So akokoaa no betumi agyina ntini a ɛtwetwe no ano? Momma yɛnka Contraction Stress Test'' no ho asɛm!

Hɛlo! Mprempren wowɔ bere a wobɛhwɛ akokoaa kwan no mu. Saa bere yi mu no, ɛsɛ sɛ wo ne wo ba no yɛ nhwehwɛmu pii, ɛnte saa? Ɛtɔ da bi a, sɛ wote nhwehwɛmu a oduruyɛfo no ka no bi din a, ehu ka wo kakra. Nanso mma ɛnhaw wo, wɔyɛ eyinom nyinaa ma wo ne akokoaa no yiyedi. Ɛnnɛ yɛrebɛka sɔhwɛ a ɛte saa no biako ho asɛm. Ɛno ne `(Contraction Stress Test)` sɔhwɛ no.

Dɛn ne saa `(Contraction Stress Test)` yi?

Sɛ yɛbɛka no tiawa a, saa `(Contraction Stress Test)` yi hwɛ sɛ ebia wo ba no betumi agyina awotwaa mu ntini a ɛtwetwe (i.e., piapia te sɛ akokoaa) a ɛba bere a ɔrewo no ano, ne sɛ ebia akokoaa no renya oxygen dodow a ɛfata afi awotwaa no mu saa bere no anaa. Fa no sɛ, sɛ akokoaa no rebɛwo a, w’awotwaa no mu yɛ den na ɛpia akokoaa no fi adi, na eyi titiriw ne sɛnea ɛbɛyɛ a wubehu sɛnea akokoaa no koma bɔ (yɛfrɛ no koma a ɛbɔ nso) sesa saa bere no. Eyi ma oduruyɛfo no hu sɛnea akokoaa no ayɛ krado ama awo, ne sɛ ebia akokoaa no wɔ ahoɔden a ɔde begyina nhyɛso a ɛba saa bere no ano anaa.

Adɛn nti na wɔreyɛ saa `(Contraction Stress Test)` yi?

Mpɛn pii no, oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ saa `(Contraction Stress Test)` yi sɛ sɔhwɛ afoforo a wɔadi kan ayɛ, sɛ nhwɛso no, `(Nonstress Test)` anaa `(Biophysical Profile - BPP)` (eyi yɛ `(Ultrasound scan)` a wɔde `(Nonstress Test)` ayɛ) kyerɛ sɛ ɔhaw ketewaa bi wɔ hɔ a. Afei oduruyɛfo no pɛ sɛ ohu pɛpɛɛpɛ, sɛnea madi kan aka no, sɛ ebia akokoaa no koma bɔ denneennen, kyerɛ sɛ, nsakrae kɛse biara nni mu, bere a awotwaa no mu ntini a ɛtwetwe no ba no. Efisɛ, sɛ koma no bɔ so tew kɛse saa bere no a, ɛkyerɛ sɛ ɛyɛ den ma akokoaa no sɛ obegyina saa ntini a ɛtwetwe no ano, na ebia onni mframa pa . Eyi te sɛ nea ofirikafo rehwɛ sɛ ebia kar no engine te yiye ansa na waforo koko.

Bere bɛn na ɛsɛ sɛ woyɛ eyi?

Ɛnyɛ obiara na obehia sɔhwɛ yi. Wo duruyɛfo nkutoo na obetumi asi gyinae sɛ wuhia anaasɛ wunhia. Nnuruyɛfo titiriw susuw saa ``Contraction Stress Test`` yi ho wɔ tebea horow yi mu:

• Sɛ wowɔ aduruyɛ mu tebea bi te sɛ Asikreyare a.
• Sɛ wowɔ mogya mmoroso a.
• Sɛ wo ba no nnyin yiye sɛnea wɔhwɛ kwan (i.e. akokoaa no sua - `Intrauterine Growth Restriction` anaa `IUGR`).
• Sɛ wote nka sɛ wo ba no ntumi nkɔ baabiara a.
• Sɛ nea efii ``Nonstress Test`` a yɛadi kan aka ho asɛm no mu aba no nyɛ nea abotɔyam kɛse.
• Sɛ ultrasound scan kyerɛ sɛ wo amniotic fluid no sua (oligohydramnios).
• Wo nyinsɛn bereSɛ woahuruw adapɛn 40 a, ɛno kyerɛ sɛ woakyɛ.
• Sɛ akokoaa no anya nsɛnnennen bi wɔ awo a atwam no mu a.

Ɛyɛ nsɛm a ɛte sɛɛ mu na nnuruyɛfo bɔ mmɔden sɛ wɔde nhwehwɛmu yi besi akokoaa no tebea no so dua bio.

So ɛsɛ sɛ meyɛ eyi `(Contraction Stress Test)`?

