Ua haʻahaʻa anei ka pae wai o kāu pēpē? E kamaʻilio kākou e pili ana i ka mālama ʻana i ka amnioinfusion

Aia paha ʻoe i nā pule hope o kou hāpai ʻana. A i ʻole aia paha ʻoe i loko o ka lumi hānau e hānau ana. I ka manawa koke, hele mai ke kauka a ʻōlelo mai, "Ke lohi iki nei ka puʻuwai o ka pēpē, a me he mea lā ua emi ka nui o ka wai a puni ka pēpē." I nā manawa e like me kēia, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e pale iā ʻoe a me kāu pēpē. Mai hopohopo ke lohe ʻoe i kēia, he lāʻau lapaʻau holomua loa kēia i ka hapa nui o nā hihia.

I ka ʻōlelo maʻalahi, he aha ka Amnioinfusion?

He hana ka amnioinfusion kahi e hoʻokomo ʻia ai kahi wai kūikawā i loko o kou ʻōpū, kahi o kāu pēpē. Ua like ia me ka hoʻopiha hou ʻana i kahi pahu liʻiliʻi i noho no kekahi manawa. Hana ʻia kēia i ka wā e lilo ai ka puʻuwai o kāu pēpē i mea ʻē a lohi paha i ka wā hānau. ʻO ke kumu nui o kēia no ka mea e emi ana ka nui o ka wai a puni kāu pēpē.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau wai. ʻAʻole kēia mau mea e hōʻino iā ʻoe a i kāu pēpē paha. Hoʻohana nā kauka i kahi wai i kapa ʻia ʻo saline solution a i ʻole lactated Ringer's solution . He mau wai maʻemaʻe a sterile kēia e like loa me nā wai i loko o ko kākou kino.

Ke hoʻokomo ʻia kēia wai i loko o ka ʻōpū, hoʻololi ia i ka wai amniotic i hoʻopau ʻia. Hoʻōki kēia i ke kaula umbilical mai ka paʻi ʻana, hoʻihoʻi i ka lako oxygen o ka pēpē, a hoʻopaʻa i ka puʻuwai o ka pēpē.

No laila, he aha kēia wai amniotic?

Ua like ka wai amniotic me kahi uluna wai mahana a pale e hoʻopuni ana i kāu pēpē i loko o kou ʻōpū. Hāʻawi ia i ka palekana koʻikoʻi no kāu pēpē.

• Mālama i ke pēpē mai nā huakini e puka mai ana mai waho.
• Kāohi i ke kaomi ʻana o ke kaula umbilical.
• Mālama ia i ke pēpē mai nā ʻeha ʻē aʻe i kona neʻe ʻana a puni i loko o ka ʻōpū.
• Kōkua i ka ulu ʻana o nā māmā a me ka ʻōnaehana hoʻoheheʻe ʻana o ke pēpē.
• Kōkua ia i ka mālama ʻana i ka mahana o ke kino o ke pēpē.

Inā nalowale ka nui o kēia wai amniotic koʻikoʻi, hiki i ka pēpē ke loaʻa i nā pilikia olakino a me nā pilikia i ka wā hānau keiki.

Ke koʻikoʻi o ke kaula umbilical

ʻO ke kaula umbilical ke kaula ola o ka pēpē i loko o ka ʻōpū. ʻO ia ka mea e hoʻopili ai i ka pēpē i ka placenta. Loaʻa i ka pēpē nā oxygen, ke koko, a me nā meaʻai koʻikoʻi e pono ai ma o kēia kaula umbilical. No laila, inā e ʻomi ʻia kēia kaula umbilical, hiki ke ʻoki ʻia kēia mau lako a pau i ka pēpē. Hiki i kēlā ke lilo i mea weliweli loa no ka pēpē.

I nā hihia hea e pono ai ka mālama ʻana i ka amnioinfusion?

