So awotwaa no betumi atetew bere a wonyinsɛn no? (Placental Abruption) Momma yɛnka eyi ho asɛm!

Sɛ worehwɛ akokoaa kwan a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii ne ehu nketenkete wɔ saa bere yi mu. Ɛnnɛ yɛrebɛka tebea bi a ɛtɔ da bi a ɛbɛtumi aba wɔ nyinsɛn mu, nanso ɛnto obiara, na ɛno hwehwɛ sɛ wɔdwene ho kakra ho asɛm. Ɛno ne placental abruption, tebea a nnuruyɛfo frɛ no `(Placental Abruption)` anaa `(Abruptio Placentae)`. Nsuro, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne placenta previa? Sɛ ɛba a, ɛkyerɛ dɛn? (Placental Abruption) .

Okay, momma yenni kan nhwɛ nea awotwaa no yɛ. Sɛ yɛbɛka no tiawa a, awotwaa yɛ bere tiaa mu akwaa a ɛba w’awotwaa mu bere a woanyinsɛn no. Ɛyɛ nea ɛma wo ba no nya oxygen ne aduannuru , te sɛ nkwa nhama a ɛda ɛna ne akokoaa ntam. Mpɛn pii no, awotwaa no bata awotwaa no fasu ho, wɔ soro anaa ɔfã. Akokoaa no awotwaa hama nso bata saa awotwaa yi ho. Ɛboa nso ma woyi nneɛma fĩ fi akokoaa no nipadua mu.

Mprempren, awotwaa mu a ɛba mpofirim ne bere a awotwaa no tetew ne ho koraa anaa ne fã bi fi awotwaa no fasu ho ansa na wɔawo akokoaa no. Fa no sɛ, te sɛ krataa bi a wɔde abɔ ɔfasu ho, na ahwe ase mpofirim? Saa na ɛte. Sɛ eyi ba a, akokoaa no tumi nya mframa pa ne aduannuru kakraa bi. Afei nso, ɛna no tumi mogya pii. Esiane sɛ eyi taa yɛ tebea a emu yɛ den nti, nnuruyɛfo no bɛhwɛ wo yiye na ebia wobesi gyinae sɛ wɔbɛwo akokoaa no ntɛm.

So eyi ahorow ahorow wɔ hɔ?

Yiw, nnuruyɛfo gyina baabi a awotwaa no tetew ne ho fi awotwaa no ho kodu so na ɛkyekyɛ eyi mu:

• Awotwaa no fã bi a ɛpaapae: Eyi ne bere a awotwaa no ntew ne ho mfi awotwaa no fasu no ho koraa, na ne fã bi pɛ na ɛtetew.
• Complete anaa Total Placental Abruption: Eyi ne bere a awotwaa no tetew ne ho koraa fi awotwaa no fasu no ho. Eyi taa ma mogya tu kɛse wɔ ɔbea no awotwaa mu.

Wɔsan nso kyekyɛ wɔn mu sɛnea mogya dodow a ɛyera te:

• Revealed Placental Abruption: Wɔ eyi mu no, wubetumi ahu mogya a ɛretu a ɛkɔ fam kosi nea emu yɛ den a efi ɔbea no awotwaa mu ba.
• Concealed Placental Abruption: Wɔ eyi mu no, mogya a ɛba ɔbea no awotwaa mu a wotumi hu kakraa bi anaasɛ enni hɔ koraa efisɛ mogya no akɔhyɛ awotwaa no ne awotwaa no fasu ntam.

Tebea yi abu so dɛn? Bere bɛn na ɛtaa ba?

Saa tebea yi a wɔfrɛ no ``Placental Abruption,'' ba nyinsɛn bɛyɛ 100 biara mu 1 mu (ɛno yɛ bɛyɛ 1%). Enti, ɛnyɛ nea abu so kɛse.

