So wususuw saa nneɛma yi ho ansa na worewo akokoaa? Momma yensua Preconception Counselling ho ade!

Saa asɛm yi bɛyɛ nea ɛho hia paa ama wo a woda dae sɛ wobɛyɛ ɛna anaa agya. Nnipa pii susuw sɛ ɛsɛ sɛ wohwɛ wo ba no bere a nyinsɛn mu nhwehwɛmu no ahu sɛ ɛyɛ papa akyi nkutoo. Nanso sɛ wopɛ akokoaa a ɔwɔ apɔwmuden ampa a, ɛsɛ sɛ wusiesie wo ho ansa na woanyinsɛn mpo . Ɛno ne nea afotu a wɔde ma ansa na woanyinsɛn no yɛ ma. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ woreyɛ nhyehyɛe sɛ wobɛwo akokoaa a, eyi ne bere a wuhyia oduruyɛfo na woka ho asɛm.

Dɛn ne Afotu a Wɔde Ma ansa na Wɔanyinsɛn?

Sɛ yɛbɛka no tiawa a, eyi yɛ nkɔmmɔbɔ a wo ne oduruyɛfo bɔ ansa na woanyinsɛn. Nyinsɛn a ahoɔden wom fi ase ansa na woanya nyinsɛn mu nhwehwɛmu a ɛyɛ papa mpo. Enti, afotu a ɛte sɛɛ a wubenya ansa na woanyinsɛn no betumi atew asiane ahorow a ɛwɔ hɔ ma wo anaa wo ba bere a wonyinsɛn no so kɛse .

Botaeɛ titire a ɛwɔ saa nkɔmmɔdie yi mu ne:

• Boa a ɛbɛboa wo ma woanyinsɛn dwoodwoo .
• Boa a ɛbɛboa ma wo ne wo ba a ɔhyɛ yafunu mu no anya apɔwmuden sɛnea wubetumi biara.
• Nsɛnnennen a ebetumi aba bere a wɔyem no a wɔbɛtew so .

Awerɛhosɛm ne sɛ, esiane sɛ nyinsɛn dodow no ara yɛ nea wɔnyɛ ho nhyehyɛe nti, nnipa pii nnya afotu a wɔde ma ansa na wɔanyinsɛn yi so mfaso. Nanso ɛho hia ankasa . Saa afotu yi bɛboa wo ma woasiesie wo ho ama nyinsɛn a edi mu ne akokoaa a ɔwɔ apɔwmuden.

Dɛn na wɔaka ho asɛm wɔ saa nkɔmmɔbɔ yi mu?

Wo duruyɛfo bɛhwɛ nneɛma a ɛde asiane ba nyinsɛn mu nsɛnnennen mu, akyerɛkyerɛ wo ano aduru ho ade, na waboa wo ma wo ne nneɛma a ebia wuhia no adi nkitaho.

Saa nneɛma yi taa si bere a wɔde afotu ma ansa na wɔanyinsɛn no:

• Asiane ho nhwehwɛmu: W’ayaresa ho abakɔsɛm, w’abusua aduruyɛ ho abakɔsɛm (a wo hokafo de ka ho), ne nneɛma afoforo betumi aboa wo ma woahu asiane ahorow a ebetumi aba wɔ nyinsɛn mu. Asetra mu su te sɛ w’aduan ne sigaretnom anaa nsa a wonom nso betumi aka eyi. Wo duruyɛfo betumi aboa wo ma woahu asiane ahorow yi na waboa wo ma woatew so sɛnea wubetumi.
• Nneɛma a Wobɛyɛ: Ebia ebehia sɛ woyɛ nsakrae wɔ nnuru a wode di dwuma mprempren anaa w’asetra kwan mu na ama woasiesie w’adwene ne wo nipadua ama nyinsɛn. Wo duruyɛfo bɛkyerɛ wo anammɔn a ɛsɛ sɛ woyɛ.
• Nneɛma a Wɔde Kɔma: Wo duruyɛfo betumi de wo akɔ nneɛma a ebetumi aboa wo ma woanyinsɛn abofra so. Sɛ nhwɛso no, ebia wo nyinsɛn nhyehyɛe no behia akwahosan ho nneɛma te sɛ mmadwoa akorae anaa nea wɔde si ananmu. Wubetumi aka saa akwan horow yi ho asɛm wɔ saa nkɔmmɔbɔ yi mu.

