So wotee ehu nka kakra bere a wo awo ho oduruyɛfo (OBGYN) ka kyerɛɛ wo sɛ wo nyinsɛn no yɛ ‘asiane kɛse’ kakra no? Anaasɛ wubisaa wo ho sɛ, "Hena ne saa?" bere a wɔka kyerɛɛ wo sɛ kɔ Perinatologist nkyɛn no? Nnipa pii ho popo bere a wɔte saa din yi. Nanso biribiara nni hɔ a ɛsɛ sɛ wosuro ankasa. Oyi yɛ oduruyɛfo a ɔma wo ne wo ba a ɔhyɛ yafunu mu no hwɛ, ne ho akokwaw, na ɔbɔ ne ho ban kɛse. Enti ɛnnɛ, momma yɛnka onii ko a Perinatologist yɛ, nea wɔyɛ, ne bere a ebia wubehia wɔn mmoa ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Sɛ yɛbɛka no tiawa a, hena ne Perinatologist yi?
Awo ho oduruyɛfo yɛ awo ne mmea ho oduruyɛfo (OBGYN) a wanya ntetee titiriw wɔ nyinsɛn a asiane kɛse wom ho . Ne titiriw no, wɔ ntetee a awo-mmea ho oduruyɛfo a ɔhwɛ ayarefo nyinaa nya akyi no, wɔanya mfe abien kosi abiɛsa ntetee titiriw foforo (Fellowship) wɔ akwahosan ho haw ahorow a emu yɛ den a ebetumi aba ɛna anaa akokoaa no so bere a wɔyem no ho.
Ebia wobɛte saa nkurɔfo yi din afoforo.
- Ɛna ne Awotwaa Aduruyɛ (MFM) Ho Ɔbenfo: Eyi kyerɛ "oduruyɛfo a ne ho akokwaw wɔ ɛna ne akokoaa a ɔwɔ awotwaa mu ho."
- High-Risk OBGYN: "Awo ho oduruyɛfo a ne ho akokwaw wɔ nyinsɛn tebea horow a asiane kɛse wom mu."
Edin abiɛsa no nyinaa kyerɛ oduruyɛfo titiriw koro. Wɔn adwuma titiriw ne sɛ wɔbɛhwɛ ɛna no ayaresa tebea a enni sabea so bere a wanyinsɛn anaasɛ wɔbɛhwɛ ahu sɛ wɔde awo mu yare bi awo akokoaa no, na wɔawo ɛna no ne akokoaa no dwoodwoo.
Nnwuma bɛn na wunya fi awo ho oduruyɛfo hɔ?
Perinatologist yɛ oduruyɛfo titiriw a ɔboa wo wɔ nyinsɛn a asiane kɛse wom nyinaa mu. Wɔn dwumadi trɛw yiye. Ma yɛnhwɛ nneɛma atitiriw a wɔyɛ.
| Asoɛeɛ | Ɛno kyerɛ sɛ... |
|---|---|
| Afotu a Wɔde Ma Ansa na Wɔanyinsɛn | Sɛ wowɔ yareɛ a enni sabea te sɛ asikreyare anaa mogya mmoroso a, wobɛtumi akɔ oduruyɛfoɔ yi nkyɛn ansa na woanyinsɛn na woanya afotuo wɔ sɛdeɛ wobɛdi saa yareɛ no ho dwuma wɔ nyinsɛn mu. |
| Ɔhwɛ titiriw a wɔde ma nyinsɛn tebea horow a asiane kɛse wom | Sɛ wohu sɛ wo nyinsɛn no wɔ asiane mu a, wɔbɛyɛ wo nhwehwɛmu daa na wɔahwɛ wo wɔ oduruyɛfo titiriw yi ase, de aka ayaresabea ahorow a wɔyɛ no daa ho. |
| Ayarefo Pa a Wɔhwɛ So | Wɔde ayaresa ma de siw tebea bi a na ɛwɔ hɔ dedaw anaa tebea foforo a ɛba bere a wɔyem (e.g., nyinsɛn mu asikreyare) so. |
| Nhwehwɛmu a wɔyɛ wɔ akokoaa a ɔwɔ awotwaa mu no ho | Ultrasound scan titiriw ne nhwehwɛmu afoforo (e.g., amniocentesis) boa ma wohu ntɛm sɛ ebia akokoaa no wɔ awosu mu yare anaa awo mu dɛmdi bi. |
| Mmoa a wɔde ma bere a wɔrewo | Wɔ nsɛm bi a emu yɛ den mu no, ebia oduruyɛfo titiriw yi nso bɛba oprehyɛn dan no mu aboa wo awo ho ɔyaresafo bere a worewo no. |
| Nsɛnnennen a ɛba wɔ awo akyi a wodi ho dwuma | Wɔboa nso ma wɔsa nsɛnnennen te sɛ mogya a ɛtɔ dodo a ɛna no nya wɔ awo akyi. |
Dɛn ne ‘Nyinsɛn a Asiane Kɛse’?
