Sɛ woanyinsɛn a, ɛbɛyɛ sɛ woate " nsu a ɛba fam a atwa akokoaa no ho ahyia " ho asɛm. Ebia na nsɛm bi a wɔakyerɛw afa ho wɔ wo scan amanneɛbɔ no mu. Mpɛn pii no, ɛnanom binom suro kakra bere a wɔreka eyi ho asɛm no. Enti ɛnnɛ, momma yɛnka nea nsu a ɛba fam a atwa akokoaa no ho ahyia yi kyerɛ ho asɛm, a ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu `(Oligohydramnios)`. So eyi yɛ nea asiane wom? Dɛn nti na eyi ba? Momma yɛnka eyinom nyinaa ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Nsu bɛn na atwa akokoaa no ho ahyia? (Amniotic Fluid) .
Sɛ yɛbɛka no tiawa a, wo ba no rehuruhuruw wɔ nsu a ɛwɔ awotwaa no mu yi mu. Yɛfrɛ eyi nsu a ɛwɔ awotwaa mu . Eyi nyɛ nsu kakra bi kɛkɛ. Ɛte sɛ ntama a ɛbɔ akokoaa no ho ban. Saa nsu yi na ɛma akokoaa no tumi di akɔneaba na otu ne nsa ne ne nan. Ɛho hia nso ma akokoaa no ahurututu, aduan a wɔyam, ne n’asaabo nyin.
Susuw eyi ho: Wo ba no fi ase yɛ awotwaa mu nsu bɛyɛ nnafua 12 wɔ nyinsɛn akyi. Edu bɛyɛ adapɛn 16-20 a, akokoaa no asaabo no yɛ adwuma, na nsu a ɛyɛ nsu bɛyɛ ade titiriw a ɛwɔ saa nsu yi mu. Nsu yi dodow kɔ soro nkakrankakra kosi bɛyɛ adapɛn 36, na ɛno akyi no, ɛkɔ so yɛ nea ɛyɛ den kosi sɛ wɔbɛwo. Mpɛn pii no, saa nsu yi betumi ayɛ mililita 500 kosi 1000 (lita 1). ``Oligohydramnios`` ne bere a saa nsu yi sua sen nea ɛho hia wɔ nyinsɛn no tenten mu.
Wobɛyɛ dɛn asusuw nsu dodow yi?
Wo duruyɛfo nam ultrasound scan so bɛsusuw nsu dodow yi. Akwan pii wɔ hɔ a wɔfa so susuw eyi.
Nea ɛho hia ne sɛ, mma w’ankasa nhaw wo ho wɔ saa susuw ahorow yi ho. Wo duruyɛfo bɛhwɛ scan amanneɛbɔ no mu na wakyerɛkyerɛ nea ɛkyerɛ ma wo mu, a egyina dapɛn a wowɔ mu no so.
Eyinom ne akwan abien a nnuruyɛfo taa de di dwuma.
| Ɔkwan a wɔfa so susuw nneɛma | Nkyerɛmu | Sɛ wɔkyekyem pɛpɛɛpɛ a, bo a ɛsom |
|---|---|---|
| Amniotic Fluid Index (AFI) 1. Nnipa a Wɔte Ase. | Nsusuwii a wɔyɛ denam awotwaa no a wɔkyekyɛ mu anan, susuw nsu a emu dɔ sen biara wɔ ɔfã biara mu, na wɔde saa gyinapɛn anan no bom so. | Efi sɛntimita 5 kosi 25. (Wubu nea ennu sɛntimita 5 sɛ nsu a ɛba fam.) |
| Kotoku a Ɛda Hɔ (MVP) a Ɛsen Biara . | Nsu kotoku a emu dɔ sen biara wɔ awotwaa no mu no sorokɔ a wosusuw. Wɔtaa de eyi di dwuma kɛse wɔ ɔsram abiɛsa a ɛto so abiɛsa no mu. | 2 kosi 8 sɛntimita. (Wɔbu nea ennu sɛntimita 2 sɛ ɛba fam.) |
Dɛn nti na nsu no so retew saa?
Mpɛn pii no, bɛyɛ 50% no, wontumi nhu nea ɛde ba pɔtee biara. Nanso, nneɛma pii wɔ hɔ a ebetumi ama nsu ho ayɛ na.
- Nyinsɛn a ɛkyɛ sen da a ɛsɛ sɛ wɔwo no: Ebia saa nsu yi so bɛtew fi awosu mu bere a wɔwo akokoaa no wɔ da a ɛsɛ sɛ wɔwo no akyi no.
- Amniotic sac rupture: Eyi ne nea yɛfrɛ no "nsu a ɛpaapae." Ɛtɔ mmere bi a, ebetumi afa tokuru ketewaa bi mu akɔ.
- Awotwaa mu haw ahorow: Tebea horow te sɛ awotwaa a ɛpaapae , baabi a awotwaa no tetew ne ho fi awotwaa no fasu ho.
- Awo mu dɛmdi a ɛba akokoaa no mu: Titiriw sɛ ɔhaw bi wɔ akokoaa no asaabo anaa ne nsu mu a, nsu dodow a akokoaa no ma no so bɛtew, na ɛbɛma nsu a ɔnom no so atew.
- Nkwammoaa mu nkwaadɔm a ɛnteɛ.
- Nyinsɛn mmanoma: Wɔ twin-to-twin transfusion syndrome , tebea a ɛma aduannuru nkyɛ mmanoma ntam pɛpɛɛpɛ mu no, ebia akokoaa biako nsu kakraa bi na atwa ne ho ahyia.
