Anigye a ɛna anaa agya nya bere a wɔwo akokoaa foforo no, wontumi mfa nsɛm nkyerɛ, ɛnte saa? Bere koro no ara mu no, nneɛma nketenkete mpo betumi ama ehu kɛse aba. Sɛ obiara hu sɛ wɔn ba ketewa no nipadua ne n’ani fitaa yɛ kɔkɔɔ kakra a, anka ehu bɛbɔ no. Yɛfrɛ eyi sɛ ‘Jaundice’. Saa tebea yi abu so titiriw wɔ nkokoaa a wɔma wɔn nufu nkutoo mu. Enti ɛnnɛ, momma yɛnka saa jaundice yi a ɛba bere a wɔrema nufu no ho asɛm , kyerɛ sɛ, ‘Nufu mu Nufusu Jaundice’ .
Dɛn ankasa ne jaundice?
Sɛ yɛbɛka no tiawa a, jaundice nyɛ yare, ɛyɛ yare bi ho sɛnkyerɛnne. Saa tebea yi ba bere a aduru kɔkɔɔ a wɔfrɛ no bilirubin a ɛwɔ yɛn mogya mu no kɔ soro no.
Susuw ho hwɛ, mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no nso wɔ nkwa nna pɔtee bi. Sɛ saa nkwammoaa yi wuwu a, sɛ ɛpaapae a, biribi a wɔfrɛ no bilirubin na ɛba. Eyi yɛ adeyɛ a ɛyɛ daa. Afei yɛn mmerɛbo no fa bilirubin yi na ɛyɛ ho adwuma wɔ ɔkwan bi so a ebetumi ayi afi nipadua no mu. Afei efi nipadua no mu a nsu a ɛyɛ fĩ wom.
Nanso akokoaa a wɔawo no foforo mmerɛbo nnya nnyinii koraa. Enti ɛtɔ mmere bi a wontumi nyɛ bilirubin yi ho adwuma ntɛmntɛm sɛnea ɛsɛ na wonyi mfi nipadua no mu. Afei saa bilirubin kɔkɔɔ no boaboa ano wɔ mogya no mu na ɛkɔ mmeae te sɛ akokoaa no were ne n’ani fitaa. Ɛno ne nea yɛfrɛ no jaundice.
Ɛyɛ ade a ɛfata sɛ nkokoaa a wɔawo wɔn foforo 10 biara mu bɛyɛ 6 kosi 8 benya jaundice kodu baabi. Wɔfrɛ eyi sɛ ‘Physiologic Jaundice’. Ɛbɛbrɛ ase wɔ nna kakraa bi mu.
Nea ɛho hia sen biara ne sɛ ɛnsɛ sɛ wugyae nufu a wode ma wo ba no esiane sɛ ɔwɔ jaundice nti. Aduan pa ne nsu a nufusu de ma no bɛboa kɛse ma wo ba no anya ahoɔden afi tebea yi mu.
Dɛn na ɛde Nufusu mu Akisikuru ba?
Wonnya nhuu nea ɛde eyi ba ankasa, nanso nnuruyɛfo gye di sɛ ade bi a ɛwɔ ɛna nufusu mu ma akokoaa no mmerɛbo ntumi nsɛe bilirubin no brɛoo. Ebia ɛyɛ awosu nso, a ɛkyerɛ sɛ wɔde kɔ awo ntoatoaso ahorow mu.
Ɛsɛ sɛ yehu jaundice ahorow abien a ɛba nkokoaa a wɔma wɔn nufu mu.
