Bere a wokɔɔ ayaresabea bere a wonyinsɛn no, ɛbɛyɛ sɛ wuhuu oduruyɛfo no sɛ ɔde ahwɛyiye de teyp susuw wo yafunu, ɛnte saa? Ebia woasusuw nso sɛ, "Dɛn nti na wɔresusuw me yafunu da biara? Dɛn na eyi betumi akyerɛ wo?" Eyi yɛ ade a ɛho hia yiye ankasa. Sɛ oduruyɛfo no susuw saa a ɛnyɛ den yi a, obetumi anya nneɛma pii ho adwene pa, te sɛ sɛnea akokoaa no nyin wɔ w’awotwaa mu, sɛnea ɔreyɛ. Ɛnnɛ, yɛbɛka saa susudua yi ho asɛm, a wɔfrɛ no ‘Fundal Height’.
Sɛ yɛbɛka no tiawa a, dɛn ne Fundal Height?
Fundal Height yɛ ade a ɛyɛ mmerɛw yiye. Sɛ wonyinsɛn a, ɛyɛ kwan a ɛda w’awotwaa dompe no atifi kosi w’awotwaa (fundus) atifi wɔ sɛntimita mu .
Saa susudua yi ma oduruyɛfo no sua nneɛma pii a ɛho hia:
- Akokoaa kɛse ne ne nyin: Eyi boa ma wohu sɛ akokoaa no nyin yiye wɔ dapɛn no mu anaa.
- Akokoaa gyinabea: Wubetumi anya akokoaa no gyinabea wɔ awotwaa no mu ho adwene a ɛyɛ den.
- Mfe a nyinsɛn no adi so dua: Wɔhwɛ saa susudua yi mu hwɛ sɛ ɛne adapɛn dodow a woanyinsɛn (nyinsɛn mfe) hyia anaa.
Mpɛn pii no, oduruyɛfo no fi ase yɛ saa susudua yi wɔ ayaresabea nsrahwɛ biara mu bere a woanyinsɛn bɛyɛ adapɛn 20 no. Eyi te saa efisɛ efi saa bere no rekɔ no, mfe a woadi wɔ nyinsɛn mu ne fundal height susuw no fi ase ne wɔn ho wɔn ho hyia kɛse.
Woyɛ dɛn fa saa susudua yi?
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw. Biribi titiriw biara nni hɔ a ɛsɛ sɛ wusiesie wo ho. Eyi yɛ wo nhwehwɛmu a woyɛ daa no fã bi kɛkɛ.
Oduruyɛfo no yɛ eyi te sɛ:
1. Nea edi kan no, wɔbɛma woada sɔhwɛ pon no so.
2. Afei, oduruyɛfo no bɛte wo yafunu ase nka brɛoo paa na wahu wo yafunu dompe (symphysis pubis) no atifi.
3. Afei, wɔde ahwɛyiye nso de wɔn nsa ka yafunu no de hu baabi a awotwaa no atifi (fundus) wɔ.
4. Awiei koraa no, fa susuw teyp susuw kwan a ɛda mmeae abien a wuhuu mfiase no ntam wɔ sɛntimita mu.
Saa kwan a wosusuu no bɛyɛ wo Fundal Height. Ɛnyɛ den koraa, ɛnte saa?
Awotwaa no gyinabea sesa bere a nyinsɛn no kɔ so no. Sɛ nhwɛso no, sɛ wudi bɛyɛ adapɛn 12 a, awotwaa no wɔ baabi a ɛkorɔn sen biara, bɛn w’akyi dompe. Edu adapɛn 20 a, ɛkame ayɛ sɛ ɛkɔ wo yafunu mu. Bɛyɛ adapɛn 36 no, awotwaa no kɔ soro sɛnea ebetumi akɔ, ɛkame ayɛ sɛ ɛkɔ wo nufu dompe (sternum).
Nanso adapɛn 36 akyi no, akokoaa no fi ase hwe ase kɔ akyi berɛmo mu bere a ɔresiesie ne ho ama awo no. Enti, ebia fundal no sorokɔ so bɛtew kakra wɔ adapɛn kakraa a atwam no mu. Sɛ eyi ba a, ebia wo duruyɛfo no bɛyɛ nhwehwɛmu afoforo de ahwɛ ahu sɛ biribi foforo biara nni hɔ a ɛde ba.
Dɛn na ɛsɛ sɛ Fundal Height yɛ dapɛn biara?
Mmara bi a ɛyɛ mmerɛw yiye wɔ hɔ ma eyi. Mpɛn pii no, wɔ adapɛn 20 kosi 36 ntam no, ɛsɛ sɛ Fundal Height a wɔde sɛntimita susuw no bɛyɛ sɛ adapɛn dodow a woanyinsɛn no yɛ pɛ. Nanso enhia sɛ ɛyɛ ade koro pɛpɛɛpɛ. Ɛnyɛ hwee sɛ wobɛkɔ sɛntimita 2 (ɛboro saa anaa kakraa bi).
Sɛ nhwɛso no, sɛ woanyinsɛn adapɛn 32 a, ɛyɛ ade a ɛfata sɛ wo fundal tenten bɛyɛ sɛntimita 30 kosi 34.
Nanso kae sɛ eyi yɛ nokware sen biara wɔ adapɛn 20 akyi. Ansa na ɛno reba no, na awotwaa no nkɔ soro sɛnea ɛsɛ, enti saa susuw yi nyɛ pɛpɛɛpɛ.
