Dɛn ne Awotwaa no Koma a Ɛbɔ So a Wɔhwɛ?

Sɛ wokɔ oduruyɛfo nkyɛn bere a wonyinsɛn a, wɔde afiri ketewaa bi gu wo yafunu so na wotie akokoaa no koma bɔ, ɛnte saa? Ɛtɔ da bi a wɔde abɔso bɔ wo yafunu ho na wɔhwɛ. Dɛn na eyi yɛ ankasa? Dɛn nti na eyi ho hia saa? Dɛn na eyi betumi akyerɛ wo wɔ wo ba no ho? Momma yɛnka eyi ho asɛm tiawa.

Dɛn ne Awotwaa no Koma a Ɛbɔ So a Wɔhwɛ?

Sɛ yɛbɛka no tiawa a, Fetal Heart Rate Monitoring yɛ ɔkwan a wɔfa so hwɛ sɛnea wo ba no koma bɔ ntɛmntɛm na ɛyɛ nea ɛyɛ dɛ. Sɛ wunyinsɛn a, wo duruyɛfo pɛ sɛ ɔhwɛ hu sɛ wo ba no wɔ apɔwmuden na onyin yiye. Akwan titiriw biako a wɔfa so yɛ eyi ne sɛ wɔbɛhwɛ sɛnea akokoaa no koma bɔ ne sɛnea ɛbɔ.

Wɔtaa yɛ sɔhwɛ yi wɔ nyinsɛn no akyi ne awo bere mu. Wobetumi ayɛ nhwehwɛmu yi de aka nhwehwɛmu afoforo ho de ahwɛ wo ba no tebea mu kɔ akyiri, titiriw sɛ wowɔ akwahosan ho asiane bi te sɛ asikreyare anaa mogya mmoroso a.

Dɛn nti na nnuruyɛfo ka sɛ ɛsɛ sɛ wɔyɛ nhwehwɛmu yi?

Wɔtaa kamfo nhwehwɛmu yi kyerɛ sɛ wo nyinsɛn no wɔ asiane kɛse mu a. Nhwɛsoɔ:

• Sɛ wowɔ asikreyare a.
• Sɛ wode nnuru a wɔde sa awo a ɛba ntɛm redi dwuma a.
• Sɛ oduruyɛfo no susuw sɛ akokoaa no nyin anaa ne nyin nyɛ nea ɛfata a.

Nea ɛka eyi ho no, oduruyɛfo no betumi ahwɛ nhwehwɛmu yi so de ahu sɛ ebia akokoaa no ho retɔ no yiye bere a ɔrewo no, anaasɛ wɔpɛ sɛ wɔhwɛ sɛnea akokoaa no koma bɔ esiane biribi foforo biara nti.

Akwan bɛn na wɔfa so yɛ sɔhwɛ yi?

Akwan titiriw abien na ɛwɔ hɔ a wobɛfa so ahwɛ sɛnea wo ba no koma bɔ. Biako ne sɛ wobɛyɛ no wɔ abɔnten , wɔ wo yafunu so. Ɔfoforo no ne sɛ wobɛyɛ no wɔ wo mu , bere a wo nsu no abubu na awo afi ase awie no.

1. Abɔnten so Nhwehwɛmu

Eyi ne ɔkwan a wɔtaa fa so. Wɔnam akwan abien so nso yɛ eyi.

• Auscultation: Sɛ wo nyinsɛn no rekɔ yiye na enni ɔhaw biara a, wo duruyɛfo de afiri titiriw bi a wɔde tie asɛm (`fetoscope`) anaa afiri ketewa bi a wɔde nsa kura (` Doppler ultrasound` ) bedi dwuma de ahwɛ sɛnea akokoaa no koma bɔ bere ne bere mu. Eyi yɛ mmerɛw yiye.
• Ɛlektrɔnik mfiri a wɔde hwɛ nneɛma so:Ɛtɔ da bi a, titiriw wɔ adapɛn 32 akyi no, wo duruyɛfo betumi ayɛ nhwehwɛmu bi a wɔfrɛ no ``Nonstress Test.'' Eyi hwehwɛ sɛ wobɛkan mpɛn dodow a wo ba no koma bɔ kɔ soro wɔ simma 20 mu. Wɔde abɔso a ɛwɔ ɛlɛtrɔnik sensor bi abɔ wo yafunu ho. Ɛkɔ so kyerɛw wo ba no koma bɔ. Wubetumi nso ahyɛ abɔso te sɛ eyi bere a worewo. Ebetumi ahwɛ sɛ wo ba no rehyia nhyɛso biara a efi wo awotwaa mu a ɛtwetwe no mu ba anaa. Sɛ nhyɛso bi wɔ hɔ a, ebia ebehia sɛ wowo akokoaa no ntɛm ara sɛnea wubetumi.

