I kou hele ʻana i ke keʻena lapaʻau i kou wā hāpai, ua ʻike pono ʻoe i ke kauka e lawe pono ana i kahi lipine ana a ana i kou ʻōpū, ʻeā? Ua noʻonoʻo paha ʻoe, "No ke aha e ana ʻia ai koʻu ʻōpū i kēlā me kēia lā? He aha ka mea e hiki ai i kēia ke haʻi iā ʻoe?" He mea nui loa kēia. Me kēia ana maʻalahi, hiki i ke kauka ke loaʻa kahi manaʻo maikaʻi o nā mea he nui, e like me ka ulu ʻana o ka pēpē i loko o kou ʻōpū, pehea ʻo ia e hana nei. I kēia lā, e kamaʻilio mākou e pili ana i kēia ana, i kapa ʻia ʻo 'Fundal Height'.
I ka ʻōlelo maʻalahi, he aha ke Kiʻekiʻe o Fundal?
He mea maʻalahi loa ke kiʻekiʻe o ka waihona o ka ʻōpū. Ke hāpai ʻoe, ʻo ia ka mamao ma nā kenimika mai ka piko o kou iwi pubic a i ka piko o kou uterus (fundus) .
ʻO kēia ana e hiki ai i ke kauka ke aʻo i kekahi mau mea nui:
- Ka nui a me ka ulu ʻana o ka pēpē: Kōkua kēia e ʻike inā e ulu maikaʻi ana ka pēpē no ka pule.
- Ke kūlana o ka pēpē: Hiki iā ʻoe ke loaʻa kahi manaʻo maʻamau o ke kūlana o ke pēpē i loko o ka ʻōpū.
- Ke hōʻoia nei i ka makahiki hāpai: Nānā ʻia kēia ana e ʻike inā kūlike ia me ka helu o nā pule āu e hāpai nei (makahiki hāpai).
ʻO ka maʻamau, hoʻomaka ke kauka e lawe i kēia ana i kēlā me kēia kipa ʻana i ke keʻena lapaʻau ke hiki ʻoe i kahi o 20 mau pule hāpai. ʻO kēia no ka mea mai ia manawa mai, hoʻomaka kou makahiki hāpai a me ke ana o ke kiʻekiʻe fundal e kūlike kekahi i kekahi.
Pehea ʻoe e ana ai i kēia ana?
He hana maʻalahi loa kēia a ʻeha ʻole. ʻAʻohe mea kūikawā nou e hoʻomākaukau ai. He ʻāpana wale nō kēia o kāu nānā maʻamau.
Hana ke kauka i kēia penei:
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma ka papa hoʻokolohua.
2. A laila, e hoʻopā mālie ke kauka i kou ʻōpū lalo a loaʻa i ka piko o kou iwi pubic (symphysis pubis).
3. A laila, e pā pono lākou i ka ʻōpū e ʻike ai i kahi o ka piko o ka uterus (fundus).
4. ʻO ka mea hope loa, me ka hoʻohana ʻana i kahi lipine ana, e ana i ka mamao ma kenimika ma waena o nā wahi ʻelua āu i loaʻa mua ai.
ʻO kēlā mamao āu i ana ai ʻo ia kou Fundal Height. He maʻalahi loa, ʻeā?
Hoʻololi ke kūlana o ka ʻōpū i ka holomua ʻana o ka hāpai ʻana. No ka laʻana, ma kahi o 12 mau pule, aia ka ʻōpū i kona wahi kiʻekiʻe loa, kokoke i kou iwi pubic. I ka 20 mau pule, kokoke ia i kou pihi ʻōpū. Ma kahi o 36 mau pule, ua kiʻekiʻe loa ka ʻōpū, kokoke i kou iwi umauma (sternum).
Akā ma hope o 36 mau pule, hoʻomaka ka pēpē e hāʻule i loko o ka pelvis i kona hoʻomākaukau ʻana no ka hānau ʻana. No laila, hiki ke emi iki ke kiʻekiʻe o ka fundal i nā pule i hala iho nei. Inā hana kēia, hiki i kāu kauka ke hana i nā hoʻokolohua ʻē aʻe e hōʻoia ʻaʻohe kumu ʻē aʻe.
He aha ke Kiʻekiʻe o ke Kumu o ke Kinoea o ka Pūnaehana i kēlā me kēia pule?
Aia kekahi kānāwai maʻalahi loa no kēia. ʻO ka maʻamau, ma waena o nā pule 20 a me 36, ʻo ke Kiʻekiʻe o ka Fundal, i ana ʻia ma nā kenimika, pono e like me ka helu o nā pule āu i hāpai ai. Akā, ʻaʻole pono e like loa. He mea maikaʻi ke ʻokoʻa he 2 kenimika (ʻoi aku a emi mai paha).
Eia kekahi laʻana, inā he 32 mau pule hāpai ʻoe, he mea maʻamau ke kiʻekiʻe o kou fundal ma waena o 30 a me 34 kenimika.
