ʻO kou pule 31 o ka hāpai ʻana! (Pregnancy Week 31) - E kamaʻilio kākou e pili ana i ka ulu ʻana o ka pēpē a me ka wai amniotic!

Aloha! No laila, aia ʻoe i kou hebedoma 31 o ka hāpai ʻana. Holo wikiwiki ka manawa, ʻeā? He mea kūikawā loa kēia pule nou a me kāu keiki liʻiliʻi. He mea nui loa iā ʻoe e makaʻala i nā loli i loko o kou kino i ka ulu ʻana o kāu pēpē, a me ka wai amniotic a mākou e kamaʻilio ai i kēia lā. Mai hopohopo ke lohe ʻoe i kēia mau mea, ʻeā? E kamaʻilio maʻalahi kākou e pili ana i kēia mau mea a pau, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. E like me ke kamaʻilio ʻana me kahi hoaaloha.

Hana kupaianaha a pēpē! Pehea ʻo ia e hoʻohana ai i ka lotion pēpē?

I kēia pule 31, ke ulu wikiwiki nei kāu keiki liʻiliʻi. Ua nui loa ʻo ia i kēia manawa. Ua ʻike anei ʻoe, ke mimi nei ʻo ia i kekahi mau kīʻaha wai amniotic i loko o kāna ʻeke i kēlā me kēia lā. ʻO ke ʻano kēia, ke hana pono nei kona mau puʻupaʻa . Eia kekahi, ke ale hou nei ʻo ia i ka wai amniotic like. ʻAʻole anei kēia he mea kupaianaha? Hoʻohou hou ʻia ka wai amniotic i nā manawa he nui i ka lā. Hōʻike kēia i ka ulu ʻana o ka hiki o ka pēpē ke ale, ʻo ia hoʻi ka ʻōnaehana hoʻoheheʻe . No laila, he mea nui loa kēia mau kaʻina hana ʻelua o ka mimi a me ke ale ʻana no ka ulu ʻana o ka pēpē.

No ke aha he mea nui kēia wai pēpē?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha ka mea kūikawā e pili ana i ka lotion pēpē?" I ka ʻōlelo maʻalahi, ʻo ka lotion pēpē kahi mea e hana ai i kahi palekana a ʻoluʻolu hoʻi no kāu pēpē. E noʻonoʻo e pili ana i kēia ʻano ...

• E like me ka uluna no ka palekana: Inā loaʻa i kou ʻōpū kahi puʻupuʻu liʻiliʻi a i ʻole kahi puʻupuʻu, pale kēia wai amniotic i ka pēpē mai ka pōʻino. E like me ka ʻeke ea i loko o ke kaʻa.
• Mehana kūpono: Kōkua pū kēia wai i ka mālama ʻana i ka mahana kūpono e pono ai no ka pēpē.
• Pāʻani manuahi: ʻAe kēia wai i ka pēpē e hoʻoneʻe i ko lākou mau lima a me nā wāwae, neʻe a puni, a ʻauʻau manuahi. He mea nui kēia mau neʻe ʻana no ka ulu ʻana o nā ʻiʻo a me nā iwi o ka pēpē.
• Kōkua i ka ulu ʻana o ka māmā: Hanu ka pēpē i kēia wai (e like me ka hanu ʻana). Kōkua nui kēia i ka ulu ʻana o nā māmā o ka pēpē.
• Ke pale ʻana i ke kaula umbilical: ʻO kēia nui o ka wai e kōkua pū i ka pale ʻana i ke kaula umbilical mai ka hoʻopaʻa ʻia ʻana a e hōʻoia i ka loaʻa ʻana o ka oxygen a me ka meaʻai e pono ai ka pēpē.

No laila, maopopo iā ʻoe ke waiwai nui o ka wai amniotic i ke ola o kahi pēpē. ʻO ia ke kumu e hopohopo mau ai nā kauka e pili ana i ka nui o ka wai amniotic.

