So akokoaa no ti akɔ fam? (Vertex Presentation) Momma yɛnka ho asɛm!

If you're an expecting mother , ebia woate sɛ wo duruyɛfo reka biribi te sɛ, "Akokoaa no wɔ 'Vertex Presentation' mu." Sɛ ɔka saa a, ebia woredwene sɛ, "Dɛn ne ɛno?" Mma ɛnhaw wo, nokwarem no, eyi yɛ ade pa. Momma yɛnka ho asɛm tiawa.

Dɛn ankasa ne Vertex Presentation?

Sɛ yɛbɛka no tiawa a, `(Vertex Presentation)` kyerɛ sɛ wo ba no wɔ gyinabea a ɛfata sɛ ɔbɛba wiase no mu sɛnea ɛte daa, kyerɛ sɛ, wɔ ɔbea no awotwaa mu, a ɔhaw biara nni ho. Eyi ho hia yiye bere a worebɛn da a ɛsɛ sɛ wowo no, efisɛ eyi ne ɔkwan a nnuruyɛfo no bɛfa so asi sɛnea wɔbɛwo akokoaa no dwoodwoo no ho gyinae. `(Vertex)` kyerɛ sɛ ``ti no atifi''. Ɛkyerɛ sɛ akokoaa no ti atifi hwɛ wo awotwaa no.

Sɛ yɛbɛkyerɛkyerɛ mu kakra a, wɔ `(Vertex Presentation)` mu no, akokoaa no wɔ ne ti ase, a ne hwene no ahyɛ ne moma so, na ɔde n’ani kyerɛ w’akyi. Fa no sɛ akokoaa no te sɛ bɔɔl ketewaa bi, wɔ tebea a ɛyɛ mmerɛw sɛ obepue. Saa gyinabea yi boa ma akokoaa no fa awo kwan no mu ntɛmntɛm.

So eyi kyerɛ sɛ akokoaa no bɛba nnansa yi ara?

Dabi, ɛnte saa. Sɛ wowo akokoaa wɔ Vertex Presentation mu a, ɛnkyerɛ sɛ worebɛwo akokoaa anaasɛ awoɔ reyɛ ahyɛ aseɛ. Nea ɛkyerɛ ara ne sɛ akokoaa no wɔ tebea a ɛfata mu ma awo . Ebetumi aba sɛ akokoaa no bɛtra saa tebea yi mu adapɛn pii a onwo.

So Vertex Presentation ne Cephalic Presentation yɛ ade koro?

Yiw, eyinom yɛ nsɛmfua abien a ɛkame ayɛ sɛ ɛkyerɛ ade koro. `(Cephalic Presentation)` nso kyerɛ gyinabea a akokoaa no ti akɔ fam. `(Vertex)` yɛ pɔtee kakra wɔ sɛnea wɔkotow akokoaa no kɔn ho. Ɛno kyerɛ sɛ wɔde akokoaa no hwene mia ne moma so denneennen . Eyi ne `(Cephalic)` gyinabea a ɛfata sen biara.

`(Cephalic Presentation)` ahodoɔ foforɔ nso wɔ hɔ, sɛ nhwɛsoɔ no `(Brow Presentation)`, baabi a akokoaa no moma so kɔ anim, ne `(Face Presentation)`, baabi a anim no kɔ anim. Eyinom kyerɛ baabi a akokoaa no kɔn akotow anaa atrɛw akɔ akyiri titiriw. Esiane sɛ wɔmfa chin no nhyɛ koko so te sɛ nea ɛwɔ `(Vertex)` mu nti, saa `(Brow)` ne `(Face)` gyinabea ahorow yi betumi ayɛ den kakra ama awo a ɛfata.

Bere bɛn na akokoaa no dan Vertex Presentation?

Mpɛn pii no, nkokoaa dan kɔ saa `(Vertex Presentation)` yi mu wɔ nyinsɛn dapɛn a ɛto so 32 kosi 36 mu . Saa bere yi de, akokoaa no sõ kakra wɔ awotwaa no mu, enti baabi a obetumi akɔ baabiara no sua. Enti, ɔba gyinabea a egyina pintinn mu. Nanso, ɛtɔ mmere bi a nkokoaa tumi dan kɔ saa tebea yi mu wɔ adapɛn 36 akyi mpo. Enti mma ɛnhaw wo.

Wo duruyɛfo bɛhwɛ wo ba no gyinabea bere biara a wobɛkɔ ayaresabea hɔ. Ɔbɛte wo yafunu nka na wate akokoaa no ti, ne nan ase, ne nea ɛkeka ho nka Wɔyɛ eyi denam sɔhwɛ titiriw bi a wɔfrɛ no Leopold’s Maneuvers so. Wubetumi nso ayɛ ultrasound scan de ahwɛ eyi.

Ɔkwan bɛn so na wɔwo akokoaa no wɔ Vertex Presentation mu?

