Ke ʻeha nei ʻoe i ka luaʻi nui ʻana i ka wā hāpai? E aʻo kākou e pili ana i ka Hyperemesis Gravidarum

He mea maʻamau ka luaʻi ʻana a me ka luaʻi ʻana i ke kakahiaka i ka wā hāpai no nā makuahine he nui. Kapa mākou ia me ke aloha ʻo 'Morning Sickness'. Akā i kekahi manawa hiki i kēia ʻano ke lilo i mea ʻoi aku ka koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano kahi hiki ʻole iā ʻoe ke hoʻopaʻa i kekahi mea i lalo, luaʻi ʻoe i nā manawa he nui i ka lā, a emi ke kaumaha o kou kino. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo Hyperemesis Gravidarum (HG) . He ʻokoʻa loa kēia mai ka Morning Sickness maʻamau a pono ke mālama ʻia e ke kauka.

He maʻi kakahiaka maʻamau anei kēia? A i ʻole he Hyperemesis Gravidarum paha? E ʻike kākou i ka ʻokoʻa.

Manaʻo ka nui o nā makuahine he hihia iki wale nō kēia o ka maʻi kakahiaka. Akā, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua. E noʻonoʻo, ua luaʻi kou hoaaloha i ke kakahiaka, a ua luaʻi pū ʻoe. Akā inā ʻino loa ia a ʻaʻole hiki iā ʻoe ke ʻai i kekahi mea a inu wai paha i ka lā a pau, ʻaʻole ia he mea maʻamau.

I ka ʻōlelo maʻalahi, ma kahi o 80% o nā wahine hāpai e ʻike i ka maʻi kakahiaka. Hiki iā ia ke hoʻoulu i ka nausea a i kekahi manawa e luaʻi i hoʻokahi a ʻelua paha i ka lā. Akā hiki iā lākou ke mālama i kekahi mau meaʻai a me nā mea inu. Hoʻomaha pinepine kēia maʻi i ka hopena o ka trimester mua.

Akā, he ʻano ʻokoʻa loa a ʻoi aku ka koʻikoʻi o ka Hyperemesis Gravidarum (HG) . I kēia, lilo ka luaʻi i mea hiki ʻole ke hoʻomanawanui. ʻO kēia ke alakaʻi i ka pohō kaumaha a me ka make wai. Hiki i kēia kūlana ke hoʻomau ma mua o ka trimester mua, a hiki paha a hiki i ka hānau ʻana o ka pēpē.

E nānā kākou i kēia papa e hoʻomaopopo maikaʻi i kēia ʻokoʻa.

He aha nā hōʻailona o ka Hyperemesis Gravidarum?

Hoʻomaka pinepine kēia maʻi ma kahi o 6 mau pule o ka hāpai ʻana. Hiki i kēia mau hōʻailona ke hoʻoluhi loa iā ʻoe a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā.

Nā hiʻohiʻona i ʻike nui ʻia

• Ka nausea nui: He manaʻo o ka nausea e mau ana i ka lā a pau a ʻoi loa aku ka ikaika a ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
• Ka luaʻi ʻana ma mua o ʻekolu manawa i ka lā: ʻAʻole kēia he mea maʻamau, akā he luaʻi mau.
• Pohō kaumaha: ʻO ka pohō ʻana ma mua o 5% o kou kaumaha ma mua o ka hāpai ʻana. Eia kekahi laʻana, inā he 60 kg kou kaumaha, e pohō ʻoe ma mua o 3 kg.
• ʻAʻole hiki ke hoʻomau i ka ʻai a me ka inu ʻana: He kūlana kahi e luaʻi hou ai ʻoiai ma hope o ka inu ʻana i kahi wai.
• Ka maloʻo ʻana o ka wai: Ka nalowale ʻana o ka wai kūpono mai ke kino. ʻO kēia ke kumu o ka maloʻo ʻana o ka waha a me nā lehelehe, emi iho ka nui o ka mimi i hana ʻia, a lilo ka mimi i melemele ʻeleʻele.
• Pōniuniu a me ke poʻo māmā: Manaʻo nui ka poʻo māmā a hiki ʻole ke kū i luna, a me ke poniuniu.
• Luhi loa: Manaʻo nui i ka luhi ʻoiai inā aia wale nō ma laila.
• Nāwaliwali: I kekahi manawa e nalowale paha kou ʻike a hāʻule.
• ʻEha poʻo: ʻEha poʻo mau.

ʻIke pinepine ʻole ʻia nā hōʻailona koʻikoʻi

• Ke koko haʻahaʻa
• Ka wikiwiki o ka puʻuwai
• ʻIli maloʻo
• Ka huikau
• Jaundice (melemele o ka ʻili) ma muli o ka hōʻino ʻia o ke akepaʻa
• ʻO ka maʻi Wernicke-Korsakoff: He maʻi koʻikoʻi loa e hoʻopilikia ai i ka lolo ma muli o ka nele o ka wikamina B1 (Thiamine).

No ke aha lā e kū mai ai kēia kūlana?

ʻAʻole i loaʻa ke kumu kikoʻī o kēia, akā ʻo ke kānalua nui, ʻo ia ka loli o ka hormonal i loko o ke kino i ka wā hāpai.

