Dɛn na ɛto w’awotwaa bere a woawo akokoaa awie no? (Awotwaa no Nkyinkyin) .

Ɛwom mpo sɛ wo ho tɔ wo bere a woawo akokoaa de, nanso ɛyɛ ade a ɛfata sɛ wo nipadua bɛte nka sɛ wabrɛ kakra nna kakraa bi, ɛnte saa? Titiriw esiane sɛ ɛsɛ sɛ w’awotwaa a asoa akokoaa no asram pii no san twetwe kɔ ne kɛse a na ɛwɔ hɔ kan no so nti. Ɛnnɛ, yɛrebɛka saa adeyɛ a ɛho hia yi ho asɛm.

Dɛn ne Awotwaa mu Nkɛntɛnso?

Sɛ yɛbɛka no tiawa a, awotwaa mu a ɛtwetwe ne bere a w’awotwaa no san twetwe kɔ sɛnea na ɛte ansa na worewo akokoaa no. Eyi ba bere a woawo wo ba no akyi bere tiaa bi na ɛtra hɔ bɛyɛ adapɛn asia. Eyi ne bere a wubenya awo akyi mogya ne nsu a ɛbɛtɔ wo, anaa nea yɛfrɛ no lochia .

Fa no sɛ, w’awotwaa no anyin asram pii, na ayɛ krado sɛ ɛbɛma wo ba no abɔ ne ho ban na wama no aduan. Enti, sɛ akokoaa no fi adi wie a, ɛyɛ ade a ɛfata sɛ egye bere kakra ansa na wasan akɔ ne kɛse a na ɔwɔ kan no mu. Saa awotwaa no a ɛso tew yi yɛ awo akyi ayaresa no fã titiriw .

Enti mfaso bɛn na ɛwɔ eyi so? Wo brayɛ no befi ase bio bere a w’awotwaa no asan ayɛ sɛnea na ɛte kan no. Saa adeyɛ yi nso boa ma woyi mogya ne ntini a ɛboro so a ɛboaboaa ano wɔ w’awotwaa mu bere a na wonyinsɛn no nyinaa fi hɔ.

Ɔkwan bɛn so na saa adeyɛ yi ba?

Saa adeyɛ a ɛma awotwaa no twetwe no fi ase bere a wowo awotwaa no ara pɛ. Ɛne sɛ, wɔ awo no fã a ɛto so abiɛsa no mu. Afei w’awotwaa no fi ase twetwe bio. Fa no sɛ, saa ntini a ɛtwetwe yi ne nea ɛtew mogya a efi baabi a na awotwaa no bata awotwaa no ho no ase. Eyi yɛ ahobammɔ afiri a ɛyɛ nwonwa a yɛn nipadua wɔ ankasa, a ɛbɛma mogya a ɛtɔ dodo (awo akyi mogya a ɛtɔ) agyae .

Saa ntini a ɛtwetwe yi ma awotwaa no twetwe bio na wɔpam ntini a ɛka ho a wɔfrɛ no lochia no . Saa awotwaa mu ntini a ɛtwetwe yi yɛ nea ɛkɔ so daa yiye na emu yɛ den wɔ nnɔnhwerew 12 a edi kan wɔ awo akyi. Saa bere yi mu no, ebia wobɛte ɛyaw nka wɔ wo yafunu ase, a ɛno ne nea yɛfrɛ no ‘ɛyaw akyi’ .

Saa ‘butt ɛyaw’ yi taa brɛ ase wɔ nna kakraa bi mu. Nanso, ebia wobɛte ɛyaw yi nka kɛse bere a worenom nufu anaasɛ worebɔ pɔmpɛ no. Afei nso, sɛ woawo nkokoaa pɛn a, ebia wobɛte ɛyaw yi nka kakra.

Egye bɛyɛ adapɛn asia ansa na awotwaa no asan akɔ ne kɛse a ɛfata mu koraa. Bere a w’awotwaa no mu duru so tew no, saa ara na baabi a ɛwɔ wo awotwaa mu no so tew. Ebia woda so ara te nka sɛ ‘wote sɛ yafunu’ kakra nna kakraa bi wɔ awo akyi. Nea enti a ɛte saa ne sɛ wo awotwaa no da so ara gye baabi kɛse wɔ wo yafunu mu, ɛwom mpo sɛ wo ba no afi adi de.

So nufu a wɔma no nya eyi so nkɛntɛnso bi?

Yiw, koraa! Sɛ worema wo ba no nufu a, w’awotwaa no bɛtwetwe ntɛmntɛm . Eyi te saa efisɛ sɛ wo ba no nufusu (anaasɛ wobɔ nufusu) a, wo nipaduaWɔyɛ hormone a wɔfrɛ no oxytocin no. Saa hormone yi ma awotwaa no twetwe. Enti, nufu a wɔde ma no boa kɛse wɔ saa adeyɛ yi mu.

