So ɛyɛ den ma wo nso anɔpa? Momma yɛnka ‘Anɔpa Yare’ yi ho asɛm!

Sɛ worehwɛ akokoaa kwan a, ebia woanya akisikuru ne ɔfe anɔpa. Ɛtɔ da bi mpo a, ebia wobɛfe. Eyi yɛ biribi a nnipa pii hyia. Yɛfrɛ eyi 'Anɔpa Yare'. Ɛmfa ho din no, saa ɔhaw yi betumi aba bere biara wɔ da no mu. Momma yɛnka eyi ho asɛm nkɔ akyiri, efisɛ ɛho hia paa sɛ wubehu.

Dɛn ne ‘Anɔpa Yare’?

Sɛ yɛbɛka no tiawa a, ‘Anɔpa Yare’ yɛ akisikuru ne ɔfe a ɛba bere a nyinsɛn no. Ɛyɛ tebea a abu so yiye. Mmea a wɔyem bɛyɛ 70%, anaa bɛyɛ du biara mu baason, nya saa tebea yi wɔ nyinsɛn no asram abiɛsa a edi kan no mu (yɛfrɛ eyi ‘First Trimester’). Ɛmfa ho sɛ wɔtoo din ‘Anɔpa’ no, ɛnyɛ anɔpa nkutoo. Saa akisikuru yi betumi aba bere biara wɔ da no mu.

Wobetumi de ofie nnuru ne nsakrae nketenkete a wɔbɛyɛ wɔ w’aduan ne w’asetra kwan mu adi eyi ho dwuma. Ɛtɔ mmere bi a, ebia wo awo ho oduruyɛfo nso bɛkamfo nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu (OTC) akyerɛ sɛ ɛbɛboa ma woanya akisikuru. Mpɛn pii no, saa sɛnkyerɛnne ahorow yi bɛbrɛ ase wɔ nyinsɛn no fã a ɛto so abien no mu, bɛyɛ adapɛn 14.

Ɛkyɛ dɛn na ‘Anɔpa Yare’ betumi afi ase?

Ɛyɛ den sɛ yɛbɛka bere pɔtee a eyi fi ase, nanso ebetumi afi ase ntɛm wɔ adapɛn asia akyi wɔ nyinsɛn no mu. Mmea dodow no ara nya saa ‘Anɔpa Yare’ ho sɛnkyerɛnne yi ansa na wɔanyinsɛn adapɛn akron.

Bere bɛn na anɔpa yare dɔɔso sen biara?

Nnipa dodow no ara nya saa tebea yi wɔ nea enye koraa mu wɔ nyinsɛn adapɛn awotwe kosi du ntam. Nanso eyi nyɛ ade koro wɔ obiara fam. Ebia ebinom behu no ntɛm, na afoforo nso betumi anya bi akyiri yi.

Anɔpa yare betumi atra hɔ bere tenten ahe?

Mpɛn pii no, eyi bɛbrɛ ase anaasɛ ebefi hɔ koraa wɔ nyinsɛn no dapɛn a ɛto so 13, a ɛyɛ ɔsram abiɛsa a edi kan no awiei. Nanso, mmea binom betumi akɔ so anya saa sɛnkyerɛnne ahorow yi akosi ɔsram abiɛsa a ɛto so abien no mfiase (nyinsɛn no adapɛn 14 kosi 27). Ɛntaa mma sɛ nnipa binom nya saa ‘Anɔpa Yare’ yi kosi sɛ wɔn nyinsɛn no bɛba awiei.

Dɛn ne ‘Anɔpa Yare’ ho sɛnkyerɛnne?

‘Anɔpa Yare’ ho sɛnkyerɛnne atitiriw ne yafunu a ɛyɛ yaw (akisikuru), aduan ho akɔnnɔ a ɛyera, ne ɔfe . Mmea binom ka tebea no ho asɛm sɛ:

• Te sɛ ɔhyew a ɛba wo koko mu, anaa biribi a ɛreba soro wɔ menewa mu (komayare anaasɛ ɛsan ba).
• Sɛ wote nka sɛ wo ho ayɛ wo yaw na wo ho ayɛ wo yaw, te sɛ nea worekɔ po so akwantu mu (Po so yare anaa kankyee mu yare).
• Nkate a ɛne sɛ biribi akɔhyɛ menewam.
• Ɔkɔm a wɔte nka sɛ ontumi nnidi.

