Awotwaa mu Oprehyɛn? Momma yensua ho biribiara!

Sɛ woyɛ ɛna a onyinsɛn a, ebia bere nyinaa wususuw ho sɛ ebia biribiara ye wɔ wo ba no ho anaa. Bere biara a wɔbɛyɛ wo scan no, wote ehu nka kakra. Ɛtɔ mmere bi a, mpofirim no, scan no ma wohu sɛ wo ba no wɔ awo mu dɛmdi bi. Ɛyɛ den sɛ wobɛka awerɛhow ne ehu a wote wɔ bere a ɛte saa mu no ho asɛm wɔ nsɛm mu. Nanso, nnuruyɛ anya nkɔanim paa nnɛ. So wunim sɛ wubetumi asiesie ɔhaw no denam oprehyɛn a wobɛyɛ bere a akokoaa no da so wɔ awotwaa mu, a wontwɛn mma sɛ wɔbɛwo akokoaa no so? Ɛno ne nea yɛfrɛ no ‘Fetal Surgery’.

Sɛ yɛbɛka no tiawa a, dɛn ne Fetal Surgery?

Sɛ yɛbɛka no tiawa a, awotwaa mu oprehyɛn yɛ oprehyɛn a wɔyɛ akokoaa bere a ɔda so ara nyin wɔ w’awotwaa mu no. Nnuruyɛfo binom nso frɛ no oprehyɛn a wɔyɛ ansa na wɔawo. Nea ɛka ho ne sɛ wɔde wɔn ho bɛhyɛ mu na wɔasa ɔhaw bi a ebetumi de ne nkwa ato asiane mu anaasɛ ɛde dɛmdi kɛse aba akokoaa no mu wɔ awo akyi. Anidaso no ne sɛ wobegye akokoaa no nkwa anaasɛ ɛbɛma hokwan a akokoaa no wɔ sɛ ɔbɛtra ase a ahoɔden wom na ɛsow aba wɔ n’awo akyi no ayɛ kɛse.

Wɔ tebea horow bɛn mu na oprehyɛn a ɛte sɛɛ ho hia?

Wɔnyɛ oprehyɛn a ɛte sɛɛ mma awo mu dɛmdi biara. Wɔyɛ no wɔ nsɛm a emu yɛ den yiye, titiriw nkutoo mu. Susuw ho saa kwan yi so.

• Sɛ asiane bi ba akokoaa no nkwa so ntɛm ara a: Sɛ nhwɛso no, fa no sɛ akisikuru kɛse bi (ahurututu mu yare) ayɛ akokoaa no ahurututu mu, na ɛrepiapia akokoaa no koma ketewaa no. Sɛ ɛba saa a, akokoaa no betumi akɔ komayare mu bere a ɔda so ara wɔ awotwaa mu, na ebetumi de ne nkwa ato asiane mu. Wɔ tebea a ɛte saa mu no, nnuruyɛfo betumi ayɛ oprehyɛn de ayi akisikuru no afi hɔ bere a ɛda so ara wɔ awotwaa mu no.
• Tew awo akyi dɛmdi so: Tebea horow bi wɔ hɔ a ɛnyɛ nea ɛde akokoaa no nkwa to asiane mu ntɛm ara, nanso ebetumi de dɛmdi a emu yɛ den aba wɔ awo akyi. Nhwɛso pa ne spina bifida, akyi berɛmo mu tebea bi a akokoaa no akyi berɛmo ntumi ntoto yiye. Eyi betumi asɛe ntini ahorow no, na ama ayɛ den ama akokoaa no sɛ ɔbɛnantew anaasɛ obetumi adi ne dwensɔtwaa ne ne dwensɔtwaa so wɔ awo akyi. Sɛ wɔyɛ saa oprehyɛn yi bere a akokoaa no da so wɔ awotwaa mu a, ebetumi atew ntini a ɛsɛe no so na ama akokoaa no anya asetra pa wɔ awo akyi.

Hena na ɔyɛ oprehyɛn a ɛte sɛɛ?

Eyi nyɛ oprehyɛn biara kɛkɛ. Ɛhwehwɛ sɛ wɔyɛ nnuruyɛfo kuw kɛse a wɔn ho akokwaw kɛse. Ɛte sɛ kuw bi a wɔyɛ abran akɛse. Mpɛn pii no, nea ɛka kuw yi ho ne:

