Pono anei mākou e aʻo e pili ana i nā oligohydramnios (ka wai amniotic haʻahaʻa a puni ka pēpē) i ka wā hāpai?

Ke kokoke ʻoe e lilo i makuahine, i kekahi manawa hiki i nā mea a nā kauka e ʻōlelo ai ke manaʻo iki he mea kaumaha, ʻeā? He mea maʻamau ke hopohopo iki ke lohe ʻoe i kahi mea e like me 'ʻaʻole lawa ka wai a puni ka pēpē'. ʻO kēia ka mea a nā kauka e kapa nei he (Oligohydramnios). Akā, mai hopohopo, ʻeā? I ka hapanui o nā hihia, inā ʻoe e mālama pono i kēia kūlana, hiki iā ʻoe ke lawe mai i kahi pēpē olakino a nani i kēia ao. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ma ka ʻōlelo Sinhala hiki iā ʻoe ke hoʻomaopopo.

No laila he aha ke ʻano o kēia e pili ana i ka emi ʻana o ka wai a puni ka pēpē?

I ka ʻōlelo maʻalahi, aia kāu pēpē i loko o ka ʻōpū, aia kahi wai e like me ka wai e puni ana iā ia. ʻO kēia ka mea a mākou e kapa nei he (Amniotic fluid) a i ʻole ka wai amniotic, a i ʻole pinepine "ka wai a puni ka pēpē". Ua like kēia me kahi ʻeke pale no ka pēpē. E noʻonoʻo, ma muli o kēia ʻeke wai, ua pale ʻia ka pēpē mai nā kaomi o waho a me nā maʻi like ʻole. ʻO kekahi mea nui, ʻo ia ka kōkua ʻana o kēia wai i ka pale ʻana i ke kaula umbilical mai ke kaomi. ʻAʻole wale ia, he mea nui loa kēia (Amniotic fluid) no ka ulu pono ʻana o nā māmā o ka pēpē, ka ʻōnaehana hoʻoheheʻe, a me ka kaohi ʻana i ka mahana o ke kino. No laila, ʻo (Oligohydramnios) ʻo ia hoʻi ka nui o ka wai a puni ka pēpē ua emi ma mua o ka mea i manaʻo ʻia. Ke hana ʻia kēlā, hiki ke loaʻa kekahi mau pilikia i ka wā o ka ulu ʻana o ka pēpē a i ʻole ka wā e hānau ai ka pēpē.

Pehea ka maʻamau o kēia ʻano?

ʻO kēia kūlana, i kapa ʻia ʻo "Oligohydramnios", e pili ana i kahi 4 i loko o 100 mau wahine hāpai (4%). ʻO ka maʻamau, hiki mai ia i nā mahina ʻekolu hope loa o ka hāpai ʻana, a i ʻole ke kolu o ka trimester. Eia nō naʻe, inā ua hala ʻoe i kou lā hānau, a inā ʻaʻole ʻoe i loaʻa kāu pēpē i ka lā hānau, hiki ke piʻi ka pilikia i kahi 12%. ʻO kēia no ka mea, hoʻomaka maoli ka nui o ka wai a puni ka pēpē e emi iki i kēia manawa.

ʻEhia ka nui o ka wai e pono ai a puni ke pēpē i ka wā hāpai?

Aia maoli kēia i ka nui o nā pule o kou hāpai ʻana. Hoʻomaka kēia "wai Amniotic" e hana ma kahi o 12 mau lā ma hope o kou hāpai ʻana. I nā pae mua, puka mai kēia wai mai ka "Placenta". Ma kahi o 15 mau pule, hana ʻia kahi mea kupaianaha, lilo ka mimi o ka pēpē i kēia wai. ʻAe, inu ke pēpē i kēlā wai a hoʻokuʻu iā ia ma ke ʻano he mimi. Penei ke ʻano o ka hoʻoponopono ʻana i ka pae wai. Hiki kēia wai i kona pae kiʻekiʻe loa ma kahi o 36 mau pule o ka hāpai ʻana. Ma hope o kēlā, hoʻomaka ia e emi mālie. No laila, hiki ke ʻokoʻa ka nui o ka wai i loaʻa mai kēlā me kēia wā a i kekahi.

