Sɛ woyɛ ɛna a wobɛyɛ anaa ɛna foforo a, ɛbɛyɛ sɛ woate nsɛm te sɛ ‘nsu bubui’ ne ‘nsu bubui’. Ɛtɔ mmere bi a yehu wɔ sini mu, ɛnte saa? Mpofirim ara wo nsu no bubu, na afei wutu mmirika kɔ oduruyɛfo nkyɛn. Enti dɛn ne ‘nsu kotoku’ yi anaa nea yɛfrɛ no wɔ aduruyɛ mu , amniotic sac ? Ɛho hia dɛn ma akokoaa no ahobammɔ? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa so, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne saa amniotic kotoku yi? Dɛn na ɛyɛ akokoaa no?
Sɛ yɛbɛka no tiawa a, amniotic kotoku no yɛ kotoku a ɛbɔ wo ba ho ban wɔ wo yafunu mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ kotoku a wɔde ntini abien a ɛyɛ tratraa nanso ɛyɛ den na ɛyɛ mmerɛw na ɛyɛ. Nsu bi a ɛte sɛ nsu a wɔfrɛ no amniotic fluid wɔ kotoku yi mu . Akokoaa no hyɛn nsu yi mu asram pii.
Susuw sɛnea akokoaa yɛ mmerɛw bere a ɔrenyin wɔ awotwaa mu no ho hwɛ. Enti saa awotwaa kotoku yi, ne awotwaa mu nsu a ɛwɔ mu no ne ahobammɔ titiriw ma akokoaa no.
- Biako ne sɛ ɛmma akokoaa no ntumi nhuruhuruw nkɔ baabiara. Sɛ wonam, sɛ wokɔ baabiara a, ɛyɛ nsu kotoku yi na ɛbɔ akokoaa no ho ban na ɛnka no. Ɛte sɛ `air bag` a ɛwɔ kar mu.
- Bio nso, ɛboa ma akokoaa no ma ne ho yɛ hyew daa. Eyi boa ma akokoaa no ho tɔ no, ɛmfa ho sɛ ebia abɔnten yɛ awɔw anaasɛ ɛyɛ hyew.
- Ɛsan nso ma akokoaa no tumi keka ne ho na ɔde ne nsa keka ne ho. Eyi ho hia paa ma akokoaa no ntini ne ne nnompe nyin yiye.
- Ɛbɔ akokoaa no ho ban fi nyarewa ho. Esiane sɛ ɛkame ayɛ sɛ wɔato kotoku yi mu nti, ɛnyɛ mmerɛw sɛ mmoawa a efi abɔnten bɛkɔ mu.
- Awotwaa ne awotwaa mu hama nso wɔ saa kotoku yi mu. Sɛnea wunim no, akokoaa no nya mframa pa ne aduannuru a ohia, na akokoaa no nwura no nam saa awotwaa ne awotwaa hama yi so yi fi hɔ. Enti awotwaa no boa ma wɔbɔ eyinom ho ban na wɔkora so.
Bere a wo ba no nyin wɔ wo yafunu mu no, saa amniotic kotoku yi nso yɛ kɛse. Ebia woate sɛ wɔka sɛ wo "nsu abubu" anaasɛ "wo nsu abubu." Eyi kyerɛ sɛ amniotic kotoku no mu apaapae na amniotic nsu a ɛwɔ mu no retu afa wo vagina mu. Ɛtɔ mmere bi a eyi betumi apue prɛko pɛ, sɛ nsu pii, anaasɛ ebetumi atu nkakrankakra. Sɛ wususuw sɛ wo nsu no abubu a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara. Eyi betumi ayɛ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ awo afi ase.
Bere bɛn na fibroid yi fi ase yɛ?
So ɛnyɛ nwonwa? Saa kotoku a ɛho hia yi fi ase yɛ bɛyɛ nnafua 12 wɔ nyinsɛn akyi, bere a nkesua ne mmadwoa bom yɛ awotwaa no. Eyi kyerɛ sɛ saa ahobammɔ kotoku yi afi ase reyɛ ama akokoaa no dedaw ansa na woahu mpo sɛ woanyinsɛn.
Ɔkwan bɛn so na saa nkwammoaa yi bubu? (So nsuo pue fi mu?)
Mpɛn pii no, awotwaa no mu paapae wɔ awo mfiase anaa bere a wɔrewo no. Nneɛma pii nti na ɛte saa.
- Nkwammoaa: Bere a awo rebɛn no, wo nipadua no yi nkwaadɔm te sɛ prostaglandins . Saa nkwaadɔm yi ma awotwaa no mu nkataso yɛ mmerɛw kakra, na ɛma ɛyɛ mmerɛw sɛ ɛbɛpaapae.