| Jaundice no su | Nkyerɛmu |
|---|---|
| Nufu a wɔde ma Jaundice (esiane nufusu a ɛnnɔɔso nti) . | Eyi ba bere a akokoaa no nnya nufusu a ɛdɔɔso, titiriw wɔ mmofraase no. Sɛ nufusu no sua a, akokoaa no ntumi nkɔ ne dwensɔtwaa mu pii. Afei wɔsan twetwe bilirubin no kɔ mogya no mu sen sɛ ɛbɛyi afi mu. Eyi taa ba wɔ awo akyi dapɛn a edi kan no mu. |
| Nufusu mu Jaundice (esiane nufusu mu ade bi nti) . | Eyi ba bere a ade bi a ɛwɔ nufusu mu ma bilirubin no sɛe brɛoo no. Eyi taa fi ase bɛyɛ dapɛn biako wɔ akokoaa no awo akyi, na ebetumi adi adapɛn 3 kosi 4, anaa asram 2 kosi 3 mpo . Eyi nyɛ tebea a asiane wom. |
Nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ obi benya jaundice no yɛ kɛse
- Awo a ɛba ntɛm: Nkokoaa a wɔwo wɔn ntɛm no tumi a wotumi yi bilirubin fi hɔ no so tew efisɛ wɔn mmerɛbo nnyinii yiye.
- Mogya a ɛna ne akokoaa no nhyia: Sɛ ɛna no mogya yɛ O na akokoaa no mogya yɛ A anaa B, anaasɛ ɛna no yɛ Rh negative (-) na akokoaa no wɔ Rh positive (+) a, antibodies a wɔyɛ wɔ ɛna no nipadua mu no betumi asɛe akokoaa no mogya mu nkwammoaa kɔkɔɔ no. Eyi betumi ama bilirubin dodow akɔ soro.
- Mogya mu nkwammoaa kɔkɔɔ dodow a ɛkɔ soro wɔ awo mu: Dodow a mogya mu nkwammoaa kɔkɔɔ dɔɔso no, dodow no ara na bilirubin pii ba bere a ɛpaapae no.
- Awosu mu haw ahorow: Awosu mu tebea horow bi ma mogya mu nkwammoaa kɔkɔɔ no bubu ntɛmntɛm (ɛyɛ mmerɛw).
Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?
Nsɛnkyerɛnne titiriw a ɛda adi kɛse ne honam ani a ɛyɛ kɔkɔɔ ne aniwa fitaa. Saa kɔkɔɔ yi fi ase wɔ anim na afei ebetumi atrɛw akɔ koko , yafunu, ne awiei koraa no nan no mu.
Bere a bilirubin dodow kɔ soro kɛse no, sɛnkyerɛnne afoforo betumi ada adi:
- Dae a ɛda adi kɛse sen sɛnea ɛtaa ba.
- Ɛyɛ den anaasɛ ɔmpɛ sɛ ɔnom nufusu.
- Su a wɔtaa su anaasɛ ɔyɛ n’ade a ɛyɛ basaa.
- Sɛ́ wobɛte nka sɛ ɔyɛ mmerɛw.
Eyi ne ɔkwan a wɔfa so hwɛ sɛ akokoaa bi anya jaundice anaa.
Ɛtɔ mmere bi a, ebetumi ayɛ den kakra sɛ wubehu akokoaa a ne honam ani yɛ tuntum no kɔla kɔkɔɔ. Wɔ tebea horow a ɛtete saa mu no, sɔ eyi hwɛ: Wɔ baabi a hann wɔ yiye no, fa wo nsateaa ka wo ba no were.Bɔ mmɔden sɛ wobɛmia wo nsa wɔ wo moma so anaa wo hwene so. Sɛ beae no dan kɔkɔɔ mmom sen sɛ ɛbɛyɛ fitaa na asan akɔ ne kɔla a ɛfata bere a wode wo nsa ka no a, ebetumi ayɛ jaundice .
So ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Mpɛn pii no, Nufusu mu Jaundice no ankasa yɛ yiye. Nanso, wɔ nsɛm bi mu no, ɛho hia sɛ wɔhwehwɛ aduruyɛfo afotu. Sɛ adwenem naayɛ ketewaa bi mpo wɔ w’adwene mu a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn.
Hwɛ hu sɛ wobɛbɔ oduruyɛfo amanneɛ wɔ nsɛm a edidi so yi mu:
- Sɛ akokoaa no nnom nufu yiye a.
- Sɛ akokoaa no hwɛ anaasɛ ɔyɛ n’ade sɛ ɔyare a.
- Sɛ wote nka sɛ woda kɛse sen sɛnea wotaa yɛ a.
- Sɛ ɛte sɛ nea kɔkɔɔ no reyɛ kɛse (sɛ nhwɛso no, sɛ ɛtrɛw kɔ nan no so a).