Bere bɛn na ɛsɛ sɛ mekɔ saa animhwɛ yi?

Anyɛ yiye koraa no ɛsɛ sɛ nhyiam yi kɔ so asram abiɛsa ansa na woafi ase abɔ mmɔden sɛ wobɛwo akokoaa .

Nea eye sen biara ne sɛ ɛsɛ sɛ afotu a wɔde ma ansa na nyinsɛn yi yɛ ɔhwɛ a ɛkɔ so a obiara a obetumi awo mma, sɛ́ ɛyɛ mprempren anaa daakye, renya no fã.

Ahyehyɛde ahorow te sɛ Amerika Awo ne Mmea Ho Nnuruyɛfo Kuw (ACOG) kamfo kyerɛ sɛ nnuruyɛfo a wɔhwɛ ayarefo titiriw ne OB/GYNfo bisa ayarefo daa sɛ, "So wopɛ sɛ wunyinsɛn wɔ afe a edi hɔ no mu?" bere a wɔreyɛ nsrahwɛ a wɔyɛ no daa no. Botae no ne sɛ wɔbɛfa ɔkwan a ɛyɛ nnam so de ama nyinsɛn mu aba atu mpɔn.

Dɛn na ɛba wɔ saa nkɔmmɔbɔ yi mu?

Ebia afotu a wɔde ma ansa na woanyinsɛn no bi ne nhwehwɛmu a wɔbɛyɛ de ahwɛ w’akwahosan, w’aduruyɛ ho abakɔsɛm a wɔbɛsan ahwɛ mu de ahu asiane ahorow, ne afotu a ɛfa sɛnea wobɛma hokwan a wowɔ sɛ wunyinsɛn no ayɛ kɛse ho.

• Nipadua mu nhwehwɛmu: Ebia wo duruyɛfo bɛyɛ nhwehwɛmu de ahwɛ w’akwahosan nyinaa. Ebia wɔbɛhwɛ wo akwaa atitiriw (te sɛ wo koma ne w’ahurututu) ne nsɛnkyerɛnne a ɛho hia (te sɛ wo mogya mmoroso). Ebia wɔbɛyɛ pelvic nhwehwɛmu nso.
• Nhwehwɛmu: Ebia ɛho behia sɛ woyɛ nhwehwɛmu wɔ lab de hwɛ sɛ wowɔ nyarewa, nyarewa, anaa tebea horow a ɛsɛ sɛ wosa yare anaa. Ebia wo ne wo hokafo nso behia awosu mu nhwehwɛmu de ahwɛ sɛ wowɔ nyarewa a wonya fi awo mu, te sɛ Tay-Sachs Yare anaa Sickle Cell Yare.
• Aduruyɛ ho abakɔsɛm: Oduruyɛfo no bɛhwɛ w’ayaresa tebea, nnuru a wonom, ne oprehyɛn a woayɛ no mu. Wɔbɛhwɛ w’awo ne mmea ho abakɔsɛm nso, a nea ɛka ho ne sɛ ebia wode awo ano aduru di dwuma, sɛnea wo brayɛ yɛ daa, ne sɛ ebia woanyinsɛn bi pɛn.
• Abusua abakɔsɛm: W’abusua aduruyɛ ho abakɔsɛm betumi ama woanya nsɛm a ɛho hia a ɛfa awosu mu tebea horow anaa nyarewa a wubetumi de ama wo ba no ho. Ɛho hia sɛ wohwɛ wo hokafo no aduruyɛ ne n’abusua abakɔsɛm esiane ade koro no ara nti. (Sperm banks nso boaboa saa nsɛm yi ano bere a wɔrehwehwɛ wɔn a wɔde mmoa ma no mu no.)

