Ke ulu pono nei kāu pēpē i loko o ka ʻōpū? E kamaʻilio kākou e pili ana i ka Fetal Biometry!

Inā he makuahine hāpai ʻoe, pono ʻoe e hauʻoli nui a loaʻa iā ʻoe kekahi hoihoi, ʻeā? ʻOi loa aku hoʻi e pili ana i ka ulu maikaʻi ʻana o kāu pēpē i loko o ka ʻōpū. I kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua koʻikoʻi e kōkua ana i kēlā. Kāhea mākou i kēia ʻo `(Fetal Biometry)`. I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia e ana i ka ulu ʻana o kāu pēpē.

He aha kēia hoʻāʻo biometry fetal?

He mea maʻalahi loa. ʻO ka `(Fetal Biometry)` kahi ʻano hana no ke ana ʻana i ka nui o ka pēpē i loko o kou ʻōpū ma o kahi scan ``ultrasound`` i ka wā hāpai. Ma kēia, lawe ʻia kekahi mau ana o nā ʻāpana like ʻole o ka pēpē. Mai kēia mau ana, hiki i kāu kauka ke kuhi inā e ulu ana ka pēpē e like me kona ``makahiki hāpai``, ʻo ia hoʻi, inā he pilikia me kona ulu ʻana. Hiki i kēia ke ʻike i nā pilikia e pili ana i ka ulu ʻana o ka fetus, e like me ka lohi a i ʻole ka wikiwiki ʻana o ka ulu ʻana o ka pēpē . Inā pēlā, he kōkua nui nō hoʻi ia i ka pale ʻana i nā pilikia e kū mai ana ma hope.

No ke aha he mea nui kēia hoʻāʻo "Fetal Biometry"?

He hoʻāʻo koʻikoʻi kēia. ʻIke ʻoe, ua kapa ʻia kēia ʻo "Fetal Biometry", ʻo ia kekahi hapa o ka scan "ultrasound" i hana ʻia i ka wā hāpai. Nānā nui kēia i ka nui o ka pēpē a inā kūpono ia no ka helu o nā pule o ka hāpai ʻana .

E noʻonoʻo, inā hōʻike kēia mau ana he ʻuʻuku a ʻoi aku paha ka nui o ka pēpē ma mua o kona "makahiki hāpai", maopopo i ke kauka he pono nā hoʻokolohua hou aʻe e ʻike ai i ke kumu. Hiki paha kēia ma muli o ke kūlana olakino o ka makuahine, kahi pilikia me ka placenta, a i ʻole kahi maʻi hānau ʻole o ka pēpē.

Akā, hoʻokahi mea e hoʻomanaʻo ai. ʻOiai inā hōʻike kēia mau ana ua neʻe iki ka pēpē, ʻaʻole ia he manaʻo he pilikia nui . I kekahi manawa he mea maʻamau ke ʻano ʻē iki nā ana. No laila, mai hopohopo, ʻeā?

He aha nā ana i ana ʻia e kēia hoʻāʻo "Fetal Biometry"?

He hoʻāʻo ka Fetal Biometry e ana i ka nui o ka pēpē i ka wā hāpai. Ma ke ana ʻana i nā ʻāpana kikoʻī o ke kino o ka pēpē, hiki i ke kauka ke hoʻohālikelike i ka nui holoʻokoʻa o ka pēpē me ka mea maʻamau no kēlā makahiki.

Eia nā ana nui i lawe ʻia:

• `BPD (biparietal diameter)` : ʻO kēia ke anawaena ʻāpana kea o ke poʻo o ke pēpē . I ka ʻōlelo maʻalahi, ʻo ia ka mamao mai kekahi ʻaoʻao o ke poʻo a i kekahi ʻaoʻao.
• `HC (ka anapuni o ke poʻo)` : Ke ana kēia i ke anapuni o ke poʻo o ka pēpē .
• `AC (ka anapuni ʻōpū)` : ʻO kēia ke anapuni o ka ʻōpū o ke pēpē .
• `FL (lōʻihi o ka femur)` : Ke ana kēia i ka lōʻihi o ka iwi ʻūhā o ke pēpē.ʻO ka "Femur" ka iwi lōʻihi loa o ko mākou kino.
• `CRL (ka lōʻihi o ka lei aliʻi-rump)` : Ke ana kēia i ka lōʻihi o ka pēpē mai luna o ke poʻo a i lalo o ka rump . ʻOi aku ka pololei o kēia ana i ka wā o ka "trimester mua" o ka hāpai ʻana . Ma hope o 12 mau pule, hāʻawi nā ana ʻē aʻe i ʻōlelo ʻia ma luna nei i ka manaʻo maikaʻi loa o ka ulu ʻana o ka pēpē.

