So wo awotwaa no bebue ntɛm? (Incompetent Cervix) - Nsuro, momma yɛnhwɛ eyi!

Anigye a wunya bere a worehwɛ kwan sɛ wobɛyɛ ɛna no yɛ nea wontumi nkyerɛkyerɛ mu. Nanso, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na woahaw wo ho wɔ nneɛma nketenkete mpo ho. Ɛnnɛ yɛrebɛka tebea bi a ɛnanom binom hyia wɔ nyinsɛn mu, nanso wɔnka ho asɛm pii ho asɛm. Ɛne sɛ, awotwaa no yɛ mmerɛw, ɛyɛ tiaa anaasɛ ebue ntɛm. Nnuruyɛfo frɛ eyi `(Awotwaa a Ɛntumi Nni Ho)` anaa `(Awotwaa a Ɛntumi Nkɔ)`. Nsuro bere a wote eyi, efisɛ sɛ wɔbɔ wo amanneɛ yiye wɔ eyi ho na wonya ayaresa a ɛho hia a, mpɛn pii no wubetumi de akokoaa a ɔwɔ apɔwmuden aba wiase yi mu a ɔhaw biara nni ho.

Dɛn ne awotwaa no? Dɛn nti na ɛho hia saa?

Okay, nea edi kan no momma yɛnte nea saa awotwaa yi yɛ ase kɛkɛ. Awotwaa no ne baabi a wo ba no nyin wɔ wo yafunu mu. Awotwaa no ase fã a ɛte sɛ toa ano, baabi a ɛne awotwaa no di nkitaho no ne nea yɛfrɛ no awotwaa no.

Fa no sɛ ɛte sɛ ɔpon a ahobammɔ wom . Ɛsɛ sɛ wɔto ɔpon yi mu na wɔkyekyere no denneennen wɔ nyinsɛn no nyinaa mu. Ɛno ansa na akokoaa no betumi anyin dwoodwoo wɔ awotwaa no mu akosi da a ɛsɛ sɛ ɔwo no. Bere a akokoaa no bɛn sɛ wɔbɛwo no, kyerɛ sɛ, sɛ awo rebɛn a, saa awotwaa yi yɛ mmerɛw nkakrankakra, ɛyɛ tiaa (yɛfrɛ eyi `effacement`) na efi ase bue (wɔfrɛ eyi `dilation`) . Ɛno ansa na akokoaa no betumi apue ntɛm.

Enti dɛn ne saa `(Incompetent Cervix)` yi?

Seesei wote sɛnea awotwaa no ho hia no ase. Wɔ tebea bi a wɔfrɛ no ``Incompetent Cervix'' anaa ``Cervical Insufficiency'' mu no, saa ahobammɔ pon a yɛkaa ho asɛm no, awotwaa no, yɛ mmerɛw, ɛyɛ tiaa, anaasɛ efi ase bue ntɛm ansa na akokoaa no anyin koraa, ansa na nyinsɛn bere no adi adapɛn 37 mpo.

Eyi te sɛ nea wobue ɔpon no ntɛm. Sɛ eyi ba a, dɛn na ɛba? Ɛda adi sɛ wɔbɛwo akokoaa no ntɛm, kyerɛ sɛ, wɔawo no ntɛm . Wɔ tebea horow bi mu, titiriw wɔ ɔsram abiɛsa a ɛto so abien mu (wɔ adapɛn 14 ne 27 ntam) no, tebea yi nso betumi ama nyinsɛn agu . Eyi nso betumi ama awo a wawu, a ɛyɛ akokoaa a ɔhwere wɔ nyinsɛn adapɛn 20 akyi.

Nea ɛho hia ne sɛ, sɛ wohu ntɛm na wɔsa no yare a ɛfata a, ebetumi atew asiane yi so kɛse. Enti mma wo ho nnyɛ wo hu.

Saa tebea yi abu so dɛn (Incompetent Cervix)? Henanom na wɔwɔ asiane kɛse mu?

Sɛnea akontaabu kyerɛ no, saa tebea yi (Incompetent Cervix) ba nyinsɛn bɛyɛ 100 biara mu 1 mu. Ɛno kyerɛ sɛ ɛnyɛ nea abu so saa, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu ani gu so nso.

