So woanyinsɛn? Enti, momma yɛnhwɛ saa preeclampsia yi?

Sɛ worehwɛ akokoaa kwan nnansa yi a, nea edi kan koraa no, yɛma wo akwaaba! Eyi yɛ bere titiriw paa. Nanso, sɛ nsakrae ba wo nipadua mu a, ɛtɔ mmere bi a akwahosan ho haw nketenkete nso betumi asɔre. Ɛno nti na nnipa pii ka ho asɛm na ɛsɛ sɛ wɔhwɛ yiye kakra . Preeclampsia yɛ tebea a nnipa pii ka ho asɛm, na ɛnyɛ hwee sɛ worensuro? Momma yɛnka eyi ho asɛm nkɔ akyiri, te sɛ nea yɛreka akyerɛ yɛn adamfo bi.

Dɛn ne preeclampsia, ɔbabea?

Sɛ yɛbɛka no tiawa a, preeclampsia yɛ mogya mmoroso tebea a emu yɛ den a ɛba bere a wɔyem no. Nea ɛda adi titiriw ne mogya mmoroso (Hypertension) , a ɛkyerɛ sɛ wo mogya mmoroso kɔ soro. Nea ɛka eyi ho no, protein dodow a ɛwɔ wo nsu mu no kɔ soro (Proteinuria) . Eyi taa ba wɔ nyinsɛn adapɛn 20 akyi.

Susuw ho hwɛ, tebea yi betumi aka wo nipadua no akwaa afoforo nso. Ebetumi asɛe akwaa a ɛho hia te sɛ asaabo ne mmerɛbo, aka amemene no, na ɛde tebea afoforo a emu yɛ den aba. Esiane sɛ eyi betumi ayɛ asiane ama wo ne wo ba a ɔhyɛ yafunu mu nti, wo duruyɛfo no bedwen eyi ho kɛse na obetu wo fo sɛ fi ayaresa a ɛho hia no ase ntɛm ara sɛnea wubetumi.

Tebea yi abu so dɛn?

Nokwarem no, tebea a wɔfrɛ no preeclampsia yi yɛ tebea a ɛwɔ nyinsɛn mu. Wɔ wiase nyinaa no, saa tebea yi ka ɛnanom a wɔyem ɔha biara mu nkyem pɔtee bi. Sɛnea akontaabu kyerɛ wɔ aman bi mu no, preeclampsia nso na ɛma awo dodow bi a ɛho hia ba ntɛm , kyerɛ sɛ, nkokoaa a wɔwo wɔn ansa na wɔadi adapɛn 37.

So preeclampsia yɛ ade a egye ntɛmpɛ?

Yiw, me dɔfo, eyi betumi ayɛ tebea a egye ntɛmpɛ. Sɛ wowɔ preeclampsia a, mpɛn pii no wo mogya mmoroso boro 140/90 mmHg. Afei nso, protein a ɛwɔ nsu mu no kyerɛ sɛ ɛrenya w’asaabo. Saa tebea yi de nhyɛso kɛse ba wo koma ne akwaa afoforo so. Ebetumi aka mogya a ɛkɔ awotwaa no mu , asɛe mmerɛbo ne asaabo, na ama nsu ayɛ kɛse wɔ ahurututu no mu (ahurututu mu akisikuru). Enti, ɛho hia sɛ wɔhwehwɛ ayaresa ntɛm ara na wɔakwati nsɛnnennen a ebetumi de wɔn nkwa ato asiane mu.

Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Ebia nnipa pii rennya yare no ho sɛnkyerɛnne biara mfiase no bere a wɔanya preeclampsia no. Wɔtaa hu wɔ w’ayaresabea, bere a wo duruyɛfo anaa awogyefo hwehwɛ wo mu no. Nanso, nnipa binom nya yare no ho sɛnkyerɛnne.

