Sɔhwɛ titiriw bi a ɛsɛ sɛ wuhu wo ba no akwahosan: Momma yɛnka PUBS (Percutaneous Umbilical Blood Sampling) ho asɛm?

Hɛlo! Ɛnnɛ yɛrebɛka sɔhwɛ bi a ebia ɛnanom pii suro kakra, wɔpɛ sɛ wohu, nanso ɛtɔ da bi a ɛho hia yiye sɛ yehu nsɛm a ɛho hia fa akokoaa no akwahosan ho ho asɛm. Ɛno ne sɔhwɛ a wɔfrɛ no `(Percutaneous Umbilical Blood Sampling)`. Ɛte sɛ nea nsɛmfua no tenten kakra, ɛnte saa? Enti yɛbɛfrɛ no `(PUBS)` tiawa. Ebia woate saa din yi, anaa ebia wo duruyɛfo no aka ho asɛm akyerɛ wo. Enti dɛn ne `(PUBS)`? Dɛn nti na wɔyɛ? Wɔyɛ no dɛn? Ɛnnɛ yɛbɛka eyinom nyinaa ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne PUBS sɔhwɛ yi, oduruyɛfo?

Sɛ yɛbɛka no tiawa a, `(PUBS)` yɛ nhwehwɛmu a wɔfa mogya fi akokoaa a ɔwɔ awotwaa mu no awotwaa mu tẽẽ . Susuw ho te sɛ nea yɛde mogya ma ɔyarefo bi, wɔ eyi mu nso wɔsɔ akokoaa no mogya kakraa bi hwɛ. Wɔsan frɛ eyi `(Cordocentesis)`, `(awotwaa mu mogya a wɔfa)` anaa `(awotwaa mu ntini a wɔfa)`. Ɛwom sɛ edin pii wɔ hɔ de, nanso ade koro no ara na wɔyɛ.

Afei, saa `(PUBS)` sɔhwɛ yi nyɛ sɔhwɛ a wɔyɛ no daa te sɛ sɔhwɛ afoforo. Ebia woate `(Amniocentesis)` (sɔhwɛ a ɛfa nsuo kakra fi akokoaa no mu) anaa `(Chorionic Villus Sampling - CVS)` (sɔhwɛ a ɛfa awotwaa no mu kakraa bi fi ɛna no awotwaa mu) ho asɛm. Mpɛn pii no, nnuruyɛfo di kan yɛ nhwehwɛmu ahorow yi. Nanso, sɛ nea efi saa sɔhwɛ ahorow no mu ba no mu nna hɔ sɛnea ɛsɛ, anaasɛ biribi wɔ hɔ a ɛsɛ sɛ wohwɛ mu kɔ akyiri, anaasɛ ɛsɛ sɛ wuhu biribi ntɛm ara a, ɛnde wɔde `(PUBS)` sɔhwɛ yi na edi dwuma. Ɛne sɛ, eyi yɛ sɔhwɛ a wɔyɛ wɔ nsɛm titiriw kakraa bi mu, bere a ɛsɛ sɛ wuhu biribi ntɛm na ɛyɛ pɛpɛɛpɛ fa akokoaa no akwahosan ho no.

Enti, dɛn nti na wɔreyɛ PUBS sɔhwɛ yi? Dɛn na ɛrehwehwɛ?

Ebia woresusuw ho sɛ, dɛn nti na woyɛ biribi te sɛ eyi bere a sɔhwɛ afoforo wɔ hɔ a wobetumi ayɛ no? Nneɛma atitiriw pii nti na ɛsɛ sɛ yɛyɛ `(PUBS)` sɔhwɛ no:

• Hwɛ ntɛm ara sɛ ɔhaw bi wɔ akokoaa no nkwaboaa mu anaa: Nkwammoaa mu nkwaadɔm, kyerɛ sɛ, ``Nkwammoaa'' yɛ nneɛma nketenkete a ɛwɔ yɛn nipadua mu. Ɛte sɛ nhoma bi a yɛn awosu mu nsɛm nyinaa wom. Wɔka akokoaa no nyin, ne honam ani hwɛbea, ne biribiara. Enti saa sɔhwɛ yi betumi ahwɛ sɛ biribi a ɛnteɛ wɔ akokoaa no mu, sɛ nhwɛso no, tebea bi te sɛ ``Down Syndrome''. Sɛ adwenem naayɛ bi wɔ nea efi sɔhwɛ afoforo mu ba no ho a , wobetumi de eyi asi so dua.
• Sɛ wususuw sɛ wo ba no wɔ akwahosan ho haw afoforo a: Ɛtɔ mmere bi a nnuruyɛfo betumi asusuw sɛ wo ba no wɔ mogya a ɛtɔ kɔ nipadua no mu, mogya mu nkwammoaa mu yare, anaa thyroid yare bi. Sɛnea ɛbɛyɛ na woahu no yiye no, ɛsɛ sɛ wɔyɛ wo ba no mogya mu nhwehwɛmu. Eyi ne bere a PUBS sɔhwɛ no bɛyɛ nea ɛho hia kɛse.