Dɛn ne nneɛma a ɛde ‘Anɔpa Yare’ ba?

Wonnya nhuu nea ɛde anɔpa yare ba ankasa, nanso nnuruyɛfo gye di sɛ nipadua ne nnuru mu nsakrae pii a wɔaka abom na ɛde ba. Nneɛma atitiriw a ebetumi aboa ma aba ne:

• Asikre a ɛwɔ mogya mu a ɛba fam .
• Nkwammoaa a wɔyɛ no boro so wɔ nyinsɛn mu, titiriw nkwaadɔm a wɔfrɛ no ‘Human Chorionic Gonadotropin’ (HCG) ne ‘Oestrogen’ no, dodow kɔ soro.
• Mogya mmoroso a ɛsakrasakra .
• Nsakrae a ɛba nipadua mu nneɛma a ɛsakra mu .

Afei nso, nneɛma bi wɔ hɔ a ebetumi ama tebea yi asɛe kɛse:

• Adwennwen ne dadwen .
• Sɛ́ wobɛbrɛ no kyerɛ sɛ wobɛbrɛ dodo .
• Nnuan bi a wodi anaa wote hua . Sɛ nhwɛso no, nnipa binom tumi te nka sɛ wɔn ho ayɛ wɔn yaw denam nneɛma te sɛ nnuaba a ayow anaa tempura hua a wɔte ara kwa so.
• Kankyee yare .
• Wim tebea a ɛyɛ hyew anaasɛ ɛyɛ hyew .

So Anɔpa Yare betumi ayɛ aniberesɛm?

Yiw, ɛtɔ mmere bi a, tebea yi betumi ayɛ nea emu yɛ den. Mmea dodow no ara nya akisikuru nnɔnhwerew kakraa bi da biara na wobetumi afe pɛnkoro anaa mprenu da biara. Nanso, sɛ anɔpa yare mu yɛ den a, akisikuru tumi tra hɔ nnɔnhwerew pii da biara na ɔfe bɛboro mpɛn anan da biara. Wɔfrɛ saa tebea a emu yɛ den yi hyperemesis gravidarum.

Dɛn ne ‘Hyperemesis Gravidarum’ ho sɛnkyerɛnne?

‘Hyperemesis Gravidarum’ ho sɛnkyerɛnne bi ne:

• Ɔfe bɛboro mprɛnsa da biara.
• Nsu a ɛho ayɛ fĩ kɛse . Eyi kyerɛ sɛ nipadua no ahwere nsu pii dodo. Nsɛnkyerɛnne no bi ne nsu a wɔtow so tew anaasɛ wontu, nsu a ɛyɛ tumm, ne sɛ obi gyina hɔ a, ne ti yɛ no yaw.
• Mu duru a ɛso tew bɛyɛ kilogram 4.5 (nkaribo 10) anaa nea ɛboro saa.

Ɛtɔ mmere bi a, ɛsɛ sɛ wɔde mmea a wɔwɔ anɔpa yare a emu yɛ den kɔ ayaresabea na wɔma wɔn nsu a wɔde fa IV mu na ama wɔn nipadua mu nsu asan anya nsu, ne nnuru a wɔde bɛtew akisikuru so.

Ɔkwan bɛn so na wobehu ‘Anɔpa Yare’?

Sɛ worehu ‘Anɔpa Yare’ ho sɛnkyerɛnne a, ɛsɛ sɛ woka kyerɛ wo awo ho oduruyɛfo . Sɛ wo duruyɛfoɔ susu sɛ wowɔ ‘Hyperemesis Gravidarum’ a, ɔbɛtumi ahyɛ sɛ wɔnyɛ wo nsuo mu nhwehwɛmu anaa mogya mu nhwehwɛmu.

Dɛn na metumi ayɛ de atew anɔpa yare so?

Nneɛma pii wɔ hɔ a wubetumi ayɛ na ama woanya ahotɔ. Nsakrae nketenkete a wobɛyɛ wɔ w’aduan ne w’asetra kwan mu no betumi aboa kɛse ma akisikuru yi so atew.

Nsakrae a ɛba aduan mu ma ‘Anɔpa Yare’.