Akokoaa a ɔwɔ ``Vertex Presentation`` mu no kyerɛ sɛ akokoaa no nam wo awotwaa mu, fa wo awotwaa (a wɔsan frɛ no awo kwan) so reba. Eyi ne ɔkwan a eye sen biara na ahobammɔ wom a wobɛfa so awo awo wɔ ɔbea no awotwaa mu . Akokoaa no ti fã ketewaa no na edi kan fi adi, na ɛma awo no yɛ mmerɛw.

Dɛn nti na Vertex Presentation ye ma awo a ɛfata?

Mfe pii aduruyɛ mu nhwehwɛmu ada no adi sɛ gyinabea a eye sen biara ma awo a ahobammɔ wom wɔ ɔbea awotwaa mu ne `Vertex Presentation`. Wo duruyɛfo botae titiriw ne sɛ ɔbɛma wo akokoaa a ɔwɔ apɔwmuden a nsɛnnennen kakraa bi na ɛbɛba. Sɛ akokoaa no wɔ tebea foforo mu a ɛnyɛ ne ti a ɛkɔ fam, te sɛ `Breech` a, ebetumi ayɛ den kɛse sɛ wobɛwo akokoaa no dwoodwoo wɔ awo a ɛfata mu. Ɛma asiane a ɛwɔ hɔ sɛ ɛna ne akokoaa nyinaa benya nsɛnnennen nso yɛ kɛse.

"Kae sɛ, `(Vertex Presentation)` ne ɔkwan a eye sen biara na ahobammɔ wom sen biara a wɔfa so de nneɛma a ɛfata ma!"

So nsɛnnennen bi wɔ Vertex Presentation ho?

Ɛwom sɛ `Vertex Presentation` ne gyinabea a eye sen biara ma awo de, nanso ɛtɔ mmere bi a ɔhaw nketenkete betumi aba. Ɔhaw titiriw a wɔtaa hu ne sɛ akokoaa no sõ dodo ma awo kwan no esiane akokoaa no mu duru (akokoaa kɛse). Eyi kyerɛ sɛ akokoaa no sõ dodo sɛ obefi awo kwan no mu. Sɛ mpo akokoaa no wɔ `Vertex Presentation` mu a, sɛ akokoaa no sõ dodo a, hokwan wɔ hɔ sɛ ne mmati anaa ne ti bɛkyere bere a ɔrepue no. Wɔsan frɛ eyi sɛ `Mmati Dystocia`.

Mpɛn pii no, nnuruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn oprehyɛn sɛ wosusuw sɛ akokoaa no sõ dodo sɛ obetumi afa awo kwan no mu apue dwoodwoo a. Ɛno ne ade a ahobammɔ wom sen biara ma ɛna ne akokoaa nyinaa wɔ mmere a ɛtete saa mu.

Nsonsonoe bɛn na ɛwɔ Vertex Presentation ne Breech Presentation ntam?

Saa abien yi ne gyinabea atitiriw abien a wɔreka ho asɛm.

• (Vertex Presentation): Akokoaa no ti akɔ fam, wɔde ne hwene ahyɛ ne moma so, na wɔadan n’anim akɔ ɛna no akyi. Eyi ne gyinabea a ɛfata sen biara ma awo a ɛfata.
• ( breech nkyerɛkyerɛmu ):Gyinabea a akokoaa no nan anaa n’akyi di kan fi wo awotwaa mu ba. Sɛ yɛbɛka no tiawa a, akokoaa no wɔ ne ti so, a ɛkyerɛ sɛ ne ti akɔ soro.

Ɛwom sɛ Vertex Presentation ne gyinabea a eye sen biara de, nanso nkokoaa binom dan Breech Presentation. Kae sɛ akokoaa no tu fa ne ho wɔ awotwaa no mu, enti ebetumi aba sɛ akokoaa no bɛdan Vertex Presentation kosi adapɛn 36 mpo wɔ nyinsɛn akyi. Bere a worebɛn da a ɛsɛ sɛ wowo no, gyinabea a akokoaa no wɔ no bɛyɛ nea ɛho hia kɛse bere a worepaw ɔkwan a ahobammɔ wom sen biara a wobɛfa so awo no.

Sɛ ɛduru sɛ wobɛwo wo ba a, nkokoaa nyinaa mu 3% kɔsi 4% wɔ ``Breech Presentation`` mu. Sɛ eyi ba a, wo duruyɛfo no ne wo bɛkasa afa wo ba a wɔbɛwo no ho denam ``Caesarean Section`` so. Eyi te saa efisɛ asiane pii wɔ akokoaa a wɔwo no mu wɔ ``Breech`` tebea mu.

Wɔ tebea horow bi mu no, wo duruyɛfo betumi ne wo akasa afa wo ba no a ɔbɛdan no ``Vertex Presentation'' ho. Wɔfrɛ eyi ``External Cephalic Version'' anaa ``ECV''. Eyi hwehwɛ sɛ wode wo nsa bɛka wo yafunu na woapia no de adan wo ba no. Eyi nso wɔ asiane ahorow bi, enti ɛho hia sɛ wo ne wo duruyɛfo susuw mfaso ne ɔhaw ahorow ho ansa na woasi gyinae.

