Ke ulu mālie nei kāu pēpē? E kamaʻilio kākou e pili ana i ka Fetal Growth Restriction (FGR)

He manawa nani a he manawa manaʻolana ka hāpai ʻana i ke ola o ka makuahine. Eia nō naʻe, he mea maʻamau nō hoʻi ke loaʻa ʻana o kahi makaʻu a me ke kānalua iki. Ke hele ʻoe i ke keʻena lapaʻau a ʻōlelo ke kauka i kahi mea e like me, "Ua lohi iki ka ulu ʻana o ka pēpē," he mea kūpono ke manaʻo i kahi kaumaha nui ma kou puʻuwai. Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi mea e pono ai ʻoe e makaʻala i kahi manawa e like me kēia. ʻO ia ka hoʻopaʻa ʻana o ka ulu ʻana o ka fetal , a i ʻole FGR no ka pōkole.

I ka ʻōlelo maʻalahi, he aha ʻo FGR?

I ka ʻōlelo maʻalahi, ʻo ka Fetal Growth Restriction (FGR) ʻo ia ka wā e ulu ʻole ai kahi pēpē i loko o ka ʻōpū i ka wikiwiki maʻamau e manaʻo ʻia no ka pule i loko. ʻO ia hoʻi, ua liʻiliʻi ka pēpē ma mua o ka mea i manaʻo ʻia. Ua kapa ʻia kēia ʻo Intrauterine Growth Restriction (IUGR) i ka wā ma mua. I kēia manawa ua maopopo iā ʻoe, ʻeā? Ua like ia me kahi mea kanu liʻiliʻi i loaʻa ʻole ka meaʻai a me ka wai kūpono, a e hoʻopaneʻe ʻia kona ulu ʻana.

Akā, ʻo ka mea nui e hoʻomanaʻo ai ma ʻaneʻi, ʻo ka FGR palupalu ʻaʻole ia e hoʻoulu i nā pilikia lōʻihi. Hiki i ka hapa nui o nā pēpē ke kiʻekiʻe a me ke kaumaha like me nā keiki ʻē aʻe i ka piha ʻana o ʻelua makahiki. Akā, hiki i ka FGR koʻikoʻi ke hoʻopilikia i ka pēpē ma loko o ka ʻōpū a ma hope o ka hānau ʻana. Aia ke ʻano o nā hopena i ke kumu o ka FGR, kona koʻikoʻi, a me ka wā i hoʻomaka ai i ka wā hāpai.

He aha nā pilikia i ka pēpē ma muli o ka FGR?

Aia kekahi mau kūlana e kū paha i kahi pēpē me FGR. He mea nui e makaʻala i kēia mau mea.

No ke aha e hana ai kēia? Nā kumu o FGR

Aia kekahi mau kumu kūpono o FGR. Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻekolu mau māhele nui.

1. Nā pilikia o ka placenta

ʻO kēia ke kumu maʻamau. Ua ʻike anei ʻoe i ke ʻano o ka placenta? ʻO ia ka ʻiʻo e hoʻopili ai i ka makuahine a me ka pēpē. Lawe ia i ka oxygen a me nā meaʻai e pono ai ka pēpē a hoʻoneʻe i nā huahana ʻōpala o ka pēpē. No laila, inā ʻaʻole hana pono ka placenta, ʻaʻole e loaʻa i ka pēpē ka mea e pono ai a e hoʻopaneʻe ʻia kona ulu ʻana.

2. Nā kūlana olakino o ka makuahine

I kekahi manawa, hiki i ka pilikia olakino o ka makuahine ke hoʻopilikia i ka ulu ʻana o ka pēpē.

• ʻO ka maʻi diabetes i kāohi ʻole ʻia (ʻO ka maʻi diabetes holomua)
• Ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai
• ʻO nā maʻi e like me Rubella, Cytomegalovirus (CMV), Toxoplasmosis
• Maʻi puʻupaʻa a i ʻole ka maʻi māmā
• ʻAʻole pono ka meaʻai a i ʻole ka anemia (ka nele o ke koko)
• Nā maʻi koko e like me ka anemia cell sickle
• Puhi paka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau

3. Nā kumu e pili ana i ka pēpē

• He mau kīnā chromosomal ko ke keiki.
• Nā hāpai keiki he nui e like me nā māhoe a me nā triplets.
• Noho ma kahi kiʻekiʻe ma mua o 5,000 kapuaʻi ma luna o ka ʻilikai.

Nā pilikia kūikawā no nā māhoe

ʻOi aku ka liʻiliʻi o nā māhoe ma mua o nā pēpē ʻē aʻe, akā hiki ke loaʻa ka FGR ma kahi o 25% o nā hāpai māhoe. ʻOi aku ka nui o ka pilikia o nā māhoe e kaʻana like ana i ka placenta .

