So me ba no nyin wɔ awotwaa no akyi? Biribiara a ɛfa (Ectopic Pregnancy) ho no yɛ mmerɛw.

Ebia woate asɛmfua `(Ectopic Pregnancy)`, anaasɛ ebia wunim obi a wahyia saa tebea yi. Nokwarem no, ɛyɛ hu kakra, nanso sɛ wunim eyi yiye, sɛ wuhu ntɛm a, wubetumi atew ɔhaw pii so. Enti ɛnnɛ yɛbɛka nea `(Ectopic Pregnancy)` anaa nyinsɛn a ɛwɔ awotwaa no akyi yɛ, nea enti a ɛba, nea ɛyɛ ne sɛnkyerɛnne, ne sɛnea wɔsa no ho asɛm tiawa koraa.

Dɛn ne nyinsɛn a ɛfata? Momma yenni kan nte saa asɛm no ase.

Sɛ yɛbɛka no tiawa a, wɔ nyinsɛn a ɛte apɔw mu no, nkesua a wɔahyɛ no ma, awotwaa ketewaa a efi ɛna ne agya nkwammoaa mu ba no de ne ho hyɛ ɛna no awotwaa mu tẽẽ . Awotwaa no yɛ beae ketewaa bi a ɛte sɛ kotoku, baabi a ahobammɔ wɔ a wobetumi ahwɛ akokoaa, ama no aduan, na wanyin asram akron. Ɛwɔ biribiara a akokoaa no hia na ama watumi anyin.

Enti dɛn ne nyinsɛn a ɛwɔ awotwaa no akyi?

Seesei ebia wote ɔkwan a wɔtaa fa so no ase. Nanso wɔ `(Ectopic Pregnancy)` mu no, ɛmo a wɔahyɛ no ma no nkɔ awotwaa no mu, na mmom ɛde ne ho hyɛ baabi foforo. Mpɛn pii no, kyerɛ sɛ, bɛyɛ 100 biara mu 90 no, saa nkesua yi de ne ho hyɛ `(Fallopian tubes)` no mu . Saa fallopian tubes yi yɛ ntini abien a ɛyɛ tratraa a ɛde nkesua no fi awotwaa no mu kɔ awotwaa no mu. Eyi nti na wɔtaa frɛ `(Ectopic Pregnancy)` `(Tubal Pregnancy)`.

Nanso, ɛnyɛ awotwaa no mu nko, na mmom ɛntaa nsi koraa sɛ saa nkesua yi betumi de ahyɛ awotwaa , awotwaa mu , anaa yafunu mu mpo mu .

Susuw ho hwɛ, sɛ yedua afifide ketewaa bi wɔ baabi a asase a ɛsow aba ne ahunmu wɔ hɔ a, ebenyin abɛyɛ dua kɛse. Saa ara na awotwaa hia awotwaa na ama anyin yiye.

Wɔ mmeae yi mu biara, kyerɛ sɛ, wɔ fallopian tube anaa ovary mu no, baabi anaa baabiara nni hɔ a awotwaa bi betumi anyin na wanya aduan pa. Enti bere a awotwaa no nyin wɔ hɔ no, akwaa a wɔde ahyɛ mu (sɛ nhwɛso no, fallopian tube) no ntumi nnyina ano. Awiei koraa no, ebetumi apae . Sɛ ɛba saa a, asiane wɔ hɔ sɛ mogya bɛtɔ no dodo na ɛde ɛna no nkwa mpo ato asiane kɛse mu . Ɛno nti na eyi yɛ asiane kɛse no.

Ade foforo nso ne sɛ, awotwaa a wɔde ato awotwaa no akyi wɔ saa kwan yi so no rennyin nyɛ akokoaa a ɔwɔ apɔwmuden.

Dɛn nti na eyi ba? Dɛn ne asiane ahorow a ɛka eyi?

Ɛyɛ den sɛ yɛbɛka no pen sɛ nea ɛde ba biako pɛ. Nanso nneɛma bi betumi ama hokwan a ɛwɔ hɔ sɛ obenyinsɛn wɔ awotwaa no akyi, anaasɛ asiane a ɛwɔ hɔ no ayɛ kɛse.

