Sɛ worehwɛ akokoaa kwan a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra sɛ ɛtɔ mmere bi a wote mogyatɔw kakra wɔ wo awotwaa mu anaasɛ ɛyaw kakra wɔ wo yafunu ase a. "Na sɛ biribi to me ba no nso ɛ?" Ebia woresusuw ho, ɛnte saa? Mpɛn pii no, saa sɛnkyerɛnne ahorow yi betumi akyerɛ
sɛ wɔrehunahuna sɛ nyinsɛn no retu . Nanso mma ɛnhaw wo, momma yɛnka eyi ho asɛm nkɔ akyiri.
Dɛn ne Nyinsɛn a Wohunahuna?
Sɛ yɛbɛka no tiawa a,
nyinsɛn a wohunahuna no yɛ mogya kakraa bi a ɛba wo awotwaa mu bere a woanyinsɛn no, titiriw
wɔ adapɛn 20 a edi kan no mu , a yafunu mu yaw ka ho anaasɛ enni mu. Mpɛn pii no, mogya a ɛtɔ yi yɛ
ketewaa bi , na ɛkyɛ nna anaa adapɛn kakraa bi. Yafunu mu yaw no nso nyɛ den, nanso ɛnyɛ
kɛse . Saa tebea yi taa ba
wɔ ɔsram abiɛsa a edi kan no mu (dapɛn 13) . Nanso, ɛnyɛ bere nyinaa na mogya a ɛba wo awotwaa mu ne yafunu mu yaw bere a woanyinsɛn no nkyerɛ sɛ wobɛtow nyinsɛn agu.
Nnipa pii wɔ saa sɛnkyerɛnne ahorow yi na wɔkɔ so wo akokoaa a ɔwɔ apɔwmuden a ɔhaw biara nni ho. Saa sɛnkyerɛnne ahorow yi
titiriw reka akyerɛ wo duruyɛfo sɛ, "Hey, ɛsɛ sɛ wohwɛ yiye kakra wɔ nyinsɛn yi ho, na ɛsɛ sɛ wɔhwɛ wo so kakra." Enti, sɛ wususuw sɛ woanyinsɛn, anaasɛ wunim sɛ woanyinsɛn, na mogya retu wo wɔ wo awotwaa mu, wo yafunu mu yɛ wo yaw, anaasɛ wo ho ayɛ wo yaw a,
hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Saa tebea yi abu so dɛn?
Saa
ahunahuna a ɛne sɛ nyinsɛn a wotu gu no abu so koraa ankasa. Nyinsɛn bɛyɛ
15% kosi 20% , anaasɛ mmea a wɔyem ɔha biara mu bɛyɛ 15 kosi 20 betumi anya eyi wɔ adapɛn 20 a edi kan wɔ nyinsɛn no mu.
So akokoaa no betumi atra ase wɔ tebea a ɛyɛ hu a ɛte saa mu?
Yiw, koraa!
Mpɛn pii no, akokoaa no tra ase na nyinsɛn no kɔ so sɛnea ɛsɛ. Nhwehwɛmu bi daa no adi sɛ wɔ mmea a mogya tuu wɔn awotwaa mu wɔ adapɛn 20 a edi kan wɔ nyinsɛn no mu (ɛno bɛyɛ ɛnanom a wɔrehwɛ kwan no mu 25%),
60% kɔɔ so nyaa nyinsɛn a ahoɔden wom kosii bere (adapɛn 37) a na ɔhaw biara amma na wɔwoo akokoaa a ɔwɔ apɔwmuden. Enti, mma mogya kakra a ɛbɛtɔ wo no nnyɛ wo hu. Momma mo bo ntɔ mo yam.
Dɛn ne nyinsɛn a wohunahuna no ho sɛnkyerɛnne?
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi mu biako anaa abien no nyinaa betumi aba wɔ tebea yi mu:
- Mogya a ɛba ɔbea no awotwaa mu : Eyi nyɛ nsensanee kɛkɛ, na mmom ebetumi ayɛ mogya a emu yɛ duru kakra. Ɛtɔ mmere bi a mogya a ɛtɔ nketenkete wɔ hɔ .Ebetumi aba sɛ nneɛma a ɛte sɛ ntini bɛpue, nanso mpɛn pii no mogya a ɛyera no sua.
