Wopɛ sɛ wuhu nea ɛyɛ sɔhwɛ ahorow a ɛho hia ankasa wɔ wo nyinsɛn no asram kakraa a etwa to no mu (Prenatal Tests: Third Trimester)?

Wowɔ w’asetra mu bere titiriw bi awiei, ɛnte saa? Sɛ wote sɛ wo ba no rebɛwo a, anigye ne dadwen kakra ba. Saa bere yi de, yɛn nyinaa dwen wo ne wo ba ketewa a ɔwɔ awotwaa mu no akwahosan ho paa. Enti, ɛnnɛ mewɔ ha sɛ merebɛka sɔhwɛ ahorow bi a wɔyɛ wɔ saa ɔsram abiɛsa a ɛto so abiɛsa yi mu, kyerɛ sɛ, asram abiɛsa a etwa to no ho asɛm. Eyinom betumi ama wo ne wo ba no anya nsɛm a ɛsom bo paa.

Dɛn nti na sɔhwɛ ahorow yi ho hia saa?

Susuw sɛnea ɛho hia sɛ wuhu mfaso ne ɔhaw ahorow a ɛwɔ sɔhwɛ bi mu bere a wo duruyɛfo anaa ɔyarehwɛfo ka kyerɛ wo sɛ yɛ biribi no ho. Ɛnanom pii ka sɛ sɔhwɛ ahorow yi ma wonya asomdwoe pii na ɛboa wɔn ma wosiesie wɔn ho ma wɔn ba no mmae. Nanso kae sɛ, wowɔ hokwan sɛ wusi gyinae sɛ wobɛyɛ saa sɔhwɛ ahorow yi anaasɛ worennyɛ saa.

Ebia wobɛkae sɛ bere a wuhui sɛ woanyinsɛn no, da a edi kan a wokɔɔ oduruyɛfo nkyɛn no, wɔyɛɛ nipadua mu nhwehwɛmu a edi mũ, wɔyɛɛ wo nsu mu nhwehwɛmu, na wɔyɛɛ mogya mu nhwehwɛmu. Saa bere no, wo:

• Mogya su ne `Rh factor` (sɛ wo mogya yɛ `Rh negative` na wo kunu mogya yɛ `Rh positive` a, `antibodies` betumi ayɛ a ebetumi aka akokoaa no. Sɛnea ɛbɛyɛ a wobesiw eyi ano no, wɔde aduru bi ma wɔ bɛyɛ adapɛn 28 mu.)
• So mogya a enni hɔ, kyerɛ sɛ , mogya a ɛtɔ kɔ nipadua no mu?
• So nyarewa te sɛ `Hepatitis B` , `Syphilis` , ne `HIV` wɔ hɔ ?
• So Germanfo akisikuru (Rubella) ne akokɔsrade (Varicella) nni wo ho ?
• Mprempren wɔresɔ awosu mu nyarewa te sɛ Cystic Fibrosis ne Spinal Muscular Atrophy nso ahwɛ, sɛ mpo obiara nni abusua no mu nnyaa eyinom pɛn a.

Ɛno akyi no, bere biara a wobɛkɔ wo duruyɛfo nkyɛn no, ɔbɛhwɛ wo nsu, akari wo, na wahwɛ wo mogya so. Eyinom betumi aboa ma wɔahu nneɛma te sɛ nyinsɛn mu asikreyare ne preeclampsia, tebea a asiane wom a ɛde mogya mmoroso ba ho sɛnkyerɛnne a edi kan.

Afei momma yɛnka sɔhwɛ titiriw a wɔyɛ wɔ asram kakraa a atwam yi mu, kyerɛ sɛ, wɔ ɔsram abiɛsa a ɛto so abiɛsa mu no ho asɛm. Wo duruyɛfo begyina nneɛma te sɛ mfe a woadi, w’akwahosan, ne w’abusua aduruyɛ ho abakɔsɛm so asi gyinae sɛ ebia wuhia nhwehwɛmu ahorow yi.