• Sɛ woanya nyinsɛn a ɛwɔ awotwaa no akyi pɛn a: Obi a wahyia saa tebea yi pɛnkoro no, ɛda adi sɛ obenya bi bio.
• Sɛ fallopian tubes no asɛe a:Sɛ ɔyare mmoawa bi, te sɛ pelvic inflammatory disease (PID) , a ɛnam nna mu yare (STI) mu ba nti awotwaa no asɛe, asiw, anaa akuru ayɛ no a, ebia ɛmo no rentumi nkɔ awotwaa no mu yiye.
• Sɛ wɔayɛ wo oprehyɛn wɔ wo fallopian tubes ho a: Sɛ nhwɛso no, sɛ wɔakyekyere wo fallopian tubes na afei wɔasan de abata ho (reversal of tubal ligation).
• Awo ho ayaresa bi: Ebia asiane yi bɛkɔ soro kakra, titiriw wɔ ayaresa te sɛ IVF mu.
• Sɛ wonom sigaret a: Asiane yi yɛ kɛse ma mmea a wɔnom sigaret.
• Sɛ woadi boro mfe 35 a.
• Sɛ wunyinsɛn bere a wowɔ IUD a: IUD yɛ ɔkwan a etu mpɔn yiye a wɔfa so siw awo ano. Nanso, ɛntaa nsi koraa sɛ wubenyinsɛn bere a wowɔ IUD no. Sɛ woyɛ saa a, ɛda adi sɛ nyinsɛn no bɛyɛ nea ɛwɔ awotwaa no akyi.

Dɛn ne eyi ho sɛnkyerɛnne? Yɛbɛyɛ dɛn ahu no ntɛm?

Eyi ho hia yiye, efisɛ sɛ wohu no ntɛm a, ɛnyɛ den sɛ wɔbɛsa na asiane a ɛwɔ mu no sua.

Sɛnea ɛte wɔ nyinsɛn a ɛfata mu no, .

• Brayɛ a wogyae
• Nufu mu yaw, a ɛyɛ den
• Nsɛnkyerɛnne te sɛ ɔfe ne akisikuru betumi adi kan ada adi.

Nanso, sɛnkyerɛnne kakraa bi wɔ hɔ a ɛfa ``Ectopic Pregnancy'' ho pɔtee na akyinnye biara nni ho sɛ ɛsɛ sɛ wuhu :

• Yafunu mu yaw a ɛwɔ ɔfã biako: Eyi ne sɛnkyerɛnne titiriw. Ebetumi afi ase sɛ ɛyaw a ɛyɛ kusuu , a ɛyɛ yaw wɔ yafunu no fã biako (nifa anaa benkum), na ɛtɔ mmere bi a ebetumi ayɛ nea emu yɛ den, ɛde sekan, anaa sekan bɛbɔ. Saa ɛyaw yi betumi ayɛ nea ɛkɔ so daa anaasɛ ɛba na ɛkɔ.
• Mogya a ɛba ɔbea awotwaa mu a ɛyɛ soronko: Eyi nte sɛ brayɛ a ɛyɛ daa. Ebetumi ayɛ hann, bruu, anaa nsu. Wɔ nnipa binom fam no, ebetumi ayɛ kɔkɔɔ tuntum mpo.
• Mmati ano yaw: Ebia eyi bɛyɛ te sɛ nea ɛyɛ nwonwa, nanso sɛ mogya tu wɔ yafunu no mu a, ɛyaw a ɛte sɛɛ betumi aba efisɛ mogya no kanyan diaphragm, ntini bi.
• Ɛyaw a wobɛte nka bere a woretow wo ho anaasɛ woretow wo ho.
• Mmerewa, adwenemhaw, adwenemhaw: Eyinom yɛ sɛnkyerɛnne ahorow a asiane wom kɛse. Wɔkyerɛ sɛ mogya pii wɔ wo mu na ebia wo ho bɛtɔ wo . Sɛ biribi te sɛ eyi si a, ɛsɛ sɛ wokɔ ayaresabea a wontwentwɛn wo nan ase.

