Sɛ woyɛ ɛna a wobɛyɛ ɛna a, ebia nsɛmmisa akɛse ne nkate a ɛwɔ w’adwenem no mu biako ne sɛ, ‘So me ba no te ɛyaw nka?’ Eyi yɛ asɛmti a emu dɔ yiye. Wɔ aduruyɛ mu mpo no, adwene ahorow wɔ eyi ho. Nnuruyɛfo ne nyansahufo binom ka sɛ nkokoaa nte ɛyaw nka kosi sɛ wobedi adapɛn 24 (asram 6). Nanso afoforo ka sɛ wotumi te ɛyaw nka ntɛm ara wɔ adapɛn 12 (asram 3) mu. Enti dɛn na ɛrekɔ so ankasa? Momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.
Calculate the due date based on the last menstrual period
Dɛn ne adwene ahorow a ɛsono emu biara wɔ eyi ho?
Ɛyɛ den sɛ yɛbɛma asɛmmisa yi ho mmuae tẽẽ, efisɛ yentumi mmisa akokoaa a ɔwɔ awotwaa mu sɛ, "So ɛyɛ yaw?" Enti ɛho abehia sɛ nhwehwɛmufo sua sɛnea akokoaa no nipadua nyin, titiriw sɛnea amemene ne ntini ahorow no nyin, na wɔnam ɛno so ba nsɛm bi.
Bere bi a atwam no, de besi 1980 mfe no mu no, na nnuruyɛfo susuw sɛ nkokoaa a wɔawo wɔn foforo mpo ntumi nte ɛyaw nka. Nea enti a ɛte saa ne sɛ na wɔn amemene no nnyinii koraa. Nanso seesei saa adwene no asesa koraa.
Mprempren nyansahufo reka adwene bi a wɔfrɛ no nociception. Sɛ yɛbɛka no tiawa a, ɛyɛ tumi a wotumi hu nneɛma a asɛe . Ɛyɛ soronko kakra wɔ ɛyaw ho. Efisɛ enhia sɛ obi hu. Nanso mprempren wogye tom sɛ adwennwen ho mmuae a saa nociception yi de ba akokoaa no nipadua mu no betumi aka n’amemene no nkɔso.
Sɛ nhwɛso no, wiase no mu nnuruyɛ ahyehyɛde ahorow a wɔagye din, Amerika ne Britania Awo ne Mmea Ho Nnuruyɛfo Kɔlege (ACOG, RCOG), wɔ adwene sɛ akokoaa no ntumi nte ɛyaw nka kosi adapɛn 24-25 . Nanso, adwene a ɛne ne ho bɔ abira wɔ hɔ. Momma yɛnhwɛ adwene abien no nyinaa mu yiye.
| Atosɛm 1: Adapɛn 24 akyi nkutoo na wɔte ɛyaw nka | Atosɛm 2: Wobetumi ate ɛyaw nka ntɛm wɔ adapɛn 12 mu |
|---|---|
| Nkitahodi a ɛho hia ba amemene no fã a ɛyɛ amemene no fã a ɛma wɔkae ade na wosusuw nneɛma ho titiriw, ne thalamus, amemene no fã a ɛde nkate ahorow te sɛ ɛyaw kɔ amemene no mu no ntam wɔ adapɛn 24 akyi. | Ɛnyɛ nea ɛda adi pefee sɛ ebia cortex no ho hia koraa na ama wɔate ɛyaw ase anaa. Ebetumi aba sɛ wɔnam amemene no afã atitiriw afoforo so hu ɛyaw. |
| Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea akokoaa a onnii adapɛn 28 yɛ n’ade wɔ nneɛma a ɛkanyan no a ɛyɛ yaw ho de, nanso mpɛn pii no ɛyɛ nea ɛma obi yɛ ade a ɛma ɔte nka anaa hormone a ɛma ɔyɛ ade ara kwa. Ɛnyɛ ɛyaw ankasa. | Ɛyaw agyefo fi ase nyin wɔ honam ani ntɛm ara wɔ adapɛn 7 mu, na ɛne amemene no di nkitaho adapɛn 12-15. |
| Ntini mu nkitahodi a ɛkyerɛ nsonsonoe a ɛda nsa a wɔde ka obi a asiane biara nni ho ne biribi a ɛyɛ yaw ntam no nyin wɔ nyinsɛn no awiei. | Amemene no afã horow te sɛ thalamus ne amemene no dua a ɛka ho wɔ nhumu mu no fi ase nyin wɔ ɔsram abiɛsa a edi kan no mu. |
Fa no sɛ, akyinnyegye yi mu yɛ den bio esiane nokwasɛm a ɛyɛ sɛ esiane sɛ aduruyɛ ho nyansahu anya nkɔso nti, mprempren wobetumi ama akokoaa atra ase sɛ wɔwo no ntɛm ara mpo a adapɛn 22-23 pɛ a. Mprempren nnuruyɛfo gye tom sɛ nkokoaa a wɔwo wɔn wɔ nyinsɛn mfe a ɛba fam saa no te ɛyaw nka.
