Sɛ woanyinsɛn a, ɛtɔ mmere bi a ebia wubebisa sɛ, ‘So wɔbɛwo me ba no ntɛm?’ Saa ehu yi mu yɛ den titiriw bere a wote ɛyaw nketenkete ne ɛyaw nka te sɛ akisikuru no. Eyi yɛ biribi a ɛnanom pii hyia. Enti, ɛnnɛ yɛrebɛka sɔhwɛ titiriw bi a ɛbɛboa wo ma woahu pɛpɛɛpɛ sɛ ebia wowɔ asiane mu sɛ wobɛwo akokoaa ntɛm anaa. Yɛfrɛ eyi fFN sɔhwɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne saa awotwaa mu fibronectin (fFN) yi?
Okay, ebia edin yi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso nokwarem no, ɛyɛ mmerɛw koraa. Fa no sɛ wo ba no wɔ kotoku bi a nsu ayɛ mu ma mu. Wɔ aduruyɛ mu no, yɛfrɛ eyi amniotic sac. Ɛsɛ sɛ wode bag yi bata w’awotwaa no fasu ho denneennen. Saa abɔde mu "gum" a ɛboa ma saa abatade no mu yɛ den yi, wɔfrɛ no fetal fibronectin. Eyi yɛ protein bi.
Ɛyɛ ade a ɛfata sɛ saa fFN protein yi bɛtra awotwaa mu nsu mu wɔ nyinsɛn no adapɛn 22 a edi kan no mu. Afei nso, ɛrekɔ nyinsɛn no awiei, wɔ adapɛn 35 akyi, bere a akokoaa no ayɛ krado sɛ wɔbɛwo no, wobetumi ahu saa fFN protein yi bio wɔ awotwaa mu nsu mu.
Nanso, wɔ adapɛn 22 kosi 34 ntam no , ɛnsɛ sɛ saa fFN protein yi wɔ nsu a efi ɔbea no awotwaa mu no mu. Sɛ ɛwɔ hɔ a, ɛkyerɛ sɛ "gum" no ayɛ mmerɛw na kotoku a akokoaa no wom no afi ase retetew afi awotwaa no fasu no ho. Ɛno yɛ sɛnkyerɛnne a ɛkyerɛ asiane a ɛwɔ hɔ sɛ obi bɛwo akokoaa ntɛm.
Wɔ tebea horow bɛn mu na wɔyɛ saa fFN sɔhwɛ yi?
Eyi nyɛ sɔhwɛ a wɔyɛ ma ɔbea a onyinsɛn biara. Sɛ wo duruyɛfo susuw sɛ wowɔ asiane mu sɛ wobɛwo akokoaa ntɛm nkutoo a, ɛbɛkamfo nhwehwɛmu yi akyerɛ. Nneɛma abien na ebetumi ama eyi aba saa.
1. Sɛ woreda awo a ɛba ntɛm ho sɛnkyerɛnne adi a.
2. Sɛ wowɔ nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ wobɛwo akokoaa ntɛm no yɛ kɛse a.
Momma yɛnhwɛ nsɛntitiriw abien yi wɔ ɔkwan soronko so.
1. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi nyinsɛn ntɛm
Sɛ wunya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa ansa na woadi adapɛn 37 a, ebia wo duruyɛfo no besi gyinae sɛ ɔbɛyɛ fFN nhwehwɛmu.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Awotwaa mu a ɛtwetwe | Me yafunu te sɛ nea ɛyɛ den sɛ ɔbotan, ɛkɔ bere tiaa bi akyi, afei ɛsan ba. Sɛ eyi si bɛboro mpɛn anan dɔnhwerew biara a, ɛsɛ sɛ ɛhaw wo. |
| Yafunu mu yaw anaasɛ ɛnyɛ dɛ | Me yafunu yɛ me yaw, te sɛ bere a merekɔ brayɛ mu no. |
| Akyi berɛmo mu opira | Ɛyaw a ɛyɛ nwonwa a ɛkɔ so tra akyi wɔ akyi. Ɛnkɔ bere mpo a mesesa gyinabea ahorow no. |
| Nsakrae a ɛba nsu a ɛba ɔbea awotwaa mu mu | Nsuo a ɛfiri ɔbea no awotwaa mu a ɛyɛ nsuo, ɛte sɛ nsuo, anaa mogya kakra wɔ mu. Ɛte sɛ nea yɛrefa 'show' bi mu. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ awotwaa no atrɛw | Wɔnam nhwehwɛmu bi a oduruyɛfo bi yɛ so si eyi so dua. |
| Nhyɛso a ɛwɔ akyi berɛmo no mu | Nkate a ɛwɔ yafunu no ase a ɛte sɛ nea akokoaa no repia akɔ fam. |
| Nsu kotoku a ɛpaapae `(PPROM)` | Amniotic kotoku no mu paapae ntɛm, na ɛma nsu bi a ɛyɛ nsu sen fa ɔbea no awotwaa no mu. |
Nea ɛho hia sen biara ne sɛ sɛ wuhu sɛnkyerɛnne bi a ɛte sɛɛ a, mmu w’ani ngu so sɛ biribi ketewaa bi, na mmom ka kyerɛ wo duruyɛfo ntɛm ara .
2. Nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ wobɛwo akokoaa ntɛm no yɛ kɛse
Ɛtɔ mmere bi a, ebia worennya yare no ho sɛnkyerɛnne biara. Nanso sɛ wowɔ asiane ahorow a edidi so yi a, wo duruyɛfo betumi ahyɛ fFN nhwehwɛmu yi.
- Esiane sɛ wawo akokoaa no ntɛm wɔ nyinsɛn bi a atwam mu nti.
- Esiane sɛ wɔayɛ wo oprehyɛn biara wɔ w’awotwaa anaa wo awotwaa mu nti.
- Asetra mu nneɛma te sɛ sigaretnom bere a wɔyem ne mu duru a ɛba fam ansa na wanyinsɛn.
- Awotwaa tiawa: Eyi yɛ biribi a wotumi hu denam scan so.
- Bere a ɛda nyinsɛn abien ntam no yɛ tiaa koraa (e.g. nea ennu asram 6).
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?
Eyi ho hia paa. Efisɛ, sɛ sɔhwɛ no mu aba no bɛyɛ nokware a, ɛsɛ sɛ wudi saa nneɛma yi akyi. Kwati nneɛma a edidi so yi nnɔnhwerew 24 ansa na woayɛ sɔhwɛ no.
- Kwati sɛ wo ne obi bɛda.
- Mfa biribiara nhyɛ ɔbea no awotwaa mu. Sɛ nhwɛso no, mfa srade, samina, nsu a wɔde gu mu, anaa nsu a wɔde gu nsu mu nni dwuma.
- Kwati sɛ wobɛyɛ wo akyi berɛmo mu nhwehwɛmu a wɔyɛ no daa anaasɛ wobɛyɛ transvaginal ultrasound.
- Kwati sɛ wobɛyɛ biribiara a ebetumi asiw ɔbea no awotwaa, awotwaa, anaa awotwaa no kwan wɔ ɔkwan foforo biara so.
Sɛ woyɛ saa nneɛma yi a, ebia nea efi sɔhwɛ no mu ba no yɛ atoro . Eyi kyerɛ sɛ ebia wubenya nea efi mu ba a ɛnyɛ nokware sɛ wunni asiane mu ankasa mpo a. Afei nso, sɛ mogya tu wo wɔ wo awotwaa mu a ɛkɔ fam anaasɛ emu yɛ duru a, wo duruyɛfo renyɛ nhwehwɛmu yi. Eyi nso betumi asakra nea efi mu ba no.
Ɔkwan bɛn so na wɔyɛ fFN sɔhwɛ no? So ɛyɛ yaw?
Nsuro sɔhwɛ yi. Ɛyɛ mmerɛw yiye na ɛnyɛ yaw. Ɛte sɛ nea wɔde Pap smear ayɛ no ara pɛ.
Wo duruyɛfo de kotoku tenten a ɛyɛ tratraa bɛhyɛ wo awotwaa mu na wagye nsu ketewaa bi afi wo awotwaa mu. Afei wɔde nhwɛsode no bɛkɔ aduruyɛdan bi mu akɔsɔ ahwɛ sɛ fFN protein no wɔ hɔ anaa.
Dɛn na sɔhwɛ no mu aba ka?
Nea efi mu ba no wɔ ahorow abien: Nea eye anaa Nea enye . Ɛho hia paa sɛ wubehu nea saa abien yi kyerɛ ankasa.
| Nsunsuansoɔ | Dɛn na eyi kyerɛ? | Dɛn na ɛba akyi? |
|---|---|---|
| Aane | fFN protein no wɔ wo awotwaa mu nsu a ɛtwetwe no mu. Eyi kyerɛ sɛ asiane wɔ hɔ sɛ obenyinsɛn wɔ dapɛn biako anaa abien a edi hɔ no mu . | Oduruyɛfo no besiesie wo ama awo a wobɛwo no ntɛm. Ɔbɛma wo nnuru a ɛbɛboa wo ba no ahurututu no ma wanyin, aduru a ɛbɛma awotwaa no atwitwa so atew, na ɔbɛhwɛ wo yiye. |
| Negetifu | FFN protein biara nni wo awotwaa mu nsu mu. Eyi kyerɛ sɛ asiane a ɛwɔ hɔ sɛ obenyinsɛn wɔ adapɛn abien a edi hɔ no mu no sua koraa . Eyi yɛ nea efi mu ba a ɛma awerɛhyem kɛse. | Wɔbɛka akyerɛ wo sɛ kɔ fie. Sɛ wo yare no ho sɛnkyerɛnne kɔ so a, ebia wɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu foforo wɔ dapɛn biako anaa abien mu. |
Ade a ɛho hia wɔ ha ne sɛ, sɛ wubefi mu aba pa a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wobɛwo akokoaa ntɛm. Nea ɛkyerɛ ara ne sɛ asiane no dɔɔso, enti ɛsɛ sɛ yɛhwɛ yiye.