ʻAʻole no nā kānaka āpau kēia lāʻau lapaʻau. Paipai wale nā ​​kauka iā ia i kekahi mau hihia kikoʻī . Hana nui ʻia ia i nā hihia kahi e emi ai ka nui o ka wai a puni ka pēpē, kahi kūlana i kapa ʻia ʻo Oligohydramnios .

Hiki i ka papa ma lalo nei ke kōkua iā ʻoe e hoʻomaopopo pono i kēia.

Aia kekahi mau hihia i ʻole e hana ʻia kēia lāʻau lapaʻau?

ʻAe, ʻoiaʻiʻo nō. Aia kekahi mau hihia kahi i hana ʻole ʻia ai ka mālama ʻana i ka amnioinfusion a pono e hana ʻia nā hana ʻē aʻe.

• Inā pilikia nui ke pēpē:Inā haʻahaʻa loa ka puʻuwai o ka pēpē, he mea nui kēlā me kēia minuke. I kēlā mau manawa, hiki i nā kauka ke hoʻoholo e hānau koke i ka pēpē (no ka laʻana, ma o ka ʻoki cesarean ulia pōpilikia) ma mua o ka hoʻonele ʻana i ka manawa me kēia lāʻau lapaʻau.
• Inā loaʻa iā ʻoe kahi maʻi ikaika, e like me ka herpes genital: ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi e pili ana i ka ʻōpū.
• Inā he mau pilikia me ka placenta: ʻAʻole hana ʻia kēia lāʻau lapaʻau inā he kānalua no kahi maʻi e like me ka placenta previa (placenta e moe haʻahaʻa ana i loko o ka uterus) a i ʻole ka placental abruption (placenta e kaʻawale ana mai ka paia o ka uterine).
• Inā ʻaʻole i hoʻonoho pono ʻia ke pēpē: ʻAʻole kūpono kēia lāʻau lapaʻau inā ʻaʻole i lalo ke poʻo o ke pēpē, he ʻūhā, a i ʻole aia kekahi kūlana ʻē aʻe.

Pehea e hana ʻia ai kēia lāʻau Amnioinfusion?

Mai makaʻu e nīnau pehea e hana ʻia ai kēia. ʻAʻole ia he mea ʻeha. E noho kāu kauka a me nā kahu maʻi ma kou ʻaoʻao a mālama i nā mea āpau.

ʻO ka mea mua, e hōʻoia ke kauka ua kū ke poʻo o ke pēpē i lalo. Eia kekahi, pono e hoʻonui ʻia kou cervix ma ka liʻiliʻi he 1-2 kenimika.

A laila, hoʻokomo pono ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia ʻo Intrauterine Pressure Catheter (IUPC) i loko o kou ʻōpū. Hoʻopili ʻia kēia ʻōmole ma kekahi ʻaoʻao i kahi mea nānā e ana i ka puʻuwai o ka pēpē a me nā ʻūlū ʻana o ka ʻōpū. Ma kekahi ʻaoʻao, ua hoʻopili ʻia i kahi ʻōmole e hoʻokomo i ka wai saline.

A laila, e hoʻokomo mālie ke kauka i ka saline mahana o ka lumi i loko o kou ʻōpū. ʻO ka maʻamau, e lawe kēia ma waena o 10 a me 30 mau minuke. I loko o kēia manawa, e nānā pono ke kauka a me nā limahana iā ʻoe a me kāu pēpē. E hoʻomau pū lākou i ka nānā ʻana e hōʻoia i ka lawa ʻana o ka wai i loko o kou ʻōpū.

E manaʻo paha ʻoe i kahi ʻoluʻolu iki ma hope o ka lāʻau lapaʻau, akā he mea maʻamau kēlā.

He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?

Ma waho aʻe o ka hoʻihoʻi ʻana i ka puʻuwai o ka pēpē, he nui nā pono ʻē aʻe o kēia lāʻau lapaʻau.