Wo duruyɛfo nso betumi akyerɛ wo kwan wɔ wo nyinsɛn ho nhyehyɛe ahorow mu. Wobetumi aboa wo ma woahu nneɛma te sɛ:

• Bere a eye sen biara a ɛsɛ sɛ wunyinsɛn abofra: Wo duruyɛfo betumi aboa wo ma woahu bere a ovulation no fi hɔ ɔsram biara. Eyi bɛboa wo ma woahu bere a ɛda adi kɛse sɛ wubenyinsɛn.
• Bere a ahobammɔ wom a wode bɛwo akokoaa foforo: Ɛdenam mfe a woadi ne w’akwahosan so no, mmɔden a wobɛbɔ sɛ wobɛwo akokoaa foforo ntɛm dodo bere a woawo akokoaa (anaasɛ nyinsɛn agu akyi) no betumi ama asiane a ɛwɔ hɔ sɛ wubenya nyinsɛn mu nsɛnnennen no ayɛ kɛse. Wo duruyɛfo betu wo fo bere a asiane biara nni ho sɛ wobɛsan asɔ ahwɛ bio no.
• Nhyehyɛe ne tebea horow a eye sen biara a wɔde bɛwo akokoaa:Ebia wopɛ sɛ wonya abofra, nanso ebia wunnya nte nka sɛ woasiesie wo ho. Wo duruyɛfo betumi aboa wo ma woahu nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a woreyɛ daakye ho nhyehyɛe no. Sɛ nhwɛso no, wobetumi akyerɛkyerɛ sɛnea mfe a woadi ka wo awo no mu. Wobetumi nso aka sikasɛm ne asetra mu nneɛma a ɛsɛ sɛ wunya ansa na woabɔ mmɔden sɛ wobɛwo akokoaa no ho asɛm. Sɛ nhwɛso no, nnuruyɛfo betumi ahwɛ nneɛma te sɛ ɔhokafo a wɔbɛn wɔn paa basabasayɛ. Wobetumi aboa wo ma woanya baabi a ahobammɔ wɔ, a ɛbɛboa wo.
• Sɛnea wobɛkɔ so akura w’akwahosan a eye sen biara mu: Wo duruyɛfo betumi aboa wo ma woadi ayaresa tebea biara a ebia wowɔ ho dwuma. Wɔbɛhwɛ w’aduruyɛ ho abakɔsɛm mu na wɔama woahu nnuru a wɔde bɔ wo ho ban a ɛsɛ sɛ wunya.

Susuw ho hwɛ, sɛ wubehu sɛ ebia woasiesie wo ho sɛ wobɛwo akokoaa anaasɛ wunsiesiee wo ho a, ɛho hia te sɛ nea wubehu sɛnea wobɛma hokwan a wowɔ sɛ wubenyinsɛn yiye no ayɛ kɛse no ara pɛ.

Ɔkwan bɛn so na oduruyɛfo no susuw asiane a ɛwɔ hɔ ho?

Oduruyɛfo no bɛhwehwɛ nneɛma ahorow a ebetumi aka wo nyinsɛn mu osuahu ne nea ebefi mu aba no mu.

Nyarewa a enni sabea

Tebea horow bi a enni sabea betumi ama asiane a ɛwɔ hɔ sɛ wubenya nyinsɛn mu nsɛnnennen no ayɛ kɛse. Wo duruyɛfo bɛhwɛ w’ayaresa ho abakɔsɛm mu na waboa wo ma woate sɛnea nyinsɛn bɛka w’ayaresa nhyehyɛe no ase. Sɛ nhwɛso no, ebia ebehia sɛ wosakra nnuru no anaasɛ wosakra dodow a wɔde ma no. Ebia ɛho behia nso sɛ woyɛ nhyehyɛe kɔ oduruyɛfo nkyɛn pii de hwɛ w’akwahosan.

Nyarewa a enni sabea a ɛde nyinsɛn ho asiane ba no bi ne:

• Akisikuru
• Hahaahayɔ
• Asikreyare `(Asikreyare)`
• Koma Yare
• Mogya Nhyɛso a Ɛkɔ Anim
• Asaabo mu Yare
• Thyroid Yare a Ɛyare

Ɛho hia yiye sɛ worensakra w’ayaresa (te sɛ nnuru a wubegyae mpofirim) kosi sɛ wo duruyɛfo bɛka sɛ asiane biara nni ho. Wo ne wo duruyɛfo nkasa mfa nea wobetumi asesa ne nea ɛsɛ sɛ ɛtra hɔ sɛnea ɛte no ho.