• Mmofra Oprehyɛn Ho Nnuruyɛfo: Eyinom ne nnipa atitiriw a wɔka ho asɛm. Wɔanya ntetee titiriw a wɔde bɛyɛ nkokoaa oprehyɛn bere a wɔawo wɔn akyi, wɔ awotwaa mu mpo.
• Ɛnanom ne awotwaa mu aduruyɛ ho abenfo: Eyinom yɛ animdefo a wɔn ho akokwaw wɔ nsɛnnennen a ɛba bere a wɔyem no mu. Wɔhwɛ ɛna no ne akokoaa no nyinaa akwahosan so.
• Nnuruyɛfo a wɔde aduru a ɛma obi dwensɔ: Nnipa a wɔanya ntetee titiriw wɔ nnuru a wɔde kum nipadua no mu (a ɛma n’adwene yɛ no yaw) a wɔde bɛma ɛna ne akokoaa nyinaa mu.
• Fetal Cardiologists: Wɔn a wɔhwɛ sɛnea akokoaa no koma yɛ adwuma pɔtee.
• Awotwaa mu Mfoniniyɛ Ho Abenfo: Wɔn a wɔde ultrasound ne MRI mfiridwuma a ɛyɛ nwonwa di dwuma de ma nnuruyɛfo hu akokoaa no tebea no pefee.

Obiara reyɛ adwuma abom na ama oprehyɛn a ɛyɛ den yi ayɛ yiye.

Akwan titiriw bɛn na wɔfa so yɛ awotwaa no oprehyɛn?

Nnuruyɛfo wɔ akwan pii a wɔfa so yɛ oprehyɛn yi. Wogyina nneɛma te sɛ akokoaa no tebea ne ɛna no akwahosan so na esi ɔkwan a wɔbɛfa so no ho gyinae. Momma yɛnhwɛ akwan titiriw a wɔfa so yɛ no.

Tebea bɛn na wɔde oprehyɛn ahorow yi sa?

• Spina Bifida/Myelomeningocele: Awo mu dɛmdi a ɛwɔ akyi berɛmo mu.
• Congenital Lung Malformations: Akisikuru anaa nyin a ɛnteɛ wɔ ahurututu mu.
• Congenital Diaphragmatic Hernia (CDH): Yafunu mu akwaa ahorow pue kɔ koko no mu.
• Monochorionic Twin Complications: Tebea horow te sɛ Twin-to-Twin Transfusion Syndrome a ɛba wɔ mmanoma a wɔwɔ awotwaa koro mu.
• Sacrococcygeal Teratoma (SCT): Akisikuru kɛse bi a ɛba akokoaa akyi berɛmo ase.
• Congenital High Airway Obstruction Syndrome (CHAOS): Tebea a ɛma akokoaa no mframa kwan siw fi awo mu.
• Lower Urinary Tract Obstruction (LUTO): Akokoaa no nsuo kwan a ɛsiw.

Dɛn na ɛba ansa na wɔayɛ oprehyɛn no ne bere a wɔayɛ no oprehyɛn no akyi?

Ansa na wɔreyɛ no oprehyɛn

Sɛ wohu sɛ wo ba no anya saa nsɛnnennen yi mu biako a, w’aduruyɛfo kuw no bɛhwɛ wo ne wo ba no yiye. Wɔbɛkyerɛkyerɛ wo ba no tebea, sɛnea emu yɛ den, ne ayaresa a wobetumi apaw mu akyerɛ wo pefee. Eyi yɛ bere a emu yɛ den yiye ma wo ne w’abusua. Enti, w’aduruyɛ kuw no ne wo bɛyɛ adwuma de aboa wo ma woasi ayaresa nhyehyɛe a eye sen biara ama obiara ho gyinae.

Wɔ oprehyɛn no akyi

Wɔ oprehyɛn no akyi no, ebehia sɛ wotra ayaresabea hɔ nna kakraa bi, a egyina oprehyɛn ko a wobɛyɛ so. Saa bere no mu no, nnuruyɛfo kuw no bɛkɔ so ahwɛ wo ne wo ba no so. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔwo no ntɛm. Afei nso, sɛ wɔyɛ oprehyɛn a ɛte sɛɛ a, ɛda adi kɛse sɛ wɔbɛfa C-section a wɔayɛ ho nhyehyɛe so awo akokoaa no. Sɛ wɔwo akokoaa no wie a, ebia obehia ɔhwɛ foforo wɔ Intensive Care Unit.

Mfaso ne asiane bɛn na ɛwɔ so?

Te sɛ oprehyɛn biara no, eyi wɔ mfaso ne asiane nyinaa. Ɛho hia sɛ wunya abien no nyinaa ho nsɛm yiye ansa na woasi gyinae.

Sɛ wuhu sɛ wo ba no wɔ awo mu dɛmdi a, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ woayɛ basaa, woadi awerɛhow, na woasuro. Ɛtɔ mmere bi a, gyinaesi betumi ayɛ den. Nanso kae sɛ ɛnyɛ wo nkutoo na wowɔ. Wo duruyɛfo ne nnuruyɛfo kuw no wɔ hɔ sɛ wɔbɛboa wo. Wobetumi ama wo nsɛm a wuhia nyinaa na wɔakyerɛ wo kwan ma woapaw nea eye sen biara ama wo ne wo ba no.