So wodae nso sɛ wobɛyɛ ɛna? So yɛbɛka mmea a wontumi nwo ho asɛm?

Ɛna a ɔbɛyɛ no yɛ ɔbea biara adaeso kɛse na ɛyɛ fɛ sen biara. Nanso ɛtɔ mmere bi a, saa dae no a wobɛma abam no nyɛ mmerɛw sɛnea wususuw no. Ebia wo nso worehyia ɔhaw yi na worehu amane wɔ ho. Enti ɛnnɛ, momma yɛnka saa mmea awo a wontumi nwo yi ho asɛm, kyerɛ sɛ, tumi a wɔde wo mma a ɛso atew no, nkɔ akyiri kakra ? Mma ɛnhaw wo, ɛnyɛ wo nkutoo na wuhyia eyi.

Dɛn ne Mmea a Wontumi Nwo?

Sɛ yɛbɛka no tiawa a, awo a wontumi nwo no yɛ abofra a wontumi nyinsɛn anaasɛ ɛyɛ den. Wɔ ɔbea fam no, eyi ne ɔkwan a nnuruyɛfo fa so hu tebea yi:

• Sɛ wunnii mfe 35 a, woanya nna mu kyɛfa daa afe biako a womfa awo ano aduru biara nni dwuma na wunnyinsɛn.
• Sɛ woadi boro mfe 35 a, wobu saa bere yi sɛ asram asia .

"Nna mu nna a wodi daa" kyerɛ sɛ wo ne wo hokafo no da a biribiara ntwitware mu, a wɔmfa awo ano aduru nni dwuma. Nanso, nnipa binom betumi anya awo a wontumi nwo ntɛm sɛ wɔwɔ aduruyɛ mu tebea foforo anaa ɔhaw bi wɔ wɔn awotwaa mu a.

Ade foforo nso ne sɛ, awo a wontumi nwo nyɛ ɔbea haw ara kwa. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa tebea yi betumi afi mmarima ne mmea nyinaa haw ahorow mu aba.

Mmea a wontumi nwo no betumi afi mfe a wɔadi, nkwaadɔm mu nsakrae, ayaresa tebea afoforo, ne asetra kwan anaa nneɛma a atwa yɛn ho ahyia mu. Ɛtɔ da bi a wɔfrɛ eyi "ɔbea ade" awo a wontumi nwo.

So awo a wontumi nwo no ahorow atitiriw bi wɔ hɔ?

Yiw, awo a wontumi nwo no ahorow atitiriw abien na ɛwɔ hɔ:

1. Primary infertility: Eyi kyerɛ sɛ wunnyinsɛn da na wuntumi nnyinsɛn bere a woabɔ mmɔden afe biako akyi sɛ wunnii mfe 35 anaasɛ asram asia sɛ woadi boro mfe 35. Susuw ho hwɛ, awarefo binom wɔ hɔ a wɔaware mfe pii na wɔda so ara nnyaa anigye sɛ wobenyinsɛn abofra. Ɛno yɛ tebea a ɛte saa ara.

2. Awo a wontumi nwo a ɛto so abien: Eyi ne bere a woawo abofra biako dedaw yiye, nanso wuntumi nyinsɛn bio. Sɛ nhwɛso no, sɛ worebɔ mmɔden sɛ wobɛwo abofra a ɔto so abien wɔ wo ba a odi kan no akyi mfe kakraa bi a, ebia worentumi nnyinsɛn, ɛmfa ho mmɔden biara a wobɛbɔ no.

Saa tebea yi abu so dɛn?

Awo a wontumi nwo nyɛ nea ɛba kwa sɛnea ebia wususuw no. Anyɛ yiye koraa no, mmea 10% na wɔwɔ ɔhaw yi ho amane. Afei nso, asiane a ɛwɔ hɔ sɛ obi ntumi nwo no yɛ kɛse bere a obi nyin no. Enti, sɛ eyi haw wo a, kae sɛ ɛnyɛ wo nkutoo.