- Ɛnanom akwahosan tebea horow: Tebea horow te sɛ asikreyare ne mogya mmoroso wɔ ɛna no mu.
- Nnuru bi: Nnuru bi, te sɛ (ACE) a esiw mogya mmoroso ano ne (NSAIDs) a ɛma ɛyaw ano brɛ ase.
Dɛn ne nsɛnnennen a ɛwɔ nsu a ɛba fam mu?
Sɛnea tebea yi mu yɛ den no gyina nyinsɛn no fã a ɛba so.
Sɛ yɛbɛka no tiawa a, nsu a ɛho ayɛ fĩ wɔ nyinsɛn mu ntɛm no betumi ayɛ nea anibere wom sen nsu a ɛho ayɛ fĩ wɔ nyinsɛn no awiei.
| Nyinsɛn fã | Nsɛnnennen a ebetumi aba |
|---|---|
| Wɔ asram 6 a edi kan no mu (wɔn ɔsram abiɛsa a ɛto so abien) . |
|
| Bosome Abiɛsa a Ɛto so Abiɛsa |
Dɛn ne Potter Syndrome?
Eyi yɛ tebea a ɛntaa nsi nanso ɛyɛ aniberesɛm a ɛne `(Oligohydramnios)` wɔ abusuabɔ. Nea ɛkɔ so wɔ ha ne sɛ akokoaa no asaabo nnyin yiye, enti nsu a ɛba no sua koraa. Ne saa nti, ɛkame ayɛ sɛ nsu a ɛwɔ awotwaa mu nni hɔ. Eyi betumi de nsɛnnennen a emu yɛ den te sɛ anim afã pɔtee bi (hwene a ɛyɛ tratraa, aniwa a ɛda akyirikyiri), akwaa ntiantiaa, ne ahurututu a ennyaa nkɔso aba.
Wobɛyɛ dɛn ahu sɛ wowɔ saa tebea yi? (Mpopoeɛ)
Nea ɛho hia ne sɛ, wubetumi anya saa tebea yi a wunnya sɛnkyerɛnne biara wɔ nsɛm dodow no ara mu. Wo duruyɛfo no behu bere a woreyɛ wo ultrasound scan daa nkutoo.
Nanso, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wuhu:
1. Nsu a efi awotwaa mu: Eyi ne sɛnkyerɛnne titiriw. Ɛho nhia sɛ ɛyɛ nsu pii a ɛrepue prɛko pɛ te sɛ sini ahorow mu no. Ɛtɔ da bi a, ebetumi ayɛ nea ɛreworo so kakra, te sɛ hama. Sɛ wuhu biribi te sɛ eyi a , frɛ wo duruyɛfo ntɛm ara.
2. Wo yafunu te nka sɛ ɛyɛ ketewaa sen sɛnea wohwɛ kwan: Sɛ wo yafunu te nka sɛ ɛyɛ ketewaa bere a wode toto wo nyinsɛn dapɛn no ho a, ɛno nso betumi ayɛ sɛnkyerɛnne.
3. Akokoaa no kankyee a ɛso tew: Bere a nsu no so tew no, akokoaa no ntumi nkɔ baabiara, enti ebia wobɛte nka sɛ akokoaa no ntumi nkɔ baabiara.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Ayaresa no gyina sɛnea wo nsu dodow sua ne nyinsɛn no fã a wowɔ so.
- Wɔtaa hwɛ: Wɔyɛ ultrasound scan dapɛn biara de hwɛ nsu dodow ne akokoaa no nyin.
- Nom nsu pii: Nhwehwɛmu ahorow bi ada no adi sɛ nsu pii a wɔnom, titiriw wɔ nyinsɛn no fã a etwa to no, betumi aboa ma nsu dodow akɔ soro akodu baabi.
- Ɛna no nyarewa a wodi so: Sɛ nyarewa te sɛ asikreyare ne mogya mmoroso wɔ hɔ a, ɛho hia sɛ wodi so yiye.
- Awo a wodi ntɛm: Wɔ tebea horow bi mu no, sɛnea ɛbɛyɛ a akokoaa no benya ahobammɔ no, nnuruyɛfo betumi asi gyinae sɛ wɔbɛma awo no ansa na bere a ɛsɛ sɛ wɔwo no adu mpo.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ wo nyinsɛn mu a, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo. Titiriw no, sɛ wuhyia nea edidi so yi mu biara a , hwehwɛ aduruyɛ mu afotu ntɛm ara anaa kɔ ayaresabea hɔ Emergency Treatment Unit (ETU).
- Sɛ nsuo bi fi awotwaa mu a.
- Sɛ mogya tu wɔ ɔbea awotwaa mu a.
- Sɛ wote nka sɛ awotwaa no twetwe ka yafunu anaa akyi yaw ho a.
- Sɛ wote nka sɛ wo ba no kankyee so atew kɛse a.
Nkrasɛm a Wɔde Kɔ Fie
- Amniotic fluid a ɛba fam, anaa ``Oligohydramnios,'' yɛ tebea a ebetumi aba bere biara wɔ nyinsɛn mu na ɛyɛ ade a ɛhaw adwene.
- Wɔtaa hu eyi denam ultrasound scan so. Enti, ɛho hia yiye sɛ wɔma wɔyɛ scans wɔ bere ano.
- Sɛ wuhu sɛ nsu bi fi wo awotwaa mu a, mmu w’ani ngu so. Ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ wuhu tebea yi a, mma wo ho nnpopo na di nnuruyɛfo afotu akyi. Sɛ wɔtaa hwɛ akokoaa ne ayaresa a ɛho hia a, ebetumi ama asiane a ɛwɔ hɔ ma ɛna ne akokoaa nyinaa no so atew.
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