So wo ba no nyin yiye wɔ awotwaa mu? Momma yɛnka Fetal Biometry ho asɛm!

Sɛ woyɛ ɛna a worehwɛ kwan a, ɛsɛ sɛ w’ani gye paa na wowɔ anigye bi nso, ɛnte saa? Titiriw sɛ ebia wo ba no renyin yiye na ɔwɔ apɔwmuden wɔ awotwaa no mu anaa. Ɛnnɛ yɛrebɛka sɔhwɛ bi a ɛho hia paa a ɛboa wɔ saa asɛm no mu ho asɛm. Yɛfrɛ eyi `(Fetal Biometry)`. Sɛ yɛbɛka no tiawa a, eyi na wɔde susuw sɛnea wo ba no nyin.

Dɛn ne saa awotwaa mu biometry sɔhwɛ yi?

Ɛnyɛ den koraa. `(Fetal Biometry)` yɛ ɔkwan a wɔfa so susuw akokoaa a ɔwɔ wo yafunu mu no kɛse denam ``ultrasound`` scan so wɔ nyinsɛn mu. Wɔ eyi mu no, wɔsusuw akokoaa no afã horow pii. Wo duruyɛfoɔ bɛtumi agyina saa susudua yi so asusu sɛ akokoaa no renyin sɛdeɛ ne ``nyinsɛn mfeɛ`` teɛ, kyerɛ sɛ, sɛ ebia ɔhaw bi wɔ ne nyin mu anaa. Eyi betumi ahu ɔhaw ahorow a ɛfa akokoaa no nyin ho, te sɛ akokoaa no nyin a ɔbrɛ ase anaasɛ ɔma ɛyɛ ntɛmntɛm . Sɛ saa a, ɛbɛyɛ mmoa kɛse nso wɔ nsɛnnennen a ebetumi aba akyiri yi a wobesiw ano no mu.

Dɛn nti na saa ``Fetal Biometry`` sɔhwɛ yi ho hia saa?

Eyi yɛ sɔhwɛ a ɛho hia ankasa. Wunim, wɔfrɛ eyi ``Fetal Biometry``, a ɛyɛ ``ultrasound`` scan a wɔyɛ wɔ nyinsɛn mu no fã. Eyi hwehwɛ akokoaa no kɛse ne sɛ ebia ɛfata ma adapɛn dodow a ɛsɛ sɛ onyinsɛn no titiriw .

Fa no sɛ, sɛ saa susudua yi kyerɛ sɛ akokoaa no sua anaa ɔsõ sen ne ``nyinsɛn mfe`` a, oduruyɛfo no te ase sɛ nhwehwɛmu foforo ho hia na ama wɔahu nea ɛde ba. Eyi betumi afi akwahosan tebea bi a ɛwɔ ɛna no mu, ɔhaw bi a ɛwɔ awotwaa no mu, anaasɛ akokoaa no awo mu tebea bi a ɛnteɛ.

Nanso ade biako wɔ hɔ a ɛsɛ sɛ yɛkae. Sɛ saa susuw ahorow yi kyerɛ sɛ akokoaa no atu kakra mpo a, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ ɔhaw kɛse bi wɔ hɔ . Ɛtɔ da bi a ɛyɛ ade a ɛfata sɛ susuw no bɛyɛ nea ɛnkɔ so kakra. Enti mma ɛnhaw wo, ɛyɛ?

Dɛn ne susudua a wɔde ``Fetal Biometry`` sɔhwɛ yi susuw?

Fetal Biometry yɛ sɔhwɛ a ɛkyerɛ sɛnea akokoaa no kɛse te bere a wanyinsɛn no. Ɛdenam akokoaa no nipadua afã horow pɔtee bi a oduruyɛfo no susuw so no, obetumi de akokoaa no kɛse nyinaa atoto nea ɛfata ma saa mfe no ho.

Eyinom ne susudua atitiriw a wɔfa:

• `BPD (biparietal diameter)` : Eyi ne akokoaa no ti a wɔatwa no ntwea so . Sɛ yɛbɛka no tiawa a, ɛyɛ kwan a ɛda ti no fã biako kɔ ɔfã foforo.
• `HC (ti ntwemu)` : Eyi susuw akokoaa no ti ntwemu .
• `AC (abdominal circumference)` : Eyi ne akokoaa no yafunu ntwemu .
• `FL (femur length)` : Eyi kyerɛ akokoaa no asen dompe tenten.``Femur'' yɛ dompe a ɛware sen biara wɔ yɛn nipadua mu.
• `CRL (crown-rump length)` : Eyi susuw akokoaa no tenten fi ne ti atifi kosi ne ti ase . Saa susudua yi yɛ pɛpɛɛpɛ sen biara wɔ nyinsɛn no ``bosome abiɛsa a edi kan`` mu . Adapɛn 12 akyi no, susuw afoforo a yɛaka ho asɛm wɔ atifi hɔ no ma yenya akokoaa no nyin ho adwene a eye sen biara.

