Mprempren nnipa pii reware na wɔresusuw ho sɛ wɔbɛwo ba bere a wɔanyinyin kakra no. Ebia wo nso wunni adagyew wɔ adwuma, nhomasua, ne nea ɛkeka ho mu, na afei woresusuw ho sɛ wubefi abusua ase. Sɛ woadi mfe 35 a, ebia ehu bi bɛba w'adwene mu sɛ, "Oh, mabɔ akwakoraa mprempren, so ɛbɛyɛ ɔhaw sɛ wobɛwo akokoaa ?" Ɛyɛ ade a ɛfata koraa. Nanso nea eye sen biara ne sɛ ɛnanom pii wɔ ɔmanfo mu nnɛ a wɔwo mmofra a wɔwɔ apɔwmuden bere a wɔadi mfe 35 akyi, wɔ wɔn mfe aduanan mpo mu. Nea ɛho hia sen biara ne sɛ wɔbɛbɔ eyi ho amanneɛ yiye na wɔatu anammɔn a ɛho hia. Momma yɛnka eyi ho asɛm nnɛ.
Dɛn ne ‘Ɛnanom Mfe a Ɛkɔ Anim’?
Sɛ yɛbɛka no tiawa a, sɛ woadi mfe 35 anaa nea ɛboro saa bere a worehwɛ akokoaa kwan a, wɔ aduruyɛ mu no yɛfrɛ saa tebea yi ‘ ɛna mfe a akɔ anim ’. Ɛwom sɛ na wɔde nsɛmfua te sɛ "geriatric pregnancy" di dwuma ma eyi bere bi a atwam de, nanso wɔmfa saa nsɛmfua no nni dwuma pii bio.
Eyi nkyerɛ sɛ wuntumi nwo akokoaa a ɔwɔ apɔwmuden. Nea ɛkyerɛ ara ne sɛ akwahosan ho asiane ahorow bi betumi ayɛ kɛse bere a obi nyin no, na ɛsɛ sɛ wo ne wo duruyɛfo no hwɛ so titiriw.
Asiane bɛn na ɛwɔ nyinsɛn mu bere a wadi mfe 35 akyi?
Nyinsɛn mu nsɛnnennen betumi aba wɔ mfe biara mu. Nanso, bere a obi adi mfe 35 akyi no, asiane a ɛwɔ hɔ sɛ obenya tebea horow a edidi so yi no kɔ soro kakra. Nanso kae sɛ, sɛ wo ne wo duruyɛfo bɛyɛ adwuma abɛn a, wubetumi adi asiane ahorow yi nyinaa ho dwuma.
| Ahudeɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya mmoroso | Ɛtɔ mmere bi a eyi betumi de tebea bi a ɛyɛ hu a wɔfrɛ no preeclampsia (mogya mmoroso ne nipadua mu akwaa a ɛsɛe) aba. |
| Asikreyare a Ɛwɔ Nyinsɛn Mu | Asikreyare a ɛyɛ nyinsɛn nkutoo. |
| Nyinsɛn a wotu gu anaasɛ awo a wawu | Saa asiane yi kɔ soro kakra bere a obi nyin no. |
| Ɛho hia sɛ wɔyɛ oprehyɛn (C-section) . | Hokwan kɛse wɔ hɔ sɛ ɛsɛ sɛ wɔde wɔn ho to oprehyɛn a wɔde twa oprehyɛn so esiane nsɛnnennen a ɛba bere a wɔrewo nti. |
| Awo a ɛba ntɛm | Abofra awo ansa na da a ɛsɛ sɛ wɔwo no adu. |
| Awo mu duru a ɛba fam | Akokoaa no mu duru nnu nea ɛfata. |
| Nkwammoaa mu nyarewa a ɛwɔ abofra no mu | Asiane a ɛwɔ hɔ sɛ obi benya tebea horow te sɛ Down syndrome no kɔ soro bere a obi nyin no. |
Dɛn nti na asiane ahorow yi kɔ soro bere a obi nyin no?
Nneɛma atitiriw abien nti na ɛte saa. Susuw ho sɛ, sɛ wɔwo ɔbea a, ne nipadua wɔ nkesua dodow bi a obehia ne nkwa nna nyinaa. Bere a onyin no, nkesua dodow so tew, na nkesua a aka no su nso so tew nkakrankakra. Eyi ma asiane a ɛwɔ hɔ sɛ nkwaboaa mu nkwaadɔm a ɛnteɛ wɔ nkesua no mu no yɛ kɛse.
