Inā he makuahine hāpai ʻoe, pehea ka weliweli o ka ʻike ʻana i kahi kiko koko liʻiliʻi ma kou mau lole? He mea kaumaha maoli nō ia. I ka hapa nui o ka manawa, he mea maʻamau ka kahe koko liʻiliʻi o ka ʻōpū i ka wā hāpai, ʻoi aku hoʻi i nā mahina mua. Akā i kekahi manawa hiki ke lilo i hōʻailona o kahi mea koʻikoʻi. No laila, ʻoi aku ka maikaʻi o ka makaʻala i nā kumu hiki a kamaʻilio me kāu kauka e hōʻoia i ke olakino o ʻoe a me kāu pēpē.
Ke kahe koko i loko o nā mahina 3 mua (ka trimester mua)
Ma kahi o hoʻokahi o nā wahine ʻehā (25%) e ʻike i kekahi kahe koko i nā pule 12 mua o ka hāpai ʻana. I ka hapanui o nā hihia, ʻaʻohe mea e hopohopo ai. ʻO ka hapa nui o nā makuahine e ʻike nei i kēia kahe koko e hānau i nā pēpē olakino me ka ʻole o nā pilikia.
ʻO ka liʻiliʻi o ke kahe koko, a i ʻole ka mea a mākou e kapa nei he 'spotting', ʻaʻole ia he mea nui. Akā inā nui kou kahe koko e hoʻomaʻū i kou panty liner a i ʻole pad, ʻaʻole ia he mea maʻamau. Inā ʻike ʻoe i kekahi kahe koko i ka trimester mua, e kāhea koke i kāu kauka. Hiki iā ia ke ʻike i ke kumu a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pale aku iā ʻoe a me kāu pēpē.
ʻAe, e nānā kākou i nā kumu nui o ke kahe ʻana o ke koko i kēia manawa.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ke kahe koko ʻana o ke komo ʻana | Ke hoʻokomo ka hua i hoʻoulu ʻia (embryo) iā ia iho i loko o ka paia o ka ʻōpū, ʻo ia hoʻi ma kahi o 6-12 mau lā ma hope o ka hāpai ʻana, hiki iā ʻoe ke ʻike i kekahi kahe koko. Kuhihewa kekahi poʻe i kēia no ka wā maʻamau. Hiki ke māmā loa kēia, e mau ana mai kekahi mau hola a i kekahi mau lā. |
| Ka hāʻule ʻana o ka hāpai keiki | ʻO ka hapa nui o nā hāʻule ʻana o ka pēpē e hana ʻia i loko o nā pule 12 mua, no laila ʻo ia ka makaʻu nui loa a nā kānaka a pau ke kahe ke koko i loko o kēia manawa. Akā, ʻaʻole i nā manawa a pau e kahe ai ke koko, he hāʻule ʻana ia. Inā hōʻoia ka ultrasound he puʻuwai ko ka pēpē, haʻahaʻa ka pilikia o ka hāʻule ʻana o ka pēpē. ʻO ka ʻeha nui ma ka ʻōpū haʻahaʻa a me ka kahe ʻana mai ka vagina e like me ka clot he mau hōʻailona nō hoʻi ia o ka hāʻule ʻana o ka pēpē. |
| Ka hāpai ʻana o ka ectopic | ʻO kēia ka manawa e hoʻokomo ʻia ai ka embryo ma waho o ka ʻōpū, maʻamau i loko o kahi ʻōmole fallopian. Inā hoʻomau ka ulu ʻana o ka embryo ma laila, hiki i ka ʻōmole ke haki a hoʻoweliweli i ke ola o ka makuahine. ʻOiai he mea weliweli iki kēia, he mea kakaikahi loa ia e hana ʻia, ma kahi o 2 i loko o 100 mau hāpai ʻana. ʻO nā hōʻailona e komo pū me ka ʻeha nui ma ka ʻōpū haʻahaʻa a me ka mae ʻana. |
| Hāpai molar | He maʻi laha ʻole nō hoʻi kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ma kahi o kahi pēpē, ulu nā ʻiʻo ʻē i loko o ka ʻōpū. ʻO nā hōʻailona e komo pū me ka nausea nui a me ka luaʻi ʻana, a me ka ʻōpū e ulu wikiwiki ana. He mea laha ʻole, hiki i kēia ʻiʻo ke lilo i maʻi ʻaʻai. |
| Nā kumu ʻē aʻe | - Nā loli o ka ʻōpū: I ka wā hāpai, ʻoi aku ke kahe o ke koko o ka ʻōpū. Hiki iā ʻoe ke ʻike i kekahi kahe koko ma hope o ka moekolohe a i ʻole kahi hoʻāʻo Pap. ʻAʻohe mea e hopohopo ai kēia. - Nā maʻi: Hiki ke hoʻoulu ʻia ke kahe koko e nā maʻi o ka cervix, vagina, a i ʻole nā maʻi i laha ma ke ʻano moekolohe (e like me ka chlamydia a me ka gonorrhea). Pono kēia i ka mālama lapaʻau. |
Ke kahe koko ʻana i ka wā o ka lua a me ke kolu o ka trimesters (mahina 4 a 9)
ʻO ke kahe koko ʻana i ka wā hāpai hope he mea ia e noʻonoʻo pono ai, no ka mea, he hōʻailona paha ia he hewa kekahi mea iā ʻoe a i ʻole kāu pēpē. No laila, inā ʻike ʻoe i kekahi kahe koko i loko o kēia manawa, e kamaʻilio koke me kāu kauka.
