W’asetra mu da a ɛyɛ fɛ sen biara no reba nnansa yi ara, ɛnte saa? Nanso bere koro no ara mu no, ɛbɛyɛ sɛ ehu ka wo kakra na wunnya abotare. Titiriw bere a worebɛwo akokoaa , kyerɛ sɛ, sɛ awo fi ase a, ɛbɛyɛ sɛ woate nsɛm ahorow a ɛfa aduan ne anonne ho. Ebinom ka sɛ ɛnyɛ papa sɛ wɔbɛnom nsu kakra mpo. Afoforo nso ka sɛ ɛsɛ sɛ wudi biribi na ama woanya ahoɔden. Enti dɛn na ɛyɛ nokware ankasa wɔ eyi mu? Momma yɛnka ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Ahoɔden ne boasetɔ - so eye sɛ wobɛdidi anaasɛ worendidi?
Susuw ho hwɛ, sɛ wowo abofra a, ɛte sɛ nea woretu mmirika a ɛyɛ den. Ɛyɛ asɛnnennen kɛse a wo nipadua betumi ahyia. Wɔ ɛna a ɔba nea edi kan fam no, awo mu yaw betumi atra hɔ nnɔnhwerew 12 kosi 24. Wɔ abofra a ɔto so abien anaa nea ɔto so abiɛsa fam no, wobetumi atew saa bere yi so akodu nnɔnhwerew 8 kosi 10.
Afei hwɛ, da a ɛyɛ daa no, bere mpo a yɛnte ɔbrɛ nka no, yedi biribi nnɔnhwerew kakraa biara na ama yɛanya ahoɔden. Sɛ wohwɛ no saa a, ɛyɛ den dɛn sɛ wunnidi anaa worennom biribiara wɔ bere a ɛte sɛɛ mu, bere a nipadua no ayɛ basaa kɛse nnɔnhwerew pii no? Ná ɛnanom pii wɔ eyi ho haw kɛse.
Nanso ɛyɛ me anigye sɛ mɛka akyerɛ wo sɛ, tebea no asesa kɛse mprempren. Mprempren wɔatew mmara a emu yɛ den a na ɛwɔ hɔ kan no so.
Dɛn nti na wokae sɛ wuntumi mma wɔn aduan ne anonne kan?
Saa asɛm yi fi ase wɔ 1940 mfe no mu. Saa bere no, nnuruyɛfo hui sɛ sɛ ɛnanom a wɔmaa wɔn aduru a wɔde kum nipadua no nyinaa bere a wɔrewo no di aduan a, saa aduan no betumi asan afi yafunu mu aba na akɔ ahurututu mu. Eyi ne nea wɔfrɛ no `Aspiration` wɔ aduruyɛ ho nyansahu mu.
Sɛ yɛbɛka no tiawa a, ɛyɛ ɔkwan a ɛnteɛ a wɔfa so didi na wɔnom na wɔfa ahurututu mu kɔ ahurututu no mu. Wɔ nyinsɛn mu no, hormone `Progesterone` ma yafunu mu ntini ahorow no dwo. Afei nso, asiane yi kɔ soro efisɛ awotwaa a ɛrenyin no mia yafunu no. Sɛ aduan kɔ ahurututu mu a, ebetumi de nyarewa a emu yɛ den (`Pneumonia`) aba na mpo ɛde nkwa to asiane mu.
Saa bere no, ɛwom sɛ na wonni oprehyɛn (C-section) bere a wɔrewo akokoaa de, nanso na ɛyɛ adeyɛ a wɔtaa yɛ sɛ wɔma ɛna no aduru koraa. Enti, sɛnea ɛbɛyɛ a wobesiw asiane a ɛwɔ `aspiration` mu yi ano no, nnuruyɛfo sii gyinae sɛ wɔbɛbara aduan ne anonne koraa bere a awo afi ase no.
Enti tebea no asesa mprempren?
