He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo inā hana kāu kauka i kahi scan i ka wā hāpai a ʻōlelo, "Ua emi iki ka wai a puni ka pēpē." A i ʻole pehea inā lohi iki ka puʻuwai o ka pēpē i ka wā hānau a ua haʻi ʻia iā ʻoe no ka nele o ka wai? I kēia mau hihia, e kamaʻilio mākou e pili ana i kahi lāʻau kūikawā a koʻikoʻi a nā kauka e hoʻohana ai e kōkua i ka makuahine a me ka pēpē.
I ka ʻōlelo maʻalahi, he aha ka Amnioinfusion?
ʻO ka Amnioinfusion kahi hana e hoʻihoʻi i ka nui o ka wai amniotic i hoʻopau ʻia ma ke komo ʻana i kahi wai kūikawā i loko o kou ʻōpū, kahi o kāu pēpē. I ka ʻōlelo maʻalahi, ʻo ia ka hāʻawi ʻana i kāu ʻōpū i kahi wai saline-like. Pili kēia i ka hoʻokomo ʻana i ka saline a i ʻole ka lactated Ringer's solution i loko o kou ʻōpū me ka hoʻohana ʻana i kahi ʻōmole lahilahi i kapa ʻia he catheter . ʻO kēia hoʻopiha hou ʻana i ka wai nalowale e kōkua i ka hoʻopaʻa ʻana i ka puʻuwai o kāu pēpē a pale i ka pēpē mai ka loaʻa ʻana o ka oxygen liʻiliʻi loa.
Ma mua o ka hoʻomaopopo ʻana i kēia lāʻau lapaʻau, e ʻike pū kākou e pili ana i kēia mau mea
Ma mua o ke kūkākūkā hou ʻana i kēia lāʻau lapaʻau, e kūkākūkā pōkole kākou i ʻelua mau mea nui e pili ana i kēia.
He aha ka wai Amniotic?
He wai pale ka wai amniotic e hoʻopuni ana i ka pēpē i loko o ka ʻōpū. Hana ia e like me kahi uluna pale no ka pēpē. Mālama kēia wai i ka pēpē mai nā maʻi, pale i ke kaula umbilical mai ke kaomi ʻana, a kōkua i ka pēpē e neʻe a puni i loko o ka ʻōpū me ka ʻole o nā pilikia. Eia kekahi, he mea nui kēia wai amniotic no ka hoʻomohala ʻana o nā ʻōnaehana hanu a me ka ʻōnaehana hoʻoheheʻe ʻana o ka pēpē, a no ka hoʻoponopono ʻana i ka mahana o ke kino. No laila, inā ʻaʻole lawa kēia wai, hiki ke hoʻopilikia i ke olakino o ka pēpē a me ka hānau ʻana.
He aha ke kaula piko?
ʻO ke kaula umbilical ke 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 ka oxygen, ka meaʻai, a me ke koko e pono ai ma o kēia kaula umbilical. No laila, ke emi ka wai amniotic, hiki ke hoʻopaʻa ʻia kēia kaula umbilical. Inā hana ʻia kēlā, ua hōʻino ʻia ka oxygen a me ka meaʻai i loaʻa i ka pēpē, a hiki i ka pēpē ke lilo i mea ʻoluʻolu ʻole (fetal distress).
I nā hihia hea e pono ai ka mālama ʻana i ka amnioinfusion?
ʻAʻole no nā kānaka a pau kēia lāʻau lapaʻau. Hoʻohana wale nā kauka iā ia i kekahi mau hihia i koho ʻia. E nānā kākou i ke ʻano o ia mea.
| Kūlana | Wehewehena |
|---|---|
| Ka wai amniotic haʻahaʻa (Oligohydramnios) | ʻO kēia ke kumu nui. Manaʻo ʻia kēia lāʻau lapaʻau inā ʻoi aku ka haʻahaʻa o ka nui o ka wai a puni ka pēpē ma mua o ka maʻamau . |
| Ka Hoʻopaʻa ʻana i ke Kaula Umbilical | Ke emi ka wai amniotic, hiki ke ʻūmiʻi ʻia ke kaula umbilical. Hoʻololi kēia i ka helu o ka puʻuwai o ka pēpē. Ke hoʻokomo ʻia ka wai, ʻae ʻia ke kaula umbilical e lana wale. |
| No ka pale ʻana i ka hānau mua ʻana (Preterm Premature Rupture of Membranes) | I kekahi manawa, hiki i ka wai ke haki i ka wā ʻōpiopio. Inā hana ʻia kēia, ʻoiai hoʻi i nā mahina mua o ka hāpai ʻana, hoʻokomo ʻia ka wai i loko o ka ʻōpū e hana i kahi kūpono no ka pēpē e noho i loko o ka ʻōpū no kekahi manawa lōʻihi. |
| No ka pale ʻana i ka meconium aspiration syndrome | ʻO ka Meconium ka ʻōpala mua a ke pēpē e hele ai i loko o ka ʻōpū. Hiki iā ia ke hui pū me ka wai amniotic. ʻOi aku ka weliweli inā ale ke pēpē iā ia, akā hiki nō hoʻi ke hanu ʻia. Hoʻemi ka amnioinfusion i kēia pilikia ma ka hoʻoheheʻe ʻana i ka meconium. |
ʻO ka mea nui loa, ʻo ia ke hoʻoholo a kāu kauka inā pono ʻoe i kēia lāʻau lapaʻau a i ʻole, a he aha kona mau pono a me nā hemahema, ma muli o kou kūlana olakino.
