Inā he makuahine e hiki mai ana ʻoe, makemake paha ʻoe e ʻike i kāu pēpē. Ua lohe paha ʻoe i ke ʻano o ka wai e hoʻopuni ana i kāu pēpē i kona wā i loko o ka ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i ka wai amniotic, a i ʻole ka wai amniotic. He mea nui loa kēia no kou olakino a me ke olakino o kāu pēpē.
He aha kēia wai amniotic?
I ka ʻōlelo maʻalahi, ʻo ka wai amniotic ka wai e like me ka wai e hoʻopuni ana i kāu pēpē i kona wā i loko o ka ʻōpū. I ka pololei, ʻaʻole ia he wai wale nō. He wai waiwai nui ia e loaʻa ana nā mea he nui e pono ai no ka ulu ʻana o ka pēpē, e like me nā meaʻai,
nā hormones , a me nā antibodies. E noʻonoʻo ʻoe aia ka pēpē i loko o kahi ʻeke i piha i kēia wai (ka ʻeke amniotic). Kōkua kēia wai i nā ʻiʻo o ka pēpē, nā māmā, a me
ka ʻōnaehana hoʻoheheʻe e ulu. Ua
like ia me kahi uluna palekana , e pale ana i ka pēpē mai ka hoʻoluliluli ʻia a i ʻole inā hāʻule ʻoe. Ke noʻonoʻo nei paha ʻoe, "Auē, pehea ke ʻano o ka pēpē e moni ai i kēia wai a
mimi i loko?" Akā he mea olakino maoli nō ia. Ma ka moni ʻana i kēia wai amniotic a me ka hanu ʻana i loko, hoʻomaka ka hana pono ʻana o nā māmā a me nā ʻōpū o ka pēpē. Eia naʻe,
ʻo ka liʻiliʻi a i ʻole ka nui o kēia wai e hiki ke hoʻopilikia . ʻO ia ke kumu e nānā mau ai kāu kauka i ka nui o ka wai amniotic. I kekahi manawa, lawe ʻia kahi laʻana liʻiliʻi o kēia wai e nānā inā loaʻa i ka pēpē
kekahi mau maʻi genetic . Ua kapa ʻia kēia he amniocentesis.
He aha nā pono o kēia wai amniotic i ka pēpē?
Ua like ka wai amniotic me kahi makana kupaianaha i loaʻa i kahi pēpē ma mua o kona hānau ʻana i ke ao nei. E nānā i ka nui o kāna hana i kāu pēpē:
- Mālama i ka pēpē mai nā maʻi: Mālama nā antibodies i loko o kēia wai i ka pēpē mai nā germs a me nā maʻi.
- Kōkua i ka pēpē e neʻe: E like me ka loko o ka wai ʻauʻau, hiki i ka pēpē ke neʻe manuahi a puni i loko o kēia wai a hoʻoneʻe i kona mau lālā. ʻO kēia ka mea e kōkua ai i nā ʻiʻo a me nā iwi o ka pēpē e ulu maikaʻi .
- Kāohi i ke kaomi ʻana o ke kaula umbilical : E like me kou ʻike, ʻo ke kaula umbilical ke kumu o ka oxygen a me ka meaʻai no ka pēpē. Me ka ʻole o kēia wai, hiki i ke kaula umbilical ke kaomi ʻia a hōʻeha i ka pēpē.
- Kōkua i ka hoʻomohala ʻana i nā ʻōnaehana hoʻoheheʻe a me ka hanu: E like me ka mea i ʻōlelo ʻia ma mua, ʻoiai ke ale nei ka pēpē i kēia wai a hanu iā ia, e ulu maikaʻi ana kēia mau ʻōnaehana ʻelua.
- Hoʻoikaika i ka ʻōnaehana pale o ka pēpē.
- Hoʻoponopono i ka mahana o ke kino o ka pēpē: Kōkua kēia wai i ka pēpē e mālama i kahi mahana mau, inā wela a anu paha ma waho.