Nsɛnkyerɛnne bɛn na ɛkyerɛ sɛ ebia ɔbea ntumi nwo?

Mpɛn pii no, sɛnkyerɛnne titiriw ne sɛ ontumi nnyinsɛn ɛmfa ho sɛ ɔne obi da daa a ɔmmɔ ho ban no. Eyi ne ade a edi kan a nnipa dodow no ara hyia.

Nea ɛka ho no, ebia sɛnkyerɛnne ahorow yi wɔ hɔ:

• Bere a ɛyera anaasɛ ɛnkɔ so: Ebia nnipa binom renkɔ nna asram pii wɔ bere koro mu, anaasɛ wɔn nna a ɛnkɔ so daa.
• Ɛtɔ mmere bi a, sɛnkyerɛnne afoforo nso betumi ada adi, a egyina aduruyɛ tebea a ɛde awo a wontumi nwo ba no so.

Dɛn nti na mmea a wontumi nwo yi ba? Dɛn na ɛde ba?

Nokwarem no, nneɛma pii betumi ama obi atumi awo. Nokwarem no, ɛtɔ mmere bi a ɛyɛ den sɛ yebehu nea ɛde ba, a ɛno ne nea yɛfrɛ no “awo a wontumi nkyerɛkyerɛ mu.” Nanso, nneɛma atitiriw kakraa bi wɔ hɔ a nnuruyɛfo betumi ahu:

Ɔhaw ahorow a ɛwɔ w’awotwaa mu

Ebia eyi bi ne:

• Uterine polyps: Eyinom yɛ nnua nketenkete a enyin wɔ awotwaa no mu ɔfasu no so.
• Fibroids: Eyinom nso yɛ akisikuru bi a ɛba awotwaa mu.
• Nneɛma a ɛbata awotwaa no mu (akuru): Ɛtɔ mmere bi a, bere a wɔayɛ awotwaa no oprehyɛn te sɛ D&C (Dilation and Curettage) , akyi no, nneɛma nketenkete a ɛbata awotwaa no mu betumi ayɛ awotwaa no mu. Eyinom ma ɛyɛ den ma awotwaa no sɛ ɛbɛhyɛ awotwaa no mu. Sɛ nhwɛso no, te sɛ Niluka no, nnipa binom betumi anya nkɔso nketenkete (polyps anaa fibroids) wɔ awotwaa no mu, na ebetumi ama nyinsɛn no akyɛ a wonnim.

Ɔhaw ahorow a ɛwɔ wo fallopian tubes ho

Fallopian tubes yɛ ntini a ɛde nkesua no fi awotwaa mu kɔ awotwaa mu, na ɛhɔ na mmadwoa no hyia nkesua no. Sɛ ɔhaw ahorow wɔ saa ntini ahorow yi ho a, yɛfrɛ no "tubal factor infertility."

• Nea ɛde eyi ba titiriw ne Pelvic Inflammatory Disease (PID) . PID taa fi nyarewa a wonya fi nna mu te sɛ Chlamydia ne Gonorrhea a wɔansa no yare .
• Endometriosis nso betumi ama awotwaa no ayɛ akuru na asiw. Afei, hwɛ, fallopian tubes no te sɛ ɔkwan a ɛsɛ sɛ ɛwo ne mmadwoa hyia. Sɛ kwan bi siw kwan anaasɛ akwansiw bi siw kwan yi so a, ɛnde ɔhaw ahorow bɛsɔre.

Ɔhaw ahorow a ɛba wɔ ovulation ho

Ade titiriw a ɛma obi ntumi nwo ne bere a ɔbea mmadwoa ntumi nnyi nkesua bi mfi mu yiye no. Ntease pii betumi ama eyi aba:

• Hormone ahorow a ɛnkari pɛ
• Adidi mu haw ahorow
• Nnubɔne a wɔde di dwuma ho haw
• Thyroid tebea horow
• Adwennwen a emu yɛ den
• Pituitary akisikuru a ɛwɔ nipadua no mu

Nneɛma a ɛte sɛɛ betumi ama ovulation a ɛnkɔ so daa na ayi afi hɔ.

