Sɛ wo duruyɛfo ka kyerɛ wo sɛ "yɛ awotwaa mu nnyigyei" a, ebia wobɛte ehu nka kakra, ɛnte saa? "Oh, biribi asɛe wɔ me ba no ho? Adɛn nti na woreka akyerɛ me sɛ menyɛ scan soronko saa?" Ebia woredwen nneɛma bi akyi foforo. Nanso mma ɛnhaw wo. Wɔyɛ eyi ankasa bere dodow no ara de hwɛ hu sɛ akokoaa no koma wɔ apɔwmuden. Momma yɛmfa nsɛm a ɛnyɛ den nka eyi ho asɛm nnɛ.
Dɛn ne Fetal Echo?
Sɛ yɛbɛka no tiawa a, Fetal Echo yɛ ultrasound scan titiriw bi a ɛhwɛ wo ba a ɔwɔ wo yafunu mu no koma. Fetal Echo din mũ no nyinaa ne Fetal Echocardiogram .
Eyi yɛ nea wɔde bɛhwɛ titiriw sɛ akokoaa no wɔ komayare a wɔde awo no (CHD) anaa . Eyi kyerɛ sɛ sintɔ anaa ɔhaw ahorow bi wɔ koma no mu a ɛwɔ hɔ fi awo mu. Ebia nkokoaa 100 biara a wɔwo wɔn wɔ wiase no mu biako wɔ komayare a ɛte sɛɛ. Eyinom mu nea abu so sen biara ne tokuru a ɛwɔ koma no mu, a wɔfrɛ no Ventricular Septal Defect (VSD) .
Eyi te sɛ scan afoforo a woyɛ bere a wonyinsɛn no ara pɛ, gye sɛ ɛtwe adwene si akokoaa no koma nhyehyɛe, dwumadi, ne mogya a ɛkɔ so nkutoo so.
Ɔkwan bɛn so na eyi yɛ adwuma?
Nea ɛka scan yi ho ne sɛ wode afiri ketewaa bi bɛto wo yafunu so. Wɔfrɛ eyi sɛ transducer . Ɛde nnyigyei asorɔkye a ano yɛ den a asiane biara nni ho kɔ awotwaa no mu. Sɛ asorɔkye no bɔ akokoaa no koma na ɛsan kɔ akyi a, ɛda adi sɛ mfonini a emu da hɔ wɔ kɔmputa so.
Nea ɛho hia sen biara ne sɛ, sɔhwɛ yi remma wo anaa wo ba no nte ɛyaw anaa ɔhaw biara. Enti ɛho nhia sɛ yesuro eyi koraa.
Dɛn na ɛba wɔ sɔhwɛ yi mu?
Mpɛn pii no, saa scan yi tumi gye simma 30 kosi nnɔnhwerew 2 ansa na wɔawie. Ebia woresusuw ho sɛ, "Dɛn nti na ɛregye bere tenten saa?" Ɛte saa efisɛ akokoaa koma yɛ den yiye, na nneɛma pii wɔ hɔ a ɛsɛ sɛ oduruyɛfo no hwɛ mu. Ɛtɔ mmere bi a bere no betumi ayɛ soronko a egyina baabi a akokoaa no wɔ so .
Ɛwom sɛ obi a watete ultrasound ho ɔbenfo na ɔyɛ saa mfonini yi de, nanso mmofra koma ho oduruyɛfo bi a ɔwɔ nimdeɛ a emu dɔ sen biara wɔ sɛnea akokoaa koma nyin wɔ awotwaa mu no na ɔsan hwɛ mfonini ahorow no mu na ɔkyerɛw amanneɛbɔ no.
Dɛn nti na akokoaa yɛ eyi bere a ɔda so ara wɔ awotwaa mu no?
Nea enti a ɛte saa ne sɛ nkokoaa a wɔwɔ komayare a wɔde awo wɔn no mu bɛyɛ 25%, anaasɛ bɛyɛ baanan biara mu biako, behia nnuru anaa oprehyɛn wɔ wɔn nkwa afe a edi kan no mu. Enti, sɛ wohu tebea yi ntɛm a, ebetumi aboa nnuruyɛfo ma wɔayɛ ayaresa a wɔde bɛma akokoaa no wɔ n’awo akyi no ho nhyehyɛe.
So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ no?
Bere a scan ahorow bi hwehwɛ sɛ wokura wo nsu mu , eyi ho nhia mma Fetal Echo yi. Nokwarem no, esiane sɛ sɔhwɛ no betumi agye nnɔnhwerew abien nti, ebia ɛbɛyɛ mmerɛw ama wo sɛ wubedi kan ato wo ho na woagye w’ahome.
Dɛn nti na scan yi ho hia saa?
Sɛnea yɛadi kan aka no, saa scan yi tumi hu komayare a wɔde awo akokoaa. Ɔhaw ahorow bi betumi ayɛ nketenkete koraa, te sɛ tokuru ketewaa bi a ɛwɔ koma no mu. Nanso ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm, te sɛ koma no afã horow a ennyin yiye. Botae titiriw a ɛwɔ saa scan yi mu ne sɛ wobehu tebea horow a ɛtete saa ntɛm.