Ɛwom sɛ obiara betumi anya saa tebea yi de, nanso nnipa binom wɔ asiane kɛse mu. Hwɛ sɛ nokwasɛm ahorow yi fa wo ho anaa:

• Sɛ wowɔ awotwaa anaa awotwaa no nsusuwii a ɛnteɛ a wowoo wo a: Asiane yi betumi aba esiane nsonsonoe a ɛwɔ ɔkwan a awotwaa anaa awotwaa no fa so wɔ nnipa binom mu nti.
• Sɛ woatu nyinsɛn wɔ ɔsram abiɛsa a ɛto so abien mu anaasɛ woawo ntɛm wɔ nyinsɛn bi a atwam mu a: Eyi yɛ asiane a ɛho hia yiye.
• Sɛ awotwaa anaa awotwaa no asɛe wɔ nyinsɛn anaa awo a atwam mu a.
• Sɛ wɔayɛ wo oprehyɛn wɔ wo awotwaa mu a: Sɛ nhwɛso no, wɔ nhwehwɛmu anaa ayaresa te sɛ `(LEEP)` akyi.
• Awosu mu tebea horow bi: Ebia nnipa a wɔwɔ awosu mu nyarewa a ɛma ntini a ɛka bom yɛ mmerɛw te sɛ Ehlers-Danlos syndrome nso wɔ awotwaa a ɛyɛ mmerɛw.
• Nhwehwɛmu ahorow bi kyerɛ sɛ mmea abibifo ne ɛnanom a wɔrehwɛ mmanoma anaa mma abiɛsa (dodow) kwan nso wɔ asiane kɛse mu kakra sɛ wobenya saa tebea yi.

Dɛn ne `(Incompetent Cervix)` ho sɛnkyerɛnne?

Ɛha na ɛyɛ basaa kakra. Mpɛn pii no, awotwaa a entumi nyɛ adwuma ho sɛnkyerɛnne biara nni hɔ a ɛda adi pefee. Te sɛ awo a ɛba ntɛm mu no, ebia mfiase no wɔrenhu sɛnea ɛtwetwe anaa nsu a ɛpaapae.

Nanso nnipa binom betumi anya sɛnkyerɛnne ahorow bi te sɛ eyinom:

• Nkate a ɛma obi mu yɛ duru na ɔhyɛ ne yafunu no ase.
• Yafunu mu yaw.
• Bere ne bere mu a wohu.
• Nsakrae a ɛba nsu a ɛba ɔbea awotwaa mu (nsu, ɛyɛ nnam, anaa mogya).

Esiane sɛ saa sɛnkyerɛnne ahorow yi yɛ anifere nti, ebia wubesusuw sɛ ɛnyɛ aniberesɛm biara. Ɛno nti na ɛho hia sɛ woka w’akwahosan ho abakɔsɛm nyinaa ho asɛm kyerɛ wo duruyɛfo no pefee na woka nokware, titiriw nyinsɛn biara a woadi kan atu anaa awo a ɛba ntɛm no. Afei wo duruyɛfo betumi ahu sɛ ebia wowɔ asiane mu na sɛ ɛho hia a, wayɛ ahwɛyiye foforo.

Dɛn na ɛde `(Incompetent Cervix)` ba? Wɔ nyinsɛn mu bere bɛn na eyi ba?

Sɛ yɛbɛka nokware a, wonnya nhuu nea ɛde ``Incompetent Cervix'' ba ankasa. Nanso nnuruyɛfo nim sɛ asiane ahorow a yɛadi kan aka ho asɛm (te sɛ awotwaa a ɛsɛe, oprehyɛn, ne awo mu dɛmdi) na ɛde ba.

Ɛwom sɛ saa tebea yi betumi aba bere biara wɔ nyinsɛn mu de, nanso ɛtaa ba wɔ nyinsɛn no fã a ɛto so abien mu, wɔ adapɛn 14 kosi 27 ntam.

Ɔkwan bɛn so na Awotwaa a Ɛntumi nyɛ adwuma ma nyinsɛn gu?

