So wo nna ayɛ nea ɛnkɔ so daa bere a worenyin no? Eyi betumi afi awotwaa mu a entumi nyɛ adwuma titiriw.

So woayera wo nna mu asram pii? Anaasɛ wɔagyae mpofirim? Sɛ eyi to wo wɔ wo mfe 30 mu a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kakra nka. Nnipa pii susuw sɛ eyi yɛ bratwa. Nanso sɛ ɛba ansa na wɔadi mfe 40 a, ebetumi afi tebea bi a wɔfrɛ no ‘awotwaa a entumi nyɛ adwuma ntɛm’. Ma yɛnhwɛ nea eyi yɛ, nea enti a ɛba, ne nea wubetumi ayɛ wɔ ho.

Sɛ yɛbɛka no tiawa a, dɛn ne Primary Ovarian Insufficiency (POI)?

Momma yɛnte eyi ase yiye. Ɔbea biara wɔ mmadwoa abien. Eyinom wɔ awotwaa no afã abien no nyinaa. Saa awotwaa yi wɔ dwumadi atitiriw abien. Biako ne sɛ wobeyi nkesua bi adi ɔsram biara. Ɔfoforo no ne sɛ ɛbɛma wɔanya nkwaadɔm a ɛho hia ma ɔbea nipadua, titiriw estrogen ne progesterone .

Mpɛn pii no, ɔbea mmadwoa gyae adwumayɛ nkakrankakra na brayɛ gyae koraa bere a wadi mfe 51. Yɛfrɛ eyi brayɛ .

Nanso, wɔ tebea bi a wɔfrɛ no Primary Ovarian Insufficiency (POI) , mu no, saa mmadwoa yi dwumadi so tew ntɛm sen sɛnea ɛte daa, kyerɛ sɛ, ansa na wɔadi mfe 40. Wɔ nnipa binom fam no, eyi betumi asi mpofirim. Ɛno kyerɛ sɛ brayɛ gyae mpofirim. Wɔ afoforo fam no, wohu tebea yi bere a brayɛ ayɛ nea ɛnkɔ so daa asram pii, ɛtɔ mmere bi mpo a mfe pii mpo akyi.

Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛka POI?

Mpɛn pii no, bɛyɛ 90% no, wontumi nhu ade pɔtee biara a ɛde POI ba. Wɔ aduruyɛ mu no, yɛfrɛ eyi ``idiopathic''. Nanso, wɔ nsɛm bi mu no, wɔahu nneɛma bi a ɛde ba.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw a ɛtaa ba ne brayɛ a ɛnkɔ so daa anaasɛ brayɛ a enni hɔ asram pii. Nanso, sɛnkyerɛnne afoforo a ɛte sɛ nea wohu bere a obi agyae brayɛ no nso betumi aba. Nea enti a ɛte saa ne sɛ wɔ tebea abien no nyinaa mu no, nipadua no mu estrogen hormone dodow so tew.

• Brayɛbea a ɛnkɔ so daa: Ebia brayɛ bɛkɔ so asram pii a ɛrensan mma bio, anaasɛ ebetumi agyae koraa.
• Fifiri a ɛboro so mpofirim na ɛyɛ hyew (ɔhyew ne fifiri a ɛba anadwo): Eyi betumi aba anadwo titiriw.
• Dae ho haw: Fifiri a wufi anadwo betumi akanyan wo afi nna mu.
• Yafunu ase yaw ne ɔbea awotwaa a ɛyɛ kusuu: Estrogen a ɛso tew na ɛde tebea yi ba. Eyi nso betumi ama obi ate yaw bere a ɔne obi reda.
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛso tew.
• Ɛyɛ den sɛ wode w’adwene besi biribi so na ɛyɛ abufuw.
• Aniwa a ɛyɛ mmerɛw.
• Ɛyɛ den sɛ wobɛnyinsɛn abofra (Infertility).

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo brayɛ, w’abusua aduruyɛ ho abakɔsɛm, ne sɛnkyerɛnne biara a worehu ho asɛm. Afei, ɔbɛyɛ nipadua mu nhwehwɛmu.

Nea ɛka ho no, wɔhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si tebea yi so dua.

• Hormone Level Testing: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔfa mogya na wɔhwɛ sɛnea hormone ahorow pii te.
• FSH (Follicle-Stimulating Hormone): Nnuru a ɛkanyan mmadwoa. Sɛ awotwaa no ntumi nyɛ adwuma yiye a, amemene no ma FSH pii kɔ. Enti, saa hormone yi dodow dɔɔso yiye wɔ POI mu.
• Estrogen: Hormone titiriw a awotwaa no yɛ. Wɔ POI mu no, saa dodow yi so tew kɛse.
• Prolactin: Wɔhwɛ saa hormone dodow yi nso.
• Nyinsɛn mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wubehu sɛ nyinsɛn na ɛde wo nna a woantumi ankɔ no ba anaa.
• Pelvic ultrasound: Eyi betumi ahwɛ sɛnea wo mmadwoa ne wo awotwaa no te. Wɔ POI mu no, ebia awotwaa no bɛyɛ nketewa asen sɛnea ɛte daa.
• Awosu mu nhwehwɛmu (Karyotype sɔhwɛ): Sɛ wosusuw sɛ awosu mu nneɛma bi na ɛde ba, te sɛ Turner syndrome a, wobetumi ayɛ nhwehwɛmu yi.
• Nkwammoaa a wɔko tia nyarewa mu nhwehwɛmu: Sɛ wosusuw sɛ yare bi a nipadua no tumi ko tia nyarewa bi a, wɔyɛ eyinom.

