Oh, so me nyinsɛn no yɛ nea asiane kɛse wom? Dɛn ne Nyinsɛn a Asiane Kɛse? Momma yɛnkasa!

Mpɛn pii no sɛ yɛte asɛmfua ‘nyinsɛn a asiane kɛse wom’ anaa ‘nyinsɛn a asiane kɛse wom’ a, ehu ka yɛn kakra, ɛnte saa? Suro a ɛne sɛ biribi bɔne bɛto me ne akokoaa no ba m’adwenem. Nanso dɛn na eyi kyerɛ ankasa? Momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so? Afei wubetumi ayi ehu a ɛho nhia a wowɔ wɔ eyi ho no afi hɔ.

Dɛn ankasa ne "Nyinsɛn a Asiane Kɛse"?

Sɛ yɛbɛka no tiawa a, ‘nyinsɛn a asiane kɛse wom’ kyerɛ sɛ hokwan a ɛwɔ hɔ sɛ ɛna no, akokoaa no, anaa wɔn baanu nyinaa benya akwahosan ho haw kɛse kakra, anaasɛ wɔbɛwo akokoaa no ntɛm . Eyi nkyerɛ sɛ akyinnye biara nni ho sɛ biribi bɔne bɛba, ɛnte saa? Nea ɛkyerɛ ara ne sɛ ɛsɛ sɛ yɛhwɛ yiye kakra na yedi aduruyɛ mu afotu akyi pɛpɛɛpɛ. Wɔ nsɛm a ɛtete saa mu no, nnuruyɛfo ne akwahosan ho akuw bɛhwɛ wo ne wo ba no so titiriw, na wɔde nhwehwɛmu ne afotu a ɛho hia ama.

Hena na ne nyinsɛn betumi ayɛ "asiane mu"? Ma yɛnhwɛ nea enti a ɛte saa.

Afei momma yɛnhwɛ tebea horow a nyinsɛn betumi akɔhyɛ ‘asiane’ kuw no mu. Ɛnyɛ eyinom nyinaa na ɛfa obiara ho, nanso sɛ nneɛma yi mu biako anaa nea ɛboro saa wɔ hɔ a, nnuruyɛfo de wɔn adwene besi saa nyinsɛn no so titiriw.

So mfe a obi adi ka? (Mfe a Wɔadi) .

• "Sɛ woadi mfe 17 anaa nea ennu saa , a ɛkyerɛ sɛ woda so ara yɛ abofra koraa a, ebia wo nipadua no rensiesiee ne ho koraa mmaa eyi. Afei nso, esiane asetra mu osuahu a wunni nti, ebia wuntumi nni aduan pa ne aduruyɛ mu afotu akyi. Enti, wɔhwɛ yiye titiriw wɔ nyinsɛn ho wɔ mfe yi mu. Wɔ saa mfe yi mu no, asiane kɛse wɔ hɔ sɛ nneɛma te sɛ mogya mmoroso a nyinsɛn de ba ne awo mu duru a ɛba fam.
• "Saa ara na ɛte wɔ sɛ woadi mfe 35 anaa nea ɛboro saa a . Yɛfrɛ eyi sɛ 'ɛna mfe a akɔ anim'. Bere a obi nyin no, hokwan a ɛwɔ hɔ sɛ obenya akwahosan ho haw ahorow bi (sɛ nhwɛso no, mogya mmoroso, asikreyare) kɔ soro. Afei nso, hokwan a ɛwɔ hɔ sɛ akokoaa no benya awosu mu haw ahorow bi , sɛ nhwɛso no, Down syndrome, betumi akɔ soro kakra bere a onyin no. Nanso eyi nkyerɛ sɛ nkokoaa a wobɛwo wɔ mfe 35 akyi no nyɛ papa." Sɛ wɔde nnuruyɛfo hwɛ a ɛho hia na wɔyɛ nhwehwɛmu a ɛfata a, ebetumi nso adi nkonim."

Ná wo nipadua mu duru yɛ dɛn ansa na worenyinsɛn? (Nneɛma mu duru ansa na wanyinsɛn) .

• "Sɛ na wo mu duru sua ansa na worenyinsɛn a, ɛkyerɛ sɛ ebia wo nipadua no nnya aduannuru a ɛdɔɔso. Sɛ ɛba saa a, ebetumi aka akokoaa no nkɔso, na ebia wɔbɛwo akokoaa no a ne mu duru sua wɔ awo mu anaasɛ wɔbɛwo no ntɛm."
• "Ɛte saa ara, sɛ na wo mu duru boro so anaasɛ woyɛ kɛse mmoroso ansa na worenyinsɛn a."Sɛ na ɛwɔ hɔ a, ebetumi nso de nsɛnnennen bi aba. Sɛ nhwɛso no, hokwan kɛse wɔ hɔ sɛ obi benya tebea horow te sɛ nyinsɛn mu asikreyare, mogya mmoroso (nyinsɛn mu mogya mmoroso / preeclampsia), ne mogya a ɛtɔ. Hokwan kɛse nso wɔ hɔ sɛ ɛsɛ sɛ wɔyɛ oprehyɛn oprehyɛn."

