Ɛyɛ den sɛ wobɛka anigye a wunya bere a wuhu sɛ worewo akokoaa no akyerɛ. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere koro no ara mu. Wo dwene sɛ, "So me ba no bɛnya apɔwmuden?", "So mɛnya ɔhaw bi?". Eyi ne bere a nhwehwɛmu a wɔyɛ ansa na wɔawo , a wɔsan frɛ no nhwehwɛmu a wɔyɛ ansa na wɔawo no, ba mfaso. Saa nhwehwɛmu ahorow yi betumi ama woanya w’akwahosan ne wo ba a ɔhyɛ yafunu mu no akwahosan ho nsɛm a ɛsom bo.
Dɛn ne nhwehwɛmu a wɔyɛ ansa na wɔawo?
Sɛ yɛbɛka no tiawa a, eyinom yɛ nhwehwɛmu ahorow a wɔyɛ wɔ wo nyinsɛn no nyinaa mu de hwɛ hu sɛ wo ne wo ba no wɔ apɔwmuden. Eyinom bi yɛ nhwehwɛmu a wɔyɛ no daa a wɔyɛ ma mmea a wɔyem nyinaa. Sɛ asiane wɔ hɔ sɛ wo ba no benya awosu mu yare anaa awo mu dɛmdi bi nkutoo a, wɔyɛ afoforo.
Wo duruyɛfo no gyina nea ebefi nhwehwɛmu ahorow yi mu aba so betumi de akwahosan ho nhyehyɛe a eye sen biara ama wo ne wo ba no, ansa na awo ne bere a wɔawo akyi nyinaa.
Nea ɛho hia ne sɛ, sɛ akokoaa no wɔ yare bi a, sɛ obi nya yare bere nyinaa a, ɛkyerɛ sɛ ɔwɔ yare bi bere nyinaa. Enti, w’ankasa mma wo ho nnpopo da. Bere nyinaa wo ne wo duruyɛfo nka eyi ho asɛm na te nea nea efi mu ba no kyerɛ ase ankasa.
Dɛn ne sɔhwɛ ahorow a wɔyɛ no daa a wɔyɛ ma obiara?
Efi da a wubehu sɛ woanyinsɛn kosi da a wɔbɛwo wo ba no, wo duruyɛfo no bɛyɛ nhwehwɛmu ahorow de ahwɛ sɛnea w’akwahosan te. Wɔde mogya ne nsu a wɔde yɛ eyinom mu dodow no ara na ɛyɛ.
| Sɔhwɛ no su | Dɛn na worehwɛ na dɛn ntia? |
|---|---|
| Mogya mu Nhwehwɛmu |
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| Nsuo mu Nhwehwɛmu | Hwehwɛ tebea horow te sɛ nsu mu yare ne preeclampsia (mogya mmoroso bere a wonyinsɛn) ho sɛnkyerɛnne. |
| Ultrasound Scan a Wɔde Yɛ Adwuma | Anyɛ yiye koraa no, wɔtaa yɛ sɔhwɛ yi a wɔde nnyigyei asorɔkye yɛ wo ba ne w’awotwaa mfonini no mprenu.
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| Kuw B Strep sɔhwɛ | Wɔ ɔsram a edi akokoaa no awo anim no, wɔhwɛ ɔbea awotwaa no mu hwɛ sɛ ɔyare mmoawa yi wɔ hɔ anaa. Sɛ ɛwɔ hɔ a, wɔde ayaresa ma na wɔasiw ɔyare mmoawa no ano wɔ akokoaa no mu. |
Awosu mu Nhwehwɛmu Titiriw (Awosu mu Nhwehwɛmu a Wɔyɛ ansa Na Wɔawo) .
Eyinom ne sɔhwɛ ahorow a ɛnanom pii suro kakra, nanso ɛho hia yiye. Wɔde hwehwɛ sɛ akokoaa no wɔ asiane mu sɛ obenya awosu mu yare anaa awo mu dɛmdi bi te sɛ Down syndrome anaa.
Ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ nhwehwɛmu ahorow yi, nanso ebia wo duruyɛfo bɛkamfo akyerɛ ɛnanom a wɔwɔ asiane akuw a edidi so yi mu:
- Sɛ woadi boro mfe 35 a
- Sɛ na abofra bi a wadi kan anya awosu mu yare anaa awo mu dɛmdi bi a
- Sɛ wo anaa wo ba no papa wɔ abusua abakɔsɛm a ɛfa awosu mu nyarewa ho a
- Sɛ woadi kan atu nyinsɛn anaasɛ woawo a wɔawuwu a
Awosu mu nhwehwɛmu ahorow atitiriw abien na ɛwɔ hɔ. Ɛho hia paa sɛ yɛte saa nsonsonoe yi ase.
1. Nhwehwɛmu a Wɔde Hwɛ: Eyinom na ɛkyerɛ wo sɛnea ɛda adi sɛ wo ba no benya yare pɔtee bi nkutoo. Eyi nkyerɛ sɛ akokoaa no wɔ yare no.Wɔnnsi so dua. Eyinom yɛ nea asiane biara nni ho koraa, na wɔtaa yɛ sɛ mogya mu nhwehwɛmu anaa scan.
. Saa sɔhwɛ ahorow yi de asiane ketewaa bi ba.
Dɛn ne nhwehwɛmu ahorow a wɔde hwehwɛ nnipa mu?
- Nhwehwɛmu a Wɔaka abom (a ɛda adapɛn 11-14 ntam): Eyi hwehwɛ sɛ wɔde ultrasound scan (NT scan a ɛkyerɛ honam ani hwɛbea a ɛwɔ akokoaa no kɔn akyi) ne mogya mu nhwehwɛmu a efi ɛna no hɔ bom de bu asiane a ɛwɔ tebea horow te sɛ Down syndrome mu ho akontaa.
- Cell-free fetal DNA (NIPT) nhwehwɛmu: Eyi yɛ mogya mu nhwehwɛmu a ɛkɔ akyiri kakra. Ɛhwehwɛ akokoaa no DNA asinasin wɔ ɛna no mogya mu na etumi hu asiane a ɛwɔ nkwaboaa mu nneɛma a ɛnteɛ te sɛ Down syndrome (Trisomy 21), Trisomy 18, ne Trisomy 13 mu pɛpɛɛpɛ.
- Triple/Quadruple Screening Test (wɔ adapɛn 15-22 ntam): Eyi nso yɛ ɛna no mogya mu nhwehwɛmu. Ɛhwɛ asiane a ɛwɔ hɔ denam hormone ne protein dodow a efi akokoaa no ne awotwaa no mu a ɛhwɛ so.
Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?
Sɛ nhwehwɛmu bi a wɔde hwehwɛ nneɛma mu kyerɛ sɛ asiane bi wɔ hɔ a, wo duruyɛfo no ne wo bɛkasa na wasi gyinae sɛ ebia ɛsɛ sɛ woyɛ nhwehwɛmu ahorow yi biako anaa.
- Amniocentesis: Wɔ eyi mu no, wɔde ade a ɛyɛ tratraa paa fa wo yafunu mu kɔ wo awotwaa mu, wɔ scan akwankyerɛ ase, na wɔfa amniotic nsu a atwa akokoaa no ho ahyia no ketewaa bi. Wobetumi asɔ eyi ahwɛ de ahu sɛ awosu mu yare bi wɔ hɔ anaa.
- Chorionic Villus Sampling (CVS): Nea ɛka eyi ho ne sɛ wobeyi ntini ketewaa bi afi awotwaa no mu na wɔasɔ ahwɛ. Wobetumi de ade a wɔde fa yafunu mu anaa awotwaa mu nso ayɛ eyi.
So asiane ahorow bi wɔ nhwehwɛmu ahorow a wɔde hu yare yi mu?