I ka ʻōlelo maʻalahi, ke hāpai mākou i kahi pēpē, ua loli nui nā hormones o ko mākou kino. ʻO kekahi o nā mea nui ma ʻaneʻi he hormone i kapa ʻia ʻo HCG (human chorionic gonadotropin) . Hana ʻia kēia hormone e ke kino i ka wā hāpai, a piʻi koke ia a nui loa. Piʻi ka nui o ka HCG ma kahi o 10 mau pule o ka hāpai ʻana. ʻO kēia ka manawa e ʻike ai nā makuahine he nui i nā hōʻailona koʻikoʻi loa. No laila, ua manaʻoʻiʻo ʻia he pilina ikaika ma waena o kēia hormone HCG a me HG.

Eia kekahi, ʻo ka hormone estrogen, ka mea e hoʻonui ai i ka wā hāpai, hiki ke kōkua i kēia nausea a me ka luaʻi.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻOi aku ka nui o ka loaʻa ʻana o Hyperemesis Gravidarum i kekahi poʻe ma mua o nā poʻe ʻē aʻe. ʻO kēia mau mea pilikia:

• Loaʻa iā HG i ka hāpai mua ʻana: Inā loaʻa iā ʻoe kēia ʻano i kou wā e hānau ana i kahi pēpē ma mua, ʻoi aku ka nui o kou loaʻa hou ʻana i kou wā hāpai aʻe.
• ʻO ka loaʻa ʻana o nā māhoe a ʻoi aku paha nā pēpē: ʻO ka nui o nā pēpē āu e loaʻa ai, ʻoi aku ke kiʻekiʻe o kāu mau pae hormone HCG. No laila, ʻoi aku ka nui o ka pilikia no nā makuahine e hāpai ana i nā māhoe a i ʻole nā ​​​​mākolu.
• ʻO kou hāpai mua kēia.
• Inā loaʻa i kekahi o ka ʻohana (makuahine, kaikuahine) ka maʻi kakahiaka nui a i ʻole HG: He mana hoʻoilina paha kēia.
• Loaʻa nā maʻi e like me ka migraines a i ʻole ka maʻi neʻe.
• Loaʻa i kahi maʻi i kapa ʻia ʻo Gestational Trophoblastic Disease (GTD), ʻo ia hoʻi ka ulu ʻana o nā cell ma ke ʻano kūpono ʻole i loko o ka ʻōpū.

He aha nā lāʻau lapaʻau no kēia?

Aia ka lāʻau lapaʻau i ke koʻikoʻi o kāu mau hōʻailona. ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kēia a koho i ka lāʻau lapaʻau kūpono loa iā ʻoe. Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home, a me nā lāʻau lapaʻau e pono ai ka haukapila.

Pehea ka lōʻihi o kēia maʻi? E hoʻopilikia anei ia i ka pēpē?

E hoʻoweliweli paha kēia iā ʻoe, a he mea kūpono ia. Akā ʻo ka nūhou maikaʻi, me ka mālama kūpono, hiki iā ʻoe a me kāu pēpē ke ola maikaʻi.

• Ka Lōʻihi: Loaʻa i kekahi poʻe ka emi ʻana o nā hōʻailona ma hope o ka trimester mua. Loaʻa paha i kekahi poʻe kēia maʻi i ka wā hāpai. Akā ma hope o ka hānau ʻana o ke pēpē, aneane nalowale loa kēia mau hōʻailona.
• Nā hopena i ka pēpē: Inā ʻoe e lawe i ka lāʻau lapaʻau e pono ai ma lalo o ka nānā ʻana o ke kauka, ʻaʻohe hopena i ka pēpē. Eia nō naʻe, inā ʻaʻole mālama ʻia nā kūlana e like me ka pohō kaumaha nui a i ʻole ka make wai nui, ʻaʻole hiki ke hānau ʻia ka pēpē me ke kaumaha hānau haʻahaʻa a hānau mua ʻia paha.
• Hāpai keiki pilikia kiʻekiʻe: Inā loaʻa iā ʻoe ka HG, e manaʻo nā kauka he pilikia kiʻekiʻe kou hāpai ʻana. ʻAʻole ia he manaʻo he mea e hopohopo ai, akā ʻo ia hoʻi e nānā pono ʻia ʻoe a me kāu pēpē me ka pinepine .

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka

Mai noho wale ma ka home a ʻeha, me ka manaʻo he "maʻamau" ka luaʻi nui i ka wā hāpai. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i kāu kauka.

• Inā ʻaʻole hiki iā ʻoe ke ʻai i kekahi mea ma muli o ka luaʻi e mau ana i ka lā a pau.
• Inā hoʻomau ʻoe i ka luaʻi ʻana ma mua o ʻekolu manawa i ka lā no kekahi mau lā.
• Inā manaʻo ʻoe e emi ana ke kaumaha o kou kino .
• Inā ʻoe e manaʻo i ka poniuniu , ka poʻo māmā, a i ʻole ka nāwaliwali .
• Inā ua emi nui ka nui o ka mimi āu e hoʻokahe ai, a inā paha e lilo kou mimi i kala melemele/ʻalani ʻeleʻele.

I ka manawa e like me kēia, pono paha ʻoe e komo i ka Emergency Treatment Unit (ETU) o ka haukapila a hāʻawi ʻia i ka saline a me nā lāʻau lapaʻau e pono ai.