Momma yɛnhu HELLP Syndrome, tebea a ɛntaa nsi nanso emu yɛ den a ebetumi aba bere a yɛnyinsɛn no.

Nyinsɛn yɛ bere a ɛyɛ fɛ yiye na anidaso wom wɔ ɛna biara asetra mu. Nanso, ɛyɛ ade a ɛfata nso sɛ wubenya ehu ne adwenem naayɛ bi wɔ akokoaa a ɔwɔ awotwaa mu no akwahosan ho ne w’ankasa akwahosan nso ho. Mpɛn pii no, yɛate tebea horow te sɛ nyinsɛn mu asikreyare ne mogya mmoroso (pre-eclampsia) ho asɛm. Nanso ɛnnɛ yɛrebɛka tebea bi a ɛntaa nsi nanso anibere wom a ɛho hia yiye sɛ yehu ntɛm ho asɛm. Wɔfrɛ eyi sɛ HELLP Syndrome.

Dɛn ankasa ne HELLP yare no?

Sɛ yɛbɛka no tiawa a, HELLP yare no yɛ ɔhaw a emu yɛ den a ebetumi aba bere a woanyinsɛn, na ɛka wo mogya ne wo mmerɛbo titiriw. Ɛtaa ba wɔ nyinsɛn no fã a ɛto so abiɛsa mu, wɔ adapɛn 28 kosi 40. Nanso, ɛtɔ mmere bi a ebetumi aba bere biara wɔ nyinsɛn no fã a ɛto so abien no mu (wɔ dapɛn 20 akyi). Nea ɛyɛ nwonwa no, ɛnanom binom betumi anya HELLP yare no wɔ awo akyi nnanson pɛ.

Eyi yɛ tebea a ɛntaa nsi koraa. Ɛtaa ka mmea a wɔyem 1,000 biara mu biako anaa baanu. Nanso esiane sɛ ɛntaa nsi nti, ɛnsɛ sɛ wobu no adewa. Ebetumi ayɛ asiane ama ɛna no ne akokoaa no nyinaa.

Dɛn na edin HELLP no kyerɛ?

Eyi nyɛ din kɛkɛ. Nkyerɛwde HELLP no gyina hɔ ma yare yi ho nneɛma atitiriw abiɛsa. Momma yɛnhwɛ nea wɔyɛ.

So preeclampsia ne HELLP syndrome yɛ ade koro?

Eyi yɛ ɔhaw a nnipa pii wɔ. Wɔtaa bu HELLP yare no sɛ mogya mmoroso a emu yɛ den bere a wɔyem, anaasɛ preeclampsia . Preeclampsia yɛ tebea a ɛba wɔ nyinsɛn mu a mogya mmoroso kɔ soro na protein fi nsu mu.

Ɛnanom pii a wɔwɔ HELLP yare no nso wɔ pre-eclampsia. Nanso, ɛtɔ mmere bi a obi a ɔwɔ pre-eclampsia nni HELLP syndrome. Afei nso, bɛyɛ nnipa baanum biara mu biako a wɔwɔ HELLP nni sɛnkyerɛnne te sɛ mogya mmoroso anaa protein a ɛwɔ nsu mu . Eyi nti na ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu yare no.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Ɛtɔ da bi a, HELLP syndrome ho sɛnkyerɛnne betumi ayɛ te sɛ nyinsɛn a ɛfata anaa nyarewa afoforo de, enti ɛho hia sɛ wuhu saa sɛnkyerɛnne ahorow yi yiye.

• Ɛyaw a ɛba yafunu nifa so atifi: Eyi yɛ HELLP yare no ho sɛnkyerɛnne a ɛda adi. Ne titiriw no, ɛyɛ ɛyaw a ano yɛ den a ɛba ɔfã nifa, wɔ mpampam ase pɛɛ, baabi a mmerɛbo no wɔ no.
• Tiyɛ a emu yɛ den: Ɛnte sɛ tiyɛ a ɛyɛ daa, na mmom ɛyɛ tiyɛ a emu yɛ den a ɛnsɛe wɔ nnuru a wɔde kum ɛyaw mpo ho.
• Anisoadehu a wontumi nhu: Sɛ wote nka sɛ nsensanee rehuruhuruw wɔ aniwa no anim, ɛyɛ den sɛ wobɛhwɛ hann.
• Akisikuru ne ɔfe: Bere a eyi yɛ ade a ɛfata wɔ nyinsɛn mfiase no, ɛsɛ sɛ wohaw wo ho wɔ akisikuru a emu yɛ den ne ɔfe a wobɛfe wɔ nyinsɛn no fã a etwa to no mu.
• Ɔbrɛ ne ɔbrɛ: Ɔbrɛ a ɛtra so a wɔte nka bere a wɔanyɛ hwee mpo akyi.
• Nipadua a ɛho ahonhon (edema) ne mu duru a ɛkɔ soro mpofirim:Ɛhonhon, titiriw anim, nsa, ne nan.
• Ɛyaw bere a worehome denneennen: Ebia wobɛte ɛyaw nka wɔ wo koko nifa so.

