He mea weliweli anei ka prolapse o ke kaula umbilical? E makaʻala kākou i kēia!

ʻIke ʻoe, ʻo ka huakaʻi i loko o kēia ao hiki ke lawe mai i nā pilikia no ʻoe a me kāu pēpē i hānau ʻole ʻia. ʻO kekahi o nā kūlana maʻamau a weliweli paha e hiki ke hana ʻia i ka wā e kokoke ana ʻoe e hānau i kahi pēpē, ʻo ia ka wā e puka mai ai ke kaula umbilical mai ka vagina ma mua o ka hānau ʻana o ke pēpē. Ua kapa nā kauka i kēia he "Umbilical Cord Prolapse". I kēia lā, e kamaʻilio mākou e pili ana i nā mea he nui ma ke ʻano maʻalahi a maopopo hoʻi, e like me ke ʻano maoli o kēia, no ke aha e hana ʻia ai, a me ka mea e hana ai inā hana ʻia.

He aha ke ʻano o ka puka koke ʻana mai o ke kaula umbilical?

I ka ʻōlelo maʻalahi, hana ʻia kēia i ka wā e kokoke ana ʻoe e hānau i kahi pēpē, ma hope koke iho o ka haki ʻana o kou wai a i ʻole ma mua o ka puka ʻana o ke pēpē, a puka mai ke kaula umbilical mai kou cervix a i loko o kou vagina ma mua o ka pēpē. ʻO ka maʻamau, i ka wā e hānau ai kahi pēpē, puka mua ke pēpē, a laila puka mai ke kaula umbilical. Akā i kēia kūlana i kapa ʻia ʻo "Umbilical Cord Prolapse", puka mua ke kaula umbilical. E noʻonoʻo i ka mea e hana ʻia ke hana ʻia kēlā? He nui ka hakahaka o ke kaula umbilical i puka mai e paʻa ai ma waena o ke kino o ke pēpē, kou cervix, a me kou vagina.

He aha ka hana a ke kaula umbilical?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha ka mea kūikawā e pili ana i ke kaula umbilical?" Ua like ke kaula umbilical me kahi ʻōmole palupalu. ʻO ia ka mea e lawe i nā meaʻai a me ka oxygen e pono ai kāu pēpē i kou wā hāpai. Ua like ia me ke kaula ola o ka pēpē.

He aha ka mea e hana ai inā puka koke mai ke kaula umbilical?

ʻO ka puka ʻana o ke kaula umbilical i waho koke ʻia ua manaʻo ʻia he pilikia olakino . ʻIke anei ʻoe i ke kumu? No ka mea, i ka wā e hana ʻia ai kēia, hiki ke paʻa ke kaula umbilical a hiki ke ʻoki ʻia ke koko a me ka oxygen o ka pēpē. E noʻonoʻo, i ka wā e kaomi ai ke poʻo a i ʻole ke kino o ka pēpē i ke kaula umbilical, e like me ka wā e kūlou ai kahi paipu wai, e pau ke kahe ʻana o ka wai, a e pau ka meaʻai a ka pēpē. ʻAʻole wale ia, akā i ka wā e loaʻa ai iā ʻoe nā ʻūlū e hānau ai i ka pēpē, ʻoi aku ka paʻa o ka ʻōpū. A laila hiki i ke kaula umbilical ke paʻa hou aku. I kekahi manawa, i ka wā e puka mai ai ke kaula umbilical mai loko mai o ka vagina a hōʻike ʻia i ka ea, hiki i nā kīʻaha koko i loko ke hoʻopaʻa a hōʻemi i ke kahe koko. No kēia mau kumu, ʻoi aku ka nui o ka pēpē i loaʻa i nā kīnā koʻikoʻi, hiki ke hoʻoweliweli i ke ola .

Aia kekahi ʻano o ka puka ʻana mai o ke kaula umbilical i ka wā ʻōpiopio?

