E aʻo pono kākou e pili ana i ka hoʻāʻo fFN (Fetal Fibronectin - fFN), ʻo ia hoʻi kahi hoʻāʻo no ka pilikia o ka loaʻa ʻana o kahi pēpē hānau mua.

Inā hāpai ʻoe, e noʻonoʻo paha ʻoe i kekahi manawa, 'E hānau mua ʻia anei kaʻu pēpē?' Hoʻonui nui ʻia kēia makaʻu ke manaʻo ʻoe i nā ʻehaʻeha liʻiliʻi, e like me nā ʻūpā. He mea kēia e ʻike ai nā makuahine he nui. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā e kōkua iā ʻoe e ʻike pono inā pilikia ʻoe i ka loaʻa ʻana o kahi pēpē hānau mua. Kāhea mākou i kēia ʻo ka hoʻokolohua fFN.

I ka ʻōlelo maʻalahi, he aha kēia fetal fibronectin (fFN)?

ʻAe, he mea paʻakikī paha kēia inoa, akā he mea maʻalahi loa ia. E noʻonoʻo ʻoe aia kāu pēpē i loko o kahi ʻeke piha i ka wai. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻeke amniotic. Pono e hoʻopaʻa pono ʻia kēia ʻeke i ka paia o kou uterus. ʻO kēia "gum" kūlohelohe e kōkua ana e hoʻopaʻa i kēlā hoʻopili ʻana ua kapa ʻia ʻo fetal fibronectin. He ʻano protein kēia.

He mea maʻamau no kēia protein fFN ke loaʻa i loko o ke kahe ʻana o ka wahine no nā pule 22 mua o ka hāpai ʻana. Eia kekahi, ma ka hopena o ka hāpai ʻana, ma hope o 35 mau pule, i ka wā e mākaukau ai ke pēpē e hānau ʻia, hiki ke ʻike hou ʻia kēia protein fFN i loko o ke kahe ʻana o ka wahine.

Eia nō naʻe, ma waena o 22 a me 34 mau pule , ʻaʻole pono e loaʻa kēia protein fFN i loko o ke kahe ʻana o ka vaginal. Inā loaʻa, ʻo ia hoʻi ua wehe ʻia ka "gum" a ke hoʻomaka nei ka ʻeke e loaʻa ana ka pēpē e hoʻokaʻawale mai ka paia uterine. He hōʻailona kēlā e hōʻike ana i ka pilikia o ka loaʻa ʻana o kahi pēpē hānau mua.

I nā hihia hea e hana ʻia ai kēia hoʻāʻo fFN?

ʻAʻole kēia he hoʻāʻo i hana ʻia no kēlā me kēia wahine hāpai. E paipai wale kāu kauka i kēia hoʻāʻo inā manaʻo ʻo ia he pilikia kou i ka loaʻa ʻana o kahi pēpē hānau mua. Aia ʻelua mau kumu no kēia.

1. Inā ʻoe e hōʻike nei i nā hōʻailona o ka hānau mua ʻana.

2. Inā he mau kumu ʻē aʻe kāu e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kahi pēpē hānau mua.

E nānā kākou i kēia mau manaʻo ʻelua ma ke kaʻawale.

1. Nā hōʻailona o ka hāpai mua ʻana

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona ma mua o 37 mau pule, hiki i kāu kauka ke hoʻoholo e hana i kahi hoʻokolohua fFN.

2. Nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kahi pēpē hānau mua

I kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Akā inā loaʻa iā ʻoe nā kumu pilikia ma lalo nei, hiki i kāu kauka ke kauoha i kēia hoʻāʻo fFN.

• Ma hope o ka hānau ʻana o ke pēpē i ka wā ʻōpiopio ma ka hāpai mua ʻana.
• Ua loaʻa iā ʻoe kekahi ʻoki kino ma kou ʻōpū a i ʻole ka cervix.
• Nā kumu nohona e like me ka puhi paka i ka wā hāpai a me ke kaumaha ʻole ma mua o ka hāpai ʻana.
• ʻO ka ʻōpū puʻupuʻu: He mea kēia e hiki ke ʻike ʻia ma o ka scan.
• He pōkole loa ka manawa ma waena o nā hāpai ʻelua (e.g. emi ma mua o 6 mahina).

Pehea e hoʻomākaukau ai au ma mua o ka hoʻokolohua?

He mea nui loa kēia. No ka mea, i mea e pololei ai ka hopena o ka hoʻāʻo, pono ʻoe e hahai i kēia mau mea. E pale i kēia mau mea no 24 mau hola ma mua o ka lawe ʻana i ka hoʻāʻo.