• Mma wo yafunu da mpan nnidi anɔpa. Di krak abien anaa abiɛsa anaa paanoo a wɔayam ansa na woafi mpa so. Fa biribi te sɛ krak sie wo mpa ho.
• Sɛ́ anka wubedi aduan pii prɛko pɛ no, di nnuan nketenkete mpɛn pii da biara. Sɛ́ anka wubedi nnuan atitiriw abiɛsa no, di nnuan nketenkete anum kosi asia.
• Mma nntwa adidi so. Akisikuru betumi ayɛ kɛse bere a ɔkɔm de wo no.
• Kwati nnuan a nnuhwam ne srade wom.
• Di nnuan a ɛnyɛ den na ɛnyɛ den sɛ wobɛyam. Nhwɛso bi ne banana, aburow, paanoo a ayow, ɛmo a wɔanoa, jelly, soup broth, nkesua, ne apɔw-mu-teɛteɛ.
• Di nnuan a ahoɔden wom a protein pii wom wɔ nnuan atitiriw ntam. Nneɛma te sɛ yogurt, apɔw-mu-teɛteɛ a wɔde peanut butter, cheese, ne nnuaba ayɛ.
• Nom nsu pii da mũ no nyinaa. Nom nsu afoforo nso. Nanso kwati anonne a caffeine wom (kɔfe, tii ahorow bi).
• Sɛ wufi fie a, fa nnuan ketewaa bi gu wo bag mu bere nyinaa.
• Yam ginger a wɔayɛ no foforo bi na nom sɛ tii, anaasɛ su biribi te sɛ ginger candies.

Asetra mu nsakrae ma ‘Anɔpa Yare’.

• Fa wo vitamin a wode ma ansa na woawo no ne aduan a ɛyɛ dɛ. Sɛ iron wɔ wo vitamin no mu a, bɔ mmɔden sɛ wobɛnom ansa na woada. Wo ne wo duruyɛfo nka eyi ho asɛm na bisa vitamin afoforo a wubetumi apaw ho asɛm.
• Twe wo ho fi nneɛma te sɛ hua a ɛnyɛ dɛ ne akanea a ɛhyerɛn, a ebetumi ama woate nka sɛ wo ho ayɛ wo yaw no ho.
• Nya ahomegye pii. Saa tebea yi nso betumi ama ɔbrɛ ayɛ kɛse.
• Hwɛ hu sɛ mframa pa fa adan no mu. Dane fan, anaa kɔ abɔnten kakra na nya mframa pa bi.
• Te hua a ɛyɛ foforo a ɛyɛ dɛ. Ɛyɛ huam te sɛ lemon, orange, mint.
• Mma ntra ase bere a woadi awie no.
• Hohoro w’ano yiye bere a woafe awie no. Nneɛma a acid wom a ɛka ɔfe ho no betumi asɛe wo sẽ. Enti, sɛ wohohoro w’ano a, ebetumi abɔ wo sẽ ho ban.

Akwan foforo a wɔfa so yɛ akisikuru bere a nyinsɛn no

Akwan foforo wɔ hɔ a wobɛfa so atew akisikuru so, nanso ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woasɔ eyinom ahwɛ.

• Acupressure wristband: Saa nhama yi de nhyɛso ba mmeae pɔtee bi a ɛwɔ nsateaa no so.
• Acupuncture a wɔde yɛ:Wɔ acupuncture mu no, wɔde nnade a ɛyɛ tratraa hyehyɛ mmeae pɔtee bi wɔ nipadua no so.

Nea ɛho hia: Mfa wii nni dwuma sɛ ade a wɔde sa anɔpa yare. Wɔnkyerɛɛ ahobammɔ a ɛwɔ wii a wɔde di dwuma bere a wɔyem no mu.

Nnuan bɛn na eye ma anɔpa yare?

Aduan a protein, aburow a wɔayam, nhabannuru, ne nnuaba pii a wubedi no ye ma wo ne wo ba no. Nnuan a wɔayɛ ho adwuma dodo na asikre wom betumi ama nneɛma asɛe kɛse ama wo. Nnuruyɛfo taa kamfo nnuan a edidi so yi kyerɛ mmea a wɔyare anɔpa yare:

• Nnuan a ɛnyɛ den a ɛnyɛ den sɛ wobɛyam: Nneɛma te sɛ krak, toast, pretzel, ne apɔw-mu-teɛteɛ.
• Nnuaba a wɔde yɛ smoothies ne yogurt.
• Nsu anaa tii (hwɛ yiye wɔ caffeine dodow a ɛwɔ tii mu no ho).
• Nnuaba ne nhabannuru a nsu pii wom: te sɛ akutu, celery, akutu. Citrus nnuaba nso betumi atew akisikuru so.