ʻAe, hiki ke hoʻokaʻawale ʻia kēia i ʻelua ʻano nui: 1. ʻO ka prolapse ākea: I kēia hihia, puka mai ke kaula umbilical ma o ka cervix a i loko o ka vagina ma mua o ka pēpē, a hiki ke ʻike ʻia ma waho o ka vagina. 2. Occult prolapse: I kēia hihia, ʻaʻole puka mai ke kaula umbilical ma mua o ka pēpē, akā i ka wā e puka mai ai ka pēpē, hiki ke paʻi ʻia ke kaula umbilical i ke kino o ka pēpē, ʻo ia hoʻi, i ke poʻo a i ʻole nā ​​​​poʻohiwi o ka pēpē. He mea paʻakikī iki kēia ke ʻike no ka mea ʻaʻole ʻike ʻia ma waho.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maʻamau ka umbilical cord prolapse. ʻŌlelo pinepine ʻia e loaʻa ia ma kahi o hoʻokahi i loko o 300 mau hānau ʻana. Eia nō naʻe, ua hōʻike kekahi mau noiʻi hou he haʻahaʻa paha kēia helu, malia paha he haʻahaʻa e like me hoʻokahi i loko o 1,000 mau hānau ʻana. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻoiai he mea kakaikahi ia, he mea weliweli nō naʻe inā loaʻa .

He aha nā hōʻailona nui o ke kaula umbilical e puka mai ana i ka wā ʻōpiopio?

ʻElua kumu nui e kānalua ai kāu kauka a kahu maʻi paha i kekahi mea e like me kēia:

• Ma hope o ka haki ʻana o kou wai, inā hiki iā ʻoe ke hoʻopā a ʻike paha i ke kaula umbilical ke nānā ʻoe.
• Inā lohi koke ka puʻuwai o ka pēpē, kuʻi wikiwiki loa, a loli paha ma ke ʻano ʻē.

Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia me ka ʻole o nā hōʻailona waho. Ua ʻike ʻia kekahi noiʻi ua ʻoi aku ma mua o ka hapalua o kēia mau prolapses kaula mua i loko o ʻelima mau minuke o ka haki ʻana o ka wai, a ma kahi o 70% e hana ʻia i loko o hoʻokahi hola o ka haki ʻana o ka wai.

Mea nui: Inā manaʻo ʻoe i kekahi mea ʻē ma hope o ka haki ʻana o kou wai, a inā paha ʻoe e hopohopo nei i ka mea a ke kauka e ʻōlelo ai, e makaʻala.

He aha nā kumu e puka koke mai ai ke kaula umbilical?

He mea paʻakikī ke ʻōlelo pololei i ke kumu o kēia. Akā aia kekahi mau kumu e hoʻonui ai i ka pilikia. ʻO ka hapa nui o ka manawa, hana ʻia kēia ma hope o ka haki ʻana o ka wai, a ʻike nā kauka ua kahe ka wai i loko o ka ʻōpū (wai amniotic). Akā, ʻaʻole ia wale nō ke kumu. Aia kekahi mau kumu nui e kōkua ana:

• Ka hōʻike ʻana o ka breech: ʻO ke ʻano kēia, aia ke pēpē ma kahi kūlana ʻē aʻe ma mua o ke poʻo i lalo. ʻO ke ʻano kēia, ke kū nei nā puʻupuʻu a i ʻole nā ​​wāwae o ke pēpē i lalo.
• Inā ʻoe e kali ana i nā māhoe a i ʻole nā ​​​​​​mākolu, ke loaʻa nei iā ʻoe kahi " hāpai lehulehu".
• ʻO Polyhydramnios ka nui o ka wai amniotic i loko o ka ʻōpū.
• Ka haki mua ʻana o nā membrane.

ʻO wai ka mea i pilikia nui?