- Mālama i kāu pēpē mai kāu mau neʻe ʻana: Kōkua kēia wai i kāu pēpē e ola me ka ʻole o ka hōʻeha nui ʻana, ʻoiai inā kū koke ʻoe, lele i luna, a hāʻule paha.
E noʻonoʻo wale, ua like kēia wai amniotic me kahi mea pale a hānai nui no ka pēpē i loko o ka ʻōpū!
He aha ka mea i hana ʻia ai kēia wai amniotic?
I nā wā mua o ka hāpai ʻana, a hiki i kahi o 20 mau pule mua, ʻo kēia wai amniotic
ka wai nui mai kou kino . A laila, ma hope o 20 mau pule, ʻo kēia wai
ka mimi ponoʻī o kāu pēpē! ʻAe, ua lohe pololei ʻoe iaʻu. E like me kā mākou inu ʻana i ka wai a me
ka mimi ʻana , moni kāu pēpē i kēia wai a hoʻokuʻu hou iā ia ma ke ʻano he
mimi . He hana maʻamau kēia. Ma waho aʻe o kēia
mimi , loaʻa pū i kēia wai nā hormones, lipids, carbohydrates, antibodies, a me nā meaʻai ʻē aʻe.
Aia i hea kēia wai amniotic?
Aia kēia i loko o ka mea i kapa ʻia ʻo ka ʻeke amniotic. E noʻonoʻo iā ia he pōpō i piha i ka wai. Pēlā ia. ʻO ka wai amniotic ka wai i loko o ka pōpō, a ʻo ka ʻeke amniotic ka pōpō. No laila, i ka wā e haki ai kēia ʻeke (pōpō), puka mai ka wai (wai). Kāhea pū mākou iā ia he "wai haki."
He aha ke kala a me ke ʻala o ka wai amniotic?
ʻO ka wai amniotic he
wai moakaka a ʻaʻohe kala . Akā i kekahi manawa hiki ke lilo
i kala melemele māmā e like me ka mauʻu. He mea maʻamau kēlā. Eia naʻe,
inā he ʻeleʻele a ʻōmaʻomaʻo paha ke kala o kēia wai, ʻo ia hoʻi ua hala ka pēpē i kāna ʻōpala mua, ʻo ia hoʻi ka meconium, ʻoiai aia i loko o ka ʻōpū. Inā hanu ka pēpē i kēia wai
i hui pū ʻia me ka meconium, hiki ke loaʻa kekahi mau pilikia. No ke ʻala,
ʻaʻohe ʻala o ka wai amniotic . Inā he ʻala maikaʻi ʻole kou i loko o ka wai i hoʻokuʻu ʻia, ma muli paha o ka meconium, a i ʻole he ʻano maʻi paha. Inā hana ʻia kēlā, pono ʻoe e ʻike koke i ke kauka. He mea maʻamau no nā makuahine hāpai ke hoʻokahe i kahi
mimi liʻiliʻi i kēlā me kēia manawa. No laila, no kekahi poʻe, he paʻakikī ke ʻike inā he wai amniotic a i ʻole
mimi . Hiki iā ʻoe ke ʻike ma ka nānā ʻana i kou lole komo a me ka nānā ʻana i kona kala a me kona ʻala. He ʻala ʻokoʻa ko
ka mimi , a hiki iā ʻoe ke kaohi
i kou mimi i kekahi ʻano. ʻOi aku ka paʻakikī o ka kaohi ʻana i ka wai amniotic.
ʻEhia ka nui o ka wai amniotic e pono ai i ka manawa maʻamau?
ʻOkoʻa kēia me kou hāpai ʻana.
ʻO ka nui o ka wai amniotic e piʻi pinepine ma kahi o 34-36 mau pule . A laila, i kou kokoke ʻana i ka hānau ʻana (ma kahi o 40 mau pule), e emi mālie ana ka nui. I kona kiʻekiʻe loa, aia kahi emi iki ma mua o hoʻokahi lita, a i ʻole ma kahi o 4 kīʻaha (1 kuata) o kēia wai.
He aha nā pilikia olakino e hiki ke hana me ka wai amniotic?
E nānā mau kāu kauka e hōʻoia i ka olakino a me ka lawa o kāu wai amniotic. Eia kekahi o nā pilikia nui e hiki ke kū mai ma kēia ʻano:
- ʻOligohydramnios (wai amniotic haʻahaʻa): ʻO kēia ke kūlana weliweli loa i nā mahina ʻeono mua o ka hāpai ʻana. Hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka manawa, nā kīnā hānau, a i ʻole ka hānau mua ʻana. Inā emi ka wai ma hope o ka hāpai ʻana, hiki iā ia ke alakaʻi i nā kūlana e like me ke kaomi ʻana o ke kaula umbilical a i ʻole ka palena o ka ulu ʻana o ka intrauterine (IUGR).
- Polyhydramnios (ka nui o ka wai amniotic): Inā hōʻiliʻili nui ka wai, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka pehu ʻana i kou mau wāwae, ka paʻakikī o ka hanu ʻana, a me ka paʻa ʻana o ka ʻōpū. Hiki iā ia ke kau i ke kaomi ma luna o kou mau kino o loko. Hiki i kēia ke alakaʻi i ka hānau mua ʻana, macrosomia , a i ʻole ka hānau make ʻana.
- Chorioamnionitis: He maʻi kēia o ka wai amniotic i hoʻokumu ʻia e kahi maʻi bacteria. Hoʻōla nā kauka i kēia me nā antibiotics. Inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻoulu i nā pilikia koʻikoʻi o ka hāpai ʻana.
- ʻO ka haki ʻana o nā membrane ma mua o ka hānau mua ʻana (PPROM): ʻO kēia ka manawa e hoʻomaka ai ka wai amniotic e kahe ma mua o 37 mau pule o ka hāpai ʻana a ma mua o ka hoʻomaka ʻana o ka hānau ʻana. ʻO ka hoʻomau ʻana i ka hāpai ʻana ma hope o ka haki ʻana o kēia wai e hoʻonui i ka pilikia o ka maʻi a me nā pilikia ʻē aʻe.
Pehea e ana ʻia ai ka nui o ka wai amniotic?
He nui nā ala a kāu kauka e ana ai i kēia nui o ka wai. ʻO ke ala maʻalahi loa
ka ultrasound prenatal . Akā, no ka mea, ʻaʻole ʻoe e loaʻa i kahi ultrasound i kēlā me kēia kipa ʻana, e hoʻohana kāu kauka i kahi ana i kapa ʻia ʻo "fundal height" e loaʻa ai kahi manaʻo o ka nui o ka wai.
Hiki i ka inu wai ke hoʻonui i ka wai amniotic?
ʻAʻohe mea i maopopo inā e hoʻonui maoli ka inu ʻana i ka wai i nā pae wai amniotic. Eia nō naʻe, ke aʻo aku nei kekahi mau kauka i nā wahine me nā pae wai amniotic haʻahaʻa e inu i ka wai hou aku. ʻAʻole ia he mea ʻino ka inu ʻana i ka wai i ka wā hāpai. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a ʻike i kāna ʻōlelo.
He aha ka mea e hana ai inā nalowale ka wai amniotic i ke pēpē?
Pono kahi pēpē i kahi nui o ka wai amniotic e ola ai i loko o ka ʻōpū. Eia nō naʻe, ʻo ka nui e pili ana i ka nui o nā pule o kou hāpai ʻana a me kekahi mau kumu ʻē aʻe.
Leka Lawe-Home
ʻO ka wai amniotic kahi mea āu e noʻonoʻo ʻole ai. Akā
he kuleana nui kāna i ka pale ʻana i kāu pēpē i ka wā hāpai . Loaʻa paha i kekahi mau wahine hāpai ka nui loa, ka liʻiliʻi loa, a i ʻole kahi maʻi i loko o kēia wai. Inā hana kēlā, e nānā pono kāu kauka iā ʻoe a hana paha i nā ultrasounds hou aʻe.
Inā he mau hopohopo kou e pili ana i kou hāpai ʻana, a inā paha e manaʻo ana ʻoe e kahe ana ke wai mai kou ʻōpū, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana nou a me kāu pēpē.
Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E noho olakino a hauʻoli!
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