Ɛda adi kɛse sɛ eyi bɛba wɔ nyinsɛn no fã a etwa to wɔ nyinsɛn no fã a ɛto so abiɛsa no mu . Ɛne sɛ, wɔ adapɛn 28 akyi, kosi sɛ wɔbɛwo akokoaa no wɔ adapɛn 40 mu. Nanso, ɛtɔ mmere bi a ebetumi asi bere biara wɔ adapɛn 20 akyi.

Dɛn ne eyi ho sɛnkyerɛnne? Ɛte nka dɛn?

Ɛnyɛ obiara na onya yare no ho sɛnkyerɛnne koro. Nanso, sɛnkyerɛnne titiriw ma nnipa pii ne mogya a ɛba wɔn awotwaa mu ne yafunu mu yaw wɔ nyinsɛn no fã a ɛto so abiɛsa no mu. Nsɛnkyerɛnne afoforo betumi ayɛ:

• Yafunu mu yaw.
• Awotwaa mu a ɛtwetwe (ɛyaw a efi yafunu a ɛyɛ den mu ba) a emu yɛ den na ɛkɔ so tra hɔ sen awo mu ɛyaw a ɛyɛ daa.
• Ɛyaw a wobɛte nka bere a wode wo nsa ka awotwaa no.
• Akyi yaw anaa ɛyaw.
• Te a wɔte nka sɛ akokoaa no kankyee (akanyan) so atew.

Mogya dodow a ɛba ɔbea awotwaa mu no betumi ayɛ soronko wɔ onipa biara ho. Afei nso, wontumi nnyina mogya dodow a ɛretu no so nkyerɛ sɛnea emu yɛ den ankasa. Ɛtɔ mmere bi a, sɛnea yɛadi kan aka no, mogya no kɔhyɛ mu, enti ebia mogya no rentu a wotumi hu koraa. Ɛyaw no te sɛ nea ɛte saa ara, bere a ebinom fam no, ebia ɛbɛyɛ te sɛ akisikuru kakra, wɔ afoforo fam no, ebetumi ayɛ te sɛ ɛyaw a ano yɛ den mpofirim.

Nea ɛho hia: Saa sɛnkyerɛnne ahorow yi nso betumi ayɛ nyinsɛn mu nsɛnnennen afoforo ho sɛnkyerɛnne. Enti, sɛ mogya retu wo wɔ wo awotwaa mu anaasɛ wo yafunu mu yɛ wo yaw a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara.

So mogya tu wo bere nyinaa?

Mpɛn pii no, wubehu sɛ mogya retu kakra bere a awotwaa no mu tetew no. Nanso, wɔ ``Concealed Abruption`` a yɛadi kan aka ho asɛm no mu no, mogya no akɔhyɛ awotwaa no akyi, enti ebia worenhu mogya biara. Wɔ tebea afoforo mu no, awotwaa no tetew nkakrankakra, enti ebia bere ne bere mu nkutoo na wubehu sɛ mogya retu kakra.

Sɛ mogya biara tu wo wɔ wo nyinsɛn mu a, ɛho hia yiye sɛ woka ho asɛm kyerɛ wo duruyɛfo .

Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛde asiane ba?

Nokwarem no, wɔda so ara nnim nea ɛde awotwaa no mu paapae ankasa . Nneɛma a ɛma asiane no kɔ soro nkutoo na nnuruyɛfo nim. Sɛ nhwɛso no, sɛ wobɔ yafunu no denneennen te sɛ akwanhyia mu a, ɛda adi sɛ awotwaa no bɛtetew.

So eyi ba bere a womia wo yafunu so anaa bere a wowɔ kar a ɛretu mu no?

Dabi, wo duruyɛfo no rentumi ntwe wo yafunu mu bere a woreyɛ nhwehwɛmu no, anaasɛ sɛ wo kar no bɔ tokuru bi wɔ kwan so mpo a. Nanso, sɛ obi bɔ yafunu no denneennen (te sɛ kar akwanhyia anaa antweri a ɔhwe ase) a, ebetumi ama awotwaa no atetew. Ɛno nti na nnuruyɛfo kamfo kyerɛ sɛ twe wo ho fi dwumadi ahorow a ebetumi ama obi ahwe ase na asɛe yafunu (te sɛ apɔnkɔ so tra anaa roller coasters) ho bere a wonyinsɛn no.