- Yafunu mu yaw : Mpɛn pii no, ɛyaw yi nyɛ kɛse anaasɛ ɛnyɛ den. Wɔtaa te nka sɛ ɛyaw a ɛyɛ kusuu na ɛyɛ yaw wɔ yafunu no ase . Nanso, ɛtɔ mmere bi a, ɛyaw yi betumi ayɛ kɛse nkakrankakra na abɛyɛ ɛyaw a emu yɛ den bere nyinaa .
Sɛ wususuw sɛ woanyinsɛn, anaa wunim sɛ woanyinsɛn, na wowɔ saa sɛnkyerɛnne ahorow yi bi a,
yɛsrɛ wo kɔ wo duruyɛfo nkyɛn ntɛm ara. Nneɛma afoforo betumi ama mogya atu wɔ ɔbea no awotwaa mu ne yafunu ase yaw. Enti, ɛbɛyɛ papa sɛ wobɛhwehwɛ nnuruyɛfo afotu na ama woahu nea ɛrekɔ so pɛpɛɛpɛ.
Dɛn na ɛde nyinsɛn a wohunahuna yi ba?
Ɛyɛ den ankasa sɛ wobɛkyerɛ ade biako pɛ a enti eyi bae. Nneɛma pii wɔ hɔ a ebetumi ama nyinsɛn no atu. Ebi ne:
- Nkwammoaa mu ɔhaw ahorow a ɛba akokoaa no so: Eyi ne nea ɛtaa de ba. Sɛ yɛbɛka no tiawa a, sɛ awosu mu sintɔ bi wɔ akokoaa a ɔrenyin no mu a, nipadua no bɛbɔ mmɔden sɛ ebegyae nyinsɛn no .
- Esiane sɛ na wadi kan atu nyinsɛn nti .
- Nsã anaa nnubɔne a wɔde di dwuma wɔ nyinsɛn no mfiase, anaasɛ nnuru a epira a wɔde wɔn ho bɛhyɛ mu .
- Obolo .
- Sɛ́ obi adi boro mfe 40 bere a ɔrenyinsɛn no.
- Sigaretnom anaa vaping a wɔnom.
- Awotwaa mu haw ahorow.
- Apirakuru anaasɛ nipadua no a opira.
- Nyarewa a ɛba ɔbea awotwaa mu anaa awotwaa mu.
Nanso kae sɛ, mpɛn pii no, sɛ biribi te sɛ eyi si a, ɛnyɛ wo mfomso. Ntease ahorow a wuntumi nyɛ ho hwee nti na ɛba.
Bere tenten ahe na nyinsɛn a wohunahuna no betumi atra hɔ?
Saa tebea yi betumi atra hɔ nna kakraa bi anaa adapɛn pii mpo. Ɛsono nnipa biara. Nsɛnkyerɛnne ne bere tenten a egye no nyɛ pɛ mma obiara.
So HCG dodow so tew bere a nyinsɛn a ɛretu a ɛrehunahuna no?
Ɛtɔ mmere bi a, yiw.
`HCG (Onipa Chorionic Gonadotropin)`Wɔsan frɛ no "nyinsɛn mu hormone". Saa `HCG` dodow yi kɔ soro nkakrankakra kosi bɛyɛ adapɛn 11 wɔ nyinsɛn no mu (ɛtɔ mmere bi a ɛyɛ mmɔho abien wɔ nna kakraa bi mu). Mpɛn pii no, sɛ `HCG` dodow no so tew nna kakraa bi ansa na adapɛn 11 adu a, hokwan a ɛwɔ hɔ sɛ nyinsɛn no betu no yɛ kɛse.
Nanso, wɔ `Threatened Miscarriage` mu no, `HCG` dodow no betumi akɔ so ayɛ nea ɛyɛ den. Sɛ wo duruyɛfoɔ susu sɛ wo `HCG` dodoɔ no sua a, ɔbɛsan ahwɛ bio nnansa biara. Adeɛ a ɛho hia ne sɛ `HCG` dodoɔ so tew wɔ adapɛn 11 akyi wɔ nyinsɛn a ɛwɔ apɔmuden mpo mu. Enti,
ɛho hia sɛ wo ne wo duruyɛfo kasa na ama woate wo `HCG` dodow ase pɛpɛɛpɛ. Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?