Ɔhaw ahorow a ɛfa nkesua dodow ne ne su ho

Wɔwo yɛn nyinaa a yɛwɔ nkesua dodow bi. Saa nkesua yi so tew nkakrankakra na ɛsa bere a yɛrenyin no. Eyi taa si bere a obi agyae brayɛ (bɛyɛ mfe 51). Nanso wɔ nnipa binom fam no, saa nkesua a wɔde asie yi betumi asa ntɛm.

• Afei nso, ebia nkesua binom wɔ wɔn nkwaadɔm mu nneɛma a ɛnteɛ . Nkwaa a ɛte saa ntumi ne mmadwoa nkabom nyɛ awotwaa a ɛte apɔw.

Dɛn ne ade titiriw a ɛma mmea ntumi nwo?

Mpɛn pii no, nea ɛde mmea a wontumi nwo ba titiriw ne ɔhaw ahorow a ɛfa nkesua a wɔyɛ ne nea woyi fi mu (ovulation) ho .

• Ebia woate Polycystic Ovary Syndrome (PCOS) ho asɛm . Ɛno ne ade titiriw biako nti a ɛte saa. PCOS yɛ tebea a ɛma awotwaa no ntumi nyɛ adwuma yiye esiane hormone ahorow a ɛnkari pɛ nti.
• Tebea bi nso wɔ hɔ a wɔfrɛ no Primary Ovarian Insufficiency (POI) . Eyi ne bere a mmadwoa no gyae adwumayɛ ansa na wadi mfe 40 esiane nkesua a ɛwɔ hɔ a ɛba fam koraa nti.

Dɛn ne asiane ahorow a ɛma obi ntumi nwo?

Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ wuntumi nwo no yɛ kɛse. Eyinom bi ne akwahosan tebea horow a ɛwɔ hɔ nyinaa, awosu mu nneɛma, asetra kwan a wɔpaw, ne mfe a obi adi. Hwɛ sɛ eyinom fa wo ho anaa:

• Mfe a wɔadi: Mpɛn pii no, awo fi ase so tew bere a wɔadi mfe 30 akyi.
• Hormone haw ahorow a esiw ovulation ano.
• Ɔsram biara brayɛ a ɛnkɔ so daa.
• Obolo.
• Sɛ́ obi mu duru sua.
• Apɔw-mu-teɛteɛ a ɛboro so anaa apɔw-mu-teɛteɛ a emu yɛ den.
• Endometriosis a ɛwɔ nipadua no mu.
• Ɔhaw ahorow a ɛfa nhyehyɛe ho: Nipadua mu haw ahorow a ɛba wɔ awotwaa mu ntini, awotwaa, anaa awotwaa mu.
• Awotwaa mu ntini a ɛyɛ mmerɛw.
• Ovarian cysts a ɛyɛ mmerɛw.
• Akisikuru a ɛnyɛ kokoram.
• Nyarewa a nipadua no tumi ko tia nyarewa: Nhwɛso bi ne `(Lupus)`, `(Rheumatoid Arthritis)`, `(Hashimoto yare)`.
• Pelvic inflammatory disease (PID) fi nna mu nyarewa (STIs) .
• Polycystic ovary syndrome (PCOS) a ɛma obi nya awotwaa mu ntini pii.
• Awotwaa a ɛnyɛ adwuma titiriw (POI).
• Nnubɔne ne nsa a wɔnom boro so.
• Sigaretnom.
• Esiane sɛ wadi kan anya nyinsɛn a ɛwɔ awotwaa no akyi nti .

Ɔkwan bɛn so na mfe a obi adi ka awo a wontumi nwo?