Asiane ahorow bi a ɛma asiane a ɛwɔ hɔ sɛ awotwaa no bɛpaapae no yɛ kɛse ni:

• Akwanhyia anaa opira a ɛba awotwaa mu: te sɛ kar akwanhyia, asehwe, anaa ɔhwe a ɛba yafunu mu.
• Sɛ awotwaa no atetew wɔ nyinsɛn bi a atwam mu a.
• Nyinsɛn pii: Eyi kyerɛ sɛ nkokoaa bɛboro biako (te sɛ mmanoma) wɔ awotwaa no mu.
• Tebea horow te sɛ mogya mmoroso , nyinsɛn mu asikreyare, anaa preeclampsia.
• Sɛ wonom sigaret anaa wode nnubɔne di dwuma a.
• Sɛ woadi boro mfe 40 a.
• Sɛ wowɔ awotwaa mu ntini a ɛyɛ mmerɛw a.
• Sɛ wowɔ mogya a ɛtwetwe (Thrombophilia) a.
• Ntini a ɛpaapae ntɛm (ansa na akokoaa no nyin koraa) anaasɛ amniotic nsu (nsu a atwa akokoaa no ho ahyia) a ɛso tew kɛse.
• Chorioamnionitis, ɔyare mmoawa a ɛba awotwaa mu nsu mu.

Nsɛnnennen bɛn na eyi betumi de aba?

Awotwaa a ɛba mpofirim yɛ tebea a ɛde nkwa to asiane mu ma akokoaa no ne, wɔ tebea horow bi mu no, wo nyinaa. Ɛno nti na wɔfa no aniberesɛm saa no.

Nkɛntɛnso a ebetumi aba akokoaa no so:

• Awo a Wɔawo no Ntɛmntɛm.
• Awo mu duru a ɛba fam.
• Onyin ho haw (Intrauterine Growth Restriction).
• Amemene a ɛsɛe esiane oxygen a enni hɔ nti.
• Awo a wɔawuwu.

Nkɛntɛnso a ebetumi aba ɛna no so:

• Anemia (mogya a enni nipadua mu).
• Mogya a ɛtwetwe mogya ho haw ahorow.
• Mogya a ehia.
• Mogya a ɛtɔ dodo (Mogya a ɛtɔ).
• Asaabo a Ɛnyɛ Den.

Saa nneɛma yi betumi ayɛ hu sɛ wobɛte, nanso kae sɛ ɛnyɛ obiara na obenya nsɛnnennen a anibere wom yi. Mpɛn pii no, sɛ wohu ntɛm na wɔsa no yiye a, ebetumi atew asiane ahorow yi so.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wususuw sɛ wowɔ awotwaa mu akisikuru a, wo duruyɛfo bɛhwɛ wo na wayɛ nhwehwɛmu ahorow bi. Ɛdenam sɛnea tebea no mu yɛ den so no, wobetumi de wo akɔ ayaresabea, anaasɛ wɔbɛka akyerɛ wo sɛ kɔ fie kɔhome. Mpɛn pii no, wo duruyɛfo bɛyɛ nea edidi so yi:

• Wobisa mogya dodow a ɛyerae .
• Wobisa baabi a ɛyaw no wɔ ne sɛnea ɛyɛ hu .
• Wobisa bere a yare no ho sɛnkyerɛnne no fii ase .
• Wɔsusuw wo mogya mmoroso .
• Wɔhwɛ wo awotwaa a ɛtwetwe (ɛyaw) no so.
• Ɔhwɛ sɛnea akokoaa no koma bɔ ne sɛnea ɔkeka ne ho .
• Wɔyɛ ultrasound scan de hwɛ baabi a mogya no retu ne akokoaa no tebea.
• Wɔsrɛ sɛ wɔnyɛ mogya ne nsu mu nhwehwɛmu .

