Sɛ wobɛyɛ ɛna a onyinsɛn a, ehu ne dadwen a wote bere a wuhu sɛ mogya retu kakra mpo no yɛ nea wontumi nkyerɛkyerɛ mu. Asɛmmisa a edi kan a ɛba m’adwenem ne sɛ, ‘Dɛn na ɛtoo me ba no?’. Mpɛn pii no, yesusuw sɛ ɛyɛ nyinsɛn a atu agu ho sɛnkyerɛnne. Nanso wɔ nyinsɛn mu, titiriw wɔ asram a edi kan no mu no, ɛnyɛ mogya a ɛtɔ nkutoo na ɛma nyinsɛn gu. Ɛnnɛ, yɛrebɛka tebea bi a abu so, nanso nnipa pii nnim no yiye ho asɛm. Ɛno ne Subchorionic Hematoma.
Dɛn ne Subchorionic Hematoma?
Sɛ yɛbɛka no tiawa a, eyi yɛ mogya ketewaa bi a ɛboaboa ano wɔ w’awotwaa no fasu ne akyi ntini (chorionic membrane) a atwa amniotic kotoku a akokoaa no wɔ no ho ahyia no ntam. Fa no sɛ, sɛ yepira yɛn nipadua no baabi a, yɛdan bruu na mogya tu wɔ honam ani, ɛnte saa? Saa na eyi te. Mogya kakraa bi na ɛba baabi a saa ntini no ne awotwaa no fasu no ntam kwan ware kakra, na saa mogya no boaboa ano wɔ hɔ. Wɔsan frɛ eyi Subchorionic Hemorrhage.
Eyi ne ade titiriw a ɛma mogya tu wɔ ɔbea awotwaa mu wɔ nyinsɛn no adapɛn 10 kosi 20 a edi kan no mu. Mpɛn pii no, mogya a ɛtwetwe (hematomas) yi sua koraa. Wɔmfa ɔhaw biara mma na bere kɔ so no, nipadua no bɛtwe wɔn na wɔasa. Enti sɛ wote saa din yi a, mma wo ho nnyɛ wo hu.
Dɛn na ebetumi ayɛ sɛnkyerɛnne ahorow no?
Saa tebea yi ho sɛnkyerɛnne titiriw ne mogya a ɛba ɔbea no awotwaa mu, nanso ɛnyɛ ade koro wɔ obiara fam.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Mogya a Ɛtu wɔ ɔbea no awotwaa mu | Eyi betumi afi nsensanee a emu nyɛ den so kosi mogya a ɛbɛtɔ kɛse a mogya atɔ mu so. Ɛtɔ mmere bi mpo a, ebetumi ayɛ bruu. |
| Pelvic Cramping a Ɛyɛ Fɛ | Ebia nnipa binom bɛte yaw kakra wɔ wɔn yafunu ase bere a mogya no retu no, nanso nnipa dodow no ara nte ɛyaw biara koraa. |
| Nsɛnkyerɛnne biara nni hɔ | Nnipa pii nkyerɛ yare no ho sɛnkyerɛnne biara. Wohu no wɔ akwanhyia mu bere a wɔreyɛ ultrasound scan a wɔyɛ no daa no. |
Ade a ɛho hia sen biara ne sɛ, sɛ mogya biara tu wo wɔ nyinsɛn mu, sɛ́ ɛyɛ kakraa bi anaa pii a, akyinnye biara nni ho sɛ ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ a wonhaw wo ho. Afei obetumi ahu nea ɛde ba no na wayɛ nea ɛho hia.
Dɛn nti na eyi ba? Henanom na wɔwɔ asiane kɛse mu?
Sɛnea yɛadi kan aka ho asɛm no, mogya a wɔboaboa ano yi ba bere a kotoku (chorion membrane) a wɔwo akokoaa no mu no akyi ntini no tetew ne ho fi awotwaa no fasu no ho no. Wonhuu nea enti pɔtee a saa mpaapaemu yi ba. Nanso, wɔahu sɛ nneɛma bi betumi ama asiane yi akɔ soro kakra.
| Asiane a Ɛde Ba |
|---|
| Sɛ wowɔ nneɛma a ɛnteɛ wɔ awotwaa no nsusuwii mu. |
| Esiane sɛ na wadi kan anya awotwaa mu nyarewa nti. |
| Akwanhyia anaa opira bi aba awotwaa no mu. |
| Esiane sɛ na wadi kan atu nyinsɛn agu nti. |
| Nyinsɛn a wɔde IVF mfiridwuma (IVF nyinsɛn) nyinsɛn. |
| Mogya mmoroso a obi wɔ. |
So eyi betumi de nsɛnnennen aba?
Eyi yɛ asɛmmisa a ebetumi ayɛ hu kakra sɛ wobɛte. Yiw, ɛtɔ mmere bi a, titiriw sɛ hematoma no sõ a, asiane kakraa bi pɛ na ɛwɔ hɔ sɛ nsɛnnennen bɛba. Sɛ nhwɛso no, tebea horow te sɛ awo a ɛba ntɛm ne awotwaa a ɛba mpofirim.
