He makuahine hānau anei ʻoe? A laila, he nui kou mau manaʻolana no kāu keiki liʻiliʻi i loko o kou ʻōpū. ʻAʻole paha ʻoe i ʻike i nā mea kupaianaha e hana nei i loko o kou kino i kēia manawa. I kēia lā, e kamaʻilio mākou e pili ana i kahi mea i ʻōlelo ʻole ʻia e ka poʻe he nui, akā he mea nui ia no ka palekana a me ka ulu ʻana o ka pēpē. ʻO ia ka ʻeke wai e hoʻopuni ana i ka pēpē, i ʻike ʻia ma ke ʻano lapaʻau he wai amniotic.
I ka ʻōlelo maʻalahi, he aha ka wai amniotic?
E noʻonoʻo ʻoe aia kāu pēpē i loko o kahi pehu pale i piha i ka wai. Ua kapa ʻia kēlā pehu ʻo ka ʻeke amniotic. ʻO ka wai e like me ka wai i loko ua kapa ʻia ʻo ia he wai amniotic. He mea nui loa kēia wai no ka ulu ʻana o ka pēpē. Hana pū ia ma ke ʻano he pale e pale ai i ka pēpē mai nā pōʻino a pau i loko o ka ʻōpū.
ʻAʻole wale kēia wai he wai. Loaʻa iā ia nā mea nui he nui, e like me nā meaʻai, nā hormones, a me nā antibodies e kōkua i ka pale ʻana i ka pēpē mai nā germs. ʻO ka mea kupaianaha, moni ka pēpē i kēia wai, a lawe pū ia i loko o nā māmā i kona hanu ʻana. A laila hoʻokuʻu ʻia i waho ma ke ʻano he mimi. He mea kupanaha paha kēia, akā he mea nui kēia kaʻina hana no ka ulu pono ʻana o nā ʻōpū e like me nā māmā o ka pēpē a me ka ʻōnaehana hoʻoheheʻe.
I ka pololei, ua like kēia wai amniotic me ka home palekana mua o ka pēpē.
No ke aha he mea nui kēia wai?
ʻAʻole ia he mea liʻiliʻi ka lawelawe a kēia wai amniotic i ka pēpē. E nānā kākou i nā pono āna e hāʻawi ai i ka pēpē. I mea e maʻalahi ai ke hoʻomaopopo ʻana i kēia, e hōʻike wau iā ia ma kahi papa e like me kēia.
| Hana nui (Hana) | He wehewehe maʻalahi |
|---|---|
| Palekana | Ua like ia me kahi mea hoʻopau haʻalulu i loko o ke kaʻa. Kōkua kēia wai i ka pale ʻana i ka pēpē mai ka manaʻo ʻana i ka haʻalulu ke hele ʻoe, kūlou i lalo, a i ʻole e kuʻi hewa i kou ʻōpū. |
| Ka Mana ʻana i ka Maʻi | Mālama nā antibodies i loko o kēia wai i ka pēpē mai nā germs e hele mai ana mai waho. |
| Kōkua i ka Hoʻomohala ʻana o nā ʻŌkana | I ka moni ʻana o ka pēpē i kēia wai, e ulu maikaʻi ana kāna ʻōnaehana hoʻoheheʻe, a i kona hanu ʻana i loko o kona mau māmā, e ulu maikaʻi ana kāna ʻōnaehana hanu. Eia kekahi, i ka neʻe ʻana o ka pēpē i kona mau lālā me he mea lā e ʻauʻau ana i loko o kēia wai, e ikaika ana kona mau ʻiʻo a me nā iwi. |
| Ka Palekana o ke Kaula Umbilical | ʻO ke kaula umbilical ke kaula ola e lawe ana i ka oxygen a me nā meaʻai i ka pēpē. Me ka ʻole o kēia wai, hiki i ke kaula umbilical ke hoʻopaʻa ʻia i ke kino o ka pēpē a i ʻole ka uterus, e hōʻemi ana i ka lako o ka pēpē. ʻAe kēia wai i ke kaula umbilical e lana manuahi. |
| Ka Mana Mahana | Kōkua kēia wai i ka mālama ʻana i ka mahana i makemake ʻia o ka pēpē i nā manawa a pau. |
Pehea i hoʻokumu ʻia ai kēia wai?
No nā pule 20 mua o ka hāpai ʻana, ua hana ʻia kēia wai amniotic i ka wai i loko o kou kino . Akā ma hope o 20 mau pule, loli ke kūlana. A laila loaʻa i kēia wai ka mimi o kāu pēpē . ʻAe, pololei kēlā. Moni ke pēpē i ka wai, omo iā ia mai kona kino, a laila hoʻohui hou iā ia i loko o ka ʻeke amniotic ma ke ʻano he mimi. He hiʻohiʻona maʻamau kēia o ka ulu olakino. Ma waho aʻe o kēia mimi, loaʻa pū i kēia wai nā mea e like me nā hormones a me nā meaʻai.
He aha ke kala a me ke ʻala o kēia wai?
ʻO ka maʻamau, ʻo ka wai amniotic olakino he moakāka a he melemele māmā e like me ka mauʻu maloʻo a ʻaʻohe ona ʻala .
Akā i kekahi manawa hiki i kēia wai ke ʻeleʻele a ʻōmaʻomaʻo paha. ʻO ke kumu o kēia, ʻo ia ka hele ʻana o ka pēpē i kāna ʻōpala mua i loko o ka ʻōpū. Kapa mākou ia he meconium. Inā komo kēia wai i hui ʻia me ka meconium i loko o nā māmā o ka pēpē, hiki iā ia ke hana i nā pilikia. No laila, pono ʻoe e hopohopo e pili ana i kekahi loli o ke kala o ka wai.
Eia kekahi, inā ʻala ʻino kou kahe ʻana , he hōʻailona paha ia o kahi maʻi. I kēlā hihia, pono ʻoe e hoʻomaopopo i kāu kauka.
ʻO kahi pilikia i loaʻa i nā makuahine hāpai he nui, pehea e ʻike ai inā he wai amniotic a i ʻole he mimi. He ʻala ʻokoʻa ko ka mimi. A hiki iā ʻoe ke kāohi i ke kahe ʻana o ka mimi i kekahi ʻano. Akā inā he wai amniotic e liki ana, ʻaʻole hiki iā ʻoe ke kāohi.
ʻEhia ka nui o kēia wai e pono ai?
ʻOkoʻa kēia i ka wā hāpai. ʻO ka maʻamau, piʻi kēia nui o ka wai ma kahi o 34-36 mau pule. I kēlā manawa, hiki ke loaʻa ma kahi o hoʻokahi lita (ma kahi o 4 kīʻaha). A laila, i ka wā e kokoke mai ai ka pēpē i ka hānau ʻana, ma kahi o 40 mau pule, hoʻomaka kēia nui e emi mālie.
He aha nā pilikia e hiki ke loaʻa me ka wai amniotic?
I kekahi manawa hiki ke emi a ʻoi aku paha kēia wai ma mua o ka maʻamau. Hiki nō hoʻi ke loaʻa nā maʻi. E nānā pono ana kāu kauka i kēia i kēlā me kēia nānā ʻana. E nānā kākou i nā pilikia nui.
| Inoa kūlana (Kūlana) | Manaʻo a me ka Hopena |
|---|---|
| ʻOligohydramnios | ʻO ke ʻano kēia o ka emi ʻana o ka nui o ka wai amniotic. Hiki i kēia ke lilo i mea weliweli, ʻoiai i nā mahina 6 mua o ka hāpai ʻana. Hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka pēpē, nā kīnā hānau, a i ʻole ka hānau mua ʻana. Inā emi ka wai ma hope, hiki ke loaʻa nā pilikia e like me ke kaomi ʻana o ke kaula umbilical. |
| Nā Polyhydramnios | ʻO kēia ka manawa e piʻi nui ai ka nui o ka wai amniotic. Ke hana ʻia kēia, hiki i ka makuahine ke ʻike i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o nā wāwae, a me ka paʻa ʻana o ka ʻōpū. Aia kekahi pilikia o ka hānau mua ʻana a i ʻole nā pilikia ʻē aʻe. |
| ʻO ke kōrioamnionitis | He maʻi kēia o ka wai amniotic a me ka ʻeke ma muli o kahi maʻi bacteria.Hoʻōla ʻia kēia me nā lāʻau antibiotic. Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi. |
| Ka haki mua ʻana o nā membrane | ʻO kēia ma mua o 37 mau pule, ʻo ia hoʻi ma mua o ka ulu piha ʻana o ka pēpē, i ka wā e haki ai ka wai a hoʻomaka ka wai e kahe. Ke hana ʻia kēia, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa, no ka mea, kiʻekiʻe ka pilikia o ka maʻi. |
E ke kauka, pehea ʻoe e ana ai i kēia nui o ka wai?
He nui nā ala o kāu kauka e ana ai i kēia nui o ka wai.
- ʻO ke scan Ultrasound: ʻO kēia ke ʻano pololei a maʻalahi loa. Hiki i ke scan ke ʻike pololei i ka nui o ka wai i loaʻa.
- Ke Ana ʻana o ke Kiʻekiʻe o ka Waihona: E hoʻomanaʻo paha ʻoe e ana kēlā me kēia keʻena lapaʻau i ke kiʻekiʻe o kou ʻōpū. Mai kēlā ana ʻana, hiki i ke kauka ke loaʻa kahi manaʻo maʻamau inā he maʻamau ka ulu ʻana o ka pēpē a me ka nui o ka wai.
Hiki i ka inu ʻana i ka wai nui ke hoʻonui i ka wai amniotic?
ʻAʻole i hōʻoia ʻia kēia e ka ʻepekema. Eia nō naʻe, ke aʻo aku nei kekahi mau kauka i nā makuahine i maloʻo iki e hoʻonui i kā lākou inu wai i kēlā me kēia lā. ʻO ka inu ʻana i ka wai hou aku i ka wā hāpai ʻaʻole ia e hōʻeha. Eia nō naʻe, inā manaʻo ʻoe ua haʻahaʻa kāu inu wai a inā haʻi aku kāu kauka iā ʻoe ua maloʻo ʻoe, ʻoi aku ka maikaʻi o ka hoʻolohe ʻana i kāu kauka a hahai i kāna ʻōlelo aʻo ma mua o ka hoʻoholo ʻana i kāu iho .
ʻO ka mea hope loa, ʻo ka wai amniotic kahi mea āu e noʻonoʻo nui ʻole ai. Akā he mea kupaianaha ia e pale ana i ke ola o kāu pēpē a kōkua iā ia e ulu. Inā ʻike ʻoe i ka wai e puka mai ana mai kou ʻōpū, ʻike i kahi loli i nā neʻe ʻana o kāu pēpē, a i ʻole he hopohopo e pili ana i kou hāpai ʻana, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He mea nui ka wai amniotic e pale, hānai, a kōkua i ka ulu ʻana o ka pēpē.
- ʻO ka maʻamau, he moakāka kēia wai, he melemele māmā, a ʻaʻohe ona ʻala. Inā ʻike ʻoe i kahi loli o ke kala a i ʻole ke ʻala, e haʻi koke i kāu kauka.
- Hiki i ka liʻiliʻi o ka wai (oligohydramnios) a me ka nui o ka wai (polyhydramnios) ke lilo i pilikia.
- E nānā mau ana kāu kauka i kēia pae wai ma o nā scans a me nā nānā maʻamau.
- Inā kānalua ʻoe i ke kahe ʻana o ka ʻōpū a i ʻole he mau hōʻailona ʻē aʻe ʻē aʻe, mai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka.
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