Yiw, akyinnye biara nni ho. Aduruyɛ ho nyansahu anya nkɔso kɛse mprempren. Titiriw akwan a wɔfa so de aduru a ɛma obi dwensɔ no asesa kɛse.
Mprempren, wɔde `General Anesthesia` di dwuma wɔ tebea horow a emu yɛ den mu nkutoo, te sɛ oprehyɛn a wɔyɛ no ntɛm ara, bere a wɔrewo. Mmom no, `Regional Anesthesia` na wɔtaa de di dwuma. Ebia woate `Epidural` anaa `Spinal Block` ho asɛm. Saa akwan yi mma wo nna koraa, na mmom ɛma wo nipadua no fã pɔtee bi a mpɛn pii no ɛwɔ w’asen ase no yɛ mmerɛw. Esiane sɛ wowɔ adwene nti, asiane a ɛwɔ `Aspiration` mu no sua koraa.
Nnansa yi nhwehwɛmu ada no adi sɛ asiane a ɛwɔ hɔ sɛ obi bɛpɛ aspiration bere a ɔrewo wɔ nyinsɛn a ɛwɔ apɔwmuden a asiane nnim mu no sua koraa. Nokwarem no, asɛm a ɛte saa biako pɛ na wɔabɔ ho amanneɛ wɔ United States wɔ afe 2005 ne 2013 ntam hɔ. Na ɛno yɛ nyinsɛn a asiane kɛse wom a na nsɛnnennen afoforo te sɛ pre-eclampsia ka ho.
Enti, dɛn na ɛsɛ sɛ wudi na wonom bere a worehwɛ akokoaa kwan no?
Sɛ wowɔ nyinsɛn a ahoɔden wom a asiane nnim a, wubetumi adi nnuan a emu nyɛ duru na aboa wo ma woanya ahoɔden bere a worewo no. Nanso kae sɛ eyinom ye sen biara wɔ awo a edi kan no mu. Nyansa wom sɛ wobɛkwati adidi bere a wɔrewo nnam bere a ɛyaw no reyɛ kɛse na akokoaa no rebɛwo no.
Dɛn ne saa nneɛma yi a wubetumi adi na woanom? Momma yɛnhwɛ.
| ✅ Nneɛma pa a ɛsɛ sɛ wodi/nom | ❌ Nneɛma a ɛsɛ sɛ yɛkwati |
|---|---|
| Nsu a emu tew: nsu, tii (asikre a ɛba fam), soup a emu da hɔ (e.g. akokɔ nsu), anonne a carbonated wom (te sɛ soda). | Nnuan a srade wom, a emu yɛ duru: Nneɛma te sɛ nnuan a srade wom, nam, ne aburow a emu yɛ duru. Eyinom yɛ den sɛ wɔbɛyam. |
| Nnuan a emu nyɛ duru: toast, krak, nnuaba (te sɛ banana, apɔw-mu-teɛteɛ), yogurt. | Nufusu: Nufusu betumi ama nnipa binom yafunu ayɛ wɔn yaw, enti ɛbɛyɛ papa sɛ wobɛkwati saa bere yi. |
| Nnuan a ɛma ahoɔden: ɛwo kakra, nnuaba mu nsu (a wɔde nsu afra mu). | Nsã a asikre wom: Nsã a asikre wom te sɛ akutu nsu betumi ama yafunu ayɛ wo yaw na wafe. |
Mfaso a ɛwɔ adidi ne anonne so
Nhwehwɛmu foforo kyerɛ sɛ mfaso pii wɔ aduan a emu nyɛ duru a wobedi bere a wɔrewo so.
- Adwuma bere tiaa: Sɛnea nhwehwɛmu ahorow bi kyerɛ no, ahoɔden a wonya no betumi ama adwuma bere no ayɛ tiaa kakra.