Ma ka hoʻohui ʻana i kēia mau ana a pau e hiki ai i nā kauka ke hoʻoholo e pili ana i ka ulu ʻana o ka pēpē.

Pehea e hana ʻia ai kēia hoʻāʻo "Fetal Biometry"?

ʻO ka biometry fetal ka inoa lapaʻau no nā ana a kāu kauka e lawe ai i ka wā o kahi scan ultrasound maʻamau i kou wā hāpai. Ua ʻike paha ʻoe i ka wā o ka scan, hoʻoneʻe kahi loea ultrasound i kahi transducer ma luna o kou ʻōpū. ʻO kēia ka manawa e lawe ʻia ai kēia mau ana. Nānā pū ka scan i nā mea e like me ka nui o ka wai amniotic (ka wai e hoʻopuni ana i ka pēpē) i loko o ka ʻōpū a me ke kahe o ke koko ma o ke kaula umbilical.

Inā ʻoe e nānā ana i ka monitor i ka wā o ke scan, e ʻike paha ʻoe i ke kaomi ʻana o ke loea a me ke kaha kiʻi ʻana i nā laina ma ka pale. Pēlā lākou e ana ai i ke pēpē a me nā ʻāpana ʻē aʻe o kou ʻōpū.

Inā ʻaʻole ʻoe ma mua o 12 mau pule hāpai , hiki iā ʻoe ke loaʻa i kahi ultrasound transvaginal , kahi scan ma o ka vagina, no ka mea, he ʻuʻuku loa ke pēpē i kēlā manawa, a hiki i kēia ke ana maopopo.

Pehea ka pololei o kēia hoʻāʻo "Fetal Biometry"?

He hoʻāʻo pololei loa ka fetal biometry i ka wā hāpai mua. ʻO ia kekahi o nā ala hilinaʻi loa no ke kauka e hoʻoholo ai i ke ʻano o ka ulu ʻana o ke pēpē. Lawe pinepine ke kauka i kēia mau ana i ka wā o nā scan ultrasound i nā trimesters mua a me ka lua.

Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau pilikia i kou wā hāpai, a inā paha ʻoe e kali ana i nā keiki he nui, e lawe pinepine kāu kauka i kēia mau ana i kou wā hāpai. E hoʻomanaʻo e emi iki paha ka pololei o ka hoʻāʻo biometry fetal ma hope o ka trimester ʻelua . ʻO kēia no ka mea i ka ulu ʻana o ka pēpē, lilo nā ana i mea paʻakikī ma muli o nā mea e like me ke kūlana a me ka neʻe ʻana.

He aha nā pae maʻamau no ka `(Fetal Biometry)`?

He pilikia paʻakikī kēia, no ka mea, ʻokoʻa nā pae "maʻamau" no ka biometry fetal ma muli o nā kumu like ʻole . Loaʻa i kēlā me kēia ana kahi waiwai maʻamau i nā pule like ʻole o ka hāpai ʻana. Eia kekahi, no ka mea he ʻokoʻa kēlā me kēia hāpai ʻana, e noʻonoʻo kāu kauka i nā kumu ʻē aʻe he nui i ka loiloi ʻana i kāu mau hopena.

Eia kekahi laʻana, eia nā pae maʻamau no nā ana ʻana o ka "Fetal Biometry" ma kahi o 20 mau pule o ka hāpai ʻana, ma nā kenimika (cm) :

• Ka anapuni o ke poʻo `(HC)` : ma kahi o 17.5cm
• Ka ʻāpana ʻōpū `(AC)`Ma kahi o 14.9 kenimika
• Ke anawaena o ke poʻo (BPD) : ma kahi o 4.9cm
• Ka lōʻihi o ka ʻūhā `(FL)` : ma kahi o 3.2cm

Eia nō naʻe, ʻoiai ʻo ka hiki ke loaʻa pololei kēia waiwai awelika he haʻahaʻa, loaʻa iā ʻoe nā hopena me nā waiwai percentile. ʻO ka percentile kahi ala e hoʻohālikelike ai i nā poʻe o ka makahiki like a me nā ʻano like. I kēia hihia, hoʻohana nā kauka i nā percentiles e hōʻike i ka laulā maʻamau o nā nui no nā pēpē o ka makahiki hāpai like.