Yɛn nyinaa nim sɛ awo so tew bere a obi nyin no. Nhwehwɛmu ada no adi sɛ mfe a obi adi yɛ ade titiriw a ɛma obi ntumi nwo, efisɛ awarefo pii tu mma a wɔbɛwo no kɔ akyiri kosi wɔn mfe 30 ne 40 mu. Nnipa a wɔadi boro mfe 35 titiriw na wɔwɔ asiane mu sɛ wobenya awo ho haw ahorow. Nea enti a ɛte saa ne:

• Nkesua dodow a ɛkɔ fam nyinaa so tew.
• Nkesua dodow a ɛdɔɔso a ɛwɔ nkwaboaa mu nkwaadɔm a ɛnyɛ ne kwan so a wobenya.
• Asiane a ɛkɔ soro sɛ wubenya akwahosan tebea afoforo (asiane a ɛwɔ hɔ sɛ wubenya nyarewa afoforo no kɔ soro bere a worenyin no).

Wobɛyɛ dɛn ahu no yiye sɛ wowo anaasɛ wuntumi nwo?

Wontumi nhu eyi wɔ fie. Oduruyɛfo nkutoo na obetumi ahu eyi. Sɛ woabɔ mmɔden sɛ wubenyinsɛn na woda so ara rehyia ɔhaw, anaasɛ w’adwene mu yɛ wo naa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ awo ho ɔbenfo nkyɛn. Wobetumi ayɛ nhwehwɛmu de ahu tebea yi. Nsuro anaa mma wo ho nnpopo. Nnipa pii anya ayaresa a edi mu aba.

Sɛ wokɔ oduruyɛfo nkyɛn a, nsɛm bɛn na wubisa?

Oduruyɛfo no bebisa wo w’aduruyɛ ho abakɔsɛm nyinaa ho asɛm. Nea ɛka eyi ho ne:

• Ɛfa wo ɔsram biara bere ho (bere tenten a ɛkyɛ, mogya dodow a ɛba, ne nea ɛkeka ho).
• Ɛdefa nyinsɛn a atwam ho no , sɛ ebia nyinsɛn bi atu agu anaa.
• So wowɔ pelvic pain ?
• So wowɔ mogya a ɛba wo awotwaa mu anaasɛ nsu a ɛtɔ gu wo ho a ɛyɛ soronko ?
• So woadi kan ayɛ wo yafunu anaa wo akyi berɛmo oprehyɛn bi ?
• So woadi kan anya awotwaa anaa ɔbea awotwaa mu nyarewa bi , a nna mu nyarewa (STI) ka ho?

Ɛnam nsɛm a ɛte sɛ eyinom a oduruyɛfo no bisa so na onya wo tebea no ho ntease titiriw.

Nhwehwɛmu bɛn na wɔyɛ de hu sɛ obi ntumi nwo?

Wobetumi ayɛ nhwehwɛmu pii wɔ oduruyɛfo adwumayɛbea. Ebia eyinom bi ne:

• Nipadua mu nhwehwɛmu.
• Nhwehwɛmu a wɔyɛ wɔ akyi berɛmo mu.
• Ultrasound a wɔde yɛ akyi berɛmo.

Ɛsɛ sɛ wɔyɛ nhwehwɛmu afoforo bi wɔ aduruyɛdan mu. Nhwɛso ahorow bi ne:

• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu ko a wubehia no begyina w’ayaresa ho abakɔsɛm ne tebea a wo duruyɛfo susuw sɛ wowɔ no so. Sɛ nhwɛso no, wobetumi ayɛ thyroid dwumadi ho nhwehwɛmu, nhwehwɛmu a wɔbɛyɛ de ahwɛ hormone dodow a ɛfa ovulation ne brayɛ ho, ne ovarian reserve (egg supply) nhwehwɛmu. Ovarian reserve a ɛso atewEyi kyerɛ sɛ wo nkesua kakraa bi na ɛwɔ wo mmadwoa mu bere a wode toto afoforo a wɔne wo bɔ tipɛn ho no.

