Nyinsɛn yɛ bere titiriw paa wɔ w’asetra mu a worehwɛ kwan sɛ wobɛyɛ ɛna. Bere koro no ara mu no, ɛsɛ sɛ wohwɛ wo nipadua akwahosan yiye wɔ saa bere yi mu. Ɛtɔ da bi a, wote mogya mmoroso ho asɛm bere a wonyinsɛn no. Enti ɛnnɛ yɛbɛka tebea bi a ɛho hia yiye a ɛfa ho, preeclampsia , ho asɛm. Nsuro, adeɛ a ɛho hia paa ne sɛ wobɛhunu yei.
Sɛ yɛbɛka no tiawa a, preeclampsia yɛ bere a wunya mogya mmoroso bere a woanyinsɛn (mpɛn pii no wɔ adapɛn 20 akyi) anaa nna anaa adapɛn akyi wɔ awo akyi. Ɛtɔ mmere bi a ebetumi aka akwaa te sɛ wo mmerɛbo ne w’asaabo. Nanso asɛmpa no ne sɛ ɛnanom a wɔwɔ saa tebea yi mu dodow no ara wo nkokoaa a wɔwɔ apɔwmuden na wɔn ho tɔ wɔn koraa.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ɛtɔ mmere bi a wo mogya mmoroso tumi kɔ soro nkakrankakra, anaasɛ ebetumi akɔ soro mpofirim a wommɔ wo kɔkɔ . Nea ɛyɛ nwonwa no, ebia nnipa binom renhu yare no ho sɛnkyerɛnne biara. Ɛno nti na ɛho hia paa sɛ wobɛhwɛ wo mogya mmoroso daa bere a woanyinsɛn no, sɛnea wo duruyɛfo kyerɛ no.
Preeclampsia ho sɛnkyerɛnne betumi ada adi fi ɔsram abiɛsa a ɛto so abien no mu. Wotumi hu saa sɛnkyerɛnne ahorow yi bi nso wɔ nyinsɛn a ɛfata mu, enti ɛho hia sɛ wohu nsonsonoe a ɛda wɔn ntam.
| Nsɛnkyerɛnne a ɛkyerɛ | Nea ɛsɛ sɛ yehu |
|---|---|
| Protein a ɛboro so wɔ nsu mu (Proteinuria) . | Eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ asaabo no aka. Wobetumi ahu eyi denam nsu mu nhwehwɛmu a wɔyɛ wɔ ayaresabea hɔ no so. |
| Tiyɛ a ɛnbrɛ ase ɛmfa ho sɛ wɔnom nnuru a wɔde kum ɛyaw no | Sɛ wowɔ tiyɛ a ɛsono ne tiyɛ a ɛyɛ daa, emu yɛ den, anaasɛ ɛkɔ so daa a, ma ɛhaw wo. |
| Ɛyaw a ɛba yafunu no atifi anaa nifa so | Eyi betumi ayɛ mmerɛbo mu haw ho sɛnkyerɛnne. |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ ɛyɛ wo den sɛ wobɛhome anaasɛ worenya akisikuru a, mmu w’ani ngu so. |
| Anisoadehu mu haw ahorow (anisoadehu a ɛyɛ kusuu, nsensanee a wohu, hann ho nkate) . | Eyinom betumi ayɛ preeclampsia ho sɛnkyerɛnne a anibere wom. |
| Anim ne nsa a ɛho ahonhon | Ɛyɛ ade a ɛfata sɛ wo nan hohoro kakra bere a woanyinsɛn no, nanso sɛ w’anim ne wo nsa hohoro mpofirim a, hwɛ yiye. |
| Akisikuru anaa ɔfe | Ɛwom sɛ eyinom yɛ nea ɛfata wɔ nyinsɛn mfiase de, nanso sɛ efi ase bio wɔ fã a ɛto so abien no mu a, ka kyerɛ wo duruyɛfo. |
Nea ɛho hia sen biara: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, yɛsrɛ wo ne wo duruyɛfo nkasa. Mfa nntwentwɛn so.
Bere bɛn na ɛsɛ sɛ wokɔ ayaresabea (ETU) ntɛm ara?
Nsɛnkyerɛnne bi wɔ hɔ, sɛ ɛda adi a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
- Sɛ ɛyɛ den yiye sɛ wobɛhome a
- Sɛ wowɔ tiyɛ a emu yɛ den a ɛrenkɔ
- Sɛ wowɔ ɛyaw a emu yɛ den wɔ yafunu atifi anaa nifa so a
- Sɛ w’aniwa yɛ kusuu a, ebia wubehu nsensanee a ɛrehuruhuruw wɔ w’ani anim, anaasɛ woanya nsakrae kɛse wɔ w’ani so.
Preeclampsia a Efi Ase Mfiase
Eyi kyerɛ sɛ wunya preeclampsia ansa na nyinsɛn no adi adapɛn 34 . Kae sɛ, dodow a tebea yi nyin ntɛm wɔ nyinsɛn mu no, dodow no ara na asiane a ɛwɔ hɔ sɛ wo ne wo ba no behyia ɔhaw ahorow. Ɛtɔ da bi a, ebia ɛsɛ sɛ wowo wo ba no ntɛm.
