Makemake ʻoe e ʻike e pili ana i ke kaula umbilical o kāu pēpē (True Knot)? Mai hopohopo, e kamaʻilio kāua!

Ma ke ʻano he makuahine e hiki mai ana, manaʻo nui paha ʻoe i ke keiki liʻiliʻi i loko o kou ʻōpū, ʻeā? Ua maikaʻi lākou, ua lawa anei ka meaʻai a me ka oxygen iā lākou, ua maikaʻi lākou? No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi mea e hoʻoweliweli pinepine ai i nā makuahine, akā ʻaʻole ia he mea maʻamau. ʻO ia ke kūkulu ʻia ʻana o kahi puʻupuʻu ma ke kaula umbilical o ka pēpē, ʻoiai kahi kūlana i kapa ʻia ʻo 'true knot' . ʻOiai inā hopohopo iki ʻoe ke lohe ʻoe i kēia inoa, mai hopohopo. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.

He aha ke kaula umbilical? Ua like ia me ke kaula kāmaʻa?

I ka ʻōlelo maʻalahi, ʻae. E like me ka hiki ke hihia kou mau kaula kāmaʻa, hiki ke hihia ke kaula umbilical o kāu pēpē. Hiki ke hana ʻia kēia mau puʻupuʻu i ka wā e neʻe ai kāu pēpē i loko o ka ʻōpū. Akā i ka hapa nui o ka manawa, ʻaʻole kēia mau puʻupuʻu liʻiliʻi e hoʻopilikia nui i kāu pēpē. Eia kekahi, wehe pinepine ʻia lākou ma o lākou iho.

Aia ke kumu no kēia. I loko o ke kaula umbilical, aia kahi mea e like me ka gel i kapa ʻia ʻo 'Wharton's jelly.' ʻO kēia ka mea e pale ai i ke kaula umbilical. No laila, inā paha e hana ʻia kahi puʻupuʻu liʻiliʻi, ʻaʻole e ʻae kēia gel iā ia e paʻa. ʻAʻole anei he mea kupaianaha?

No ke aha i kapa ʻia ai ʻo ia he 'True Knot'?

Eia nō naʻe, i nā hihia kakaikahi, hiki i kēia puʻupuʻu ke lilo i mea paʻa iki. Ua kapa nā kauka i kahi puʻupuʻu paʻa loa he 'True Knot' . ʻAʻole e like me nā puʻupuʻu liʻiliʻi i ʻōlelo ʻia ma mua, ʻaʻole hiki ke wehe maʻalahi ʻia kēia. Ke paʻa kēia puʻupuʻu, hiki iā ia ke ālai i ke kahe o ka oxygen a me nā meaʻai i ka pēpē ma o ke kaula umbilical. Ua like ia me ka paipu wai i ālai ʻia a ua emi ke kahe ʻana o ka wai. Hiki i kēia ke hana i nā pilikia i ka wā hāpai a me ka wā hānau. No ka mea, ʻaʻole i loaʻa i ka pēpē nā mea e pono ai e ola.

Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau mea i kapa ʻia ʻo 'True Knots'. ʻO ia hoʻi, ʻaʻole lākou e hana pinepine ʻia. Eia naʻe, i ka hapanui o nā hihia, ua hānau olakino ʻia ke pēpē. No laila, ʻoi aku ka maikaʻi o ka hopohopo ʻole ma mua, ʻeā?

He aha ke kaula umbilical? Pehea kona koʻikoʻi no ka pēpē?

Ua ʻike anei ʻoe i ke koʻikoʻi o ke kaula umbilical i kahi pēpē? Ua like ia me ka pilina ma waena o ke pēpē a me ka placenta o ka makuahine. ʻO nā mea a pau e pono ai ke pēpē e ulu i loko o ka ʻōpū ua hoʻolako ʻia ma o kēia kaula umbilical.

• ʻO kēia ka mea e lawe ai i ka oxygen mai ka placenta a i ke keiki.
• Lawe pū kēia i nā meaolaola e pono ai ka pēpē.
• Eia kekahi, ʻo kēia kaula umbilical ke kōkua i ka lawe ʻana i nā huahana ʻōpala i hana ʻia i loko o ke kino o ke pēpē i ka placenta a i waho o ke kino o ka makuahine.