Awosu mu tebea horow

Aduruyɛ ne abusua abakɔsɛm ho wɔ mfaso titiriw wɔ tebea horow a wubetumi de ama wo ba no a wubehu mu. Ebia wubehia awosu mu nhwehwɛmu anaa afotu na ama woate asiane a ɛwɔ hɔ sɛ wo ba benya awosu mu tebea bi afi awo mu ase. Ɛdenam asiane a ɛwɔ hɔ so no, wo duruyɛfo betumi akamfo ano aduru akyerɛ wo.

Sɛ nhwɛso no, wobetumi de awosu mu nhwehwɛmu a wɔyɛ ansa na wɔde ahyɛ nipadua mu no adi dwuma de ahwɛ sɛ ebia ɔkraman a wɔahyɛ no ma, anaa awotwaa bi anya awosu mu nkwaadɔm a ɛma obi nya awosu mu tebea bi fi wo anaa wo hokafo hɔ anaa. Wubetumi ne wo duruyɛfo asusuw akwan horow yi ho bere a worehwɛ wo ansa na woawo no.

Nyarewa a wɔde nyarewa ba

Wo duruyɛfo betumi ahwɛ sɛ nyarewa bi, a nna mu nyarewa (STI) ka ho, a ebetumi apira wo anaa wo ba a ɔhyɛ yafunu mu no. Nyarewa a ɛma asiane a ɛwɔ hɔ sɛ wobenya nyinsɛn mu nsɛnnennen no yɛ kɛse no bi ne:

• Hepatitis B a ɛyɛ mmerɛw
• HIV `(HIV)`
• Akisikuru
• Rubella na ɔkyerɛwee
• Tetanus a ɛyɛ hu
• Akokɔsrade (Varicella/Akokɔsrade) .
• Zika Virus a ɛyɛ ɔyare mmoawa

Ɛho hia paa sɛ wobɛnya wo nnuru a wɔde bɔ wo ho ban nyinaa ansa na woanyinsɛn. Wo duruyɛfo bɛkamfo nnuru a ɛsɛ sɛ wofa ansa na woanyinsɛn ne bere tenten a ɛsɛ sɛ wotwɛn ansa na woanyinsɛn no akyerɛ wo.

Nnuru, nhabannuru ne nnuru a wɔde ka ho

Wo duruyɛfo bɛhwɛ sɛ nnuru a wonom nyinaa – nnuru a wɔkyerɛw ma wo ne nea wɔtɔn (OTC), nhabannuru, ne nnuru a wɔde ka ho – yɛ nea asiane biara nni ho sɛ wobɛnom bere a wonyinsɛn no anaa. Wɔbɛkyerɛkyerɛ wo sɛnea wubenya vitamin ne mineral ahorow a wuhia na ama woanya apɔwmuden nso.

Ebia wɔbɛka akyerɛ wo sɛ fi ase nom vitamin bi a wɔde di dwuma ansa na wɔawo a folic acid microgram 400 kosi 800 (mcg) wom. Folic acid betumi aboa ma wɔasiw awo mu dɛmdi ahorow ano, titiriw ntini mu ntini mu dɛmdi a ɛka akokoaa no akyi berɛmo ne n’amemene no. Ɛyɛ papa sɛ wubefi ase anom saa asram abiɛsa kosi asia ansa na woanyinsɛn.

Adidi ne apɔw-mu-teɛteɛ

Wobɛka w’aduan ne w’adwuma dodow nso ho asɛm, ne nsakrae biara a ɛsɛ sɛ woyɛ ansa na woanyinsɛn ne bere a woanyinsɛn no. Sɛ nhwɛso no, wo duruyɛfo bɛtu wo fo wɔ aduannuru a eye sen biara a wubenya wɔ nyinsɛn mu ne calories dodow a wuhia da biara ho. Ɔbɛkyerɛ wo nnuan a ɛsɛ sɛ wokwati te sɛ mpataa a mercury pii wom nso. Wo duruyɛfo nso betumi aka sɛnea mu duru dodow a ɛfata wɔ nyinsɛn mu ho asɛm.