Hiki ke hana ʻia ka Umbilical Cord Prolapse me ka ʻole o nā kumu pilikia. Eia nō naʻe, aia kekahi mau kūlana e ʻoi aku ka maʻalahi o ka hana ʻana. Ma waho aʻe o nā kumu i ʻōlelo ʻia ma luna, aia kekahi mau kumu pilikia ʻē aʻe:

• ʻO kekahi mau maʻi e kū mai ana i ka wā hānau o ka pēpē ua kapa ʻia ʻo "Fetal congenital disorders".
• ʻO ka placenta previa ka wā e waiho haʻahaʻa ai ka placenta i loko o ka ʻōpū.
• ʻAno ʻē o ke kaula umbilical (e laʻa, lōʻihi loa, lahilahi loa).
• ʻO ke kōkua ʻana i ka hānau ʻana ma ka ʻōpū e pili ana i ka hoʻohana ʻana i nā mea hana e like me ka mīkini hoʻomaʻemaʻe a i ʻole nā ​​​​forceps i ka wā e hānau ai i ke pēpē.
• Kaumaha hānau haʻahaʻa (ʻoi aku ka kaumaha hānau ma mua o 2.5 kg).
• Inā ua hānau ʻoe ma mua o ʻelima mau keiki (multiparous).
• Nā ʻano ʻē i ke ʻano o ka hoʻopili ʻana o ke kaula umbilical i ka placenta (Velamentous cord insertion).
• Ke kahua kiʻekiʻe o ka fetal - pehea ka haʻahaʻa o ke pēpē i loko o ka pelvis i ka hoʻokokoke ʻana mai o ka hānau ʻana.
• ʻO ka pēpē i ʻoi aku ka nui ma mua o ka maʻamau ua kapa ʻia ʻo "Macrosomia".
• Ke hana nā kauka i nā mea e like me ka uhaki ʻana i ka ʻeke wai (Amniotomy) a i ʻole ke komo ʻana i ka lāʻau lapaʻau e wehe koke i ka cervix (cervical ripening balloon).

He aha nā pilikia weliweli e hiki ke kū mai mai kēia?

ʻOiai he mea maʻamau ʻole ka prolapse o ke kaula i ka wā ʻōpiopio, hiki ke lilo i mea pilikia e hoʻoweliweli ai i ke ola. Inā e ʻūlū ʻia ke kaula, ʻaʻole e loaʻa i ka pēpē ka oxygen lawa. No laila, pono ka mālama koke ʻana. A i ʻole, hiki ke loaʻa nā hopena koʻikoʻi. ʻO nā pilikia e hiki ke loaʻa:

• ʻAʻohe o ka oxygen i ke keiki (Hypoxia).
• Ka hōʻino ʻana o ka lolo ma muli o ka nele o ka oxygen (Hypoxic-ischemic encephalopathy - HIE) a i ʻole (Birth asphyxia)
• Nā kūlana e like me ka cerebral palsy .
• Ka hōʻino mau loa o ka lolo .
• Hānau make.

Hiki ke hopohopo kēia mau mea ke lohe. Akā e hoʻomanaʻo, he mea kākaʻikahi loa kēia mau mea. A, inā hana ʻia kekahi mea e like me kēia ma ka haukapila, e hana koke nā kauka.

Pehea e ʻike mua ai nā kauka i kēia?

Penei ke ʻano maʻamau o ka hui lapaʻau e ʻike ai i kēia maʻi:

• I ka nānā ʻana i ka vagina , hiki ke hoʻopā ʻia a hoʻopā ʻia paha ke kaula umbilical.
• Ka lohi loa o ka puʻuwai o ka pēpē (`(Bradycardia)` - ʻo ia hoʻi, ʻaʻole i emi iho ma mua o 120 mau kuʻi i kēlā me kēia minuke).
• Ke ʻike nei i kahi loli koke i kou koko.

He aha ka lāʻau lapaʻau no ke kaula umbilical i hānau mua ʻia?

