E aʻo kākou i nā mea a pau e pili ana i ke kiʻi ultrasound i ka wā hāpai.

Inā he makuahine hāpai ʻoe, ʻo ka huaʻōlelo 'ultrasound scan' kahi mea āu i lohe pinepine ai. Malia paha ua hopohopo iki ʻoe no ia mea, a i ʻole he hoihoi wale nō ʻoe i ke ʻano o ia mea. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia ultrasound scan, nā mea e pili ana, a me ke kumu he mea nui ia no ʻoe a me kāu pēpē. ʻAʻohe mea e hopohopo ai, he mea maʻamau loa ia.

No ke aha he mea nui loa kēia ʻano ultrasound?

I ka ʻōlelo maʻalahi, he hoʻāʻo ka ultrasound scan e nānā i ke olakino a me ka ulu ʻana o kāu pēpē i loko o kou ʻōpū. ʻO kāu kauka hānau keiki, kahu hānai, a i ʻole kahi sonographer i aʻo kūikawā ʻia e hana i kēia scan.

E noʻonoʻo, ʻo kēia ke ala maikaʻi loa e nānā ai i ke ʻano o kāu keiki liʻiliʻi, pehea kona maikaʻi, a pehea kona ulu ʻana. Ua like ia me kāu kauka e kamaʻilio ana me ia a ʻike iā ia! Hiki i kēia ke haʻi iā ʻoe i ka lōʻihi o kou hāpai ʻana, pehea ka maikaʻi o ka ulu ʻana o kāu pēpē, a inā he mau pilikia. Hoʻohana ia i nā nalu kani. ʻAʻole ia e hoʻopuka i kekahi radiation, no laila ʻaʻole ia e like me ka X-ray. No laila, ʻaʻole ia e hōʻeha i kāu pēpē.

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kēia ultrasound scan inā he mea pono ia no ke olakino . Inā ʻoe e hana nei no ka ʻike wale ʻana i ke pēpē, ʻaʻole paha e uku kāu ʻoihana ʻinikua no ia.

He aha nā ʻike e hiki ke ʻike ʻia ma ka ultrasound?

Hoʻohana ʻia ka ultrasound scan no ʻelua mau mea nui:

1. Ke loiloi ʻana i ke olakino holoʻokoʻa, ka ulu ʻana, a me ka ulu ʻana o ka ʻōpū i loko o ka ʻōpū .

2. E ʻike i nā pilikia a me nā kūlana olakino e pili ana i ka hāpai ʻana.

I ka hapa nui o ka manawa, hāʻawi nā scan ultrasound i nā hopena maikaʻi. ʻAʻole hiki i nā kauka ke loaʻa i kekahi pilikia. Akā i kekahi manawa, hiki iā lākou ke ʻike i nā kīnā hānau a i ʻole nā ​​​​pilikia ʻē aʻe i ka wā hāpai. Inā hana ʻia kēlā, hiki ke mālama ʻia i ka wā mua.

I kēia manawa, e nānā kākou i ka mea nui e nānā ai kēia scan:

• E hōʻoiaʻiʻo ua hāpai maoli ʻoe.
• E nānā no ka hāpai ectopic, nā pilikia o ka hāpai mua ʻana, a me ka hāʻule ʻana o ka manawa.
• E hoʻoholo i ka makahiki hāpai o ke pēpē a me ka lā hānau .
• E nānā i ka ulu ʻana o ka pēpē, nā neʻe ʻana, a me ka puʻuwai o ka naʻau .
• E nānā inā he mau māhoe a he mau keiki ʻekolu paha .
• E nānā i nā ʻōpū pelvic e like me kou uterus, ovaries, a me ka cervix.
• E nānā i ka nui o ka wai amniotic a puni ka pēpē.
• E nānā i ke kūlana o ka placenta. I kekahi manawa hiki ke waiho haʻahaʻa ka placenta (placenta previa), he mea weliweli iki ia.
• E nānā i ke kūlana o ke pēpē i loko o ka ʻōpū.
• E nānā e ʻike inā he mau pilikia me nā ʻōpū, nā ʻiʻo, a i ʻole nā ​​​​iwi o ke pēpē.

He mea nui hoʻi ka ultrasound no ka nānā ʻana i kekahi mau kūlana hānau, e like me ka palate cleft. Hoʻohana ʻia hoʻi ka ultrasound e alakaʻi i ka nila i ka wā o nā hoʻokolohua kūikawā e like me ka amniocentesis (ka nānā ʻana i ka wai amniotic) a i ʻole ka chorionic villus sampling (CVS) (ka nānā ʻana i kahi ʻāpana o ka placenta).