So nkokoaa boro biako? (Nyinsɛn Mpɛn pii) .

• "Sɛ woso mmanoma, mma mmiɛnsa , anaa nkokoaa pii a, wobu no nso sɛ nyinsɛn a 'asiane wom kɛse'. Nea enti a ɛte saa ne sɛ sɛ wowo nkokoaa bɛboro biako a, ɛde ɔhaw kɛse ba ɛna no nipadua so. Ɛda adi sɛ ɛna no benya mogya a ɛtɔ kɔ nipadua mu, mogya mmoroso, ne asikreyare a ɛba wɔ nyinsɛn mu. Ɛda adi kɛse nso sɛ wɔbɛwo nkokoaa no ntɛm, wɔn mu duru sua wɔ awo mu, na." wɔ nsɛnnennen afoforo Eyi nti na nyinsɛn pii hwehwɛ sɛ wɔtaa yɛ aduruyɛ mu nhwehwɛmu na wɔyɛ ultrasound scan."

So wowɔ akwahosan ho haw bi dedaw? (Akwahosan Tebea a Ɛwɔ Hɔ Dedaw) .

• "Sɛ wowɔ akwahosan ho haw biara dedaw te sɛ mogya mmoroso (High Blood Pressure / Hypertension) , asikreyare (Diabetes Mellitus) , adwenemhaw (Depression) , komayare, asaabo mu yare, thyroid yare, akisikuru, autoimmune nyarewa, saa tebea horow yi betumi asɛe wɔ nyinsɛn mu na aka akokoaa no. Enti, ɛho hia yiye sɛ nnipa a wɔwɔ nyarewa a ɛte saa hwehwɛ." aduruyɛ mu afotu ansa na woanyinsɛn sɛ ebia ɛho behia sɛ wosakra wo nnuru no sɛ ɛnyɛ nea ɛfata ma nyinsɛn a."
• "Sɛ nhwɛso no, sɛ ɛna bi a ɔwɔ asikreyare antumi anhwɛ asikre dodow a ɛwɔ ne mogya mu so a, akokoaa no betumi ayɛ kɛse yiye (macrosomia), ebia asikre dodow a ɛwɔ akokoaa no mogya mu a ɛba fam wɔ awo akyi (neonatal hypoglycemia), anaasɛ akokoaa no betumi anya awo mu dɛmdi . Enti, asikre dodow a ɛwɔ mogya mu a wɔbɛhwɛ so bere a nyinsɛn no ho hia yiye."

So na ɔhaw bi wɔ nyinsɛn a atwam no mu? (Ɔhaw a Ɛwɔ Nyinsɛn a Wɔadi Kan Mu)

• "Sɛ woanya ɔhaw biara wɔ nyinsɛn bi a atwam ho, sɛ nhwɛso no, awo/awo a ɛba ntɛm , nyinsɛn a ɛsan tu, nyinsɛn a ɛwɔ awotwaa no akyi, awotwaa mu haw, anaa akokoaa a wɔwoo no a ɔwɔ awosu mu haw anaa awo mu dɛmdi , wo nyinsɛn a edi hɔ no nso betumi ayɛ asiane mu. Enti, ɛsɛ sɛ nnuruyɛfo hu eyi titiriw. Afei nso, sɛ woadi kan ayɛ oprehyɛn a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ." eyi ho asɛm."

Asetra Kwan Ho Nneɛma

• " Sigaretnom , nnubɔne a mmara mma ho kwan a wɔde di dwuma , ne."Nsã a wɔnom bere a wɔyem no pira ɛna no ne akokoaa no nyinaa kɛse. Saa nneɛma yi betumi ama akokoaa no nyin ayɛ mmerɛw, ne mu duru a ɛba fam wɔ awo mu, awo no ntɛm, adwene mu nkɔso asɛe, awo mu dɛmdi ahorow, na ɛtɔ mmere bi mpo a akokoaa no ahwere. Enti, sɛ wowɔ suban a ɛte saa a, ɛbɛyɛ papa sɛ wubegyae koraa ansa na woanyinsɛn. Ɛsɛ sɛ wugyae saa nneɛma yi nso koraa bere a woahu sɛ woanyinsɛn no.

Sɛ me nyinsɛn no hyɛ "asiane kɛse" kuw no mu a, dɛn na meyɛ?