Nyinsɛn a wotu gu yɛ akokoaa a ɔhwere ansa na wanyinsɛn adapɛn 20. Susuw ho saa kwan yi so: awotwaa no yɛ ɔkwan a ɛda awotwaa (beae a wɔwo akokoaa no) ne ɔbea awotwaa no ntam. Ɛsɛ sɛ wɔto saa kwan yi mu kosi sɛ wɔbɛwo akokoaa no. Nanso wɔ ``Incompetent Cervix`` fam no, saa bue yi bue ntɛm. Afei akokoaa no tumi fi adi ansa na akokoaa no akwaa ne ne nnompe anyin koraa. Saa ``Incompetent Cervix`` tebea yi na ɛde bɛyɛ 25% ba nyinsɛn a wɔtow gu wɔ ɔsram abiɛsa a ɛto so abien no nyinaa mu.

Nanso, ade a ɛho hia sen biara ne sɛ ayaresa ahorow a wɔde sa eyi no taa di yiye kɛse. Enti mma ɛnhaw wo.

So obi a ɔwɔ ``Incompetent Cervix`` betumi awo akokoaa wɔ bere a ɛsɛ mu?

Yiw, akyinnye biara nni ho sɛ ebetumi aba! Sɛ wɔde ayaresa a ɛfata di dwuma a, ebetumi aba. Botae titiriw a ɛwɔ saa tebea yi a wɔsa mu ne sɛ wobesiw awo a ɛba ntɛm ano na wɔama akokoaa no atra awotwaa no mu akyɛ sɛnea wobetumi, na ama n’akwaa ahorow no anyin yiye.

Ɔkwan bɛn so na wobehu tebea a ɛne `(Incompetent Cervix)`?

Bere biara a wobɛkɔ ayaresabea a wɔhwɛ awo ansa na wɔawo no, oduruyɛfo no bebisa wo nsɛm afa w’akwahosan ho abakɔsɛm ne nyinsɛn ho sɛnkyerɛnne ahorow ho. Sɛ woadi kan atu nyinsɛn anaasɛ wɔayɛ wo awotwaa oprehyɛn a, mma wo werɛ mmfi sɛ wobɛka akyerɛ oduruyɛfo no. Oduruyɛfo no betumi agyina asiane ahorow yi so asi gyinae sɛ ɔbɛhwɛ wo awotwaa no yiye.

Akwan titiriw abien na wɔfa so hu tebea no ``Incompetent Cervix``:

1. Pelvic exam: Oduruyɛfo no hwehwɛ awotwaa no mu.

2. Transvaginal ultrasound scan: Wɔ eyi mu no, wɔde adwinnade ketewaa bi fa ɔbea no awotwaa no mu na wɔsusuw awotwaa no tenten ne ne bue.

Ɔkwan bɛn so na wɔsa `(Incompetent Cervix)` yare?

Botae titiriw a ɛwɔ ayaresa mu ne sɛ wɔbɛkɔ so akura nyinsɛn no mu akyɛ sɛnea wobetumi. Esiane sɛ ebetumi ayɛ den sɛ wobehu tebea yi nti, ɛho hia sɛ wuhu nneɛma a ɛde asiane ba no. Wo duruyɛfo begyina wo tebea ne w’ayaresa ho abakɔsɛm so akyerɛ ayaresa a eye sen biara.

Akwan atitiriw pii wɔ hɔ a wɔfa so sa yare:

1. Awotwaa mu ntini a ɛyɛ cerclage

Eyi ne ayaresa a wɔtaa de di dwuma na edi mu sen biara. Sɛ yɛbɛka no tiawa a, nea ɛka ho ne oprehyɛn a wɔde pam w’awotwaa mu, te sɛ bag a wɔkyekyere no. Wɔtaa yɛ eyi wɔ nyinsɛn no adapɛn 12 kosi 14 ntam. Afei, sɛ akokoaa no bere du a, bɛyɛ adapɛn 37 no, woyi nhama no fi hɔ. Afei wubetumi awo awo a ɛfata wɔ ɔbea no awotwaa mu.