Wo duruyɛfo bedi kan abisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm na wasusuw w’ayaresa ho abakɔsɛm ho. Nea ɛka ho no, wobetumi ayɛ nea edidi so yi:
- Wɔyɛ ɔbea awotwaa anaa akyi berɛmo mu ultrasound de hwɛ sɛ koma bɔ anaa.
- Wɔbɛyɛ wo awotwaa mu nhwehwɛmu de ahwɛ sɛ wo awotwaa no atrɛw anaa (sɛ worebɛtu nyinsɛn a, wo awotwaa no befi ase abue).
- Wɔhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛnea hormone ahorow a wɔfrɛ no `HCG` ne `Progesterone` dodow te .
- Wobetumi ayɛ mogya mu nhwehwɛmu foforo de ahwɛ sɛ ɔyare mmoawa anaa tebea afoforo wɔ hɔ anaa .
- Wɔbɛyɛ mogya mu nhwehwɛmu nso de ahwɛ wo mogya mu su (Rh factor). Sɛ wo mogya no nyɛ papa a, ebia ɛho behia sɛ wɔma wo immune globulin injection (RhoGAM® injection) .
Ɔbaa a ɔwɔ
``Threatened Miscarriage`` taa nya awotwaa a wɔato mu. Wobetumi ahu akokoaa no koma bɔ nso wɔ scan so. Eyinom ne nsɛnkyerɛnne a ɛboa ma wohu nsonsonoe a ɛda tebea yi ne nyinsɛn a wotu gu ntam.
Ɔkwan bɛn so na wɔsa eyi?
Mpɛn pii no, sɛ
nyinsɛn a wobetu ho ahunahuna wɔ hɔ a ,
twɛn a wɔbɛwɛn no nkutoo ne ayaresa. Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo mfa nhwɛ sɛnea wo hormone dodow te. Nokwarem no, biribiara nni hɔ a oduruyɛfo betumi ayɛ de asiw nyinsɛn a atu no ano. Nnuruyɛfo binom kamfo
progesterone (aduru bi a ɛboa ma wunyinsɛn) kyerɛ. Progesterone dodow a ɛba fam no betumi ayɛ nyinsɛn a wɔatu agu ho sɛnkyerɛnne. Wobetumi anom saa progesterone yi sɛ aduru a wɔde twitwiw nipadua no mu, sɛ nnuru a wɔde hyɛ nipadua mu, anaasɛ sɛ nnuru a wɔde hyɛ nipadua mu. Ɛwom sɛ adwene ahorow wɔ sɛnea etu mpɔn no ho de, nanso nhwehwɛmu pii ada no adi sɛ sɛ wɔde progesterone ma mmea a mogya tu wɔn wɔ wɔn awotwaa mu wɔ nyinsɛn mu ntɛm a, ɛma awo a wɔwɔ apɔwmuden dodow kɔ soro. Bere bi a atwam no
, na wɔkamfo kyerɛ sɛ wɔmfa mpa so ahomegye . Nanso
adanse biara nni hɔ a ɛkyerɛ sɛ mpa so home bɛma nyinsɛn a wotu no agyae.Nanso, ebia wo duruyɛfoɔ bɛka akyerɛ wo
sɛ ``fa no mmerɛw'' kɔsi sɛ asiane a ɛwɔ hɔ sɛ nyinsɛn bɛtu no bɛtwam. Nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ:
- Ahomegye wɔ akyi berɛmo mu: Kwati nna mu dwumadi na anyɛ yiye koraa no, mfa biribiara nhyɛ ɔbea no awotwaa mu dapɛn biako bere a wo sɛnkyerɛnne ahorow no afi hɔ koraa no.
- Ahomegye: Da sɛnea ɛsɛ na kwati nneɛma a emu yɛ den. Eyi betumi aboa wo.
- Nneɛma a ɛtwetwe adwene: Ma w’adwene nyɛ adwuma denam biribi te sɛ wo ne wo nnamfo a wobɛkasa, nhoma a wobɛkenkan, anaa sini a wobɛhwɛ so.
Sɛ wohunahuna sɛ worentu nyinsɛn a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ saa tebea yi a, bisa wɔn nea wubetumi ayɛ bere a woretwɛn nea ebefi mu aba no. Ɛwom sɛ ayaresa biara nni hɔ a wɔde besiw nyinsɛn a wotu gu de, nanso wobetu wo fo wɔ nneɛma a wubetumi ayɛ de ahwɛ wo ho wɔ fie ho.