Nea ɛho hia ne sɛ, sɛ wogyina nsɛm a wonya fi sɔhwɛ yi mu so a, ɛtɔ mmere bi a wobetumi afi ayaresa ase bere a akokoaa no da so ara wɔ awotwaa mu no.

Mfaso titiriw bɛn na ɛwɔ PUBS sɔhwɛ no so?

Mfaso akɛse biako a ɛwɔ sɔhwɛ yi so ne sɛnea ɛde ahoɔhare tu mmirika . Mpɛn pii no, wonya nea efi mu ba no wɔ nnansa pɛ mu. Eyi som bo yiye bere a ɛsɛ sɛ wuhu akokoaa no tebea ntɛm no.

Bio nso, sɛnea yɛadi kan aka no, sɛ adwenem naayɛ bi wɔ hɔ sɛ akokoaa no wɔ mogya a ɛtɔ kɔ nipadua mu anaasɛ mogya nkwammoaa mu yare bi a, ɔkwan biako pɛ a wobetumi afa so asi so dua ne PUBS nhwehwɛmu no. Nea enti a ɛte saa ne sɛ, wɔfa akokoaa no mogya tẽẽ, na ɛnyɛ nsu te sɛ nhwehwɛmu afoforo.

Ade foforo a ɛho hia ne sɛ, sɛ ɛho hia a, wobetumi ama akokoaa no mogya anaa nsu foforo a ɛho hia bere a wɔreyɛ nhwehwɛmu no. Fa no sɛ, sɛ nhwehwɛmu yi da no adi sɛ mogya atɔ akokoaa no mu kɛse a, wobetumi ama akokoaa no mogya bi bere a ade no da so ara wɔ nea ɛwɔ mu no. Eyi betumi agye akokoaa no nkwa mpo.

So eye ma me nso sɛ mɛyɛ PUBS sɔhwɛ yi? Hena na ɔkamfo kyerɛ?

Ɛnyɛ mmea a wɔyem nyinaa na wotu wɔn fo sɛ wɔnyɛ saa ``(PUBS)`` sɔhwɛ yi. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo sɛ ntease pɔtee bi wɔ hɔ nkutoo a. Nhwɛsoɔ:

• Sɛ wuhu biribi a ɛnteɛ anaa nsakrae biara wɔ wo ba no mu bere a wɔreyɛ ultrasound scan no a.
• Sɛ nea efii nhwehwɛmu afoforo a atwam (e.g., Amniocentesis) mu bae no mu nna hɔ, anaasɛ sɛ ɛho hia sɛ wosi saa aba no so dua bio a.
• Sɛ adwenem naayɛ bi wɔ hɔ sɛ ɛna no ne akokoaa no mogya ahorow ntam nhyia (`Rh incompatibility`). Ɛtɔ mmere bi a eyi betumi de ɔhaw aba akokoaa no so. Enti sɛ adwenem naayɛ a ɛte saa wɔ hɔ a, saa `(PUBS)` sɔhwɛ yi betumi asi so dua.
• Sɛ adwenem naayɛ bi wɔ hɔ sɛ akokoaa no anya ɔyare bi wɔ awotwaa no mu a, sɛ nhwɛso no, ɔyare bi te sɛ Toxoplasmosis.

Ɛyɛ tebea horow a ɛte sɛɛ mu na oduruyɛfo no ne wo bɛkasa na wahu hia a ɛho hia sɛ wɔyɛ `(PUBS)` sɔhwɛ no.

Nanso so asiane bi wɔ eyi mu? Momma yɛnhwɛ ɛno nso.

Yiw, sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ PUBS nhwehwɛmu no mu. Ntease wom sɛ wobɛte ehu nka kakra wɔ sɔhwɛ a ɛte sɛɛ ho. Ade titiriw a ɛsɛ sɛ yɛkae ne sɛ asiane ahorow yi ho yɛ na koraa.

• Hokwan a ɛntaa nsi koraa wɔ hɔ sɛ nyinsɛn bɛtu .
• Sɛ ɛnte saa a, ɔyare mmoawa bi betumi aba .
• Mogya a ɛtɔ fi awotwaa no mu ne akokoaa no koma a ɛbɔ so tew kakra nso ntaa mma.

Nanso mma eyi mmɔ wo hu a ɛho nhia. Wo duruyɛfo no ne wo bɛkasa pefee afa asiane ahorow yi nyinaa ho. Ansa na wobɛyɛ sɔhwɛ yi no, ɛsɛ sɛ wususuw mfaso ne asiane ahorow a ɛwom no ho yiye ansa na woasi gyinae. Nnuruyɛfo de ahwɛyiye kɛse yɛ nhwehwɛmu yi, na wɔde ultrasound scan na edi dwuma.Nea ɛho hia sen biara ne sɛ wubebisa oduruyɛfo no na woama nsɛmmisa, ehu, anaa adwenem naayɛ biara a wowɔ no mu ada hɔ.

Ɔkwan bɛn so na wɔyɛ PUBS sɔhwɛ yi ankasa? Yɛsrɛ sɛ kyerɛkyerɛ mu kakra.

