Ɛyɛ ade a ɛfata sɛ wubenya ehu kakra wɔ w’adwene mu wɔ ade biako anaa foforo ho bere a wohwɛ kwan sɛ wobɛyɛ ɛna no . ‘So ɛnyɛ hwee sɛ wubedi saa aduan no?’, ‘So aduru yi a mɛnom no bɛka akokoaa no?’, ‘Sɛ mede nnuru a ekum nkoekoemmoa petepete me fie a, so ɛsɛ sɛ mehwɛ yiye?’ Ebia na nsɛmmisa te sɛ eyi wɔ w’adwene mu. Sɛ wote nsɛm fi baabiara a, ɛyɛ den sɛ wubehu nea ɛyɛ nokware ne nea ɛyɛ atoro. Enti momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, na yɛayi wo suro ne w’adwenem naayɛ afi hɔ.
Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ yesuro fi nea yɛte no mu. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho ankasa wɔ nyinsɛn mu. Ma yɛnhwɛ nea saa nneɛma yi yɛ ne sɛnea yebetumi abɔ yɛn ho ban.
Nneɛma bɛn na ebetumi apira akokoaa no (Teratogens)?
Sɛ yɛbɛka no tiawa a, wɔ aduruyɛ mu no, yɛfrɛ nneɛma anaa nyarewa a ebetumi ama awo mu dɛmdi aba akokoaa a ɔwɔ awotwaa mu mu sɛ ‘teratogens’. Nanso biribi a ɛte sɛɛ a wɔde wɔn ho bɛhyɛ mu no nkyerɛ sɛ akokoaa no bepira. Nneɛma pii wɔ hɔ a ɛka eyi. Sɛ nhwɛso no, bere tenten a wɔde dii dwuma, dodow a wɔde wɔn ho hyɛɛ mu, ne nyinsɛn no fã a wɔde wɔn ho hyɛɛ mu no ho hia.
Wɔ pon abien a ɛwɔ ase hɔ no mu no, ma yɛnhwɛ nnuru, nnuru , ne ɔyare mmoawa a wɔde nyansahu ada no adi sɛ ɛde awo mu dɛmdi ba abofra so.
| Nnuru ne nnuru a ebetumi ayɛ nea asiane wom wɔ nyinsɛn mu | |
|---|---|
| Atadeɛ | Nsɛntitiriw a ɛho hia |
| Nsaden | Ebetumi asɛe abofra nyin ne n’amemene kɛse. |
| Mogya mmoroso nnuru bi | Sɛ nhwɛso no: nnuru a esiw ACE ano (Enalapril), nnuru a efi Coumarin mu (Warfarin). |
| Nnuru bi a wɔde sa akisikuru | Sɛ nhwɛso no: Carbamazepine, Valproic acid, Phenytoin. |
| Vitamin A ne nea ɛwom no dodow a ɛdɔɔso | Nnuru te sɛ Isotretinoin (Accutane) a wɔde sa akisikuru no yɛ nea asiane wom kɛse . |
| Nnuru bi a ekum ɔyare mmoawa | Sɛ nhwɛso no: Tetracycline, Streptomycin a wɔde yɛ aduru. |
| Nnubɔne a wɔde di dwuma | Nnubɔne te sɛ cocaine. |
| Kɔbere, Mercury, na ɛwɔ hɔ | Dade a emu yɛ duru a wobetumi atwe afi nneɛma a atwa yɛn ho ahyia mu. |
| Nyarewa a ebetumi ayɛ asiane wɔ nyinsɛn mu | |
|---|---|
| Cytomegalovirus a ɛyɛ ɔyare mmoawa | Mmoawa bi a abu so a mpɛn pii no ɛnkyerɛ yare no ho sɛnkyerɛnne. |
| Rubella na ɔkyerɛwee | Wɔsan frɛ no German akisikuru, na wobetumi de MMR vaccine no asiw eyi ano. |
| Syphilis a ɛyɛ yare | Ɔyare mmoawa a wonya fi nna mu. |
| Toxoplasmosis a ɛma obi nya ɔyare | Ebetumi afa nam a wɔannoa no yiye ne mpataa nsu mu akɔ. |
| Akokɔsrade (Varicella) . | Asiane no yɛ kɛse sɛ ɛba wɔ nyinsɛn no mfiase a. |
Kɔkɔbɔ titiriw bi a ɛfa aduru bi a wɔde sa akisikuru ho
Ebia woate aduru a wɔfrɛ no `Thalidomide` ho asɛm. Wɔde maa ɛnanom a wɔyem mfe du du a atwam ni na ɛde awo mu dɛmdi a emu yɛ den baa wɔn mma so. Nanso aduru a ɛyɛ hu na asiane wom kɛse mpo ne ` Isotretinoin` , aduru a wɔde sa cystic acne a emu yɛ den. Wonim no yiye denam brand din `Accutane` so.