Ɛho hia yiye sɛ wotoa wo hwɛ a wohwɛ ansa na woawo no so. Enti, mma wo bere nhyehyɛe ne sɔhwɛ ahorow a woayɛ ho nhyehyɛe no nmpa wo ti so.
So wobetumi asiw tebea yi ano?
Mpɛn pii no, biribiara nni hɔ a wo anaa wo duruyɛfo betumi ayɛ de asiw
asiane yi a ɛne ``Treatened Miscarriage`` ano . Sɛ wo duruyɛfo susuw sɛ wo nyinsɛn no betumi atu a,
di wɔn afotu akyi. Nneɛma a wubetumi adi so ne sɛ wobɛkɔ wo bere a woakɔ ansa na woawo no nyinaa na woatie nea wo duruyɛfo ka. Nneɛma afoforo bi a wubetumi ayɛ de aboa ma woanya nyinsɛn a ahoɔden wom ni:
- Kwati nsanom, sigaretnom, ne nnubɔne afoforo a wode bedi dwuma.
- Kwati sɛ wode wo ho bɛhyɛ nnuru, awuduru, ne nneɛma afoforo a epira akokoaa no mu.
- Fa vitamin bi a wɔde di dwuma ansa na wɔawo a folic acid wom.
- Di aduan a ahoɔden wom a nhabannuru ne nnuaba pii wom.
- Apɔw-mu-teɛteɛ bɛyɛ simma 20-30 da biara (sɛnea nnuruyɛfo afotu kyerɛ no).
- Sɛ wowɔ nyarewa afoforo, nyarewa, anaa akwahosan ho nsɛm a enni sabea a, ma wɔnsa na wɔnhwɛ so.
So ɛsɛ sɛ misuro eyi?
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na woayɛ basaa wɔ
nyinsɛn a worehunahuna mu ho . Ebia wobɛte dadwen ne awerɛhow nka bere a woretwɛn nhwehwɛmu aba anaa wo duruyɛfo a edi hɔ a wobɛkɔ akɔhwɛ wo no. Saa bere yi mu no,
hwɛ wo ho sɛnea wubetumi biara. Fa nnipa a wɔboa wo ho twa wo ho hyia na bɔ mmɔden sɛ wobɛma wo ho adwo wo sɛnea wubetumi biara.
Kae sɛ nnipa pii awo nkokoaa a wɔwɔ apɔwmuden a wɔwɔ saa tebea yi. Nanso, sɛ awerɛhosɛm ne sɛ wo nyinsɛn gu a, yɛsrɛ wo te ase sɛ ɛnyɛ wo mfomso.Ma wo ho bere na woanya ahoɔden afi adehwere no mu na woadi awerɛhow. Nyinsɛn a wobɛhwere, ɛmfa ho nea ɛbɛba biara no, yɛ adehwere kɛse.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ mogya tu wo wɔ wo awotwaa mu anaa wo yafunu mu yɛ wo yaw bere a wonyinsɛn a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Wobetumi ahwehwɛ wo mu na wɔayɛ nhwehwɛmu de ahwɛ sɛnea akokoaa no akwahosan te.
Dɛn ne ade titiriw a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?
Nyinsɛn a woyi gu a wohunahuna mu yɛ ɔhaw a ɛtaa ba a ebetumi aba wɔ nyinsɛn a edi kan mu. Ebetumi ama mogya atu wɔ ɔbea no awotwaa mu na ɛtɔ mmere bi a yafunu no ase yaw.
Mpɛn pii no, nyinsɛn no kɔ so a ɔhaw biara nni ho na wɔwo akokoaa a ɔwɔ apɔwmuden. Nanso, ɛtɔ mmere bi a nea efi mu ba no nyɛ papa saa na ebetumi akowie nyinsɛn a woyi gu mu. Wɔ saa bere a wuntumi nsi pi yi mu no,
bɔ mmɔden sɛ wobɛma wo ho adwo wo na woahwehwɛ mmoa afi w’abusuafo ne wo nnamfo hɔ. Kae sɛ nyinsɛn a wotu gu no nyɛ biribi a wubetumi adi so, na saa ara nso na ɛnyɛ biribi a woyɛe.
Nea ɛho hia paa ne sɛ wubedi wo duruyɛfo afotu akyi na woahwɛ wo ho yiye.
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