E aʻo kākou e pili ana i ka hoʻokolohua Biophysical Profile (BPP) e nānā ai i ke olakino o ka pēpē.

I nā pule hope loa o kou hāpai ʻana, ua haʻi aku anei kāu kauka iā ʻoe e hana i kahi hoʻokolohua i kapa ʻia ʻo 'Biophysical Profile'? Ua makaʻu iki paha ʻoe i kāna haʻi ʻana iā ʻoe i kēlā, ʻeā? 'Aia kekahi mea hewa me kaʻu pēpē?' Akā, mai makaʻu iki. He hoʻokolohua maʻamau kēia e hōʻoia ai e maikaʻi ana ka pēpē i loko o ka ʻōpū. Ua like ia me kahi 'kāleka hōʻike' i hāʻawi ʻia iā mākou ma ke kula, a hāʻawi ia i ke kauka i kahi 'hōʻike' no ke olakino o ka pēpē. E kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Biophysical Profile (BPP)?

I ka ʻōlelo maʻalahi, ʻo ka Biophysical Profile (BPP) kahi hoʻāʻo e nānā i ke olakino o kāu pēpē i hānau ʻole ʻia. Hana pinepine ʻia ma hope o 32 mau pule o ka hāpai ʻana. Paipai nā kauka i kēia hoʻāʻo, ʻoiai inā he pilikia nui kou hāpai ʻana a i ʻole inā he mau ʻano ʻē i kahi hoʻāʻo ma mua.

He hoʻāʻo palekana a ʻeha ʻole kēia. Hoʻohana nui ia i kahi 'ultrasound scan'. Nānā kēia scan i ʻehā mau ʻano o ka hana a ka pēpē a hāʻawi iā lākou i kahi helu. I kekahi manawa, ma waho aʻe o kēia, hana ʻia kekahi hoʻāʻo liʻiliʻi. E kamaʻilio mākou e pili ana i kēlā ma hope.

He aha ke ʻano o kēia hoʻokolohua e nānā ai?

Ke nānā nei kahi hoʻāʻo BPP i 5 mau ʻāpana nui. Nānā ʻia nā ʻehā mua me kahi scan ultrasound. Hana ʻia ka mea hope inā pono wale nō.

I kekahi manawa, hana paha ke kauka i kahi 'modified biophysical profile' ma kahi o ka BPP piha. Pili wale kēia i ka 'Nonstress Test (NST)' i ʻōlelo ʻia ma luna a me ke ana ʻana i ka nui o ka wai ('amniotic fluid') e hoʻopuni ana i ka pēpē.

No ke aha ʻoe e noi ʻia nei e hana i kahi BPP?

ʻAʻole hana pinepine ʻia kēia hoʻāʻo no nā kānaka āpau. Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo inā pilikia kou hāpai ʻana, a inā ʻaʻole ʻoe i hānau i kahi pēpē ma mua o 40 mau pule. ʻOi aku ka nui o kou loaʻa ʻana o kahi BPP inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau kūlana:

• Inā loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe (Hypertension) a i ʻole lupus (Lupus).
• Inā manaʻo ʻoe ua emi iho ka neʻe ʻana o kāu pēpē (nā neʻe ʻana o ka fetal).
• Inā ua make ke pēpē i ka hāpai ʻana ma mua (hānau make ma mua).
• Inā ʻoe e kali ana i nā māhoe a i ʻole nā ​​​​​​mākolu (mau keiki).
• Inā ua loaʻa iā ʻoe ke koko kiʻekiʻe (preeclampsia) i ka wā hāpai.
• Inā he kānalua ua emi ka ulu ʻana o ka pēpē ma lalo o ka maʻamau, ua kapa ʻia ia he "Intrauterine growth restriction".
• Inā loaʻa iā ʻoe ka maʻi diabetes ma mua o kou hāpai ʻana, a inā paha ua loaʻa iā ʻoe ka maʻi diabetes i ka wā hāpai (gestational diabetes).
• Inā haʻahaʻa loa a kiʻekiʻe loa paha ka nui o ka wai amniotic a puni ka pēpē.
• Inā he Rh maikaʻi ʻole kou ʻano koko.
• Inā ʻoe ma luna o 35 mau makahiki i ka wā e loaʻa ai kāu pēpē.
• Inā ʻo kou helu nui o ke kino (BMI) he 30 a ʻoi aku paha (momona).

Pehea e hana ai i ka hoʻāʻo BPP?

