I kēlā me kēia manawa āu e hele ai no kahi scan e ʻike i kāu pēpē i ka wā hāpai, manaʻo ʻoe i ka pīhoihoi a me ka hoihoi iki, ʻeā? Me ke kamaʻilio ʻana e pili ana i ka puʻuwai o ka pēpē a me kona ulu ʻana, ʻo kekahi mea a ke kauka e kamaʻilio ai ʻo ia ka 'nui o ka wai a puni ka pēpē' ( wai amniotic ). I kekahi manawa ʻōlelo lākou 'ua emi iki ka wai', a i kekahi manawa ʻōlelo lākou 'ua ʻoi aku ka nui o ka wai'. He aha kēia wai a puni ka pēpē? Ke hoʻopilikia nei anei kona hoʻonui ʻana a i ʻole ka emi ʻana iā ʻoe a i ʻole i ka pēpē? E kamaʻilio kākou e hoʻomaopopo i kāu mau nīnau a pau e pili ana i kēia.
He aha ka Wai Amniotic? No ke aha he mea nui?
I ka ʻōlelo maʻalahi, he wai kūikawā kēia e hoʻopuni ana i kāu pēpē i loko o kou ʻōpū. Ua like ia me kahi uluna pale no kāu pēpē. ʻO kēia wai ka mea e hiki ai i kāu pēpē ke neʻe a lana a puni i loko o kou ʻōpū. Eia kekahi, he mea nui kēia wai amniotic no ka ulu olakino o kāu pēpē.
E noʻonoʻo i ka lawelawe a kēia wai e hāʻawi ai i ka pēpē.
- Hoʻomalu : Hana ia e like me ka uluna e pale ai i ke pēpē mai nā haʻalulu a me nā hopena o waho.
- Kōkua i ka ulu ʻana: He mea nui kēia wai no ka ulu kūpono ʻana o nā māmā o ka pēpē, ka ʻōnaehana hoʻoheheʻe, a me nā ʻiʻo . Moni ke pēpē i kēia wai, ka mea e hoʻomaʻamaʻa ai i kāna ʻōnaehana hoʻoheheʻe.
- Ka mālama ʻana i ka mahana: Kōkua i ka mālama ʻana i ka mahana mau no ka pēpē.
- Ke hoʻolako ʻana i kahi ākea: ʻO ka ʻae ʻana i ka pēpē e neʻe manuahi e kōkua i ka ulu pono ʻana o nā lālā.
E nānā kāu kauka i ka nui o kēia wai i kēlā me kēia scan, no ka mea hiki iā ia ke haʻi iā ʻoe i nā mea he nui e pili ana i ke olakino o ka pēpē a me ka placenta. Inā haʻahaʻa loa kēia pae wai a kiʻekiʻe paha, aia paha kahi pilikia o nā pilikia, e like me ka hānau mua ʻana .
Pehea ʻoe e ana ai i kēia nui o ka wai?
ʻAʻole kēia he hoʻāʻo kūikawā nāu. Na ke kauka a loea paha e ana i kēia nui o ka wai i ka wā o kāu scan ultrasound maʻamau. ʻAʻohe pilikia iā ʻoe a i ʻole kāu pēpē.
ʻElua mau ʻano nui i hoʻohana ʻia no kēia.
1. Amniotic Fluid Index (AFI): Pili kēia i ka hoʻokaʻawale ʻana i kou ʻōpū i ʻehā ʻāpana, e ana ana i ke kiʻekiʻe o ka ʻeke wai hohonu loa i kēlā me kēia ʻāpana, a e hoʻohui pū i nā ʻehā. ʻO ka waiwai hopena i kapa ʻia ʻo ka waiwai AFI.
2. Ke Ana ʻana o ka ʻEke Hohonu: Ma kēia ʻano hana, ʻo ka hakahaka piha wai nui loa a hohonu loa i loko o ka ʻōpū wale nō ke ana ʻia.
E hoʻohana kāu hōʻike scan i kekahi o kēia mau ʻano ʻelua e hōʻike i ka pae o ka wai amniotic. I ka hāpai māhoe, nānā pinepine ʻia kēia pae.
E hoʻomaopopo kākou i ka mea a ka hōʻike hoʻāʻo e ʻōlelo nei.
Mai hopohopo inā ʻōlelo ka hōʻike scan "wai haʻahaʻa" a i ʻole "wai kiʻekiʻe." E nānā kākou i kāna mea e ʻōlelo ai a me ka mea e hana ai ma hope. E wehewehe wau i kēia ma kahi papa no ʻoe e hoʻomaopopo maʻalahi.
| Kūlana | He aha ke ʻano o kēia? | He aha ka hana a ke kauka? |
|---|---|---|
| Ka pae wai haʻahaʻa (Oligohydramnios) | Hiki ke lilo i mea pilikia iki kēia i nā wā mua o ka hāpai ʻana. Hiki iā ia ke lilo i hōʻailona e ulu mālie ana ka pēpē. Inā hana kēia i nā wā hope o ka hāpai ʻana, hiki nō hoʻi ke lilo i hōʻailona o ka hāʻule ʻana o ka placental . | E nānā pono aku kāu kauka iā ʻoe a me kāu pēpē . Hiki iā ia ke paipai i nā scan pinepine a nānā i ka helu o ka puʻuwai o kāu pēpē (CTG). |
| Hoʻonui ʻia ka pae wai (Polyhydramnios) | I ka hapa nui o ka manawa, ʻaʻole kēia he pilikia nui. Eia nō naʻe, hiki i ka wai keu ke hoʻonui iki i ka pilikia o ka hānau mua ʻana a i ʻole kekahi mau pilikia ulu ʻana o ka pēpē. | E nānā pono ʻia ʻoe a me kāu pēpē i kēia manawa. E noi ʻia ʻoe e hana i nā scan maʻamau. He mea kākaʻikahi loa, inā kiʻekiʻe loa ka wai, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau a i ʻole ke kaʻina hana e wehe ai i ka wai keu . |
ʻO ka mea nui, ma kēia mau kūlana ʻelua, ʻaʻole ia he manaʻo he pilikia me ʻoe a i ʻole ke pēpē. ʻO ia wale nō, "E akahele iki kāua, e nānā pinepine kāua."
ʻOi loa aku no nā makuahine me nā māhoe
Inā ʻoe e hāpai ana i nā māhoe, he mea maʻamau ke ana ʻana i kēia pae wai. Eia nō naʻe, ʻaʻole paha e pololei nā hopena e like me nā mea no ka singleton. ʻO kēia no ka mea he ʻoi aku ka paʻakikī o ke ana ʻana ke loaʻa iā ʻoe ʻelua mau pēpē. No laila, e hoʻohālikelike kāu kauka i kēia ʻike me nā hoʻokolohua ʻē aʻe e hoʻoholo ai.
No wai kēia hoʻāʻo? ʻEhia pinepine e hana ʻia ai?
He ʻāpana kēia o kēlā me kēia scan i hana ʻia no kēlā me kēia makuahine i ka wā hāpai . ʻO ia hoʻi, ʻaʻole ia he hoʻokolohua āu e noi ai ma ke kaʻawale.
Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau pilikia i ka wā hāpai, no ka laʻana:
- Ke koko kiʻekiʻe
- Maʻi diabetes (Diabetes Mellitus)
- Ka lohi o ka ulu ʻana o ka pēpē
- Ke hala nei i ka lā palena
I ia mau hihia, e noi paha kāu kauka iā ʻoe e nānā i kēia pae wai i kēlā me kēia pule a ʻoi aku paha pinepine. Ana ʻia nō hoʻi ia i ka wā o kahi scan kūikawā i kapa ʻia ʻo 'Biophysical Profile' e loiloi ana i ke olakino o ka pēpē.
Leka Lawe-Home
- He mea nui ka wai amniotic no ka palekana a me ke olakino o ke pēpē.
- ʻO ke ana ʻana i ka nui o kēia wai he hana palekana ia e hana ʻia i kēlā me kēia scan maʻamau āu e hana ai, a ʻaʻole ia e hōʻeha iā ʻoe a i kāu pēpē paha.
- Mai hopohopo inā ʻōlelo kāu hōʻike scan "wai haʻahaʻa" a "wai kiʻekiʻe." ʻO ka hapa nui o ka manawa, ʻo ia hoʻi ke nānā pono nei kāu kauka iā ʻoe a me kāu pēpē.
- ʻO ka mea nui loa: Mai huikau ma ka ʻimi ʻana i ka pūnaewele a i ʻole ka lohe ʻana i ka ʻōlelo a ka poʻe ma hope o ka ʻike ʻana i kāu hōʻike scan. E nīnau i kāu kauka no nā nīnau a kānalua paha āu e pili ana i kāu hōʻike. ʻO ia ka mea i ʻike maikaʻi loa iā ʻoe a me ke kūlana o kāu pēpē.
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