Mai poina, ʻo kekahi kahe koko i ka wā hāpai hope e pono e hōʻike koke ʻia i ke kauka.
Eia kekahi mau kumu e hiki ai ke kahe ke koko i kēia manawa.
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻO ka placenta previa | ʻO kēia ka manawa e waiho ai ka placenta ma lalo o ka ʻōpū, e ālai hapa ana a piha paha i ke kahawai hānau. Loaʻa kēia ʻano ma kahi o 1 i loko o 200 mau wahine hāpai. Inā ʻoe e kahe ana ke koko me ka ʻeha ʻole, he pilikia ia. Pono koke ke kōkua lapaʻau. |
| Ka hoʻopau ʻana o ka placenta | ʻO kēia ka manawa e kaʻawale ai ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē. Hana ʻia kēia ma kahi o 1 i loko o 100 mau hāpai ʻana. He mea weliweli loa ia no ka makuahine a me ke pēpē. ʻO nā hōʻailona e komo pū me ka ʻeha o ka ʻōpū , ke kahe ʻana o ke koko ma ka ʻōpū, a me ka ʻeha o ke kua. |
| Ka haki ʻana o ka ʻōpū | Inā ua loaʻa iā ʻoe kahi ʻoki cesarean ma mua (C-section), hiki i ka ʻōpala mai kēlā ʻoki ʻana ke haehae i ka wā hāpai. He kūlana kakaikahi loa kēia akā he mea hoʻoweliweli i ke ola. Pono koke paha kahi ʻoki cesarean ulia pōpilikia. ʻO nā hōʻailona e komo pū me ka ʻeha nui o ka ʻōpū a me ka ʻūmiʻi. |
| Ka hānau mua ʻana | I kekahi manawa, hiki i ke kahe ʻana o ke koko ke hōʻailona e hoʻomākaukau ana kou kino no ka hānau ʻana. I kekahi mau lā ma mua o ka hānau ʻana, e puka mai ka plug mucus e uhi ana i kou cervix me kahi koko liʻiliʻi. Ua kapa ʻia hoʻi kēia he "bloody show." Akā inā hana kēia ma mua o 37 mau pule, he hōʻailona paha ia o ka hānau mua ʻana. E kelepona koke i kāu kauka . |
He aha kāu e hana ai inā e kahe ana ke koko?
ʻOiai ʻo ke kahe ʻana o ke koko i kēlā me kēia manawa i ka wā hāpai he hōʻailona ia o kahi pilikia, ʻo ka mea mua e hana ai, ʻo ke kamaʻilio ʻana me kāu kauka.
Eia kekahi, e hana i kēia mau mea:
- E ʻaʻahu i kahi pale: E kōkua kēia iā ʻoe e nānā i ka nui o kou kahe ʻana o ke koko.
- E nānā i ke kala o ke koko: he poni, he ʻeleʻele, a he ʻulaʻula paha? Aia kekahi mau ʻōpū koko? He mea nui e haʻi i kāu kauka e pili ana i kēia mau mea.
- Inā puka mai kekahi mea e like me ka ʻiʻo pūpū: e lawe a hāʻawi i ke kauka e nānā.
- Mai hana i kēia mau mea:Mai hoʻohana i nā tampons a moe kolohe paha i ka wā e kahe ana ke koko.