ʻO ka maʻamau, ma kahi o 30 a 40 mau minuke ka lōʻihi o kēia hoʻāʻo. He ʻelua ona ʻāpana nui.

1. Hoʻokolokolo Ultrasound

Ua like kēia me kāu scan maʻamau. Moe ʻoe ma luna o kahi moe, hoʻopili ʻia kahi gel i kou ʻōpū, a hoʻoneʻe ʻia kahi mea i kapa ʻia he transducer ma luna o kou ʻōpū. A laila hiki i ke kauka ke ʻike i ke kiʻi o ka pēpē ma kahi monitor. I loko o kēia manawa, ana ʻia nā neʻe ʻana o ka pēpē, ka hanu ʻana, ka hana ʻiʻo, a me ka pae wai.

2. Hoʻāʻo ʻole i ke kaumaha (NST)

Hana ʻia kēia inā pono wale nō. Ma kēia, e hoʻomoe ʻia ʻoe ma luna o kahi moe a e nakinaki ʻia ke kāʻei a puni kou ʻōpū. E ana kahi mea ʻike ma ke kāʻei i ka puʻuwai o ka pēpē. E hala ana kēia ma kahi o 20 mau minuke.

I kekahi manawa ʻaʻole paha kēia e hana no ka mea e hiamoe ana ka pēpē. I ia mau hihia, hiki i ke kauka ke hoʻohana i kahi mea e like me ka buzzer e hoʻāla i ka pēpē.

ʻŌnaehana Helu no ka Hoʻāʻo

ʻO nā mea ʻehā i ʻike ʻia ma ke kiʻi ultrasound ua helu ʻia he 0 a i ʻole 2. ʻAʻohe helu o 1. ʻO ia hoʻi, inā maikaʻi ka hana pili, ʻo ka helu he 2, a i ʻole 0.

Hiki i kēia scan ke hāʻawi i ka helu kiʻekiʻe loa o 8. Inā hana ʻia ka NST a maikaʻi, hoʻohui ʻia he 2 mau helu hou aʻe iā ia. A laila ʻo ka huina helu he 10.

He aha ka ʻōlelo a nā hōʻailona?

Loaʻa pinepine nā hopena o ka hoʻāʻo i ka lā hoʻokahi. E hoʻoholo ke kauka i ke kūlana o ka pēpē ma muli o kēlā mau helu.

• Helu 8 a i ʻole 10: ʻO ke ʻano kēia ua maikaʻi loa ke olakino o ka pēpē . ʻAʻohe mea e hopohopo ai.
• 6 mau helu: ʻO ke ʻano kēia he kānalua iki. ʻAʻohe mea e hopohopo ai, akā e hoʻoholo ke kauka e nānā hou aku i ka pēpē. E noi paha ʻo ia iā ʻoe e hana hou i ka hoʻāʻo like i loko o 12-24 mau hola. A i ʻole e noʻonoʻo paha ʻo ia e hānau koke i ka pēpē.
• Helu 4 a emi mai paha: He kūlana kēia e pono ai ke hopohopo . Ke ʻike nei paha ka pēpē i kekahi ʻeha i loko o ka ʻōpū. I kēia manawa, e hoʻoholo pinepine ke kauka e hānau mua i ka pēpē.

He aha nā pōmaikaʻi a me nā pōʻino o kēia hoʻokolohua?

Nā Pōmaikaʻi

ʻO ka pōmaikaʻi nui o kēia, ʻaʻohe mea ʻino a pilikia paha iā ʻoe a i ʻole ke pēpē . He hoʻāʻo palekana loa kēia.

Nā hemahema

• Inā hana ʻia kēia hoʻāʻo ma mua o 32 mau pule o ka hāpai ʻana, ʻaʻole paha e pololei loa nā hopena.
• Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā corticosteroids, hiki ke hoʻopilikia i nā hopena. (No ka laʻana, hiki ke hoʻonui ʻia ka neʻe ʻana o ka hanu o ka pēpē a hiki ke hoʻemi ʻia ka neʻe ʻana o ke kino.)
• I kekahi manawa, inā ʻaʻole hiki iā ʻoe ke hoʻoholo koke, pono ʻoe e hana hou i ka hoʻāʻo.

He mea maʻamau ke hopohopo iki a hopohopo paha e pili ana i nā hoʻokolohua i ka wā hāpai. Akā e hoʻomanaʻo, he hoʻokolohua ka BPP i hana ʻia e hōʻoia i ka palekana o ʻoe a me kāu pēpē. ʻO ka hapa nui o ka manawa, he akahele wale nō ia. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka.