Gyinae a wobesi sɛ wobegyae nyinsɛn no yɛ ankorankoro asɛm na ɛyɛ nkate kɛse. Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa, ehu, ne nneɛma a wontumi nsi pi wɔ bere a ɛte sɛɛ mu. Ɛmfa ho nea enti a wosi gyinae yi no, ɛho hia sɛ wunya aduruyɛ ho nsɛm a edi mu fa ho. Enti ɛnnɛ, yɛbɛka "Medical Abortion," ɔkwan a wɔfa so twa nyinsɛn wɔ ne mfiase a wɔnyɛ oprehyɛn, denam nnuru a wɔde di dwuma so ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne nyinsɛn a woyi gu wɔ aduruyɛ mu?
Aduruyɛ mu nyinsɛn a woyi gu yɛ adeyɛ a ɛnyɛ oprehyɛn a wɔde nnuru ahorow abien a oduruyɛfo akyerɛw ama no di dwuma de twa nyinsɛn no mu wɔ ne mfiase (mpɛn pii no wɔ adapɛn 10 a edi kan no mu). Nnuru atitiriw abien na ɛwɔ hɔ:
1. Mifepristone: Saa aduru yi yɛ adwuma denam hormone progesterone a ɛho hia na ama nyinsɛn akɔ so atra hɔ no dwumadi a esiw ano no so. Sɛ saa hormone yi yera a, awotwaa no mu nkataso yɛ teateaa na nyinsɛn no ntra ase bio.
2. Misoprostol: Wɔnom saa aduru a ɛto so abien yi nnɔnhwerew 24 kosi 48 wɔ aduru a edi kan no akyi. Ɛma awotwaa no twitwiw, na ɛma mogya tu ne akisikuru, na ɛpam awotwaa no mu nneɛma koraa.
Eyi yɛ adeyɛ soronko sen D&C (Dilation and Curettage) , a ɛyɛ oprehyɛn a wɔyɛ sɛ nyinsɛn no kɔ anim a.
Dɛn nti na obi bɛpaw saa kwan yi?
Saa gyinaesi yi yɛ ankorankoro de koraa. Nneɛma ahorow betumi anya so nkɛntɛnso. Susuw ho hwɛ, ebia eyi yɛ nyinsɛn a wɔanhyɛ da. Anaasɛ, nyinsɛn no a wobɛtoa so no betumi ayɛ asiane ama wo nkwa anaa w’akwahosan. Ɛtɔ da bi a, awofo betumi asi saa gyinae yi bere a wɔte sɛ akokoaa a ɔwɔ awotwaa mu no wɔ awo mu yare a emu yɛ den no.
Nea ɛka ho no, ɛtɔ mmere bi a nnuruyɛfo de nnuru koro yi ara tew awotwaa no ho, sɛ mpo akokoaa no wu wɔ awotwaa no mu (anso nyinsɛn no atu), ne nsɛm a ɛnyɛ nea n’ankasa ntu mfi mu no.
Ɛmfa ho sɛnea wo tebea te biara no, ɛbɛyɛ papa sɛ wo ne oduruyɛfo a onim w’aduruyɛ ho abakɔsɛm bɛkasa na woasusuw akwan a wubetumi afa so ho.
Henanom na saa kwan yi mfata mma?
Sɛnea ɛte wɔ aduruyɛ biara ho no, eyi mfata obiara. Ɛho hia sɛ wo ne wo duruyɛfo susuw w’akwahosan ho na ama woahwɛ ahu sɛ eyi yɛ nea asiane biara nni ho mma wo. Saa adeyɛ yi betumi ayɛ nea asiane wom wɔ nsɛm a edidi so yi mu:
| Gyinabea | Nkyerɛmu |
|---|---|
| Sɛ nyinsɛn no boro adapɛn 10 a | Saa kwan yi tu mpɔn sen biara na ahobammɔ nnim wɔ nyinsɛn no mfiase. |
| Nyinsɛn a Ɛwɔ Awotwaa no Akyi | Eyi yɛ tebea a ɛyɛ hu paa. Saa aduru yi nyɛ adwuma mma no. |
| Sɛ wo ho nyɛ wo hyew wɔ nnuru a wɔde di dwuma no ho a | Eyi mfata koraa sɛ wo ho yɛ wo hyew wɔ nnuru ho a. |
| Sɛ wode IUD redi dwuma a | Ɛsɛ sɛ woyi IUD no ansa na wɔanom aduru no. Wobetumi adi saa kwan yi akyi bere a wɔayi afi hɔ awie no. |
| Mogya a ɛma mogya tu anaa mogya a ɛtɔ kɔ nipadua mu a emu yɛ den | Eyi betumi ayɛ asiane efisɛ ebetumi ama mogya atu dodo. |
| Sɛ mmeae biara nni hɔ a wɔde sa yare ntɛm ara a | Eyi nyɛ papa sɛ wuntumi nkɔ ayaresabea anaa baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) ntɛm ara sɛ ɔhaw biara ba a. |
Sɛ wonom aduru no a, dɛn na ɛba na dɛn na ɛsɛ sɛ wohwɛ kwan?
Wo duruyɛfo bɛkyerɛkyerɛ ɔkwan a wɔfa so yɛ no mu akyerɛ wo kɔ akyiri. Ɛtaa kɔ saa:
1. Anamɔn 1: Wonom Mifepristone aduru no wɔ wo duruyɛfo adwumayɛbea. Ebia nnipa binom benya akisikuru bi anaa mogya a ɛbɛtɔ wɔn kakra wɔ eyi akyi, nanso nnipa dodow no ara nte nsonsonoe kɛse nka.
2. Anamɔn a ɛto so abien: Wɔ nnɔnhwerew 24 kosi 48 akyi bere a woanom aduru a edi kan no, wobɛnom Misoprostol wɔ fie.Ɛsɛ sɛ wonom nnuru a wɔde sa yare no. Ebia wo duruyɛfo betu wo fo sɛ fa hyɛ w’anom (bucally) anaasɛ fa hyɛ wo awotwaa mu.
Mpɛn pii no, yare no ho sɛnkyerɛnne fi ase wɔ nnɔnhwerew biako kosi anan mu bere a wɔanom aduru no dodow a ɛto so abien no. Ɛho hia sɛ wogye w’ahome na wotra baabi a ahotɔ wɔ na ahobammɔ wɔ saa bere yi mu.
Nneɛma a ɛsɛ sɛ yɛhwɛ kwan:
- Yafunu mu yaw a emu yɛ den na mogya tu: Eyi te sɛ akisikuru a emu yɛ den a ɛba bere a obi rekɔ brayɛ mu no. Ebia mogya a ɛtwetwe no bɛfa mogya no ho. Eyi di nnɔnhwerew pii.
- Atiridii ne atiridiinini: Ebia wobɛte atiridii kakra anaa atiridiinini nka bɛyɛ da koro bere a woanom aduru a ɛto so abien no akyi.
- Nsɛnkyerɛnne afoforo: Ɔbrɛ, akisikuru, ɔfe, ne akisikuru betumi aba.
Sɛnea ɛbɛyɛ na woadi ɛyaw no so no, sɛ wode nsu a ɛyɛ hyew toa gu wo yafunu mu na wonom aduru a wɔde kum ɛyaw (te sɛ ibuprofen) a wo duruyɛfo kamfo kyerɛ a, ebetumi aboa. Nnom nnuru biara da a wonkɔ wo duruyɛfo nkyɛn.
Dɛn na ɛba wɔ saa adeyɛ yi akyi?
- Mogya a ɛtɔ: Mogya a ɛtɔ kɛse betumi akɔ so da koro anaa nnanu, afei mogya a ɛtɔ kakra betumi aba adapɛn abien kosi abiɛsa, te sɛ bere a ɛfata. Fa sanitary pads di dwuma sen sɛ wode tampon bedi dwuma wɔ saa bere yi mu. Eyi bɛma ayɛ mmerɛw sɛ wobɛhwɛ sɛnea mogya retu wo.
