Sɛ woanyinsɛn a, w’anidaso kɛse ne sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden aba wiase. Nanso ɛtɔ mmere bi a, sɛ́ ɛyɛ nea woadi kan atu nyinsɛn anaasɛ wo duruyɛfo aka akyerɛ wo sɛ w’awotwaa no ayɛ mmerɛw kakra nti, ebia wobɛhaw sɛ w’awotwaa no bebue ansa na wɔawo akokoaa no. Ɛnnɛ, yɛrebɛka ayaresa soronko bi a wɔyɛ de siw awo a ɛba ntɛm ma ɛnanom a wɔwɔ asiane mu no ho asɛm. Wɔfrɛ ɛno sɛ awotwaa mu ntini a ɛyɛ den.
Dɛn ne Cervical Cerclage?
Sɛ yɛbɛka no tiawa a, eyi yɛ nhama titiriw bi a ɛma wo awotwaa, anaa awotwaa , a wobue no mu no kɔ so to mu yiye wɔ wo nyinsɛn no nyinaa mu . Fa w’awotwaa no sɛ sika kotoku ketewaa bi. Wo ba no wɔ mu. Wo awotwaa no ne saa sika kotoku no a wobue. Ɛtɔ da bi a, sika kotoku yi a wobue mu no betumi ayɛ mmerɛw. Afei ade a ɛsom bo a ɛwɔ mu, wo ba no, bɔ mmɔden sɛ ebepue ntɛm.
Enti, wɔ `(Cervical Cerclage)` mu no, oduruyɛfo no de asaawa a ɛyɛ den to sika kotoku no ano, kyerɛ sɛ, awotwaa no ano, a ebetumi ayɛ mmerɛw. Eyi ma akokoaa no tumi tra awotwaa no mu dwoodwoo kosi bɛyɛ adapɛn 37, kyerɛ sɛ, kosi sɛ akokoaa no benyin yiye.
Dɛn nti na wɔkamfo kyerɛ sɛ wɔmfa nhama nkɔ awotwaa mu?
Ɛnyɛ ɔbea a onyinsɛn biara na obehia eyi. Sɛ ntease pɔtee bi wɔ hɔ a, nkutoo na wo duruyɛfo bɛkamfo saa ayaresa yi akyerɛ. Eyi nti na ɛho hia yiye sɛ wo ne wo duruyɛfo ka wo nyinsɛn ne oprehyɛn a woadi kan ayɛ ho asɛm no.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Awotwaa a ɛnyɛ adwuma yiye | Sɛ awotwaa no ano yɛ mmerɛw esiane oprehyɛn a wɔadi kan ayɛ (te sɛ LEEP ) anaa nneɛma afoforo nti a, awotwaa no betumi abue ne ho bere a wɔyem no efisɛ entumi nnyina akokoaa no mu duru so. |
| Nyinsɛn a wotu gu wɔ ɔsram abiɛsa a ɛto so abien mu | Sɛ woanya nyinsɛn a ɛnyɛ yaw wɔ nyinsɛn no mfinimfini (wɔ asram 4-6 ntam) a, ebia nea ɛde ba ne awotwaa a ayɛ mmerɛw. |
| Nneɛma a ɛnteɛ wɔ awotwaa anaa awotwaa mu | Sɛ awotwaa no nsɛso asesa anaasɛ awotwaa no asɛe fi awo mu a, ebia eyi nso na ama nyinsɛn no atu dedaw. |
Wɔtaa de saa nhama yi si nyinsɛn no mu adapɛn 12 kosi 14 , ansa na awotwaa no afi ase ayɛ teateaa na abue.
Dɛn na ɛba ansa na wɔayɛ oprehyɛn yi ne bere a wɔreyɛ oprehyɛn yi?
Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a worehyia biribi a ɛte sɛɛ no. Enti, bisa wo duruyɛfo no nsɛm biara a wowɔ.
Ansa na wɔreyɛ oprehyɛn no...