No ka mea he pilikia hānau kēia, pono pinepine ka hānau koke ʻana o ka pēpē. ʻO ke ala palekana a wikiwiki hoʻi e hānau ai i ka pēpē, ʻo ia ka ʻoki ʻoki cesarean (C-section). E hoʻāʻo mua ka hui lapaʻau e hoʻomaha i ke kaomi ʻana o ke kaula. Hiki paha i kēia ke hoʻohuli iā ʻoe i ke kūlana kuli-a-umauma, a i ʻole e hoʻāʻo paha ke kauka e hāpai iki i ka pēpē e hoʻokuʻu i ke kaula. E hōʻemi kēia i ka pilikia o ka nele o ka oxygen. Eia nō naʻe, pono e hānau koke ʻia ka pēpē e hoʻopakele i ke ola o ka pēpē. Inā hiki ke hoʻoponopono koke ʻia ka pilikia kaomi kaula, hiki ke hoʻopakele ʻia ka pēpē me ka ʻole o ka pōʻino. Eia naʻe,ʻO ka lōʻihi o ka hoʻopaneʻe ʻana, ʻo ka nui aʻe o ka pilikia.

Aia kekahi ala e pale aku ai i ke kaula umbilical mai ka puka koke ʻana mai?

ʻO ka mea pōʻino, ʻaʻohe ala kikoʻī e pale aku ai i kēia. Eia kekahi, he paʻakikī ke ʻike mua iā ia i ka wā hāpai. No ka mea, ke neʻe mau nei ke kaula umbilical a me ka pēpē i loko o ka ʻōpū. ʻO ka mea wale nō e hiki i ka hui lapaʻau ke hana, ʻo ia ke hana wikiwiki inā loaʻa kēia `(Umbilical Cord Prolapse)`.

Hiki i ke pēpē ke ola inā puka koke mai ke kaula umbilical?

ʻAe, hiki ke hoʻopakele pinepine ʻia nā pēpē mai kēia ʻano. Inā hana ʻia kēia ma ka haukapila, ua ʻōlelo ʻia ka nui o ka make ʻana o ka pēpē ma kahi o 3% (wahi a kekahi mau noiʻi he kiʻekiʻe a hiki i ka 7%). Eia nō naʻe, inā hana ʻia kēia ma waho o ka haukapila, ʻo ia hoʻi, ma ka home, he mea weliweli ke kūlana. I ia mau hihia, ʻoi aku ka nui o ka pilikia o ka make ma kahi o 20 mau manawa. ʻO ka prolapse kaula mua he ʻano hānau pilikia, kakaʻikahi, hiki ʻole ke pale ʻia. Inā ʻike kāu hui lapaʻau i kēia, e hana lākou e hānau i kāu pēpē i ka wā hikiwawe. ʻOiai ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i kēia mai ka hana ʻana, ʻo ka ʻike ʻana i nā mea pilikia a me ka ʻike i ka mea e hana ai inā hana ʻia hiki ke kōkua iā ʻoe i kēia hanana kakaʻikahi.

Nā mea e pono ai kākou e hoʻomanaʻo mai kēia

ʻAe, no laila, aia kekahi mau mea āu e noʻonoʻo ai mai ka mea a mākou i kamaʻilio ai.

• He maʻi koke a koʻikoʻi paha ka Umbilical cord prolapse.
• ʻAʻole hiki ke pale ʻia kēia, a he paʻakikī hoʻi ke ʻike mua i ka wā hāpai.
• Inā, ma hope o ka haki ʻana o kou wai, manaʻo ʻoe i kahi mea e puka mai ana mai loko mai o kou ʻōpū, a inā ʻike ʻoe i kahi loli koke i ka neʻe ʻana o kāu pēpē, e hele i ka haukapila a ʻimi koke paha i ke kōkua lapaʻau .
• ʻAʻole loa e hana pinepine ʻia kēia, no laila mai makaʻu pono ʻole.
• Eia nō naʻe, inā hana ʻia kekahi mea e like me kēia ma ka haukapila, e hana ka hui lapaʻau e hoʻopakele i ka pēpē i ka hikiwawe loa. No laila, ʻo ka loaʻa ʻana o kahi pēpē ma ka haukapila ke koho palekana loa i ia ʻano kūlana.

Ke lana nei ko mākou manaʻo e ʻoluʻolu kou hāpai ʻana a e lawe mai ʻoe i kahi pēpē olakino i kēia ao!