Dɛn ne sɔhwɛ atitiriw a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abiɛsa no mu?

Okay, enti momma yɛnhwɛ sɔhwɛ atitiriw a ɛsɛ sɛ woyɛ wɔ saa bere yi mu.

1. Ultrasound Scan a Wɔde Yɛ Adwuma

Ebia woate eyi ho asɛm pɛn. Ultrasound yɛ nhwehwɛmu a ɛnyɛ yaw, na ahobammɔ wom koraa. Ɛde nnyigyei asorɔkye yɛ wo ba no mfonini, na ɛhwɛ nneɛma te sɛ ne nsusuwii, ne gyinabea, ne baabi a ɛwɔ wɔ awotwaa no mu. Ultrasound a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abiɛsa mu no hwɛ awotwaa no mu . Ɛtɔ da bi a, wɔyɛ Biophysical Profile (BPP) de hwɛ sɛ akokoaa no renya oxygen a ɛdɔɔso anaa.Wɔyɛ eyi nso sɛ sɔhwɛ no fã. Wɔ ɛnanom a nyinsɛn a asiane nnim fam no, wobetumi ayɛ ultrasound scan ahorow pii saa bere yi.

Susuw sɛnea ɛbɛyɛ anigye sɛ wubehu sɛnea wo ba kumaa no keka ne ho wɔ awotwaa mu no ho hwɛ! Eyi ma nnuruyɛfo nya akokoaa no nkɔso ho nsɛm a ɛho hia paa.

2. Glucose a Wɔhwehwɛ Mu

Saa sɔhwɛ yi hwɛ sɛ wowɔ ``Gestational Diabetes`` (asikreyare bere a wonyinsɛn). Eyi yɛ asikreyare a ɛba bere tiaa mu a ɛnanom binom nya bere a wɔyem nkutoo. Nanso, sɛ wɔanhu na wɔansa no yiye a, ebetumi de akwahosan ho haw aba akokoaa no so.

Wɔ sɔhwɛ yi mu no, wɔbɛma wo anonne a asikre wom. Afei, bɛyɛ dɔnhwerew biako akyi no, wɔbɛtwe wo mogya de ahwɛ sɛnea wo glucose te. Ebia saa anonne a asikre wom yi bɛyɛ nea ɛnyɛ dɛ mma nnipa binom, nanso ɛho hia wo ba no yiye.

3. Kuw B Strep Sɔhwɛ

Wɔyɛ nhwehwɛmu yi wɔ adapɛn 35 kosi 37 ntam wɔ wo nyinsɛn no akyi. Ɛhwɛ sɛ wowɔ ɔyare mmoawa bi a wɔfrɛ no `Group B Streptococcus (GBS) .` GBS mmoawa fi awosu mu wɔ mmea pii awotwaa mu, nanso ebetumi de ɔyare mmoawa a emu yɛ den aba nkokoaa a wɔawo wɔn foforo mu.

Nea ɛka sɔhwɛ yi ho ne sɛ wobegye swab sample afi ɔbea no awotwaa anaa akyi berɛmo mu. Sɛ saa nhwehwɛmu yi yɛ ``positive``, a ɛkyerɛ sɛ ɔyare mmoawa bi wɔ hɔ a, ɛsɛ sɛ wokɔ ayaresabea bere a woafi ase awo ara pɛ. Afei nnuruyɛfo no befi ase ama wo nnuru a ekum ɔyare mmoawa a wɔde fa ntini mu (IV) de abɔ wo ba no ho ban afi ɔyare mmoawa ho. Mma ɛnhaw wo, eyi bɛma wo ba no abɔ wo ho ban kɛse.

4. Sɔhwɛ a Ɛnyɛ Adwennwen (Nsɔhwɛ a Ɛnyɛ Adwennwen - NST) .

Wɔtaa yɛ `Nonstress Test (NST)` bere a oduruyɛfo no pɛ sɛ ohu pii fa akokoaa no akwahosan ho. Eyi te saa titiriw wɔ nyinsɛn a asiane kɛse wom mu anaasɛ bere a akokoaa no awo bere atwam no.