Okay, afei woate nea ‘nyinsɛn a asiane kɛse wom’ yɛ ne nea ɛde ba no ase. Ebia woredwen ho sɛ, ‘Oo, mewɔ saa nneɛma yi mu biako anaa abien nso, dɛn na meyɛ mprempren?’ Nha wo ho. Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo anaa akwahosan ho kuw no bɛyɛ adwuma de adi akwahosan ho haw biara a wubetumi adi so no ho dwuma.

Kae: ‘asiane’ nkyerɛ sɛ akyinnye biara nni ho sɛ biribi bɔne bɛba. Nea ɛkyerɛ ara ne sɛ ɛsɛ sɛ yɛhwɛ yiye kakra na yɛyɛ ahwɛyiye.

Wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ nhwehwɛmu titiriw (te sɛ anomaly scans a ɛkɔ akyiri, fetal echocardiography) na woba ayaresabea mpɛn pii sen ɔbea a onyinsɛn a ɔte ase. Ebia ɛho behia nso sɛ wokɔ animdefo nkyɛn (te sɛ awo ho animdefo). Eyi nyinaa yɛ nea wɔde bɛbɔ wo ne wo ba no ho ban. Enti ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ woante biribi ase anaa wohaw wo ho a, wo ne wo duruyɛfo nka ho asɛm.

Afotu foforo bi a ɛho hia ma nyinsɛn a ahoɔden wom (ne titiriw no nyinsɛn a asiane kɛse wom) .

Sɛ́ ɛyɛ nyinsɛn a asiane kɛse wom anaasɛ nyinsɛn a ɛfata no, ɛna biara wɔ anidaso sɛ obenya akokoaa a ɔwɔ apɔwmuden. Enti momma yɛnkae yɛn ho nneɛma afoforo a ɛho hia a ɛbɛboa wɔ saa asɛm no mu. Eyinom bɛyɛ nea ɛho hia kɛse mpo wɔ tebea a ‘asiane kɛse wom’ mu.

• Hwehwɛ aduruyɛ mu afotu fi mfiase (Early and Regular Prenatal Care) .
• "Sɛ wuhu sɛ woanyinsɛn ara pɛ a, kɔ oduruyɛfo nkyɛn ntɛm ara na fi ase hwɛ wo ansa na woawo . Kɔ ayaresabea ahorow wɔ nna a wɔahyɛ ato hɔ sɛnea wo duruyɛfo ka kyerɛ wo no. Ɛno nkutoo na wobetumi ahwɛ wo ne wo ba no akwahosan na wɔde afotu ne nnuru biara a ɛho hia ama wo. Eyi bɛboa wo ma woahu ɔhaw biara na woasa no ntɛm."

• Aduan pa, aduan a ahoɔden wom
• "Ɛsɛ sɛ wohwɛ yiye paa wɔ nnuan a wudi wɔ saa bere yi mu. Fa aduan a ahoɔden wom te sɛ nnuaba, nhabannuru, atoko, aburow a wɔayam, nam a ɛnyɛ den, mpataa, nufusu, yogurt, ne nkesua yɛ wo su . Tew nnɔkɔnnɔkɔwade, nnuan a srade wom, nnuan a wɔayɛ, ne nnuan a wɔde di ntɛmntɛm so sɛnea wubetumi. Sɛ wo duruyɛfo ama wo nnuru a wɔde ka ho te sɛ dade, calcium, ne folic acid a, fa." sɛnea wɔakyerɛ no pɛpɛɛpɛ. Mma wo werɛ mmfi sɛ wobɛnom nsu pii (anyɛ yiye koraa no, nkuruwa 8-10 da biara)."
• "Fa no sɛ, wo ba no nyin wɔ awotwaa no mu fi aduannuru a wode ma no no mu. Enti sɛ wudi nneɛma pa a, akokoaa no nso benya aduan pa."

• Apɔw-mu-teɛteɛ, nanso sɛnea oduruyɛfo kyerɛ no nkutoo (Apɔw-mu-teɛteɛ sɛ wɔapene so a) .
• "Sɛ oduruyɛfo no ka sɛ 'ɛyɛ papa' a, eye yiye sɛ wobɛyɛ apɔw-mu-teɛteɛ a emu nyɛ den a ɛfata wo. Wubetumi ayɛ nneɛma te sɛ nantew, yoga apɔw-mu-teɛteɛ a ɛfata mmea a wɔyem, ne asuguare. Nanso, bisa wo duruyɛfo apɔw-mu-teɛteɛ ko a ɛfata wo ne bere tenten a ɛsɛ sɛ woyɛ. Mma nteɛteɛ w'apɔw mu da kosi sɛ wobɛbrɛ, wobɛbrɛ, anaasɛ wobɛte yaw. "

• Mu duru a Ɛkɔ Anim wɔ Akwahosan mu
• "Ɛyɛ ade a ɛfata sɛ wobɛma wo mu duru ayɛ kɛse bere a wonyinsɛn no. Nanso, ɛnyɛ papa sɛ wobɛma wo mu duru ayɛ kɛse anaasɛ wo mu duru sua dodo. Wo duruyɛfo bɛkyerɛ wo sɛnea ɛsɛ sɛ wo mu duru dodow a egyina wo nipadua mu duru (BMI) ansa na woanyinsɛn no so. Bɔ mmɔden sɛ wobɛkɔ so akura saa dodow no mu."

