Wɔ wo nyinsɛn no adapɛn kakraa a etwa to no mu no, so wo duruyɛfo ka kyerɛɛ wo sɛ yɛ nhwehwɛmu bi a wɔfrɛ no ‘Biophysical Profile’? Ebia na ehu aka wo kakra bere a ɔkaa saa kyerɛɛ wo no, ɛnte saa? ‘So biribi asɛe wɔ me ba no ho?’ Nanso mma wo ho nnsuro koraa. Mpɛn pii no, eyi yɛ sɔhwɛ a wɔyɛ daa de hwɛ sɛ akokoaa no reyɛ yiye wɔ awotwaa no mu. Ɛte sɛ ‘amanneɛbɔ krataa’ a wɔde ma yɛn wɔ sukuu mu, na ɛma oduruyɛfo no nya ‘amanneɛbɔ’ a ɛfa akokoaa no akwahosan ho. Momma yɛnka eyi ho asɛm tiawa.
Dɛn ne Biophysical Profile (BPP)?
Sɛ yɛbɛka no tiawa a, Biophysical Profile (BPP) yɛ sɔhwɛ a wɔde hwɛ sɛnea wo ba a ɔhyɛ yafunu mu no akwahosan te. Wɔtaa yɛ no wɔ nyinsɛn no adapɛn 32 akyi. Nnuruyɛfo kamfo nhwehwɛmu yi kyerɛ, titiriw sɛ wo nyinsɛn no yɛ nea asiane kɛse wom anaasɛ sɛ biribi a ɛnteɛ wɔ nhwehwɛmu bi a atwam mu a.
Eyi yɛ sɔhwɛ a ɛnyɛ yaw koraa na ahobammɔ nnim . Ɛde `ultrasound scan` na edi dwuma titiriw. Saa scan yi hwɛ akokoaa no dwumadi afã anan na ɛma wonya nkontaa. Ɛtɔ da bi a, eyi ka ho no, wɔyɛ sɔhwɛ ketewaa foforo nso. Yɛbɛka saa asɛm no ho asɛm akyiri yi.
Dɛn ankasa na sɔhwɛ yi hwehwɛ?
BPP sɔhwɛ twe adwene si nneɛma atitiriw 5 so. Wɔde ultrasound scan na ɛhwɛ anan a edi kan no. Sɛ ɛho hia nkutoo a, wɔyɛ nea etwa to no.
| Element a wɔresɔ ahwɛ no | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Akokoaa nipadua a ɛkeka ne ho | Yɛhwɛ sɛ akokoaa no retu ne nsa anaa ne nipadua akɔ anim ne akyi anaa. Ɛsɛ sɛ akokoaa a ɔwɔ apɔwmuden no keka ne ho yiye. |
| Akokoaa ntini mu ahoɔden | Wɔhwɛ nneɛma te sɛ sɛ ebia akokoaa no rebɔ ne nsa, ɔretrɛw mu, ɔrekotow ne nan, anaa ɔretrɛw mu. |
| Akokoaa home a ɔde tu mmirika | Bere a akokoaa no da so wɔ awotwaa mu mpo no, ne koko tu te sɛ nea ɔrehome. Yɛhwɛ sɛ saa kankyee ahorow no rekɔ so yiye anaa. |
| Amniotic nsu dodow | Wɔsusu amniotic fluid (amniotic fluid) dodow a atwa akokoaa no ho ahyia no hwɛ sɛ ɛdɔɔso anaa. Eyi ho hia paa ma akokoaa no ahobammɔ ne ne nkɔso. |
| Awotwaa mu koma a ɛbɔ | Wɔde sɔhwɛ bi a wɔfrɛ no Nostress Test (NST) na ɛhwɛ eyi. Sɛ ɛho hia nkutoo a, wɔyɛ eyi. Ɛhwɛ sɛ akokoaa no koma bɔ kɔ soro bere a ɔretu no. |
Ɛtɔ da bi a, oduruyɛfo no betumi ayɛ `modified biophysical profile` sen sɛ ɔbɛyɛ BPP a edi mũ no. Eyi fa `Nonstress Test (NST)` a yɛaka ho asɛm wɔ atifi hɔ ne nsu dodow (`amniotic fluid`) a atwa akokoaa no ho ahyia a wɔsusuw nkutoo ho.
Adɛn nti na wɔrebisa wo sɛ yɛ BPP?
