Mogya a ɛtɔ kɛse bere a wawo akokoaa akyi? Momma yensua nneɛma a wɔakora so wɔ nyinsɛn mu ho ade

So wowoo akokoaa nkyɛe? Anaasɛ wofaa osuahu bi a ɛyɛ awerɛhow te sɛ nyinsɛn a wotu gu mu? Adeyɛ a ɛte saa akyi no, nipadua no gye bere kakra ansa na ne ho atɔ no. Enti, ɛyɛ ade a ɛfata sɛ mogya bɛtɔ wo awotwaa mu kakra na wate ɛyaw kakra nna kakraa bi. Nanso, sɛ mogya a ɛretu yi mu yɛ duru sen sɛnea ɛte daa, sɛ woretwam wɔ mogya a ɛtɔ kɛse mu, anaasɛ sɛ nkɔso biara mma wɔ nna kakraa bi akyi a, ɛnyɛ papa sɛ wobɛpa abaw kɛkɛ. Ebia efi tebea bi a wɔfrɛ no "retained uterine tissue," a yɛreka ho asɛm nnɛ no.

Sɛ yɛbɛka no tiawa a, dɛn na wɔkora awotwaa no fã (RPOC)?

Ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra bere a wote din no, nanso ɛyɛ mmerɛw yiye. Sɛ nyinsɛn bere no ba awiei, kyerɛ sɛ, bere a wɔawo akokoaa akyi, nyinsɛn a wɔatu agu akyi, anaasɛ wɔayi nyinsɛn agu akyi no, ntini afã horow bi ka wɔ awotwaa no mu a ɛfa saa nyinsɛn bere no ho, a ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu `(Retained Products of Conception - RPOC)`. Susuw ho hwɛ, wɔ nyinsɛn mu no, ade foforo a ɛho hia a wɔfrɛ no awotwaa no nyin wɔ awotwaa no mu ka akokoaa no ho, ɛnte saa? Akokoaa no nam saa awotwaa yi so nya aduannuru ne mframa pa a ohia. Sɛ wɔwo akokoaa no wie a, ɛsɛ sɛ saa awotwaa yi fi awotwaa no mu koraa na epue. Nanso ɛtɔ mmere bi a, ebia wɔrenyi saa awotwaa yi asinasin nketenkete, awotwaa anaa akokoaa no ntini afã horow, anaa ntini afã afoforo a ɛfa nyinsɛn bere no ho no mfi hɔ koraa na akɔ so akɔhyɛ awotwaa no mu. Ɛno nti na yɛfrɛ saa tebea yi.

Enti so eyi ne "Retained Placenta" yɛ pɛ?

Dabi, wɔyɛ soronko kakra. Yɛfrɛ no "Retained Placenta" bere a awotwaa no nyinaa mfi awotwaa no mu wɔ simma 30-60 akyi wɔ awo akyi. Sɛ ɛba saa a, yɛreka awotwaa no nyinaa ho asɛm . Nanso `(RPOC)` yɛ tebea a ɛtrɛw kakra. Ɛha yi, ɛnyɛ awotwaa no nyinaa, na mmom awotwaa ketewaa bi, awotwaa mu ntini bi, anaa biribi foforo biara a ebia aka wɔ awotwaa no mu. Sɛ yɛbɛka no tiawa a, wobetumi abu `(Retained Placenta)` sɛ ɛyɛ `(RPOC)` bi.

Dɛn ne tebea yi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Esiane sɛ wo nipadua no fa nsakrae pii mu bere a woawo akokoaa akyi nti, ɛtɔ mmere bi a ɛnyɛ den sɛ wubedi mfomso aka sɛ saa sɛnkyerɛnne ahorow yi yɛ biribi a ɛfata. Nanso ɛho hia sɛ wohu eyi. Nsɛnkyerɛnne titiriw ne nea ɛtaa ba ne mogya a ɛba awotwaa mu a ɛnyɛ ne kwan so anaasɛ ɛboro so. Momma yɛnkyerɛkyerɛ eyi mu nkɔ akyiri:

• Mogya a ɛtɔ kɛse : Sɛ mogya tu wo ma ɛma pad bi yɛ nsu koraa nnɔnhwerew abien biara a.
• Mogya akɛse a ɛtwetwe: Sɛ wofa mogya a ɛsõ sen sɛnea ɛte daa no mu a.
• Mogya a ɛtɔ bere ne bere mu : Sɛ mogya no gyae nna kakraa bi na afei mpofirim ara efi ase mogya tu kɛse bio a.
• Nsu a ɛyɛ huam: Sɛ nsu a ɛba ɔbea awotwaa mu no hua yɛ fĩ a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.