Ɔkwan bɛn so na asɛm yi ka gyinaesi afoforo?
Saa asɛm yi a ɛfa awotwaa mu ɛyaw ho no anya nyinsɛn a woyi gu ho mmara ne awotwaa mu oprehyɛn so nkɛntɛnso tẽẽ wɔ wiase nyinaa.
Gyinaesi ahorow a ɛfa nyinsɛn a woyi gu ho
Wɔde saa ‘awotwaa mu ahokyere’ yi adi dwuma de akyerɛ bere a wɔde bɛma nyinsɛn a woyi agu wɔ aman pii mu no ayɛ mmara kwan so de. Aman bi de anohyeto ma nyinsɛn a woyi gu wɔ nyinsɛn adapɛn dodow bi akyi esiane eyi nti.
Nanso sɛ yɛhwɛ nsɛm a wɔde ama no a, nyinsɛn a woyi gu wɔ wiase no mu dodow no ara ba ntɛm ara wɔ nyinsɛn mu. Sɛ nhwɛso no, sɛnea nsɛm a efi CDC a ɛwɔ United States kyerɛ no, nyinsɛn a woyi gu no bɛboro 93% tu ansa na adapɛn 13 adu . Ennu 1% na ɛba wɔ adapɛn 21 akyi. Akyinnyegye a ɛkɔ so wɔ nyansahufo ntam wɔ bere a wɔahyɛ yi ho no da so ara kɔ so.
Awotwaa mu Oprehyɛn
Ɛtɔ mmere bi a, ehia sɛ wɔyɛ oprehyɛn de sa awo mu dɛmdi ahorow bi bere a akokoaa no da so wɔ awotwaa mu no. Eyi ne nea yɛfrɛ no fetal surgery.
So nnuruyɛfo susuw ɛyaw a ɛba bere a wɔreyɛ oprehyɛn a ɛte sɛɛ no ho? Yiw, akyinnye biara nni ho.
Mpɛn pii no, aduru a wɔde kum ɛna no bere a wɔreyɛ oprehyɛn ahorow yi no twa awotwaa no mu na ɛka akokoaa no. Nanso nyansahufo binom ka sɛ eyi nkutoo nyi ɛyaw anaa nhyɛso a akokoaa no betumi ate nka no mfi hɔ koraa.
Enti,Wɔ oprehyɛn a wɔyɛ wɔ ɔsram abiɛsa a ɛto so abien akyi (wɔ adapɛn 13 akyi) mu no, nnuruyɛfo taa ma akokoaa no aduru a wɔde kum ɛyaw tẽẽ. Wɔma akokoaa no aduru nso na ama wayɛ komm bere a wɔreyɛ no oprehyɛn no. Ade titiriw nti a wɔyɛ eyi ne sɛ wɔremma adwennwen a emu yɛ den a oprehyɛn no de ba no nnya akokoaa no amemene ne ne ntini ahorow no nkɔso wɔ ɔkwan a enye so.
Wobu nnuru a wɔde kum akokoaa no tẽẽ wɔ saa kwan yi so sɛ asiane biara nni ho ma ɛna ne akokoaa nyinaa . Nneɛma bɔne a efi mu ba no ho yɛ na koraa.
Nkrasɛm a Wɔde Kɔ Fie
- Wɔda so ara nni adwene a emu da hɔ wɔ nnuruyɛ mu wɔ bere a akokoaa a ɔwɔ awotwaa mu te ɛyaw nka ho . Bere a ebinom ka sɛ adapɛn 24 akyi no, afoforo ka sɛ ebetumi adi adapɛn 12 pɛ.
- Ade titiriw nti a akyinnyegye yi ba ne adwenem naayɛ a enni amemene no afã horow a ɛsɛ sɛ wɔyɛ na ama wɔate ɛyaw nka no.
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Nociceptionyɛ tumi a wotumi hu ɔhaw. Ɛwom sɛ enhia sɛ obi nya n’adwene de, nanso adwennwen a ɛde ba no betumi aka akokoaa nkɔso. - Sɛ wɔreyɛ akokoaa bi oprehyɛn wɔ awotwaa mu a, akyinnye biara nni ho sɛ nnuruyɛfo de nnuru a wɔde kum ɛyaw bedi dwuma de atew nhyɛso a ɛba akokoaa no so no so na wɔama nneɛma a ebetumi asɛe ne nyin no ayɛ ketewaa bi.
- Eyi yɛ asɛmti a ɛyɛ den yiye na ɛyɛ nkate. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛbɔ ho nkɔmmɔ pefee .
Complete bioactive daily multivitamin with methylated B-vitamins (5-MTHF & Methylcobalamin), Vitamin D3/K2, Albion chelated minerals, and antioxidants for whole-body physiology.
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