Nsɛnkyerɛnne a edi kan a ɛkyerɛ sɛ obi anya preeclampsia no bi ne:

• Mogya mmoroso
• Protein a ɛwɔ nsu mu
• Nsuo a ɛtumi sie - Wei tumi ma wo mu duru kɔ soro na ɛho ahonhon.

Nneɛma afoforo a wotumi hu:

• Tiyɛ - Ɛtɔ da bi a, wobɛtumi anya tiyɛ kɛseɛ.
• Anisoadehu a ɛyɛ kusuu anaasɛ hann a wɔte nka
• Nsonsonoe tuntum a ɛrepue wɔ w’anisoadehu mu
• Atifi nifa so yafunu mu yaw
• Nsa, nansoaa, ne anim a ɛho ahonhon (Edema) .
• Ahome a ɛyɛ tiaa

Mpɛn pii no, wunnim sɛ wowɔ preeclampsia kosi sɛ wo duruyɛfo bɛhwɛ wo mogya mmoroso na wayɛ wo nsu mu nhwehwɛmu wɔ ayaresabea a wɔhwɛ wo ansa na wɔawo no. Ɛno nti na ɛho hia paa sɛ wodi wo bere a woahyɛ no nyinaa so na woka sɛnkyerɛnne biara a worehu kyerɛ wo duruyɛfo no.

Preeclampsia a emu yɛ den nso betumi ada sɛnkyerɛnne ahorow te sɛ:

• Hypertensive emergency - Eyi kyerɛ sɛ mogya mmoroso kɔ soro kodu 160/110 mmHg anaa nea ɛboro saa.
• Asaabo anaa mmerɛbo dwumadi a ɛso tew.
• Ahurututu mu akisikuru.
• Ntini mu nkwammoaa a ɛma mogya tu a ɛso tew wɔ mogya no mu (Thrombocytopenia).
• Nsu kakraa bi pɛ na ɛba anaasɛ enni bi koraa.

Sɛ wo preeclampsia no mu yɛ den a, ebia ɛho behia sɛ wo duruyɛfo de wo kɔ ayaresabea ma wɔhwɛ wo bio. Wɔ tebea horow bi mu no, ebia ebehia sɛ wowo wo ba no ntɛm.

Dɛn nti na preeclampsia ba?

Obiara nnim nea ɛde eyi ba ankasa, nanso nhwehwɛmufo binom gye di sɛ ebia efi ɔhaw bi a ɛwɔ mogya a ɛkɔ awotwaa mu no mu.

So adwennwen ma obi nya preeclampsia?

Ɛwom sɛ adwennwen betumi aka mogya mmoroso de, nanso ɛnyɛ nea ɛde preeclampsia ba tẽẽ. Nanso, bere a wontumi nsiw adwennwen bi ano wɔ nyinsɛn mu no, eye sɛ wobɛkwati tebea horow a ɛhaw adwene na woasua sɛnea wobedi ho dwuma.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Nnuruyɛfo nnim nea enti a nnipa binom nya bi ankasa. Nanso, wɔahu nneɛma bi a ɛde asiane ba a ɛma asiane a ɛwɔ hɔ sɛ wobenya bi no yɛ kɛse. Wɔkyekyɛ asiane yi mu sɛ asiane kɛse anaa asiane a ɛkɔ fam .

Nneɛma a ɛma asiane a ɛwɔ hɔ sɛ obi benya preeclampsia no yɛ kɛse:

• Tebea horow a na ɛwɔ hɔ dedaw te sɛ mogya mmoroso, asaabo mu yare, anaa asikreyare .
• Nna mmanoma, mma mmiɛnsa, anaa mmofra pii a wɔhwɛ kwan .
• Sɛ obi wɔ tebea horow a nipadua no tumi ko tia nyarewa te sɛ lupus .
• Esiane sɛ na wanya preeclampsia wɔ nyinsɛn bi a atwam mu nti .

