I kou wā hāpai, ʻo kou manaʻolana nui loa ka hānau ʻana i kahi pēpē olakino. Akā i kekahi manawa, ma hope o ke scan, haʻi ke kauka iā ʻoe he pilikia me ka pēpē i loko o kou ʻōpū. ʻAʻole hiki ke hōʻike ʻia ka makaʻu a me ka hopohopo āu e manaʻo ai i kēlā manawa ma nā huaʻōlelo. Akā ua ʻike anei ʻoe ua holomua loa ka ʻepekema lapaʻau o kēia wā a hiki ke mālama ʻia kekahi mau maʻi ma mua o ka hānau ʻana o ka pēpē, ʻo ia hoʻi, ʻoiai aia nō ia i loko o ka ʻōpū. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Fetoscopy?
ʻO ka Fetoscopy kahi ʻano endoscopy i hoʻohana ʻia e nānā i ka pēpē i loko o kou ʻōpū. E noʻonoʻo e hoʻokomo ʻia kahi ʻōmole lahilahi loa, e like me ke olonā (i kapa ʻia he fetoscope) ma o kahi ʻoki liʻiliʻi i loko o kou ʻōpū a i loko o kou uterus. Aia kahi kāmela liʻiliʻi ma ka hopena o kēia ʻōmole. Hiki i ke kauka ke nānā i nā kiʻi mai ke kāmela ma kahi pale nui. A laila hiki ke ʻike maopopo ʻia ka pēpē, ka placenta, a me ka ʻeke amniotic i loko o ka uterus.
ʻO ke ʻano kūikawā o kēia, ʻoiai he hakahaka kēia ʻōmole i loko, hiki ke hoʻokomo ʻia nā mea hana ʻokiʻoki palupalu loa ma o ia mea e mālama ai i kekahi o nā kūlana olakino o ka pēpē a, inā pono, e lawe i kahi ʻāpana ʻiʻo no ka hoʻokolokolo ʻana (he `biopsy`). I kekahi mau hihia, hoʻokomo ʻia kēia ʻōmole ma o ka vagina a i loko o ka cervix.
I ka manawa hea e pono ai ka fetoscopy?
ʻAʻole kēia he mea i hana ʻia no nā kānaka a pau. Hoʻohana nui ʻia ia i ka wā o ka trimester ʻelua a ʻekolu paha o ka hāpai ʻana e mālama i nā kūlana hānau ʻia (hānau ʻia) i loko o ka pēpē. ʻO kekahi o kēia mau kūlana, inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola o ka hāpai ʻana a i ʻole ke pēpē.
E nānā kākou i ka papa ma lalo nei e ʻike i ka wā e hoʻohana nui ʻia ai kēia ʻano hana.
| Kūlana olakino | Ka wehewehe maʻalahi a me ka mālama ʻana |
|---|---|
| ʻO ka maʻi hoʻoili māhoe-a-māhoe | He kūlana kakaikahi kēia akā weliweli e kū mai ana i nā māhoe i hānau ʻole ʻia e kaʻana like ana i ka placenta like. ʻO kēia kahi e kahe like ʻole ai ke koko mai kekahi pēpē a i kekahi. ʻIke ʻo Fetoscopy i kēia mau kīʻaha koko ʻē i loko o ka placenta a hoʻohana i ka laser e sila iā lākou. Ua kapa ʻia kēia he fetoscopic laser photocoagulation . |
| ʻO ka maʻi hui amniotic | ʻO kēia ka manawa e hihia ai ka ʻeke amniotic, ʻo ia hoʻi ka ʻeke wai e hoʻopuni ana i ka pēpē, i loko o ke kino o ka pēpē, e like me ke kāʻei o nā ʻiʻo. Hiki i kēia ke ʻoki i ke kahe koko i nā lālā o ka pēpē, a i ʻole e ʻoki ʻia ai lākou. Hoʻohana ka Fetoscopy i kahi kukuna laser e ʻoki i nā kāʻei i hihia a hoʻokuʻu i ka pēpē. |
| ʻO ka hernia diaphragmatic hānau (CDH) | Hana ʻia kēia ke hana ʻia kahi lua ma ka diaphragm o ka pēpē (ka ʻiʻo e hoʻokaʻawale ana i ka umauma a me ka ʻōpū). ʻAe kēia i nā ʻōpū o ka ʻōpū e neʻe i loko o ka umauma a kaomi ma luna o nā māmā. Pale kēia i ka ulu pono ʻana o nā māmā. Pili ka Fetoscopy i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i loko o ka trachea o ka pēpē e hoʻoulu i ka ulu ʻana o ka māmā. Wehe ʻia ka ʻōmole ma hope o kekahi mau pule. Ua kapa ʻia kēia kaʻina hana he fetoscopic endoluminal tracheal occlusion (FETO) . |
Eia kekahi, hoʻohana ʻia kēia ʻano hana e mālama i nā kūlana hānau ʻē aʻe e like me nā ʻōpū placental a me ka spina bifida.
