So wo nso worewo mmanoma? (Multiple Pregnancy) Momma yɛnka biribiara ho asɛm!

Sɛ wo duruyɛfo ka mpofirim sɛ, "Mihu koma nketewa abien a ɛrebɔ wɔ ha," bere a wɔreyɛ ultrasound scan no a, wobɛte nka dɛn? Ahodwiriw, anigye, ebia ehu ne anigye kakra... Ɛyɛ ade a ɛfata sɛ wobɛte eyinom nyinaa nka bere koro mu. Sɛ wowo nkokoaa abien anaa baasa sen sɛ wubenya biako a, ɛkyerɛ sɛ anigye no mmɔho abien, nanso ɛno ka asɛyɛde ne nneɛma a ɛsɛ sɛ wuhu no ho. Enti ɛnnɛ, momma yɛnka biribiara a ɛfa nyinsɛn bere yi ho bere a wowɔ mmanoma anaa nea ɛboro saa (Multiple Pregnancy).

Dɛn ne ‘Nyinsɛn pii’?

Sɛ yɛbɛka no tiawa a, ‘nyinsɛn pii’ kyerɛ sɛ wobɛwo nkokoaa bɛboro biako wɔ w’awotwaa mu, a ɛkyerɛ sɛ nkokoaa baanu, baasa, anaa nea ɛboro saa mpo nyin bere koro mu.

• Twins: Nkokoaa baanu a wonyinsɛn wɔ nyinsɛn koro mu.
• Mmofra abiɛsa: Nkokoaa baasa a wonyinsɛn wɔ nyinsɛn koro mu.

Saa kwan yi so no, sɛ wunyinsɛn nkokoaa pii a, nyinsɛn no betumi ayɛ nea asiane wom kakra sen sɛ wunyinsɛn akokoaa biako pɛ. Nanso ɛho nhia sɛ wusuro saa. Sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye na wunya apɔwmuden a, wubetumi awie saa bere yi yiye.

Ɔkwan bɛn so na wɔwo mmanoma saa?

Akwan atitiriw abien na ɛwɔ hɔ a wɔfa so nyinsɛn mmanoma. Saa akwan abien yi ne nea yɛfrɛ no "mmanoma a wɔyɛ pɛ" anaa "onuanom mmanoma."

1. Nkwaa biako a wɔahyɛ no ma a ɛpaapae: Eyi ne bere a mmadwoa biako na ɛma nkesua biako na ɛma awotwaa a efi mu ba no mu paapae yɛ no afã abien (anaa nea ɛboro saa) ansa na wɔde ahyɛ awotwaa no mu. Nkokoaa a wonyin saa kwan yi so no wɔ awosu mu nsɛm a ɛyɛ pɛ koraa.

2. Wɔde mmadwoa abien a ɛsono emu biara: Eyi ne bere a wɔayi nkesua bɛboro biako (e.g. nkesua abien) fi ɛna no mmadwoa mu bere koro mu, na wɔde mmadwoa abien a ɛsono emu biara na ɛma saa nkesua abien no nyinsɛn. Ɛsono nkokoaa yi awosu mu nsɛm.

Momma yɛnte nsonsonoe a ɛda mmanoma a wɔde akwan abien yi awo wɔn ntam no ase yiye kakra.

Sɛ wonyinsɛn mma abiɛsa anaa nea ɛboro saa a, nkokoaa no nyinaa betumi ayɛ pɛ, wɔn nyinaa yɛ onuanom, anaasɛ abien no nyinaa a wɔaka abom.

Nneɛma bɛn na ɛma hokwan a ɛwɔ hɔ sɛ wobenya mmanoma no yɛ kɛse?

Mpɛn pii no, obiara betumi awo mmanoma, nanso nneɛma bi ma hokwan yi yɛ kɛse kakra.