Grading sɛnea emu yɛ den te:

Mpɛn pii no, nnuruyɛfo kyekyɛ awotwaa a ɛba mpofirim mu yɛ no afã abiɛsa, anaa akuw ahorow:

• Grade 1: Mogya kakraa bi na ɛba, na ɛtɔ mmere bi a awotwaa no twetwe, nanso ɛnyɛ wo yaw kɛse biara mma wo anaa wo ba no. Mpɛn pii no eyi yɛ awotwaa no fã bi a ɛpaapae.
• Gyinapɛn 2: Mogya tu a ɛkɔ fam, awotwaa no twetwe, na akokoaa no betumi ada sɛnkyerɛnne ahorow adi sɛ ne ho nyɛ no dɛ kakra.
• Adesuakuw a Ɛto so Abiɛsa (Afe a Ɛto so 3): .Mogya a ɛtɔ a ɛkɔ fam kosi nea emu yɛ den, anaasɛ mogya akɔhyɛ mu. Awotwaa mu a ɛtwetwe no kɔ so na ɛnyɛ mmerɛw. Ebia yafunu mu yaw kɛse, mogya mmoroso, na akokoaa no wu mpo bɛba.

Dɛn ne ayaresa a wɔde sa eyi?

Sɛ awotwaa no tetew fi awotwaa no ho pɛ a, wontumi nsan mfa nhyɛ mu anaasɛ wontumi nsiesie. Oduruyɛfo no begyina nneɛma a edidi so yi so asi ayaresa ho gyinae:

• Sɛnea ogye no mu yɛ den no.
• Akokoaa no nyinsɛn / nyinsɛn mfe tenten yɛ ahe?
• Sɛ́ ebia akokoaa no reda sɛnkyerɛnne ahorow adi sɛ ne ho nyɛ no dɛ anaa.
• Hwɛ mogya dodow a woahwere.

Mpɛn pii no, sɛnea akisikuru no mu yɛ den ne mfe a akokoaa no adi ne nneɛma atitiriw abien a ɛkyerɛ ayaresa.

Sɛ akokoaa no da so ara yɛ ketewa (ɔnnbɛn ne bere nyinaa a):

Sɛ wo ba no da so ara wo na wo awotwaa no da so ara sua a, wo duruyɛfo bɛhwɛ wo yiye . Ebia wɔbɛka akyerɛ wo sɛ kɔ fie kɔhome, anaasɛ wɔde wo bɛto ayaresabea. Ebia wɔbɛma wo nnuru a wɔfrɛ no corticosteroid nso na ama wo ba no ahurututu anyin ntɛmntɛm. Wɔbɛhwɛ wo yiye.

Nanso, sɛ awo no mu yɛ den na asiane wɔ wo anaa wo ba no akwahosan so a, ebia ebehia sɛ wowo akokoaa no ntɛm, sɛ mpo akokoaa no nnya nwiee (ennu adapɛn 37) a.

Sɛ akokoaa no yɛ kɛse mprempren (bɛn term):

Sɛ awotwaa a ɛpaapae no sua na akokoaa no koma bɔ sɛnea ɛsɛ a, ebia wo duruyɛfo bɛma wo kwan ma woatra awotwaa no mu akosi sɛ wo nyinsɛn no bɛba awiei. Wɔbɛma wo corticosteroids de aboa wo ba no ahurututu ma wanyin, na wɔbɛkɔ so ahwɛ wo so.

Nanso, sɛ awo no mu yɛ den a, ɛho behia sɛ wɔwo akokoaa no ntɛm. Sɛ asiane bi wɔ hɔ ma wo anaa akokoaa no bere biara a, wɔbɛwo akokoaa no (mpɛn pii no wɔde oprehyɛn a wɔyɛ no ntɛm so).