Eyi yɛ asɛmfua a nnipa pii suro. Nanso momma yɛnte nea ɛkyerɛ ankasa ase.
Sɛ wofrɛ wo ‘wɔ asiane mu’ a, ɛnkyerɛ sɛ wo nyinsɛn no yɛ nea asiane wom anaasɛ ɔhaw bi wɔ wo ba no ho. Nea ɛkyerɛ ara ne sɛ wo ne wo ba no hia sɛ wɔde wɔn adwene si so kakra na wɔhwɛ so. Ɛkyerɛ sɛ nnuruyɛfo no rehwɛ wo mu kɛse.
Mpɛn pii no, nneɛma pii nti na nyinsɛn hyɛ ‘asiane’ kuw no mu.
| Ntease a enti asiane no wɔ hɔ | Nkyerɛmu |
|---|---|
| Ɛna mfeɛ | Titiriw sɛ ɛna no adi boro mfe 40 a, hokwan kɛse wɔ hɔ sɛ nsɛnnennen bi benya, enti wɔde adwene si so kɛse. |
| Nyinsɛn Mpɛn pii | Sɛ wowɔ nkokoaa pii, te sɛ mmanoma anaa mma abiɛsa a, ɛsɛ sɛ wohwɛ yiye titiriw wɔ saa nyinsɛn no mu. |
| Osuahu ahorow a atwam wɔ nyinsɛn mu | Sɛ woadi kan anya nsɛnnennen te sɛ nyinsɛn a wotu gu, awo a wɔawuwu, anaa preeclampsia a. |
| Abusua aduruyɛ ho abakɔsɛm | Sɛ abusua no mu biara wɔ awosu mu yare a, ɛho hia sɛ wɔhwehwɛ mu. |
| Ɛna nyarewa a enni sabea | Tebea horow te sɛ komayare, asikreyare, mogya mmoroso, asaabo mu yare, anaa nipadua mu ahoɔden a ɛko tia nyarewa. |
Dɛn nti na wɔde wo rekɔ Perinatologist nkyɛn?
Mpɛn pii no, wo awo-mmea ho oduruyɛfo (OBGYN) betumi adi nsɛnnennen nketenkete dodow no ara ho dwuma wɔ nyinsɛn mu (e.g., mogya mmoroso a wɔahyɛ so yiye). Nanso, sɛ ɔte nka sɛ tebea bi mu yɛ den kɛse, anaasɛ wuhia adwene a ɛto so abien a, ɔde wo bɛkɔ awo ho oduruyɛfo nkyɛn.
Ɛtɔ da bi a, wunim ansa na woanyinsɛn sɛ wo nyinsɛn no bɛba asiane mu (sɛ nhwɛso no, sɛ wowɔ komayare a emu yɛ den a). Wɔ tebea horow a ɛtete saa mu no, ebia wobɛpɛ sɛ wokɔ awo ho oduruyɛfo nkyɛn ntɛm.
Nneɛma bi nti a wɔtaa de wo kɔ Perinatologist nkyɛn ni:
- Wowɔ tebea horow a woadi kan anya te sɛ komayare, lupus, anaa asikreyare.
- Mogya mmoroso a ɛkɔ soro kɛse anaasɛ preeclampsia.
- Sɛ asiane wɔ hɔ sɛ awo ansa na bere aso.
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ akisikuru anaa asaabo mu yare a.
- Sɛ woagyae nyinsɛn pii anaasɛ woawo a wɔawuwu bere bi a atwam a.
- Sɛ nhwehwɛmu ahorow bi a wɔyɛ bere a wɔyem (Prenatal Screening) no de nea ɛnteɛ ba a.
- Sɛ worehwɛ mmanoma, mma mmiɛnsa, anaa mma pii kwan a.
Nsonsonoe bɛn na ɛda Awo ho Oduruyɛfo ne Awo Ho Ɔbenfo ntam?
Eyi yɛ ɔhaw a nnipa pii wɔ. Momma yɛnte ase tiawa.