- Nhyɛso a ɛwɔ awotwaa mu: Sɛ worewo a, w’awotwaa no ntini twetwe na ɛtrɛw. Saa nhyɛso yi nso betumi ama w’awotwaa no ntama ayɛ mmerɛw nkakrankakra na apaapae.
- Akokoaa no kankan: Sɛ akokoaa no ti si fam na ɛwɔ asen no mu, na akokoaa no retu ne ho a, ɛtɔ mmere bi a awotwaa no mu hama betumi ayɛ mmerɛw na atetew.
- Awotwaa mu mmerɛwyɛ a efi awosu mu: Bere a akokoaa no nyin na ɔrebɛn awo no, nkwammoaa a ɛwɔ awotwaa no mu no kɔ awosu mu nsakrae mu. Eyi betumi ama ayɛ mmerɛw na abubu.
Nnuruyɛfo taa pɛ sɛ amniotic kotoku no mu mpaapae kosi sɛ anyɛ yiye koraa no wubenyin adapɛn 37, efisɛ ɛno ne bere a akokoaa no akwaa te sɛ ahurututu no nyin koraa na hokwan a eye sen biara wɔ hɔ sɛ wobɛwo apɔwmuden.
Enti bere bɛn na eyi bɛpae?
Mpɛn pii no awotwaa no mu paapae wɔ awo mfiase anaa bere a wɔrewo no . Wɔ nnipa binom fam no, eyi ba ara kwa , a wɔmfa kɔkɔbɔ biara mma . Ɛne sɛ, ɛyɛ biribi a nipadua no ankasa yɛ.
Nanso ɛtɔ mmere bi a, ɛsɛ sɛ oduruyɛfo no bubu amniotic kotoku no. Wɔfrɛ eyi amniotomy , anaasɛ ntini a wɔde ayɛ a ɛpaapae . Wɔyɛ eyi bere a wɔrewo, baabi a oduruyɛfo no de adwinnade ketewaa bi te sɛ hama di dwuma de tow amniotic kotoku no mu brɛoo. Wɔtaa yɛ eyi de boa ma awo yɛ ntɛmntɛm wɔ obi a ɔrewo dedaw mu.
Ɛhe na ulba nkwammoaa yi wɔ?
Ɛyɛ mmerɛw yiye. Amniotic kotoku no wɔ w’awotwaa mu wɔ wo nyinsɛn no nyinaa mu. Akokoaa no nyin wɔ awotwaa no mu, enti saa kotoku yi twa akokoaa no ho hyia.
Eyi te dɛn?
Amnio no yɛ ntini abien a ɛwɔ ntoatoaso. Wɔfrɛ wɔn chorion ne amnion . Saa kotoku yi mu yɛ hann, a ɛkyerɛ sɛ ɛyɛ hann kakra, na ɛma hann fa mu. Ɛte sɛ plastic bag a ɛyɛ tratraa, nanso ɛyɛ den sen saa.
Nsu dodow ahe na ɛwɔ saa akutu yi mu?
Eyi gyina baabi a woakɔ akyiri wɔ wo nyinsɛn no mu so. Mpɛn pii no, nsu dodow a ɛwɔ wo amniotic kotoku mu no kɔ soro sen biara bɛyɛ adapɛn 34. Saa bere no, ebia na ennu lita biako kakra (bɛyɛ mililita 800) . Nanso, bere a akokoaa no rebɛn bere a ɛsɛ sɛ ɔwo no, nsu dodow yi fi ase so tew nkakrankakra.
Akwahosan tebea bɛn na ebetumi aka akisikuru no?
Ɛtɔ mmere bi a, akwahosan ho haw ahorow bi a ɛfa awotwaa no ho betumi asɔre bere a wɔyem no. Sɛnea ɛbɛyɛ foforo no, wobetumi ayɛ nhwehwɛmu ahorow a ɛfa awotwaa no ho de ahwɛ sɛnea akokoaa no te.
- Chorioamnionitis: Eyi yɛ ɔyare mmoawa a ɛba amnion no ntoatoaso abien (amnion ne chorion) no mu. Ebetumi aka wo ne wo ba no nyinaa.
- Premature Rupture of Membranes (PROM): Eyi ne bere a ntini no mu paapae ansa na awo afi ase. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no yɛ kɛse.
- Amniotomy: Yɛaka eyi ho asɛm pɛn. Oduruyɛfo no bubu amniotic kotoku no. Eyi betumi aboa ma awo akɔ ntɛmntɛm.
- Amniocentesis: Eyi yɛ sɔhwɛ titiriw bi. Wɔyɛ nhwehwɛmu yi ansa na wɔawo akokoaa no de ahu sɛ ebia akokoaa no wɔ awosu mu tebea bi anaa . Nea ɛka eyi ho ne sɛ wɔde ade fɛfɛ bi bɛhyɛ awotwaa kotoku no mu na wɔafa awotwaa mu nsu bi.