- Oprehyɛn a wɔyɛ no ntɛm a wɔtew so: Sɛ ɛna no nya ahoɔden pa a, otumi piapia no yiye ma ɔwo akokoaa no. Eyi ma asiane a ɛwɔ hɔ sɛ ɛsɛ sɛ wɔyɛ C-section a egye ntɛmpɛ no so tew.
- Osuahu a ɛyɛ ahotɔ kɛse: Ɛna no betumi anya osuahu yi mu osuahu pa kɛse, bere a ɔkɔm ne sukɔm a ɔkɔm de no no fi hɔ no.
Akyinnye biara nni ho sɛ henanom na ɛsɛ sɛ wɔkwati adidi ne ɔnom?
Eyi ho hia paa. Ɛnyɛ obiara na ɔwɔ saa kwan yi. Sɛ wo nyinsɛn no yɛ nea asiane kɛse wom , anaasɛ ɛda adi sɛ wobɛma wo nnuru a wɔde kum nipadua no nyinaa a, ɛsɛ sɛ wokwati adidi anaa anonne koraa bere a worewo no.
Nsɛm a ɛtete saa no bi ni:
- Sɛ wowɔ oprehyɛn a wɔayɛ ho nhyehyɛe (`Planned C-section`).
- Sɛ wowɔ asiane kɛse mu sɛ wɔbɛyɛ C-section a egye ntɛmpɛ (e.g., sɛ woadi kan ayɛ C-section a, sɛ ɔhaw bi wɔ akokoaa no gyinabea ho a).
- Sɛ ɛyɛ awo pii a, te sɛ mmanoma.
- Sɛ wowɔ akwahosan ho haw afoforo a ɛka wo nyinsɛn te sɛ asikreyare anaa mogya mmoroso (pre-eclampsia) a.
Adidi ne nsa a wobɛnom wɔ tebea horow a asiane wom yi mu no betumi ayɛ nea asiane wom, enti ɛho hia sɛ wo ne wo duruyɛfo kasa ansa na woasi gyinae biara.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wɔde akwankyerɛ foforo yi ma mpo a, mmara yi betumi ayɛ soronko wɔ ayaresabea biara. Enti, ansa na wobɛkɔ mu akɔwo wo ba no, hwehwɛ nhyehyɛe a ayaresabea a wopɛ no wɔ wɔ asɛm yi ho.
Afei nso, bisa saa nneɛma yi pefee fi oduruyɛfo a wahwɛ wo wɔ wo nyinsɛn no nyinaa mu na onim wo tebea no yiye no hɔ.
- "Oduruyɛfo, so me nyinsɛn no nyɛ nea asiane nnim?"
- "Hokwan bɛn na ɛwɔ hɔ sɛ mɛyɛ C-section?"
- "So metumi anya aduru a wɔde kum nipadua no nyinaa?"
- "So wubetumi atu me fo wɔ nea metumi adi ne nea mintumi nni wɔ awo bere mu no ho?"
Ɔno nkutoo na obetumi akyerɛ wo nea eye ma wo tebea no pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Awo yɛ ɔhaw kɛse ma nipadua no. Ɛhwehwɛ ahoɔden.
- Sɛ wo nyinsɛn no yɛ nea ahoɔden wom na asiane biara nni ho a, mpɛn pii no asiane biara nni ho sɛ wobɛnom nsu a emu da hɔ te sɛ nsu, nsu, ne soup, ne nnuan a emu nyɛ duru te sɛ toast ne nnuaba, wɔ awo no mfiase.
- Kwati nnuan a srade wom, emu yɛ duru ne anonne a asikre wom a ebetumi ama yafunu ayɛ wo yaw saa bere yi.
- Sɛ nyinsɛn a asiane wom kɛse anaasɛ ɛda adi sɛ wɔbɛyɛ C-section a, ɛsɛ sɛ wokwati adidi anaa anonne koraa.
- Awiei koraa no, ansa na wubesi eyi ho gyinae biara no, ɛho hia sɛ wo ne wo duruyɛfo kasa na wudi n’afotu akyi.
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