• Mfe a wɔadi: Mmea a wɔadi mfe 30 no taa gyae nkesua bɛboro biako bere koro mu. Enti sɛ wogyae nkesua abien a, hokwan kɛse wɔ hɔ sɛ wobenya onuanom mmanoma.
• Abusua abakɔsɛm: Sɛ mmanoma wɔ w’abusua mu, titiriw wɔ wo maame afã a, ɛda adi sɛ wo nso wobɛwo mmanoma.
• Awo Ho Ayaresa: Awo ho ayaresa bi betumi ama nkesua pii afi awotwaa no mu prɛko pɛ. Afei nso, ayaresa te sɛ IVF (In Vitro Fertilization) betumi ama hokwan a ɛwɔ hɔ sɛ wobenya mmanoma no ayɛ kɛse denam nkwaboaa bɛboro biako a wɔde bɛkɔ awotwaa no mu na ama nkonimdi no akɔ soro no so.
• Ɔsorokɔ ne ne mu duru: Nhwehwɛmu ahorow bi ada no adi sɛ mmea a wɔware sen sɛnea wɔtaa yɛ anaasɛ wɔn nipadua mu duru (BMI) kɔ soro no taa nya mmanoma kakra.

So nsɛnkyerɛnne bi wɔ hɔ a ɛkyerɛ sɛ worewo mmanoma?

Nokwarem no, ɔkwan biako pɛ a wobɛfa so ahu nkokoaa dodow pɔtee a worewo no ne sɛ wobɛyɛ ultrasound scan. Nanso, ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne no betumi ayɛ den kakra sen sɛ worewo akokoaa biako pɛ a.

• Anɔpa yare a ɛtaa ba: Ɔfe ne akisikuru betumi ayɛ kɛse yiye esiane hormone dodow a ɛdɔɔso nti.
• Mu duru a ɛkɔ soro ntɛmntɛm wɔ ɔsram abiɛsa a edi kan no mu.
• Ɛyaw ne nkate a ɛkɔ soro wɔ nufu no mu.
• Hormone `hCG` (onipa chorionic gonadotrophin) dodow a ɛkɔ soro yiye wɔ mogya ne nsu mu.
• Koma a ɛbɔ bɛboro biako a wɔbɛte bere a oduruyɛfo no tie akokoaa no koma bɔ (fetal Doppler scan).

Dɛn ne nsɛnnennen a ebetumi aba wɔ nyinsɛn a ɛyɛ mmanoma mu?

Nsɛnnennen betumi aba wɔ nyinsɛn biara mu. Nanso sɛ wokura mmanoma anaa nea ɛboro saa a, nnuruyɛfo bu saa nyinsɛn no sɛ “asiane kɛse wom.” Ɛte saa efisɛ hokwan a ɛwɔ hɔ sɛ nsɛnnennen bɛba no dɔɔso kakra sen akokoaa biako. Nanso mma ɛnhaw wo. "High-risk" nkyerɛ sɛ akyinnye biara nni ho sɛ wubenya ɔhaw bi. Nea ɛkyerɛ ara ne sɛ nnuruyɛfo bɛhwɛ wo ne wo ba no yiye na mpɛn pii .

Nsɛnnennen a ɛtaa ba no bi ni:

• Awo a ɛba ntɛm ne awo: Eyi ne ɔhaw a wɔtaa hu wɔ nyinsɛn a wɔyɛ mmanoma mu. Mpɛn pii no, botae no ne sɛ wobewie adapɛn 37. Sɛ wɔwo nkokoaa no ansa na ɛno reba a, ɛda adi sɛ wɔn mu duru sua wɔ awo mu ne akwahosan ho haw afoforo.
• Nyinsɛn mu mogya mmoroso ne Preeclampsia: Ɛnanom a wɔwɔ mmanoma no wɔ asiane kɛse mu sɛ wobenya mogya mmoroso bere a wɔyem no . Sɛ wɔansa a, saa tebea yi betumi abɛyɛ tebea a ɛyɛ hu a wɔfrɛ no ``Preeclampsia.''
• Nyinsɛn mu Asikreyare: Asiane a ɛwɔ tebea yi mu no yɛ kɛse esiane nkwaadɔm a awotwaa no gyae no dodow a ɛkɔ soro nti.
• Placenta Abruption: Eyi ne bere a awotwaa no tetew ne ho fi awotwaa no fasu ho ansa na wɔawo akokoaa no. Eyi yɛ asɛm a egye ntɛmpɛ.
• Fetal Growth Restriction (IUGR): Nkokoaa no mu biako anaa ne nyinaa nnyin ntɛmntɛm. Eyi betumi ama wɔawo nkokoaa a wɔn mu duru sua wɔ awo mu.