He aha nā hōʻailona e hōʻike ana ua maloʻo ka wai o ke pēpē?

I ka hapa nui o ka manawa, ʻaʻole paha ʻoe e ʻike. No kekahi kumu ʻē aʻe, hiki ke ʻike ʻia ma kahi hanana i ka wā o kahi scan ultrasound e nānā i ka ulu ʻana o ka pēpē. Ke hana ʻia kēlā, hiki iā ʻoe ke manaʻo koke i ke kahaha a me ka makaʻu. Akā, mai hopohopo.

Akā i kekahi manawa kānalua paha ke kauka e pili ana i kēia ma muli o nā mea e like me:

• Inā he wai kahe mai kou ʻōpū (pono ʻoe e haʻi i kāu kauka inā ʻaʻole ʻoe maopopo i kēia).
• Inā ʻoi aku ka liʻiliʻi o ka nui o kou ʻōpū ma mua o ka helu o nā pule o kou hāpai ʻana.
• Inā manaʻo ʻoe ua liʻiliʻi loa nā neʻe ʻana o ke pēpē.

No ke aha i emi ai ka wai a puni ka pēpē?

I ka hapa nui o ka manawa, ʻaʻole hiki ke loaʻa ke kumu maoli. Hiki ke hana maʻamau ʻia, ʻoiai i nā hāpai olakino. Akā i kekahi manawa hiki i nā kauka ke loaʻa kahi kumu kikoʻī e kōkua ai i ia.

Eia kekahi mau kumu:

• Nā ʻano ʻē o ka hānau ʻana o nā puʻupaʻa a i ʻole ka ʻōnaehana mimi o ka pēpē: Inā ʻaʻole i ulu pono nā puʻupaʻa o ka pēpē, e emi ana ka nui o ka mimi a lākou e hana ai. E hōʻemi pū kēia i ka nui o ka wai a puni ka pēpē.
• Nā pilikia o ka placenta: ʻO ka placenta ke kumu o ke koko a me nā meaʻai no ka pēpē. Inā ʻaʻole ia e hana pono, e emi iho paha ka hana ʻana o ka wai.
• ʻOi aku ma mua o ʻelua pule i hala ka lā palena: E like me kaʻu i ʻōlelo ai ma mua, e emi ana ka nui o ka wai i ka hala ʻana o nā lā.
• ʻO ke koko kiʻekiʻe a i ʻole ka preeclampsia: Hiki i kēia mau kūlana ke hōʻemi i ke kahe koko i ka placenta, hiki ke hana i nā pae wai haʻahaʻa.
• Ka maloʻo ʻana o ka wai: Inā ʻaʻole lawa ka wai o kou kino, hiki iā ia ke hoʻopilikia iā ʻoe. No laila he mea nui loa ka inu ʻana i ka wai he nui.
• Ka haki mua ʻana o nā membrane (PROM): Inā haki nā membrane ma mua o ka hānau ʻana o ke pēpē a hoʻomaka ka wai e kahe i waho, e emi ana ka nui o ka wai i loko.

Inā loaʻa iā ʻoe kēia mau kūlana, ʻoi aku ka nui o ka wai e pili ana i kāu pēpē. Inā ua loaʻa iā ʻoe ka wai haʻahaʻa i ka wā hāpai mua, he mea pilikia nō hoʻi kēlā.

He aha nā pilikia e hiki ai i kēia ke hana?

I loko o nā mahina 6 mua o ka hāpai ʻana, hiki i ka wai a puni ka pēpē ke lilo i mea weliweli iki ma mua o ka maʻamau, no ka mea, ʻo ia ka manawa e hoʻokumu ʻia ai nā ʻōpū o ka pēpē.