• Bɔ Ho Ban fi Nyarewa Ho
• "Ɛho hia yiye sɛ wobɛbɔ wo ho ban afi nyarewa ahorow ho wɔ saa bere yi mu. Efisɛ nyarewa bi nso betumi aka akokoaa no."
• " Bere nyinaa fa samina hohoro wo nsa yiye. Titiriw ansa na woadi ne bere a wode tiafi adi dwuma awie no."
• " Nni nneɛma te sɛ nam a wɔannoa, mpataa a wɔannoa, nkesua a wɔannoa, kyiisi a wɔmfa pasteurized, ne nufusu. Di nnuan a wɔanoa yiye nkutoo."
• "Gya nnuru a wɔde bɔ wo ho ban a wo duruyɛfo kamfo kyerɛ no. Sɛ nhwɛso no, tetanus vaccine, influenza vaccine."
• "Hwɛ yiye wɔ nyarewa a nwansena de ba te sɛ Zika mmoawa ne dengue ho. Bɔ wo ho ban fi nwansena ho."
• "Sɛnea ɛbɛyɛ a wobɛkwati nyarewa te sɛ toxoplasmosis no, kwati sɛ wode wo nsa bɛka mpataa nsu, na hyɛ nsateaa bere a woreyɛ gyaade adwuma no."

• Ɔbarima ne Ɔbea Nna a Dwoodwoo
• "Sɛ wunnim wo hokafo no nna ho abakɔsɛm, anaasɛ wususuw sɛ ebia ɔwɔ nna mu yare (STD) te sɛ HIV, herpes, anaa syphilis a, nnya nna a wonni ahobammɔ na fa kɔndɔm di dwuma. Efisɛ sɛ wowɔ ɔyare no a, ebetumi akɔ akokoaa no mu, a ebetumi de asiane aba. Wo ne wo duruyɛfo nka eyi ho asɛm pefee."

• Tew Adwennwen so
• "Ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne awerɛhow nka kakra bere a woanyinsɛn esiane nkwaadɔm mu nsakrae nti. Nanso, bɔ mmɔden sɛ wobɛkwati adwennwen sɛnea wubetumi biara.""Bɔ mmɔden sɛ wobɛbrɛ wo ho ase na woagye w'ahome. Tie dwom bi a w'ani gye ho, kenkan nhoma, yɛ adwennwen a emu nyɛ den, yɛ apɔw-mu-teɛteɛ a emu dɔ, wo ne obi a wowɔ ne mu ahotoso nka nneɛma ho asɛm. Sɛ ɛho hia a, hwehwɛ afotu fi adwenemyare ho ɔbenfo hɔ. W'adwene mu yiyedi ho hia yiye ma wo ba no nkɔso a ɛfata."

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

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ nea ‘High-Risk Pregnancy’ yɛ ho. Adeɛ a ɛho hia paa sɛ wobɛkae ne sɛ, nsuro asɛmfua ‘asiane kɛseɛ’. Nea ɛkyerɛ ara ne sɛ wo ne wo ba no hia ɔhwɛ ne ahwɛyiye soronko.

• Wo duruyɛfo no yɛ w’adamfo paa. Tie nea ɔka na di akyi. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wubebisa. Kɔ ayaresabea biara daa.
• Fa asetra kwan a ahoɔden wom tom. Aduan pa, apɔw-mu-teɛteɛ a nnuruyɛfo pene so sɛ ɛho hia a, nna a ɛfata, ne adwene mu anigye nyinaa ho hia yiye.
• Gwe wo ho fi suban a epira ho koraa. Twe wo ho fi sigaretnom, nsa, ne nnubɔne ho.
• Ɛnyɛ wo nko ara. W’abusua, wo kunu, wo nnamfo, ne akwahosan ho adwumayɛfo wɔ hɔ sɛ wɔbɛboa wo na wɔaboa wo.

Te sɛ ɛna biara no, yefi komam pɛ sɛ wunya akokoaa a ɔwɔ apɔwmuden na ɔwɔ anigye!

` Nyinsɛn, Nyinsɛn a Asiane Kɛse, Ɔhwɛ a Wɔde Ma Ansa na Wɔawo, Nyinsɛn a Ɛwɔ Apɔwmuden, Akokoaa Akwahosan, Ɛna Akwahosan