Ɔkwan bɛn so na nnuruyɛfo hwɛ sɛ awotwaa no asan aba sɛnea na ɛte kan no?

Bere a wowɔ ayaresabea no, oduruyɛfo anaa ɔyarehwɛfo bɛtaa aba mu abɛhwɛ sɛnea w’awotwaa no reyɛ ayɛ mmerɛw. Wɔde wɔn nsa bɛto wo yafunu so na wɔahwɛ wo awotwaa no atifi, a wɔfrɛ no wo ‘fundal height’ . Wɔbɛhwɛ nso sɛ w’awotwaa no te nka sɛ ɛyɛ den anaa. Wɔbɛsan nso ahwɛ wo lochia (wax) so wɔ saa bere yi mu.

Sɛ nhwɛso no, sɛ w’awotwaa no ntumi ntwitwiw sɛnea wɔhwɛɛ kwan no, anaasɛ ɛte sɛ nea ɛyɛ mmerɛw a, ebia asiane kɛse wom sɛ mogya bɛtɔ wo wɔ awo akyi . Sɛ ɛba saa a, wo duruyɛfo no bɛtaa ayɛ w’awotwaa (fundal massage) de aboa ma ayɛ mmerɛw. Ɛtɔ da bi a, wobetumi ama wo aduru bi a wɔfrɛ no Pitocin® , a ɛyɛ hormone a wɔde ayɛ, na ama awotwaa no atwetwe.

Ɔkwan bɛn so na awotwaa no sesa wɔ saa bere yi mu? (Ne kɛse ne ne mu duru) .

Ɛwom sɛ obiara awotwaa twetwe wɔ nhyehyɛe a ɛte saa ara mu de, nanso ɛsono sɛnea wo awotwaa no kɛse ne ne mu duru ansa na woanyinsɛn. Nneɛma pii wɔ hɔ a ebetumi aka eyi:

• Sɛ́ ebia woawo nkokoaa pɛn (mmea pii wɔ awotwaa a ɛsõ kakra wɔ awo a atwam akyi).
• Nkokoaa baahe na na wowɔ, te sɛ mmanoma?
• Wo nyinsɛn no mu bere bɛn na wowoo akokoaa no?

Mpɛn pii no, awotwaa no mu duru sesa wɔ awo akyi sɛnea edidi so yi:

• Awo akyi pɛɛ: Bɛyɛ gram 1000 (bɛyɛ nkaribo 2).
• Wɔ dapɛn biako mu: bɛyɛ gram 500.
• Wɔ adapɛn abien mu: bɛyɛ gram 300.
• Wɔ adapɛn anan mu: bɛyɛ gram 100.
• Wɔ adapɛn awotwe mu no: bɛyɛ gram 60 (bɛyɛ ɔuns 2).

So wote ase? Wɔ saa twetwe yi mu no, awotwaa no so tew fi kɛse te sɛ bobe aba , a ɛhyɛɛ akyi berɛmo no mu nyinaa ma no, kodu sɛ pear . Nhyehyɛe a wɔayɛ ama awotwaa no asan asian akɔ akyi berɛmo no mu no te sɛ nea edidi so yi:

• Bɛyɛ dɔnhwerew biako wɔ awo akyi no, ɛsɛ sɛ awotwaa no atifi (fundus) no wɔ wo yafunu mu.
• Ɛno akyi no, ɛsɛ sɛ awotwaa no atifi sian bɛyɛ sɛntimita 1 kɔ yafunu no mu nnɔnhwerew 24 biara.
• Bɛyɛ dapɛn biako akyi no, ɛsɛ sɛ wo awotwaa no atifi bɛn awotwaa dompe (symphysis pubis) a ɛwɔ wo yafunu ase no.
• Edu nnafua 10 kosi 14 no, ɛsɛ sɛ awotwaa no atifi san kɔ akyi berɛmo no mu.

Ɔhaw ahorow bɛn na ebetumi asɔre wɔ saa adeyɛ yi mu?

Ɔhaw atitiriw abien wɔ hɔ a ebetumi asɔre bere a awotwaa no ho retɔ no: awotwaa no a ɛntwetwe yiye ne mogya a ɛtu dodo wɔ awo akyi.

Subinvolution a ɛwɔ awotwaa no mu

Subinvolution yɛ bere a w’awotwaa no ntumi nkɔ yiye, a ɛkyerɛ sɛ ɛntwetwe. Ɛtɔ mmere bi a nnuruyɛfo frɛ eyi "placental subinvolution." Eyi ne bere a ntini a ɛyɛ nkuruwankuruwa a na awotwaa no abata awotwaa no ho no ntumi ntoto yiye na ɛkyɛ.