Ebia wo duruyɛfo bɛkamfo Cerclage akyerɛ wo wɔ nsɛm a edidi so yi mu:

• Sɛ woadi kan anya nyinsɛn a ɛtɔ wɔ ɔsram abiɛsa a ɛto so abien mu a.
• Sɛ woayɛ cerclage wɔ nyinsɛn bi a atwam mu a.

Nanso ɛnyɛ obiara na obetumi anya cerclage. Nnuruyɛfo nyɛ oprehyɛn yi wɔ nsɛm te sɛ eyinom mu:

• Sɛ worehwɛ mmanoma, mma mmiɛnsa anaa nea ɛboro saa kwan a. (Adanse biara nni hɔ a emu da hɔ a ɛkyerɛ sɛ cerclage brɛ asiane a ɛwɔ hɔ sɛ wɔbɛwo ntɛm no ase wɔ nsɛm yi mu.)
• Sɛ wo awotwaa no atrɛw bɛyɛ sɛntimita 4 dedaw a.
• Sɛ wo nsu kotoku no abubu (membranes no apaapae).

2. Progesterone a wɔde ma

Sɛ wowɔ asiane mu sɛ wobɛnya ``Incompetent Cervix,'' wo duruyɛfoɔ bɛtumi aka akyerɛ wo sɛ fa nnuru a wɔde ka aduane ho (pills anaa vaginal pessaries) a hormone ``Progesterone'' wom fi mmerɛ mmiɛnsa a ɛtɔ so mmienu no mu. Saa hormone yi boa ma nyinsɛn no kɔ so tra hɔ.

3. Nkɔanim a wɔde hwɛ nneɛma so denam ultrasound scans so

Sɛ wowɔ asiane ahorow a ɛbɛma woanya `(Cervical Insufficiency)` a, wo duruyɛfo betumi de `(Transvaginal ultrasound)` scans a wɔyɛ no daa ahwɛ wo awotwaa no so kosi bɛyɛ adapɛn 24 wɔ nyinsɛn no mu. Sɛ ɛte sɛ nea wo awotwaa no reyɛ tiaa a, ebia wo duruyɛfo bɛkamfo `(Cerclage)`. Nanso, mpɛn pii no, wobetumi ayɛ `(Cerclage)` kosi bɛyɛ adapɛn 24 wɔ nyinsɛn no mu nkutoo.

Dɛn ne nsɛnnennen a ebetumi aba wɔ `(Incompetent Cervix)` mu?

Awotwaa a entumi nyɛ adwuma yiye betumi de nsɛnnennen aba, titiriw nyinsɛn a wotu gu ne awo a ɛba ntɛm .

Ɛntaa mma sɛ cerclage betumi de nsɛnnennen bi aba. Nhwɛso ahorow:

• Awotwaa mu a ɛpaapae
• Mogya a ɛtɔ gu nipadua no mu
• Laceration wɔ wo awotwaa mu
• Nsaneɛ

Nanso eyinom yɛ nneɛma a wɔntaa nhu koraa. Nnuruyɛfo dwen eyi ho paa.

So wobetumi asiw `(Incompetent Cervix)` ano?

Nokwarem no, obiara ntumi nsiw awotwaa a entumi nyɛ adwuma no kwan koraa. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de aboa ma woanya nyinsɛn a ahoɔden wom. Eyinom betumi aboa wɔ ɔkwan a ɛnteɛ so:

• Kɔ nyinsɛn ayaresabea ahorow wɔ nna a wɔahyɛ ato hɔ.
• Di aduan a ahoɔden wom na ɛkari pɛ.
• Nya mu duru dodow a ɛfata bere a wonyinsɛn no.
• Kwati nsa, sigaret, ne nnubɔne afoforo koraa.
• Fa vitamin a wo duruyɛfo kamfo kyerɛ ansa na woawo no.
• Bisa wo duruyɛfo ansa na woanom nnuru foforo biara anaa nnuru a wɔde ka ho.

Sɛ mewɔ ``Incompetent Cervix'' a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nha wo ho. Cerclage yɛ ayaresa a ɛdi mu 90% ma awotwaa a ɛnyɛ adwuma. Eyi kyerɛ sɛ ɛnanom pii atumi awo akokoaa a ɔwɔ apɔwmuden a ɛbɛn bere a ɛsɛ sɛ wɔwo no esiane ayaresa yi nti.