Ade foforo nso ne sɛ, obi a wadi mfe 35 betumi anya nyarewa a enni sabea te sɛ mogya mmoroso dedaw sen obi a wadi mfe 25. Enti, tebea horow yi betumi ayɛ den kɛse denam nyinsɛn so.
So mfaso bi wɔ eyi so?
Yiw, mma ɛnyɛ wo nwonwa! Nhwehwɛmu ahorow ada no adi sɛ mfaso bi wɔ ɛna a obi bɛyɛ bere a wanyin mu.
- Mpɛn pii no, ɛnanom a wɔn mfe akɔ anim sua nhoma yiye na wonya sika a ɛyɛ den , enti wotumi de nneɛma a ehia ma wɔn ba no kɛse.
- Esiane sɛ wowɔ adwene mu pintinn ne asetra mu osuahu a eye nti, ebia ɛbɛyɛ mmerɛw sɛ wubehyia ɛnayɛ mu nsɛnnennen.
- Sɛnea nhwehwɛmu ahorow bi kyerɛ no, ɛnanom a wɔwo mma bere a wɔanyinyin no taa tra ase kyɛ .
- Akwahosan a eye, nhomasua, ne ntetee pa ma wo ba.Wɔka nso sɛ hokwan wɔ hɔ sɛ wobenya.
Ɔkwan bɛn so na wobetumi ama hokwan a ɛwɔ hɔ sɛ wobenya akokoaa a ɔwɔ apɔwmuden no ayɛ kɛse?
Sɛ wohwɛ saa nneɛma yi so a, wo nso wubetumi anya nyinsɛn a ahoɔden wom na ɛyɛ fɛ .
Momma yensiesie yɛn ho ansa na yɛanyinsɛn.
Sɛ woresusuw ho sɛ wobɛwo a, kɔ wo duruyɛfo nkyɛn ansa na woabɔ mmɔden mpo sɛ wubenyinsɛn. Wɔfrɛ eyi sɛ ‘preconception checkup’. Ɛha na wubetumi ahwɛ sɛ wo nipadua ne w’adwene ayɛ krado ama nyinsɛn anaa.
Nya ɔhwɛ a ɛfata ansa na woawo fi wo mmofraase.
Ɛho hia sɛ wobɛkɔ akɔhwɛ wo wɔ aduruyɛ mu daa fi bere a wubehu sɛ woanyinsɛn no. Adapɛn 8 a edi kan no ho hia titiriw ma akokoaa no nkɔso. Wo duruyɛfo bɛhwɛ wo mogya mmoroso, protein ne asikre dodow a ɛwɔ wo nsu mu, ne glucose dodow a ɛwɔ wo mogya mu daa. Eyi ma wotumi hu tebea horow te sɛ preeclampsia ne nyinsɛn mu asikreyare ntɛm na wɔsa.
Fa vitamin ahorow a ɛho hia (Prenatal Vitamins) .
Ɛho hia sɛ ɔbea biara a ɔrehwɛ akokoaa kwan no nom vitamin aduru a folic acid wom da biara da . Eyi ho hia titiriw sɛ woadi boro mfe 35. Folic acid boa ma wosiw awo mu dɛmdi a ɛba akokoaa no amemene ne n’akyi berɛmo mu ano. Dodow a wɔkamfo kyerɛ sɛ wɔmfa nni dwuma da biara ne microgram 400. Nanso, nnom bɛboro microgram 1,000 (milligram 1) a wonkɔ wo duruyɛfo nkyɛn.
