Worekɔyɛ ɛna? Momma yensua nyinsɛn ho biribiara wɔ ɔkwan a ɛnyɛ den so!

Hɛlo! So worehwɛ akokoaa foforo kwan nnansa yi? Sɛ saa a, ɛbɛyɛ sɛ w’ani begye paa, ɛnte saa? Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii ne ehu nketenkete wɔ saa bere yi mu. Enti, ɛnnɛ yɛbɛka nea nyinsɛn yɛ, nea ɛkɔ so wɔ saa bere yi mu, ne nea ɛsɛ sɛ wuhu ho asɛm. Momma yɛnte eyi nyinaa ase kɛkɛ, te sɛ nea wo ne w’adamfo paa rekasa.

Dɛn ne nyinsɛn? Ɛyɛ dɛn na ɛba?

Sɛ yɛbɛka no tiawa a, nyinsɛn ne bere a awotwaa biako anaa nea ɛboro saa nyin wɔ w’awotwaa mu. Eyi taa ba wɔ nna akyi. Nanso ɛtɔ mmere bi a nyinsɛn nso betumi aba denam awo ho mfiridwuma a wɔboa (ART) so . Ɔkwan a ɛyɛ mmerɛw a wobɛfa so ahu sɛ woanyinsɛn ne sɛ wobɛyɛ nyinsɛn mu nhwehwɛmu wɔ fie. Nanso, mogya mu nhwehwɛmu nso betumi asi eyi so dua. Nsɛnkyerɛnne a edi kan a nnipa pii hu ne bra a wɔpa, anɔpa yare, ne ɔbrɛ.

Nyinsɛn dodow no ara ba awiei wɔ akokoaa a ɔwɔ apɔwmuden awo mu. Eyi betumi ayɛ awo a wɔde fa ɔbea awotwaa mu a ɛfata anaasɛ C-section. Nanso, ɛsɛ sɛ yɛkae sɛ ɛtɔ mmere bi a, nneɛma betumi asɛe, te sɛ nyinsɛn a woyi gu, nyinsɛn a woyi gu, anaa awo a wɔawuwu.

Afei ma yɛnhwɛ sɛnea adeyɛ a ɛyɛ den a wɔfrɛ no nyinsɛn yi kɔ so. Ne nyinaa fi ase denam ɛmo ne mmadwoa a ɛka bom no so. Susuw ho saa kwan yi so...

• Nkwaa: Eyinom wɔ wo mmadwoa mu. Ɔsram biara wɔ wo brayɛ mu no, woyi nkesua biako fi wo mmadwoa biako mu. Saa nkesua yi de nkakrankakra sian fallopian tube no mu, twɛn sɛ mmadwoa bi bɛba. Wɔfrɛ saa adeyɛ yi ovulation . Eyi gye nnɔnhwerew 12 kosi 24.
• Nkwaboaa: Nkwaboaa fi ɔbarima mmadwoa mu. Bere a ɔbarima ne ɔbea nna retu no, mmadwoa ɔpepem pii fi ɔbarima no akyi. Wɔ nna mu no, saa mmadwoa yi fa wo awotwaa mu na ɛkɔ wo awotwaa mu.

Sɛ nyinsɛn betumi aba a, ɛsɛ sɛ mmadwoa ne nkesua hyia na wɔka bom. Wɔfrɛ eyi `nyinsɛn` . Nkwaboaa no ka nkesua no ho na `fertilization` ba. Mprempren saa nkesua a wɔahyɛ no ma yi mu kyekyɛ yɛ nkwammoaa pii na ɛkɔ fallopian tube no mu sɛ `blastocyst` . Bɛyɛ nnansa akyi no, saa `blastocyst` yi du wo awotwaa mu. Ɛhɔ no, ɛde ne ho hyɛ awotwaa no fasu mu. Wɔfrɛ eyi `implantation`.Ɛyɛ mprempren na abɛyɛ awotwaa. Bere a wɔde ahyɛ nipadua no mu akyi no, awotwaa no fi ase yɛ. Nna kakraa bi akyi no, saa awotwaa yi bɛsakra bio na abɛyɛ awotwaa , na ɛno ne nea nnuruyɛfo frɛ no kosi sɛ wɔbɛwo akokoaa no.

Bere a wode wo nipadua no ahyɛ wo nipadua mu akyi no, wo nipadua no fi ase yi nyinsɛn mu nkwaadɔm fi nipadua no mu. Saa hormone ahorow yi na ɛmma wunnya wo bra bio. Wɔboa ma awotwaa no nyin nso.