Aia kekahi hoʻāʻo ʻē aʻe i kapa ʻia ʻo `Biophysical Profile - BPP`. Hoʻohui pū kēia i kahi ultrasound a me kekahi hoʻāʻo ʻē aʻe i kapa ʻia ʻo `Nonstress test` e nānā inā ua lawa ka oxygen i ka pēpē.

ʻEhia mau ultrasound e hana pinepine ʻia i ka wā hāpai?

ʻO ka maʻamau, hoʻokahi a ʻelua paha mau scan ultrasound e hana ʻia i ka wā hāpai olakino. Eia nō naʻe, ʻokoʻa paha kēia helu a me ka manawa ma muli o kāu kauka a inā he mau pilikia olakino kou. Inā he pilikia kiʻekiʻe kou hāpai ʻana, a inā kānalua kāu kauka he pilikia me ʻoe a i ʻole kāu pēpē, hiki iā ia ke paipai i nā scan pinepine.

I ka manawa hea e hana ʻia ai ke kiʻi ultrasound mua?

Hiki ke ʻokoʻa ka manawa o ke scan mua mai ke kauka a i ke kauka. Hana kekahi mau kauka i kahi ultrasound mua (ultrasound trimester mua / ultrasound dating) . Hiki ke hana ʻia kēia i ka wā 7-8 mau pule o ka hāpai ʻana. Hana pinepine ʻia kēia scan mua ma o ka vagina (ultrasound transvaginal). ʻO kēia:

• Ke hōʻoia nei i ka hāpai ʻana (ma ka ʻike ʻana i ka puʻuwai o ka pēpē).
• Ke nānā nei lākou e ʻike inā he nui nā embryos (māhoe).
• Ua ana ʻia ka nui o ka fetus, ua hōʻoia ʻia ka helu o nā pule, a me ka lā hānau i manaʻo ʻia .

Hoʻopaneʻe kekahi mau kauka i ka scan mua a hiki i kahi o 12 mau pule.

He aha ke scan 20-wiki (Anatomy Scan)?

Hana ʻia kekahi scan ultrasound ma waena o 18 a me 20 mau pule o ka hāpai ʻana. Ua kapa ʻia kēia ʻo ka scan Anatomy a i ʻole ka scan 20-pule. He scan koʻikoʻi loa kēia.

ʻAe kēia i ke kauka e:

• E ʻike i ke kāne o ka pēpē (akā inā ʻike ʻia a ʻaʻole paha, pili ia i ke kūlana o ka pēpē i ka manawa).
• E nānā inā he mau kīnā hānau , e like me ke kīleʻa.
• E ʻike inā he mau maʻi koʻikoʻi ko ka pēpē i nā ʻōpū koʻikoʻi e like me ka lolo, ka puʻuwai, nā iwi, a me nā puʻupaʻa .

Inā holo pono kou hāpai ʻana, me ka ʻole o kekahi pilikia, ʻo kēia scan 20-pule paha kāu scan hope loa.Hiki paha. Eia nō naʻe, inā loaʻa kekahi pilikia i ka wā o kēia scan, e noi ke kauka no kahi scan ʻē aʻe.

I ka manawa hea e ʻike ʻia ai kahi pēpē ma ka ultrasound?

Hiki ke ʻike ʻia kahi embryo ma o ka ultrasound i ka wā mua o 6 mau pule o ka hāpai ʻana. Lilo kēia embryo i fetus ma kahi o 8 mau pule.

I kekahi manawa, inā ʻaʻole ʻoe i ʻike i ka lā kikoʻī o kou menstruation hope loa, hiki ke ʻike koke ʻia ka puʻuwai o ka pēpē. No laila, mai hopohopo, e haʻi aku kāu kauka iā ʻoe e pili ana i ia mea.

He aha nā ʻano ultrasound nui i hana ʻia i ka wā hāpai?

ʻElua mau ʻano nui o ka ultrasound:

1. Ultrasound Transvaginal: Pili kēia i ke kau ʻana i kahi mea liʻiliʻi e like me ke koʻokoʻo i loko o ka vagina. He mea pono loa kēia i nā wā mua o ka hāpai ʻana e nānā i ka puʻuwai o ka pēpē a hoʻoholo i ka makahiki hāpai. Hiki iā ia ke hana i nā kiʻi ʻoi aku ka maopopo ma mua o ka scan transabdominal i nā wā mua.