Sua Awosu mu Nhwehwɛmu ho ade
Bere a asiane a ɛwɔ hɔ sɛ wo ba no benya nkwaadɔm mu nneɛma a ɛnteɛ no kɔ soro bere a onyin no, nhwehwɛmu ahorow pii wɔ hɔ a ebetumi aboa wo ma woahu. Eyinom nyɛ ahyɛde, nanso nyansa wom sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woasi gyinae a eye ma wo.
| Sɔhwɛ Edin | Dɛn na eyi yɛ? |
|---|---|
| Awotwaa mu DNA a nkwammoaa nnim (cffDNA) . | Wubetumi anya tebea horow te sɛ Down syndrome ho ntease titiriw denam wo mogya a wobɛfa na woasɔ akokoaa no DNA ahwɛ no so. |
| Amniocentesis a ɛma nipadua no yɛ adwuma | Sɔhwɛ a ɛfa awotwaa mu nsu kakraa bi fi awotwaa no mu. Eyi betumi ahu awosu mu tebea horow pɛpɛɛpɛ. Nanso, asiane kakraa bi pɛ na ɛwɔ hɔ sɛ nyinsɛn bɛtu. |
| Chorionic Villus Nhwɛsode (CVS) . | Sɔhwɛ a ɛfa nkwammoaa bi a efi awotwaa no mu. Te sɛ amniocentesis no, eyi nso de asiane kakraa bi na ɛba. |
| Quad Screen a ɛwɔ hɔ | Mogya mu nhwehwɛmu a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abien mu. Eyi susuw nneɛma anan dodow a ɛwɔ wo mogya mu (AFP, HCG, Estriol, Inhibin-A) de ma wunya asiane ahorow a ɛwɔ wo mu no ho adwene. |
Wo ho a wobɛhwɛ no nso ho hia saa ara.
Sɛnea wususuw wo ba no ho no, ɛho hia nso sɛ wususuw wo ho. Sɛ wowɔ apɔwmuden a, wo ba no nso benya apɔwmuden.
- Aduan a ahoɔden wom: Di nnuaba, nhabannuru, atoko, aburow a wɔayam, ne nufusu a srade nnim pii. Di nnuan a calcium pii wom .
- Ma wo mu duru nyɛ kɛse: Ma wo mu duru yɛ kɛse sɛnea wo duruyɛfo kamfo kyerɛ nkutoo. Sɛ́ wobɛma wo mu duru ayɛ kɛse dodo no nyɛ papa.
- Apɔw-mu-teɛteɛ: Bisa wo duruyɛfo na fa wo ho hyɛ apɔw-mu-teɛteɛ a ɛnyɛ den a ɛfata wo mu. Biribi te sɛ nantew mpo ye.
- Gyae sigaretnom ne nsa koraa: Eyinom pira akokoaa no paa.
- Di nyarewa afoforo so: Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, di so yiye ansa na woanyinsɛn.
- Hwɛ yiye wɔ nnuru a wode di dwuma ho: Nnom nnuru, nnuru a wɔde kum ɛyaw, anaa vitamin biara a wonkɔ wo duruyɛfo nkyɛn.
Awo Akyi Ahotɔ
Awo akyi adapɛn 12 a edi kan no yɛ bere a ɛho hia paa ma w’akwahosan. Titiriw sɛ woadi boro mfe 35 a, ɛho hia sɛ wugye w’ahome pii na wohwɛ w’akwahosan so wɔ saa bere yi mu. Ɛyɛ adwene pa sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ no wɔ adapɛn 2-3 akyi wɔ awo akyi.
Hwehwɛ aduruyɛ mu afotu ntɛm ara!
Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ atiridiinini ne atiridiinini kɛse, ɛyɛ den sɛ wobɛhome, wo ho yɛ wo yaw, anaasɛ mogya tu dodo bere a woawo akyi a, kɔ ayaresabea hɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara anaa ka kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wudi boro mfe 35 a, ɛnyɛ akwanside a ɛbɛma woanya akokoaa a ɔwɔ apɔwmuden, nanso ɛsɛ sɛ wo ne wo duruyɛfo no hwɛ so yiye.
- Ɛho hia yiye sɛ wo ne wo duruyɛfo bɛyɛ adwuma abɛn ansa na woanyinsɛn ne bere nyinaa.
- Wobetumi atew asiane pii so denam aduan pa a wobedi, apɔw-mu-teɛteɛ daa, ne sigaretnom ne nsa a wɔbɛkwati so.
- Nsuro sɛ wobɛhwehwɛ awosu mu nhwehwɛmu, wo ne wo duruyɛfo nka ho asɛm, na si gyinae a ɛfata.
- Mma ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo nsɛm, nsɛm a ɛhaw wo, anaa adwenem naayɛ biara a ɛba w’adwenem. W’anigye ne w’akwahosan ne nea ɛho hia.
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