Wɔ tebea horow a ɛntaa nsi koraa mu no, saa sɛnkyerɛnne ahorow yi nso betumi aba:

• Mogya a ɛba hwene mu a wontumi nsiw ano.
• Akisikuru anaa nipadua a ɛkeka ne ho a wontumi nni so.

Dɛn na ɛde HELLP yare no ba? So asiane ahorow bi wɔ hɔ?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛde HELLP yare no ba ankasa. Ɛno ne nea ɛyɛ hu kɛse wɔ ho. Nanso, wɔahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ mmea binom benya tebea no yɛ kɛse.

• Preeclampsia anaa eclampsia a wobenya: Mmea a wɔyem baanum biara a wɔwɔ saa tebea horow yi mu biako betumi anya HELLP syndrome.
• HELLP syndrome a wobɛnya wɔ nyinsɛn a atwam mu: Sɛ wo ne akokoaa a woadi kan anya saa tebea yi a, asiane bɛyɛ 20% wɔ hɔ sɛ ɛbɛba wɔ wo nyinsɛn a edi hɔ no mu.
• Sɛ́ wadi boro mfe 35.
• Anyɛ yiye koraa no, wadi kan awo abofra biako.
• Sɛ wowɔ nyarewa a enni sabea te sɛ asaabo mu yare, asikreyare, anaa mogya mmoroso ho abakɔsɛm.

Nsɛnnennen bɛn na eyi betumi de aba?

Sɛ wɔansa HELLP yare no wɔ bere ano a, ebetumi de nsɛnnennen a emu yɛ den yiye aba ɛna ne akokoaa nyinaa so.

Nsɛnnennen a ebetumi aba ɛna no so

• Mogya a ɛtɔ ne mogya a ɛtɔ gu nipadua no mu ho haw: Mmea binom tumi nya tebea bi a wɔfrɛ no `Disseminated Intravascular Coagulation (DIC).` Eyi kyerɛ sɛ mogya a ɛtɔ gu nipadua no mu nyinaa na efi ase tu mogya a wontumi nni so. Eyi betumi ama mogya atɔ dodo wɔ awo akyi (`Postpartum hemorrhage`).
• Asaabo a entumi nyɛ adwuma yiye: Asaabo no betumi asɛe na agyae adwumayɛ.
• Mogya a ɛtɔ fi mmerɛbo mu anaa mmerɛbo a entumi nyɛ adwuma yiye: Mmɛn no hohoro, mogya fi ase tu fi ne mu, na mmerɛbo no tumi gyae adwumayɛ koraa.
• Ahurututu mu akisikuru: Eyi ma ɛyɛ den sɛ ɔbɛhome.
• Placental abruption: Awotwaa no tetew ne ho fi awotwaa no fasu ho ansa na wɔawo akokoaa no. Eyi yɛ asiane kɛse efisɛ ɛtwa mframa pa ne aduannuru a akokoaa no nya.
• Eclampsia: Eyi ne bere a emu yɛ den sen biara wɔ pre-eclampsia mu. Ɛma obi nya akisikuru.

Nsɛnnennen a ebetumi aba akokoaa a ɔwɔ awotwaa mu no so

• Awo a ɛba ntɛm: Esiane sɛ aduru biako pɛ a wɔde sa HELLP yare no ne sɛ wɔbɛwo akokoaa no nti, mpɛn pii no ɛho hia sɛ wɔwo akokoaa no wɔ bere a ɛsɛ mu.
• Intrauterine growth restriction (IUGR): Akokoaa no nnyin yiye wɔ awotwaa no mu.
• Sɛ́ wɔawo obi a mogya mu nkwammoaa a ɛwɔ mogya mu no sua, mogya a ɛtɔ kɔ nipadua no mu, anaa mogya mu nyarewa afoforo.
• Ɔhome mu haw.

Ɔkwan bɛn so na oduruyɛfo no hu eyi?

Sɛ woka kyerɛ wo duruyɛfo sɛ wowɔ HELLP yare no ho sɛnkyerɛnne a, obedi kan ahwɛ wo nipadua mu. Ne titiriw no, .

• So ɛyaw wɔ yafunu nifa a ɛwɔ soro no mu?
• So wo nan ho ahonhon?

Afei wɔbɛsusu wo mogya mmorosoɔ, wɔbɛyɛ nsuo mu nhwehwɛmu ahwɛ sɛ protein wɔ mu anaa. Wɔbɛyɛ mogya mu nhwehwɛmu pii de asi eyi so dua.

• Mogya dodow a edi mũ (CBC) : Ɛhwɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa dodow.
• Berɛbo mu dwumadi ho nhwehwɛmu : Hwɛ sɛnea mmerɛbo mu enzyme dodow te.
• Kidney function test : Ɛhwɛ sɛ asaabo no reyɛ adwuma yiye anaa.