Ebia wo duruyɛfo besusuw sɛ eyi bere a wahwɛ w’awotwaa no atifi (fundal exam) akyi. Afei nso, nsu a ɛyɛ kɔkɔɔ tuntum a mogya wom ( lochia rubra ) a ɛtra hɔ bɛboro dapɛn biako wɔ awo akyi no yɛ tebea yi ho sɛnkyerɛnne. Sɛ eyi ba a, ebia wo duruyɛfo bɛkra sɛ wɔnyɛ ultrasound na ama wɔahu nea ɛrekɔ so ankasa.

Ɛtɔ da bi a, ebia awotwaa no rentumi nkɔ so ntwitwiw, anaasɛ ɔhaw afoforo betumi asiw saa adeyɛ yi kwan. Nneɛma bi a enti subinvolution betumi aba ni:

• Nyarewa a ɛba awotwaa mu, te sɛ endometritis .
• Nneɛma te sɛ awotwaa no asinasin a aka wɔ awotwaa no mu.
• Awo a ɛkyɛ anaasɛ Pitocin® a ɛma awotwaa no twetwe bere tenten.
• Akokoaa a wɔde oprehyɛn twa (C-section) .
• Aduru a wɔde kum nipadua no nyinaa a wɔde ma, te sɛ oprehyɛn a wɔde yɛ oprehyɛn a egye ntɛmpɛ.

Mogya a Ɛtɔ wɔ Awo Akyi (PPH) .

Awo akyi Mogya (PPH) yɛ mogya a ɛba dodo wɔ awotwaa mu bere a wɔawo awo akyi. Eyi betumi de nkwa ato asiane mu , enti ɛsɛ sɛ wohwɛ yiye paa.

PPH nsɛm no mu bɛyɛ 80% ba efisɛ awotwaa no mu ntini a ɛtwetwe no mu nyɛ den sɛnea ɛsɛ wɔ awo akyi. Mpɛn pii no, PPH ba wɔ nnɔnhwerew 24 akyi wɔ awo akyi. Nanso, ebetumi aba wɔ awo akyi adapɛn 12.

Bere a wo ho retɔ wo wɔ ayaresabea no, nnuruyɛfo no bɛhwɛ wo daa sɛ mogya ( lochia ) retu wo anaa. Sɛ mogya tu wo kɛse a, wɔbɛsa no ntɛm ara.

Nea ɛho hia sen biara ne sɛ, sɛ mogya retu wo kɛse bere a wowɔ fie a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara sɛnea wubetumi.

Wobɛyɛ dɛn ahwɛ wo ho? (Akyi yaw a wɔde di dwuma) .

Sɛ wowo akokoaa wie a, ɛho hia sɛ wohwɛ wo ho na wogye w’ahome na wo nso wohwɛ wo ba no. Hwehwɛ bere susuw wo ho na srɛ mmoa fi abusuafo ne nnamfo hɔ na ama woahwɛ akokoaa no.

Ɛtɔ mmere bi a ‘akyi yaw’ a ɛba bere a awotwaa no twetwe no betumi ayɛ kɛse, titiriw bere a wɔrema nufu no. Ɛyaw no betumi atra hɔ bɛyɛ simma anum na afei nkakrankakra ano abrɛ ase. Nneɛma bi a wubetumi ayɛ de adi akyi yaw yi ho dwuma ni:

• Ahomegye ne ahomegye apɔw-mu-teɛteɛ (te sɛ apɔw-mu-teɛteɛ a wɔde yɛ awo mu ɛyaw).
• Da wo yafunu so na fa pillow gu wo yafunu ase.
• Ɛyaw ano aduru a wɔtɔn a wɔmfa nnuru nhyɛ mu a wo duruyɛfo kamfo kyerɛ a wobɛnom. Ebia ibuprofen bɛyɛ adwuma yiye asen acetaminophen .
• Nantew kakra.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Awotwaa no a ɛsan kɔ ne kɛse a ɛfata no yɛ ade a ɛho hia yiye, abɔde mu adeyɛ. Nanso, ɛtɔ mmere bi a, ebia w’awotwaa no behia mmoa kakra wɔ akwantu yi mu. Ɛno nti na nnuruyɛfo bɛhwɛ wo daa bere a woawo wo ba no. Bere a ebia ɛbɛyɛ te sɛ nea nhwehwɛmu ahorow yi yɛ ɔhaw kakra bere a woreyɛ w’abusua muni foforo no su ara kwa no, ɛho hia na ama woahu nsɛnnennen te sɛ awo akyi mogyatɔw ntɛm . Sɛ wɔwɔ nsɛm bi a ɛhaw wɔn wɔ sɛnea w’awotwaa no twetwe ho a, wɔbɛma woahu. Enti, mma ɛnhaw wo, biribiara bɛyɛ yiye!

` Awotwaa mu a ɛtwetwe, awo akyi, lochia, awo akyi mogyatɔw, nufu a wɔde ma, awotwaa no kɛse, ahotɔ