Wɔntaa nyɛ sɔhwɛ yi mma obiara. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ wo nyinsɛn no wɔ asiane mu, anaasɛ sɛ woanwo akokoaa ansa na adapɛn 40 adu a. Ɛda adi sɛ wubenya BPP sɛ wowɔ tebea horow a edidi so yi mu biako anaa nea ɛboro saa a:
- Sɛ wowɔ nyarewa te sɛ mogya mmoroso (Hypertension) anaa lupus (Lupus).
- Sɛ wote nka sɛ wo ba no kankan (fetal movements) so atew a.
- Sɛ akokoaa no awu wɔ nyinsɛn a atwam mu (awo a wawu dedaw).
- Sɛ worehwɛ mmanoma anaa mma abiɛsa (dodow) kwan a.
- Sɛ woanya mogya mmoroso (preeclampsia) wɔ nyinsɛn mu a.
- Sɛ adwenem naayɛ bi wɔ hɔ sɛ akokoaa no nyin nnu nea ɛfata a, wɔfrɛ no ``Intrauterine growth restriction''.
- Sɛ na wowɔ asikreyare ansa na worenyinsɛn, anaasɛ wo nyaa asikreyare bere a na wonyinsɛn (gestational diabetes).
- Sɛ amniotic nsu dodow a atwa akokoaa no ho ahyia no sua dodo anaasɛ ɛdɔɔso dodo a.
- Sɛ wo mogya yɛ Rh negative a.
- Sɛ woadi boro mfe 35 bere a wowo akokoaa a.
- Sɛ wo nipadua mu duru (BMI) yɛ 30 anaa nea ɛboro saa (ose).
Ɔkwan bɛn so na wɔyɛ BPP sɔhwɛ no?
Mpɛn pii no, egye bɛyɛ simma 30 kosi 40 ansa na wɔawie sɔhwɛ yi. Ɛwɔ afã atitiriw abien.
1. Ultrasound nhwehwɛmu a wɔyɛ
Eyi te sɛ wo scan a woyɛ daa no ara pɛ. Woda mpa so, wɔde gel gu wo yafunu mu, na wɔde afiri bi a wɔfrɛ no transducer fa wo yafunu so. Afei oduruyɛfo no betumi ahu akokoaa no mfonini wɔ afiri a wɔde hwɛ nneɛma so. Saa bere yi mu no, wosusuw sɛnea akokoaa no keka ne ho, ɔhome, ne ntini dwumadi, ne nsu dodow.
2. Sɔhwɛ a Ɛnyɛ Adwennwen (NST) .
Sɛ ɛho hia nkutoo a, wɔyɛ eyi. Wɔ eyi mu no, wɔbɛma woada mpa so na wɔde abɔso akyekyere wo yafunu. Sensor bi a ɛwɔ abɔso no so bɛhwɛ sɛnea akokoaa no koma bɔ. Eyi begye bɛyɛ simma 20.
Sɛnea yɛn koma bɔ kɔ soro bere a yɛforo antweri no, sɛ akokoaa di aperepere a, ɛsɛ sɛ wɔn koma bɔ nso kɔ soro kakra. Ɛno ne nea eyi fa ho. Anyɛ yiye koraa no, ɛsɛ sɛ akokoaa a ɔwɔ apɔwmuden da ahoɔhare a ɛte saa adi abien wɔ simma 20 mu.
Ɛtɔ da bi a, ebia eyi rensi esiane sɛ akokoaa no ada nti. Wɔ tebea horow a ɛtete saa mu no, oduruyɛfo no betumi de biribi te sɛ buzzer akanyan akokoaa no.
Nkonimdi Nhyehyɛe a Wɔde Ma Sɔhwɛ no
Wɔde nneɛma anan a wohu wɔ ultrasound scan no mu no ma nkontabuo sɛ 0 anaa 2. Nkonimdie biara nni hɔ a ɛyɛ 1. Ɛno kyerɛ sɛ sɛ dwumadiɛ a ɛfa ho no ye a, nkontabuo no yɛ 2, anaa 0.
| Element a wɔresɔ ahwɛ no | Qualification hia na ama woanya nkontabuo 2 |
|---|---|
| Nipadua mu kankan | Akokoaa no nipadua anaa ne nsa ne ne nan tu mprɛnsa anaa nea ɛboro saa wɔ simma 30 ntam. |
| Ntini a ɛyɛ adwuma | Basa/nan a wobɛkotow na woayi mu anaasɛ wobɛbɔ wo nsa/nan bi a wobɛbɔ mu na woayi afi mu pɛnkoro wɔ simma 30 mu. |
| Ahome a wɔde kankyee | Anyɛ yiye koraa no, ɔhome a ɛkɔ so pɛnkoro a anyɛ yiye koraa no ɛkyɛ sikɔne 30 wɔ simma 30 mu a wɔbɛkyerɛ. |
| Nsu dodow a ɛwɔ ahurututu mu | Ɛsɛ sɛ anyɛ yiye koraa no, baabi a nsu no wɔ no mu dɔ yɛ sɛntimita 2 na ne tɛtrɛtɛ yɛ sɛntimita 1 wɔ hɔ. |
Saa scan yi betumi ama nkontabuo a ɛkyɛn so a ɛyɛ 8. Sɛ wɔyɛ NST no nso na ɛyɛ papa a, wɔde nkontabuo 2 foforɔ ka ho. Afei nkontabuo no nyinaa bɛyɛ 10.