• Mai moe kolohe.
• Mai hoʻokomo i kekahi mea i loko o ka vagina. Eia kekahi laʻana, mai hoʻohana i nā lubricants, nā kopa, nā suppositories, a i ʻole nā ​​​​douches.
• Mai hana i kahi hoʻokolokolo pelvic maʻamau a i ʻole kahi ultrasound transvaginal.
• E pale i ka hana ʻana i kekahi mea e hoʻopilikia ai i ka vagina, cervix, a i ʻole uterus ma kekahi ʻano ʻē aʻe.

Inā ʻoe e hana i kēia mau mea, hiki ke hewa ka hopena o ka hoʻāʻo. ʻO ke ʻano kēia e loaʻa paha iā ʻoe kahi hopena wahaheʻe ʻoiai inā ʻaʻole ʻoe i pilikia maoli. Eia kekahi, inā he koko koko waena a nui paha kou, ʻaʻole e hana kāu kauka i kēia hoʻāʻo. Hiki i kēia ke hoʻololi i ka hopena.

Pehea e hana ʻia ai ka hoʻāʻo fFN? He ʻeha anei?

Mai makaʻu i kēia hoʻāʻo. He maʻalahi loa ia a ʻaʻohe ʻeha. Ua like ia me ka Pap smear.

E hoʻokomo kāu kauka i kahi ʻūpā pulupulu lōʻihi a lahilahi i loko o kou vagina a lawe i kahi hāpana liʻiliʻi o ke wai mai kou cervix. A laila e hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no ke alo o ka protein fFN.

He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?

Loaʻa ka hopena i ʻelua ʻano: Maikaʻi a Maikaʻi ʻole paha . He mea nui loa iā ʻoe e ʻike pono i ke ʻano o kēia mau mea ʻelua.

He aha ka hana a ke kauka inā maikaʻi ka hopena?

Mai hopohopo inā loaʻa iā ʻoe kahi hopena maikaʻi. ʻO ia hoʻi, e hana koke kāu kauka i nā hana e hāʻawi iā ʻoe a me kāu pēpē i ka lāʻau lapaʻau maikaʻi loa. Hana pinepine ʻia kēia e:

• Nā inikini Corticosteroid e kōkua i ka oʻo ʻana o nā māmā o ka pēpē: ʻO ka pilikia nui no nā pēpē hānau mua ʻole, ʻaʻole i ulu piha ko lākou mau māmā. Kōkua kēia mau inikini i ka ulu koke ʻana o nā māmā o ka pēpē a kōkua i ka pale ʻana i ka maʻi hanu ʻeha (RDS) hiki ke hana ma hope o ka hānau ʻana.
• Ke hāʻawi ʻana i nā tocolytics e hoʻōki a hōʻemi paha i nā ʻūlū ʻōpū: Inā ʻoe e ʻeha nei, ʻo ia hoʻi ke ʻūlū nei kou ʻōpū, hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hoʻōki a hōʻemi paha. Hiki i kēia ke hāʻawi iā mākou i kekahi mau lā hou aʻe e mālama i ka pēpē i loko o ka ʻōpū. E kōkua pū kēia i ka hana ʻana o nā inikini steroid.
• Ke hāʻawi ʻana i nā lāʻau antibiotic: I kekahi mau hihia, ʻoiai inā haki kou wai a i ʻole he maʻi ʻeha B strep kou, hāʻawi ʻia nā lāʻau antibiotic e pale i ka laha ʻana o ka maʻi i ka pēpē.

Pehea ka pololei o kēia hoʻāʻo?

He nīnau koʻikoʻi loa kēia.

• He pololei loa nā hopena maikaʻi ʻole: Inā hoʻi mai ka hoʻāʻo fFN he maikaʻi ʻole, hiki iā ʻoe ke maopopo he 99% ʻaʻole ʻoe e hāpai i loko o nā pule ʻelua e hiki mai ana. No laila, he hopena hōʻoluʻolu a hilinaʻi hoʻi kēia.

• ʻAʻole pololei loa ka hopena maikaʻi:Ua hānau piha nā makuahine he nui i loaʻa ka hopena maikaʻi i kā lākou mau pēpē i ka manawa piha. No laila, mai makaʻu i nā hopena o ka hopena maikaʻi. ʻO ia hoʻi, aia kahi pilikia, no laila pono mākou e makaʻala loa.

ʻO ka maʻamau, he 24 a 48 mau hola e loaʻa ai nā hopena. E kamaʻilio me kāu kauka e pili ana i kēia a e makaʻala iā ia ma mua.