Pehea ʻoe e hoʻomākaukau ai no kēia ʻoki kino?
Inā hoʻoholo kāu kauka e pono ʻoe i kēia ʻoki kino, e wehewehe pono ʻo ia iā ʻoe pehea e hoʻomākaukau ai no ia. Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka.
- Aia nō ia inā hana ʻia ke ʻoki ʻana ma o ka ʻōpū a i ʻole ka vagina.
- Aia nō ia inā e hāʻawi ʻia ʻoe i ka anesthesia kūloko a i ʻole ka anesthesia laulā .
- Aia nō ia i ka hāʻawi ʻana a i ʻole ka hāʻawi ʻana i nā lāʻau ʻē aʻe e hōʻemi i ka neʻe ʻana o ka pēpē i ka wā o ke ʻoki ʻana.
E kamaʻilio me kāu kauka e pili ana i kāu mau nīnau a me nā makaʻu a pau. E wehewehe lākou i nā mea āpau iā ʻoe a mālama pono iā ʻoe.
Pehea e hana ʻia ai ka Fetoscopy
Hana pinepine ʻia kēia ʻoki kino i loko o kahi lumi hana. E hāʻawi ʻia ʻoe i ka anesthesia a me nā lāʻau lapaʻau e hoʻopaʻa iā ʻoe a me kāu pēpē i ka wā o ke kaʻina hana.
ʻO ka mea e hana aʻe ana, ma nā huaʻōlelo maʻalahi, penei:
1. He ʻoki liʻiliʻi: E hana ke kauka i kahi ʻoki liʻiliʻi loa ma ka ʻili o kou ʻōpū.
2. Hoʻokomo ʻia ʻana o ka fetoscope: Ma o ka ʻoki ʻana, ua hoʻokomo pono ʻia ka paipu fetoscope i loko o ka ʻōpū a me ka ʻeke amniotic kahi o ke pēpē.
3. Ke nānā ʻana ma kahi pale: ʻOiai ua hōʻike ʻia nā kiʻi mai ke kāmela ma ka ʻōmole ma kahi pale nui, hiki i ke kauka ke nānā pono i ka pēpē a me ka placenta.
4. Lapaʻau:ʻO ka mea aʻe, ma muli o ka lāʻau e pono ai, hoʻokomo ʻia nā mea hana ʻokiʻoki palupalu ma o ka ʻōmole a hana ʻia. Hiki i kēia ke lilo i lāʻau laser a i ʻole kahi hāpana ʻiʻo.
He hana ʻoki kino nui anei kēia? He aha nā pilikia?
He hana hoʻopilikia iki ka Fetoscopy. ʻO ia hoʻi, hana ʻia ia ma o kahi ʻoki liʻiliʻi, me ka ʻole o nā ʻoki nui, no laila he liʻiliʻi loa ka pōʻino i ke kino. Pono nā ʻano hana ʻē aʻe i kahi ʻoki nui aʻe i loko o ka ʻōpū, a ʻoi aku ka kiʻekiʻe o ko lākou mau pilikia.