Sɛ nea efi mu ba no yɛ papa a, dɛn na oduruyɛfo no yɛ?
Sɛ wunya biribi pa bi a, mma wo ho nnpopo. Ɛkyerɛ sɛ wo duruyɛfo bɛyɛ anammɔn ntɛm ara de wo ne wo ba no anya ayaresa a eye sen biara. Wɔtaa yɛ eyi denam:
- Corticosteroid a wɔde twitwiw ne mu de boa akokoaa no ahurututu ma onyin: Ɔhaw kɛse a ɛwɔ hɔ ma nkokoaa a wɔawo wɔn ntɛm ne sɛ wɔn ahurututu nnyinii koraa. Saa nnuru a wɔde twitwiw akokoaa no mu yi boa ma akokoaa no ahurututu nyin ntɛmntɛm na ɛboa ma wosiw ɔhome mu haw (RDS) a ebetumi aba wɔ awo akyi no ano.
- Tocolytics a wode bɛma de asiw awotwaa no mu akisikuru ano anaasɛ ɛbɛtew: Sɛ worete ɛyaw, a ɛkyerɛ sɛ w’awotwaa no reyɛ ayɛ wo yaw a, saa nnuru yi betumi aboa ma agyae anaasɛ ɛbɛtew so. Eyi betumi ama yɛanya nna kakraa bi bio na ama akokoaa no akɔ so atra awotwaa no mu. Eyi nso bɛboa ma steroid a wɔde twitwiw nipadua no mu no ayɛ adwuma.
- Nnuru a wɔde kum ɔyare mmoawa a wɔde ma: Wɔ tebea horow bi mu no, titiriw sɛ wo nsu no bubu anaasɛ wowɔ kuw B strep yare a, wɔde nnuru a ekum ɔyare mmoawa ma na amma ɔyare mmoawa no antrɛw akɔ akokoaa no mu.
Sɔhwɛ yi yɛ pɛpɛɛpɛ dɛn?
Eyi yɛ asɛmmisa a ɛho hia paa.
- Nea efi mu ba a enye no yɛ nokware yiye: Sɛ fFN sɔhwɛ no san ba a ɛnyɛ papa a, wubetumi anya awerɛhyem 99% sɛ worennyinsɛn wɔ adapɛn abien a edi hɔ no mu. Enti eyi yɛ nea efi mu ba a ɛma awerɛhyem kɛse na wotumi de ho to so.
- Nea afi mu aba pa no nyɛ nokware koraa:Ɛnanom pii a nea afi mu aba pa no awo wɔn mma wɔ wɔn bere nyinaa mu. Enti nsuro nea ebefi adepa bi a efi mu ba mu aba. Nea ɛkyerɛ ara ne sɛ asiane bi wɔ hɔ, enti ɛsɛ sɛ yɛhwɛ yiye kɛse.
Mpɛn pii no, egye nnɔnhwerew 24 kosi 48 ansa na wɔanya nea efi mu ba. Wo ne wo duruyɛfo nka eyi ho asɛm na di kan hu.
Nkrasɛm a Wɔde Kɔ Fie
- Fetal fibronectin (fFN) yɛ "abɔde mu gluu" a ɛde nyinsɛn kotoku no bata awotwaa no ho. fFN sɔhwɛ no hwehwɛ eyi wɔ ɔbea awotwaa mu nsu mu.
- Wɔyɛ nhwehwɛmu yi wɔ adapɛn 22 ne 34 ntam nkutoo sɛ wowɔ awo a ɛba ntɛm anaa asiane afoforo ho sɛnkyerɛnne a.
- Sɛ sɔhwɛ no mu aba san ba a ɛnyɛ papa a , ɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ obenyinsɛn wɔ adapɛn abien a edi hɔ no mu no sua koraa. Eyi yɛ ahotɔ kɛse.
- Sɛ nea efi mu ba no yɛ papa a , ɛkyerɛ sɛ asiane no dɔɔso. Nanso ɛnkyerɛ ankasa sɛ wobɛwo akokoaa ntɛm. Wo duruyɛfo bɛhwɛ wo ne wo ba no yiye na wafi ayaresa a ɛho hia ase.
- Ɛho hia sɛ wɔkwati nna mu nna ne biribiara a wɔde bɛhyɛ ɔbea no awotwaa mu nnɔnhwerew 24 ansa na wɔayɛ nhwehwɛmu no na ama wɔanya nea edi mu.
- Wo ne wo duruyɛfo nkasa a ntwentwɛn wo nan ase wɔ ɔhaw, ehu, anaa adwenem naayɛ biara a ebia wubenya wɔ wo nyinsɛn mu no ho.
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