2. Ultrasound ʻōpū: Pili kēia i ke kau ʻana i kahi mea i kapa ʻia he transducer ma luna o kou ʻōpū. Hoʻoneʻe ke kauka i ka mea a puni kou ʻōpū e kiʻi i nā kiʻi o kāu pēpē. I kekahi manawa pono ʻoe e kaomi iki i lalo e kiʻi i nā kiʻi maikaʻi. Hoʻohana pinepine ʻia kēia ʻano ma hope o 12 mau pule.

Hana pinepine ʻia nā scan ultrasound kuʻuna ma ke ʻano "2D". Eia nō naʻe, hiki ke hana ʻia nā scan me ka hoʻohana ʻana i nā ʻenehana hou e like me nā ultrasound "3D" a i ʻole "4D" . Hiki i kēia mau mea ke hōʻike i ka maka o ka pēpē a me nā ʻōpū me nā kikoʻī hou aku. Eia naʻe, ʻaʻole i loaʻa i nā kauka āpau nā lako e hana ai i kēia mau scan "3D" a i ʻole "4D", a pono lākou i ke aʻo kūikawā.

Ma waho aʻe o kēia, aia kekahi mau ʻano ultrasound kūikawā ʻē aʻe:

• ʻO ke kani ultrasound Doppler: Nānā kēia i ke kahe ʻana o ke koko ma o nā kīʻaha koko o ka pēpē. Hana pinepine ʻia kēia i ka hopena o ka hāpai ʻana.
• ʻO ka echocardiogram fetal: Nānā kēia i ka nui, ke ʻano, ka hana, a me ke ʻano o ka puʻuwai o kāu pēpē. Hiki ke hana ʻia kēia inā manaʻo ʻoe he maʻi puʻuwai hānau kāu pēpē, inā he maʻi puʻuwai kekahi pēpē āu ma mua, a inā he mau maʻi olakino ʻē aʻe kāu e makemake ai e nānā pono no ka puʻuwai o kāu pēpē.

Aia kekahi hoʻomākaukau kūikawā ma mua o ke scan?

ʻO ka maʻamau, ʻaʻole pono kahi hoʻomākaukau kūikawā no kahi scan ultrasound. Eia nō naʻe, ke ʻōlelo nei kekahi mau kauka e hele mai ʻoe me ka ukana mimi kaumaha , ʻo ia hoʻi, ʻaʻole pono ʻoe e hele i ka lua ma mua o ke scan. E maʻalahi kēia i ka ʻike maopopo ʻana i ka pēpē. Hiki iā ʻoe ke lawe mai i kekahi e kōkua iā ʻoe, akā ʻaʻole ia he manaʻo maikaʻi e lawe mai i nā keiki liʻiliʻi, no ka mea, he hoʻāʻo koʻikoʻi kēia a pono ʻoe e makaʻala iā ia.

I kekahi manawa e noi ʻia ʻoe e ʻaʻahu i kahi lole haukapila, akā ʻaʻole pono kēia no ka ultrasound ʻōpū. Inā loaʻa iā ʻoe kahi ultrasound transvaginal i ka trimester mua, pono ʻoe e wehe i kou lole ma lalo o ka pūhaka a ʻaʻahu i kahi lole haukapila.

He aha ka mea e hana ʻia i ka wā o ke scan?

E hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo. Hana pinepine ʻia ke scan i loko o kahi lumi mālamalama ʻole i hiki i ka sonographer ke ʻike maopopo i nā kiʻi ma ka monitor.

A laila, hoʻopili ʻia kahi gel wai-hoʻoheheʻe ʻia i kou ʻōpū. ʻAʻole ʻino kēia gel i kou ʻili a i ʻole kou lole, akā hiki ke anuanu iki. Kōkua kēia gel i nā nalu kani e komo maikaʻi i loko o kou kino.

