Akokoaa a wɔbɛhwɛ kwan no yɛ anigyesɛm ma abusua biara. Mpɛn pii no, wɔ ɛnanom dodow no ara fam no, saa bere yi twam wɔ awosu mu na ɛyɛ anigye. Sɛ da a ɛsɛ sɛ wɔwo no wie a, wɔwo akokoaa a ɔwɔ apɔwmuden na ne ho yɛ fɛ ba wiase yi mu. Da koro anaa nnanu mu no, wufi ayaresabea ba fie na wo ne abusua no muni foforo fi asetra ase. Nanso ɛnyɛ nyinsɛn biara na ɛkɔ so yiye saa. Ɛsɛ sɛ ɛnanom binom hyia tebea bi a nnuruyɛfo frɛ no “ nyinsɛn a asiane kɛse wom .”
Sɛ yɛbɛka no tiawa a, dɛn ne nyinsɛn a asiane kɛse wom?
Nsuro sɛ wote saa din yi a. "Asiane kɛse" nkyerɛ sɛ biribi bɔne bi bɛba . Nea ɛkyerɛ tiawa ne sɛ, hokwan kɛse wɔ hɔ sɛ nsɛnnennen bɛba wɔ nyinsɛn mu a ebetumi aka ɛna no, akokoaa no, anaa n’abien nyinaa. Fa no sɛ osuani bi a ohia sɛ wɔde wɔn adwene si no so titiriw. Wɔde ɛna a wanyinsɛn saa no to oduruyɛfo bi a ne ho akokwaw hwɛ ase. Wɔyɛ eyi na ama ɛna no ne akokoaa no akwahosan ho ahobammɔ a ɛsen biara na wɔanya nea eye sen biara.
Nea ɛho hia ne sɛ, sɛ wɔde aduruyɛfo hwɛ wɔn na wɔhwɛ wɔn yiye a, ɛnanom dodow no ara a wonyinsɛn a asiane kɛse wom no betumi awo nkokoaa a wɔwɔ apɔwmuden.
Nneɛma bɛn na ebetumi ama nyinsɛn ayɛ nea asiane wom?
Nneɛma pii nti na wobetumi de nyinsɛn ato asiane mu . Momma yɛnhwɛ wɔn mmiako mmiako.
| Ntease type | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Ɛna mfeɛ | Sɛ ɛna no nni mfe 17 anaa boro mfe 35 bere a ɔrewo no a, hokwan a ɛwɔ hɔ sɛ obenya nsɛnnennen no yɛ kɛse. Asiane a ɛwɔ hɔ sɛ nyinsɛn betu ne awosu mu sintɔ ahorow no kɔ soro, titiriw bere a wɔadi mfe 40 akyi. |
| Ayaresa mu tebea horow a na ɛwɔ hɔ dedaw ansa na ɔrenyinsɛn | Sɛ woanya saa tebea horow yi ansa na worenyinsɛn a, ɛno nso yɛ asiane. Nhwɛsoɔ:
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| Nyarewa a ɛba bere a wɔyem | Sɛ mpo na wowɔ apɔwmuden bere a wunyinsɛn no a, ebia wubenya akwahosan tebea foforo bere a wonyinsɛn no. Nneɛma atitiriw no mu abiɛsa ne: 1. Preeclampsia: Eyi yɛ sɛnkyerɛnne ahorow a ɛka bom a ɛba bere a nyinsɛn te sɛ mogya mmoroso, protein a ɛwɔ nsu mu , ne nipadua a ɛho ahonhon. Sɛ wɔansa no yiye a, ebetumi ayɛ asiane ama ɛna no ne akokoaa no nyinaa. 2. Nyinsɛn mu Asikreyare: Asikreyare tebea a ɛba bere a wɔyem nkutoo. Sɛ wudi ayaresa nhyehyɛe a wo duruyɛfo de ama wo no akyi yiye a, akwanside biara nni hɔ a ɛbɛma woanya akokoaa a ɔwɔ apɔwmuden. 3. Adwenemhaw: Adwenemhaw betumi aba wɔ nyinsɛn mu esiane nkwaadɔm mu nsakrae, ɔbrɛ, ne adwennwen nti. Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu efisɛ eyi nso betumi aka akokoaa no nkɔso. |
| Ɔhaw afoforo a ɛfa nyinsɛn ho | Ɛtɔ da bi a, ɛwom sɛ ɛna no akwahosan ye de, nanso ɔhaw ahorow bi wɔ hɔ a ɛnam nyinsɛn no ankasa so sɔre.
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Sɛ wowɔ saa tebea horow yi bi a, ɛho hia sɛ wo ne wo duruyɛfo kasa ansa na woasi gyinae sɛ wubenyinsɛn . Obetumi ayɛ nhwehwɛmu, ayɛ nsakrae wɔ wo nnuru mu, na wama wo afotu a wode bɛbɔ w’akwahosan ne wo ba no de ho ban.
Ɔkwan bɛn so na wɔbɛhwɛ sɛ akokoaa no yiyedi wɔ nyinsɛn a asiane kɛse wom mu?
Sɛ wobu wo nyinsɛn no sɛ asiane kɛse a, wo duruyɛfo bɛhwɛ akokoaa no akwahosan daa. Sɔhwɛ titiriw a wɔde yɛ eyi ne Biophysical Profile (BPP) .
Sɛ yɛbɛka no tiawa a, BPP yɛ amanneɛbɔ krataa a ɛma wonya nkontaa wɔ akokoaa no akwahosan ho. Ɛde sɔhwɛ bi a wɔfrɛ no Nostress Test (NST) ne ultrasound scan na edi dwuma titiriw. Wɔtaa yɛ no wɔ nyinsɛn no adapɛn 28 akyi.
- Nostress Test (NST): Wɔ eyi mu no, wɔde afiri bi a wɔde hwɛ nneɛma so bata ɛna no yafunu ho na wɔhwɛ sɛnea akokoaa no koma bɔ bere a akokoaa no tu no. Eyi betumi ama wɔanya adwene sɛ ebia akokoaa no renya mframa pa a ɛdɔɔso anaa.
- Ultrasound Scan: Scan a wɔyɛ wɔ BPP sɔhwɛ no mu no twe adwene si nsɛntitiriw 4 so.
| Nea BPP sɔhwɛ no hwehwɛ | Sɛnea wɔbɔ nkontaa |
|---|---|
| Fetal Tone (Awotwaa mu Nne). | Wɔde saa afã horow yi mu biara ne NST sɔhwɛ no ma nkontabuo sɛ 0, 1, anaa 2. Nkonimdie no nyinaa yɛ 10. Mpɛn pii no, sɛ nkontabuo no yɛ 8 anaa 10 , na wobu akokoaa no sɛ ɔwɔ akwahosan pa. Sɛ nkontabuo no nnu 8 a, oduruyɛfoɔ no bɛtumi asi gyinaeɛ sɛ ɔbɛyɛ nhwehwɛmu pii anaa ɔbɛwo akokoaa no. |
| Awotwaa mu Ahomegye | |
| Awotwaa mu Nneɛma a Ɛkanyan | |
| Amniotic Nsu dodow a Ɛwɔ Hɔ | |
| Sɔhwɛ a Ɛnyɛ Adwennwen (NST) no mu aba |
Wo duruyɛfo begyina wo tebea no so akyerɛ nhwehwɛmu a ɛfata wo kɛse.
Dɛn na wobetumi ayɛ de asiw nsɛnnennen ano na wɔadi ho dwuma?
Sɛ mpo wunni akwahosan ho haw biara a, ɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woanyinsɛn (preconception appointment) sɛnea ɛbɛyɛ a wubetumi asua anammɔn a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow bi so.
Nneɛma a wubetumi ayɛ:
- Folic Acid: Anyɛ yiye koraa no, fa folic acid microgram 400 da biara ansa na woanyinsɛn mpo.
- Nya nnuru a wɔkamfo kyerɛ: Nya nnuru a wo duruyɛfo kamfo kyerɛ no nyinaa.
- Aduan a ahoɔden wom ne wo mu duru ano aduru: Di nnuan a ahoɔden wom. Kura wo nipadua mu duru a ɛfata mu.
- Apɔw-mu-teɛteɛ daa: Gye sɛ wo duruyɛfo ka sɛ dabi, fa wo ho hyɛ apɔw-mu-teɛteɛ a emu nyɛ den a ɛfata wo mu.
- Kwati sigaretnom, nsa, ne nnubɔne: Eyinom pira akokoaa no kɛse.
- Di aduruyɛ mu afotu akyi: Fa nnuru a wo duruyɛfo apene so no nkutoo. Kɔ ayaresabea hɔ bere ano.
- Kɔ oduruyɛfo titiriw: Sɛ wo nyinsɛn no yɛ nea asiane kɛse wom a, wo duruyɛfo betumi de wo akɔ oduruyɛfo a ɔhwɛ awo akyi anaa ɛna ne awotwaa mu aduruyɛ ho ɔbenfo nkyɛn . Ɔne wo nnuruyɛfo afoforo bɛyɛ adwuma de nea eye sen biara ama wo ne wo ba no.
Nkrasɛm a Wɔde Kɔ Fie
- "High-Risk Pregnancy" nkyerɛ sɛ akyinnye biara nni ho sɛ biribi bɔne bɛba. Nea ɛkyerɛ ara ne sɛ wo ne wo ba no hia ɔhwɛ ne adwene titiriw .
- Sɛ wowɔ akwahosan ho haw bi a, wo ne wo duruyɛfo nkasa ansa na woayɛ nhyehyɛe sɛ wubenyinsɛn.
- Di wo duruyɛfo akwankyerɛ, nnuru a wɔkyerɛw ma wo, ne aduan ho nhyehyɛe akyi pɛpɛɛpɛ. Mma ayaresabea nna biara nmpa wo ti so.
- Nsuro. Bisa wo duruyɛfo nsɛm anaa nsɛm biara a ɛhaw wo. Nkitahodi pa a yɛbɛkɔ so akura mu no ho hia yiye.
- Sɛ wohwɛ aduruyɛ so yiye a, wo nso wubetumi de akokoaa a ɔwɔ apɔwmuden na ne ho yɛ fɛ aba wiase yi mu.
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