So yebesua Assisted Reproductive Technology (ART) ho ade kakra?

Sɛ ɛyɛ den ma nnipa binom sɛ wobenyinsɛn wɔ awosu mu a, akwan bi wɔ hɔ a wobetumi afa so anya awo denam nnuruyɛfo mmoa so. Eyi ne nea yɛfrɛ no `(Assisted Reproductive Technology - ART)`. Ɛha nso, nnipa atitiriw ne ɛmo ne mmadwoa. Nanso, sɛ́ anka nyinsɛn bɛba wɔ awosu mu no, oduruyɛfo no boa saa baanu yi ma wɔbom ntɛm. Momma yɛnhwɛ akwan a wɔtaa fa so yɛ `(ART)` no bi:

• Intrauterine Insemination (IUI): Eyi ne baabi a oduruyɛfo de mmadwoa hyɛ w’awotwaa mu tẽẽ denam afiri ketewaa bi (catheter) so. Wɔyɛ IUI bɛyɛ bere a ovulation no. Wɔma mmea binom nnuru a wɔde boa awo na ama hokwan a ɛwɔ hɔ sɛ wobeyi mmadwoa no ayɛ kɛse.
• In Vitro Fertilization (IVF): Wɔ saa kwan yi so no, oduruyɛfo de nkesua ne mmadwoa bom wɔ aduruyɛdan mu de yɛ awotwaa. Afei wɔde awotwaa no hyɛ w’awotwaa mu. Wɔ IVF kyinhyia mu no, ebia wo duruyɛfo bɛma wo nnuru ahorow. Eyi boa ma wodi adeyɛ no so na ɛma hokwan a ɛwɔ hɔ sɛ nyinsɛn no bɛyɛ yiye no yɛ kɛse.

Adapɛn ahe na nyinsɛn no yɛ?

Sɛ wɔkyekyem pɛpɛɛpɛ a, nyinsɛn no di bɛyɛ adapɛn 40, anaa nnafua 280 . Nanso, ɔkwan a wɔfa so bu eyi ho akontaa no betumi ayɛ nea ɛyɛ basaa kakra.

Mpɛn pii no, wo duruyɛfo no begyina da a wokɔɔ bra a etwa to (LMP) so bebu baabi a woakɔ akyiri wɔ wo nyinsɛn no mu . Eyi betumi ama adwene atu afra kakra, efisɛ mpɛn pii no, ovulation ba bɛyɛ adapɛn abien wɔ wo nna a efi ase akyi. Enti, sɛ woyɛ nyinsɛn mu nhwehwɛmu wɔ ovulation akyi adapɛn abien a, ɛnde na woanyinsɛn adapɛn anan dedaw!

Mma nnwen saa akontaabu ahorow yi ho dodo. Wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo. Ɔbɛyɛ ultrasound scan nso na wama wo da a ɛsɛ sɛ woyɛ.

Sɛ wofa IVF so nyinsɛn mpo a, adapɛn dodow a wode nyinsɛn no yɛ pɛ. Nanso, ebia ɔkwan a wo duruyɛfo no fa so bu ho akontaa no bɛyɛ soronko kakra. Nea enti a ɛte saa ne sɛ ehuruw anammɔn a anka ebegye bɛyɛ adapɛn abien wɔ awosu mu nyinsɛn mu no bi so na ɛde awotwaa no kɔ awotwaa no mu tẽẽ.

Wobɛyɛ dɛn ahu da pɔtee a ɛsɛ sɛ woyɛ?

Mprempren ``calculators`` wɔ intanɛt so a wode behu bere a ɛsɛ sɛ wo ba no wo. Ɔkwan foforo ne sɛ:

• Kyerɛw da a wo bra a etwa to (`LMP`) no to hɔ.
• Fa nnanson ka ho.
• Bu w’akyi asram abiɛsa fi saa da no.
• Afei fa afe biako ka ho.

Sɛ wofa saa kwan yi so bu da a ɛsɛ sɛ wokɔ no ho akontaa mpo a, wo duruyɛfo no besi da no so dua anaasɛ ɔbɛma wo da foforo a egyina nea efii ultrasound scan no mu bae so bere a wokɔ ayaresabea hɔ no. Te sɛ nea wobɛkɔ ayaresabea ahorow a wɔhwɛ awo ansa na wɔawo no, wo duruyɛfo betumi ahwɛ sɛ da a ɛsɛ sɛ wowo no yɛ nokware anaa.