Fa no sɛ w’adamfo bi, momma yɛnka sɛ Shyama. Ɔwɔ nna a ɛkɔ akyiri, ɔyɛ ofie nyinsɛn mu nhwehwɛmu a ɛkyerɛ sɛ ɔyɛ papa, na n’ani gye paa. Nanso nna kakraa bi akyi no, ofi ase te yaw wɔ ne yafunu no fã biako, na mogya tu no kakra. Ɔdwene sɛ, "Oh, ebia eyi yɛ biribi foforo bere a akokoaa no bata ho no." Nanso ɛyaw no kɔ soro nkakrankakra.Ɛyɛ mmere a ɛte sɛɛ mu na akyinnye biara nni ho sɛ ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so ankasa na oduruyɛfo hu eyi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi na wususuw sɛ woanyinsɛn a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Oduruyɛfo no bebisa wo nsɛm na wahwɛ wo. Afei obetumi ayɛ nhwehwɛmu ahorow pii de akyerɛ sɛ wahu yare no.

• Nsu mu nhwehwɛmu anaa mogya mu nhwehwɛmu: Hwɛ sɛ woanyinsɛn anaa.
• Transvaginal Ultrasound: Eyi ne scan a ɛho hia sen biara . Nea ɛka saa scan yi ho ne sɛ wode adwinnade ketewaa bi fa awotwaa no mu na ɛma wuhu pefee sɛ ebia awotwaa no wɔ awotwaa no mu anaasɛ ɛwɔ akyi.
• Mogya mu nhwehwɛmu de hwɛ sɛnea hormone `(hCG)` dodow te: `(hCG)` yɛ hormone a woyi fi mu bere a wɔyem. Wɔ nyinsɛn a ɛfata mu no, saa hormone yi dodow kɔ soro ntɛmntɛm. Nanso, wɔ `(Ectopic Pregnancy)` mu no, ebia nkɔanim no bɛyɛ brɛoo, anaasɛ ebetumi akɔ so ayɛ nea ɛte saa ara. Wɔyɛ mogya mu nhwehwɛmu yi bɛyɛ nna abien biara.
• Ɛtɔ da bi a `(Laparoscopy)` oprehyɛn: Sɛ nhwehwɛmu afoforo ntumi nhu nea ɛde ba ankasa, anaasɛ ɛyɛ ntɛmpɛ a, wɔde afiri bi a mfoninitwa afiri ketewa bi wom hyɛ yafunu no mu na wɔhwɛ no tẽẽ. Wɔfrɛ eyi `(Laparoscopy)`.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wɔsi ``Ectopic Pregnancy'' so dua a, wɔrentumi nkɔ so nyinsɛn no efisɛ ɛde ɛna no nkwa to asiane mu. Enti, ayaresa botae titiriw ne sɛ wobeyi awotwaa mu ntini a wɔde ahyɛ awotwaa no akyi no afi hɔ na wɔabɔ ɛna no ho ban.

Ayaresa ahorow pii wɔ hɔ a wobetumi apaw. Egyina nneɛma pii so, a nea ɛka ho ne sɛnea awotwaa no kɛse te, baabi a ɛwɔ, sɛ ebia mogya retu anaa, ne w’akwahosan nyinaa.

1. Aduruyɛ mu nhyehyɛe:

• Wɔ eyi mu no, wɔde aduru bi a wɔfrɛ no ``Methotrexate'' ma sɛ aduru a wɔde twitwiw nipadua no mu. Saa aduru yi ma nkwammoaa a ɛpaapae ntɛmntɛm (i.e. embryonic cells) nyin.
• Sɛ wohu nyinsɛn a ɛwɔ awotwaa no akyi ntɛm ara , awotwaa no nyɛ kɛse, na awotwaa no mu mpaapae nkutoo a na wobetumi ayɛ saa ayaresa yi.
• Sɛ wɔde `(Methotrexate)` ma wie a, wɔyɛ mogya mu nhwehwɛmu daa kosi sɛ `(hCG)` dodow no so bɛtew.