Ɔkwan bɛn so na wɔsa tebea horow a ɛte sɛɛ?
Ɔhaw ahorow a ɛfa awotwaa no ho ayaresa gyina baabi a woakɔ akyiri wɔ wo nyinsɛn no mu ne sɛ ebia awo afi ase anaa.
Sɛ nhwɛso no, sɛ wowɔ ɔyare bi te sɛ chorioamnionitis , ebia wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa .
Nanso wɔ nsɛm te sɛ premature rupture of membranes (PROM) , akokoaa no a wɔbɛwo no ntɛm no taa yɛ ayaresa a ahobammɔ wom sen biara. Nanso, sɛ wo nyinsɛn nnu adapɛn 37 a, ebia wo duruyɛfo no besi gyinae sɛ ɔbɛma wo nnuru a ɛbɛboa wo ba no ahurututu na afei wawo wo.
Nea ɛho hia paa ne sɛ, sɛ wote biribi a ɛyɛ soronko nka, sɛ nhwɛso no, sɛ wowɔ atiridiinini, yafunu mu yaw, anaa sɛnkyerɛnne afoforo a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Sɛ akokoaa no mu paapae a, so akokoaa no betumi atra ase?
Yiw, ebetumi aba. Nanso egyina bere a ɛmo nkwammoaa no mu paapae nso so.
Mpɛn pii no, sɛ awotwaa no mu paapae wɔ nyinsɛn no adapɛn 37 akyi a, ɛnyɛ ɔhaw kɛse. Efisɛ ebedu saa bere no, akokoaa no ahurututu no anyin yiye na ɛno ankasa tumi home wɔ n’awo akyi.
Nanso sɛ ntini no mu paapae ansa na adapɛn 37 , akokoaa no wɔ asiane kɛse mu sɛ obehyia nsɛnnennen, te sɛ ɛyɛ den sɛ ɔbɛhome na ɛyɛ den sɛ ɔbɛhwɛ nipadua mu hyew so. Wɔ mmere a ɛtete saa mu no, nnuruyɛfo bɛhwɛ akokoaa no titiriw.
So wobetumi awo akokoaa wɔ awotwaa no mu?
Yiw, ɛno betumi asi, nanso ɛntaa nsi koraa. Wɔfrɛ eyi "En Caul Awo."Ɛne sɛ, wɔwo akokoaa no wɔ kotoku no mu a amniotic kotoku no mmubu. Ɛte sɛ nea akokoaa bi wɔ nsu a ɛrehuruw mu. Sɛ ɛba saa a, oduruyɛfo no de nnuruyɛ nnwinnade twa kotoku no na woyi akokoaa no. Eyi nyɛ asiane, nanso ɛyɛ ade a ɛntaa nsi koraa.
Dɛn na ɛba saa ntini yi so bere a wɔawo akokoaa no akyi?
Sɛ wɔwo akokoaa no wie a, mpɛn pii no, saa awotwaa kotoku yi ne awotwaa no fi awotwaa no mu wɔ simma 30 ntam. Eyi ne nea yɛfrɛ no "awo akyi" anaa "awotwaa mu a ɛba mpofirim." Afei oduruyɛfo no tow gu sɛ aduruyɛ mu nwura, anaasɛ sɛ ɛho hia a, ɔde kɔ aduruyɛdan mu ma wɔnyɛ mu nhwehwɛmu.
Enti, nneɛma bi a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm seesei ara no mu ni!
Enti, afei woate sɛnea saa amniotic kotoku yi ho hia wɔ akokoaa akwantu mu no ase.
- Ɛno ne beae a ahobammɔ wom sen biara ma akokoaa no, te sɛ ofie.
- Nsu a ɛwɔ akokoaa no mu no yɛ adwuma sɛ akokoaa no aduru, ɛma ne ho yɛ hyew, na ɛboa ma akokoaa no nipadua mu dwumadi ahorow a ɛho hia no nyin.
- Mpɛn pii no, awotwaa no mu a ɛpaapae no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ awo abɛn.
- Wo duruyɛfo bɛhwɛ sɛnea awotwaa no te wɔ wo nyinsɛn no nyinaa mu. Sɛ ɔyare bi wɔ hɔ anaasɛ ɛpaapae ntɛm a, wɔde ayaresa a ɛho hia bɛma.
Enti, ɛho hia paa sɛ yehu eyi. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.
` Amniotic sac, Amniotic Treasurer, Nyinsɛn, Awo, Amniotic nsu, Placenta, Awotwaa mu hama

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