Na sɛ susudua no ‘sõ’ sen sɛnea wɔhwɛɛ kwan nso ɛ?
Ɛtɔ mmere bi a, wo fundal tenten betumi akɔ soro asen wo nyinsɛn mfe. Ebia nneɛma pii nti na ɛte saa. Mma wo ho nnyɛ wo hu bere a wote eyi no.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Da a ɛsɛ sɛ wɔde ma no nyɛ nokware. | Ebia ebegye adapɛn kakraa bi asen sɛnea wususuw. |
| Awotwaa mu Fibroids | Akisikuru a asiane biara nni ho a ɛwɔ awotwaa no mu no betumi ama awotwaa no ayɛ kɛse. |
| Ɛna nipadua mu duru | Sɛ ɛna no mu duru boro so a, ebia ɛbɛyɛ te sɛ nea susuw no korɔn kakra. |
| Nwansena | Awotwaa no yɛ kɛse bere a mmofra boro biako no. |
| Nsu a ɛwɔ awotwaa mu a ɛkɔ soro (Polyhydramnios) . | Nsu (amniotic fluid) dodow a atwa akokoaa no ho ahyia no dɔɔso sen sɛnea ɛte daa. |
| Akokoaa gyinabea (Breech) . | Ebia susudua no bɛkɔ soro bere a akokoaa no wɔ breech gyinabea no. |
| Awotwaa mu Macrosomia | Ebia akokoaa no bɛyɛ kɛse kakra asen sɛnea ɛte daa. |
Ɛtɔ da bi a, susudua no betumi akɔ soro kakra a ntease biara nnim.
Na sɛ susudua no ‘sua’ sen sɛnea wɔhwɛɛ kwan nso ɛ?
Afei nso, ɛtɔ mmere bi a, Fundal Height no betumi aba fam sen sɛnea na wɔhwɛ kwan. Mma ɛno nso nhaw wo. Ebia ntease ahorow te sɛ eyi wɔ hɔ.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ɛna nipadua tebea | Sɛ woyɛ teateaa, woyɛ tiaa, anaa wo yafunu mu ntini a ɛyɛ den a, ebia susuw no bɛba fam. |
| Nsu a ɛba fam wɔ awotwaa mu (Oligohydramnios) . | Nsu (amniotic fluid) dodow a atwa akokoaa no ho ahyia no sua sen sɛnea ɛte daa. |
| Akokoaa a ɔresian akɔ akyi berɛmo no mu | Sɛ akokoaa no abɛn sɛ wɔbɛwo no na wahwe ase wɔ akyi berɛmo no mu a, susuw no so bɛtew. |
| Akokoaa no nyin brɛoo (Fetal Growth Restriction) . | Ebia asɛm bi wɔ hɔ a akokoaa no nyin yɛ brɛoo kakra. |
So ɛsɛ sɛ misuro eyi?
Nte saa koraa. Fundal Height susuw yɛ sɔhwɛ a wɔde nya adwene a ɛyɛ mmerɛw wɔ akokoaa nyin ho.Anamɔn a edi kan ara kwa . Eyi nyɛ nokware 100%. Ɛyɛ ade a ɛfata yiye sɛ sɛntimita 1 anaa 2 bɛkɔ akɔkyinkyin.
Nea ɛho hia sen biara ne sɛ, sɛ wo duruyɛfo no adwenem yɛ no naa wɔ saa susudua yi ho a, ɔrentra hɔ kɛkɛ. Akyinnye biara nni ho sɛ ɔbɛyɛ nhwehwɛmu foforo te sɛ ultrasound scan de asi sɛnea akokoaa no reyɛ no so dua.
Enti sɛ susudua no ayɛ mmerɛw kakra a, mma ɛnhaw wo. Ɛnkyerɛ sɛ ɔhaw bi wɔ hɔ, ɛkyerɛ ara ne sɛ ɛsɛ sɛ wohwehwɛ mu kɔ akyiri. Sɛ wowɔ adwenem naayɛ anaa ehu bi a, wo ne wo duruyɛfo nka ho asɛm pefee.
Nkrasɛm a Wɔde Kɔ Fie
- Fundal Height yɛ ɔkwan a ɛnyɛ den a ɛnyɛ yaw a wɔfa so hwɛ sɛnea akokoaa no nyin bere a wanyinsɛn no.
- Ɛyɛ ade a ɛfata sɛ saa susudua yi bɛyɛ sɛntimita 1-2 a ɛboro wo dapɛn ankasa so. Mma ɛnhaw wo wɔ ho.
- Sɛ́ ebia susuw no korɔn anaasɛ ɛba fam sen sɛnea wɔhwɛɛ kwan no, ɛnkyerɛ ankasa sɛ ɔhaw bi wɔ hɔ. Ntease ahorow a ɛnyɛ den pii betumi aba.
- Sɛ wo duruyɛfo no adwenem yɛ no naa wɔ susuw no ho a, akyinnye biara nni ho sɛ ɔde wo bɛkɔ akɔyɛ nhwehwɛmu foforo te sɛ ultrasound scan.
- Mma ntwentwɛn wo nan ase da sɛ wo ne wo duruyɛfo bɛkasa afa nsɛmmisa anaa dadwen biara a ebia wubenya wɔ nyinsɛn mu ho.
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