Aia kekahi mau hihia kahi e pono ʻole ai e hana ʻia ka amnioinfusion?
ʻAe, i kekahi mau hihia, ʻaʻole kūpono kēia lāʻau lapaʻau no ka mea ʻoi aku ka palekana o ka hānau koke ʻana o ka pēpē ma mua o ka mālama ʻana iā ia i kēlā manawa.
- Inā pilikia nui ka pēpē i loko o ka ʻōpū, ʻaʻole hiki ke hoʻopaneʻe ʻia kēia lāʻau no kekahi mau minuke.
- Inā loaʻa iā ʻoe kahi maʻi hana e like me ka herpes genital a i ʻole kekahi maʻi ʻē aʻe o ka ʻōpū.
- Inā he placenta haʻahaʻa kou (placenta previa) a inā paha he kānalua no ka abruption placental.
- Inā aia ke pēpē i loko o kahi kūlana breech a i ʻole kekahi kūlana ʻē aʻe, ma kahi o ke poʻo i lalo.
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
He mea weliweli iki paha kēia, akā ua hana ʻia me ke ʻano maʻamau.
ʻO ka mea mua, e hōʻoia ke kauka aia ke pēpē ma ke poʻo mua. Pono hoʻi e hoʻonui ʻia kou cervix ma ka liʻiliʻi he 1-2 kenimika.
A laila, hoʻokomo ʻia kahi paipu kūikawā i kapa ʻia ʻo Intrauterine Pressure Catheter (IUPC) i loko o ka ʻōpū. Hoʻopili ʻia kēia paipu i kekahi mau mea hana. Ana kekahi i ka puʻuwai o ka pēpē, ana kekahi i nā ʻūmiʻi o ka ʻōpū, a hoʻokomo ke kolu i ka wai saline.
Hoʻokomo mālie ʻia kahi wai saline mahana o ka lumi i loko o ka ʻōpū no 10 a 30 mau minuke. I loko o kēia manawa, e nānā pono nā kauka a me nā kahu maʻi iā ʻoe a me kāu pēpē. Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole a ʻeha paha ma hope o ka mālama ʻana, he mea maʻamau ia.
He aha nā pōmaikaʻi o ka mālama ʻana i ka amnioinfusion?
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 loaʻa ʻana o ka ʻoki caesarean (C-section).
- Hoʻemi ʻia ka pono no nā mea hana e like me ka forceps a i ʻole ka vacuum.
- Hoʻomaikaʻi i ke kahe ʻana o ke koko a me ka oxygen i ka pēpē ma o ke kaula umbilical.
- Kōkua i ka hoʻopaneʻe iki ʻana i ka hānau ʻana e pale aku i nā pilikia mai ka hānau mua ʻana.
- Hoʻemi i ka nui o ka wai amniotic i hoʻopaʻa ʻia me ka meconium.
- Kiʻekiʻe nā helu Apgar o ke pēpē - kahi ana o ke olakino o ke pēpē ma hope o ka hānau ʻana.
- Hoʻemi ʻia ka pilikia o ka postpartum endometritis, hiki ke hana ma muli o ka nele o ka wai amniotic.
Aia kekahi mau pilikia a i ʻole nā pilikia me kēia?
Ma keʻano holoʻokoʻa, he hana palekana a maikaʻi hoʻi ka amnioinfusion. Eia nō naʻe, e like me nā hana lapaʻau āpau, aia kekahi mau pilikia. He mea kākaʻikahi loa kēia.
| Pōpilikia / Pilikia | Wehewehena |
|---|---|
| ʻO ke kōrioamnionitis | Ka maʻi o ka placenta a me ka wai amniotic. |
| Ka emi ʻana o ke kaula umbilical | Ke iho nei ke kaula umbilical ma o ka cervix. He pilikia kēia. |
| Nā Polyhydramnios | Ka hoʻonui ʻia o ka nui o ka wai amniotic i loko o ka ʻōpū. |
| Ka nui o ka puʻupuʻu o ka ʻōpū | Hoʻonui ʻia ka ʻōpū ma muli o ka nui o ka wai. |
| Ka puka ʻana o ka ʻōpū | ʻAʻole pinepine loa, hōʻino ʻia ka paia o ka ʻōpū ma muli o ke catheter. |
E hoʻomaopopo kāu kauka iā ʻoe i kēia mau pilikia a pau a nānā pono iā ʻoe i ka wā a ma hope o ka mālama ʻana.
Leka Lawe-Home
- ʻO ka amnioinfusion kahi lāʻau lapaʻau e hoʻopiha hou i ka pae wai amniotic i ka wā a ma mua paha o ka hānau ʻana ma ke kaomi ʻana i kahi wai e like me ka saline i loko o ka ʻōpū.
- ʻO nā pahuhopu nui o kēia, ʻo ia ke pale ʻana i ke kaomi ʻana o ke kaula umbilical, hoʻihoʻi i ka puʻuwai o ka pēpē, a hōʻoia i ka lako o ka oxygen i ka pēpē.
- ʻOiai he hana palekana kēia ma ke ʻano laulā, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia.
- Inā manaʻo ʻoe e kahe ana ka wai mai kou ʻōpū i ka wā hāpai, e ʻike koke i kāu kauka e ʻike inā he kahe ʻana o ka wai.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau a i ʻole kou pae calcium serum, mai kānalua e kamaʻilio me kāu kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
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