Eia nō naʻe, e like me nā ʻoki kino āpau, ʻaʻole kēia me ka ʻole o nā pilikia. Akā e hoʻomanaʻo, hoʻoholo wale nā kauka e hana i kēia ʻoki kino ke ʻoi aku ka nui o nā pono i ka pēpē a me ka makuahine ma mua o ka hana ʻole ʻana i ke ʻoki kino.
| Nā pilikia kūpono o ka fetoscopy | |
|---|---|
| Ka hānau mua ʻana | ʻO ka hānau ʻana o ke keiki ma mua o ka lā palena pau. |
| Ka hānau mua ʻana | Ka hoʻokuʻu mua ʻana. |
| Ka haki mua ʻana o ka ʻeke wai | Ka haki mua ʻana o nā membrane (PPROM). |
| Ka nalowale o ka hāpai ʻana | ʻO ka hāʻule ʻana ma ke ʻano he pilikia o ke ʻoki ʻana. |
| Maʻi | Ka maʻi ʻōpū a i ʻole ka makuahine. |
| Ke kahe ʻana o ke koko | Ke kahe koko nui ʻana. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ka fetoscopy, loaʻa i ke kauka ka ʻike koʻikoʻi e pili ana i ke kūlana o ke pēpē. No laila, ua hoʻoholo ʻia nā hana aʻe.
- Pehea e hānau ai ke pēpē: Ma muli o ke kūlana o ke pēpē, ua hoʻoholo ʻia inā ʻo ka hānau ʻana ma ka ʻōpū a i ʻole ka ʻoki cesarean (C-section) ka mea palekana loa.
- Ma hea e hānau ʻia ai ka pēpē: Inā pono ka pēpē i nā pono lapaʻau kūikawā ma hope o ka hānau ʻana, e hoʻolālā ʻia ka hānau ʻana ma kahi haukapila i loaʻa kēlā mau pono.
- Ka wā e hiki mai ai ka pēpē: I kekahi manawa he mea pono ke hānau mua i ka pēpē, ma mua o ke kali ʻana a hiki i ka pau ʻana o ka hāpai ʻana.
ʻO ka manawa e pono ai e loaʻa ai nā hopena e pili ana i ke kumu o ke ʻoki kino. No ka laʻana, inā ua loaʻa iā ʻoe ka lāʻau laser, hiki iā ʻoe ke ʻike inā ua holomua ma hope koke o ke ʻoki kino. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi biopsy, e hala kekahi mau lā no ka hoʻi ʻana mai o nā hopena.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻOiai he hana hoʻopilikia iki kēia, he pōkole ka manawa hoʻōla. Hiki i ka hapa nui o ka poʻe ke hoʻi i nā hana maʻamau i ka lā hoʻokahi. Eia nō naʻe, pono ʻoe e makaʻala loa e pili ana i kahi i ʻoki ʻia ai. Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kou kūlana kikoʻī.
Leka Lawe-Home
- ʻO ka Fetoscopy kahi hana ʻokiʻoki kūikawā a holomua i hoʻohana ʻia e mālama i kekahi mau kūlana olakino koʻikoʻi i nā pēpē i loko o ka ʻōpū.
- Hana ʻia kēia i nā hihia wale nō kahi e pilikia ai ke ola o ka pēpē a i ʻole ka hāpai ʻana, a inā ʻoi aku ka maikaʻi o ka mālama ʻana ma mua o ka pilikia.
- ʻOiai he kaʻina hana minimally invasive ia, e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
- Inā ʻoe e hana i kēia ʻano ʻoki kino, he mea maʻamau ke hopohopo. E kamaʻilio me kāu kauka e pili ana i nā hopohopo āu e loaʻa ai a hoʻomaha. Ua kūpaʻa lākou i ka hāʻawi ʻana i ka mea maikaʻi loa nou a me kāu pēpē.
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