He nui nā makuahine e noʻonoʻo ana i nā mea he tausani i ka wā e hāpai ana lākou i kahi pēpē. ʻO ka mea nui loa, ʻo ia ke olakino o ka pēpē a ke ulu maikaʻi nei. Akā i kekahi manawa pono mākou e aʻo e pili ana i nā kūlana olakino a mākou i lohe ʻole ai, a he mea hopohopo iki. ʻO kekahi o ia mau mea kakaikahi, akā he mea pono ke ʻike ʻia, ʻo ia kēia kūlana i kapa ʻia ʻo 'Hydrops Fetalis'. Mai makaʻu ke lohe ʻoe i kēia. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia.
He aha maoli ka Hydrops Fetalis?
I ka ʻōlelo maʻalahi, ʻo ia ka wā e hōʻiliʻili nui ai ka wai i loko o ke kino o kahi pēpē i loko o ka ʻōpū a i ʻole kahi keiki hānau hou. Hiki i kēia wai ke hōʻiliʻili ma nā wahi āpau, e like me ka ʻōpū, a puni ka puʻuwai a me nā māmā, a i ʻole ma lalo o ka ʻili. E noʻonoʻo wale, ʻo ka wai keu e hōʻiliʻili ana ma kēia ʻano e kau nui ana i ke kaomi ma luna o ka puʻuwai o ka pēpē a me nā ʻōpū koʻikoʻi ʻē aʻe. Pono kākou e hoʻomaopopo he maʻi koʻikoʻi kēia e hiki ke hoʻopilikia i ke ola o ka pēpē inā ʻaʻole mālama pono ʻia.
He aha nā hōʻailona o kēia maʻi?
ʻOkoʻa paha nā hōʻailona o kēlā me kēia pēpē, akā aia kekahi mau hōʻailona maʻamau e ʻike ʻia. Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻelua mau ʻāpana: i ka wā hāpai a ma hope o ka hānau ʻana o ka pēpē.
| Nā hōʻailona i ʻike ʻia i ka wā hāpai (ma o ka ultrasound) | Nā hōʻailona i ʻike ʻia ma hope o ka hānau ʻana o ke pēpē |
|---|---|
| Hoʻonui nui ʻia ka nui o ka wai amniotic e hoʻopuni ana i ka pēpē i loko o ka ʻōpū. | He keʻokeʻo ka ʻili o ke pēpē. |
| ʻOi aku ka mānoanoa o ka placenta ma mua o ka maʻamau. | Ka hou nui. |
| Hoʻonui ʻia ka ʻōpū a me ka puʻuwai o ke pēpē. | Paʻakikī ka hanu ʻana. |
| Ka hōʻiliʻili ʻana o ka wai a puni nā ʻōpū o ke pēpē, ka puʻuwai, a i ʻole nā māmā. | ʻO ke akepaʻa a me ka spleen i hoʻonui ʻia. |
ʻElua ʻano nui o Hydrops fetalis:
Hiki ke puʻunaue ʻia kēia ʻano i ʻelua ʻano nui ma muli o ke ʻano o kona hana ʻana.
1. Nā hydrops pale ʻole
ʻO kēia ke ʻano maʻamau. He 80-90 pakeneka o nā hihia i hōʻike ʻia. Hiki ke hana ʻia e kahi maʻi genetic i loko o ka pēpē a i ʻole kahi kīnā hānau. I ka ʻōlelo maʻalahi, ʻo kēia no ka mea ʻaʻole hiki i ke kino o ka pēpē ke hoʻokele pono i kona mau pae wai.
2. ʻAno pili i ka pale ʻana (immune hydrops)
He mea kākaʻikahi kēia. Hana ʻia ia i ka wā e kūlike ʻole ai nā hunaola koko ʻulaʻula i loko o ke koko o ka makuahine a me ke koko o ke pēpē .
E noʻonoʻo i kēia ʻano: inā he Rh-negative ke ʻano koko o ka makuahine a he Rh-positive ke ʻano koko o ka pēpē, ʻike ka ʻōnaehana pale o ka makuahine i nā hunaola koko ʻulaʻula Rh-positive o ka pēpē ma ke ʻano he 'ʻenemi haole.' A laila hana ia i nā antibodies e luku i kēlā mau hunaola a hoʻouna iā lākou i ke kino o ka pēpē.
Ke luku ʻia ka nui o nā hunaola koko ʻulaʻula o ka pēpē ma kēia ʻano, loaʻa i ka pēpē kahi maʻi i kapa ʻia ʻo anemia . ʻO ka anemia ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen ma ke kino holoʻokoʻa. I kekahi manawa hiki i kēia ke hana i nā pilikia olakino liʻiliʻi no ka pēpē. Akā inā e ʻoi aku ka ʻino, hiki i ka puʻuwai o ka pēpē ke oki i ka hana (puʻuwai hāʻule).