Fa wo OBGYN sɛ w’abusua oduruyɛfo/GP wɔ nyinsɛn mu. Ɔno na ɔhwɛ w’akwahosan nyinaa so. Nanso sɛ wowɔ komayare pɔtee bi a, wɔde wo bɛkɔ koma ho oduruyɛfo nkyɛn, ɛnte saa? Saa ara nso na sɛ wowɔ ɔhaw pɔtee bi a ɛyɛ den wɔ nyinsɛn mu a, wo OBGYN de wo bɛkɔ awo ho oduruyɛfo nkyɛn.
Sɛ wokɔ oduruyɛfo a ɔhwɛ awo akyi a, ɛnkyerɛ sɛ ɔno ne oduruyɛfo titiriw a ɔhwɛ wo so. Ɛkyerɛ sɛ wowɔ oduruyɛfo titiriw foforo a ɔbɛka wo nyinsɛn hwɛ kuw no ho. Wo oduruyɛfo titiriw (OBGYN) ne awo ho ɔyaresafo bom yɛ adwuma sɛ kuw de si w’akwahosan ho gyinae. Ebia wobɛkɔ akɔhwɛ awo ho oduruyɛfo no mpɛn kakraa bi pɛ wɔ wo nyinsɛn no nyinaa mu. Ebia ɔde ne ho hyɛ wo hwɛ mu kɛse.
Nhwehwɛmu titiriw bɛn na awo ho oduruyɛfo yɛ?
Wɔde sɔhwɛ titiriw pii di dwuma de hu asiane tebea horow na wɔhwɛ so.
- Ultrasound a Ɛkɔ Akyiri: Wɔyɛ akokoaa no akwaa, ne nyin, ne biribiara a ɛnteɛ mu nhwehwɛmu a emu dɔ sen scan a wɔyɛ no daa.
- Mogya mu Nhwehwɛmu: Sua nsɛm ahorow a ɛfa ɛna no ne akokoaa no akwahosan ho.
- Nhwehwɛmu a Wɔyɛ Ansa na Wɔawo: Asiane a ɛwɔ hɔ sɛ akokoaa no benya awosu mu tebea horow te sɛ Down Syndrome a wɔbɛhwɛ.
- Amniocentesis: Sɔhwɛ a woyi akokoaa no awotwaa mu nsu kakraa bi fi akokoaa no awotwaa mu de hwɛ sɛ ebia awosu mu sintɔ bi wɔ hɔ anaa.
- Chorionic Villus Sampling (CVS): Adeyɛ a ɛhwehwɛ sɛ wɔfa awotwaa no mu kakraa bi na wɔyɛ awosu mu nhwehwɛmu.
So awo ho animdefo yɛ oprehyɛn?
Yiw, wɔ nsɛm bi mu. Mpɛn pii no, wo awo ho oduruyɛfo titiriw na ɔbɛyɛ awo anaa C-section no. Nanso, wɔ nsɛm bi a emu yɛ den yiye mu no, ebia oduruyɛfo a ɔhwɛ awo akyi nso de ne ho bɛhyɛ mu. Sɛ nhwɛso no, wobetumi ayɛ oprehyɛn titiriw te sɛ awotwaa mu ntini a ɛyɛ ade a wɔde siw awotwaa no ano ansa na wɔawo akokoaa no esiane sɛ ɛyɛ mmerɛw dodo nti.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wɔde wo kɔ oduruyɛfo a ɔhwɛ awo akyi no nkyɛn no. Nanso kae sɛ ɛkyerɛ sɛ wo duruyɛfo no rebɔ mmɔden biara sɛ ɔbɛma wo ne wo ba no ɔhwɛ a eye sen biara na ahobammɔ wom. Enti nsuro, na ka nsɛmmisa anaa nsɛm biara a ɛhaw wo ho asɛm kyerɛ wo duruyɛfo ne awo ho ɔyaresafo no.
Nkrasɛm a Wɔde Kɔ Fie
- Perinatologist yɛ oduruyɛfo a ɔwɔ ntetee titiriw wɔ nyinsɛn a asiane kɛse wom ho. Wɔde ɔhwɛ foforo a ɛyɛ soronko ma wo ne wo ba no.
- Sɛ wɔde wo kɔ oduruyɛfo a ɔhwɛ awo akyi a, ɛnkyerɛ sɛ biribi a enye koraa wɔ wo nyinsɛn no ho. Nea ɛkyerɛ ara ne sɛ wo ne wo ba no benya adwene ne ahobammɔ kɛse.
- Awo ho oduruyɛfo no ne wo awo ne mmea ho oduruyɛfo titiriw (OBGYN) yɛ adwuma sɛ kuw. Wɔbom si ayaresa a eye sen biara ma wo ho gyinae.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Nneɛma a wubehu pefee no bɛboa kɛse ma suro biara a ɛho nhia a ebia wowɔ no so atew.
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