Nanso kae sɛ, hokwan 5% pɛ na ɛwɔ hɔ sɛ wobɛwo akokoaa wɔ da a ɛsɛ sɛ wɔma wo awo no!

Dɛn ne ‘nyinsɛn mfe’ yi?

Gestational Age yɛ bere tenten a egye na obi anyinsɛn kɛkɛ. Eyi betumi ayɛ basaa kakra, efisɛ wobu akontaa fi wo brayɛ bere a etwa to (LMP) mu. Ɛno kyerɛ sɛ bere a edi kan ansa na woanyinsɛn ankasa ka ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ bere a edi ovulation anim, bere a wo nipadua resiesie ne ho ama nyinsɛn no.

Nyinsɛn mfe yɛ adapɛn ne nna a wɔaka abom. Sɛ nhwɛso no, wɔka sɛ nyinsɛn di adapɛn 22 ne nnafua 3. Ebia wobɛhunu sɛ wɔatwerɛ yei sɛ 22 3/7, anaasɛ wɔbɛtumi nso aka sɛ ɛyɛ ``22 weeks gestation''.

Saa ``nyinsɛn mfe'' yi kyerɛ nyinsɛn no, ɛnyɛ mfe a akokoaa no adi. Mfe a awotwaa no adi nyɛ ade a nnuruyɛfo taa de susuw nneɛma ho. Nea enti titiriw a ɛte saa ne sɛ ɛsɛ sɛ wohu bere pɔtee a nyinsɛn bae. Ɛyɛ den yiye sɛ yebehu no pɛpɛɛpɛ.

Dɛn ne nyinsɛn no fã a ɛto so abiɛsa?

Wɔkyekyɛ nyinsɛn mu afã atitiriw abiɛsa, a wɔfrɛ no `trimesters` : trimesters a edi kan, nea ɛto so abien, ne abiɛsa. Asram abiɛsa biara tenten yɛ asram abiɛsa, anaa bɛyɛ adapɛn 13.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ ɔsram abiɛsa biara mu?

Ɛsono ɔsram abiɛsa biara. Nsɛnkyerɛnne a wuhu no nso yɛ soronko. Wo nipadua (ne akokoaa) sesa na enyin pii wɔ ɔsram abiɛsa biara mu. Fa no sɛ, w’awotwaa no nyin fi ne kɛse te sɛ lemon so kosi sɛ akutu kɛse!

Mfe Abiɛsa a Edi Kan (ɛkɔ adapɛn 13) .

Awo bere a edi kan no ba awiei bere a woanyinsɛn adapɛn 13 no. Sɛ wuhu sɛ woanyinsɛn pɛ a, kɔ oduruyɛfo nkyɛn.

Nneɛma bi a wubetumi ahwɛ kwan wɔ ɔsram abiɛsa a edi kan no mu ni:

• Bere nyinaa na wote nka sɛ wabrɛ.
• Anɔpa yare (eyi betumi asi bere biara wɔ da no mu!) .
• Nufu mu yaw ne nea ɛho ahonhon.
• Sɛ wote nka sɛ wodi nnuan bi na wote nka sɛ afoforo ayɛ wo abofono (`Aduan ho akɔnnɔ anaa aduan ho akɔnnɔ`).
• Koma a ɛyɛ yaw.
• Ayamtim.
• Adwene a ɛsakra mpofirim.
• Tipaeɛ.

Wo duruyɛfo bɛka akyerɛ wo sɛ fa vitamin titiriw bi a wɔde ma ansa na woawo. Wɔbɛma wo nneɛma a ɛsɛ sɛ wokwati ampa bere a wonyinsɛn no nso din. Eyinom bi ne:

• Nsã a wɔnom.
• Tawa nneɛma (te sɛ sigaret).
• Nnubɔne (a wii ka ho). Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa aduruyɛ mu wii ho.
• Nnuan bi: nufusu a wɔmfa pasteurized nhyɛ mu, mpataa a wɔannoa, mpataa a mercury pii wom.

Ɔbere Abiɛsa a Ɛto so Abien (adapɛn 13 kosi 28) .

Bosome abiɛsa a ɛto so abien no fi ase dapɛn 13 na ɛba awiei dapɛn 28.