He aha nā kumu o ka Hydrops fetalis?
ʻO ka mea nui e hoʻomaopopo ai, ʻaʻole ʻo Hydrops Fetalis he maʻi hoʻokahi. He hōʻailona ia e kū mai ana ma muli o kekahi maʻi ʻē aʻe. Aia kekahi mau kumu nui e hiki ke kōkua i kēia.
- ʻO ka maʻi hemolytic o ke keiki hānau hou: Hana ʻia kēia ma muli o ke kūlike ʻole o nā ʻano koko o ka makuahine a me ke pēpē, e like me kā mākou i kūkākūkā ai ma mua.
- Anemia koʻikoʻi: ʻO kēia kūlana, i hoʻokumu ʻia e ka emi ʻana o nā ʻula koko ʻulaʻula, hiki ke lilo i kumu nui o nā hydrops.
- Maʻi: Inā loaʻa ka maʻi i ka pēpē i ka wā hānau, hiki iā ia ke alakaʻi i kēia maʻi.
- Nā kīnā o ka puʻuwai a me ke akemāmā: Inā ʻaʻole i ulu pono ka puʻuwai a i ʻole nā akemāmā o ka pēpē, hiki nō hoʻi ke lilo i kumu.
- Nā hemahema hānau ʻē aʻe a me nā anomalies congenital(a me nā ʻano hānau ʻole): Hoʻonui pū kekahi mau kīnā hānau i ka pilikia o kēia ʻano.
- Maʻi akepaʻa: Inā he pilikia me ke akepaʻa o ka pēpē, hiki iā ia ke hana i ka Hydrops Fetalis.
Pehea e ʻike ai i kēia maʻi?
E ʻike pinepine kāu kauka i kēia kūlana i ka wā o ka hoʻokolokolo ultrasound prenatal maʻamau. Inā loaʻa i kāu pēpē kahi nui o ka wai ma nā wahi ʻelua a ʻoi aku paha, hiki iā ia ke kānalua he hydrops fetalis. E nānā pū ke kauka i ka nui o ka wai, ka mānoanoa o ka placenta, a inā paha ua hoʻonui ʻia nā ʻōpū o ka pēpē, e like me ka puʻuwai a me ke akepaʻa.
Hiki ke ʻike ʻia kēia kūlana ma o nā hoʻāʻo koko e hoʻoholo ai inā he mau kūlike ʻole ma waena o ke koko o ka makuahine a me ke pēpē.
Pehea e mālama ʻia ai?
He ʻano paʻakikī kēia maʻi, no laila, pili nā koho lapaʻau i ke kumu kumu a me ke koʻikoʻi o ke ʻano.
Inā ʻike ʻia kēia i ka wā hāpai, ʻaʻole paha e hiki ke mālama ʻia. I kekahi manawa, hoʻoholo paha nā kauka e hānau mua i ka pēpē (hanau mua).
Inā hānau ʻia kahi pēpē me Hydrops Fetalis, pono ke pēpē i ka lāʻau lapaʻau kūikawā .
- Pono paha e hoʻopili ʻia ke pēpē i kahi mīkini (ventilator) e kōkua iā ia e hanu.
- Pono paha e wehe ʻia ka wai keu i hōʻiliʻili a puni ka puʻuwai o ke pēpē, nā māmā, a me ka ʻōpū me ka hoʻohana ʻana i ka nila.
Pono e mālama ʻia ke pēpē ma lalo o ka nānā pono ʻana o kahi hui lapaʻau ma ka haukapila a hiki i ka wā e hoʻomalu ʻia ai ke kūlana kumu. ʻO ka mea maikaʻi loa e hana ai i ia kūlana, ʻo ia ke kamaʻilio mau me kāu kauka a hahai pololei i kāna mau kuhikuhi.
Leka Lawe-Home
- ʻO ka Hydrops Fetalis kahi hōʻiliʻili ʻano ʻē o ka wai i loko o ke kino o kahi fetus a i ʻole ka pēpē hānau hou. He maʻi koʻikoʻi kēia.
- ʻAʻole kēia he maʻi ʻokoʻa, akā, he hōʻailona ia o kekahi maʻi ʻē aʻe (e like me ka anemia, ka maʻi, nā kīnā hānau).
- Hoʻomaʻamaʻa pinepine ʻia kēia ma ka ultrasound i ka wā hāpai.
- ʻO kekahi kumu o kēia, ʻo ia paha ʻaʻole kūlike nā ʻano koko o ka makuahine a me ke pēpē (ʻoi aku hoʻi ka Rh factor).
- Aia ka lāʻau lapaʻau i ke kumu kumu. Pono ka mālama kūikawā ma ka haukapila ma hope o ka hānau ʻana o ka pēpē.
- Inā he kānalua a hopohopo paha kāu e pili ana i kēia, e kamaʻilio koke me kāu kauka. ʻO ia ka mea nui loa.
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