• X-ray hysterosalpingogram (HSG): Nea ɛka eyi ho ne sɛ wode aduru soronko bi (contrast dye) fa w’awotwaa mu bɛhyɛ w’awotwaa mu na wode X-ray ahwɛ sɛnea ɛfa wo awotwaa mu. Eyi betumi aboa ma wɔahwɛ sɛ ebia nneɛma bi asiw nsukorabea ahorow no mu anaa .

• Laparoscopy: Eyi yɛ oprehyɛn ketewaa bi. Wɔde adwinnade ketewa bi a wɔde mfoninitwa afiri ahyɛ mu a wɔfrɛ no ``laparoscope'' hyɛ yafunu no mu de hwɛ akwaa a ɛwɔ mu no. Eyi betumi aboa ma wɔahu tebea horow te sɛ endometriosis ne fallopian tubes a asiw.

• Transvaginal ultrasound: Eyi nso yɛ ultrasound. Nanso, sɛ́ anka wɔde afiri a wɔde hwehwɛ nneɛma mu no bɛto yafunu no ani no, wɔde fa ɔbea no awotwaa no mu de hwɛ awotwaa ne awotwaa no. Eyi ma wotumi hu awotwaa ne awotwaa no tebea yiye.

• Saline sonohysterogram (SIS): Eyi hwehwɛ sɛ wɔde nkyene hyɛ awotwaa no ma na wɔde transvaginal ultrasound di dwuma de hwɛ awotwaa no mu nneɛma. Ebetumi ada nhyehyɛe mu nneɛma biara a ɛnteɛ te sɛ polyps ne fibroids adi pefee. Ɛtɔ mmere bi nso a ebetumi ahwɛ sɛ ebia awotwaa no abue anaa.

• Hysteroscopy: Bio nso, wɔde adwinnade teateaa bi a mfoninitwa afiri ketewaa bi wom (hysteroscope) fa awotwaa ne awotwaa no mu de hwɛ awotwaa no mu. Eyi ma wotumi hu awotwaa no mu te sɛ polyps, fibroids, anaa akuru tẽẽ.

Wɔyɛ sɔhwɛ ahorow yi nyinaa de hu nea ɛyɛ wo haw no ankasa.

Ɔkwan bɛn so na wɔsa mmea a wontumi nwo?

Sɛ wo duruyɛfo hu sɛ wuntumi nwo na ohu nea ɛde ba a, ɔbɛkyerɛ ayaresa a ɛfata wo. Ɛsono ayaresa a wobetumi apaw a egyina nea ɛde ba no so. Nea ɛwɔ hɔ ni:

• Oprehyɛn: Sɛ awo a wontumi nwo no fi nipadua no nhyehyɛe ho haw, akisikuru, anaa akuru a, ebia wo duruyɛfo bɛyɛ oprehyɛn de asiesie. Sɛ nhwɛso no, fibroids a wobeyi afi hɔ anaasɛ wɔasiesie nneɛma a asiw wɔ fallopian tubes no mu.
• Nnuru a wɔde ma awo: Sɛ wowɔ hormone a ɛnkari pɛ anaasɛ wowɔ ovulation ho haw a, wubetumi de awo nnuru adi dwuma. Nnuru bi a ɛma nkwaboaa no kanyan awotwaa no ma enyin na ɛboa ma ɛkesua bi fi adi.
• Nnuru a ekum ɔyare mmoawa: Sɛ wowɔ ɔyare bi wɔ w’awo mu a, wobetumi ama wo nnuru a ekum ɔyare mmoawa de asa.
• Awo ho nimdeɛ: Ɛtɔ mmere bi a ɛboa sɛ wubehu bere pɔtee a woreyɛ ovulating. Wobetumi ayɛ eyi denam wo awotwaa mu nsu a wobɛhwɛ, wo nipadua a ɛwɔ fam no hyew a wobɛsusuw, anaasɛ ovulation predictor kits a ɛwɔ nnurutɔnbea hɔ a wode bedi dwuma so.Wubetumi ayɛ eyi denam dwumadie a wode bedi dwuma so. Nnipa pii de smartphone app ahorow di dwuma de hwɛ wɔn brayɛ ne nna a wɔde ma wɔn mmadwoa.