Ansa na wɔbɛyɛ wo oprehyɛn no, wo duruyɛfo no bɛfa aduruyɛ ho abakɔsɛm a edi mũ . Ɔde speculum a ɛte sɛ Pap smear bɛhwɛ wo awotwaa mu. Ebia wɔbɛyɛ wo transvaginal ultrasound nso. Eyi bɛboa ma woahwɛ sɛnea wo awotwaa no tenten ne ne tebea te. Mpɛn pii no wobetu wo fo sɛ twe wo ho fi nna ho dapɛn biako ansa na wɔayɛ oprehyɛn no.
Bere a wɔreyɛ oprehyɛn no...
Eyi yɛ oprehyɛn ketewaa bi a wɔtaa yɛ wɔ ayaresabea na ennye bere tenten.
- Wɔbɛma woada sɔhwɛ pon so na wɔaka akyerɛ wo sɛ fa wo nan si nneɛma titiriw a wɔde gyina so so.
- Afei, wɔde aduru bi a ɛma obi dwensɔ gu wo yafunu mu de ma baabi a atwa wo awotwaa ho ahyia no yɛ mmerɛw sɛnea ɛbɛyɛ a worente ɛyaw biara . Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no, nanso worente ɛyaw biara wɔ ɛno akyi.
- Sɛ wo ho tɔ wo yiye a, oduruyɛfo no de asaawa a ano yɛ den bedi dwuma de nhama atwa awotwaa no ho ahyia, na wakyekye mu denneennen na wato mu yiye.
So eyi yɛ yaw? Dɛn na ɛba wɔ oprehyɛn no akyi?
Wɔ oprehyɛn no akyi nna kakraa bi no, ebia wo yafunu ase ayɛ wo yaw kakra na ayɛ nsensanee, te sɛ wo bra. Eyi yɛ ade a ɛfata. Mpɛn pii no, ɛyaw no nyɛ kɛse. Sɛ wote ɛyaw biara a, wubetumi anom biribi te sɛ paracetamol . Nanso, sɛ wo yafunu mu yɛ wo yaw kɛse a wuntumi nnyina ano a , ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara.
Wɔde wo bɛto ayaresabea ma wɔahwɛ wo nnɔnhwerew kakraa bi wɔ oprehyɛn no akyi na sɛ ɔhaw biara nni hɔ a, wɔde wo bɛkɔ fie da koro no ara. Ebia wɔbɛma wo nnuru a ekum ɔyare mmoawa nso de asiw ɔyare mmoawa ano.
Ade a ɛho hia sen biara ne sɛ wobɛhome yiye da a wɔbɛyɛ oprehyɛn no. Nkɔ adwuma anaa nkɔyɛ adwuma foforo biara a ɛyɛ den. Esiane sɛ egye bɛyɛ nnafua 7-10 ansa na nhama no ayɛ yiye nti, ɛho hia sɛ wudi oduruyɛfo no akwankyerɛ akyi wɔ saa bere no mu.
Mfaso ne asiane bɛn na ɛwɔ awotwaa a wɔde ntama a ɛyɛ den so?
Eyi ne ɔkwan a eye sen biara na etu mpɔn sen biara a wɔfa so siw awo a ɛba ntɛm ano ma ɛna a n’awotwaa yɛ mmerɛw. Saa ayaresa yi wɔ nkonimdi kɛse a ɛkame ayɛ sɛ 90%. Nanso, sɛnea ɛte wɔ aduruyɛ biara ho no, asiane nketenkete bi wɔ hɔ. Oduruyɛfo no de saa ayaresa yi ho nyansahyɛ ma efisɛ mfaso a ɛwɔ so no boro asiane ahorow yi so koraa.
| Asiane/Nsɛnnennen a Ɛho Hia | |
|---|---|
| Nsaneɛ | Hokwan ketewaa bi wɔ hɔ sɛ obi benya awotwaa mu yare. |
| Mogya a ɛretu | Mogya nketenkete a ɛtɔ bere a wɔreyɛ oprehyɛn anaasɛ bere a wɔreyɛ no oprehyɛn akyi. |
| Ntini a ɛpaapae ntɛm | Ntini a atwa akokoaa no ho ahyia no a ɛpaapae ntɛm. |
| Ɔsɛe a ɛba awotwaa no mu | Awotwaa no asɛe anaasɛ akuru a ɛba bere a wɔde suture reto hɔ anaasɛ wɔrewo no. |
| Awo a ɛba ntɛm | Hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ awo mu yaw betumi aba esiane oprehyɛn no ankasa nti. |
Bere bɛn na wobeyi saa nhama yi afi hɔ?