Ɛnam susuw a wɔde susuw nneɛma yi nyinaa bom so na nnuruyɛfo ba awiei wɔ sɛnea akokoaa no nyin ho.

Ɔkwan bɛn so na wɔyɛ saa ``Fetal Biometry`` sɔhwɛ yi?

Fetal biometry yɛ aduruyɛ mu din ankasa a wɔde susuw nneɛma a wo duruyɛfo susuw bere a wɔreyɛ ultrasound scan daa bere a wonyinsɛn no. Ebia woahyɛ no nsow sɛ bere a wɔreyɛ scan no, ultrasound ho ɔbenfo bi de transducer bi fa wo yafunu so. Eyi ne bere a wɔde susuw saa nneɛma yi. Scan no nso hwɛ nneɛma te sɛ amniotic fluid (nsu a atwa akokoaa no ho ahyia) dodow a ɛwɔ awotwaa no mu ne mogya a ɛfa awotwaa no mu.

Sɛ worehwɛ monitor no bere a woreyɛ scan no a, ebia wubehu sɛ mfiridwumayɛfo no rebɔ na ɔretwe nkyerɛwde wɔ screen no so. Saa na wɔsusu akokoaa no ne w’awotwaa no afã afoforo.

Sɛ wonyinsɛn nnu adapɛn 12 a , ebia wobɛyɛ transvaginal ultrasound , scan a ɛfa ɔbea no awotwaa mu nso, efisɛ akokoaa no sua koraa saa bere no, na eyi ma wotumi susuw nneɛma a emu da hɔ.

Saa ``Fetal Biometry`` sɔhwɛ yi yɛ pɛpɛɛpɛ dɛn?

Fetal biometry yɛ sɔhwɛ a edi mu yiye wɔ nyinsɛn mfiase. Ɛyɛ akwan a wotumi de ho to so sen biara a oduruyɛfo fa so hu sɛnea akokoaa no nyin no mu biako. Oduruyɛfo no taa susuw saa nneɛma yi bere a wɔreyɛ ultrasound scan wɔ ɔsram abiɛsa a edi kan ne nea ɛto so abien no mu.

Nanso, sɛ wuhyia nsɛnnennen bi wɔ wo nyinsɛn no mu, anaasɛ worehwɛ kwan sɛ wobɛdɔɔso a, wo duruyɛfo no bɛtaa asusuw saa nneɛma yi wɔ wo nyinsɛn no nyinaa mu. Ma ɛntra w'adwenem sɛ ebia awotwaa mu biometry sɔhwɛ no pɛpɛɛpɛyɛ so bɛtew kakra wɔ ɔsram abiɛsa a ɛto so abien no akyi . Eyi te saa efisɛ bere a akokoaa no nyin no, susuw no yɛ den kɛse esiane nneɛma te sɛ gyinabea ne kankyee nti.

Dɛn ne kwan a ɛyɛ daa ma `(Fetal Biometry)`?

Eyi yɛ asɛm a ɛyɛ den kakra, efisɛ "nea ɛteɛ" a ɛwɔ awotwaa mu biometry no gu ahorow gyina nneɛma ahorow so . Nsusuwii biara wɔ bo a ɛfata wɔ nyinsɛn adapɛn ahorow mu. Afei nso, esiane sɛ ɛsono nyinsɛn biara nti, wo duruyɛfo besusuw nneɛma afoforo pii ho bere a ɔresusuw nea ebefi mu aba no ho no.

Sɛ nhwɛso no, dodow a ɛfata ma ``Fetal Biometry`` susuw wɔ bɛyɛ adapɛn 20 wɔ nyinsɛn mu, wɔ sɛntimita (cm) mu ni :

• Ti no ntwemu `(HC)` : bɛyɛ 17.5cm
• Yafunu no ntwemu `(AC)`: Bɛyɛ 14.9cm
• Ti no ntwemu (BPD) : bɛyɛ 4.9cm
• Femur tenten `(FL)` : bɛyɛ 3.2cm

Nanso, esiane sɛ hokwan a ɛwɔ hɔ sɛ wubenya saa nkyekyem bo yi pɛpɛɛpɛ no sua nti, wunya nea efi mu ba wɔ ɔha biara mu gyinapɛn ahorow mu. Ɔha biara mu nkyekyem yɛ ɔkwan a wɔfa so de nnipa a wɔadi mfe koro na wɔn su yɛ pɛ toto ho. Wɔ eyi mu no, nnuruyɛfo de ɔha biara mu nkyekyem di dwuma de kyerɛ sɛnea nkokoaa a wɔadi mfe koro wɔ nyinsɛn mu no kɛse te.