• Nā pilikia me ka ulu ʻana o nā ʻōkana: ʻOi aku hoʻi, ʻaʻole paha e ulu pono nā māmā, a i ʻole he kīnā paha ke ʻano o ka pēpē i loko o ka ʻōpū, e hana ana i nā kīnā ma nā lālā.
• Ka hānau mua ʻana .
• Hānau make (he mea kākaʻikahi loa kēia, akā aia kahi pilikia).
• Hiki ke loaʻa ka maʻi inā haki koke ka wai.

Eia nō naʻe, inā ʻike ʻia kēia maʻi (Oligohydramnios) i ka trimester hope loa o ka hāpai ʻana (ʻo ia hoʻi mai nā pule 28 a 40), hiki mai nā pilikia penei:

• ʻO ke kaomi ʻana o ke kaula umbilical: Ma muli o ka nele o ka wai a puni ka pēpē, hiki ke kaomi ʻia ke kaula umbilical, e hōʻemi ana i ka nui o ka meaʻai a me ka oxygen i loaʻa i ka pēpē.
• Ka palena o ka ulu ʻana o ka ʻōpū .
• Aia kahi pilikia kiʻekiʻe o ka hānau ʻana o kahi pēpē ma o ka ʻoki cesarean (C-section).
• Ka hānau ʻana i kahi pēpē i ka wā ʻōpiopio.
• Aia kahi pilikia kiʻekiʻe o ka maʻi inā haki koke ka wai.

E noʻonoʻo e pili ana i ia mea, e like me ke kau ʻana i kahi mea i loko o kahi pōpō i piha i ka wai, palekana ia, pēlā nō hoʻi ke pēpē i loko o ka ʻōpū. Ke emi ka pae wai, emi iho kēlā palekana.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe i ke keʻena o ke kauka i kou wā hāpai, e hana ke kauka i kahi scan ultrasound e ana i ka nui o ka wai a puni kāu pēpē. Inā ʻoi aku ka haʻahaʻa o ka nui o ka wai ma mua o ka mea i manaʻo ʻia no ka helu o nā pule o kāu pēpē, hiki ke ʻike ʻia ʻoe me ka oligohydramnios.

ʻElua ala e ana ai i kēia wai:

1. Kuhikuhi wai amniotic (AFI): Pili kēia i ka māhele ʻana i kou ʻōpū i ʻehā mau ʻāpana a me ke ana ʻana i ke kiʻekiʻe o ke kolamu wai hohonu loa ma kēlā me kēia ʻāpana. A laila helu ʻia ka AFI ma ka hoʻohui ʻana i nā ana mai nā ʻāpana ʻehā. Pono ka AFI maʻamau ma mua o 5 kenimika (cm).

2. ʻEke kū pololei kiʻekiʻe loa (MVP): Ke ana kēia i ke kiʻekiʻe o ke kolamu wai hoʻokahi a hohonu loa i loko o ka ʻōpū. Inā emi ka MVP ma mua o 2 kenimika (cm), ua manaʻo ʻia he wai haʻahaʻa.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka lāʻau no kēia e pili ana i ka lōʻihi o kou hāpai ʻana a inā he mau pilikia ʻē aʻe kāu no ka hāpai ʻana. Inā kokoke ʻoe i ka manawa piha (ʻo ia hoʻi, i hala he 37 mau pule), e hoʻoholo paha kāu kauka ʻoi aku ka maikaʻi o ka hoʻoulu ʻana i ka hānau ʻana e pale i kāu pēpē.

E kipa pinepine aku ke kauka iā ʻoe a e hoʻolilo i nā lā he nui i ka haukapila. I kēlā me kēia manawa, e nānā pono lākou i ka ulu ʻana o kāu pēpē. Eia kekahi mau mea hiki iā ʻoe ke hana ma kēia mau keʻena lapaʻau:

• Nā scan ultrasound i hana hou ʻia.
• Nā hoʻāʻo ʻaʻole pilikia (nānā kēia i ke ʻano o ka pane ʻana o ka puʻuwai o ka pēpē i kāna neʻe ʻana).

ʻO nā koho lapaʻau ʻē aʻe e pili ana i ke kumu o kou pae wai haʻahaʻa. Inā he kānalua ua haki kou wai, a inā paha e hoʻomau ka haʻahaʻa o kou pae wai, hiki ke hoʻokomo ʻia ʻoe i ka haukapila no ka nānā pono ʻana.