Dɛn na nsɛnkyerɛnne no ka?
Mpɛn pii no, wonya nea efi sɔhwɛ no mu ba no da koro no ara. Oduruyɛfo no begyina saa nkontaahyɛde ahorow no so ahu akokoaa no tebea.
- Nkonimdi 8 anaa 10: Eyi kyerɛ sɛ akokoaa no akwahosan ye yiye . Biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho.
- 6 nsɛntitiriw: Eyi kyerɛ sɛ adwenem naayɛ bi wɔ hɔ. Biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene, nanso oduruyɛfo no besi gyinae sɛ ɔbɛhwɛ akokoaa no so akɔ akyiri. Ebia ɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ koro no ara bio wɔ nnɔnhwerew 12-24 mu. Anaasɛ obesusuw ho sɛ ɔbɛwo akokoaa no ntɛm.
- Nkonimdi 4 anaa nea ennu saa: Eyi yɛ tebea a ɛhwehwɛ sɛ wodwen ho kakra . Ebia akokoaa no rehyia ɔhaw bi wɔ awotwaa no mu. Saa bere yi de, mpɛn pii no oduruyɛfo no besi gyinae sɛ ɔbɛwo akokoaa no ntɛm.
Ade a ɛho hia sen biara: Sɛ amniotic nsu dodow a atwa akokoaa no ho ahyia no sua, sɛ biribiara ye mpo a, ɛyɛ asɛm a ɛhaw adwene. Oduruyɛfo no bɛhwɛ so titiriw.
Dɛn ne mfaso ne ɔhaw ahorow a ɛwɔ sɔhwɛ yi so?
Mfaso a ɛwɔ so
Mfaso kɛse a ɛwɔ eyi so ne sɛ asiane anaa asiane biara nni wo anaa akokoaa no so . Eyi yɛ sɔhwɛ a ahobammɔ wom koraa.
Mfomso ahorow a ɛwom
- Sɛ wɔyɛ nhwehwɛmu yi ansa na nyinsɛn no adi adapɛn 32 a, ebia nea ebefi mu aba no renyɛ nokware koraa.
- Sɛ worenom nnuru bi te sɛ corticosteroids a, ebetumi aka nea ebefi mu aba no. (Sɛ nhwɛso no, wobetumi de afiri a wɔde yɛ akokoaa no home akɔ soro na nipadua no atumi atew.)
- Ɛtɔ da bi a, sɛ wuntumi nsi gyinae ntɛm ara a, ebia ɛsɛ sɛ wosan yɛ sɔhwɛ no bio.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu kakra nka anaasɛ wo ho yeraw wo wɔ sɔhwɛ ahorow ho bere a wonyinsɛn no. Nanso kae sɛ, BPP yɛ sɔhwɛ a wɔyɛ de hwɛ hu sɛ wo ne wo ba no yɛ nea ahobammɔ wom. Mpɛn pii no, ɛyɛ ahwɛyiye ara kwa. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, wo ne wo duruyɛfo nkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Biophysical Profile (BPP) yɛ scan a ahobammɔ wom a ɛnyɛ yaw a ɛhwɛ sɛ akokoaa no wɔ apɔwmuden wɔ awotwaa no mu anaa.
- Mma wo ho nnyɛ wo hu bere a wote sɔhwɛ yi din no. Mpɛn pii no, wɔyɛ eyi sɛ ahwɛyiye.
- Sɛ obi nya nkontabuo a ɛba fam a, ɛnyɛ bere nyinaa na ɔhaw kɛse bi wɔ hɔ. Ɛkyerɛ kɛkɛ sɛ oduruyɛfo no kɔ so hwɛ wo ne wo ba no yiye.
- Wo ne wo duruyɛfo nkasa pefee wɔ adwenem naayɛ anaa ehu biara a wowɔ ho.
- Wɔyɛ eyinom nyinaa de boa ma wɔde abofra a ɔwɔ apɔwmuden ba wiase yi mu dwoodwoo.
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