2. Oprehyɛn a wɔde di dwuma:

• Laparoscopy (keyhole oprehyɛn): Eyi ne adeyɛ a wɔtaa yɛ. Wɔnam yafunu no mu ntwitwiridii nketenkete kakraa bi so na ɛyɛ oprehyɛn no, na wɔde mfoninitwa afiri ne nnwinnade a ɛyɛ mmerɛw na edi dwuma. Akwan abien na ɛwɔ hɔ:
• Salpingostomy: Wotwa fallopian tube no, woyi ntini a wɔahyɛ no ma no nkutoo, na wogyaw tube no ma ɛnyɛ hwee. Wɔyɛ eyi sɛnea ɛbɛyɛ a wobetumi de afiri no adi dwuma bio daakye, gye sɛ nea asɛe no yɛ kɛse.
• Salpingectomy a wɔde twa: .Woyi fallopian tube a awotwaa no wom no nyinaa fi hɔ. Sɛ afiri no asɛe kɛse anaasɛ mogya retu kɛse a, wɔyɛ eyi.
• Laparotomy (oprehyɛn a wɔabue mu): Wɔ tebea a egye ntɛmpɛ a awotwaa no mu apaapae na mogya tu dodo mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn kɛse a wɔde twa yafunu no mu.

Nnuruyɛfo no bɛhwɛ wo tebea no mu yiye na wɔne wo asusuw ayaresa a eye ma wo ho.

Dɛn na ɛba wɔ eyi akyi? So metumi awo akokoaa foforo?

``(Ectopic Pregnancy)`` yɛ osuahu a ɛyɛ den ankasa ma ɔbea, wɔ nipadua ne adwene mu.

• Adwene mu nkɛntɛnso: Ebia wobɛte awerɛhow, w’abam abu, na wo bo afuw mpo wɔ anidaso a woahwere ho. Ɛho hia paa sɛ wo ne wo kunu, w’abusua, ne wo nnamfo kasa fa eyi ho na wohwehwɛ wɔn mmoa saa bere yi. Wubetumi nso ahwehwɛ afotu sɛ ɛho hia a. Kae sɛ ɛnyɛ wo nko ara.
• Nipadua mu ahoɔden: Sɛ wɔayɛ wo oprehyɛn a, ebegye bere kakra ansa na wo ho atɔ wo. Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
• Daakye nyinsɛn: Mmea pii nyinsɛn a edi mu na ɛyɛ papa wɔ nyinsɛn a ɛwɔ awotwaa no akyi akyi. Nanso, sɛ wɔayi awotwaa mu ntini biako anaasɛ sɛ ntini no asɛe a, hokwan a ɛwɔ hɔ sɛ obenyinsɛn bio no betumi ayɛ ketewaa kakra. Afei nso, asiane a ɛwɔ hɔ sɛ wobenya nyinsɛn foforo a ɛwɔ awotwaa no akyi no dɔɔso kakra.

Enti, sɛ woredwene sɛ wobɛwo akokoaa bio a, ɛho hia paa sɛ wo ne wo duruyɛfoɔ kasa fa ho na wohwehwɛ n’afotuo. Wɔ wo nyinsɛn a edi hɔ mu no, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm na woyɛ scan de kyerɛ sɛ ɛda so ara wɔ awotwaa no mu.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yesua fi eyi mu

Okay, enti ɛfiri deɛ yɛaka ho asɛm nnɛ no, mewɔ anidasoɔ sɛ woanya nteaseɛ pa wɔ `(Ectopic Pregnancy)` ho. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ni:

• Ectopic Pregnancy yɛ tebea a emu yɛ den , nanso sɛ wohu ntɛm a, wobetumi asa no yiye.
• Sɛ wuhu nyinsɛn mu sɛnkyerɛnne a ɛtaa ba no bi, te sɛ yafunu no fã biako, mogya a ɛtɔ soronko, anaa mmati mu yaw , kɔ oduruyɛfo nkyɛn ntɛm.
• Eyi nyɛ obiara mfomso.
• Ma wo ho bere ma wo ho tɔ wo wɔ nipadua ne adwene mu bere a woasa wo yare awie no. Nya mmoa a wuhia.
• Nnipa pii betumi awo akokoaa a ɔwɔ apɔwmuden daakye. Ma w’anidaso nkɔ so.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Kɔ so nya apɔwmuden!

` Nyinsɛn a ɛwɔ awotwaa no akyi, Nyinsɛn a wotu gu, Fallopian Tubes, Nyinsɛn a ɛwɔ awotwaa no akyi, Nyinsɛn, Mmea Akwahosan, Ntɛmntɛm