Dɛn na nnuruyɛfo hwehwɛ bere a wɔresusuw wo yafunu tenten no? Momma yensua Fundal Height ho ade wɔ ɔkwan a ɛnyɛ den so!

Bere a worebɛn sɛ wobɛyɛ ɛna no, so woahyɛ no nsow pɛn sɛ bere biara a wobɛkɔ oduruyɛfo nkyɛn no, wɔresusuw wo yafunu? Ebia woasusuw ho sɛ, "Dɛn nti na wɔsusuw me yafunu bere nyinaa?" Enti ɛnnɛ yɛbɛka ``Fundal Height'', anaasɛ awotwaa no sorokɔ ho asɛm. Eyi ne nea nnuruyɛfo de sua wo ba no ho ade pii. Ma yɛnhwɛ nea ɛyɛ.

Dɛn ne ``(Fundal Height)``? Sɛ yɛbɛka no tiawa a...

Okay, momma yenni kan nte nea `(Fundal Height)` yɛ ase. Sɛ yɛbɛka no tiawa a, wɔ wo nyinsɛn mu no, `(Fundal Height)` yɛ kwan a ɛda dompe a ɛwɔ wo yafunu ase anim (yɛfrɛ no wɔ aduruyɛ mu `(Symphysis Pubis)`, a ɛyɛ baabi a w'asen nnompe abien hyia wɔ anim) kɔ wo awotwaa no atifi (`(Fundus)`). Wɔde sɛntimita susuw saa kwan yi, na wɔde teyp a wɔde susuw nneɛma daa di dwuma.

Saa susudua yi ma nnuruyɛfo nya adwene wɔ sɛnea wo ba no nyin yiye no ho. Ɛboa nso ma wunya adwene wɔ bere tenten a woanyinsɛn (`(Gestational Age)`) ne sɛnea wo ba no renyin yiye wɔ awotwaa no mu no ho. Mpɛn pii no, bɛyɛ adapɛn 20 akyi no, sɛ wɔsusu wo `(Fundal Height)` wɔ sɛntimita mu a, ɛsɛ sɛ ɛyɛ bɛyɛ sɛ adapɛn dodow a woanyinsɛn no yɛ pɛ. Sɛ nhwɛso no, sɛ wo nyinsɛn adapɛn 24 a, ɛsɛ sɛ wo `(Fundal Height)` yɛ bɛyɛ sɛntimita 24. Nanso, nsakrae kakra betumi aba, na yɛbɛka ho asɛm akyiri yi.

Efi bere bɛn na nnuruyɛfo fi ase susuw saa ``(Fundal Height)`` yi?

Mpɛn pii no, sɛ wokɔ ayaresabea bere a woanyinsɛn bɛyɛ adapɛn 20 akyi a, oduruyɛfo anaa ɔyarehwɛfo no befi ase asusuw ``Fundal Height'' yi. Wunim dɛn? Ɛno ne bere a awotwaa no tenten (``Fundal Height'') ne adapɛn dodow a woanyinsɛn (``Gestational Age'') fi ase yɛ pɛ, kyerɛ sɛ, efi ase yɛ bɛyɛ pɛ. Ansa na ɛno reba no, esiane sɛ awotwaa no da so ara sua nti, mfaso nni saa susudua no so kɛse.

Ɔkwan bɛn so na wɔsusu ``(Fundal Height)`` yi?

Eyi yɛ susudua a ɛyɛ mmerɛw yiye. Worente ɔhaw biara nka.

1. Nea edi kan no, wɔbɛma woada sɔhwɛ mpa no so.

2. Afei, oduruyɛfo anaa ɔyarehwɛfo no behu baabi a ɛwɔ wo yafunu ase a wɔfrɛ dompe a madi kan aka ho asɛm no ``Symphysis Pubis''.

3. Afei, wɔte awotwaa no atifi fã (`(Fundus)`) nka. Ɛtɔ mmere bi a, wɔmia yafunu no mu kakra na ama wɔahu awotwaa no atifi pɛpɛɛpɛ.

4. Afei, susuw kwan a ɛda `(Symphysis Pubis)` ne awotwaa no atifi (`(Fundus)`). Saa kwan no ne wo `(Fundal Height)`.

Fa no sɛ, bere a wo yafunu nyin nkakrankakra no, awotwaa yi atifi fã (``fundus'') no nso kɔ soro nkakrankakra.

