Ɛbɛyɛ sɛ woyɛ ɛna a ɔwɔ ɔdɔ a ɔrehwɛ akokoaa kwan mprempren. Hwɛ sɛnea yɛhwɛ yiye nnansa yi, ɛnte saa? Yesusuw biribiara ho mprenu fi nea yedi so kosi nea yɛnom so. Nanso ɛtɔ da bi a, akwahosan ho haw ahorow bi wɔ hɔ a yɛntee ho asɛm da, nanso ebetumi ayɛ aniberesɛm paa. Ɛnnɛ, yɛreka ɔyare mmoawa a emu yɛ den a ebetumi aba wɔ nyinsɛn mu , a ebetumi aka ɛna no ne akokoaa a ɔwɔ awotwaa mu no nyinaa ho asɛm.
Dɛn ne Chorioamnionitis?
Sɛ yɛbɛka no tiawa a, Chorioamnionitis yɛ ɔyare mmoawa a ɛba awotwaa no mu, baabi a akokoaa no wɔ. Ɛtaa ba bere a ɛbɛn awo no. Saa ɔyare mmoawa yi betumi aka ntini biara a atwa akokoaa no ho ahyia.
Susuw ho saa kwan yi so, akokoaa no wɔ awotwaa no mu, te sɛ nsu kotoku a ɛbɔ ho ban. Yɛsan frɛ eyi sɛ ‘nsu kotoku’. Nneɛma a edidi so yi ne afã horow a ɔyare mmoawa yi ka no titiriw:
- Placenta : Ɔfã a ɛho hia sen biara a ɛma akokoaa no nya oxygen ne aduannuru.
- Chorion ne Amnion: Ntini abien a ɛbɔ akokoaa no ho ban.
- Amniotic fluid: Nsu a ɛma akokoaa no kɔ so hyɛn nsu mu na ɛbɔ ne ho ban.
Saa tebea yi ka nkokoaa a wɔawo wɔn bere nyinaa bɛyɛ 1%-5%, nanso ebetumi aka mmofra a wɔawo wɔn bere a edi kan no mu 40%-70% . Ɛsan nso yɛ ade titiriw a ɛde awo a ɛba ntɛm ba . Sɛ wɔansa no yiye a, ebetumi de nsɛnnennen a emu yɛ den aba ɛna ne akokoaa nyinaa so.
Dɛn nti na ɔyare mmoawa a ɛte sɛɛ ba?
Ade titiriw nti a ɛte saa ne mmoawa. Mpɛn pii no, mmoawa ahorow ahorow te yɛn nipadua mu, titiriw wɔ awotwaa ne akyi berɛmo mu. Wɔ tebea horow a ɛfata mu no, eyinom mfa ɔhaw biara mma. Nanso ɛtɔ mmere bi a, saa mmoawa yi tumi tu kwan kɔ soro wɔ awotwaa no mu na wɔhyɛn awotwaa no mu.
Saa mmoawa yi yɛ adwuma sɛ ɔkwan a ɛyɛ sum ase kɔ akokoaa no fie. Saa asiane yi kɔ soro titiriw bere a amniotic kotoku no abubu akyi.
Mmoawa ahorow bi a wɔtaa de saa ɔyare yi ba ne:
- `E. coli`
- `Kuw B streptococci (GBS)`
- ` Urea plasma`
- `Mycoplasma hominis a ɛwɔ nipadua no mu`
Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?
Ɛnyɛ mmea a wɔyem nyinaa na wonya saa tebea yi. Nanso nneɛma bi betumi ama asiane yi ayɛ kɛse. Wo duruyɛfo bɛbɔ wo amanneɛ wɔ eyi ho. Ma yɛnhwɛ nea wɔyɛ.
