Ua ʻike paha ʻoe i ka haki koke ʻana o ka ʻeke wai o kahi makuahine hāpai me ka walaʻau nui a me ka nui o ka wai e kahe ana i waho. Akā i ke ola maoli, ʻaʻole kēia ka mea e hana pinepine ʻia. Manaʻo ka poʻe he nui i kēia me he mea lā e hana mālie ana. Eia naʻe, ma ke ʻano he makuahine e hiki mai ana, he mea nui loa iā ʻoe ke ʻike pono i kēia. No laila, e kamaʻilio wale kākou e pili ana i kēia i kēia lā.
He aha ke ʻano o ka haki ʻana o ka ʻeke wai?
I ka ʻōlelo maʻalahi, aia kāu pēpē i loko o kou ʻōpū, i loko o kahi ʻeke i piha i ka wai. Kāhea mākou i kēia ʻeke amniotic. ʻO ka wai amniotic i loko o kēia ʻeke ka mea e mālama ai i kāu pēpē i ka palekana a me ka ʻoluʻolu i loko o kou ʻōpū. E noʻonoʻo e pili ana i ia mea, hāʻawi kēia ʻeke wai i kahi lumi no kāu pēpē e huli, neʻe, a ulu maikaʻi. Kōkua pū ia i ka mālama ʻana i ka mahana o ke kino o kāu pēpē i kahi pae mau a mālama i ke kaula umbilical mai ka hihia ʻana.
Ke mākaukau kou kino e hānau i kāu pēpē, pahū kēia ʻeke wai. A laila hoʻomaka ke kahe ʻana o ke wai i loko ma o kou ʻōpū. ʻO kēia ka mea a mākou e kapa nei ʻo "breaking your waters" a i ʻole "breaking your water." Hiki ke hana kēia ma mua o ka hoʻomaka ʻana o ka hānau ʻana, a i ʻole hiki ke hana i ka wā o ka hānau ʻana.
ʻO ka maʻamau, ma kahi o 10% o nā makuahine e kokoke ana e hānau keiki e ʻike i ka haki ʻana o nā membrane ma mua o ka hoʻomaka ʻana o ka hana . Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo Prelabor Rupture of Membranes (PROM).
Pehea ka manaʻo i ka wā e haki ai ka wai?
He ʻokoʻa kēia ʻike no kēlā me kēia kanaka. E like paha kou manaʻo me kēia:
- Hoʻokuʻu koke ʻia a kaumaha: Manaʻo paha ia me he mea lā ua mimi ʻoe ma o kou mau lole.
- Ke kahe mau nei: Manaʻo paha ʻoe e like me ʻoe e kahe mau ana i ka wai.
- Kīʻaha: Manaʻo paha ia e kahe mālie ana ka wai i waho.
- Ke kahe koko ʻana: Hiki ke hoʻomaka ke kahe koko, kū no kekahi manawa, a laila hoʻomaka hou.
I kekahi manawa e lohe paha ʻoe i ke kani "kaomi" mai loko mai o ka ʻōpū, a i ʻole e like paha me he mea lā e pahū ana. ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole honi ka wai amniotic e like me ka mimi . He pinepine ʻaʻohe ona ʻala, i kekahi manawa me kahi ʻala ʻono iki.
| ʻAno | Wai amniotic (wai i loko o ka ʻeke wai) | Mimi ( mimi ) |
|---|---|---|
| ʻAla | ʻAʻohe ona ʻala maʻamau. He ʻala ʻono iki paha kona. | He ʻala like kona e like me ka ammonia. |
| Waihoʻoluʻu | ʻAʻohe ona kala (e like me ka wai). Hiki ke ʻike ʻia he poni me kahi koko liʻiliʻi a i ʻole nā ʻāpana keʻokeʻo. | Hiki ke ʻokoʻa mai ka melemele māmā a i ka melemele ʻeleʻele. |
| Kahe | Ke hoʻomau nei ke kahe ʻana me ke kāohi ʻole ʻia. Hiki ke piʻi aʻe ke kahe ʻana i ka wā e ʻū ai a kū paha. | Hiki ke hoʻomalu ʻia a hoʻōki ʻia. |
He aha kāu e hana ai inā haki kou wai?
Inā loaʻa iā ʻoe kahi kānalua iki ua haki kou wai, ʻo ka mea mua a me ka mea nui e hana ai, ʻo ia ke kāhea aku i kāu kauka a kahu hānai paha. Mai hopohopo, e noho mālie.
E haʻi aku ke kauka iā ʻoe i ka mea e hana ai. E ʻōlelo pinepine ʻo ia iā ʻoe e hele mai i kona keʻena, a i ʻole e ʻōlelo aku ʻo ia iā ʻoe e hele pololei i ka haukapila. Ke hele ʻoe, e hoʻohana i kahi pad. Mai hoʻohana i ka tampon.
Ke hele ʻoe i ka haukapila, inā ʻaʻole maopopo inā ua haki maoli kou wai, e lawe lākou i kahi laʻana o ke wai e kahe ana mai ou aku a hana i kahi hoʻāʻo maʻalahi e hōʻoia i ia.
Inā hana kēia i loko o 3 mau pule o kou lā hānau, e ʻōlelo paha kāu kauka iā ʻoe e kali i kekahi mau hola e ʻike ai inā hoʻomaka ka nui o kou magema. A i ʻole e hoʻoholo paha ʻo ia e hoʻoulu i ka hānau ʻana. No ka hapa nui o nā makuahine, hoʻomaka ka hānau ʻana i loko o 12 mau hola o ka haki ʻana o ka wai.
Ua hōʻike kekahi mau noiʻi ʻo nā pēpē i hānau ʻia e nā makuahine e hoʻoulu i ka hānau ʻana ma hope o ka haki ʻana o ko lākou wai, ʻaʻole lākou e loaʻa i nā maʻi. Pono lākou i ka mālama koʻikoʻi liʻiliʻi a hiki ke hoʻi koke mai ka haukapila. Akā ʻo ka hoʻoholo maikaʻi loa e hana ai e pili ana i kēia, ʻo ia ke kamaʻilio me kāu kauka.
He aha inā e haki koke ka wai? (Early Water Breaking)
Ma kahi o 3% o nā wahine hāpai e ʻike i ko lākou haki ʻana o ka wai ma mua o 37 mau pule o ka hāpai ʻana. Ua kapa ʻia kēia ʻo Preterm Prelabor Rupture of Membranes (PPROM). He kūlana kēia e pono ai ke hopohopo. Aia kekahi mau kumu e hiki ke hoʻonui i ka pilikia o kēia.
- Inā ʻaʻole ʻoe kaumaha
- Inā puhipaka ʻoe.
- Inā ua hana ʻia kēia ma kahi hāpai mua
- Inā loaʻa iā ʻoe ka maʻi ʻōpū urinary i mālama ʻole ʻia
- Inā loaʻa iā ʻoe ke kahe koko i ka wā hāpai
- Inā he pilikia me ka cervix
Inā loaʻa ka PPROM, pono ʻoe e lawe koke ʻia i ka haukapila.
He aha ka mea e hana ʻia ma ka haukapila?
- Inā he 34 mau pule a ʻoi paha kou mau makahiki: Hiki i kāu kauka ke hoʻoholo e hānau i kāu pēpē e hōʻemi i ka pilikia o ka maʻi no ʻoe a i ʻole kāu pēpē.
- Inā ʻoe ma waena o 23 a me 34 mau pule: Hana pinepine ʻia ka hoʻopaneʻe ʻana i ka hānau ʻana e hāʻawi i ka pēpē i ka manawa hou aʻe e ulu ai i loko o ka ʻōpū. E hāʻawi ʻia ʻoe i nā lāʻau antibiotic e pale aku i ka maʻi. E hāʻawi ʻia hoʻi ʻoe i nā steroid e kōkua i ka ulu wikiwiki ʻana o nā māmā o ka pēpē. Pono paha ʻoe e noho i ka haukapila a hiki i ka hānau ʻana o ka pēpē.
- Inā ʻaʻole ʻoe ma mua o 23 mau pule: He manawa koʻikoʻi loa kēia. E kamaʻilio ākea kāu kauka iā ʻoe e pili ana i nā pilikia a me nā pono o ka hoʻomau ʻana i ka hāpai ʻana. ʻO kēia no ka mea inā haki kou wai i kēia wā mua, haʻahaʻa ka manawa e ola ai ke pēpē. ʻOiai inā ola lākou, aia lākou i ka pilikia kiʻekiʻe o ka loaʻa ʻana o nā kīnā noʻonoʻo a kino paha.
He aha inā ʻaʻole i haki ka ʻeke wai ʻoiai ua pulu?
I kekahi manawa, inā ʻoe e hānau ana akā lohi kāu hānau ʻana, hiki i kāu kauka ke kōkua iā ʻoe e wāwahi i kou wai. Ua kapa ʻia kēia he amniotomy. Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi mea hana kūikawā, e like me kahi makau plastik sterile, ma loko o kou vagina a ua wāwahi ke kauka i ka ʻeke amniotic. No ka hana ʻana i kēia, pono ke poʻo o ka pēpē i lalo loa o ke kahawai hānau a uhi i kou cervix. A i ʻole, hiki iā ʻoe ke kali a hiki i kou kino ke hoʻopau i ka hana ma kāna iho.
Leka Lawe-Home
- E manaʻo paha kekahi poʻe i ka haki koke ʻana o ka wai, aʻo kekahi poʻe e manaʻo paha i ka liki mālie ʻana o ke wai i waho.
- ʻAʻohe ʻala ikaika o ka wai e puka mai ana mai loko mai e like me ka mimi. Pēlā ʻoe e ʻike ai i ka ʻokoʻa.
- Inā loaʻa iā ʻoe kahi kānalua iki ua haki kāu ʻeke wai, mai hopohopo, e kāhea koke aku i kāu kauka.
- Inā haki kou wai i ka wā ʻōpiopio (ma mua o 37 mau pule), he pilikia ia. E hele koke i ka haukapila.
- Mai hopohopo. Aia kekahi limahana lapaʻau i aʻo ʻia e kōkua iā ʻoe i kēia mau kūlana āpau. E kūkākūkā i nā mea āpau me ke kauka a e hahai i kāna mau kuhikuhi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🧐 He aha ka Amniotic Fluid Embolism (AFE)? He mea kēia e hana ʻia ke haki ka wai?
He ʻano maʻi laha ʻole kēia, e kū ana ma kahi o ʻehā a ʻelima paha o kēlā me kēia haneli tausani hāpai keiki. Ke haki ka wai, hui pū ka wai a i ʻole nā hunaola o ka pēpē i loko o ka ʻeke me ke koko o ka makuahine, e hana ana i kahi hopena maʻi ʻaleka koʻikoʻi. Mai hopohopo i kēia, no ka mea, he haʻahaʻa loa ka manawa e hiki ai kēia.
💬 😰 Pehea ʻoe e ʻike ai i ka wā e haki ai kou wai? Hiki ke pale ʻia?
ʻAʻohe ala e hoʻōki ai i kēia ma mua, akā ke haki kou wai, aia ʻoe i ka haukapila, no laila e nānā pono nā kauka iā ʻoe. Inā loaʻa koke iā ʻoe nā hōʻailona e like me ka pōkole o ka hanu a i ʻole ke koko haʻahaʻa, ua mākaukau nā limahana o ka haukapila e mālama koke iā ʻoe. No laila, mai hopohopo nui.
💬 🩺 Pono anei au e hopohopo nui e pili ana i ka Amniotic Fluid Embolism inā haki koʻu wai?
Auē! He mea maʻamau loa ka haki ʻana o ka wai i ka wā e kokoke ana e hānau ʻia ka pēpē. He maʻi laha ʻole kēia embolism ma ka honua holoʻokoʻa, no laila mai hopohopo no ia mea. ʻO ka mea wale nō āu e hana ai, ʻaʻole ia e hopohopo i ka wā e haki ai ka wai a hele koke i ka haukapila. A laila aia nā kauka e hiki ke lawelawe i kekahi kūlana.
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