- Di akyi: Ɛsɛ sɛ wosan kɔ wo duruyɛfo nkyɛn wɔ bɛyɛ adapɛn abien akyi. Afei, wɔbɛyɛ scan anaa nhwehwɛmu foforo de ahwɛ sɛ aduru no reyɛ adwuma yiye na wɔagyae nyinsɛn no koraa. Eyi yɛ anammɔn a ɛsɛ sɛ woyɛ.
- Wo ho a wobɛtɔ: Wɔ nipadua mu no, ɛsɛ sɛ wosan kɔ wo tebea a na ɛte kan no mu wɔ da koro anaa nnanu mu. Nanso, w’adwene mu no, ebia wobɛte nkate ahorow bi nka. Ebia ahotɔ, awerɛhow, abufuw, anaa afobu... eyinom nyinaa yɛ ade a ɛfata. Sɛ wo ne obi a wowɔ ne mu ahotoso, anaa sɛ ɛho hia a, adwenemyare ho ɔfotufo bɛka eyi ho asɛm a, ebetumi aboa kɛse.
- Ɔbarima ne ɔbea nna ne nyinsɛn a wɔsan nyinsɛn: Nea ɛbɛyɛ na woasiw ɔyare mmoawa ano no, kwati sɛ wo ne obi bɛda adapɛn abien kosi abiɛsa. Saa adeyɛ yi akyi no, wo brayɛ a ɛfata no bɛsan afi ase bio wɔ adapɛn 4-6 mu. Wubetumi anyinsɛn bio nnansa yi ara, wɔ adapɛn abien pɛ mu. Mpɛn pii no, saa adeyɛ yi nka wo daakye awo.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ wuhu frankaa kɔkɔɔ a edidi so yi mu biara a , kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no.
- Sɛ mogya biara mfii ase ntu wɔ nnɔnhwerew 24 akyi wɔ aduru a ɛto so abien (misoprostol) a wɔnom no akyi a.
- Sɛ mogya retu wo kɛse (sɛ nhwɛso no, sɛ ahotew ntama abien a ɛyɛ den ahyɛ nsu mu koraa wɔ dɔnhwerew biako mu a).
- Sɛ woreda ɔyare mmoawa ho sɛnkyerɛnne adi (te sɛ atiridiinini a ɛtra hɔ bɛboro nnɔnhwerew 24, nsu a ɛyɛ huam a efi awotwaa mu).
- Sɛ wowɔ yafunu anaa akyi yaw a emu yɛ den a wuntumi nnyina ano a .
- Sɛ woannya wo nna mu asram abien a.
- Sɛ woda so ara renya nyinsɛn ho sɛnkyerɛnne ahorow (te sɛ akisikuru, nufu a ɛyɛ mmerɛw) a .
Nkrasɛm a Wɔde Kɔ Fie
- Aduruyɛ mu nyinsɛn a woyi gu yɛ ɔkwan a ahobammɔ wom na etu mpɔn a wɔfa so gyae nyinsɛn ntɛm, a wɔde nnuru a wɔde sa yare di dwuma.
- Eyi yɛ ankorankoro gyinaesi ankasa. Ɛho hia sɛ wo ne oduruyɛfo a ɔfata susuw ho na wohwehwɛ aduruyɛ mu afotu a ɛfata ansa na woasi gyinae biara.
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Di akwankyerɛ pɔtee a ɛfa wo nnuru a wobɛnom ne mmere a wobɛnom ho no akyi.
- Hwɛ yiye wɔ asiane ho sɛnkyerɛnne te sɛ mogya a ɛtɔ kɛse ne atiridiinini a ɛtra hɔ bɛboro da koro no ho. Sɛ eyinom mu bi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Adwene mu akwahosan ho hia te sɛ nipadua akwahosan ara pɛ. Sɛ wuhia mmoa a, ntwentwɛn wo nan ase sɛ wobɛka ho asɛm.
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