Eia kekahi laʻana, hiki i kāu mau hopena ke hōʻike aia ka ʻōpū o kāu pēpē (AC) ma ka 75th percentile. ʻOi aku kēlā ma mua o ka awelika, akā ʻaʻole ia he kumu e hopohopo ai. Hopohopo wale ka hapa nui o nā kauka inā aia kahi pēpē ma lalo o ka 10th percentile a i ʻole ma luna o ka 90th percentile.

Ma muli o ka ʻokoʻa pinepine ʻana o nā hopena hoʻāʻo mai kēlā kanaka a kēia kanaka, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu mau hopena hoʻāʻo a me ko lākou manaʻo . Ma muli o ka nui o nā kumu e hiki ke hoʻopilikia i kēia, he paʻakikī ke ʻōlelo ma ke ʻano laulā, "He mea maʻamau kēia."

He aha ka mea e hana ai inā loaʻa iaʻu kahi hopena maʻamau ʻole?

Inā ʻaʻole kūlike nā hopena o kāu scan ultrasound, ʻo ia hoʻi aia lākou ma waho o ka pae i manaʻo ʻia, hiki i kāu kauka ke ʻōlelo aku i nā scan ultrasound hou aʻe . A laila hiki iā lākou ke nānā i ka ulu ʻana o kāu pēpē i ka hala ʻana o ka manawa e ʻike inā he mau loli. ʻO ke ala maikaʻi loa e hōʻoia ai i ka biometry fetal, ʻo ia ke nānā i nā ʻano i kāu mau hopena, a i ʻole pehea e loli ai kāu mau hopena i ka hala ʻana o ka manawa.

Eia kekahi, e nānā paha lākou i kāu hana koko a i ʻole nā ​​hopena urinalysis e hoʻāʻo ai e ʻike i ke kumu o nā ana kūpono ʻole o kāu pēpē.

ʻO kahi pēpē i ʻoi aku ka liʻiliʻi ma mua o ka awelika hiki ke hōʻike i ka 'FGR (fetal growth restriction)' a i ʻole nā ​​​​pilikia me ka placenta. ʻO kahi pēpē i ʻoi aku ka nui ma mua o ka awelika hiki ke hōʻike pū he 'gestational diabetes' ka makuahine.

Akā, mai hopohopo, ʻeā? He mea maʻamau no ka pēpē ke nui iki a liʻiliʻi paha. I ka hapanui o nā hihia, hānau olakino nā pēpē, i loko o ka pae maʻamau o ka nui a me ke kaumaha. ʻAʻole he kumu e hopohopo ai kahi hopena kūpono ʻole mai kahi scan ultrasound. E haʻi aku kāu kauka iā ʻoe e pili ana i ka nānā hou ʻana a me ka mea e hana ai ma hope.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka "Fetal Biometry" kahi hoʻonohonoho o nā ana a kāu kauka e lawe ai i ka wā o ka "ultrasound" scan e loiloi i ka ulu ʻana o kāu pēpē. ʻAʻole paha ʻoe e lohe i ka huaʻōlelo "Fetal Biometry" i ka wā hāpai, akā hiki paha iā ʻoe ke ʻike i kēia mau huaʻōlelo ma kāu "hōʻike ultrasound".

He ana maʻamau kēia a ʻaʻohe mea e hopohopo ai. Eia nō naʻe, hiki i nā hopena ke hōʻike he liʻiliʻi loa ka pēpē a nui loa paha no kona mau makahiki. Inā he mau nīnau kāu e pili ana i ka ultrasound scan a i ʻole kekahi hoʻokolohua ʻē aʻe, e kamaʻilio me kāu kauka . Aia lākou ma laila e kōkua iā ʻoe a pane i kāu mau nīnau. ʻO kou olakino a me ke olakino o kāu pēpē kā lākou mau mea nui loa. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā mea āpau me ka ʻole o ka hūnā ʻana i kekahi mea!

ʻO ka biometry o ka ʻōpū, ka nānā ʻana i ka hāpai ʻana, ka ulu ʻana o ka pēpē, ka ultrasound, ke olakino o ka hāpai ʻana, nā ana o ka ʻōpū, ka mālama ʻana i ka wā hāpai