Nneɛma a ɛma asiane a ɛwɔ hɔ sɛ obi benya preeclampsia no yɛ kɛse no bi ne:

• Nyinsɛn a edi kan.
• Sɛ́ obi bɛyɛ kɛse mmoroso .
• Sɛ́ wadi boro mfe 35.
• Sɛ́ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ obi anya preeclampsia .
• Esiane sɛ na wanya nsɛnnennen te sɛ awo mu duru a ɛba fam wɔ nyinsɛn a atwam mu nti.

Bere bɛn na eyi fi ase wɔ nyinsɛn mu?

Mpɛn pii no, preeclampsia ba wɔ nyinsɛn no adapɛn 20 akyi. Wɔtaa hu no wɔ ɔsram abiɛsa a ɛto so abiɛsa mu, kyerɛ sɛ, adapɛn 27 akyi. Sɛ ɛba ansa na nyinsɛn no adi adapɛn 34 a, wɔfrɛ no early-onset preeclampsia .

Awo akyi preeclampsia nso betumi aba wɔ awo akyi . Eyi taa ba wɔ nna kakraa bi kosi dapɛn biako mu wɔ akokoaa no awo akyi.

Nsɛnnennen bɛn na ebetumi aba esiane preeclampsia nti?

Sɛ wɔansa a, preeclampsia betumi akum wo ne wo ba a ɔhyɛ yafunu mu no nyinaa. Ebetumi asɛe asaabo ne mmerɛbo no kɛse, na ebetumi asiw amemene no dwumadi kwan mpo.

Sɛ woanyinsɛn a, ɔhaw ahorow a emu yɛ den sen biara a ɛba wɔ preeclampsia mu no bi ne:

• Akisikuru a ɛma obi ho kyere no
• Eclampsia - Eyi yɛ tebea a ɛma preeclampsia yɛ kɛse na ɛma wɔde obi kɔ ayaresabea.
• Coma
• Nnwodwoɔ

Preeclampsia nso betumi de tebea bi a wɔfrɛ no HELLP syndrome (HELLP syndrome - Hemolysis, Elevated Liver enzymes ne Low Platelet count) aba . Eyi ba bere a preeclampsia sɛe wo mmerɛbo ne mogya mu nkwammoaa kɔkɔɔ na ɛmma mogya no nkɔ so no.

Nsɛnnennen atitiriw a ebetumi aba akokoaa a ɔwɔ awotwaa mu so ne:

• Awo a ɛba ntɛm
• Awo mu duru a ɛba fam
• Placental a ɛba mpofirim

Nnipa a wɔwɔ preeclampsia, titiriw wɔn a wonya tebea no wɔ nyinsɛn mfiase no, wɔ asiane kɛse mu sɛ wobenya tebea horow a edidi so yi akyiri yi :

• Asaabo mu yare
• Koma mu yare
• Nnwodwoɔ
• Preeclampsia a ɛsan ba bio wɔ nyinsɛn a wɔbɛba daakye mu.

Wubetumi ne w’abusua oduruyɛfo akasa na woayɛ nneɛma a ɛho hia na ama asiane ahorow yi so atew.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Mpɛn pii no, nnuruyɛfo hu sɛ obi anya preeclampsiaNhyiam a wɔyɛ daa ansa na wɔawo. Eyinom yɛ nhyehyɛe ahorow a wɔyɛ no daa wɔ wo nyinsɛn no nyinaa mu. Wɔhwɛ nneɛma te sɛ wo mu duru a ɛkɔ soro ne wo mogya mmoroso.

Sɛ wo duruyɛfo susuw sɛ preeclampsia a, obetumi ayɛ nea edidi so yi:

• Wobetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu foforo mfa nhwɛ sɛnea asaabo ne mmerɛbo no yɛ adwuma.
• Ebia wɔbɛka akyerɛ wo sɛ yɛ nnɔnhwerew 24 nhwehwɛmu a wɔde gye nsu mfa nhwɛ protein (proteinuria) dodow a ɛwɔ nsu no mu.
• Wobetumi ayɛ ultrasound ne nhwehwɛmu afoforo a ɛhwɛ akokoaa no tebea so (fetal monitoring), de ahwɛ sɛnea akokoaa no nyin ne nsu dodow a ɛwɔ akokoaa no mu .