ʻO ka mea aʻe, ua kau ʻia kahi mea i kapa ʻia he "Transducer" ma ka ʻōpū a neʻe ʻia i mua a i mua. Hoʻouna kēia i nā nalu kani i loko o ke kino, e pā ana i nā ʻano kūloko o ka pēpē a hoʻihoʻi iā lākou. ʻO kēia mau nalu ka mea e ʻike ʻia ma ke ʻano he mau kiʻi ma ka monitor. Nānā ka scanner i kēia mau kiʻi a lawe i nā ana koʻikoʻi, e like me ke anapuni o ke poʻo o ka pēpē a me ka lōʻihi. E ʻike ʻoe iā lākou e kahakiʻi ana i nā laina ma ka monitor, a "hoʻopaʻa" i kekahi mau wahi.

ʻAʻole ʻeha kēia scan, akā hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole i kou paʻa ʻana i kāu mimi. ʻO ka maʻamau, he 30 mau minuke ka lōʻihi o ka hoʻāʻo ʻana.

ʻO ka ʻokoʻa wale nō me ka scan vaginal, ʻo ia ka hoʻokomo ʻia ʻana o ka hāmeʻa i loko o ka vagina.

He aha ka mea e hana ʻia ma hope o ke scan?

Inā he scan transabdominal ia, e holoi ʻia ka gel a e hāʻawi ʻia paha iā ʻoe kekahi mau kiʻi o ke scan a kāu pēpē e lawe i ka home.

ʻO ka hapa nui o ka manawa, ʻaʻole e kamaʻilio ka sonographer nāna i hana i ka scan iā ʻoe e pili ana i nā hopena. Inā ua hana kāu kauka hānau i ka scan, hiki paha iā ia ke haʻi iā ʻoe e pili ana i kā lākou mea e ʻike ai i ka wā o ka scan.

ʻO ka maʻamau, ma hope o ka hōʻike ʻana o ka mea nāna i hana i ke scan i nā kiʻi i ke kauka hānau keiki, e kamaʻilio ke kauka me ʻoe e pili ana i ia mea i kāu hālāwai aʻe. Ma nā wahi he nui, e hoʻonohonoho lākou i kahi manawa e ʻike ai i ke kauka ma hope koke o ke scan, i hiki iā ʻoe ke loaʻa nā hopena i ka lā hoʻokahi.

Aia kekahi mau pilikia mai nā kiʻi ultrasound?

Ua hōʻike ʻia nā noiʻi he palekana loa nā scan ultrasound i ka wā hāpai . ʻAʻole lākou e hoʻoulu i nā hopena ʻino no ʻoe a i kāu pēpē paha.

He palekana anei ke scan i kēlā me kēia mahina?

ʻOiai palekana nā scan ultrasound no ʻoe a me kāu pēpē, ʻōlelo nā hui lapaʻau koʻikoʻi o ka honua e hana wale ʻoe i nā scan inā pono ia no ke olakino . Inā maʻamau nā hopena o kāu scan, a ke hoʻomau nei kou hāpai ʻana me ka ʻole o nā pilikia a me ka haʻahaʻa o ka pilikia, ʻaʻohe pono no nā scan pinepine.

Pehea e loaʻa ai iaʻu nā hopena scan?

He maʻamau a ʻano ʻē paha kāu mau hopena ultrasound?Hiki paha. ʻO ka hopena maʻamau, ʻo ia hoʻi, ʻaʻole hiki i ke kauka ke loaʻa i kekahi mea hewa a ke ulu maikaʻi nei ka pēpē a maʻamau. ʻO ka hopena maʻamau ʻole, ʻo ia hoʻi, ua ʻike ke kauka i kahi mea ʻē. Inā pēlā, e hana ʻo ia i nā scan hou a i ʻole nā ​​hoʻokolohua ʻē aʻe e ʻike ai inā he pilikia maoli.

I kekahi manawa, ʻaʻole paha i piha ka scan inā ʻaʻole ʻike ʻia nā mea āpau e pono ai ke ʻike ʻia i kēlā manawa. Hiki paha kēia ma muli o ke kūlana o ka pēpē a i ʻole ka neʻe ʻana o ka pēpē. Inā hana ʻia kēia, pono e hana ʻia kekahi scan ma kahi lā ma hope.

He mau palena ko ka ultrasound, no laila hiki ke ʻike ʻia kekahi mau ʻano ʻē ma hope o ka hānau ʻana o ka pēpē.

No ke aha e pono ai iaʻu ke scan hou aku i kekahi manawa?