• Ka hoʻolaha like ʻole ʻana o nā meaola: E like me ke kanu ʻia ʻana o ʻelua mau mea kanu i loko o ka ipuhao hoʻokahi, loaʻa i kekahi nā meaola hou aku a mae kekahi, hiki i kekahi pēpē ke loaʻa i ke koko a me nā meaola hou aku a liʻiliʻi paha kekahi.
• ʻO ka maʻi hoʻoili ʻana o nā māhoe (TTTS): Hana ʻia kēia ke kahe like ʻole ke koko mai kekahi pēpē a i kekahi ma o nā kīʻaha koko. He mea weliweli loa kēia no nā pēpē ʻelua.
• Ka hihia ʻana o ke kaula umbilical: Inā hoʻokaʻawale like nā pēpē ʻelua i ka ʻeke amniotic like, hiki i nā kaula umbilical ke hihia a ʻoki i ke kahe o ke koko.

Pehea e ʻike ai nā kauka i ka FGR?

ʻAʻole hōʻike ʻo FGR i kekahi mau hōʻailona e like me kāu e manaʻo ai. ʻO ka hōʻailona nui, ʻoi aku ka liʻiliʻi o ka pēpē ma mua o kona pono . E ʻike ke kauka i kēia i kāu hoʻokolokolo lapaʻau.

• Ke Kiʻekiʻe o ka Waihona: Ke hele ʻoe i ke keʻena lapaʻau, e ana ke kauka i kou ʻōpū me kahi lipine ana, ʻeā? Ma hope o 20 mau pule, pono e like kēlā ana (ma kenimika) me ka helu o nā pule o kou hāpai ʻana. Inā haʻahaʻa kēlā ana ma mua o ka mea i manaʻo ʻia, ua kānalua ʻia ʻo FGR.
• ʻO ke scan Ultrasound: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ana ke scan i ka nui o ke poʻo a me ka ʻōpū o ka pēpē, a hoʻohālikelike iā ia me ka nui awelika o nā pēpē o ia makahiki e kuhi i ke kaumaha. Nānā pū ia i ka nui o ka wai amniotic a puni ka pēpē. Hiki i ka wai haʻahaʻa ke lilo i hōʻailona o FGR.
• ʻO ke Doppler Flow Scan: He ʻano scan kūikawā kēia. Ana ia i ka wikiwiki a me ka nui o ke koko e kahe ana ma o nā kīʻaha koko i loko o ke kaula umbilical a me ka lolo o ka pēpē. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā loaʻa i ka pēpē ke koko lawa.
• Nā hoʻokolohua ʻē aʻe: I kekahi mau hihia , Fetal Monitoring (CTG), kahi e nānā ai i ke ʻano o ka puʻuwai o ka pēpēPono paha ʻoe e hana i nā hoʻokolohua a i ʻole he amniocentesis (kahi hoʻokolohua e lawe ana i kahi wai liʻiliʻi mai ka ʻōpū) e nānā i nā maʻi a i ʻole nā ​​​​​​kūlana chromosomal. Hana ʻia kēia mau mea a pau e like me nā kuhikuhi a kāu kauka.

Nā mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia

I kekahi manawa, hiki ke loaʻa ka FGR me ka nānā ʻole i ke olakino o ka makuahine. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kēia pilikia a hoʻonui i nā manawa kūpono e loaʻa ai kahi pēpē olakino.

• E hele i ke keʻena lapaʻau i ka manawa kūpono: Mai poina i nā manawa i ke keʻena lapaʻau. ʻO kēia ka manawa e hiki ai ke ʻike koke ʻia nā pilikia.
• E makaʻala i nā neʻe ʻana o kāu pēpē: Inā ʻaʻole neʻe mau kāu pēpē, a inā paha e oki koke lākou i ka neʻe ʻana, he hōʻailona paha ia o kahi pilikia. Inā ʻike ʻoe i kahi loli i nā neʻe ʻana o kāu pēpē , e kāhea koke aku i kāu kauka.
• E makaʻala i nā lāʻau lapaʻau āu e lawe ai: Inā ʻoe e lawe ana i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka ulu ʻana o kāu pēpē.
• E ʻai i ka meaʻai maikaʻi a momona: E ʻai pono. Kōkua ka meaʻai momona i kāu pēpē e ulu maikaʻi.
• E hoʻomaha pono: He mea nui loa ka hoʻomaha nou a me kāu pēpē. E ho'āʻo e hiamoe ma ka liʻiliʻi he 8 mau hola i ka pō. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻomaha i hoʻokahi a ʻelua paha hola i ke ao.
• E hoʻopau loa i nā ʻano hana ʻino: Inā ʻoe e puhipaka, hoʻohana i ka waiʻona a i ʻole nā ​​​​lāʻau lapaʻau, e hoʻōki loa i ka hana ʻana i kēlā mau mea no ke ola olakino o kāu pēpē.