• Bɛyɛ adapɛn 12: Ɛkame ayɛ sɛ awotwaa no atifi (`(Fundus)`) no yɛ nea ɛwɔ awotwaa no dompe (`(Symphysis Pubis)`) no fã.
• Edu bɛyɛ adapɛn 20 no:Aduru ase. Ɛno ne bere a ``(Fundal Height)`` ne adapɛn dodow no fi ase yɛ pɛ kɛse anaa kakraa bi.
• Bɛyɛ adapɛn 36: Ɛkame ayɛ sɛ awotwaa no atifi du nufu dompe (``(Sternum)``, dompe tenten a ɛwɔ koko no mfinimfini). Eyi ne sorokɔ a ɛsen biara a awotwaa no du ne soro sen biara.
• Adapɛn 36 akyi: Mma ɛnyɛ wo nwonwa, ebia wo ``Fundal Height'' so bɛtew kakra. Nea enti a ɛte saa ne sɛ akokoaa no resiesie ne ho sɛ wɔbɛwo no na ɔrekɔ fam akɔ wo akyi berɛmo mu. Yɛka sɛ "akokoaa no ayɛ ayeforo." Nanso, eyi betumi asi esiane nneɛma afoforo nso nti. Enti ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nhwehwɛmu pii de hwɛ sɛ ɔhaw foforo bi wɔ hɔ anaa.

Saa ``Fundal Height'' susudua yi yɛ pɛpɛɛpɛ dɛn?

Nokwarem no, ``Fundal Height`` susudua no yɛ ɔkwan a ɛyɛ mmerɛw na ɛnyɛ yaw a wobɛfa so ahu wo ba no nyin ho asɛm. Sɛ ɔhaw bi wɔ wo ba no nyin mu, anaasɛ ɔhaw bi wɔ akokoaa no gyinabea ho a, saa susudua yi boa ma wohu no ntɛm.

Nanso, sɛ wo duruyɛfo no adwenem yɛ no naa wɔ ``Fundal Height'' no ho a, ɔbɛka akyerɛ wo sɛ wɔnyɛ ``Ultrasound'' scan. Scan betumi ama woahu akokoaa no kɛse ho mfonini a edi mu koraa. Nanso, gye sɛ ɛho hia wɔ aduruyɛ mu, mpɛn pii no, wɔyɛ scan mprenu pɛ bere a wɔyem no.

Kae sɛ, ɔkwan biara nni hɔ a wobɛfa so ahu akokoaa kɛse a ɔwɔ awotwaa mu no pɛpɛɛpɛ 100%. Ɛyɛ ade a ɛfata sɛ sɛntimita biako anaa abien bɛkɔ akɔkyinkyin. Sɛ ɔhaw a emu yɛ den bi ba nkutoo a na oduruyɛfo no bɛyɛ nhwehwɛmu foforo.

Dɛn na wubetumi asua afa wo ba no ho afi ``Fundal Height'' mu?

Saa ``Fundal Height'' susudua yi ma oduruyɛfo no sua nneɛma pii a ɛho hia yiye fa akokoaa no ho.

• Akokoaa no kɛse: Wubetumi anya adwene bi sɛ ebia akokoaa no sõ anaasɛ ɔyɛ ketewa sɛnea ɛsɛ ma adapɛn dodow no.
• Akokoaa nyin: Wubetumi ahu sɛ akokoaa no nyin yiye ne sɛnea wɔde onyin dodow toto nea wɔadi kan asusuw ho.
• Akokoaa Gyinabea: Ɛtɔ da bi a, ``Fundal Height'' nso betumi asesa agyina akokoaa no gyinabea so.
• Nsuo dodoɔ a ɛwɔ awotwaa mu (`(Amniotic Fluid)`): Wubetumi nso anya nsuo dodoɔ (yɛfrɛ no `(Amniotic Fluid)`) a ɛwɔ awotwaa no mu ho adwene. Sɛ́ ebia nsu dodow yi sua dodo anaasɛ ɛdɔɔso dodo no, ebetumi ayɛ ɔhaw.

Ɛsɛ sɛ ``(Fundal Height)`` no yɛ ahe fi dapɛn biara?

Mpɛn pii no, wɔ nyinsɛn adapɛn 20 kosi 36 ntam no, ɛsɛ sɛ wo ``Fundal Height'', a wɔsusuw no sɛntimita mu no bɛn adapɛn dodow a woanyinsɛn no. Nanso, wobu nsonsonoe a ɛyɛ sɛntimita 2 sɛ ɛyɛ ade a ɛfata.

Nhwɛsoɔ:

• Sɛ wo nyinsɛn adapɛn 32 a, ɛyɛ ade a ɛfata sɛ wo ``Fundal Height'' bɛyɛ sɛntimita 30 kosi 34.

Nanso, wonhu nsakrae yi dapɛn biara efisɛ fundus no nkɔ soro saa ansa na adapɛn 20 adu, na fundus no kɔ fam kakra wɔ adapɛn 36 akyi bere a akokoaa no sian no. Sɛ akokoaa no ansiane a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ akokoaa no wɔ breech gyinabea.