Hiki i ka inu wai ke hoʻonui i ka nui o ka wai a puni ka pēpē?

Malia paha. Ua hōʻike kekahi mau noiʻi e hiki i ka inu ʻana i ka nui o ka wai i ka wā hāpai, ʻoiai no ka poʻe i maloʻo loa, ke kōkua i ka hoʻonui ʻana i ka nui o ka wai amniotic a puni ka pēpē. No laila he mea nui e inu i ka wai lawa i kēlā me kēia lā. E noi i kāu kauka no ka ʻōlelo aʻo.

Aia kekahi ala e hiki ai iaʻu ke pale aku i kēia?

ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i nā oligohydramnios. ʻO ka mea nui loa, ʻo ia ke hele pinepine i kāu mau hālāwai prenatal. A e kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino i hala. ʻO ka ʻike mua ʻana inā paha ʻoe i ka pilikia no kēia ʻano ke ala maikaʻi loa e ʻike ai a mālama ai.

E olakino anei kaʻu pēpē me kēia maʻi?

ʻAe, ʻo ka mea paha e hānau olakino kāu pēpē. Mai hopohopo. ʻOiai hiki i ka wai amniotic ke koʻikoʻi i kekahi manawa, ua maikaʻi ka hapa nui o nā pēpē ma hope o ka hānau ʻana. ʻO ka mea nui, ʻo ia ka ʻike mua ʻana i kēia kūlana a mālama pono iā ia e like me ke aʻo ʻana a ke kauka.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka:

• Inā he wai kahe mai kou ʻōpū (inā ʻaʻole ʻoe maopopo i ke ʻano o ia kahe ʻana, e haʻi i kāu kauka).
• Inā he kahe koko o ka ʻōpū.
• Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, nā ʻūmiʻi a i ʻole ka ʻeha pelvic.
• Inā ʻoe e loaʻa ana i nā ʻehaʻeha, e like me nā ʻeha hānau.
• Inā manaʻo ʻoe ua liʻiliʻi loa nā neʻe ʻana o ke pēpē.

E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou. He mea nui loa ka ʻimi koke ʻana i ke kōkua lapaʻau no kou palekana a me kāu pēpē.

ʻO nā mea nui loa e pono ai kākou e aʻo mai kēia

ʻAe, no laila, he mea hoʻohoka nui ka lohe ʻana ua haʻahaʻa ka wai o kāu pēpē, a i ʻole oligohydramnios, a he mea maʻamau ka loaʻa ʻana o nā nīnau he nui. 'He aha ka mea e hiki mai ana i kaʻu pēpē?', 'ʻAʻole hiki ke hoʻoponopono ʻia kēia?' Ke noʻonoʻo nei paha ʻoe. He kūpono kēlā mau nīnau a pau. Akā , mai hopohopo. E like me kaʻu i ʻōlelo ai ma mua, ʻo ka hapa nui o nā makuahine me kēia maʻi e hānau i nā pēpē olakino.

E nānā pono kāu kauka iā ʻoe i kou wā hāpai. E kūkākūkā pū lākou me ʻoe i ka hoʻolālā lapaʻau palekana loa no ʻoe a me kāu pēpē. ʻO ka pahuhopu nui o nā kauka ke mālama iā ʻoe a me kāu pēpē i ke olakino. No laila, ʻo ka hele ʻana i kāu mau hālāwai prenatal a pau a me ka haʻi ʻana i kāu mau hōʻailona me kāu kauka ke ala maikaʻi loa e ʻike ai i nā pilikia e hiki mai ana me ka nui o ka wai a puni kāu pēpē. Mai poina e inu nui i ka wai. Na ke Akua e hoʻopōmaikaʻi iā ʻoe a me kāu pēpē!

ʻO Oligohydramnios, emi ʻana o ka wai amniotic i ka wā hāpai, wai amniotic, emi ʻana o ka wai a puni ka pēpē, nā pilikia hāpai, ultrasound, hānau mua ʻana