Mmea pii a na wɔn akisikuru ne ɔbrɛ wɔ ɔsram abiɛsa a edi kan no mu no te nka sɛ wɔn ho ye kakra wɔ ɔsram abiɛsa a ɛto so abien no mu. Nanso, ɔsram abiɛsa a edi kan no mu sɛnkyerɛnne ahorow bi da so ara tumi ba wɔ saa bere yi mu. Mmea pii fi ase te akokoaa no nka (`fetus movement`) wɔ ɔsram abiɛsa a ɛto so abien no mu. Edu bɛyɛ adapɛn 17 no, anyɛ yiye koraa no, mmea dodow no ara mu duru ayɛ nkaribo 10.

Nsɛnkyerɛnne ahorow bi a ɛsɛ sɛ wɔhwɛ kwan wɔ ɔsram abiɛsa a ɛto so abien no mu:

• Nipadua mu yaw, ntini mu yaw.
• Mu duru a ɛkɔ soro.
• Wora a ɛyɛ kɔla a atwa nufu no ho ahyia (areolas) a ɛyɛ tuntum.
• Ntrɛwmu tuntum (`linea nigra`) a ɛretu mmirika fa yafunu no mfinimfini a ɛda adi.
• Nsonsonoe tuntum pue wɔ honam ani.

Ɔbere a Ɛto so Abiɛsa (adapɛn 29 kosi 40) .

Seesei ɛyɛ ɔfã a etwa to! Awo bere a ɛto so abiɛsa no fi ase wɔ adapɛn 29 mu na ɛba awiei wɔ adapɛn 40 mu. Wubetumi ahwɛ kwan sɛ wobɛte ɛyaw ne ɛyaw bi bere a wo ba (ne wo yafunu) kɔ so nyin no. Wo mu duru bɛkɔ soro kakra bere a wo ba no nya srade foforo na ama ne ho ayɛ hyew wɔ awo akyi no.

Nneɛma bi a ɛsɛ sɛ yɛhwɛ kwan wɔ ɔsram abiɛsa a ɛto so abiɛsa no mu ni:

• Ahome a ɛyɛ den a wɔte nka.
• Akyi yaw. (Eyi abu so efisɛ akyi no fi awosu mu yɛ den bere a yafunu no nyin no).
• Ɛho hia sɛ wɔtaa tow nsu.
• Ɛyɛ den sɛ wubenya baabi a ɛhɔ yɛ fɛ a wobɛda.
• Colostrum - nufusuo a edi kan - firi nufu mu.
• Hann a wɔde ma . Eyi kyerɛ sɛ akokoaa no ayɛ krado sɛ wɔbɛwo no na ɔrekɔ fam akɔ akyi berɛmo no mu.
• Awo ho sɛnkyerɛnne a wɔda no adi . Sɛ nhwɛso no, sɛ obi twetwe ne ho anaasɛ ɔbɛfa mucus plug no mu.

Dɛn ne ‘Nyinsɛn a Bere Nyinaa’?

Nnuruyɛfo nso ka "term" ho asɛm bere a wɔka nyinsɛn ho asɛm no. Nyinsɛn a edi mũ yɛ nyinsɛn a ɛkɔ so adapɛn 39 kosi nnafua 0 ​​(39w0d) ne adapɛn 40 ne nnafua 6 (40w6d). Nkokoaa a wɔwo wɔn bere nyinaa no taa nya apɔwmuden. Nsɛmfua afoforo wɔ hɔ a nnuruyɛfo de di dwuma:

• Mfiase: Wɔwo wo ba no wɔ adapɛn 37 kosi nnafua 0 ​​(37w0d) ne adapɛn 38 ne nnafua 6 (38w6d).
• Bere a ɛba akyiri: Wɔwo wo ba no wɔ adapɛn 41 kosi nnafua 0 ​​(41w0d) ne adapɛn 41 ne nnafua 6 (41w6d) ntam.
• Bere akyi: Wɔwo wo ba no wɔ adapɛn 42 akyi.

Ayaresa bɛn na wuhia wɔ nyinsɛn mu?

Ɔhwɛ a wɔde ma ansa na wɔawo no ho hia yiye ma w’akwahosan ne wo ba no akwahosan. Ɛdenam wo duruyɛfo a wobɛkɔ akɔhwɛ wo daa ansa na woawo so no, obetumi ahwɛ w’akwahosan na wahu nyinsɛn mu nsɛnnennen biara ntɛm. Wobetumi nso ahwɛ sɛ wo ba no renyin sɛnea wɔhwɛ kwan no anaa.