Wɔ sɛnkyerɛnne titiriw yi akyi no, wobetumi ahu sɛnkyerɛnne afoforo pii.

Dɛn nti na eyi rekɔ so? So biribi pɔtee bi wɔ hɔ a enti ɛte saa?

Ɛtaa yɛ den sɛ wobɛkyerɛ ade biako pɛ a ɛde ba. Nanso, nnuruyɛfo ahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya saa yare yi yɛ kɛse. Asiane titiriw a ɛde ba ne sɛ sɛ woanya saa tebea yi (RPOC) wɔ nyinsɛn bi a atwam mu a, .Asiane a ɛwɔ hɔ sɛ eyi bɛsan aba bio wɔ nyinsɛn a edi hɔ mu no yɛ kɛse. Nea ɛka ho no, tebea horow a edidi so yi nso betumi ama asiane no ayɛ kɛse.

Sɛ wɔannyi saa afã horow yi mfi hɔ a, dɛn na ɛbɛba? So ɔhaw ahorow a anibere wom bɛba?

Aane. Sɛ wɔannya saa tebea yi a, ɛtɔ mmere bi a ebetumi de nsɛnnennen a emu yɛ den aba. Ɛno nti na yɛka sɛ yɛnhwɛ saa nsɛnkyerɛnne yi.

• Mogya a ɛtɔ kɔ nipadua no mu : Mogya a ɛtɔ dodo no betumi ama mogya dodow a ɛwɔ nipadua no mu no so atew, na ɛde sɛnkyerɛnne ahorow te sɛ ɔbrɛ ne adwenemhaw aba .
• Nyarewa: Ntini a aka wɔ awotwaa no mu no yɛ beae a ɛfata a mmoawa betumi anyin . Saa ɔyare mmoawa yi betumi atrɛw akɔ awotwaa mu ntini ne awotwaa mu , na aka sɛnea wubetumi awo mma daakye. Ɛtɔ mmere bi a, saa ɔyare mmoawa yi betumi atrɛw wɔ nipadua no mu nyinaa na ɛde tebea horow a ɛde nkwa to asiane mu te sɛ sepsis .
• Ɛyaw a Ɛkɔ Akyirikyiri: Ebia wo yafunu ase bɛyɛ wo yaw bere tenten.
• Asherman’s Syndrome: Eyi yɛ tebea a ɛntaa nsi. Ɔyare mmoawa anaa ayaresa bi a ɛwɔ awotwaa no mu (titiriw D&C) betumi ama awotwaa no afasu abata ho. Eyi betumi ama nyinsɛn a ɛnkɔ so daa, nyinsɛn agu, na ayɛ den sɛ obenyinsɛn daakye.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?

Ɛyɛ den sɛ wubegyina sɛnkyerɛnne ahorow nkutoo so anya awerɛhyem 100% sɛ wowɔ saa tebea yi. Wobetumi ahu saa sɛnkyerɛnne ahorow yi wɔ ayaresa tebea afoforo nso mu. Enti, ebia wo duruyɛfo no bɛyɛ nhwehwɛmu pii de asi eyi so dua.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wosi tebea yi so dua a, ɛsɛ sɛ woyi afã horow a aka no fi hɔ. Ayaresa atitiriw abien na ɛwɔ hɔ ma eyi. Wo duruyɛfo no begyina wo tebea no, sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den, ne ntini dodow a aka so akyerɛ ayaresa a ɛfata wo. 1. Aduruyɛ mu Nsɛm a Wɔhwɛ So:

• Misoprostol: Eyi yɛ aduru a wɔnom sɛ aduru anaa wɔde gu ɔbea no awotwaa mu. Ɛma awotwaa no twetwe (trɛw). Sɛ awotwaa no twetwe a, ɛpia emu nneɛma a aka no fi adi.