Nnipa binom hia ayaresa titiriw pii.

• Intrauterine Insemination (IUI): Wɔ saa adeyɛ yi mu no, wɔde ɔkwan titiriw bi tew mmadwoa a wonya fi ɔbarima hokafo hɔ na wɔde gu awotwaa no mu tẽẽ.
• Assisted Reproductive Technologies (ART): Ebia woate nkokoaa a wɔde afiri a wɔde yɛ nhwehwɛmu (IVF - In Vitro Fertilization) ho asɛm . IVF yɛ ART akwan yi mu biako. Wɔ eyi mu no, wɔde ɔbea no nkesua ne ɔbarima no mmadwoa bom wɔ aduruyɛdan mu, na sɛ wɔyɛ awotwaa wie a, wɔde hyɛ awotwaa no mu.

Sɛ eyi da nkyɛn a, mmofra a wɔfa wɔn sɛ wɔn mma ne nyinsɛn a wɔde si ananmu nso yɛ akwan a wɔn a wontumi nwo no betumi afa so afi abusua ase.

So nsɛnnennen bi wɔ ayaresa mu?

Ɛtɔ mmere bi a, ayaresa, titiriw nnuru a wɔde kanyan ovulation, betumi de ɔhaw nketenkete aba:

• Hokwan a ɛwɔ hɔ sɛ obenyinsɛn mpɛn pii (mmanoma, mma abiɛsa) no kɔ soro.
• Ovarian Hyperstimulation Syndrome (OHSS): Wɔ tebea yi mu no, nnuru a wɔde ma awo betumi ama awotwaa no ahohoro na ayɛ yaw. Nanso, nnuruyɛfo bedi kan abɔ wo amanneɛ wɔ eyi ho.

So wobetumi asiw mmea a wontumi nwo ano?

Sɛ yɛbɛka nokware a, mpɛn pii no, ɛyɛ den ma yɛn sɛ yɛbɛka tebea yi ho nkɔm na yɛasiw ano. Nanso, yebetumi atew asiane no so akodu baabi denam nsakrae bi a yɛbɛyɛ wɔ yɛn asetra kwan mu no so.

• Nsã a wɔnom so tew.
• Sigaretnom a wobegyae koraa.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Fa apɔw-mu-teɛteɛ nhyehyɛe pa si hɔ. (Ɛnyɛ apɔw-mu-teɛteɛ a ɛtra so, na mmom ɛyɛ nea ɛfata.)
• Aduan a nnuaba ne nhabannuru pii wom a wobedi.
• Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛda nnɔnhwerew ason anadwo biara.

Sɛ eyi da nkyɛn a, ɛho hia yiye sɛ wobɛkɔ mmea ho oduruyɛfo nkyɛn daa akɔhwɛ . Sɛ wunya nna mu kyɛfa pɛ a, anyɛ yiye koraa no, sɛ wobɛkɔ akɔhwɛ wo wɔ aduruyɛ mu pɛnkoro afe biara a, ebetumi aboa ma woahu tebea horow a ebetumi aka awo daakye.

Sɛ wo ntumi nwo a, dɛn na wubetumi ahwɛ kwan? (Nsusuwii) .

Eyi gu ahorow ankasa wɔ onipa biara mu, a egyina nea ɛde ba no so. Sɛ ovulation haw ahorow no yɛ nhyehyɛe na wotumi sa a, mpɛn pii no nea efi mu ba no ye. Ɛno kyerɛ sɛ hokwan a ɛwɔ hɔ sɛ obenyinsɛn abofra no dɔɔso. Nanso, tebea horow bi a ɛfa awotwaa ho, te sɛ ``uterine factor infertility'', betumi ayɛ den kakra sɛ wɔbɛsa.