Eyi yɛ asɛmmisa pa ankasa. Oduruyɛfo bi nhyɛ nyansa sɛ wɔnyɛ nhwehwɛmu yi kɛkɛ. Ɛyɛ akokoaa no ahobammɔ nti . Wɔyɛ de hwɛ sɛnea akokoaa no yɛ n’ade wɔ awotwaa no mu a ɛtwetwe no ho, ne sɛnea akokoaa no koma bɔ yɛ n’ade wɔ saa nkanyan no ho. Nanso, ade biako a ɛwɔ eyi ho ne sɛ ɛtɔ mmere bi a sɔhwɛ yi tumi fi awo ase ankasa na ɛkanyan awo mpo. Ɛno nti na oduruyɛfo no susuw nneɛma ho yiye ansa na wayɛ eyi, ne wo kasa, na osi gyinae. Sɛ wowɔ ehu anaa adwenem naayɛ bi a, akyinnye biara nni ho sɛ wo ne wo duruyɛfo nka ho asɛm. Ɛyɛ wo hokwan. Oduruyɛfo no bɛkyerɛkyerɛ eyi mu mfaso ne ɔhaw ahorow nyinaa mu akyerɛ wo.

Ɔkwan bɛn so na wɔyɛ saa `(Contraction Stress Test)` yi?

Ebia wobɛte nka sɛ ɛyɛ nwonwa kakra bere a wote sɛnea wɔyɛ eyi no, nanso eyi yɛ biribi a wɔyɛ no dwoodwoo mmere dodow no ara.

Nea ɛka eyi ho ne sɛ wobɛkanyan w’awotwaa no brɛoo na woama atwetwe. Wobetumi afa akwan abien so ayɛ eyi:

1. Ɛdenam `(Pitocin)` a wɔde ma so: `(Pitocin)` yɛ hormone `(Oxytocin)` (hormone a efi awosu mu fi awo mu) no fã bi a wɔayɛ. Wɔnam nkyene aduru so de ma wo nipadua no nkakrankakra. Afei awotwaa no fi ase twetwe nkakrankakra.

2. Nufu a wɔkanyan: Sɛ wobɔ wo nufu brɛoo a, ɛno nso fi awosu mu ma hormone `(Oxytocin) no fi adi.` Eyi nso betumi ama awotwaa no atwetwe. Ɛtɔ da bi a, wo duruyɛfo bɛkyerɛ wo sɛnea wobɛyɛ eyi.

Bere a w’awotwaa no twetwe nkakrankakra no, nnuruyɛfo ne ayarehwɛfo kɔ so hwɛ sɛnea wo ba no koma bɔ. Wɔde afiri bi a wɔfrɛ no ``CTG afiri'' (Cardiotocography afiri) na edi dwuma. Ɛyɛ eyi denam ahama abien a ɛde bɛbɔ wo yafunu ho no so. Baako susuw sɛnea wo awotwaa no twetwe, na biako nso susuw sɛnea wo ba no koma bɔ.

Saa bere yi de, ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra. Nanso ɛnyɛ nea emu yɛ den dodo, wɔhyɛ so. Ɛte sɛ yafunu a ɛyɛ wo yaw kakra wɔ wo nna mu ɔsram biara mu.

Wɔ saa kwan yi so no, wɔ bɛyɛ simma 30 kosi 40 mu no, wɔma akokoaa no twetwe ne ho dodow pɔtee bi (mpɛn pii no bɛyɛ 3 simma 10 biara), na wɔhwɛ sɛnea akokoaa no koma bɔ bere biara a ɔtwetwe no.

Wɔ nyinsɛn mu bere bɛn na wɔyɛ eyi?

Saa ``Contraction Stress Test`` yi, wɔtaa yɛ wɔ wo nyinsɛn no adapɛn 34 anaa akyiri yi.. Efisɛ, sɛ wɔyɛ eyi ansa na saa bere no adu a, hokwan kɛse wɔ hɔ sɛ wɔbɛwo no ntɛm. Esiane sɛ akokoaa no ho akokwaw koraa wɔ adapɛn 34 akyi nti, ebia asiane kɛse biara nni hɔ sɛ mpo wɔwo akokoaa no esiane sɔhwɛ yi nti a. Nanso, wɔ nsɛm titiriw bi mu no, sɛ oduruyɛfo no pɛ a, wobetumi ayɛ eyi ntɛm kakra, a egyina akokoaa no ne wo tebea so.

Bere tenten ahe na egye ansa na nea efi mu ba no aba?

Adepa a ɛwɔ eyi ho ne sɛ ɛkame ayɛ sɛ nea efi `(Contraction Stress Test)` no mu ba no wɔ hɔ ntɛm ara bere a wɔayɛ sɔhwɛ no akyi . Eyi kyerɛ sɛ oduruyɛfo no betumi asi gyinae ntɛm ara wɔ sɛnea akokoaa no te ne nea ɛsɛ sɛ ɔyɛ akyi no ho. Ɛho nhia sɛ wotwɛn kyɛ dodo nso.