Nhwehwɛmu ada no adi sɛ ebia nkokoaa a ɛnanom a wonya preeclampsia ntɛm wɔ wɔn nkwa nna mu no wo wɔn sua sen sɛnea na wɔhwɛ kwan. Yɛfrɛ eyi Fetal Growth Restriction (FGR).Sɛnea afifide nnyin yiye bere a ennya aduan pa ne nsu a ɛfata no, saa ara na tebea yi betumi aba esiane mogya a ɛnkɔ akokoaa no mu a ɛnam awotwaa no mu a ɛnsɛe nti.
Ɛda adi sɛ akokoaa yi nso nya ɔhaw ahorow wɔ ntini ahorow , koma ne ahurututu, ɔhome, ne mogya mu.
Ebia Apgar nkontabuo a wɔde ma akokoaa wɔ awoɔ mu nso bɛba fam kakra. Eyi kyerɛ akokoaa no honam ani kɔla, ne koma bɔ, sɛnea ɔte nka, ne ntini ahorow, ne ne home. Nanso, nkontaa a ɛba fam a, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ akokoaa no wɔ ɔhaw kɛse mu. Ebia wobehia aduruyɛ mu mmoa kakra wɔ wɔn nkwa simma kakraa a edi kan no mu.
Nnipa a wonya preeclampsia ntɛm wɔ nyinsɛn mu no betumi anya nea edidi so yi:
- Protein dodow a ɛkɔ soro wɔ nsu mu: ebia ɛboro mmɔho abien.
- Tebea a emu yɛ den kɛse: Ebia mogya mmoroso bɛyɛ kɛse na ebia ɛrenyɛ nea wɔde sa yare no.
Awo akyi Preeclampsia
Yiw, wotee saa asɛm no yiye. Ɛtɔ mmere bi a, mogya mmoroso ho sɛnkyerɛnne ahorow yi fi ase bere a wɔawo akokoaa no akyi. Wɔtaa ba wɔ dapɛn a edi kan wɔ awo akyi. Nanso asiane no betumi aba hɔ ntɛm ara wɔ adapɛn 6 mu.
Nsɛnkyerɛnne no te sɛ nea wohu wɔ nyinsɛn mu no ara pɛ. Nanso, eyi nka akokoaa no. Asiane ahorow wɔ hɔ ma ɛnanom a wonya mogya mmoroso wɔ awo akyi, te sɛ:
- Akisikuru: Mogya a ɛkɔ amemene no mu a ɛtwa.
- Pulmonary Edema: Eyi ma ɛyɛ den sɛ wobɛhome.
- Thromboembolism: Mogya a ɛtwetwe mogya no yɛ mogya ntini bi na esiw ano.
Enti, bere a woawo wo ba akyi mpo no, hwɛ yiye paa wɔ biribiara a ɛnteɛ wɔ wo nipadua mu, titiriw sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no ho. Sɛ wowɔ biribi a ɛhaw wo a, ka kyerɛ wo duruyɛfo ntɛm ara.
So wontumi nsiw eyi ano?
Nnuruyɛfo da so ara ntumi nka no pen sɛ ɔkwan bi wɔ hɔ a wɔbɛfa so asiw preeclampsia ano 100% wɔ bere no mu. Wɔreyɛ nhwehwɛmu pii wɔ ɛno ho. Nanso, ɛboa kɛse sɛ wubenya apɔwmuden sɛnea wubetumi ansa na woanyinsɛn. Ɛno kyerɛ sɛ wubedi aduan pa, apɔw-mu-teɛteɛ, na worennom sigaret.
Sɛ wowɔ asiane bi a, wo duruyɛfo betumi akamfo nea edidi so yi akyerɛ wo, wɔ w’afotu nkutoo so :
- Aspirin: 1 .Wɔ nyinsɛn adapɛn 12 akyi no, wo duruyɛfo betumi akamfo akyerɛ sɛ fa aspirin a ano nyɛ den (81mg) da biara, nanso sɛ asiane ahorow a edidi so yi mu bi wɔ hɔ a:
- Sɛ na wowɔ preeclampsia wɔ nyinsɛn bi a atwam mu anaasɛ obi wɔ w’abusua mu a.
- Sɛ woanyinsɛn mmanoma a.
- Sɛ wowɔ mogya mmoroso a ɛkɔ so daa a.
- Sɛ wowɔ asaabo mu yare, asikreyare, anaa yare bi a nipadua no tumi ko tia nyarewa a.
- Calcium a wɔde ma: Eyinom betumi aboa ma wɔasiw preeclampsia ano wɔ mmea a wonnya calcium a ɛdɔɔso ansa na wɔrenyinsɛn anaasɛ bere a wɔrenyinsɛn no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Preeclampsia nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu ani gu so nso. Nhumu ne ahobammɔ a eye sen biara.
- Kɔ wo ayaresabea ahorow daa. Ma wɔnhwɛ wo mogya mmoroso ne wo nsu bere biara.
- Hwɛ kɔkɔbɔ nsɛnkyerɛnne te sɛ tiyɛ a emu yɛ den, aniwa a ɛsakra, yafunu atifi yaw, ne ahome a ɛyɛ den.
- Sɛ wowɔ adwenem naayɛ anaa sɛnkyerɛnne bi a, ka kyerɛ wo duruyɛfo anaa awogyefo ntɛm ara. Mma ntwentwɛn wo nan ase da.
- Hwɛ wo nipadua so bere a woawo akokoaa mpo akyi, efisɛ awo akyi preeclampsia betumi aba.
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