehyɛe mu nneɛma a ɛnteɛ. Ebia eyinom bi ne:

• Sɛɛgyiri.
• Nnuru a wɔde di dwuma.
• Nipadua mu ayaresa.
• Mfiri te sɛ mfiri a wɔde boa aso, ahwehwɛ, ahwehwɛ, ne mmubuafo akongua a wɔde bedi dwuma.
• Nhomasua mmoa wɔ sukuu mu (nkyerɛkyerɛ titiriw).

So wobetumi asa awo mu dɛmdi koraa?

Mpɛn pii no, wonni aduru biara a wɔde sa awo mu dɛmdi, titiriw awosu mu tebea horow. Ayaresa betumi aboa ma abofra yare no ho sɛnkyerɛnne so atew, na sɛ yare no ho sɛnkyerɛnne no mu yɛ den a, ɛbɛtew asiane a ɛwɔ hɔ sɛ obenya ɔhaw ahorow a ɛde ne nkwa to asiane mu no so.

So wobetumi asiw awo mu dɛmdi ano? Dɛn na ɛsɛ sɛ woyɛ na ama woanya nyinsɛn a ɛfata?

Wontumi nsiw awo mu dɛmdi pii ano. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ na ama woanya nyinsɛn a ɛfata:

• Kɔ wo duruyɛfo nkyɛn daa. Sɛ worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ wo ne obi rekɔ nna mu na womfa awo ano aduru nni dwuma a, fa vitamin a wɔde siw awo ano a folic acid 400 mcg wom.
• Sɛ wususuw sɛ woanyinsɛn a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Nnom nsa.
• Wo ne wo duruyɛfo nka nnuru ne nnuru a wɔde ka aduan ho a wonom ho asɛm.
• Mfa nnuru biara a oduruyɛfo nkyerɛɛ no.

Sɛ me ba no wɔ awo mu dɛmdi a, dɛn na ɛsɛ sɛ misusuw?

Awo mu dɛmdi yɛ asɛm a emu yɛ den na ɛyɛ nkate. Nokwasɛm a ɛyɛ sɛ wonni awo mu dɛmdi pii ano aduru anaa nea wɔde besiw ano no betumi ayɛ abasamtu ne ehu.

Sɛ wohu sɛ wowɔ awo mu dɛmdi bi a, ebia wubenya nsɛmmisa pii. Nnuruyɛfo, animdefo, ne awosu ho afotufo betumi aboa wo ma woate awo mu dɛmdi ne sɛnea wobɛboa wo ba no ho nsɛm pii ase.

Kae sɛ awo mu dɛmdi abu so. Nneɛma pii a ɛde ba no yɛ nea wuntumi nyɛ ho hwee, na ɛba kwa. Ɔkwan biara nni hɔ a wobɛfa so asiw wo ba no kwan wɔ awo mu dɛmdi biara ho. Nanso wubetumi adɔ wo ba, akamfo no, na woahwɛ no. Ɛno ne akyɛde a ɛsen biara a wubetumi de ama wɔn.

Sɛ woyɛ abofra bi a ɔwɔ awo mu dɛmdi a, kɔ wo ba no oduruyɛfo nkyɛn daa. Ɛsɛ sɛ wo ne oduruyɛfo no ka nea ebetumi de aba, sɔhwɛ ahorow, ayaresa ahorow, ayaresa a wɔde kɔ nnuruyɛfo atitiriw nkyɛn, ne akuw a wɔboa no ho asɛm yiye. Sɛ wowɔ nsɛmmisa bi a, bisa wo ba no hwɛ kuw no sɛ wɔmmoa wo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo ba no da awo mu dɛmdi ho sɛnkyerɛnne biara adi a, kɔ oduruyɛfo nkyɛn.Titiriw no, hwɛ nneɛma atitiriw a wo ba no nyin no yiye. Sɛ nhwɛso no, bere a wotu wɔn anammɔn a edi kan, ne sɛ ebia wɔreyɛ nneɛma a ɛfata wɔn mfe. Sɛ wo ba no nni nsɛntitiriw biara a, kɔ wo duruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wo ba da sɛnkyerɛnne ahorow a emu yɛ den yi adi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ:

• Ɔhome a ɛyɛ den.
• Wora a ɛdannan bruu, ɛyɛ fitaa, anaa fitaa.
• Aniwa fitaa a ɛyɛ kɔkɔɔ anaasɛ honam ani yɛ kɔkɔɔ.
• Koma a ɛbɔ a ɛnyɛ ne kwan so.
• Ɛyɛ den sɛ wobɛsɔre.
• Nufusu a wonni/nnom.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

• Dɛn na ɛde me ba no awo mu dɛmdi bae?
• So ɛsɛ sɛ wɔyɛ me cesarean section?
• Ayaresa ahorow bɛn na ɛwɔ hɔ a ɛbɛboa me ba no?
• So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• So wubetumi akamfo mmoa akuw a wɔboa mmusua akyerɛ?

So dimples yɛ awo mu dɛmdi?

Dabi, dimples nyɛ awo mu dɛmdi. Dimples yɛ adwenemhaw nketenkete a emu dɔ a ɛda adi wɔ w’afono so bere a woreserew no. Ɛwom sɛ wobetumi afi awosu mu de, nanso wonsusuw sɛ ɛyɛ nkɔso a ɛnteɛ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Ade biako a ɛyɛ den sɛ ɔwofo a ɔrehwɛ kwan bɛte ne sɛ biribi asɛe wɔ wɔn awotwaa anaa abofra a wɔawo no foforo no ho. Bere a wontumi nsiw awo mu dɛmdi pii ano no, nneɛma bi wɔ hɔ a wubetumi ayɛ ansa na woanyinsɛn ne bere a woanyinsɛn na ama awo mu dɛmdi ho asiane no so atew.

Kae sɛ ɛnyɛ wo nko ara. Wo nnuruyɛfo te nsɛnnennen a ɛwɔ abofra a ɔwɔ awo mu dɛmdi a wɔbɛtete no mu no ase. Wɔbɛkyɛ nsɛm a ɛfa nhwehwɛmu, nnuru, ne akwan foforo a wobɛfa so aboa wo ba no ma wayɛ nea obetumi nyinaa ho asɛm akyerɛ wo. Wo dɔ, wo hwɛ, ne wo nsɛm a wobɛkamfo no ne nneɛma a ɛsom bo sen biara a abofra betumi anya.