Ɔkwan bɛn so na wobɛkenkan nea efi mu ba no?

Ɛyɛ papa sɛ wo nso wubehu eyi, enti ɛbɛyɛ mmerɛw sɛ wobɛte nea oduruyɛfo no ka no ase.

• Nea enye a efi mu ba: Eyi ne nea eye sen biara a efi mu ba . Ɛkyerɛ sɛ akokoaa no koma bɔ brɛoo kɛse (a wɔfrɛ no `late decelerations`) bere a awotwaa no mu ntini a ɛtwetwe no ba no. Ɛkyerɛ sɛ akokoaa no tumi gyina saa ntini a ɛtwetwe yi ano yiye na ɔrenya mframa pa a ɛdɔɔso afi awotwaa no mu. Sɛ wunya nea efi mu ba te sɛ eyi a, ebia wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ yi anaa sɔhwɛ foforo bio wɔ bɛyɛ dapɛn biako mu, na kɔ so hwɛ akokoaa no so.
• Nea efi mu ba pa: Eyi kyerɛ sɛ akokoaa no koma bɔ brɛoo wɔ bere a ɛtwetwe no dodow no ara mu (`akyi decelerations` wɔ hɔ). Eyi kyerɛ sɛ ɛyɛ den ma akokoaa no sɛ obegyina saa akisikuru yi ano na ebia ɔrennya mframa pa a ɛdɔɔso. Sɛ ɛba saa a, oduruyɛfo no betumi asi gyinae sɛ ɔbɛwo akokoaa no ntɛm, ebia denam ``Caesarean section`` so.
• Nea Efi Mu Ba a Ɛyɛ Akyinnyegye Anaasɛ Ɛyɛ Akyinnyegye: Ɛtɔ mmere bi a nea efi mu ba no betumi ayɛ nea emu nna hɔ. Wei kyerɛ sɛ nsakraeɛ kakra ba koma a ɛbɔ mu, nanso ɛnyɛ den sɛ wɔbɛfrɛ no ‘papa’. Sɛ ɛba saa a, oduruyɛfo no betumi atrɛw nhwehwɛmu no mu akyɛ kakra, anaasɛ ɔbɛka akyerɛ wo sɛ yɛ bio akyiri yi.

So nsunsuanso bɔne bi wɔ hɔ?

Sɛnea madi kan aka no, asiane titiriw a ɛwɔ sɔhwɛ yi mu ne awo a ɛba ntɛm anaasɛ awo a efi ase. Afei nso, nnipa binom betumi anya akisikuru kakra na wɔafe esiane Pitocin . Sɛ wɔkanyan awotwaa no dodo (uterine hyperstimulation) a, ebetumi aka akokoaa no nso kakra. Nanso eyi ntaa nsi, efisɛ nnuruyɛfo yɛ eyi yiye, na wɔhwɛ biribiara. Afei nso, wɔ sɔhwɛ yi mu no, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra efisɛ ɛsɛ sɛ wotra gyinabea biako mu kakra.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae

Okay, enti yɛaka saa `(Contraction Stress Test)` yi ho asɛm pii. Ne tiaatwa mu no, nneɛma bi a ɛsɛ sɛ wokae ni:

• Wɔyɛ eyi de hwɛ sɛ akokoaa no betumi agyina ɔhyew no ano na ɔrenya mframa pa a ɛdɔɔso anaa .
• Wɔtaa yɛ eyi sɛ ɔhaw bi wɔ ``Nonstress Test'' anaa ``Biophysical Profile'' a wɔadi kan ayɛ mu a.
• Efi sɔhwɛ yi muHokwan wɔ hɔ sɛ basabasayɛ no betumi afi ase.
• Wɔnam Pitocin a wɔde ma anaasɛ nufu no a wɔkanyan no so na ɛma awotwaa no twetwe.
• Wɔtaa yɛ eyi wɔ adapɛn 34 akyi .
• Nea ebefi mu aba no bɛba nnansa yi ara .

Nea ɛho hia sen biara ne sɛ, sɛ wowɔ nsɛmmisa, dadwen, anaa adwenem naayɛ bi wɔ sɔhwɛ yi ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa na woama emu ada hɔ. Tie nea oduruyɛfo no ka no yiye. Wɔyɛ biribiara ma wo ne wo ba no ahobammɔ.

Mma ɛnhaw wo, kae kɛkɛ sɛ biribiara bɛyɛ yiye. Ɛmmra sɛ mo baasa ne akokoaa no nhyira!

` Nyinsɛn mu nhwehwɛmu, Adwennwen a ɛtwetwe obi ho sɔhwɛ, Akokoaa Koma a ɛbɔ, Awotwaa mu a ɛtwetwe, (Nyinsɛn mu adwennwen ho sɔhwɛ), (Pitocin), (Nsɔhwɛ a ɛnyɛ adwennwen)