Ɛyɛ ade a ɛfata sɛ ɛna bɛhaw ne ho wɔ nneɛma nketenkete mpo ho bere a wanyinsɛn no. Titiriw sɛ wo scan amanneɛbɔ ka sɛ "low-lying placenta", anaasɛ mpofirim ara wuhu sɛ mogya retu wo vaginal wɔ wo nyinsɛn no mfinimfini a, ebetumi ayɛ hu kɛse. Enti, mma wo ho nnyɛ wo hu. Ɛnnɛ, yɛbɛka saa suro a wɔtaa suro wɔ placenta previa ho yi ho asɛm, anaa nea ɛyɛ, so ɛfata ankasa sɛ yɛhaw yɛn ho wɔ ho, ne nea ɛsɛ sɛ yɛyɛ wɔ tebea a ɛte saa mu.
Sɛ yɛbɛka no tiawa a, dɛn ne placenta previa?
Fa no sɛ, sɛ wo ba no wɔ wo yafunu mu a, ɔnam akwaa bi a wɔfrɛ no awotwaa so nya mframa pa ne aduannuru a ohia nyinaa. Ɛte sɛ akokoaa awia aduan adaka. Saa awotwaa yi nam awotwaa hama no so bata akokoaa no ho, na ɛde aduannuru fi wo mu kɔ akokoaa no nkyɛn, na ɛsan nso yi akokoaa no nwura fi hɔ. Saa awotwaa yi nyin wɔ awotwaa no mu.
Mpɛn pii no, saa awotwaa yi wɔ awotwaa no atifi, na ɛne ɔkwan a wɔabue (awotwaa) a akokoaa no fa mu fi adi no ntam kwan ware. Awotwaa no te sɛ "ɔpon" a akokoaa no fa mu fi adi no.
Placenta previa yɛ bere a placenta a ɛte sɛ akokoaa awia aduan adaka no wɔ awotwaa no ase, na ɛkata "ɔpon" (awotwaa no) no so koraa anaa ne fã bi.
Afei fa no sɛ, sɛ wɔrebɛwo akokoaa no a, saa ɔpon (awotwaa) no fi ase bue. Afei, mogya ntini a ɛyɛ mmerɛw a ɛka awotwaa a ɛwɔ saa ɔpon no atifi no tumi tetew. Ɛno na mogya tu kɛse, na ɛde ɛna no ne akokoaa no nyinaa to asiane mu. Eyi nti na nnuruyɛfo kamfo kyerɛ sɛ wɔmfa oprehyɛn (C-section) mma ɛnanom a wɔwɔ saa tebea yi no.
Dɛn ne Placenta Previa ahorow atitiriw?
Saa tebea yi nyɛ ade koro, ɛwɔ ahorow pii. Ebia nea ebefi mu aba no bɛyɛ soronko a egyina ɔkwan a wowɔ so.
| Korɔ | Nkyerɛase a ɛyɛ mmerɛw | Nsɛntitiriw a ɛho hia |
|---|---|---|
| Wie (Awie Previa) . | Awotwaa no (ɔpon a akokoaa no fa mu ba) no, awotwaa no na ɛto mu koraa. | Wɔ tebea a ɛte saa mu no, akyinnye biara nni ho sɛ ɛho hia sɛ wɔyɛ oprehyɛn a wɔde twa oprehyɛn. |
| Ɔfã (Ɔfã a Wɔde Di Kan) . | Awotwaa no akata awotwaa no so fã bi pɛ. | Mpɛn pii no, ɛho hia sɛ wɔyɛ oprehyɛn, na wogyina oduruyɛfo no afotu so si gyinae. |
| Marginal Previa / Nea ɛba fam | Awotwaa no bɛn awotwaa no yiye, nanso ɛnkata so. | Eyi ne ɔkwan a wɔtaa de di dwuma. Asɛmpa no ne sɛ, bɛyɛ 90% mu no, awotwaa no ankasa kɔ soro bere a awotwaa no trɛw no. |
Dɛn ne tebea yi ho sɛnkyerɛnne?
Mpɛn pii no, ɛnanom a wɔwɔ Placenta Previa no nkyerɛ yare no ho sɛnkyerɛnne biara. Wohu bere a wɔreyɛ scan daa no. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:
- Nsɛnkyerɛnne titiriw: Mogya a ɛba mpofirim, ɛnyɛ yaw, na ɛyɛ kɔkɔɔ a ɛyɛ hare wɔ nyinsɛn no fã a ɛto so abien mu (wɔ adapɛn 20 akyi). Eyi betumi ayɛ nea emu yɛ hare anaasɛ emu yɛ duru.
- Yafunu mu akisikuru: Wubetumi ate yafunu mu yaw (a ɛtwetwe) bere a mogya a ɛretu wo no kɔ so no. Ebia ɛbɛyɛ te sɛ nea wo yafunu reyɛ den, anaasɛ ɛte sɛ nea w’akyi yɛ wo yaw.
Nea ɛho hia ne sɛ ɛnyɛ ade a ɛfata sɛ mogya bɛtu obi wɔ ɔbea no awotwaa mu bere biara wɔ nyinsɛn mu, titiriw wɔ ɔsram abiɛsa a ɛto so abien mu. Sɛ mogya retu wo kakra a, mmu w’ani ngu so.
Sɛ mogya pii sa wo a, wubetumi anya mogya mmoroso ho sɛnkyerɛnne afoforo nso, te sɛ wo honam ani a ɛyɛ fitaa, wo koma bɔ ntɛmntɛm na ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛhome, ne mogya mmoroso a ɛba fam.
Hena na ɔwɔ asiane kɛse mu sɛ obenya Placenta Previa?
Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane kɛse mu.