Sɛ wunnii mfe 40 na wo bra ntumi nkɔ daa, wo mogya mu nhwehwɛmu kyerɛ sɛ FSH dodow akɔ soro, na wo estrogen dodow sua a, ɛda adi sɛ wo duruyɛfo no behu sɛ wowɔ POI.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Aduru biara nni hɔ a wɔde sa POI, a ɛkyerɛ sɛ awotwaa no bɛyɛ adwuma sɛnea ɛsɛ bio. Nanso, ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde siw sɛnkyerɛnne ahorow no so na wɔatew akwahosan ho asiane a ɛtra hɔ kyɛ no so.

Ayaresa no gyina mfe a woadi, sɛnea wo yare no ho sɛnkyerɛnne te, ne sɛ wopɛ sɛ wowo mma anaasɛ wompɛ so.

Hormone a Wɔde Si Ananmu (HRT) .

Eyi ne ayaresa titiriw. Nea ɛka ho ne sɛ wode hormone estrogen ne progesterone a wo mmadwoa ntumi nyɛ bio wɔ akyi, a ɛyɛ nnuru, gel, honam ani nsensanee, anaa ɔbea awotwaa mu nkaa.

Mfaso a ɛwɔ HRT so:

• Wɔhyɛ sɛnkyerɛnne te sɛ ɔhyew a ɛba ne ɔbea awotwaa mu a ɛyɛ kusuu so.
• Ebetumi abɔ obi ho ban afi nnompe mu yare ho . Estrogen yɛ hormone a ɛho hia ma nnompe a ɛyɛ den.
• Ɛboa ma asiane a ɛwɔ hɔ sɛ obi benya komayare no so tew.
• Adwene mu yiyedi tu mpɔn.

Nnuruyɛfo taa kamfo kyerɛ sɛ wɔnnom saa hormone ayaresa yi kosi sɛ obi begyae brayɛ (mfe 51-52). Wo ne wo duruyɛfo nkasa mfa mfaso ne ɔhaw ahorow a ɛwɔ saa ayaresa yi so ho asɛm na paw ɔkwan a ɛfata wo yiye.

Asetra mu nsakrae ne nneɛma foforo

Wɔ hormone ayaresa akyi no, saa nneɛma yi ho hia yiye ma w’akwahosan nyinaa a wobɛkɔ so akura mu.

• Nya calcium ne vitamin D a ɛdɔɔso: Eyinom ho hia na ama nnompe akɔ so ayɛ den. Di nnuan te sɛ nufusu ne mpataa nketewa. Sɛ ɛho hia a, wo duruyɛfo bɛkyerɛw wo nnuru foforo.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa: Apɔw-mu-teɛteɛ te sɛ nantew ne mmirikatu ye ma koma no. Apɔw-mu-teɛteɛ a wɔde soa mu duru ho hia kɛse ma nnompe no.
• Mu duru a ɛfata a wobɛkɔ so akura mu.
• Sɛ woredwene sɛ wobɛwo mma a: Sɛ wowɔ POI mpo a, mmea bɛyɛ 5-10% wɔ tumi a wɔde nyinsɛn wɔ awosu mu. Nanso ɛnyɛ nea wontumi nsi pi. Enti sɛ worehwɛ abofra kwan a, wubetumi ne awo ne mmea ho oduruyɛfo akasa asusuw akwan te sɛ `(IVF)` ne akwan foforo a wubetumi afa so ho.

POI ne adwene mu yiyedi a wɔde tra ase

Ɛyɛ ade a ɛfata sɛ wubedi awerɛhow, w’abam abu, na wo bo afuw bere a wote tebea bi a ɛte sɛɛ ho asɛm no. Eyi betumi ayɛ den sɛ wubegyina ano, titiriw sɛ na woda so ara hwɛ mmofra kwan a.

Sɛ wote dadwen anaa adwenemhaw nka esiane tebea yi nti a, wo ne wo duruyɛfo nka ho asɛm. Sɛ ɛho hia a, wubetumi ahwehwɛ mmoa afi adwenemyare ho oduruyɛfo anaa ɔfotufo hɔ. Sɛ wosa wo yare yiye na wɔboa wo a, wubetumi de tebea yi atra ase a ahoɔden wom na anigye wom.