So wubetumi ahu akokoaa no kɛse denam ``Fundal Height'' so?

Yiw, `(Fundal Height)` betumi ama woanya adwene bi wɔ akokoaa no kɛse ho. Wɔ `(Fundal Height)` susuw akyi no, oduruyɛfo no bɛbɔ mmɔden nso sɛ obenya adwene wɔ akokoaa no kɛse ne ne gyinabea ho denam wo yafunu a ɔbɛte nka no so. Nanso kae sɛ eyi yɛ akontaabu bi kɛkɛ. Sɛ bere biara wɔ wo nyinsɛn no mu no asɛmmisa bi wɔ hɔ a ɛfa akokoaa no kɛse ho a, akyinnye biara nni ho sɛ oduruyɛfo no de wo bɛkɔ akɔyɛ nhwehwɛmu foforo.

Bere bɛn na ɛsɛ sɛ mehaw me ho wɔ me ``(Fundal Height)`` ho?

Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ``(Fundal Height)`` ho. Ɛyɛ ade a ɛfata sɛ ɛsakrasakra bɛyɛ adapɛn abien, anaasɛ sɛntimita abien mpo. Wo duruyɛfo bɛhwɛ w’ayaresa ho abakɔsɛm mu na wasi gyinae sɛ ebia ɛho hia sɛ wɔyɛ nhwehwɛmu foforo anaa. Ebia ɛbɛyɛ:

• Ebia da a ɛsɛ sɛ wɔde maa wo no yɛ mfomso kakra.
• Anaasɛ ebia akokoaa no sua kakra anaa ɔsõ sen sɛnea ɔte daa.

Enti mma w’ani nnye dodo mpofirim, ɛyɛ?

So wobetumi de ``(Fundal Height)`` adi dwuma de akyerɛ da a ɛsɛ sɛ wɔde bɛma?

Dabi, nnuruyɛfo mfa ``Fundal Height'' nni dwuma mfa nkyerɛ da a ɛsɛ sɛ wɔyɛ (``Due Date''). ``Fundal Height'' yɛ susudua a ɛkyerɛ sɛnea akokoaa no kɛse anaa ketewa te wɔ ne nyinsɛn mfe ho (``Gestational Age''). Ɔkwan pa a wobɛfa so ahu wo ``Due Date'' ne sɛ wobɛkan adapɛn 40 (nnafua 280) fi da a wo bra a etwa to no. Nnuruyɛfo taa de ``Ultrasound'' scan no di dwuma wɔ ɔsram abiɛsa a edi kan no mu de si ``Gestational Age'' ne ``Due Date'' nyinaa so dua.

Sɛ wɔsusu me ``Fundal Height'' no ba fam dodo a, dɛn na ɛba?

Sɛ akokoaa no susuw ketewaa sen sɛnea wɔhwɛɛ kwan, a ɛkyerɛ sɛ ``Fundal Height'' no sua sen sɛnea wɔhwɛɛ kwan a, ebetumi aba sɛ nneɛma pii nti. Mma ɛnhaw wo, oduruyɛfo no bɛhwɛ saa nneɛma yi mu.

• Wo nipadua kɛse: Sɛ wo ho yɛ teateaa kakra, anaasɛ wo yafunu mu ntini mu yɛ den yiye a, ebia wo fundal tenten bɛyɛ te sɛ nea ɛba fam kakra.
• Nsuo a ɛba fam wɔ awotwaa mu (`(Oligohydramnios)`): Sɛ `(Amniotic Fluid)` dodow a ɛwɔ awotwaa no mu no sua (yɛfrɛ no `(Oligohydramnios)`), ɛnde ebia susudua no nso sua.
• Akokoaa no tenten a ɛba fam: Sɛ akokoaa no asiesie ne ho dedaw sɛ ɔbɛwo na wakɔ fam akɔ wo hwene mu a, ebia fundal tenten no so bɛtew (eyi taa si wɔ nyinsɛn no awiei).
• Awotwaa no Nnyin Anohyeto:Ayaresa mu tebea horow bi betumi ama akokoaa no nnyin yiye. Wɔfrɛ eyi ``Fetal Growth Restriction''.

Sɛ wo duruyɛfo no adwenem yɛ no naa wɔ akokoaa no kɛse ho a, ɔbɛyɛ ultrasound scan anaa nhwehwɛmu afoforo de ahwehwɛ mu akɔ akyiri.

Sɛ wɔsusu me ``Fundal Height'' no kɔ soro dodo a, dɛn na ɛba?

