So worehyia ɛyaw a wuntumi nnyina ano bere a wonyinsɛn no? Eyi betumi afi Cholestasis of Pregnancy!

So wo nsateaa ne wo nan ase yɛ wo yaw anadwo a wuntumi nnyina ano bere a woanyinsɛn no? Nanso sɛ wohwɛ a, ɔsɛe biara nni hɔ a wotumi hu? Eyi nyɛ akisikuru kɛkɛ. Mpɛn pii no, eyi betumi ayɛ tebea titiriw bi a ɛfa mmerɛbo ho a ɛba bere a wɔyem no. Yɛfrɛ eyi Cholestasis of Pregnancy. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu.

Dɛn ne Nyinsɛn mu Cholestasis?

Sɛ yɛbɛka no tiawa a, eyi yɛ mmerɛbo mu yare a ɛba akyiri wɔ nyinsɛn mu. Ɛma nipadua no nyinaa ho yɛ no yaw kɛse, titiriw wɔ nsateaa ne nan ase. Nnipa binom nso frɛ no `Intrahepatic Cholestasis of Pregnancy (ICP)`.

Wɔ tebea yi mu no, wo mmerɛbo dwumadi so tew bere tiaa bi. Ne saa nti, ade a wɔfrɛ no bile a mmerɛbo no yɛ no fi ase boaboa ano wɔ mmerɛbo ne mogya mu sen sɛ ebeyi afi nipadua no mu yiye.

Susuw nea saa bile yi yɛ ho. Bile yɛ biribi a mmerɛbo na ɛyɛ na wɔkora so wɔ akisikuru mu. Sɛ yedi nnuan, titiriw nnuan a srade wom a, ɛyɛ saa bile yi na ɛboa ma saa srade no mu paapae na ɛyam. Ɛte sɛ samina a wɔde yɛ nkuku. Enti sɛ saa bile yi boaboa ano wɔ mogya no mu, sɛ ne dodow boro dodow bi a, wufi ase nya saa ɛyaw a wuntumi nnyina ano yi.

Saa tebea yi betumi de nsɛnnennen aba wo ne wo ba no nyinaa so. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo bɛhwɛ wo yiye kosi sɛ wo nyinsɛn no bɛba awiei.

Sɛ tebea yi ba a, dɛn na ɛba?

Wɔ nyinsɛn mu no, wo ba no de ne ho to wo mmerɛbo so ma eyi nneɛma fĩ fi ne mogya mu. Enti sɛ wo mmerɛbo no ntumi nyɛ adwuma yiye a, bile dodow a ɛwɔ wo mogya mu no betumi akɔ soro, na ɛno betumi de nhyɛso bi aba wo ba no mmerɛbo so. Esiane sɛ mmerɛbo no ne akwaa titiriw a eyi nneɛma fĩ fi yɛn nipadua mu nti, ɛnyɛ papa sɛ ɛbɛsɛe.

So tebea yi abu so?

Eyi yɛ tebea a ɛntaa nsi koraa ankasa. Ɛka mmea a wɔyem bɛyɛ 1,000 biara mu biako anaa baanu. Ɛwom sɛ nhwehwɛmufo nnim nea ɛde ba de, nanso ɛtaa ba wɔ awɔw bere mu asram mu. Ɛsan nso abu so kɛse wɔ mmusuakuw bi mu.

Dɛn nti na eyi rekɔ so? Dɛn ne ade titiriw nti?

Nea enti titiriw ne hormone ahorow a ɛkɔ soro wɔ nipadua no mu bere a nyinsɛn no, titiriw estrogen ne progesterone.Nkwammoaa dodow kɔ soro kɛse. Esiane nkɛntɛnso a saa nkwaadɔm yi nya nti, mmerɛbo no ntumi mfa bile nkɔ nipadua no nyinaa mu yiye. Eyi kyerɛ sɛ wɔasiw bile a ɛsen no kwan.

Dɛn na ɛba saa bere no? Bile boaboa ano wɔ mmerɛbo no mu na efi ase tu kɔ mogya no mu. Saa bile nkyene a ɛboaboa ano wɔ mogya no mu yi ne ade titiriw a ɛma wo honam ani yɛ wo yaw kɛse.