Sɛ tebea no mu yɛ den a, wobetumi ayɛ ultrasound anaa CT scan de ahwɛ sɛ mmerɛbo no ho ahonhon anaa mogya retu anaa.

Ɔkwan bɛn so na wɔsa HELLP yare no?

Sɛ woanyinsɛn adapɛn 34 anaa nea ɛboro saa, anaasɛ wo sɛnkyerɛnne no mu yɛ den yiye a, nnuruyɛfo betumi akamfo akyerɛ sɛ wowo wo ba no ntɛm ara sɛnea wubetumi. Eyi betumi ama akokoaa no awo ntɛm. Mpɛn pii no, HELLP yare no fi hɔ wɔ nna kakraa bi mu wɔ akokoaa no awo akyi.

Nanso, sɛ nyinsɛn no nnu adapɛn 34 na ɛna no ne akokoaa no gyina hɔ pintinn a, nnuruyɛfo bɛbɔ mmɔden atɔ bere ama akokoaa no ahurututu anyin kakra. Saa bere no, wɔde wo bɛto ayaresabea na wɔama wo ayaresa te sɛ:

• Nnuru a wɔde ma mogya mmoroso so tew.
• Mogya a wɔde ma sɛ mogya mu nkwammoaa a ɛma mogya tu no sua a.
• Magnesium sulfate a wɔde ma na amma akisikuru ano.
• Corticosteroids a wɔde twitwiw akokoaa no mu na ama akokoaa no ahurututu anyin ntɛmntɛm.
• Mogya mu nhwehwɛmu a wɔbɛyɛ de ahwɛ wo mmerɛbo dwumadi ne mogya nkwammoaa dodow a ɛwɔ wo mu daa.

Saa bere yi nyinaa mu no, nnuruyɛfo nam sɔhwɛ ahorow te sɛ `biophysical profile`, `nonstress test`, ne `ultrasound` so hwɛ akokoaa no akwahosan so bere nyinaa.

Ɔkwan bɛn so na saa tebea yi ka ɛna no ne akokoaa no?

HELLP yare no yɛ tebea a emu yɛ den, nanso sɛ wohu ntɛm na wɔsa no yiye a, wobetumi asa . Sɛ wɔansa a, ebetumi de ne nkwa ato asiane mu.

Sɛ yɛhwɛ ɛna no a, asiane a ɛwɔ hɔ sɛ obewu no nnu 1% sɛ wonya ayaresa a ɛfata a. Ɛnanom dodow no ara ho tɔ wɔn koraa wɔ nna kakraa bi akyi wɔ awo akyi.

Sɛnea akokoaa no hwɛ no, nkwa a wobenya no gyina mfe a nyinsɛn no adi bere a wɔawo no so kɛse. Dodow a akokoaa no tra awotwaa no mu kyɛ no, dodow no ara na ɛda adi sɛ akokoaa no akwahosan bɛyɛ papa. Awo a ɛba ntɛm betumi de nsɛnnennen te sɛ ɔhome a ɛyɛ den, aniwa mu haw, anaa nkɔso a ɛkyɛ aba.

So wobetumi asiw HELLP yare no ano?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a ɛyɛ nokware a wɔbɛfa so asiw HELLP yare no ano. Nanso ade a eye sen biara a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen wɔ nyinsɛn mu no so atew ne sɛ wobɛkɔ ayaresabea a wɔhwɛ wɔn ansa na wɔawo no daa . Wo duruyɛfo bɛhwɛ wo mogya mmoroso ne nsɛnkyerɛnne afoforo, sɛnea ɛbɛyɛ a wobetumi ahu ɔhaw biara ntɛm.

Sɛ wo duruyɛfo hu sɛ asiane kɛse wom sɛ wubenya saa tebea yi a, ebia ɔbɛkamfo akyerɛ sɛ fa aspirin a ɛba fam no nnom wɔ ɔsram abiɛsa a edi kan no akyi (bɛyɛ adapɛn 12).

Nea ɛka ho no, saa nneɛma yi bɛboa wo ma woanya nyinsɛn a ɛfata:

• Aduan a ahoɔden wom a wobedi (aburow, protein a ɛnyɛ den, nnuaba, ne nhabannuru).
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Anyɛ yiye koraa no, da yiye nnɔnhwerew 8 da biara.
• Wo ne wo duruyɛfo bɛkasa afa akwahosan ho asiane ahorow a ebetumi aba wɔ nyinsɛn mu ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ preeclampsia anaa mogya mmoroso a, hu HELLP syndrome ho sɛnkyerɛnne ahorow yiye. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara.

• Yafunu mu yaw wɔ nifa so.
• Akisikuru ne ɔfe.
• Tiyɛ anaasɛ aniwa a ɛyɛ kusuu.

HELLP syndrome yɛ tebea a ɛyɛ hu. Nanso kae sɛ, w’aduruyɛfo kuw no reyɛ nea wobetumi biara sɛ wo ne wo ba no bɛkɔ so ayɛ nea ahobammɔ wom. Sɛ́ wobehu no ntɛm no yɛ ade titiriw.