| Asiane a Ɛde Ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nsu kotoku no a ɛpaapae ntɛm | Sɛ nsu no sen ntɛm a, ɛyɛ mmerɛw sɛ mmoawa bɛkɔ mu. |
| Sɛnea yare no tena hɔ kyɛ | Asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no yɛ kɛse bere a awo kɔ so nnɔnhwerew pii no. |
| Nhwehwɛmu a wɔtaa yɛ wɔ ɔbea no awotwaa mu | Nnuruyɛfo a wɔtaa yɛ awotwaa mu nhwehwɛmu bere a wɔyem no. |
| Nyarewa afoforo a ɛwɔ hɔ | Nyarewa te sɛ ɔbea awotwaa mu, nsu a ɛkɔ nipadua no mu, anaa nna mu nyarewa (STIs) a obi wɔ. |
| Nyinsɛn a edi kan | Asiane no betumi ayɛ kɛse kakra ama ɛnanom a wodi kan no. |
| Nnubɔne, tawa, nsa | Nneɛma a ɛtete saa a wɔde di dwuma no ma ɛna no tumi a ɛko tia nyarewa no so tew na ɛma asiane a ɛwɔ hɔ sɛ obenya ɔyare mmoawa no yɛ kɛse. |
| Nkwammoaa a ɛko tia nyarewa a ayɛ mmerɛw | Nkwammoaa a ɛko tia nyarewa a ɛba fam esiane nyarewa afoforo nti. |
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ɛtɔ mmere bi a, titiriw wɔ nyinsɛn no mfiase no, ɔyare mmoawa yi betumi aba a enni sɛnkyerɛnne biara . Ɛno ne ɔfã a ɛyɛ hu wɔ ha. Nanso mpɛn pii no, wobehu sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa.
Nsɛnkyerɛnne titiriw a ɛtaa ba ne atiridiinini , a ɛyɛ nipadua mu hyew boro 100.4 F (38 C).
Nsɛnkyerɛnne afoforo betumi ayɛ:
- Ɛna no koma bɔ ntɛmntɛm (ɛbɔ bɛboro 100 simma biara).
- Akokoaa no koma bɔ ntɛmntɛm (ɛbɔ bɛboro 160 simma biara).
- Ɛyaw a wobɛte nka bere a wode wo nsa remia awotwaa no mu (awotwaa mu a ɛyɛ mmerɛw).
- Fifiri a ɛba sen sɛnea ɛte daa.
- Nsu a efi ɔbea no awotwaa mu a ɛyɛ huam .
Eyi betumi ayɛ tebea a asiane wom kɛse ama ɛna ne akokoaa nyinaa. Enti, ɛho hia paa sɛ wohu saa sɛnkyerɛnne ahorow yi. Mmu w’ani ngu wɔn so sɛ biribi ketewaa bi.
Ɔkwan bɛn so na oduruyɛfo no hu eyi?
Esiane sɛ eyi yɛ tebea a emu yɛ den nti, wo duruyɛfo nkutoo na obetumi ahu yare no pɛpɛɛpɛ. Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini a, wo duruyɛfo bɛhwɛ wo.
- Nipadua mu nhwehwɛmu: Ɛhwɛ nneɛma te sɛ atiridiinini, koma bɔ, ne awotwaa mu yaw.
- Mogya mu nhwehwɛmu: Wɔfa mogya de hwɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu anaa. Mogya dodow a edi mũ (CBC) ho hia titiriw, a ɛkyerɛ mogya mu nkwammoaa fitaa dodow.
- Nsu mu nhwehwɛmu: Hwɛ sɛ wowɔ nsu mu yare bi anaa.
- GBS nhwehwɛmu: Wɔfa ɔbea no awotwaa mu aduru de hwɛ sɛ ebia Kuw B Strep (GBS) mmoawa bi wɔ hɔ wɔ nyinsɛn no fã a etwa to no mu.
- Amniotic fluid sample: Wɔ tebea horow bi mu no, sɛ wo nsu no bubu a, wobetumi afa nsu a efi mu no bi de ahwɛ sɛ ɔyare mmoawa bi wɔ mu anaa.
Ɔkwan bɛn so na wɔsa? Na dɛn ne nsɛnnennen no?
Chorioamnionitis yɛ tebea a ɛsɛ sɛ wɔsa no ntɛm ara . Dodow a wɔkyɛ ayaresa no, dodow no ara na asiane a ɛwɔ hɔ ma ɛna ne akokoaa nyinaa no yɛ kɛse.
Ayaresa titiriw ne nnuru a ekum ɔyare mmoawa . Wɔtaa de eyinom fa ntini mu (nnuru a wɔde kum ɔyare mmoawa a wɔde fa ntini mu anaa wɔde fa IV mu) kɔ nipadua no mu tẽẽ, na ɛnyɛ sɛ nnuru a wɔde kum ɔyare mmoawa. Wɔde nnuru te sɛ paracetamol nso ma de tew atiridiinini so.