Saa tebea yi taa ba wɔ nyinsɛn no fã a ɛto so abiɛsa mu , bɛyɛ adapɛn 28. Eyi te saa efisɛ hormone dodow kɔ soro sen biara wɔ saa bere yi mu. Ɛtɔ mmere bi nso a ebetumi afi awosu mu nkɛntɛnso ahorow. Eyi kyerɛ sɛ sɛ wo maame anaa obi a ɔwɔ w’abusua mu anya saa tebea yi a, asiane kɛse wom sɛ wo nso wubenya bi.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw a ɛda adi kɛse ne ɛyaw a wontumi nnyina ano. Yɛsan frɛ eyi `Pruritus` wɔ aduruyɛ mu. Nokwasɛm titiriw pii wɔ hɔ a ɛfa saa akisikuru yi ho:

• Ɛyaw no fi ase wɔ nsateaa ne nan ase.
• Afei etumi trɛw nkakrankakra kɔ nipadua no afã afoforo.
• Ɛyaw no yɛ kɛse anadwo. Nnipa binom twitwiw wɔn ho araa ma wontumi nna mpo.
• Nea ɛho hia sen biara ne sɛ worenhu akisikuru biara wɔ honam ani.

Wɔ ade titiriw yi akyi no, nneɛma afoforo wɔ hɔ a wɔntaa nhu. Momma yɛnhwehwɛ wɔn mu yiye.

Wobɛyɛ dɛn ahu eyi pɛpɛɛpɛ?

Wo duruyɛfo no bɛyɛ mogya mu nhwehwɛmu titiriw de ahu tebea yi.

Wɔbɛgye mogya afiri wo hɔ na wɔahwɛ mmerɛboɔ dwumadie nhwehwɛmu ne serum bile acid dodoɔ.

Sɛ wohu sɛ woahu yare no wie a, wo duruyɛfo no de mogya mu nhwehwɛmu yi bɛhwɛ wo bile dodow so daa wɔ wo nyinsɛn no nyinaa mu. Ɛtɔ da bi a, ebia ɛho behia nso sɛ woyɛ ultrasound scan de hwɛ sɛnea wo mogya tumi tu (prothrombin bere nhwehwɛmu) anaasɛ wobɛhwɛ wo mmerɛbo ne wo bile ntini ahorow.

Dɛn ne ayaresa ne sɛnea wɔde di eyi ho dwuma?

Aduru titiriw a nnuruyɛfo de sa tebea yi ne Ursodeoxycholic acid (UDCA) . Saa aduru yi boa ma wo mmerɛbo no san yɛ adwuma na ɛtew bile dodow a ɛwɔ wo mogya mu no so.

Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de adi sɛnkyerɛnne ahorow te sɛ ɛyaw ho dwuma:

• Aduru a wɔde sa ɛyaw: Bisa wo duruyɛfo na fa ngo anaa aduru a ɔkyerɛw ma wo no di dwuma. Mfa nnuru biara a wote nka sɛ wopɛ sɛ wode bedi dwuma da.
• Hyɛ ntade a ɛyɛ mmerɛw a ɛnyɛ den: Hyɛ ntade a ɛtwetwe fifiri na ɛnyɛ den te sɛ kotoku.
• Gye w’ahome yiye: Ɛho hia sɛ woma nipadua no home.
• Nsu a ɛyɛ hyew a wobɛguare: Eyi betumi aboa ma ɛyaw no so atew kakra bere a ɛma nipadua no yɛ nwini no.

Wɔ tebea horow bi mu no, sɛ nnuru ntumi nsiw akokoaa no dodow so a, ebia oduruyɛfo no besi gyinae sɛ ɔbɛwo akokoaa no ntɛm kakra, bɛyɛ adapɛn 37 anaa 38 . Nea enti a ɛte saa ne sɛ saa a wɔbɛyɛ no betumi atew asiane a ɛwɔ hɔ sɛ akokoaa no behyia ɔhaw ahorow no so.

