Nyarewa a emu yɛ den a ebetumi aba wɔ nyinsɛn mu (Chorioamnionitis): Momma yɛnka eyi ho asɛm

Sɛ woyɛ ɛna a ɔwɔ ɔdɔ a worehwɛ akokoaa kwan a, nyinsɛn yɛ bere a anidaso kɛse ne ehu kakra wom, ɛnte saa? Enti nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho kɛse wɔ saa bere yi mu. Enti, ɛnnɛ yɛreka tebea bi a anibere wom a akyinnye biara nni ho sɛ ɛsɛ sɛ yehu ho asɛm, nanso wɔnka ho asɛm pii. Yɛfrɛ tebea yi Chorioamnionitis. Ɛwom sɛ edin no yɛ nwonwa kakra de, nanso eyi ho nimdeɛ a wubehu no ho hia yiye ma w’ahobammɔ ne akokoaa a ɔwɔ w’awotwaa mu no ahobammɔ.

Sɛ yɛbɛka no tiawa a, dɛn ne Chorioamnionitis?

Sɛ yɛbɛka no tiawa a, Chorioamnionitis yɛ ɔyare mmoawa a emu yɛ den a ɛba bere a wɔyem no. Enya ne din fii ntini abien a ɛbɔ wo ba ho ban a atwa wo ba no ho ahyia wɔ w’awotwaa mu no mu. Ntini abien na atwa wo ba no ho ahyia, te sɛ kotoku a ɛbɔ wo ho ban. Wɔfrɛ eyinom chorion ne amnion.

Saa ɔyare mmoawa yi ba bere a mmoawa hyɛn ntini anaa ntini a atwa akokoaa no ho ahyia no mu no. Ebetumi aka afã horow a edidi so yi mu biara:

• Chorion: Ntini a ɛwɔ akyi paa.
• Amnion: Ntini a ɛwɔ nipadua no mu.
• Placenta: Ɔfã a ɛho hia sen biara a ɛma akokoaa no nya aduannuru ne mframa pa a ɛho hia.
• Amniotic fluid: Nsu a ɛma akokoaa no kɔ so hyɛn nsu mu na ɛbɔ ne ho ban.

Eyi yɛ tebea a emu yɛ den efisɛ sɛ wɔansa a, ebetumi de ɔhaw ahorow a ɛde wo nkwa to asiane mu aba wo ne wo ba no so. Enti, ɛho hia paa sɛ yehu eyi. Mpɛn pii no, wɔde nnuru a ekum ɔyare mmoawa ma sɛ ayaresa. Afei nso, wɔ nsɛm bi mu no, nnuruyɛfo betumi asi gyinae sɛ wɔbɛwo akokoaa no ntɛm.

Saa tebea yi abu so dɛn?

Eyi nyɛ nea abu so kɛse. Sɛnea akontaabu kyerɛ no, saa tebea yi betumi aka nkokoaa 100 biara a wɔwo wɔn mu biako kosi anum. Afei nso, wobetumi afrɛ saa ɔyare mmoawa yi sɛ ade titiriw a ɛde awo a ɛba ntɛm ba .

Dɛn ne eyi ho sɛnkyerɛnne?

Saa tebea yi ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho, nanso sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba a ɛsɛ sɛ wuhu.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nea ɛde eyi ba titiriw ne ɔyare mmoawa a wɔde ɔyare mmoawa ba . Mpɛn pii no, saa mmoawa yi tumi fi wo awotwaa, wo akyi berɛmo, anaa wo akyi berɛmo mu kɔ w’awotwaa mu. Kae sɛ wɔtaa to awotwaa no mu, na ɛma ɛyɛ den ma mmoawa yi sɛ wɔbɛkɔ mu.

Nanso, sɛ wo nsu no bubu , a ɛkyerɛ sɛ amniotic kotoku a atwa akokoaa no ho ahyia no mu atetew anaasɛ abubu a, eyi ma wonya ɔkwan bi a mmoawa yi fa so kɔ awotwaa no mu. Afei mmoawa no betumi akɔ awotwaa no mu anaa akokoaa no.

Bio,

• Yɛ wo awotwaa mu nhwehwɛmu mpɛn pii bere a wo nsu no abubu awie no.
• Bere a wɔayɛ sɔhwɛ te sɛ amniocentesis akyi no .

Asiane wɔ hɔ sɛ obi benya ɔyare mmoawa wɔ nsɛm a ɛtete saa mu.

Nneɛma a ɛtaa de ɔyare yi ba ne mmoawa a wɔfrɛ wɔn E. coli ne Kuw B strep .

So eyi betumi aka akokoaa no?

Yiw, akyinnye biara nni ho. Chorioamnionitis yɛ tebea a ebetumi aka akokoaa no tẽẽ. Nsɛnnennen a ebetumi aba akokoaa no mu esiane eyi nti no bi ne:

• Tebea horow a emu yɛ den a ɛde ɔyare mmoawa ba.
• Ɔhaw ahorow a ɛka amemene anaa ahurututu.

Nneɛma a ɛte saa wɔ hɔ. Ɛno nti na ɛho hia kɛse sɛ wonya ayaresa bere a wɔahu sɛ yare no ara pɛ no.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Oduruyɛfo no bedi kan ahu yare no bere a wabisa wo wo sɛnkyerɛnne ahorow ho asɛm na wayɛ nipadua mu nhwehwɛmu awie no. Afei obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii de si tebea no so dua.