Wo ne wo duruyɛfo nkasa mfa w’abusua aduruyɛ ho abakɔsɛm, asiane ahorow a ɛwɔ wo mu, ne ayaresa tebea biara a ɛhyɛ ase ho na ama woasua pii afa hokwan a wowɔ sɛ wubenyinsɛn yiye no ho.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ awo a wontumi nwo ho?

Sɛ wo ne obi da daa , wokɔ brayɛ mu daa, na woanwo akokoaa bere a woabɔ mmɔden bɛyɛ afe (anaasɛ asram asia sɛ woadi boro mfe 35 a) a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn. Wobetumi ahu nea enti a worehyia ɔhaw wɔ nyinsɛn mu na wɔakamfo ayaresa a ɛfata akyerɛ wo.

Dɛn na wobetumi ayɛ na ama ɔbea awo akɔ soro?

Nneɛma bi te sɛ tebea horow a wɔde awo yɛn no, yentumi nni so. Nanso, yebetumi ayɛ nneɛma wɔ yɛn asetra kwan mu a ebetumi aboa ma awo:

• Fa kɔndɔm di dwuma bere a woreda nna mu de siw nyarewa a wonya fi nna mu (STI) ano.
• Yɛ nhwehwɛmu daa sɛ ebia STI te sɛ chlamydia ne gonorrhea anaa.
• Kwati sɛ wode wo ho bɛhyɛ nnuru a epira, nnuru a ekum mmoawa, ne nneɛma afoforo a efĩ nneɛma a atwa yɛn ho ahyia mu.

Afei nso, ɛho hia yiye sɛ anyɛ yiye koraa no, wobɛkɔ oduruyɛfo nkyɛn pɛnkoro afe biara bere a woanya nna mu kyɛfa akyi. Nhwehwɛmu a wɔyɛ no daa ne nhwehwɛmu a wɔyɛ de siw ano no ne ɔkwan a eye sen biara a wobɛfa so akura wo nna mu akwahosan mu.

Awo a wontumi nwo yɛ osuahu a ɛhaw adwene na ɛhaw adwene kɛse. Yɛte saa asɛm no ase. Nanso kɔ so yɛ den. Ɛnyɛ wo nko ara. Sɛ wɔde aduruyɛ mu afotu ne ayaresa a ɛfata ma nnipa pii a, wɔatumi ama saa dae yi abam.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae fi asɛm yi mu (Take-Home Message) .

Okay, enti, momma yɛnkae wo nsɛntitiriw a yɛaka ho asɛm no bi a ɛsɛ sɛ wode sie w’adwenem?

• Awo a wontumi nwo yɛ tebea a abu so: ɛnyɛ wo nkutoo na wuhyia eyi.
• Mma wo ho nnpopo, hwehwɛ aduruyɛ mu afotu: Sɛ woammɔ mmɔden afe biako (sɛ woadi boro mfe 35 a, asram 6) a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.
• Nneɛma pii betumi de aba, na ayaresa nso wɔ hɔ: Awo a wontumi nwo betumi de nneɛma pii aba, na wɔayɛ ayaresa a ɛfata nso nnɛ.
• Asetra kwan ho hia: Wubetumi adi asiane ahorow bi so. Asetra a ahoɔden wom a wobɛtra no ho hia yiye.
• Susuw nneɛma ho yiye: Nnipa pii anya ayaresa a edi mu. Mma anidasoɔ nnyae.

Sɛ wowɔ nsɛmmisa anaa nsɛm foforo biara a ɛhaw wo wɔ eyi ho a, ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo bɛkasa. Wɔbɛboa wo.

` Awo a wontumi nwo, Mmea a wontumi nwo, Mmofra a Wɔhwere, Nyinsɛn mu Nsɛnnennen, PCOS, Endometriosis, IVF, IUI, Fallopian Tubes, Ovulation