Preeclampsia betumi ayɛ nea emu nyɛ den anaasɛ emu yɛ den . Preeclampsia a emu nyɛ den kyerɛ sɛ wowɔ mogya mmoroso ne protein a ɛboro so wɔ wo nsu mu.

Preeclampsia a emu yɛ den ne tebea a ɛwɔ preeclampsia a emu nyɛ den ho sɛnkyerɛnne ne:

• Nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo anaa mmerɛbo asɛe (wɔda no adi wɔ mogya mu nhwehwɛmu mu).
• Ntini mu mogya nkwammoaa dodow a ɛba fam.
• Nsu a ɛhyɛ ahurututu no ma.
• Tiyɛ ne adwenemhaw.
• Aniwa a wontumi nhu ade yiye anaasɛ nsensanee a wohu wɔ aniwa no anim.

Ɔkwan bɛn so na wɔsa preeclampsia?

Wo duruyɛfo betu wo fo wɔ ayaresa a eye sen biara a wɔde sa preeclampsia ho. Mpɛn pii no ayaresa no gyina sɛnea wo preeclampsia no mu yɛ den ne sɛnea wokɔ akyiri wɔ wo nyinsɛn no mu so . Wo duruyɛfoɔ bɛbɔ mmɔden sɛ ɔbɛma wo nyinsɛn no akɔ so akyɛ sɛdeɛ ɛbɛyɛ yie - nanso sɛ preeclampsia no nnyɛ nea ɛde nkwa to asiane mu nkutoo a.

Sɛ nhwɛso no, sɛ worebɛn awo (bɛyɛ adapɛn 37) a, wo duruyɛfo bɛtaa ahyɛ nyansa sɛ ɔnwo ntɛm . Wubetumi de wo awo wɔ ɔbea no awotwaa mu, nanso ɛtɔ mmere bi a , C-section ne ɔkwan a ahobammɔ wom sen biara. Ebia wo duruyɛfo bɛma wo nnuru a wode bedi wo mogya mmoroso so na aboa wo ba no ahurututu ma wanyin akosi sɛ wobɛwo. Ɛtɔ da bi a, ɛyɛ nea asiane biara nni ho sɛ wobɛwo wo ba ntɛm sen sɛ wobɛma wo nyinsɛn no akyɛ.

Sɛ preeclampsia ba wɔ nyinsɛn no mfiase a, wo duruyɛfo bɛhwɛ wo yiye wɔ wo nyinsɛn no nyinaa mu.Wɔpɛ sɛ wɔma nyinsɛn no kyɛ sɛnea ɛbɛyɛ yiye biara sɛnea ɛbɛyɛ a akokoaa no betumi anyin na wanyin. Ɛho behia sɛ wokɔ ayaresabea a wɔhwɛ wɔn ansa na wɔawo no daa, wɔyɛ ultrasounds, wo nsu mu nhwehwɛmu, ne mogya mu nhwehwɛmu. Ebia wo nso wobɛhwɛ wo BP wɔ fie. Sɛ preeclampsia no mu yɛ den anaasɛ emu yɛ den a, oduruyɛfo no bɛka akyerɛ wo sɛ wo akokoaa no.

Sɛ wohu sɛ wowɔ preeclampsia a emu yɛ den a, wobetumi de wo akɔto ayaresabea ma wɔahwɛ wo kosi sɛ wɔbɛwo wo ba no.

Wɔ awo ne awo mu no, wo duruyɛfo betumi ama wo aduru bi a wɔfrɛ no magnesium sulfate de asiw eclampsia (yare a efi preeclampsia mu ba) ano.

So aduru bi wɔ hɔ a edi mũ ma eyi?