Saa sɔhwɛ yi hwɛ sɛ akokoaa no reyɛ n’ade sɛnea ɛsɛ wɔ nkanyan ho ne sɛ ebia akokoaa no renya mframa pa a ɛdɔɔso anaa. Fa no sɛ ɛte sɛ nea worehwɛ sɛ akokoaa no ho ye wɔ ne mu anaa. Sɛ akokoaa no nyɛ ho hwee mpo a, ɛnkyerɛ bere nyinaa sɛ akokoaa no wɔ asiane mu, nanso ebia ɛho behia sɛ wɔyɛ nhwehwɛmu pii.

5. Contraction Stress Sɔhwɛ

Nea ɛka sɔhwɛ yi ho ne sɛ wɔde aduru bi a wɔfrɛ no Pitocin (hormone oxytocin , a ɛba bere a wɔrewo no) bɛhyɛ awotwaa no mu. Saa sɔhwɛ yi susuw sɛnea akokoaa no koma bɔ yɛ n’ade wɔ ntini a ɛtwetwe no ho. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ nhwehwɛmu bi a atwam kyerɛ sɛ ɔhaw bi wɔ hɔ a. Botae no ne sɛ wɔbɛhwɛ sɛ akokoaa no koma bɔ denneennen bere a awotwaa no twetwe no anaa.

Kae sɛ gyinaesi no yɛ wo dea!

Ɛmfa ho sɛ na wonim sɔhwɛ ahorow yi nyinaa no, .Adeɛ a ɛho hia ne sɛ saa sɔhwɛ ahodoɔ yi yɛ nneɛma a "wɔhyɛ nyansa" a ɛsɛ sɛ woyɛ nko ara. Wowɔ hokwan a edi mũ sɛ wusi gyinae sɛ wobɛyɛ wɔn anaasɛ worennyɛ.

Sɛ wopɛ sɛ wuhu nhwehwɛmu a ɛfata wo a, wo ne wo duruyɛfo nkasa. Hwehwɛ nea enti a woreyɛ sɔhwɛ yi, mfaso horow a ɛwɔ so, asiane ahorow a ɛwɔ mu, ne nea nea efi mu ba betumi akyerɛ wo ne nea entumi nka nkyerɛ wo.

Awiei koraa no, kae eyi (Take-Home Message) .

Wo ne wo ba a ɔhyɛ yafunu mu no hia ɔhwɛ a eye sen biara wɔ wo nyinsɛn no bere a etwa to a ɛsom bo sen biara yi mu. Saa sɔhwɛ ahorow yi yɛ ɔkwan a ɛbɛboa wo ma woayɛ saa ara kwa.

• Ntease bi wɔ hɔ a enti wɔyɛ nhwehwɛmu biara: Oduruyɛfo nhyɛ nyansa sɛ wɔnyɛ nhwehwɛmu kɛkɛ. Ɔdwene mfasoɔ a ɛde bɛbrɛ wo ne wo ba no ho.
• Nsuro sɛ wubebisa nsɛm: Sɛ biribi wɔ hɔ a wonte ase anaasɛ w’adwene mu yɛ wo naa a, hwɛ hu sɛ wubebisa wo duruyɛfo.
• Si gyinae a ɛfata: Hu mfaso ne ɔhaw ahorow a ɛwɔ sɔhwɛ biara mu na si gyinae a ɛne w’ankasa wo nkate hyia.
• Susuw nneɛma pa ho: Wɔyɛ eyinom nyinaa de ma akokoaa a ɔwɔ apɔwmuden na ɔwɔ anigye akwaaba ba wiase.

Mewɔ anidaso a efi komam sɛ wo ne w’abusua de bere titiriw yi bedi dwuma anigye ne apɔwmuden mu!

` Nyinsɛn, nhwehwɛmu, ɔsram abiɛsa a ɛto so abiɛsa, ultrasound, glucose nhwehwɛmu, akokoaa akwahosan, ɛna akwahosan