Aia kekahi mau kumu e paipai ai kāu kauka i nā scan hou aʻe i kou wā hāpai. ʻO kekahi mau laʻana:

• Inā he mau pilikia kou me kou mau kino pelvic, e like me kāu ovaries, uterus, a i ʻole cervix .
• Inā ʻike ʻia ua liʻiliʻi ka pēpē ma mua o ka mea i manaʻo ʻia a inā paha ke kānalua nei ke kauka he Intrauterine Growth Restriction (IUGR).
• Inā he mau pilikia me ka placenta , no ka laʻana, placenta previa a i ʻole ka placental abruption.
• Inā he mau māhoe a he triplets paha kāu.
• Inā he ʻūhā ke pēpē.
• Inā he nui loa kou wai amniotic (Polyhydramnios).
• Inā haʻahaʻa kou wai amniotic (Oligohydramnios).
• Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi diabetes gestational a i ʻole preeclampsia.
• Inā ua ʻike ʻia ka maʻi hānau o ke keiki.

ʻO ka maʻamau, ʻo nā hopena scan maikaʻi ke ʻano he olakino maikaʻi ke pēpē a ʻaʻole hiki i ke kauka ke loaʻa i kekahi pilikia.

Āhea e hiki ai ke hoʻoholo ʻia ke kāne o ke pēpē ma o kahi scan?

E ʻike maopopo ʻia ke kāne o ke pēpē ma ka ultrasound ma waena o 18 a me 20 mau pule . Mai poina e haʻi i kāu kauka ma mua o ke scan inā makemake ʻoe e ʻike i ke kāne o ke pēpē.

Hiki i nā scan ultrasound i ka wā hāpai ke lilo i mea hoihoi a hoʻonāukiuki iki hoʻi. Hoʻohana kāu kauka i kēia mau scan e loaʻa ai kahi manaʻo maikaʻi aʻe o ke ʻano o ka ulu ʻana a me ka ulu ʻana o kāu pēpē. Aia nā ʻano ultrasound like ʻole, a hiki ke ʻokoʻa ka manawa o kēlā me kēia ma muli o kāu kauka. ʻO ka hapa pinepine, hana ʻia ʻelua scan, hoʻokahi i ka trimester mua a hoʻokahi i ka trimester ʻelua. Eia nō naʻe, inā koi ʻia kahi pilikia a i ʻole ke kumu lapaʻau i nā scan hou aʻe, e hana kāu kauka pēlā no kou palekana a me kāu pēpē. E kamaʻilio me kāu kauka e pili ana i ke kaʻina o kāu mau scan i kou wā hāpai a me nā mea āu e manaʻo ai.

ʻO nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

ʻAe, ua uhi mākou i kēia mau mea a pau i kēia manawa. Ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa ke kiʻi ultrasound. Eia kekahi o nā mea nui e hoʻomanaʻo ai:

• He hoʻāʻo palekana loa ka ultrasound scan nou a me kāu pēpē .
• Hiki i kēia ke kōkua iā ʻoe e hoʻoholo koke inā he mau pilikia me ke olakino o ka pēpē, ka ulu ʻana, a me ka hāpai ʻana .
• ʻO ka maʻamau , hoʻokahi a ʻelua paha mau scan e hana ʻia, akā hiki ke hana hou aku inā pono.
• He mea nui loa ke scan anatomy 20-pule , no ka mea, nānā ia i nā ʻōkana o ke pēpē me nā kikoʻī.
• ʻAʻole pono kahi hoʻomākaukau kūikawā ma mua o ke scan, ʻoiai e noi ʻia paha ʻoe e paʻa i kāu mimi.
• ʻAʻohe ʻeha i ka wā o ke scan.
• He mea nui loa e hana i kāu mau scan i ka manawa kūpono, e like me ka ʻōlelo a kāu kauka .

No laila, he hoʻāʻo koʻikoʻi loa ka ultrasound scan e kōkua nui iā ʻoe a me kāu pēpē i ka wā hāpai. ʻAʻohe mea e makaʻu ai . Ma ka hana ʻana i kēia scan i ka manawa kūpono e like me ka ʻōlelo a kāu kauka, hiki iā ʻoe ke hoʻomaopopo maikaʻi i ke olakino o kāu pēpē a me kou olakino ponoʻī. Kōkua pū kēia i ka ʻike mua ʻana i nā pilikia a hoʻomaka i ka mālama ʻana. No laila e ʻae me ka hauʻoli! Makemake mākou iā ʻoe i pēpē olakino!

ʻO ke ultrasound hāpai, scan ultrasound, olakino o ka pēpē, obstetrics a me gynecology, mālama hāpai, ulu ʻana o ka fetal, scan