Dabi, aduru biako pɛ a wɔde sa preeclampsia ne awo. Nanso, wo duruyɛfo bɛhwɛ wo adapɛn kakraa bi wɔ wo ba no akyi ahwɛ sɛ wo yare no ho sɛnkyerɛnne no fi hɔ anaa.

Dɛn na yebetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ yebenya preeclampsia no so atew?

Sɛ wowɔ asiane ahorow a ɛbɛma woanya preeclampsia a, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ ansa na woanyinsɛn ne bere a woanyinsɛn no so. Eyinom bi ne:

• Sɛ woyɛ kɛse mmoroso a, tew wo mu duru so (ansa na wo mu duru bɛkɔ soro bere a wonyinsɛn no).
• Sɛ wowɔ mogya mmoroso anaa asikreyare dedaw a, hwɛ wo mogya mmoroso ne asikre a ɛwɔ wo mogya mu no so.
• Kɔ so yɛ apɔw-mu-teɛteɛ daa .
• Dae a ɛfata a wobenya .
• Di aduan a ahoɔden wom a nkyene nnim na kwati caffeine.

So wobetumi asiw preeclampsia ano?

Wɔahu sɛ nkokoaa aspirin a wɔnom da biara da no brɛ asiane a ɛwɔ hɔ sɛ wobenya preeclampsia no ase kakra (bɛyɛ 15%). Sɛ wowɔ asiane ahorow a ɛbɛma woanya preeclampsia a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fi ase de aspirin di dwuma wɔ wo nyinsɛn no mu ntɛm (bɛyɛ adapɛn 12). Nanso, ɛyɛ papa sɛ worenfi ase mfa aspirin nni dwuma da a wunnya wo duruyɛfo afotu.

So ebetumi aba sɛ wobɛwo akokoaa a ɔte ase a ɔwɔ preeclampsia?

Yiw, wubetumi awo wo awotwaa mu sɛ wowɔ preeclampsia mpo a. Nanso wo duruyɛfo no begyina wo ne wo ba no tebea so asi gyinae.

Sɛ akokoaa no betumi anya nkwa sɛ preeclampsia ba a?

Aane. Preeclampsia betumi ama awo ntɛm , a ɛkyerɛ sɛ wɔwo akokoaa no ntɛm. Nkokoaa a wɔawo wɔn ntɛm no wɔ asiane kɛse mu sɛ wobenya akwahosan ho haw ahorow, te sɛ awo mu duru a ɛba fam ne ɔhome a ɛyɛ den. Nanso, nkokoaa dodow no ara wɔ apɔwmuden.

So preeclampsia yɛ yiye bere a wɔawo akokoaa akyi?

Mpɛn pii no, preeclampsiaMpɛn pii no, ɛyɛ yiye wɔ nna kakraa bi kosi adapɛn kakraa bi akyi wɔ awo akyi. Ɛtɔ da bi a, wo mogya mmoroso betumi akɔ so ayɛ kɛse adapɛn kakraa bi wɔ awo akyi, na ebia ebehia sɛ wonom nnuru ma no. Wo duruyɛfo betumi aboa wo ma woahwɛ wo mogya so bere a woanyinsɛn akyi.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Ɔbabea dɔfo, preeclampsia yɛ tebea a ebetumi akum obi bere a wanyinsɛn. Sɛ wɔresa wo yare wɔ saa tebea yi ho a, ɛho hia yiye sɛ wobɛkɔ wo ayaresabea nhyehyɛe, mogya mu nhwehwɛmu, ne nsu mu nhwehwɛmu nyinaa daa. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ wo sɛnkyerɛnne ahorow ho a, kɔ wo awo ho oduruyɛfo nkyɛn ntɛm ara.