Afei nso, sɛ akokoaa no susuw kɛse sen sɛnea wɔhwɛɛ kwan, kyerɛ sɛ, sɛ ``Fundal Height'' no korɔn sen sɛnea wɔhwɛɛ kwan a, ebia nneɛma pii nti na ɛte saa.

• Sɛ da a ɛsɛ sɛ wonyinsɛn no nyɛ papa a: Ebia wobɛkɔ akyiri wɔ wo nyinsɛn no mu asen sɛnea wususuw.
• Uterine Fibroids: Sɛ wowɔ awotwaa mu fibroids a, ebetumi ama fundal height nso akɔ soro.
• Sɛ wo nipadua mu duru (BMI) dɔɔso a: Sɛ wo BMI boro 25 (a ɛkyerɛ sɛ wo mu duru boro so kakra) a, ebia wo Fundal Height bɛda adi kɛse.
• Twins: Sɛ worehwɛ twins anaa triplets kwan a, akyinnye biara nni ho sɛ ``Fundal Height'' no bɛkɔ soro.
• Nsu a ɛkɔ soro wɔ awotwaa no mu (Polyhydramnios): Sɛ nsu a ɛwɔ awotwaa no mu no dɔɔso dodo (yɛfrɛ no Polyhydramnios) a, ɛnde susuw no nso betumi akɔ soro.
• Akokoaa no gyinabea: Sɛ akokoaa no wɔ breech gyinabea a, wobetumi ama fundal no tenten akɔ soro.
• Sɛ akokoaa no kɛse yɛ kɛse (`(Fetal Macrosomia)`): Ɛtɔ da bi a akokoaa no betumi ayɛ kɛse asen sɛnea ɛte daa. Ɛnanom a wɔwɔ asikreyare nkokoaa taa yɛ kɛse saa.

Ɛtɔ mmere bi a, ntease pɔtee biara nti, wo ba no betumi ayɛ kɛse kakra asen nkokoaa afoforo. Anaasɛ, ``fundal height`` no betumi akɔ soro esiane sɛ wo yafunu no atrɛw esiane nyinsɛn a atwam nti anaasɛ esiane sɛ wo akisikuru ayɛ ma nti.

Dɛn ne ``Fundal Height'' a ɛyɛ daa bere a woawo akokoaa akyi?

Sɛ wowo wo ba no wie a, w’awotwaa no befi ase atwe asan akɔ ne kɛse a na ɛwɔ hɔ kan no. Eyi begye bɛyɛ adapɛn 6.

• Bɛyɛ dɔnhwerew biako wɔ awo akyi: Wo awotwaa no fã a ɛwɔ soro (`(Fundus)`) no bɛbɛn awotwaa no (te sɛ nea na ɛte wɔ nyinsɛn no adapɛn 20 mu no).
• Afei: Awotwaa no fi ase tew bɛyɛ sɛntimita biako da biara.
• Bɛyɛ dapɛn biako: Awotwaa no atifi (`(Fundus)`) bɛbɛn wo pubic bone (`(Symphysis Pubis)`) (te sɛ nea na ɛte wɔ nyinsɛn no adapɛn 12 mu no).

Mpɛn pii no, sɛ wokɔ wo awo akyi nsrahwɛ bere a woawo akokoaa awie no a, w’awotwaa no asan akɔ baabi a na ɛwɔ kan no.

Awiei koraa no, ɛsɛ sɛ meka sɛ... (Take-Home Message)

Enti, wo ``Fundal Height'' a wobɛsusu no yɛ ɔkwan tiawa baako pɛ a wo duruyɛfoɔ bɛfa so ahwɛ sɛ wo ba no renyin yie anaa.Sɛ wo duruyɛfo ka sɛ wo susuw no sua kakra anaasɛ ɛkɔ soro sen sɛnea na wɔhwɛ kwan a, mma wo ho nnpopo ntɛm ara, ɛyɛ? Mpɛn pii no ɛkyerɛ ara kwa sɛ ɛsɛ sɛ wɔyɛ nhwehwɛmu kakra, te sɛ ultrasound. Mpɛn pii no, ebia wo ba no nyin yiye na ɔwɔ apɔwmuden.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ wo fundal tenten, wo ba no kɛse, anaa biribi foforo biara ho a, nsuro da sɛ wo ne wo duruyɛfo bɛkasa. Obetumi abua nsɛmmisa biara a ebia wowɔ na wama w’adwene adwo.

Yɛrepɛ sɛ wo ne wo ba no nya akwahosan pa!

` Nyinsɛn akwahosan, fundal tenten, akokoaa nyin, hwɛ ansa na wɔawo, awotwaa tenten, nyinsɛn mu nhwehwɛmu, akokoaa kɛse