• Mogya ne nsu mu nhwehwɛmu: Hwɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu na mogya mu nkwammoaa fitaa dodow akɔ soro anaa.
• Vaginal culture: Wɔsɔ awotwaa mu nsu a ɛba no nhwɛsode hwɛ sɛ mmoawa bi wɔ hɔ anaa.
• Akisikuru nhwɛsode bi a wɔbɛsɔ ahwɛ: Ɛtɔ mmere bi a, wɔfa akisikuru kakraa bi na wɔsɔ hwɛ sɛ mmoawa bi wɔ hɔ anaa.
• Ultrasound scan: Hwɛ akokoaa no akwahosan.

Ɔkwan bɛn so na wɔsa?

Sɛ wo duruyɛfo si so dua sɛ wowɔ Chorioamnionitis a, wɔbɛma wo nnuru a ekum ɔyare mmoawa de asa ɔyare no. Wɔtaa de eyinom ma denam nkyene aduru a wɔde ma wɔ ntini bi mu (IV - Intravenous). Eyi ma nnuru no du wo nipadua mu ntɛmntɛm na efi ase yɛ adwuma.

Wɔ tebea horow bi mu no, nnuruyɛfo kamfo kyerɛ sɛ wɔmfa awo ntɛm na amma wo ne wo ba no anhyia ɔhaw foforo. Eyi yɛ gyinaesi a wosi ma wo ne wo ba no ahobammɔ. Sɛ wɔwo akokoaa no a ɔwɔ ɔyare mmoawa a, wɔbɛma akokoaa no nnuru a ekum ɔyare mmoawa nso.

Sɛ wɔansa a, nsɛnnennen bɛn na ɛde ba?

Eyi yɛ ɔyare a emu yɛ den a sɛ wɔansa a, ebetumi de ɔhaw ahorow a emu yɛ den aba ɛna no ne akokoaa no nyinaa so.

Hena na ɔwɔ asiane kɛse mu ma tebea yi?

Nneɛma bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa yi ayɛ kɛse.

• Awo a ɛba ntɛm: Awo ho sɛnkyerɛnne a efi ase ansa na da a ɛsɛ sɛ wɔwo no adu.
• Bɛboro nnɔnhwerew 24 wɔ nsu a abubu akyi: Wɔnwoo akokoaa no bɛboro nnɔnhwerew 24 wɔ bere a ntini no abubu akyi.
• Awo a ɛware: Bere tenten a egye ansa na wɔawo akokoaa no.
• Sɛ obi wɔ ɔbea no awotwaa mu yare anaa nna mu yare (STI).
• Kuw B strep yare a wobenya bere a wɔyem no.
• Mpɛn pii a wobɛyɛ wo awotwaa mu nhwehwɛmu bere a wo nsu no abubu awie no.
• Mfiri a wɔde hwɛ awotwaa anaa awotwaa mu a wɔde di dwuma.

So akwan bi wɔ hɔ a yebetumi afa so akwati eyi?

Ɛwom sɛ nneɛma bi wɔ hɔ a yentumi nni so de, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane yi so.

• Nnuru a ekum ɔyare mmoawa a wobɛnom sɛ wo nsu no bubu ntɛm a:Ɛtɔ mmere bi a, wo nsu no betumi abubu ntɛm. Sɛ eyi ba a, wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa de asiw ɔyare mmoawa ano.
• To mpɛn dodow a wobɛyɛ wo awotwaa mu nhwehwɛmu bere a wo nsu abubu akyi no ano hye: Sɛ woyɛ nhwehwɛmu bere a ɛho hia nkutoo a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so.
• Nhwehwɛmu a wɔbɛyɛ wɔ Kuw B strep ho: Ɛho hia sɛ wɔyɛ nhwehwɛmu yi wɔ nyinsɛn no fã a ɛto so abiɛsa no mu.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa ho. Ɔbɛhwehwɛ wo tebea no mu na ɔde afotu a ɛho hia ama wo.

So akokoaa betumi atra ase wɔ awotwaa mu a nsu nni hɔ?

Dabi, amniotic nsu ho hia na ama akokoaa no atumi atra ase wɔ awotwaa no mu. Ɛbɔ akokoaa no ho ban fi asiane ahorow ne nyarewa ahorow ho. Sɛ akokoaa no mu nsu no yera a, akokoaa no betumi anya nyarewa ne nsɛnnennen afoforo a ɛde ne nkwa to asiane mu. Enti, sɛ wo nsu no bubu pɛ a, wo duruyɛfo no besusuw wo nyinsɛn no ho na wasi bere a eye sen biara a ɛsɛ sɛ wowo akokoaa no ho gyinae.

Bere tenten ahe na akokoaa betumi atra ase bere a nsu abubu akyi?

Ɛsono nyinsɛn biara, nanso mpɛn pii no, nnuruyɛfo bɔ mmɔden sɛ wɔbɛwo akokoaa no wɔ nnɔnhwerew 24 akyi bere a wo nsu abubu no na ama asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so atew.

Chorioamnionitis yɛ tebea a emu yɛ den a ɛsɛ sɛ wɔhwɛ yiye wɔ ho bere a wɔyem no. Sɛ wuhu sɛnkyerɛnne ahorow no na wo ne wo duruyɛfo susuw biribiara ho a, ebetumi aboa wo ma woadi tebea yi ho dwuma yiye.