Wɔakyerɛw komayare a wobetumi de saa scan yi ahu no bi wɔ pon a ɛwɔ ase ha no so. Mma saa din ahorow yi nnyɛ wo hu, ɛyɛ nea wɔde bɛma nkurɔfo ahu kɛkɛ.
| Komayare a wɔde awo obi (CHD) tebea horow bi a wobetumi ahu |
|---|
| Atiridiinini a Ɛwɔ Atiridiinini (ASD) . |
| Tokuru bi a ɛda koma no ntam (Ventricular Septal Defect - VSD) . |
| Tetralogy a ɛwɔ Fallot mu |
| Hypoplastic Koma Benkum mu Yare a Ɛyare |
| Ntini Akɛse no a Wɔde Si Adanse Mu |
Dɛn na ɛba bere a wɔanya nea efi mu ba no akyi?
Sɛ wɔyɛ nhwehwɛmu no wie a, mmofra komayareOduruyɛfo titiriw no ne wo behyia na wakyerɛkyerɛ nea ebefi mu aba no mu. Ɛtɔ da bi a, sɔhwɛ baako bɛbua wo nsɛmmisa nyinaa. Mmere foforo nso, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu pii de si tebea no so dua bio.
Awotwaa mu echo nhwehwɛmu a wɔtaa yɛ bɛyɛ adapɛn 17 wɔ nyinsɛn akyi no yɛ nea wotumi de ho to so kɛse.
Sɛ wohu sɛ wo ba no wɔ komayare a, wo duruyɛfo bɛkyerɛkyerɛ nneɛma a eye ne nea enye koraa a ebetumi ato wo ne wo hokafo no mu. Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne ehu nka bere a wote eyi no. Nanso, akyinnye biara nni ho sɛ nsɛm yi a wunim no bɛboa wo ma woadi kan ayɛ nhyehyɛe ama wo ba no awo akyi.
Ɛtɔ mmere bi a, awosu mu tebea afoforo te sɛ Down syndrome , betumi aka komayare ho. Enti, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ sɛ ɛho hia a, ɛsɛ sɛ woyɛ nhwehwɛmu foforo.
| Sɔhwɛ afoforo a ebia ɛho behia | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Awotwaa mu ultrasound a ɛkorɔn | Scan a ɛkɔ akyiri a ɛhwehwɛ sɛ biribiara a ɛnteɛ wɔ akokoaa no akwaa afoforo mu. |
| MRI a ɛwɔ awotwaa mu | Sɔhwɛ a ɛhwɛ sɛnea akokoaa no akwaa nyin kɔ akyiri. |
| Awosu mu afotu a wɔde ma | Sɛnea ebetumi aba sɛ obi benya awosu mu yare pɔtee bi a wobebu ho akontaa. |
| Amniocentesis a ɛma nipadua no yɛ adwuma | Sɔhwɛ a ɛfa awotwaa mu nsu a atwa akokoaa no ho ahyia no mu kakra na ɛhwɛ akokoaa no DNA mu hwɛ sɛ ebia nkwaboaa ne awosu mu sintɔ bi wɔ hɔ anaa. |
So asiane bi wɔ eyi mu?
Dabi, eyi ne asɛmpa a eye sen biara. Fetal Echocardiogram yɛ sɔhwɛ a ahobammɔ wom 100% ma wo ne wo ba no nyinaa. Ɛmfa asiane kɛse biara mma.
Nanso, kae sɛ asiane ankasa ne sɛ worenyɛ nhwehwɛmu yi sɛ oduruyɛfo kamfo kyerɛ mpo a. Efisɛ sɛ woyɛ saa a, ebia ɛho behia sɛ wuhyia ɔhaw bi mpofirim bere a wɔawo akokoaa no akyi. Enti, ɛho hia sɛ wudi oduruyɛfo no akwankyerɛ akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Fetal Echo yɛ ultrasound scan a ahobammɔ wom koraa a ɛnyɛ yaw a ɛhwɛ akokoaa no koma bɔ.
- Wɔyɛ eyi de hu sɛnkyerɛnne ahorow a edi kan a ɛkyerɛ sɛ obi anya koma mu dɛmdi biara a wɔde awo no (komayare a wɔde woo no) wɔ akokoaa no koma mu.
- Sɛ wohu ɔhaw bi ntɛm a, ɛyɛ mmoa kɛse ma nnuruyɛfo ne awofo wɔ ayaresa a ɛho hia a wɔbɛyɛ ho nhyehyɛe bere a wɔawo akokoaa no akyi no mu.
- Sɛ wowɔ nsɛmmisa, ehu, anaa adwenem naayɛ bi wɔ eyi ho a, yɛsrɛ wo ne wo duruyɛfo nsusuw ho a ntwentwɛn wo nan ase.
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