Wɔbɛkyerɛ wo apɔw-mu-teɛteɛ a asiane biara nni ho sɛ wobɛyɛ bere a wonyinsɛn no nso. Mpɛn pii no, ɛsɛ sɛ wode simma 30 teɛteɛ w’apɔw mu a emu yɛ den nnanu dapɛn biara. Nanso, ɛnyɛ papa sɛ wobɛteɛteɛ w’apɔw mu kosi sɛ wobɛbrɛ, anaasɛ wobɛyɛ apɔw-mu-teɛteɛ a ɛde wo to asiane mu sɛ wobɛhwe ase. Wo duruyɛfo bɛkyerɛ wo kwan wɔ eyi ho.

Muduro

Sɛ wususuw sɛ wo mu duru boro so anaasɛ wo mu duru sua a, ebia ebehia sɛ woyɛ nsakrae wɔ w’asetra mu anaasɛ wokɔ aduan ho ɔbenfo nkyɛn. Sɛ obi mu duru sua (nipadua mu duru (BMI) a ennu 18.5) a, ɛma asiane a ɛwɔ hɔ sɛ ɔbɛwo ntɛm anaasɛ ɔbɛwo akokoaa a ne mu duru sua no yɛ kɛse. Sɛ obi yɛ kɛse mmoroso (BMI boro 30) a, ɛma asiane a ɛwɔ hɔ sɛ:

• Asikreyare a Ɛwɔ Nyinsɛn Mu
• Nyinsɛn mu Ntini a Ɛma Nkɔso
• Nsɛnnennen a ɛba bere a wɔrewo

Wo duruyɛfo bɛboa wo ma woayɛ nhyehyɛe bi a wode bɛma wo mu duru a ɛfata ama wo nyinsɛn no.

Sigaretnom, nsa ne nnuru a wɔde di dwuma

Ɛho hia sɛ wugyae sigaretnom, nsa ne nnubɔne a wode gye w’ani bere a woresiesie wo nipadua ama nyinsɛn no.. Nnubɔne a wɔde di dwuma no ne nyinsɛn mu nsɛnnennen ahorow bi wɔ abusuabɔ, a awotwaa mu owu ka ho. Nsã a wɔnom bere a wɔyem no betumi ama awotwaa mu nsa ho yare aba. Te sɛ nnubɔne a wɔde di dwuma no, sigaretnom nso betumi de ɔhaw ahorow aba awotwaa no nyin mu, a nyinsɛn a wotu gu ne awo a wɔawuwu ka ho. Wusiw a wɔde di dwuma nso ma asiane a ɛwɔ hɔ sɛ obepira akokoaa no yɛ kɛse.

Nea ɛne eyi bɔ abira no, sigaretnom a wobegyae no betumi atew asiane a ɛwɔ hɔ sɛ wobenya nyinsɛn mu nsɛnnennen bi so anyɛ yiye koraa no 20% .

Wo duruyɛfo betumi ama wo nneɛma te sɛ sigaretnom gyae nhyehyɛe ahorow a ɛbɛboa wo ma woayɛ nsakrae yi.

Awuduru a ɛwɔ nipadua no mu

Nneɛma a awuduru wom a ɛwɔ wo fie anaa w’adwumam betumi de asiane aba bere a wonyinsɛn no. Wo duruyɛfo bɛhwɛ asiane a ɛwɔ hɔ sɛ wobɛka ho. Nneɛma a asiane wom a ebetumi aka wo nyinsɛn no bi ne:

• Arsenic a wɔde yɛ nneɛma
• Asbestos a wɔde yɛ adwuma
• Fluoride a wɔde yɛ adwuma
• Di kan
• Nnuru a wɔde kum mmoawa
• Nnuru a wɔde yɛ adwuma wɔ adwumayɛbea
• Mpɔtorɔ nsuo

Dɛn na ɛba bere a wɔasusuw ho no akyi?