Sɛ na mewɔ ``Incompetent Cervix'' kan a, so ɛbɛsan aba bio sɛ ​​me nyinsɛn a?

Yiw, sɛ na wowɔ ``Incompetent Cervix`` wɔ nyinsɛn a atwam mu a, wowɔ asiane mu sɛ wubenya tebea koro no ara wɔ wo nyinsɛn a edi hɔ no mu. Enti, sɛ worehwɛ akokoaa foforo kwan a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka eyi ho asɛm ansa na woanyinsɛn. Afei oduruyɛfo no betumi ama wo afotu a ɛho hia na waboa wo ma woanya nyinsɛn a ahobammɔ ne apɔwmuden wom. Ebia mpo wobɛtumi ama wɔayɛ ``Cerclage`` ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Mpɛn pii no, nnuruyɛfo hu sɛ obi anya awotwaa a entumi nyɛ adwuma yiye bere a nyinsɛn a atu wɔ ɔsram abiɛsa a ɛto so abien mu anaasɛ awo ntɛm akyi. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nyinsɛn no atu bere a woanyinsɛn, te sɛ mogya a ɛretu, yafunu ase yaw, anaa yafunu a ɛyɛ wo yaw , kɔ oduruyɛfo nkyɛn ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wohu sɛ wowɔ ``Incompetent Cervix'' tebea bi a, wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• Asiane bɛn na ɛwɔ mu ma me sɛ menya ``Incompetent Cervix''?
• Nsɛnnennen ho sɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Mɛyɛ dɛn ahu sɛ ayaresa no yɛ yiye?
• So metumi atoa me da biara da dwumadi ahorow so sɛnea meyɛ daa?

Bere bɛn na metumi asan akɔ me dwumadi ahorow a na meyɛ daa no so?

Ɛho nhia sɛ nnipa dodow no ara a wɔn awotwaa ano nyɛ adwuma yiye no to wɔn da biara da dwumadi ahorow ano hye bere a wɔyem no. Nanso, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo susuw eyi ho na ama woahwɛ ahu, a egyina wo tebea so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya nteaseɛ pa wɔ `(Incompetent Cervix)` anaa `(Cervical Insufficiency)` ho.

Kae sɛ, ``Incompetent Cervix'' yɛ bere a awotwaa no yɛ mmerɛw, ɛyɛ tiaa, anaasɛ efi ase bue ntɛm. Eyi betumi ama nyinsɛn agu na wɔawo ntɛm.

Ebetumi ayɛ den sɛ wobehu tebea yi efisɛ ɛnyɛ obiara na ɔwɔ sɛnkyerɛnne ahorow a ɛda adi pefee. Ɛno nti na ɛho hia sɛ woka w’ayaresa ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo, titiriw nyinsɛn biara a woadi kan atu anaa awo a ɛba ntɛm. Afei nso, ka sɛnkyerɛnne biara a ɛyɛ soronko a wubehu bere a wonyinsɛn no ho asɛm kyerɛ wo duruyɛfo. Saa nsɛm yi bɛboa wo duruyɛfoɔ ma wahunu sɛ wowɔ asiane mu sɛ wobɛnya `(Cervical Insufficiency)` anaa.

Asɛmpa no ne sɛ, mpɛn pii no, wobetumi de oprehyɛn a wɔfrɛ no ``Cerclage'' asa saa tebea yi yiye. Enti mma nsuro. Wo ne wo duruyɛfo nka biribiara ho asɛm pefee. Ɛmmra sɛ wubenya ahoɔden de akokoaa a ɔwɔ apɔwmuden aba wiase yi mu!

` Awotwaa mu mmerɛwyɛ, Awotwaa a entumi nyɛ adwuma yiye, Awotwaa a entumi nyɛ adwuma yiye, Nyinsɛn, Awo a enni bere, nyinsɛn a wotu gu, Cerclage, Progesterone, Awotwaa, Mmea Akwahosan