• Hoʻemi ʻia ka pilikia o ka ʻoki ʻoki cesarean (c-section): Hana pinepine ʻia nā ʻoki cesarean ulia pōpilikia ma muli o ka haʻahaʻa o ka puʻuwai o ka pēpē. Inā hiki i kēia lāʻau ke pale i kēlā ʻano, e loaʻa iā ʻoe kahi manawa kūpono e loaʻa ai kahi hānau maʻamau.
• Hoʻemi ʻia ka hoʻohana ʻana i nā mea hana: Hiki ke hoʻemi ʻia ka pono e hoʻohana i nā mea hana e like me ka forceps a i ʻole ka vacuum.
• Loaʻa i ka pēpē kahi koko maikaʻi a me ka oxygen: Ma muli o ke kaʻawale o ke kaula umbilical, loaʻa i ka pēpē ka oxygen a me ka meaʻai me ke keʻakeʻa ʻole.
• Kōkua i ka hoʻopaneʻe ʻana i ka hānau mua ʻana:E like me ka mea i ʻōlelo ʻia ma mua, inā haki koke ka wai, hiki i kēia ke kōkua i ka mālama ʻana i ka pēpē i loko o ka ʻōpū no kekahi mau lā hou aku.
• Nā helu Apgar i hoʻomaikaʻi ʻia : ʻO ka helu Apgar kahi ʻōnaehana helu e loiloi i ke olakino o kahi pēpē ma hope koke o ka hānau ʻana. ʻOi aku ke kiʻekiʻe o kēia helu ke hānau olakino ʻia ka pēpē ma muli o kēia lāʻau lapaʻau.
• Hoʻemi ʻia ka pilikia o ka maʻi i ka makuahine: Ke nalowale ka wai amniotic, hiki i ka makuahine ke loaʻa i nā maʻi. No ka laʻana, ka postpartum endometritis . Hoʻemi kēia lāʻau i kēlā pilikia.

Aia kekahi mau pilikia kūpono?

E like me nā hana lapaʻau āpau, he liʻiliʻi loa nā pilikia. Akā, ʻaʻole pinepine kēia mau mea. E mālama pono kāu kauka i kēia mau mea a pau.

• Maʻi (Chorioamnionitis): He liʻiliʻi loa ka manawa e loaʻa ai ka maʻi o ka placenta a me ka wai amniotic.
• Ka iho ʻana o ke kaula umbilical: He mea kākaʻikahi loa, hiki i ke kaula umbilical ke iho i loko o ka vagina ma mua o ka hānau ʻana o ke pēpē.
• Polyhydramnios: Aia kahi pilikia o ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū ma mua o ka mea e pono ai.
• Ka hōʻino ʻana i ka ʻōpū: He mea kākaʻikahi loa, hiki i ka ʻōpū ke hoʻolōʻihi nui ʻia (uterine overdistention) a i ʻole hiki i ka paia o ka ʻōpū ke lilo i perforated (perforated uterus).

Pehea ka maikaʻi o kēia lāʻau lapaʻau?

Hoʻomau pinepine ka holomua o nā lāʻau amnioinfusion. ʻO ka mea hoihoi, ʻo ka emi ʻana o ka wai a puni ka pēpē, ʻo ka nui o ka kūleʻa o ka lāʻau.

He ala ko nā kauka e ana ai i ka nui o ka wai a puni kāu pēpē. Ua kapa ʻia ʻo ia ʻo ka Amniotic Fluid Index (AFI) . Ua ʻike ʻia nā noiʻi:

• Ua holomua kēia lāʻau lapaʻau ma 63% o nā hihia i ka poʻe nona ka waiwai AFI i emi iho ma mua o 4 kenimika i ka wā i ana mua ʻia ai.
• ʻO ka helu kūleʻa no ka poʻe me ka AFI ma waena o 4 a me 8 kenimika he 44% .

ʻO ia hoʻi, no kekahi kanaka i maloʻo loa ka wai a pono i ke kōkua, maikaʻi loa nā hopena o kēia lāʻau lapaʻau.