Nsɛnnennen a ɛfa mmanoma a wɔyɛ pɛ ho pɔtee

Sɛ mmanoma a wɔyɛ pɛ no wɔ awotwaa koro (monochorionic) a, wobetumi anya nsɛnnennen pii a ɛfa wɔn pɔtee ho.

• Twin-to-Twin Transfusion Syndrome (TTTS): Eyi ba bere a mogya pii fa akokoaa biako mu kɔ foforo mu fa mogya ntini a ɛwɔ awotwaa no mu no mu no. Eyi ma akokoaa biako nnya mogya ne aduannuru a ɛdɔɔso, bere a akokoaa foforo no nya pii dodo. Eyi betumi ayɛ asiane ama nkokoaa baanu no nyinaa.
• Twin Anemia Polycythemia Sequence (TAPS): Eyi yɛ tebea a ɛte sɛ ``(TTTS)``. Wɔ eyi mu no, akokoaa biako nya mogya a ɛtɔ kɔ nipadua no mu (mogya dodow a ɛba fam) bere a akokoaa foforo no mogya mu nkwammoaa kɔkɔɔ a ɛboro so wɔ ne mogya mu.
• Selective IUGR: Akokoaa biako nyin yiye bere a akokoaa foforo no nyin brɛoo paa.

Oduruyɛfo no nam ultrasound scan so hwɛ tebea horow yi nyinaa so na ɔde kɔma wɔn kɔ ayaresa a ɛho hia.

So ɛho hia sɛ wɔyɛ oprehyɛn (C-section) bere a wɔrewo mmanoma no?

Ɛnyɛ nea ɛho hia ankasa, nanso nneɛma pii nti na ɛda adi sɛ wɔbɛyɛ oprehyɛn a wɔde twa oprehyɛn wɔ awo a wɔyɛ mmanoma mu.

• Mpɛn pii no, nkokoaa abien no nyinaa nni gyinabea a ɛfata ( ti kɔ fam) ma awo.
• Awo a ɛfata betumi ayɛ asiane ama ɛna anaa akokoaa no esiane nsɛnnennen a ɛba bere a wɔyem nti.

Bere a worebɛn da a ɛsɛ sɛ wowo no, wo duruyɛfo bɛhwɛ wo na ɔne wo asusuw ɔkwan a ahobammɔ wom sen biara ma wo ne wo ba no nyinaa ho.

Ɔkwan bɛn so na wobɛkɔ so anya apɔwmuden wɔ nyinsɛn yi nyinaa mu?

Sɛ wowɔ mmanoma a, ɛkyerɛ sɛ ɛsɛ sɛ wususuw wo nipadua ho mprenu.

• Aduandi: Wuhia aduannuru pii sen ɛna a onni ɔhokafo. Sɛnea mmara kyerɛ no, akokoaa biako hia bɛyɛ calories foforo 300 da biara. Ɛno kyerɛ sɛ sɛ wokura mmanoma a, wuhia bɛyɛ calories 600 foforo da biara. Di nnuan, nhabannuru, ne nnuaba a protein wom pii. Na nom nsu pii da mũ no nyinaa.
• Ahomegye: Wobɛte nka sɛ woabrɛ paa. Enti gye w’ahome pii sɛnea wubetumi. Dada awiabere. Sɛ wo nan ho ahonhon a, ma ɛnkɔ soro.
• Aduruyɛ mu nhwehwɛmu: Ɛho behia sɛ wokɔ oduruyɛfo nkyɛn na woyɛ scan mpɛn pii sen ɛna a ɔwɔ akokoaa biako. Mma ayaresabea ahorow yi mu biara nmpa wo ti so na kɔ daa. Ɛho hia paa ma wo ne wo ba no ahobammɔ.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ye, nanso akyinnye biara nni ho sɛ ɛsɛ sɛ wubisa wo duruyɛfo no ho asɛm. Mpɛn pii no, apɔw-mu-teɛteɛ a emu nyɛ den te sɛ asuguare ne nantew yɛ papa. Nanso nyansa wom sɛ wobɛtwe wo ho afi apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu ne ahurututu ho.