Nanso nsuro sɛ wobɛte eyi. Mesan ka bio sɛ, bɛboro 90% subchorionic hematomas no ankasa sa yare a ɔhaw biara nni ho.Nsɛnnennen a ɛba no ho yɛ na koraa. Wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo sɛ ebia wowɔ asiane mu wɔ scan akyi, a egyina mogya a ɛretu no kɛse, beae a ɛwɔ, ne wo nyinsɛn no fã so.
Ɔkwan bɛn so na wɔsa?
Mpɛn pii no, eyi nhia ayaresa titiriw biara. Sɛnea akuru a ɛwɔ yɛn honam ani no ankasa sa yare no, eyi nso bɛtwe nipadua no na ayera. Nanso, egyina wo tebea so no, ebia wo duruyɛfo bɛkamfo nneɛma bi akyerɛ wo.
- Kwati dwumadi ahorow a ɛyɛ den: Ebia wɔbɛka akyerɛ wo sɛ gyae nneɛma te sɛ nneɛma a emu yɛ duru a wobɛma so ne apɔw-mu-teɛteɛ kakra.
- Mpa so ahomegye koraa: Ɛtɔ mmere bi a, sɛ mogya no dɔɔso dodo a, wobetumi aka akyerɛ wo sɛ fa w’ahome wɔ mpa so nna kakraa bi.
- Kwati nna: Wɔhyɛ nyansa sɛ kwati nna mu kyɛfa kosi sɛ tebea no bɛkɔ yiye.
- San yɛ scan: Wɔbɛka akyerɛ wo sɛ yɛ scan bio wɔ adapɛn kakraa bi mu nhwɛ sɛ mogya a ɛretu no reyɛ ketewaa anaasɛ ɛreyɛ kɛse anaa.
- Vaccine soronko bi a wɔde ma ɛnanom a wonni RhD: Sɛ wo mogya yɛ RhD a, wo duruyɛfoɔ bɛtumi ama wo vaccine soronko bi a wɔfrɛ no `Anti-D immune globulin (Rh0(D))`. Eyi besiw nsɛnnennen a ebetumi aba akokoaa no so daakye no ano.
So eyi bɛpira me ba no?
Eyi ne asɛmmisa kɛse a ɛwɔ ɛna biara adwene mu. Mmuae no ne sɛ mpɛn pii no, Subchorionic Hematoma rempira wo ba no. Sɛ mogya a ɛretu no sua a, nyinsɛn no bɛkɔ so a ɔhaw biara nni ho. Sɛ mogya a ɛretu no sõ kakra nkutoo na oduruyɛfo no bɛhwɛ wo ne akokoaa no yiye kakra. Nea ɛho hia ne sɛ ɛnanom pii a wɔwɔ saa tebea yi wo nkokoaa a wɔwɔ apɔwmuden.
Nneɛma afoforo a ɛma mogya tu bere a wɔyem
Subchorionic Hematoma yɛ ade biako pɛ a ɛde ba. Nneɛma afoforo betumi ama mogya atɔ bere a wɔyem no.
- Nyinsɛn a wotu gu
- Nyinsɛn a ɛwɔ awotwaa no akyi
- Implantation bleeding yɛ mogya kakra a ɛba bere a awotwaa no de ne ho hyɛ awotwaa no mu no.
- Mogya a ɛtɔ kakra wɔ nna akyi
- Ɔyare a ɛba ɔbea awotwaa mu anaa awotwaa mu
- Awotwaa mu haw ahorow (te sɛ awotwaa previa anaa awotwaa a ɛba mpofirim) .
Ɛmfa ho nea enti a ɛte saa no, sɛ wuhu sɛ mogya retu a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara .
Nkrasɛm a Wɔde Kɔ Fie
- Nsuro sɛ nyinsɛn betu bere a wuhu sɛ mogya retu bere a wonyinsɛn no. Subchorionic hematoma yɛ ade a ɛtaa de ba na mpɛn pii no ɛnyɛ asiane biara.
- Subchorionic hematomas dodow no ara yɛ mogya a ɛtɔ nketenkete na bere kɔ so no, wɔn ankasa bɛsa a wɔrensa wɔn yare biara.
- Sɛ́ ebia mogya no retu kakra anaasɛ ɛdɔɔso, anaasɛ ɛyaw wɔ hɔ anaasɛ ɛnte saa no, akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa. Mma wo ho nnyɛ wo ho nhwehwɛmu.
- Sɛ oduruyɛfo no tu wo fo sɛ gye w’ahome na kwati dwumadi a emu yɛ den a, di wɔn akyi pɛpɛɛpɛ. Ɛyɛ wo ne wo ba no nyinaa ahobammɔ nti.
- Ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne ehu nka bere a wusua biribi te sɛ eyi no. Wo ne wo duruyɛfo nka wo nkate ne wo suro ho asɛm pefee. Ɔbɛma wo awerɛkyekye ne nsɛm a wuhia.
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