Sɛ wɔnom saa aduru yi wɔ nyinsɛn mu a, asiane kɛse wɔ hɔ sɛ awo mu dɛmdi a emu yɛ den 30% - 35% wɔ akokoaa no mu. Eyi betumi asɛe akokoaa no akwaa atitiriw te sɛ koma, aso, ne amemene no kɛse, na ɛde ne nkwa mpo ato asiane mu.
Enti, sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wubenyinsɛn a, mfa saa aduru yi nni dwuma esiane biribiara nti. Sɛ wode saa aduru yi redi dwuma a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.
Nneɛma a ɛsɛ sɛ wususuw ho wɔ aduan a wodi ho
Ɛsɛ sɛ yɛhwɛ yiye kakra wɔ aduan a yedi bere a yɛyem no ho . Titiriw no, nneɛma bi a yɛbɛkwati no ho hia yiye ma akokoaa no ahobammɔ.
Ma saa nneɛma yi ntra w’adwenem bere a woredi mpataa no
Ebia mercury a ɛyɛ dade a emu yɛ duru pii wɔ po mu mpataa akɛse bi mu. Eyi betumi aka abofra amemene nkɔso wɔ ɔkwan a enye so. Enti,
- Mpataa a ɛnyɛ papa sɛ wobedi: Kwati sɛ wubedi mpataa akɛse te sɛ shark, swordfish, ne king mackerel.
- Wubetumi adi no bɛyɛ mprenu dapɛn biara: Ɛyɛ papa sɛ wubedi mpataa nketewa te sɛ shrimp, salmon, mackerel, herring, ne sprat. Nnuannuru te sɛ omega -3 a akokoaa no hia wɔ eyinom mu.
- Mpataa a wɔde ahyɛ toa mu: Tuna a emu yɛ hare yɛ nea eye a wubetumi apaw.
Nokwasɛm pii a ɛfa aduan a ahobammɔ wom ho
Hwɛ nsɛntitiriw a ɛwɔ pon a ɛwɔ ase ha no so nso. Eyinom bɛboa ma wo ne wo ba no abɔ ho ban afi ɔyare mmoawa ho.
| Nokwasɛm | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nneɛma a ɛsɛ sɛ wodi a wɔannoa | Kwati nnuaba a wɔannoa, nufusu a wɔmfa pasteurized, kyiisi, ne nnuaba mu nsu. |
| Nam, mpataa, nkesua | Mma nnwe biribiara a ɛnnoa anaasɛ wɔannoa. Di nkesua a wɔanoa no yiye anaa wɔanoa. |
| Nam a wɔasiesie | Nni deli nam te sɛ soseji, nam a wɔayam, ne ham gye sɛ wɔahyɛ no hyew yiye. |
| Ahotew | Hohoro wo nsa yiye ansa na woasiesie aduan ne bere a woasiesie awie no. Hohoro nhabannuru ne nnuaba yiye. Mfa nam a wɔannoa ne aduan a wɔanoa nsie. |
‘Gray Area’ a asiane no mu nna hɔ
Nneɛma bi wɔ hɔ a yentumi nka no pen sɛ ɛbɛpira ɛna a onyinsɛn anaa ne ba. Nea enti a ɛte saa ne sɛ ɛnyɛ abrabɔ pa sɛ wɔbɛyɛ nhwehwɛmu wɔ mmea a wɔyem ho. Enti, nsɛm a ɛfa saa nneɛma yi ho no sua.