Yiw, sɔhwɛ abien yi nyinaa de asiane ketewaa bi nanso wontumi nkwati ba. Wo duruyɛfo bɛkyerɛkyerɛ asiane ahorow yi mu akyerɛ wo yiye ansa na wayɛ.
| Asiane a ebetumi aba | Nkyerɛmu |
|---|---|
| Nyinsɛn a wotu gu | Eyi yɛ ade a ɛntaa nsi (ennu 1%). Asiane yi so tew bio bere a oduruyɛfo a ne ho akokwaw yɛ no. |
| Nsaneɛ | Asiane ketewaa bi pɛ na ɛwɔ hɔ sɛ obi benya ɔyare mmoawa bere biara a ade bi bɛfa honam ani no. |
| Mogya a ɛretu | Ɛyɛ ade a ɛfata sɛ mogya ketewaa bi befi baabi a wɔde ade no ahyɛ mu no, nanso ɛntaa mma koraa sɛ mogya bɛtɔ wo kɛse. |
| Amemene mu nsu a ɛretu | Ɛwom sɛ mpɛn pii no, nsu kakraa bi na ɛtwetwe de, nanso ɛnka nyinsɛn. |
Sɛ wunya nea efi mu ba a, dɛn na woyɛ?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ wunya sɔhwɛ ho amanneɛbɔ a, mma nsɛmfua ne nɔma a ɛwɔ so no nnyɛ wo hu. Sɛ screening test ka sɛ ‘High Risk’ a, ɛnkyerɛ sɛ akokoaa no wɔ yareɛ bi, ɛkyerɛ ara ne sɛ asiane no sõ na ɛho hia sɛ wɔyɛ nhwehwɛmu foforɔ.
Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛfa amanneɛbɔ no na woakɔ wo duruyɛfo nkyɛn tẽẽ. Ɔbɛkyerɛkyerɛ nea nea efi mu ba no kyerɛ, nea ɛsɛ sɛ woyɛ akyi, ne nea wubetumi apaw. Sɛ ɛho hia a, wɔde wo bɛkɔ awosu ho ɔfotufo nkyɛn.
Nsɛmmisa a ɛsɛ sɛ wobisa oduruyɛfo no
- Dɛn nti na wɔreka akyerɛ me sɛ menyɛ sɔhwɛ yi?
- Dɛn ankasa na nea afi mu aba yi ka?
- Saa sɔhwɛ ahorow yi yɛ pɛpɛɛpɛ dɛn?
- Dɛn na ɛsɛ sɛ mede nea efi mu ba no yɛ?
- Asiane bɛn na ɛwɔ sɔhwɛ yi mu?
- So wobetumi ayɛ nhwehwɛmu ahorow yi wɔ aban ayaresabea? Anaasɛ ɛsɛ sɛ wɔyɛ no kokoam? Ɛho ka yɛ ahe?
Nkrasɛm a Wɔde Kɔ Fie
- Nhwehwɛmu a wɔyɛ ansa na wɔawo no ma wonya wo ne wo ba no akwahosan ho nsɛm a ɛsom bo.
- Nhwehwɛmu ahorow abien na ɛwɔ hɔ: nhwehwɛmu a wɔyɛ no daa a wɔyɛ ma obiara ne awosu mu nhwehwɛmu a wɔyɛ wɔ nsɛm titiriw bi mu.
- Nhwehwɛmu a wɔyɛ de hwehwɛ yare mu no kyerɛ ‘asiane’ a ɛwɔ yare bi mu nkutoo. Nhwehwɛmu a wɔyɛ de hu yare no si so dua sɛ ebia yare bi wɔ hɔ anaasɛ enni hɔ.
- Nsɔhwɛ ahorow te sɛ amniocentesis ne CVS wɔ asiane ketewaa bi a ɛbɛma nyinsɛn agu, enti sɛ ɛho hia koraa a, wɔyɛ no.
- Mma wo nkutoo nsi gyinae anaasɛ wobɔ hu da bere a wo nsa aka sɔhwɛ ho amanneɛbɔ no. Wo ne wo duruyɛfo nsusuw ho bere nyinaa.
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