Akā e hoʻomanaʻo, ʻoi aku ka pololei o kēia ma hope o 20 mau pule. Ma mua o kēlā, ʻaʻole i piʻi aʻe ka ʻōpū i lawa ka nui, no laila ʻaʻole pololei kēia ana.
He aha inā ʻoi aku ka nui o ke ana ma mua o ka mea i manaʻo ʻia?
I kekahi manawa, ʻoi aku paha ke kiʻekiʻe o kou fundal ma mua o kou makahiki hāpai. Aia paha kekahi mau kumu no kēia. Mai hopohopo ke lohe ʻoe i kēia.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ua hewa ka lā palena. | Hiki paha ke hala kekahi mau pule ma mua o kou manaʻo. |
| Nā Fibroids Uterine | Hiki i nā puʻupuʻu ʻino ʻole i loko o ka ʻōpū ke hoʻonui i ka ʻōpū. |
| Ke kaumaha o ke kino o ka makuahine | Inā kaumaha nui ka makuahine, ʻike ʻia paha ke ana he kiʻekiʻe iki aʻe. |
| Nā māhoe | Lilo ka ʻōpū i mea nui ke loaʻa ma mua o hoʻokahi keiki. |
| Hoʻonui ʻia ka wai amniotic (Polyhydramnios) | ʻOi aku ka nui o ka wai (wai amniotic) e hoʻopuni ana i ka pēpē ma mua o ka maʻamau. |
| Ke kūlana o ka pēpē (Breech) | Hiki ke hoʻonui ʻia ke ana ke noho ka pēpē i ke kūlana breech. |
| Macrosomia Fetal | He ʻoi aku paha ka nui o ke pēpē ma mua o ka maʻamau. |
I kekahi manawa, hiki ke hoʻonui iki ʻia ke ana me ke kumu ʻole.
He aha inā ʻoi aku ka liʻiliʻi o ke ana ma mua o ka mea i manaʻo ʻia?
Eia kekahi, i kekahi manawa ʻoi aku ka haʻahaʻa o ke Kiʻekiʻe o ka Fundal ma mua o ka mea i manaʻo ʻia. Mai hopohopo no kēlā. Aia paha kekahi mau kumu e like me kēia.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ke kūlana kino o ka makuahine | Inā wiwi ʻoe, pōkole, a ikaika paha nā ʻiʻo o ka ʻōpū, haʻahaʻa paha ke ana. |
| Ka wai amniotic haʻahaʻa (Oligohydramnios) | ʻOi aku ka liʻiliʻi o ka wai (wai amniotic) e hoʻopuni ana i ka pēpē ma mua o ka maʻamau. |
| Ke iho nei ke pēpē i loko o ka pelvis | Inā kokoke ka pēpē i ka hānau ʻana a ua hāʻule i loko o ka pelvis, e emi ana ke ana. |
| Ka ulu lohi o ka pēpē (Fetal Growth Restriction) | Aia paha kekahi hihia kahi e lohi iki ai ka ulu ʻana o ka pēpē. |
E makaʻu anei au i kēia?
ʻAʻole loa. ʻO ke ana ʻana o ke kiʻekiʻe o ka waihona kālā kahi hoʻāʻo i hoʻohana ʻia e loaʻa ai kahi manaʻo maʻamau o ka ulu ʻana o kahi pēpē.He hana mua wale nō. ʻAʻole pololei kēia 100%. He mea maʻamau loa ka neʻe ʻana o 1 a 2 paha kenimika.
ʻO ka mea nui loa, inā he kānalua kāu kauka e pili ana i kēia ana, ʻaʻole ʻo ia e noho wale ma laila. E hana ʻiʻo nō ʻo ia i nā hoʻāʻo hou aʻe, e like me ka ultrasound scan, e hōʻoia pono i ke ʻano o ka pēpē.
No laila, mai hopohopo inā hewa iki ke ana. ʻAʻole ia he manaʻo he pilikia, akā, pono ʻoe e nānā hou aku. Inā he kānalua a makaʻu paha kāu, e kamaʻilio ākea me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO ke Kiʻekiʻe o ka Fundal Height kahi hana maʻalahi a ʻeha ʻole e hoʻohana ʻia e nānā i ka ulu ʻana o ka pēpē i ka wā hāpai.
- He mea maʻamau no kēia ana he 1-2 kenimika ʻoi aku a emi mai paha ma mua o kou pule maoli. Mai hopohopo no ia mea.
- Inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o ke ana ma mua o ka mea i manaʻo ʻia, ʻaʻole ia he manaʻo he pilikia. Nui paha nā kumu maʻalahi no ia.
- Inā kānalua kāu kauka e pili ana i ke ana ʻana, e kuhikuhi maoli ʻo ia iā ʻoe no nā hoʻāʻo hou aku, e like me ka ultrasound scan.
- Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai i ka wā hāpai.
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