Sɛ woanyinsɛn na wowɔ saa sɛnkyerɛnne yi bi a, kɔ ayaresabea a ɛbɛn wo ntɛm ara:

• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru , te sɛ akisikuru ne ne ho a ɛwosow.
• Ahome a ɛyɛ tiaa.
• Ɛyaw a ano yɛ den wɔ wo yafunu mu (titiriw wɔ nifa so).
• Anisoadehu a ɛyɛ kusuu.
• Tiyɛ a emu yɛ den a ɛrenkɔ.
• Nsonsonoe a ɛyɛ tumm wɔ w’anisoadehu mu a ɛnkɔ.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ preeclampsia a, ɛyɛ ade a ɛfata sɛ nsɛmmisa pii bɛba w’adwenem. Nsɛmmisa bi a wotaa bisa wo duruyɛfo ni:

• So ɛsɛ sɛ menom nnuru?
• So ɛsɛ sɛ meto me da biara da dwumadi ahorow ano hye?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ nea midi ne nea menom mu?
• Mpɛn ahe na wɔbɛhwɛ m’akwahosan so bere a manyinsɛn no?
• So ɛsɛ sɛ mewo akokoaa no ntɛm?
• Ɔkwan bɛn so na wobetumi adi preeclampsia ho dwuma yiye?

Dɛn ne preeclampsia ho sɛnkyerɛnne atitiriw abiɛsa?

Mpɛn pii no, wo duruyɛfo no na ohu preeclampsia ho sɛnkyerɛnne wɔ ayaresabea a wɔhwɛ awo ansa na wɔawo no.

Mpɛn pii no, sɛnkyerɛnne ahorow a edi kan no ne eyinom:

• Mogya mmoroso.
• Protein a ɛwɔ nsu mu.
• Nsu a ɛkɔ nipadua no mu anaasɛ ɛho ahonhon.

Nsonsonoe bɛn na ɛda Preeclampsia ne Eclampsia ntam?

Eclampsia yɛ tebea a ɛma akisikuru ba esiane preeclampsia a emu yɛ den nti. Wobu no sɛ ɛyɛ ɔhaw a efi preeclampsia mu ba. Nanso ɛtɔ mmere bi a, eclampsia betumi aba a enni preeclampsia ho sɛnkyerɛnne foforo biara.

Dɛn ne Awo Akyi Preeclampsia?

Awo akyi preeclampsiaEyi kyerɛ sɛ wunya preeclampsia bere a wɔawo wo ba no akyi. Eyi taa ba wɔ nna abien akyi wɔ awo akyi, nanso ebetumi aba wɔ adapɛn kakraa bi akyi nso.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Ɔbabea, preeclampsia yɛ tebea a emu yɛ den a nnipa pii nnim mpo sɛ wɔwɔ. Ɛno nti na ɛho hia paa sɛ wobɛkɔ wo bere a woakɔ ansa na woawo no nyinaa ase na wo ne wo duruyɛfo abue w’ani wɔ sɛnkyerɛnne biara a wubehu wɔ wo nyinsɛn mu no ho.

Sɛ wohu sɛ wowɔ saa tebea yi wie a, wo duruyɛfo bɛhwɛ wo nyinsɛn no yiye. Wɔ tebea horow a emu yɛ den mu no, ebia wɔbɛkamfo akyerɛ sɛ wɔnwo akokoaa no ntɛm ara sɛnea wobetumi. Wɔn botae titiriw ne sɛ wɔbɛma wo ne wo ba no nyinaa anya ahobammɔ na wɔanya apɔwmuden.

Awiei koraa no, ɛnanom pii a wɔwɔ preeclampsia wo nkokoaa a wɔwɔ apɔwmuden. Afei nso, mpɛn pii no, tebea no fi hɔ koraa wɔ adapɛn kakraa bi mu wɔ akokoaa no awo akyi. Enti, mma wo ho nnpopo na di wo duruyɛfo akwankyerɛ akyi yiye!

` Preeclampsia, Nyinsɛn, Mogya mmoroso, Proteinuria, Eclampsia, Awo, Ɛnanom Akwahosan