Tebea horow a ɛho hia sɛ wɔde nneɛma ma ntɛm ara:

Sɛ saa nneɛma yi mu bi si bere biara a, ɛmfa ho mfe a akokoaa no adi a, ebia ɛsɛ sɛ wofa akokoaa no:

• Sɛ placental abruption no mu yɛ den/ɛkɔ soro a.
• Sɛ mogya retu wo kɛse anaasɛ mogya atɔ wo kɛse a.
• Sɛ akokoaa no ho nyɛ no dɛ na ɔda sɛnkyerɛnne ahorow adi sɛ onnya oxygen a ɛdɔɔso a .

Na sɛ awotwaa no tetew kakra nso ɛ? Na sɛ ɛtetew ne ho bɔne nso ɛ?

Sɛ awotwaa a ɛpaapae no sua mpo a, wo duruyɛfo no besusuw mfe a akokoaa no adi ho bere a ɔreyɛ ayaresa ho nhyehyɛe no. Sɛ nhwɛso no, sɛ da a ɛsɛ sɛ wowo no abɛn a, ebia wɔbɛka akyerɛ wo sɛ kanyan awo. Sɛ bere a ɛsɛ sɛ wowo no da so ara aka asram pii a, sɛ mpofirim no sua mpo a, ebia wo duruyɛfo no besusuw ayaresa foforo ho. Mpɛn pii no, sɛ mpofirim anaa mogya a ɛretu no ntra so, na akokoaa no ho nyɛ no dɛ biara a, wubetumi atwɛn akosi sɛ wo nyinsɛn no bɛba awiei.

Sɛ awotwaa no mu yɛ den a, mpɛn pii no ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ efisɛ ebetumi de ɔhaw ahorow a ɛde ne nkwa to asiane mu aba ɛna ne akokoaa nyinaa so. Wɔ tebea horow a ɛtete saa mu no, ɛsɛ sɛ wɔwo akokoaa no ntɛm ara sɛnea wobetumi.

Sɛ awotwaa no mu tetew a, so wobetumi agye nkokoaa no nkwa?

Nneɛma atitiriw abien a ɛka sɛ ebia wobetumi agye akokoaa nkwa ne mfe a akokoaa no adi bere a wɔwoo no ne sɛnea awotwaa no mu paapae no mu yɛ den. Sɛ wohu no ntɛm, hwɛ no yiye, na wɔsa no yare ntɛm a, ebetumi atew nsɛnnennen so. Wɔ nsɛm a emu yɛ den sen biara a ɛma awotwaa no mu paapae no, ɛbɛyɛ sɛ akokoaa no bewu bɛyɛ 15%. Nanso, ɛno kyerɛ sɛ wobetumi agye nkokoaa dodow no ara nkwa.

So ebetumi aba sɛ eyi bɛsan asi bio?

Sɛ woanya awotwaa mu akisikuru pɛnkoro a, ɛyɛ 15% sɛ ɛbɛsan aba bio wɔ wo nyinsɛn a edi hɔ no mu. Sɛ asi mprenu pɛn a, saa hokwan yi betumi akɔ soro akodu bɛyɛ 25%. Enti, sɛ woanya awotwaa mu akisikuru pɛn a, ka kyerɛ wo duruyɛfo.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Mpɛn pii no, ɔkwan biara nni hɔ a wɔbɛfa so asiw awotwaa a ɛbɛpaapae no ano koraa. Nanso, wubetumi atew asiane a ɛwɔ hɔ no so denam nea edidi so yi a wobɛyɛ so:

• Nnom sigaret, mfa nnubɔne nni dwuma, na bisa wo duruyɛfo ansa na woanom aduru biara wɔ nyinsɛn mu.
• Ma wo mogya mmoroso nkɔ so nyɛ nea ɛfata.
• Di w’akwahosan tebea horow a enni sabea ho dwuma yiye.
• Fa ahobammɔ ho nhyehyɛe di dwuma. Sɛ nhwɛso no, ahobammɔ bɛlt a wobɛhyɛ bere a wote kar mu no.
• Sɛ wowɔ yafunu mu haw biara anaasɛ mogya tu wo wɔ wo awotwaa mu a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ mogya tu wo, wo yafunu mu yɛ wo yaw, anaasɛ wo ho yɛ wo yaw wɔ wo nyinsɛn no mu, titiriw wɔ ɔsram abiɛsa a ɛto so abiɛsa mu a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ntwentwɛn wo nan ase.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Ɛsɛ sɛ wo duruyɛfo tumi bua wo nsɛmmisa na ɔkyerɛkyerɛ wo sɛnea wobɛsa saa tebea yi. Nsɛmmisa bi a wubetumi abisa ni:

• So me ba no nkwa da asiane mu?
• Sɛ me awotwaa mu akisikuru mpo a, dɛn na ebetumi asi?
• Ayaresa ahorow bɛn na mewɔ?
• So metumi awo akokoaa no mprempren ara?
• Mɛyɛ dɛn ahu sɛ me awotwaa a ɛpaapae no reyɛ kɛse?
• Dɛn ne nsɛnnennen a ebetumi aba?
• So ɛsɛ sɛ meyɛ sɔhwɛ pii?
• So eyi betumi asi wɔ nyinsɛn a ɛbɛba daakye mu?

So placental abruption ne placenta previa yɛ ade koro?

Yiw, eyinom yɛ tebea horow abien a ɛsono emu biara. `Placenta Previa` ne bere a awotwaa no kata awotwaa no so koraa anaa ne fã bi. Ɛte sɛ nea biribi resiw ɔpon a ɛkɔ awotwaa no mu no. Ɛwom sɛ ɛsono baabi a awotwaa no wɔ de, nanso ɛda so ara bata awotwaa no ho.

Placental abruption yɛ sɛnea awotwaa no ne awotwaa no tetew. Wɔ nsɛm abien no nyinaa mu no, mogya betumi atu wɔ ɔbea awotwaa mu bere a wɔyem ne bere a wɔrewo no.

So nneɛma te sɛ nna, ahurututu, ne nea ɛkeka ho na ɛde eyi aba? So sigaretnom nya nkɛntɛnso?

Ɔbarima ne ɔbea nna nyɛ ade a ɛde awotwaa no mu paapae tẽẽ. Mpɛn pii no, asiane biara nni ho sɛ obi bɛda bere a wanyinsɛn no. Nanso, ɛyɛ papa sɛ wobɛkwati dwumadi ahorow a ebetumi de wo ato asiane mu sɛ wobɛhwe ase anaasɛ wubepira bere a woanyinsɛn no.

Nneɛma a ɛyɛ daa te sɛ ahurututu ne ɔfe mma awotwaa no ntetew mu. Wɔrempira akokoaa no. Nanso sɛ wotaa fefe anaasɛ wofe pii a, ka kyerɛ wo duruyɛfo .

Sigaretnom ma asiane a ɛwɔ hɔ sɛ obehyia ɔhaw pii wɔ nyinsɛn mu, a awotwaa a ɛbɛpaapae ka ho no yɛ kɛse. Sɛ wuhia mmoa a wode begyae sigaretnom a, bisa wo duruyɛfo.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Awotwaa a ɛba mpofirim yɛ tebea a emu yɛ den a ebetumi aba bere a nyinsɛn no. Sɛ mogya tu wo wɔ wo awotwaa mu, wo yafunu mu yɛ wo yaw, anaasɛ wo ho yɛ wo yaw bere a wonyinsɛn no a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Wo duruyɛfo no begyina sɛnea mpofirim no mu yɛ den, mfe a wo ba no adi, ne nneɛma afoforo so asi nea ɔbɛyɛ akyi. Kae sɛ, mpɛn pii no, ɛnyɛ biribi a woyɛe na ɛde bae. Gye di sɛ wo duruyɛfo reyɛ nea eye ma wo ne wo ba no. Mma wo ho nnyɛ wo hu, na mmom hwɛ yiye.

` placental abruption, abruptio placentae, nyinsɛn mu nsɛnnennen, vaginal mogya, yafunu mu yaw, awo a ɛba ntɛm, placental abruption, nyinsɛn mu nsɛnnennen