Sɛ wunyinsɛn adapɛn 37 , a ɛkyerɛ sɛ akokoaa no ayɛ krado sɛ obepue dwoodwoo a, wo duruyɛfo no beyi saa nhama yi afi hɔ. Eyi nso yɛ mmerɛw yiye. Wɔde wo bɛto sɔhwɛ pon no so, sɛnea na wote bere a wɔde nhama no sii hɔ no, na wobetwitwa nhama no na wɔayi afi hɔ wɔ simma kakraa bi mu. Eyi ntiƐho nhia sɛ wɔde nnuru a wɔde kum nipadua no di dwuma .
Sɛ mpo wo nsu no bubu mpofirim ansa na ɛno aba, anaasɛ awo mu yaw fi ase a, oduruyɛfo no beyi nhama no afi hɔ ntɛm ara.
Tebea horow bɛn na ɛsɛ sɛ wofrɛ oduruyɛfo no ntɛm ara?
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ oprehyɛn akyi a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara a wontwentwɛn wo nan ase. Sɛ ɛho hia a, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛsɛ sɛ wohwɛ yiye | |
|---|---|
| 🌡️ Atiridiinini a ano yɛ den | Sɛ nipadua no hyew boro digrii Celsius 37.7 (Fahrenheit 100) a. |
| 😖 Ɛyaw a ɛba bere ne bere mu | Sɛ yafunu a ɛwɔ fam no mu yaw te sɛ awo mu yaw no kɔ so ba wɔ bere koro no ara mu a. |
| 👃 Nsuo a ɛtɔ a ne hua nyɛ dɛ | Sɛ nsu a ɛyɛ huam fi awotwaa mu ba a. |
| 💧 Nsuo kotokuo bubu anaa ɛtu | Sɛ biribi te sɛ nsu fi awotwaa mu ba a. |
| 🩸 Mogya a ɛretu kɛse | Sɛ mogya a ɛretu no mu yɛ duru sen sɛnea ɛte daa a. |
Nkrasɛm a Wɔde Kɔ Fie
- Cervical cerclage yɛ ɔkwan a etu mpɔn yiye na ahobammɔ wom a wɔfa so siw awo a ɛba ntɛm ano wɔ ɛna a ne awotwaa yɛ mmerɛw mu.
- Eyi nyɛ biribi a ɛsɛ sɛ obiara yɛ. Nnuruyɛfo kamfo kyerɛ ɛnanom a wɔwɔ asiane pɔtee bi nkutoo .
- Wɔ oprehyɛn no akyiƐho hia paa sɛ wodi oduruyɛfo no akwankyerɛ so pɛpɛɛpɛ (home, kwati adwuma a emu yɛ duru, na kwati nna mu nna).
- Wo ne wo duruyɛfo nkasa pefee wɔ ehu anaa dadwen biara a ebia wowɔ ho. Ɛbɛboa wo ma woasisi gyinae a ɛfata na ama w’adwene ayɛ wo dɛ.
- Sɛ wuhu kɔkɔbɔ sɛnkyerɛnne biara (atiridiinini a ano yɛ den, ɛyaw, mogya a ɛtɔ kɛse ) , hwehwɛ aduruyɛfo afotu ntɛm ara.
Cervical Cerclage, nyinsɛn a woyi gu a wosiw ano, awo a ɛba ntɛm, nyinsɛn akwahosan, awotwaa, awotwaa a entumi nyɛ adwuma
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