So akokoaa a waba Vertex betumi abɛyɛ Breech bio?

Ɛntaa nsi koraa sɛ akokoaa bɛsan akɔ ``Breech'' gyinabea bere a wadan ``Vertex Presentation'' akyi. Eyi te saa efisɛ akokoaa no sõ kakra na onni baabi pii a obetumi adi akɔneaba wɔ awotwaa no mu. Nanso, ɛnanom a wɔwɔ tebea bi a wɔfrɛ no ``Polyhydramnios'', a ɛkyerɛ sɛ wɔwɔ awotwaa mu nsu pii dodo , betumi anya asiane kakra sɛ akokoaa no bɛdan akɔ ɔfã foforo bere a wɔrewo no. Nanso eyi nso ho yɛ na koraa.

So nnuruyɛfo betumi adan akokoaa no akɔ Vertex gyinabea?

Yiw, nnuruyɛfo binom betumi adan akokoaa no ayɛ no ``Vertex Presentation'', titiriw sɛ akokoaa no wɔ ``Breech'' tebea mu a. Nanso kae sɛ, nneɛma pii wɔ hɔ a ɛma wosi gyinae sɛ ebia wɔbɛdan akokoaa (sɛ nhwɛso no, adapɛn dodow a wɔde nyinsɛn no, sɛ ebia wɔyɛɛ oprehyɛn a wɔadi kan ayɛ akokoaa no, ne akokoaa no akwahosan), na ɛnyɛ bere nyinaa na eyi di yiye.

Akwan pii wɔ hɔ a wɔfa so dan akokoaa no:

• External Cephalic Version (ECV): Eyi ne aduruyɛ mu adeyɛ a wɔtaa de di dwuma. Egye nnuruyɛfo baanu. Obiako ma akokoaa no ase kɔ soro, na ɔfoforo no de ne nsa to wo yafunu so na ɔdannan akokoaa no ti kɔ n’anim anaa n’akyi fa w’awotwaa mu. Wɔtaa yɛ eyi wɔ ayaresabea, sɛnea ɛbɛyɛ a sɛ ɛho hia a, wubetumi ayɛ oprehyɛn oprehyɛn ntɛm.
• Wo gyinabea a wobɛsesa: Ɛtɔ mmere bi a, sɛ wosakra wo gyinabea a, ebetumi aboa wo ba no ma watu. Mpɛn pii no, eyi hwehwɛ sɛ woyɛ nneɛma a ɛte sɛ yoga anaasɛ wode wo nkotodwe bɛkɔ w’anim. Nyansahu mu adanse biara nni hɔ a ɛkyerɛ sɛ akyinnye biara nni ho sɛ akwan yi bɛboa wo ba no ma wadan, nanso ɛfata sɛ wosɔ hwɛ, efisɛ asiane biara nni ho sɛ wobɛyɛ.
• Nkate mu nkate: Ɔkwan foforo a wobɛfa so abɔ mmɔden sɛ wobɛma wo ba no akɔ ne ho ne sɛ wobɛkanyan no. Nnwom a wobɛbɔ bɛn yafunu no, wo ne akokoaa no kasa, kanea a wode bɛto yafunu no so, anaa biribi a ɛyɛ hyew anaa awɔw a wode bɛto yafunu no so nyinaa betumi aboa ma wo ba no atumi atu. Saa akwan yi nyinaa yɛ nea asiane nnim koraa.

"Ade a ɛho hia sen biara ne sɛ akyinnye biara nni ho sɛ wo ne wo duruyɛfo bɛkasa ansa na woasɔ akwan yi ahwɛ. Ɔno na ɔbɛkyerɛ wo nea eye ma wo ne wo ba no pɛpɛɛpɛ, ne nea ahobammɔ wom sen biara."

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛma ɛtra yɛn adwenem

Ebia wobɛte nka sɛ w'adwene atu afra bere a wote sɛ wo ba no wɔ ``Vertex Presentation'' mu no, nanso nokwarem no ɛyɛ ade pa. Ɛkyerɛ sɛ akokoaa no wɔ gyinabea a ɛfata ma awo a ɛfata. Afei nso, sɛ mpo akokoaa no nni ``Vertex Presentation'' mu a, mma ɛnhaw wo. Mpɛn pii no, akokoaa no da so ara wɔ bere a ɔde bɛdan ne ho ansa na wawo.

Nyinsɛn ne awo yɛ mprenu a nsemmisa pii sɔre. Nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a ebia wowɔ wɔ saa adeyɛ yi nyinaa mu. Wɔwɔ hɔ sɛ wobebua wo nsɛmmisa na wɔaboa wo ma wo delivery no ayɛ mmerɛw na ahobammɔ wom sɛnea wubetumi! Yɛpɛ sɛ wo ne wo ba no nya akwahosan pa!

` Nyinsɛn, awo, vertex nkyerɛkyerɛmu, cephalic nkyerɛkyerɛmu, breech nkyerɛkyerɛmu, awo a ɛfata, cesarean section