Sɛ nhwɛso no, ebia nea ebefi mu aba no bɛkyerɛ sɛ wo ba no yafunu mu ntwemu (AC) wɔ ɔha biara mu nkyem 75 mu. Ɛno boro nea wɔtaa yɛ so, nanso ɛnyɛ nea ɛhaw adwene ankasa. Sɛ akokoaa bi nnu ɔha biara mu nkyem 10 anaasɛ ɛboro ɔha biara mu nkyem 90 nkutoo a na nnuruyɛfo dodow no ara haw wɔn ho.

Esiane sɛ mpɛn pii no ɛsono nea efi sɔhwɛ mu ba wɔ onipa biara mu nti, ɛbɛyɛ papa bere nyinaa sɛ wo ne wo duruyɛfo bɛkasa afa wo nhwehwɛmu no mu aba ne nea ɛkyerɛ ho . Esiane sɛ nneɛma pii betumi aka eyi nti, ɛyɛ den sɛ yɛbɛka wɔ ɔkwan a ɛkɔ akyiri so sɛ, "Eyi yɛ ade a ɛfata."

Sɛ minya nea efi mu ba a ɛnyɛ ne kwan so a, dɛn na ɛba?

Sɛ nea efi wo ultrasound scan mu ba no nyɛ nea ɛkɔ so daa, a ɛkyerɛ sɛ ɛnyɛ nea wɔhwɛ kwan a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ ultrasound scan pii . Afei wobetumi ahwɛ sɛnea wo ba no nyin bere tenten ahwɛ sɛ nsakrae bi aba anaa. Ɔkwan pa a wobɛfa so asi awotwaa mu biometry so dua ne sɛ wobɛhwɛ nneɛma a ɛrekɔ so wɔ nea efi mu ba no mu, anaa sɛnea nea efi mu ba no sesa bere a bere kɔ so no.

Bio nso, ebia wɔbɛhwɛ wo mogya adwuma anaa nea efi wo nsu mu nhwehwɛmu mu ba no de abɔ mmɔden sɛ wobehu nea ɛde wo ba no susuw nneɛma a ɛnkɔ so daa no.

Akokoaa a ɔyɛ ketewaa sen sɛnea wɔkyekyem pɛpɛɛpɛ no betumi akyerɛ `FGR (fetal growth restriction)` anaasɛ ɔhaw ahorow a ɛwɔ awotwaa no mu. Akokoaa a ɔsõ sen sɛnea wɔkyekyem pɛpɛɛpɛ nso betumi akyerɛ sɛ ɛna no wɔ `nyinsɛn mu asikreyare` .

Nanso mma ɛnhaw wo, ɛyɛ? Ɛyɛ ade a ɛfata sɛ akokoaa bɛyɛ kɛse anaa ketewa kakra. Mpɛn pii no, wɔwo nkokoaa a wɔwɔ apɔwmuden, wɔ wɔn kɛse ne wɔn mu duru a ɛfata mu. Nea efi ultrasound scan mu ba a ɛnkɔ so daa nyɛ ade a ɛsɛ sɛ yɛhaw yɛn ho. Wo duruyɛfo bɛka nneɛma foforo a wobɛhwɛ so ne nea ɛsɛ sɛ woyɛ akyi ho asɛm akyerɛ wo.

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

``Fetal Biometry`` yɛ susudua a wo duruyɛfoɔ fa wɔ ``ultrasound`` scan mu de hwɛ wo ba no nkɔsoɔ. Ebia worente asɛmfua ``Fetal Biometry`` wɔ nyinsɛn mu, nanso ebia wubehu saa nsɛmfua yi wɔ wo ``ultrasound report`` so.

Eyi yɛ susudua a ɛfata na biribiara nni hɔ a ɛsɛ sɛ ɛhaw wo ho. Nanso, nea ebefi mu aba no betumi akyerɛ sɛ akokoaa no sua dodo anaasɛ ɔsõ dodo ma ne mfe. Sɛ wowɔ nsɛmmisa bi fa ultrasound scan anaa nhwehwɛmu foforo biara ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa . Wɔwɔ hɔ sɛ wɔbɛboa wo na wɔabua wo nsɛmmisa. W’akwahosan ne wo ba no de ne nneɛma a ɛho hia wɔn paa. Enti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛka biribiara ho asɛm a wunkura biribiara mu!

` Fetal biometry, nyinsɛn scan, akokoaa nkɔso, ultrasound, nyinsɛn akwahosan, awotwaa susuw, hwɛ a wɔhwɛ ansa na wɔawo