Hiki i kāu kauka ke aʻo aku iā ʻoe e loaʻa ka nui o ka hoʻomaha, pale i ka hoʻoikaika kino a me ka huakaʻi, a hiki paha ke ʻōlelo aku i kahi ultrasound e hoʻoholo ai i ke kumu pololei o ke kahe ʻana o ke koko.
Āhea ʻoe e hele koke ai i ka Emergency Treatment Unit (ETU) o ka haukapila?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, hiki ke lilo i hōʻailona o ka hāʻule ʻana o ka hāpai keiki a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. No laila e hele i ka ʻOihana Pilikia o ka haukapila (ETU) a kāhea koke aku i kahi ambulance .
| Nā hōʻailona pilikia - e makaʻala koke! | |
|---|---|
| 🔴 ʻEha nui a i ʻole nā ʻūmiʻi nui ma ka ʻōpū lalo | |
| 🔴 Ke kahe koko nui me ka ʻeha a i ʻole me ka ʻole o ka ʻeha (lawa e hoʻololi i ka pad i kēlā me kēia ʻelua hola) | |
| 🔴 Ka hoʻokuʻu ʻana o ka ʻiʻo e like me ka ʻōpū | |
| 🔴 Ka nalowale ʻana o ka ʻike a i ʻole ka nalowale ʻana o ka ʻike | |
| 🔴 Kuni ma luna o 100.4 F (38 C) a/a i ʻole ke anu | |
Leka Lawe-Home
- ʻAʻole he hōʻailona mau ke kahe koko i ka wā hāpai i kahi pilikia koʻikoʻi. He mea maʻamau ka ʻike iki ʻana i nā kiko, ʻoiai i nā wā mua.
- Akā inā ʻike ʻoe i ke kahe ʻana o ke koko no kekahi kumu, e hoʻomaopopo pono i kāu kauka. ʻO ia ka mea palekana loa e hana ai.
- Hiki i ke kahe koko nui, ʻoiai i ka wā hāpai hope loa, ke lilo i mea koʻikoʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka ʻōpū ma lalo, ke kahe koko nui, a i ʻole ka nāwaliwali, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- E hahai pono i nā ʻōlelo a kāu kauka. E pale aku kēia iā ʻoe a me kāu pēpē.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 ʻO ka cervix ke ʻano hea o ke kino o ka wahine?
ʻO ka 'Cervix' ka ʻāpana haʻahaʻa loa o ka ʻōpū o ka wahine. ʻO kēia ka ʻōmole haiki e hoʻopili ai i ka ʻōpū a me ka vagina. ʻO ka maʻamau, ʻo ia kahi e kahe ai ke koko o ka menstrual, a i ka wā hāpai, he kuleana nui ka cervix i ka mālama ʻana i ka pēpē i loko o ka ʻōpū. I ka wā hānau keiki, hoʻonui ʻia ia ma kahi o 10 kenimika e hiki ai i ke pēpē ke puka i waho!
💬 He aha nā maʻi weliweli loa e hiki ke hoʻopilikia i ka cervix? Pehea ʻoe i ʻike ai?
ʻO ka pōʻino nui loa a weliweli loa no nā wahine ʻo ia ka 'Cervical Cancer'! ʻO 99% kēia i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo 'HPV' (hoʻoili ʻia ma ke ʻano moekolohe). ʻO ka mea ʻino loa e pili ana i kēia maʻi kanesa, ʻaʻole ia e hōʻike i nā hōʻailona i nā pae mua. No laila, pono i kēlā me kēia wahine ma luna o 21 mau makahiki ke loaʻa i kahi hoʻāʻo 'Pap Smear' i kēlā me kēia 3/5 mau makahiki a loaʻa nā hopena mua no ka maʻi kanesa cervical!
💬 Inā puka mai ke kahe koko mai ka cervix i ka wā hāpai, he hōʻailona anei ia o ka hāʻule ʻana o ka hāpai keiki?
He mea maʻamau ka ʻike ʻana i nā kiko i nā mahina 3 mua. Akā ʻo ka pōʻino nui loa! Inā loaʻa iā ʻoe ke kahe koko nui o ka ʻōpū, nā ʻūpā koko, a i ʻole ka ʻeha ʻōpū lalo hiki ʻole ke hoʻomanawanui, ʻo ia hoʻi ua wehe ʻia ka cervix a kokoke e hāʻule ka pēpē a kokoke paha e pahū kahi hāpai ectopic! Pono ʻoe e lawe koke ʻia i ka haukapila!
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