No laila, ua maopopo iā ʻoe ua like ke kaula umbilical me ke kaula ola o kahi pēpē.

Pehea ka maʻamau o kēia mau puʻupuʻu?

Makaʻu ka nui o nā makuahine i ka lohe ʻana i kēia, no laila he mea maikaʻi ke ʻike i kona ʻano maʻamau. Ma ka awelika, ma kahi o 1 i loko o 100 mau hāpai e loaʻa kekahi ʻano puʻupuʻu ma ke kaula umbilical. Akā, ʻaʻole nā ​​puʻupuʻu a pau he 'puʻupuʻu maoli' a mākou i kamaʻilio ai. ʻO ka ʻoiaʻiʻo, ʻike ʻia nā 'puʻupuʻu maoli' ma lalo o 1% o nā hāpai āpau. He mea kākaʻikahi loa ia.

No ke aha e hihia ai kēia mau kaula umbilical? He hewa anei kekahi?

I ka hapa nui o ka manawa, ʻaʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu o ka hana ʻana o kēia mau puʻupuʻu. Akā ua ʻike lākou aia kekahi mau mea e hiki ke hoʻonui i ka pilikia. Eia kekahi, aia kekahi mau manawa e hana wale ʻia ai kēia mau puʻupuʻu i ka wā e neʻe ana ke pēpē i loko o ka ʻōpū, e ʻōwili ana. He mea maoli loa ia.

ʻO kekahi mea ʻē aʻe, i kekahi manawa hiki i kahi puʻupuʻu ke paʻa loa i ka wā e hoʻokokoke mai ai ke pēpē a ma muli o ke kaomi mai ka hānau ʻana.

ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia ʻano puʻupuʻu ma muli o kekahi mea āu i hana ai a i ʻole no kou hewa. Mai hopohopo no ia mea.

ʻAʻohe mea e hopohopo ai nā puʻupuʻu liʻiliʻi a maʻalahi hoʻi. Eia nō naʻe, hiki ke kū mai nā pilikia inā paʻa ka puʻupuʻu a lilo i 'puʻupuʻu maoli'. Hiki i kēia ke hoʻoulu i ke kaomi ma ke kaula umbilical a ʻoki i ka oxygen i ka pēpē. E makaʻala ana kāu kauka i kēia, ʻoiai inā he mau kumu pilikia kāu.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia ʻano puʻupuʻu? (Nā kumu pilikia)

I kekahi manawa hiki i kēia mau puʻupuʻu ke ulu me ka ʻole o nā kumu pilikia. Eia nō naʻe, kuhikuhi nā kauka e hoʻonui iki ʻia kēia pilikia i nā poʻe me nā kumu aʻe:

• Inā lohi ka ulu ʻana o ka pēpē : ʻO ia hoʻi, inā liʻiliʻi ke pēpē no ka makahiki hāpai.
• Inā lōʻihi loa ke kaula umbilical: Inā ʻoi aku ka lōʻihi o ke kaula umbilical ma mua o ka maʻamau, ʻoi aku ka nui o ka manawa e hana ʻia ai nā puʻupuʻu.
• Inā ʻoe e hāpai ana i nā māhoe monoamniotic: ʻO ia hoʻi, inā ʻelua mau māhoe i loko o ka ʻeke amniotic hoʻokahi, ʻoi aku ka nui o ka manawa e hihia ai nā kaula umbilical a hihia i ko lākou neʻe ʻana.
• Inā nui loa ka wai amniotic: Ua kapa ʻia kēia he "polyhydramnios." ʻO ka nui o ka wai, ʻoi aku ka nui o ka lumi o ka pēpē e neʻe ai a puni, hiki ke hana i nā puʻupuʻu.
• Inā ua hānau ʻoe i ʻelua a ʻoi aku paha keiki ma mua (multiparity).
• Inā ʻoe ma luna o 35 mau makahiki.
• Inā manaʻo ʻoe i ka emi ʻana o ka neʻe ʻana o ka fetal i ke kolu o ka trimester, hiki i kēia ke kumu e nānā ai no kahi puʻupuʻu.

ʻO kēia nā kumu pilikia nui i ʻike ʻia.

He aha ka mea e hana ai inā he puʻupuʻu i loko o ke kaula umbilical?

ʻO ke ala maikaʻi loa e noʻonoʻo ai e pili ana i kahi 'True Knot' ʻo ia ka noʻonoʻo ʻana i ka mea e hana ʻia ke nakinaki ʻoe i kahi puʻupuʻu i loko o kahi hose māla. ʻO ke puʻupuʻu e pale aku i ka wai mai ke kahe pono ʻana, ʻeā? Pēlā nō ia me kēia. Ua nele ka pēpē i ka oxygen a me nā meaʻai e pono ai e ola. Hiki i kēia ke hoʻopilikia i ka ulu ʻana a me ke olakino o ka pēpē.

He aha nā pilikia e hiki ke loaʻa i kahi pēpē mai kahi 'True Knot'?

Hiki i nā puʻupuʻu maoli i loko o ke kaula umbilical ke hoʻoulu i nā pilikia koʻikoʻi no ka pēpē, no ka mea hiki iā lākou ke ʻoki i ka lako oxygen o ka pēpē. Aia nā hopena lōʻihi i ke ʻano o ka paʻa o ke puʻupuʻu.

• Inā paʻa loa ke kaula: Hiki i ka pēpē ke loaʻa i ka hypoxia koʻikoʻi. I kekahi manawa, hiki ke hoʻoweliweli i ke ola.
• Inā wehe iki ʻia ke kaula: ʻOiai inā ua pilikia iki ka lako o ka oxygen ('mild hypoxia'), ʻaʻohe paha he pōʻino lōʻihi.

ʻO kekahi mau hopena lōʻihi paha:

• ʻO ka Cerebral Palsy: He kūlana i hana ʻia e ka nele o ka oxygen i ka lolo.
• Hypoxic-ischemic encephalopathy (HIE): He hōʻino lolo kēia i hana ʻia e ka emi ʻana o ka oxygen a me ka lako koko i ka lolo.
• Ka pōʻino o ka lolo.
• Ka lohi o ka ulu ʻana a i ʻole ka noʻonoʻo.

He mea weliweli kēia ke lohe ʻia. Akā, e hoʻomanaʻo, he mea kākaʻikahi loa kēia mau mea e hana ʻia.

Hiki paha ke nalowale kahi pēpē ma muli o kahi puʻupuʻu e like me kēia? (Hānau make)

ʻAe, me ke kaumaha, i kekahi mau hihia kakaikahi loa, hiki i kahi 'knot maoli' ke hopena i ka hānau make. Eia nō naʻe, ʻo ka hapa nui o nā hāpai ʻana a me nā hānau ʻana e pau i kahi pēpē olakino. No laila, mai hopohopo nui e pili ana i ia mea.

Pehea lā e ʻike ai inā he 'True Knot' i loko o ke kaula umbilical?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe i ʻike he 'knot maoli' kou ma ke kaula umbilical a hiki i ka hānau ʻana o ke pēpē. Eia nō naʻe, hiki i kekahi poʻe ke manaʻo i ka neʻe ʻana o ka pēpē i ka wā o ke kolu o ka trimester o ka hāpai ʻana. He mea pilikia kēia no kahi 'knot maoli'. ʻO ia ke kumu e haʻi koke aku ai ʻoe i kāu kauka inā manaʻo ʻoe i ka neʻe ʻana o ka pēpē.

I kekahi manawa, hiki i nā kauka ke ʻike i kahi 'knot maoli' i ka wā hāpai ma o kahi ultrasound inā ʻike lākou i kahi loli i ka helu o ka puʻuwai o ka pēpē a i ʻole ke ʻano neʻe. Eia nō naʻe, he paʻakikī loa kēia mau knot e ʻike me kahi ultrasound i ka wā hāpai. ʻO ia ke kumu e ʻike pinepine ʻia ai ma hope o ka hānau ʻana o ka pēpē.

I kekahi manawa, kānalua paha ke kauka i kahi puʻupuʻu inā he loli koke ka puʻuwai o ka pēpē i ka wā hānau. Inā hana kēia, pono ke kauka e hana koke a hoʻoholo inā palekana nō ka hānau ʻana i ka pēpē ma ke ʻano vaginal.