Wo suro bɛbrɛ ase kakra bere a woasua sɛnea wɔyɛ sɔhwɛ yi no. Nnuruyɛfo a wɔn ho akokwaw yiye na wɔn ho akokwaw na wɔyɛ.

1. Nea edi kan no, wɔde wo bɛka afiri bi a wɔde hwehwɛ ultrasound ho. Eyi ma oduruyɛfo no hu akokoaa a ɔwɔ w’awotwaa mu ne awotwaa mu hama no pefee.

2. Afei, wɔbɛhohoro wo yafunu ho were no ho na wɔde nnuru a ɛma obi dwensɔ kakra bɛhyɛ wo yafunu mu ma ayɛ mmerɛw. Enti worente ɛyaw pii nka.

3. Afei, oduruyɛfo no, wɔ ultrasound scan akwankyerɛ ase, de ahwɛyiye de ade tenten bi a ɛyɛ fɛ yiye bɛhyɛ wo yafunu mu, afa w’awotwaa mu, na akɔ mogya ntini bi mu wɔ akokoaa no awotwaa mu.

4. Sɛ ade no si baabi a ɛfata pɛ a, wɔtwe mogya ketewaa bi kɔ syringe mu.

5. Sɛ wɔfa mogya no wie a, wɔde ahwɛyiye yi afiri no fi mu.

Esiane sɛ wɔde ultrasound scan rehwɛ adeyɛ no nyinaa tee nti, oduruyɛfo no betumi ahwɛ sɛ ebia ade no rekɔ baabi a ɛsɛ sɛ ɛkɔ no pɛpɛɛpɛ ne sɛ ebia ɔhaw bi wɔ akokoaa no ho anaa. Sɔhwɛ no akyi no, wɔbɛhwɛ wo so kakra ansa na wɔde wo akɔ fie.

Bere bɛn na wɔtaa yɛ sɔhwɛ yi bere a wɔyem?

Wɔtaa yɛ PUBS nhwehwɛmu no wɔ nyinsɛn no adapɛn 18 akyi . Saa bere yi de, akokoaa no anyin sɛnea ɛsɛ na wotumi hu awotwaa no mu yiye araa ma wotumi fa mogya. Nanso, wɔ nsɛm titiriw bi mu no, wobetumi ayɛ no akyiri yi. Wo duruyɛfo na osi eyi ho gyinae.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Eyi yɛ adepa foforo a ɛfa `(PUBS)` sɔhwɛ no ho. Mpɛn pii no, nea efi mu ba no wɔ bere tiaa bi mu, bɛyɛ nnafua 3. Ɛtɔ mmere bi a, wobetumi anya bi ntɛm mpo. Esiane ahoɔhare yi nti, sɛ ɔhaw bi wɔ akokoaa no ho a, wobetumi ayɛ nneɛma a ɛho hia no ntɛm.

So yɛbɛkae yɛn ho nneɛma a ɛho hia paa a yɛkaa ho asɛm no? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti momma yɛnsan nsusuw nsɛntitiriw a yɛkaa ho asɛm faa `(PUBS)` sɔhwɛ no ho nnɛ no ho asɛm:

• ``(PUBS)`` yɛ nhwehwɛmu titiriw a ɛfa mogya fi akokoaa no awotwaa mu tẽẽ .
• Wɔyɛ eyi na ama wɔahu ɔhaw ahorow a ɛwɔ akokoaa no nkwaadɔm mu, mogya a ɛtɔ kɔ nipadua no mu, ne ɔyare mmoawa mu ntɛmntɛm na wɔayɛ no pɛpɛɛpɛ .
• Wɔtaa yɛ eyi bere a sɔhwɛ afoforo mma nea efi mu ba a emu da hɔ anaasɛ bere a ɛho hia sɛ wonya nsɛm a egye ntɛmpɛ no.
• Mfaso a ɛwɔ so ne nea efi mu ba ntɛmntɛm, sɛnea wohu yare no pɛpɛɛpɛ, ne sɛ ɛho hia a wotumi sa akokoaa no yare bere a wɔreyɛ nhwehwɛmu no .
• Wɔtaa yɛ no wɔ nyinsɛn no adapɛn 18 akyi .
• Asiane ahorow bi wɔ hɔ a ɛntaa nsi koraa wɔ sɔhwɛ yi mu, enti ɛho hia sɛ wo ne wo duruyɛfo kasa fa sɔhwɛ no mu mfaso ne ɔhaw ahorow ho na bisa nsɛm biara a ebia wowɔ.

Kae sɛ, saa sɔhwɛ ahorow yi wɔ hɔ sɛ ɛbɛboa wo ne wo ba no. Enti nsuro, wo ne wo duruyɛfo nka biribiara ho asɛm, na fa adwene a ɛyɛ komm hyia eyi. Yɛpɛ sɛ wo ne wo ba a ɔhyɛ yafunu mu no nya nkɔso!

` PUBS, Percutaneous Umbilical Blood Sampling, Cordocentesis, Mogya a wɔde fi awotwaa mu, Nyinsɛn mu nhwehwɛmu, Akokoaa akwahosan, Chromosomal abnormalities, Prenatal Test