- Wɔ ɛnanom a wɔnom sigaret fam.
- Wɔn a wɔde nnubɔne te sɛ cocaine di dwuma no fam.
- Wɔn a wɔadi boro mfe 35 no fam.
- Sɛ nyinsɛn pii adi kan a.
- Sɛ woadi kan ayɛ oprehyɛn a wɔde twa awotwaa (C-sections) anaa oprehyɛn afoforo wɔ awotwaa mu (e.g., D&C).
- Sɛ woanyinsɛn mmanoma anaa mma abiɛsa a.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Mpɛn pii no, wohu eyi ara kwa. Wo duruyɛfo betumi ahu bere a wɔreyɛ nhwehwɛmu daa wɔ wo nyinsɛn mu, titiriw bere a wɔreyɛ anomaly scan, a wɔyɛ no bɛyɛ adapɛn 20 no.
Wɔde ultrasound scan na ɛyɛ eyi. Nea edi kan no, wɔde yafunu mu ultrasound bɛhwɛ wo. Sɛ ɛno mu nna hɔ sɛnea ɛsɛ a, wo duruyɛfo betumi ayɛ scan ketewaa bi afa ɔbea no awotwaa no mu (transvaginal ultrasound) de ahu baabi a awotwaa no wɔ pɛpɛɛpɛ. Ɛho nhia sɛ wohaw wo ho wɔ ho, ɛyɛ sɔhwɛ a ahobammɔ wom yiye.
Ɔkwan bɛn so na wɔsa eyi?
Ade a edi kan a ɛsɛ sɛ yɛte ase ne sɛ wonni aduru anaa ayaresa biara mma Placenta Previa, a ɛyɛ tebea a ɛma awotwaa no wɔ awotwaa no ase no. Botae titiriw a ɛwɔ ayaresa mu ne sɛ wobɛhyɛ mogya a ɛbɛtɔ no so na ama nyinsɛn no akyɛ kosi sɛ akokoaa no benyin koraa, a ɛkyerɛ sɛ wobɛbɛn da a ɛsɛ sɛ wowo no.
Ayaresa no gyina nneɛma pii so:
- Mogya dodow a ɛretu.
- Ɛhe na wowɔ wɔ wo nyinsɛn no mu?
- Wo ne wo ba no akwahosan.
- Gyinabea a awotwaa ne akokoaa no wɔ.
Sɛ mogya a ɛretu no yɛ hare a (Light Bleeding) .
Sɛ mogya tu wo kakra, te sɛ nea ɛtɔ gu fam anaa abien a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gye w’ahome (mpa so home) na kwati dwumadi ahorow a emu yɛ den, apɔw-mu-teɛteɛ, ne nna mu kyɛfa koraa.
Sɛ mogya tu kɛse a
Sɛ mogya no mu yɛ den a, ɛyɛ ntɛmpɛ. Ɛho behia sɛ wɔde wo kɔ ayaresabea ntɛm ara. Wɔbɛtaa agye wo akɔ Emergency Treatment Unit (ETU) na wɔahwɛ wo yiye. Sɛ ɛho hia a, ebia ebehia sɛ wɔma wo mogya mpo.
Ebia oduruyɛfo no nso bɛma wo corticosteroid a wɔde twitwiw wo ba no mu na ama wo ba no ahurututu anyin ntɛmntɛm. Sɛ wo ba no nyinsɛn bɛyɛ adapɛn 36 na ɔte nka sɛ asiane biara nni ho sɛ ɔbɛwo a, wobɛyɛ nhyehyɛe sɛ wɔbɛyɛ C-section a wɔayɛ ho nhyehyɛe .
Nanso, sɛ wontumi nni mogya a ɛretu no so a, ebia ɛho behia sɛ wɔyɛ C-section ntɛm ara na ama wɔagye ɛna no nkwa, sɛ mpo akokoaa no nnyinii koraa a.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ntɛm ara?
Kae eyi yiye.
Sɛ mogya biara tu wo wɔ wo awotwaa mu wɔ nyinsɛn no fã a ɛto so abien anaa abiɛsa mu, sɛ́ ɛyɛ hare anaasɛ emu yɛ duru a, frɛ wo duruyɛfo ntɛm ara.
Sɛ mogya no mu yɛ duru a, nsusuw biribi foforo biara ho na kɔ ayaresabea a ɛbɛn wo ntɛm ara. Mma nsɛe bere.
Nkrasɛm a Wɔde Kɔ Fie
- Placenta Previa yɛ bere a awotwaa no wɔ fam wɔ awotwaa no mu, ɛbɛn anaasɛ ɛkata ɔkwan a akokoaa no fa mu (awotwaa no) so.
- Mpɛn pii no, sɛnkyerɛnne biara nni hɔ, nanso sɛnkyerɛnne titiriw ne mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ yaw.
- Wɔtaa de ultrasound scan na ɛkyerɛ eyi.
- Botae a ɛwɔ ayaresa mu ne sɛ wɔbɛhyɛ mogya a ɛretu no so na wɔakura nyinsɛn no mu kosi sɛ wobetumi awo akokoaa no dwoodwoo (mpɛn pii no akosi adapɛn 36-37) na afei wɔayɛ oprehyɛn a wɔde twa oprehyɛn.
- Hwɛ wo duruyɛfo ntɛm ara sɛ mogya biara a ɛbɛtɔ wɔ nyinsɛn no fã a ɛto so abien no mu a. Sɛ emu yɛ duru a, kɔ ayaresabea tẽẽ.
- Awotwaa a ɛba fam no mu 90% gyae ara kwa bere a nyinsɛn no kɔ so no, enti mma wo ho nnpopo na di wo duruyɛfo akwankyerɛ akyi.
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