Nneɛma a wo duruyɛfo bɛyɛ no bi ni:

• Wɔbɛyɛ nipadua mu nhwehwɛmu, nufu mu nhwehwɛmu, ɔbea awotwaa mu nhwehwɛmu, anaa Pap nhwehwɛmu (sɛ bere no fata sɛ wobɛma wɔayɛ no a).
• Wobisa wo yare no ho sɛnkyerɛnne, w’asetra kwan, ne wo suban ho asɛm.
• Wɔrehwɛ wo mogya mmoroso ne wo mu duru.
• Wɔde awotwaa mu Doppler susuw akokoaa no koma bɔ.
• Sɛnea ɛbɛyɛ na wɔahwɛ wo ba no nyin no, wɔsusuw wo yafunu kɛse (`fundal height`).
• Yɛka nhwehwɛmu a wɔbɛyɛ ansa na wɔawo a ebetumi ahu sɛ ebia akokoaa no wɔ asiane mu sɛ obenya awo mu tebea horow te sɛ Down syndrome ho asɛm na yɛkamfo kyerɛ.
• Wɔyɛ mogya mu adwuma de hwɛ sɛ mogya a ɛtɔ kɔ nipadua no mu ne asikreyare a ɛwɔ nyinsɛn mu, na wɔhwɛ sɛnea hormone dodow te.
• Wɔhwɛ sɛ nyarewa te sɛ akisikuru ne HIV anaa.
• Wɔyɛ ultrasound scan ahorow. Wɔ nyinsɛn a asiane kɛse wom mu no, wɔtaa yɛ ultrasound scan mprenu.
• Yɛbɛka awo, awo, ne wo hwɛ ho nneɛma afoforo ho asɛm akyerɛ wo.
• Mebua asɛmmisa biara a wowɔ.

Nhyehyɛe a Wɔyɛ ansa na Wɔawo Awo

Nsrahwɛ dodow a wobɛkɔ wɔ wo nyinsɛn mu no gu ahorow. Ebia ɛho behia sɛ mmea a wɔwɔ ayaresa tebea horow bi anaa nsɛnnennen bi kɔ wɔn duruyɛfo nkyɛn mpɛn pii. Sɛ wo nyinsɛn no yɛ nea ahoɔden wom na ɔhaw biara nni ho a, mpɛn pii no wo duruyɛfo no behu wo:

• Adapɛn anan biara kosi nyinsɛn no adapɛn 28.
• Adapɛn abien biara fi adapɛn 28 kosi adapɛn 36.
• Pɛnkoro dapɛn biara fi adapɛn 36 kosi sɛ wɔbɛwo akokoaa no.

Ɛsɛ sɛ wo mu duru yɛ ahe bere a wonyinsɛn no?

Eyi dodow pɔtee biara nni hɔ, efisɛ ɛsono obiara nipadua. Nnuruyɛfo dodow no ara kamfo kyerɛ sɛ ɔbea a onyinsɛn mu duru bɛyɛ nkaribo 25 kosi 35 (bɛyɛ kilogram 11 kosi 16) .

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Nyinsɛn yɛ bere a nsakrae pii ba w’asetra mu, na ɛtɔ mmere bi a ebetumi ayɛ den dodo. Ebia wobɛte anigye, ehu, ne akwanhwɛ a adi afra nka. Wo nipadua refa nsakrae pii mu! Enti, ebetumi ayɛ den sɛ wubehu nea ɛsɛ sɛ yɛhwɛ kwan ne nea ɛnsɛ sɛ yɛhwɛ kwan. Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii afa nea ɛsɛ sɛ woyɛ ne nea ɛsɛ sɛ wohwɛ kwan ma nyinsɛn a ahoɔden wom ho.

Ade a eye sen biara a wubetumi ayɛ wɔ nyinsɛn mu ne sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ano. Ɔno ne wo ade a eye sen biara bere a wuhyia nsakrae kɛse wɔ w’asetra mu no. Ka nsɛm a ɛhaw wo anaa ehu biara a ebia wowɔ ho asɛm kyerɛ no, na wo ho bɛtɔ wo kɛse. Nsuro da sɛ wubebisa nsɛm!

Yɛrepɛ sɛ wo ne wo ba kumaa no nya akwahosan pa!

` Nyinsɛn, awo, akokoaa, ɛna, akwahosan, ɔsram abiɛsa, hwɛ a wɔhwɛ ansa na wɔawo