Ɛsɛ sɛ wɔnom nnuru a ekum ɔyare mmoawa kosi sɛ ɔyare no bɛsa koraa. Ɛsɛ sɛ wɔtoa saa ayaresa yi so wɔ awo akyi mpo.
Mpɛn pii no, oduruyɛfo no besi gyinae sɛ ɔbɛwo akokoaa no ntɛm ara sɛnea obetumi (akanyan awo).. Nea enti a ɛte saa ne sɛ, eye sɛ wubeyi akokoaa no afi baabi a ɔyare no wɔ no ntɛm ara. Sɛ wɔwo akokoaa no wie a, wɔsan nso sɔ akokoaa no hwɛ sɛ ɔwɔ ɔyare mmoawa na wɔma no nnuru a ekum ɔyare mmoawa ``IV`` sɛ ɛho hia a.
Nsɛnnennen a ebetumi aba
Nsɛnnennen a ebetumi afi tebea yi mu aba no betumi ayɛ nea emu yɛ den yiye.
| Nsɛnnennen a ɛba | |
|---|---|
| Nsɛnnennen a ebetumi aba ɛna no so | |
| Mogya a ɛtɔ wɔ awo akyi, awotwaa mu nyarewa (endometritis), akyi berɛmo mu akisikuru, mogya mu yare (sepsis), na ɛntaa nsi koraa sɛ owu mpo betumi aba. | |
| Nsɛnnennen a ebetumi aba akokoaa no so | |
| Tebea horow a ɛtra hɔ kyɛ te sɛ mogya mu yare (Sepsis), meningitis, ahurututu mu yare (Pneumonia), akisikuru, amemene mu yare a amemene a asɛe de ba, na wɔ tebea horow a emu yɛ den mu no, owu mpo betumi aba. |
So akwan bi wɔ hɔ a wobetumi afa so asiw eyi ano?
Ɛwom sɛ wontumi nsiw ano koraa de, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane no so.
- Ayaresabea ahorow a wobɛkɔ daa: Ɛho hia yiye sɛ wobɛkɔ wo ayaresabea ahorow a wobɛkɔ ɔsram biara no daa sɛnea ɛbɛyɛ a wobetumi ahu nneɛma te sɛ ɔbea awotwaa mu yare na wɔasa no ntɛm.
- GBS nhwehwɛmu: GBS nhwehwɛmu a wɔyɛ wɔ nyinsɛn adapɛn 35-37 ntam no betumi ahu sɛ saa mmoawa yi wɔ hɔ. Sɛ ɛwɔ hɔ a, wobetumi de nnuru a ekum ɔyare mmoawa ama bere a wɔrewo no na amma ɔyare mmoawa ankɔ akokoaa no mu.
- Ɔhwɛ a wobɛhwɛ bere a wanyinsɛn: Aduruyɛ adwumayɛfo hwɛ yiye na wɔakwati sɛ wɔbɛtaa ayɛ wɔn awotwaa mu nhwehwɛmu gye sɛ ɛho hia koraa.
Ade a ɛho hia sen biara ne sɛ , sɛ wuhu sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no bi a, kɔ wo duruyɛfo nkyɛn anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara . Bere yɛ ade titiriw wɔ tebea yi mu.
Nkrasɛm a Wɔde Kɔ Fie
- Chorioamnionitis yɛ ɔyare mmoawa a emu yɛ den a ɛba awotwaa mu bere a wɔyem no.
- Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ atiridiinini, koma a ɛbɔ ntɛmntɛm, yafunu mu yaw, ne nsu a ɛyɛ huam a efi ɔbea no awotwaa mu no ho yiye.
- Saa tebea yi betumi de ɔhaw ahorow a ɛyɛ hu kɛse aba ɛna no ne akokoaa a ɔhyɛ yafunu mu no nyinaa so.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ntwentwɛn wo nan ase na kɔ wo duruyɛfo nkyɛn ntɛm ara .
- Wɔde nnuru a ekum ɔyare mmoawa ma sɛ ayaresa, na ɛtɔ mmere bi a nnuruyɛfo betumi asi gyinae sɛ wɔbɛwo akokoaa no ntɛm.
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