Dɛn ne nnuru a wɔde sa ‘Anɔpa Yare’?

Ebia wo duruyɛfo bɛkamfo vitamin B6 (a wɔsan frɛ no pyridoxine) ne doxylamine akyerɛ wo. Wɔde doxylamine sa nna a wontumi nna ne sare atiridii anaa nneɛma afoforo a ɛma obi ho yɛ no hyew. Wobetumi anya nnuru abien yi nyinaa a wɔtɔn wɔ nnurutɔnbea ahorow.

Aduru bi nso wɔ hɔ a wɔfrɛ no Diclegis® a wɔapene so ama anɔpa yare. Nea ɛnte sɛ nnuru abien a yɛaka ho asɛm wɔ atifi hɔ no, Diclegis® yɛ aduru a ɛba nkakrankakra a ɛba wɔ aduru biako mu. Ebia eyi bɛyɛ mmerɛw ama nnipa a ɛyɛ den ma wɔn sɛ wɔbɛnom nnuru pii da biara (sɛ nhwɛso no, wɔn a wɔn menewa mu yɛ wɔn yaw). Nanso, wobetumi anya bi bere a wɔkyerɛw nnuru ma obi nkutoo.

Ebia wo awo ho oduruyɛfo ne mmea ho oduruyɛfo nso bɛkamfo nnuru a ekum akisikuru akyerɛ. Sɛ nnuru yi mmoa a, nnuru afoforo te sɛ nnuru a ekum histamine ne nnuru a ekum cholinergics nso betumi aboa. Wo ne wo duruyɛfo no bɛbom asi aduru a eye ma wo ho gyinae.

So ‘Anɔpa Yare’ pira me ba no?

Mpɛn pii no, akisikuru a emu nyɛ den kosi nea ɛkɔ fam ne ɔfe a wobɛfe bere a wonyinsɛn no nyɛ asiane mma wo anaa wo ba no. Nanso, sɛ wuntumi mma biribiara nkɔ fam, wo ho tɔ wo, na wo mu duru so tew a, ebetumi ayɛ ɔhaw. Akisikuru ne ɔfe a emu yɛ den a wuntumi nni so no betumi asiw wo kwan sɛ wubenya aduannuru a wuhia no, na ebetumi aka wo ba no mu duru wɔ awo mu.

So mmea binom wɔ asiane kɛse mu sɛ wobenya anɔpa yare a emu yɛ den?

Aane. Saa asiane yi betumi akɔ soro wɔ tebea horow a edidi so yi mu:

• Sɛ wokura mmanoma, mma mmiɛnsa, anaa nea ɛboro saa a.
• Sɛ woanya anɔpa yareɛ a emu yɛ den wɔ nyinsɛn bi a atwam mu, ne/anaasɛ sɛ obi a ɔwɔ w’abusua mu (te sɛ wo maame, wo nuabea) anya anɔpa yareɛ a emu yɛ den wɔ nyinsɛn mu a.
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ kankyee yare bere a woretu kwan a.
• Sɛ wowɔ atiridiinini a.
• Sɛ Body Mass Index (BMI) boro 25 na ɛba fam sen 30 (wɔn mu duru boro so).
• Sɛ wowɔ tebea bi a wɔfrɛ no ‘trophoblastic disease’, a nkwammoaa a ɛnteɛ nyin wɔ awotwaa mu a.
• Sɛ woayɛ basaa anaasɛ wo ho yeraw wo a.
• Sɛ wote baabi a wim yɛ hyew a.
• Sɛ wode wo ho hyɛ anadwo adwumayɛ mu a.
• Sɛ woda kakraa bi a.

Nhwehwɛmu ahorow bi ada no adi sɛ mmea a wɔyare anɔpa yare a emu yɛ den no taa wo mmabea.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ntwɛn nkosi sɛ wo ɔfe no mu bɛyɛ den na woakɔ wo awo ho oduruyɛfo nkyɛn. Sɛ wosa anɔpa yare wɔ wo nyinsɛn no mu ntɛm a, ebetumi aboa ma anyɛ yiye. Ɔfe a emu yɛ den nyɛ ade a ɛfata wɔ nyinsɛn mu na egye ayaresa.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, frɛ wo duruyɛfo ntɛm ara:

• Sɛ wote nka sɛ wo ho ayɛ wo yaw da mũ nyinaa a, akodu baabi a wuntumi nnidi anaasɛ wuntumi nnom.
• Sɛ wofe mprɛnsa anaa nea ɛboro saa da biara a.
• Sɛ ɔfe no yɛ bruu anaasɛ mogya wɔ mu a .
• Sɛ wo mu duru so tew a.
• Sɛ wote nka sɛ woabrɛ kɛse anaasɛ wo ho ayɛ wo hyew a.
• Sɛ wote nka sɛ wo ho ayɛ wo hyew anaasɛ woatɔ piti a.
• Sɛ koma no bɔ kɛse a.
• Sɛ nsu a wɔde gu mu no sua koraa anaasɛ enni bi koraa a.
• Sɛ wowɔ nipadua mu yaw anaa atiridiinini a.

Ade foforo nti a ɛsɛ sɛ yɛhwɛ akisikuru ne ɔfe a emu yɛ den ne sɛ ebetumi ayɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne. Nhwɛso ahorow:

• Akuru a ɛwɔ nipadua no mu
• Reflux (komayare) .
• Nyarewa a ɛfa aduan ho
• Thyroid anaa akisikuru yare
• Akisikuru, yafunu, dwensɔtwaa, anaa mmerɛbo mu a ɛyɛ hyew.

So ‘Anɔpa Yare’ yɛ sɛnkyerɛnne pa?

Mmea binom susuw sɛ anɔpa yare yɛ sɛnkyerɛnne pa efisɛ ɛte sɛ nea awotwaa no renyin. Ɛte sɛ nea wosi so dua nso sɛ wɔanyinsɛn. Nokwarem no, ɛnyɛ obiara na onya anɔpa yare. Sɛ mpo wunnyaa anɔpa yare da a, hokwan a wowɔ sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden no te sɛ obi a ɔwɔ anɔpa yare de.

Anɔpa yare betumi ayɛ nyinsɛn bere a ɛnyɛ dɛ koraa na ɛnyɛ dɛ. Ɛtaa ba paa sɛ wobɛte akisikuru nka na woafe, titiriw wɔ nyinsɛn no fã a edi kan no mu. Nea eye ne sɛ, wɔ mmea dodow no ara fam no, anɔpa yare no ano brɛ ase bere a ɔsram abiɛsa a ɛto so abien no afi ase no. Sɛ woyɛ nsakrae wɔ w’asetra kwan ne w’aduan mu a, ebetumi aboa ma yare no ho sɛnkyerɛnne no afi hɔ kosi sɛ ebefi hɔ. Sɛ wofe mpɛn pii da biara, wuntumi nnidi, anaasɛ wo mu duru so tew a, ka kyerɛ wo awo ho oduruyɛfo. Wɔbɛhwɛ sɛ worenya aduannuru a wuhia.

Nea ɛsɛ sɛ wuhu (Take-Home Message) .

• Anɔpa yare abu so wɔ nyinsɛn mu, nanso ɛnka obiara pɛpɛɛpɛ.
• Ɛwom sɛ wɔfrɛ no ‘Anɔpa’ de, nanso saa ɔhaw ahorow yi betumi aba bere biara wɔ da no mu.
• Mpɛn pii no, nsakrae nketenkete a wɔyɛ wɔ aduan ne asetra mu no betumi ama wɔanya ahotɔ.
• Sɛ ɔfe mu yɛ den, wuntumi mma aduan anaa anonne nkɔ fam, anaasɛ wo mu duru so retew a, hwehwɛ aduruyɛfo afotu ntɛm ara. Eyi betumi ayɛ tebea a emu yɛ den a wɔfrɛ no ‘Hyperemesis Gravidarum’.
• Sɛ́ ebia wowɔ anɔpa yare anaasɛ wonni bi no, hokwan a ɛwɔ hɔ sɛ wubenya nyinsɛn a ɛfata ne akokoaa a ɔwɔ apɔwmuden no yɛ pɛ.
• Ɛho hia paa sɛ wudi wo duruyɛfo afotu akyi na wohwɛ wo nipadua so.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Mma wo werɛ mmfi sɛ wo ne wo duruyɛfo bɛkasa afa nneɛma biara a ɛhaw wo ho.

` Anɔpa Yare, Akisikuru wɔ Nyinsɛn mu, Ɔfe wɔ Nyinsɛn mu, Hyperemesis Gravidarum, Nyinsɛn Akwahosan, Awo Ho Hwɛ, Nyinsɛn Nsɛnkyerɛnne