2. Oprehyɛn a Wɔde Di Dwuma:

• Dilation and Curettage (D&C): Eyi yɛ oprehyɛn ketewaa bi. Wɔ Sinhala kasa mu no, yɛsan frɛ no "awotwaa a wɔhohoro." Ɛha yi, wobue awotwaa no mu kakra, wɔde adwinnade titiriw bi (a mpɛn pii no ɛyɛ afiri a wɔde twe ade) hyɛ mu, na wɔhohoro nneɛma biara a aka a ɛbata awotwaa no afasu ho no ho na woyi fi hɔ. Wɔtaa yɛ eyi wɔ aduru a wɔde kum nipadua no mu.

So asiane bi wɔ saa ayaresa ahorow yi mu?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane nketenkete paa na ɛwɔ saa akwan yi mu. Nneɛma te sɛ mogya a ɛtɔ kɛse ne ɔyare mmoawa betumi asi wɔ abien no nyinaa mu, nanso hokwan ahorow no sua koraa. D&C ho yɛ na koraa.Awotwaa mu tokuru betumi aba, nanso mpɛn pii no ɛno ankasa sa yare.

Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa pefee afa saa ayaresa ahorow yi ne mfaso ne ɔhaw ahorow a ɛwom ho. Afei wubetumi asi gyinae a ɛfata.

Nneɛma a egye ntɛmpɛ bɛn na ɛhwehwɛ sɛ obi kɔ oduruyɛfo nkyɛn?

Sɛ wo nyinsɛn no ba awiei a, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) hɔ ntɛm ara anaa ka kyerɛ wo duruyɛfo.

• Ɔhome a ɛyɛ den
• Mogya a ɛba ɔbea no awotwaa mu a emu yɛ duru yiye (ɛma nsu bɛboro pad biako dɔnhwerew biara) .
• Atiridiinini a emu yɛ den
• Akisikuru ne ɔfe
• Yafunu ase yaw a emu yɛ den a wontumi nnyina ano

Wɔ tebea a ɛte saa mu no, ntwɛn wɔ fie. Ade a ahobammɔ wom sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara. Minim sɛ tebea a ɛte saa a wobehyia no betumi ayɛ den yiye, wɔ adwene mu mpo. Sɛ wopɛ sɛ wunya anigye a ɛwɔ akokoaa a wobɛwo mu, anaa bere a worebɔ mmɔden sɛ wubeyi ɛyaw a ɛwɔ nyinsɛn a atu mu no afi hɔ a, ɛyɛ adesoa kɛse sɛ wobɛte adesoa kɛse nka bere a wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ ayaresa foforo no. Nanso kae sɛ, eyi yɛ tebea a wobetumi asa koraa denam ayaresa so. Mmea pii tumi nyinsɛn bio a ɔhaw biara nni ho wɔ saa ayaresa yi akyi na wɔwo mma a wɔwɔ apɔwmuden. Wo ne wo duruyɛfo, wo kunu, ne w’abusua nkasa fa wo nsɛmmisa, wo suro, ne wo nkate ho pefee. Ɛbɛyɛ ahotɔ kɛse ama wo.

Nkrasɛm a Wɔde Kɔ Fie

• Wɔfrɛ awotwaa mu ntini nkae a ɛwɔ hɔ wɔ nyinsɛn awiei akyi (awo, nyinsɛn a woyi gu) no sɛ awotwaa mu ntini a aka (RPOC) .
• Nsɛnkyerɛnne titiriw ne mogya a ɛtɔ kɛse, atiridiinini, ne yafunu ase yaw .
• Sɛ mogya a ɛtɔ no so antew nkakrankakra wɔ awo anaa nyinsɛn a woyi gu akyi, na mmom ɛkɔ soro anaasɛ efi ase bio a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ wɔannya saa tebea yi a, ebetumi ama mogya atɔ mogya mu na wanya nyarewa a emu yɛ den.
• Wobetumi ahu eyi denam ultrasound scan ne mogya mu nhwehwɛmu so, na wobetumi de nnuru anaa oprehyɛn ketewaa bi (D&C) asa no yare koraa.
• Bere a wɔanya ayaresa a ɛfata akyi no, mpɛn pii no ennya nkɛntɛnso biara wɔ nyinsɛn a ahoɔden wom so daakye.

akora nneɛma a efi nyinsɛn sinhala mu, awotwaa no afã horow a wɔakora so, mogya a ɛba wɔ awo akyi, mogya a ɛba bere a wɔayi nyinsɛn agu akyi, RPOC sinhala, D&C sinhala, awotwaa mu ahohoro