Ebia wo duruyɛfo bɛkamfo asetra mu nsakrae ne akwahosan ho nyansahyɛ ahorow a wɔaka abom akyerɛ wo. Ebia eyinom bi ne:

• Mu duru a ɛso tew anaasɛ ɛyɛ kɛse.
• Aduan a ahoɔden wom a wɔde besi hɔ.
• Apɔw-mu-teɛteɛ nhyehyɛe a ahoɔden wom a wɔbɛyɛ.
• Gyae sigaretnom anaa nsa nom.
• Wo immunizations a woreyɛ no foforo.
• Adwennwen a wobɛkwati anaasɛ wubesua sɛnea wobedi ho dwuma yiye.
• Vitamin ahorow a wɔkamfo kyerɛ a wɔbɛnom (a vitamin ahorow a wɔde ma ansa na wɔawo ka ho).
• Akwahosan ho nsɛm ho animdefo a wɔbɛkɔ akɔsra wɔn ansa na wɔanyinsɛn.
• Nnuru a epira wo anaa akokoaa no a worennom ( bere nyinaa wo ne wo duruyɛfo nkasa ansa na woafi nnuru biara ase anaasɛ woagyae ).

So akwankyerɛ anaa nhwehwɛmu nhyehyɛe bi wɔ hɔ a wɔde bɛyɛ eyi?

Akwankyerɛ biako biara nni hɔ a obiara de di dwuma. Mmom no, ahyehyɛde ahorow te sɛ Centers for Disease Control (CDC) ne American College of Obstetricians and Gynecologists (ACOG) de nsɛmti a ɛsɛ sɛ wɔka ho asɛm bere a wɔretu afotu ansa na wɔanyinsɛn no ho nhwehwɛmu ma. Eyinom bi ne:

• Abusua nhyehyɛe (ɔpɛ a obi wɔ sɛ obenyinsɛn).
• Aduruyɛ mu tebea horow.
• Abusua aduruyɛ ho abakɔsɛm.
• Nnuru a wɔde yɛ nnuru.
• Nyarewa ho nhwehwɛmu.
• Nkwammoaa a ɛko tia nyarewa no tebea.
• Aduandi ne apɔw-mu-teɛteɛ.
• Vitamin a wɔde ma ansa na wɔawo.
• Awuduru a wɔde wɔn ho hyɛ mu.
• Nnubɔne, nsa ne tawa a wɔde di dwuma.
• Tebea a ahobammɔ wom (abusua basabasayɛ a wɔde wɔn ho hyɛ mu).

Wo duruyɛfo bɛka nsɛmti ahorow ho asɛm , a wosusuw w’akwahosan nyinaa ho . Efisɛ nneɛma pii wɔ hɔ a ebetumi aka nyinsɛn a ɛfata.

Ade a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Susuw saa anim a wobisabisa ansa na woanyinsɛn yi ho sɛ wellness appointment a wo daakye, nyinsɛn ankasa yɛ ma wo. Te sɛ nea wobɛkɔ wo mmea ho oduruyɛfo nkyɛn afe biara na ama w’awo nhyehyɛe no ayɛ yiye no, saa anim a wobɛkɔ akɔhwɛ no betumi aboa ma wo nyinsɛn no anya apɔwmuden na atew asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no so.

Enti, sɛ woreyɛ nhyehyɛe sɛ wobɛwo akokoaa mprempren anaa daakye a, kɔ w’abusua oduruyɛfo anaa mmea ho ɔyaresafo nkyɛn na bisa afotu a wɔde ma ansa na woanyinsɛn yi ho asɛm. Nea eye sen biara a wubetumi afi ase nyinsɛn a ahoɔden wom ne sɛ wobɛbɔ wo amanneɛ ansa na woanya nyinsɛn mu nhwehwɛmu a ɛyɛ papa mpo.

` Afotuo a wɔde ma ansa na nyinsɛn, nyinsɛn, nyinsɛn a ɛwɔ apɔwmuden, awo, akwahosan ho afotu, abusua nhyehyɛe, nyinsɛn ahosiesie