Aspirin ne nnuru a wɔde kum ɛyaw
Wɔnkamfo nnuru a wɔde kum ɛyaw te sɛ aspirin ne NSAID (e.g. ibuprofen) nkyerɛ bere a wɔyem. Wobetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. Sɛ ɛho hia sɛ wonom nnuru a wɔde sa atiridii anaa tiyɛ a, bisa wo duruyɛfo na fa paracetamol.
Caffeine a wɔde yɛ adwuma
Nnipa pii haw wɔ caffeine a ɛwɔ tii ne kɔfe mu no ho, nanso nhwehwɛmu ahorow kyerɛ sɛ tii anaa kɔfe dodow a ɛfata te sɛ tii anaa kɔfe kuruwa biako anaa abien a wɔnom da biara no mfa asiane kɛse biara mma.
Nnuru a wɔde yɛ ofie
Ɛnyɛ nea ɛda adi sɛ nneɛma te sɛ nnadewa a wɔde yɛ nnadewa, nea wɔde yɛ fitaa, ne nneɛma a wɔde hyɛ agyirae a ɛtra hɔ daa a wɔde bedi dwuma daa no renpira hwee. Afei nso, sɛ worepete nnuru a wɔde kum mmoawa wɔ wo fie a, ɛdɔɔso sɛ wobɛtwe wo ho afi beae no ho na woahwɛ ahu sɛ mframa pa bɛkɔ mu. Nanso, sɛ woyɛ adwuma wɔ kuayɛ mu anaa adwumayɛbea bi na wohyia nnuru a, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ eyi ho.
Nea ɛho hia sen biara ne sɛ, sɛ wowɔ adwenem naayɛ anaa ehu bi wɔ biribiara ho a, nsuro da sɛ wubebisa wo duruyɛfo no ho asɛm. Ɛno som bo kɛse sen sɛ wubegye nea nkurɔfo ka adi.
Nya Atiridiinini Tuo no
Mmea a wɔyem wɔ asiane kɛse mu sɛ wobenya nsɛnnennen afi atiridiinini mu. Enti, asiane biara nni ho yiye na wɔkamfo kyerɛ sɛ wobenya influensa aduru no bere biara wɔ nyinsɛn mu. Eyi bɔ wo ne wo ba a ɔhyɛ yafunu mu no ho ban. Ɛho hia nso sɛ wobɛhwɛ sɛ wobɛhu wo nnuru foforɔ a wɔde bɔ wo ho ban (e.g. MMR for Rubella) ansa na woanyinsɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Hwɛ yiye kɛse wɔ nnuru anaa nnuru biara ho wɔ nyinsɛn mu, titiriw wɔ ɔsram abiɛsa a edi kan no mu .
- Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (wɔakyerɛw ama wo, nea wɔtɔn wɔ aduruyɛdan mu, vitamin, Ayurvedic, anaa mpɔtam hɔ nnuru).
- Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, ɛbɛyɛ papa sɛ wubedi kan akɔ oduruyɛfo nkyɛn na woaka wo nnuru ne w’asetra kwan ho asɛm.
- Mma nnnyae nnuru biara a oduruyɛfo akyerɛw ama wo nom da a wonkɔ ne nkyɛn. Titiriw nnuru a wɔde sa tebea horow te sɛ asikreyare, mogya mmoroso, ne adwenemyare.
- Sɛ w’adwene mu yɛ wo naa wɔ ade anaa aduan bi ho a, hwehwɛ aduruyɛfo afotu ntɛm ara. Sɛ ɛho hia a, wubetumi nso akɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
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