He aha ka hana a nā kauka e pili ana i kēia?

ʻOiai inā loaʻa kahi puʻupuʻu, ʻaʻole hiki i nā kauka ke wehe. ʻO ka mea nui loa i ka mālama ʻana i kahi 'puʻupuʻu maoli' ʻo ia ka makaʻala i nā mea pilikia a e makaʻala no nā pilikia inā loaʻa i kekahi kahi mea pilikia.

• Inā loaʻa kahi puʻupuʻu ma kahi ultrasound ma mua o ka hānau ʻana o ka pēpē: E nānā pono kāu kauka i kou hāpai ʻana, ʻoiai i ke kolu o ka trimester. Hiki i kēia ke komo pū me nā ultrasounds hou aʻe, nā haʻawina Doppler (kahi scan e nānā ana i ke kahe koko i loko o ke kaula umbilical), a me nā nānā mau ʻana e nānā i ka ulu ʻana a me nā neʻe ʻana o ka pēpē.
• Inā ʻike ʻoe i kahi puʻupuʻu i ka wā hānau: Inā ma muli kēia o nā loli o ka puʻuwai o ka pēpē, pono ʻoe e nānā pono i ka pēpē no ka pilikia o ka fetal. Inā he 'puʻupuʻu maoli', hiki ke paʻa ka puʻupuʻu ma muli o nā ʻūlū i ka wā hānau. ʻO ia ke kumu e nānā pono ai nā kauka i ka puʻuwai o ka pēpē i ka wā e holomua ai ka hānau ʻana. Inā me he mea lā ua pilikia ka pēpē a ua nele paha i ka oxygen, pono paha kahi ʻoki C-section ulia pōpilikia .

ʻOiai paha he mea weliweli kēia, he mea kakaikahi loa nā 'pūpū maoli'. Eia nō naʻe, hana nā kauka i kā lākou mea maikaʻi loa e pale aku iā lākou mai ka hōʻino mau loa ʻana.

No laila he aha nā mea nui loa e pono ai mākou e hoʻomanaʻo e pili ana i kēia? (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoe i kekahi o nā mea nui a kākou i kamaʻilio ai.

• He mea kākaʻikahi loa nā puʻupuʻu maoli: ʻOiai he mea hopohopo paha ka lohe ʻana e pili ana i nā puʻupuʻu umbilical cord, he mea kākaʻikahi loa nā 'puʻupuʻu maoli' koʻikoʻi.
• Hānau pinepine ʻia nā pēpē me ke olakino: ʻOiai inā he puʻupuʻu, i ka hapanui o nā hihia, hānau olakino nā pēpē me ka ʻole o nā pilikia.
• ʻAʻole nau ka hewa: ʻAʻole i hana ʻia kahi puʻupuʻu ma muli o kekahi mea āu i hana ai. Mai hopohopo no ia mea.
• E makaʻala i nā neʻe ʻana o kāu pēpē: Inā ʻike ʻoe i ka emi ʻana o ka neʻe ʻana o kāu pēpē, ʻoiai ma ka hopena o kou hāpai ʻana, e haʻi i kāu kauka.
• E kamaʻilio me kāu kauka: Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka. E hāʻawi lākou iā ʻoe i nā wehewehe a me ke kākoʻo āu e pono ai.

He manawa ka hāpai ʻana o nā manaʻolana nui, akā he mau makaʻu liʻiliʻi hoʻi. Ma kahi o ka hopohopo nui e pili ana i ke kaula umbilical, e kau i kou manaʻo ma kou olakino a me kou hauʻoli. Inā ʻōlelo kāu kauka e holo pono ana kāu hāpai ʻana a ke ulu maikaʻi nei kāu pēpē, a laila haʻahaʻa loa ka manawa e hiki mai ai kēia ʻano pilikia.

ʻO ke kaula piko, ke kaula maoli, ka hāpai ʻana, ke olakino o ka pēpē, ke kaula piko, nā pilikia hānau, ʻOiaʻiʻo ke kaula, Ke kaula piko