- Sɛ akokoaa no nsuo yɛ bruu anaasɛ nsuo no yɛ kɔkɔɔ/biribiri tuntum a.
Oduruyɛfo no bɛhwɛ akokoaa no mu, na sɛ ɛho hia a, obetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ bilirubin dodow a ɛwɔ mogya no mu. Ɛtɔ mmere bi a, wobetumi de afiri a emu yɛ hare asusuw bilirubin dodow denam hann soronko bi a wɔde bɛhyerɛn wɔ honam ani no so.
Ɔkwan bɛn so na wɔsa?
Sɛnea madi kan aka no, Nufusu mu Akisikuru taa sa bere a wɔansa no yare. Sɛ akokoaa no bilirubin dodow boro dodow a ahobammɔ wom a nnuruyɛfo kamfo kyerɛ no so nkutoo a, na ɛho hia sɛ wɔsa no yare.
Wogyina nneɛma te sɛ:
- Mfe a akokoaa no adi.
- So wɔwoo akokoaa no ntɛm?
- Sɛnea bilirubin dodow kɔ soro ntɛmntɛm.
- Akokoaa no nufu kwan ne n’akwahosan tebea.
Sɛ bilirubin dodow dɔɔso yiye a, wɔde ayaresa a edidi so yi di dwuma:
- Phototherapy: Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma. Ɛha yi, wɔde hann bruu soronko bi ma akokoaa no, na n’ani nkutoo na ɛkata so. Saa hann yi betumi asesa bilirubin molecule ahorow no nhyehyɛe, na ama ayɛ mmerɛw sɛ wobeyi afi nipadua no mu wɔ nsu ne nsu mu.
- Nsuo pa a wobɛkɔ so anya (Nsuo): Sɛ woma wo ba no nufu yie anaa woma no nsuo foforɔ sɛdeɛ wo duruyɛfoɔ kyerɛ no, sɛ ɛho hia a, ɛbɛboa ama bilirubin afiri nipadua no mu ntɛmntɛm.
- Intravenous Immunoglobulin (IVIG): Wɔde eyi ma nkokoaa a wɔwɔ jaundice esiane mogya a ɛna no ne akokoaa no nhyia nti. Eyi yɛ tuo a wɔde fa ntini bi mu.
- Mogya a Wɔde Sesa: Eyi yɛ adeyɛ a ɛntaa nsi koraa. Sɛ bilirubin dodow kɔ soro dodo sɛ wontumi nni so a, wɔde nkakrankakra yi akokoaa no mogya na wɔde mogya a ɛne no hyia si ananmu. Wɔyɛ eyi na ama amemene no ansɛe wɔ tebea a egye ntɛmpɛ mu.
Mma wo ho nnpopo bere a obi ka kyerɛ wo sɛ wo ba no anya jaundice no. Ɛtaa ba mmofra a wɔawo wɔn foforo mu yiye. Sɛ wɔhwɛ so yiye na nnuruyɛfo hwɛ so a, wobetumi asa no koraa. Nea ɛho hia sen biara ne sɛ wubenya wo duruyɛfo no mu ahotoso na woadi n’akwankyerɛ akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Nufusu mu Jaundice yɛ tebea a abu so, na mpɛn pii no ɛnyɛ asiane, a ebetumi aba nkokoaa a wɔma wɔn nufu mu.
- Eyi fi ade bi a ɛwɔ nufusu mu, na ɛnyɛ nokwasɛm a ɛyɛ sɛ nufusu yɛ "bɔne." Nnyae nufu a woma esiane biribiara nti a wunni aduruyɛfo afotu.
- Sɛ wo ba no jaundice no yɛ kɛse, ɔyɛ mmerɛw, anaasɛ nufusu a ɔnom so tew a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Mpɛn pii no, saa tebea yi fi hɔ wɔ adapɛn anaa asram kakraa bi mu a wonnya ayaresa biara.
- Sɛ wowɔ adwenem naayɛ anaa ehu bi a, ntwentwɛn wo nan ase da sɛ wo ne wo duruyɛfo besusuw ho.
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