2. Mfinimfini mu Nhwehwɛmu

Wɔyɛ eyi bere a awo afi ase, wo nsu abubu, na w’awotwaa abue akyi nkutoo.

Doppler ne Fetoscope: Nsonsonoe bɛn na ɛwɔ mu?

Nnipa pii adwene atu afra kakra wɔ saa mfiri abien yi ho. Momma yɛnma ɛno mu nna hɔ.

So eye sɛ wode saa mfiri yi bedi dwuma wɔ fie?

Nnipa binom tɔ ``at-home fetal doppler`` mfiri a wobetumi de adi dwuma wɔ fie. Nanso nnuruyɛfo nsusuw sɛ eyi yɛ adwene pa. Nea enti a ɛte saa ne sɛ, sɛ obi a ɔntete no de di dwuma a:

• Ebetumi ayɛ nea ntease nnim sɛ wobɛhaw wo ho sɛ woante akokoaa no koma bɔ (titiriw wɔ nyinsɛn no adapɛn a edi kan no mu).
• Ebia worentumi nhu pɛpɛɛpɛ sɛ wote akokoaa no koma bɔ anaa w’ankasa wo mogya ntini kɛse no nnyigyei.
• Sɛ ɔhaw bi ba a, ebetumi aba sɛ worentumi nhu na wo nsa aka adansedi krataa a ɛnteɛ .

So asiane bi wɔ sɔhwɛ ahorow yi mu?

• Ɛkame ayɛ sɛ asiane biara nni abɔnten so nhwehwɛmu a wɔyɛ no so. Ɛrempira wo anaa wo ba no. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra wɔ abɔso a wɔde abɔ wo yafunu ho no ho.
• Ebia asiane nketenkete bi a wɔbɛhwɛ so wɔ nipadua no mu no wɔ.
• Sɛ wote nka sɛ wo ho nyɛ wo dɛ kakra.
• Ɛntaa mma koraa sɛ ɔyare mmoawa bi bɛba.
• Akokoaa no ti honam ani a ɛyɛ mmerɛw anaa akuru ketewaa bi.

Nea ɛho hia: Sɛ wowɔ HIV a, wɔnyɛ wo mu nhwehwɛmu efisɛ ɛma asiane a ɛwɔ hɔ sɛ ɔyare no bɛkɔ wo ba no mu no yɛ kɛse.

Dɛn na nea efi mu ba no ka?

Akokoaa a ɔwɔ apɔwmuden koma bɔ mpɛn pii fi 110 kosi 160 simma biara . Saa dodow yi kɔ soro kakra bere a akokoaa no retu no, na ɛno yɛ sɛnkyerɛnne pa.

Nsɛnkyerɛnne a ɛkyerɛ sɛ ebia ɔhaw bi wɔ hɔ ne:

• Koma a ɛbɔ nnu 110 wɔ simma biara mu.
• Ahoɔhare a ɛboro 160 a wɔbɔ wɔ simma biara mu.
• Nsakrae a ɛnteɛ a wɔda no adi wɔ koma bɔ nhyehyɛe mu.
• Koma no bɔ nkɔ soro bere mpo a akokoaa no tu anaa awotwaa no twetwe no.

Nanso kae sɛ, esiane sɛ biribi te sɛ eyi rekɔ so nti, ɛnkyerɛ sɛ akokoaa no wɔ ɔhaw a emu yɛ den. Ɛyɛ sɛnkyerɛnne ara kwa sɛ ebia akokoaa no nnya mframa pa a wohia no. Oduruyɛfo no bɛhwehwɛ mu akɔ akyiri.

Ɛtɔ mmere bi a, nneɛma te sɛ wo nipadua mu duru, wo anaa wo ba no gyinabea, anaasɛ awotwaa mu nsu pii a ɛwɔ awotwaa no mu no betumi aka sɛnea nea efi mu ba no yɛ pɛpɛɛpɛ.

Sɛ koma no bɔ nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ oduruyɛfo no hu sɛ akokoaa no koma bɔ a ɛnyɛ ne kwan so a, wobetumi ayɛ nea edidi so yi:

• Wɔsrɛ wo sɛ sesa wo gyinabea (e.g. dan kɔ benkum).
• Wɔnam IV ( saline ) so de nsu ma nipadua no.
• Wɔrema wo oxygen foforo.
• Wɔde nnuru ma de ma awotwaa no mu twetwe brɛoo.

Sɛ akokoaa no koma mmɔ bio wɔ anammɔn yi akyi a, ebia ebehia sɛ wɔwo akokoaa no ntɛm. Sɛ awotwaa no mu trɛw koraa a, wobetumi de afiri a wɔde hyɛ mu anaa afiri a wɔde yi mframa mu aboa ma awo akokoaa no. Sɛ ɛnte saa a, ebia ɛho behia sɛ wɔyɛ oprehyɛn a egye ntɛmpɛ.