Sɛ wɔwo akokoaa no ntɛm a, wobetumi de steroid injection ama akokoaa no ahurututu ma anyin yiye ne vitamin K a wɔde bɛma no na amma mogya mmoroso.

Nsɛnnennen bɛn na ebetumi aba esiane tebea yi nti?

Sɛ wɔantumi anhyɛ tebea yi so a, ɛna ne akokoaa nyinaa betumi anya nsɛnnennen bi.

Nsuro saa nneɛma yi. Eyinom ne asiane ahorow a ebetumi aba. Wo duruyɛfo nim asiane ahorow yi na ɔbɛyɛ nneɛma a ɛho hia de asiw ano. Gyinae a wosi sɛ wɔbɛwo akokoaa no ntɛm kakra nso yɛ nea wɔde bɛtew asiane ahorow yi so.

So ebetumi aba sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden a ɔwɔ saa tebea yi?

Yiw, akyinnye biara nni ho sɛ wubetumi! Esiane sɛ wowɔ cholestasis nti, ɛnkyerɛ sɛ wo ba no nni apɔwmuden. Sɛ ɛnanom dodow no ara hwɛ ayarehwɛfo so na wɔsa wɔn yare yiye a, wɔwo nkokoaa a wɔwɔ apɔwmuden.

So ɛsɛ sɛ obi a ɔwɔ saa tebea yi hwɛ yiye wɔ nea odi ho?

Aduan pɔtee biara nni hɔ a wɔde ma saa tebea yi. Nanso, egyina wo tebea so no, wo duruyɛfo betumi atu wo fo sɛ to nnuan bi ano hye. Sɛnea ɛte wɔ nyinsɛn biara ho no, ɛho hia sɛ wodi aduan a ɛkari pɛ. Fa wo botae sɛ wubenya aduan a nnuaba, nhabannuru, nam a ɛnyɛ den, ne protein pii wom.

So tebea yi befi hɔ wɔ awo akyi?

Aane. Eyi ne asɛmpa a eye sen biara. Saa tebea yi befi hɔ koraa wɔ nna kakraa bi mu wɔ akokoaa no awo akyi. Wo mogya mu nsu a ɛwɔ wo mogya mu no bɛsan ayɛ sɛnea na ɛte kan no. Ɛno akyi no, ɛho renhia sɛ wonom nnuru biara.

Nanso biribi wɔ hɔ a ɛsɛ sɛ yɛkae. Wowɔ bɛyɛ 60% hokwan sɛ wobɛsan anya saa tebea yi bio wɔ wo nyinsɛn a edi hɔ no mu. Sɛ na wowɔ asɛm a emu yɛ den kɛse saa bere yi a, hokwan a ɛwɔ hɔ sɛ wobɛsan anya bio bere foforo no betumi akɔ soro akodu 90%.

So wobetumi asiw eyi ano? Dɛn ne nneɛma a ɛde asiane ba?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wɔbɛfa so asiw tebea yi ano. Nanso asiane ahorow bi wɔ hɔ. Sɛ wowɔ saa asiane ahorow yi a, ɛsɛ sɛ wohwɛ yiye kakra.

• Sɛ obi a ɔwɔ abusua no mu anya saa tebea yi a.
• Sɛ tebea yi aba wɔ nyinsɛn bi a atwam mu a.
• Sɛ wokura mmanoma anaa mma mmiɛnsa a.
• Sɛ woanya mmerɛbo mu yare anaa tebea bi te sɛ Hepatitis C pɛn a.
• Sɛ mmerɛbo no asɛe a.
• Sɛ wowɔ awosu mu tebea bi a ɛka sɛnea wɔyɛ anaa wɔde di dwuma a.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wonyinsɛn a, .

• Sɛ wowɔ ɛyaw a emu yɛ den a ɛrenkɔ, titiriw wɔ wo nsateaa ne wo nan ase a, .
• Sɛ wo honam ani anaa w’ani yɛ kɔkɔɔ a, .

Kɔ wo duruyɛfo nkyɛn ntɛm ara. Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so. Aduruyɛfo afotu a wobɛhwehwɛ ntɛm ara no ho hia ma wo ne wo ba no ahobammɔ nyinaa.