He aha inā e piʻi ka nui o ka wai amniotic? - ʻO ia hoʻi ke ʻano `(Polyhydramnios)`

I kekahi manawa, ʻoi aku ka nui o ka wai amniotic i loko o ka ʻōpū o ka wahine hāpai ma mua o ka maʻamau. Kāhea mākou i kēia ma ke ʻano lapaʻau he "Polyhydramnios" . I ka ʻōlelo maʻalahi, he keu ia o ka wai amniotic.

No ke aha lā kēia e hana nei? He aha nā kumu?

Aia kekahi mau kumu e hoʻonui ai i ka hoʻoheheʻe ʻana o ka vaginal.

• ʻAʻole ke ale pono nei ka pēpē i nā wai:Ua kamaʻilio mua mākou e pili ana i ke ʻano o ka moni ʻana o nā pēpē i nā wai. Inā no kekahi kumu ʻaʻole hiki i ka pēpē ke hana pono i kēia, e hōʻiliʻili nā wai. Hiki paha i ka pēpē ke loaʻa kahi poloka liʻiliʻi i loko o kā lākou ʻōnaehana hoʻoheheʻe (Gastrointestinal Obstruction) .
• Loaʻa i ka makuahine ka maʻi diabetes mellitus: Hiki i ka maʻi diabetes gestational a i ʻole ka maʻi diabetes mua ke hoʻonui i ka wai amniotic.
• Māhoe a hānau keiki paha he nui: Hiki ke piʻi aʻe ka nui o ka wai amniotic ʻoiai inā he nui aku ma mua o hoʻokahi pēpē i loko o ka ʻōpū.
• ʻO kekahi mau kūlana genetic i loko o ka pēpē: Hiki ke hana kēia ma muli o kekahi mau kūlana genetic kakaʻikahi.
• Nā kumu i ʻike ʻole ʻia: I kekahi manawa, ʻaʻole paha e loaʻa kahi kumu maopopo.

He aha nā hōʻailona o ka polyhydramnios? Pehea ʻoe e ʻike ai?

I ka hapanui o ka manawa, ʻaʻole paha e nui ka wai i loaʻa iā ʻoe. Akā inā ʻoi aku ka nui o ka wai, e ʻike paha ʻoe i nā mea e like me:

• Ke manaʻo nei e ulu wikiwiki ana kou ʻōpū.
• Paʻakikī ka hanu ʻana.
• Paʻa a ʻālohilohi ka ʻili ma ka ʻōpū.
• Hoʻonui ʻia ka manaʻo o ka ʻeha o ka umauma a me ka ʻōpū.
• Ka pehu ʻana o nā wāwae.

Hiki ke ʻike pololei ʻia kēia kūlana ma o ka ultrasound scan i hana ʻia e kāu kauka, kahi e ana ai i ka pae o ka wai amniotic (e.g., ka Amniotic Fluid Index - AFI).

Aia kekahi pilikia me kēia?

Inā kiʻekiʻe loa ka nui o ka wai amniotic, hiki ke loaʻa kekahi mau pilikia. Eia kekahi laʻana:

• Ka hānau mua ʻana.
• Ka haki mua ʻana o nā membrane.
• Ka pilikia o ka hoʻopau ʻana o ka placenta.
• Ke kūlana hewa o ka ʻōpū.
• Ke kahe koko ma hope o ka hānau ʻana.

Akā, mai hopohopo! E makaʻala mau ana kāu kauka no kēia. Inā pono, hiki iā lākou ke mālama i ke kumu (e laʻa, kaohi ʻana i ka maʻi diabetes) a i kekahi manawa e wehe i ke kahe nui (Amnioreduction).

He aha inā e emi ana ka nui o ka wai amniotic? - ʻO ia hoʻi `(Oligohydramnios)`

I ka piʻi ʻana o ka wai amniotic, i kekahi manawa hiki ke emi ka nui o ka wai amniotic ma mua o ka maʻamau. Ua kapa ʻia kēia ʻano he `(Oligohydramnios)` .

No ke aha e emi ai ka nui o ke wai?

Aia paha kekahi mau kumu no kēia:

• ʻAʻole mimi pono ka pēpē: Inā he pilikia me nā puʻupaʻa a i ʻole ke ala mimi o ka pēpē, e emi pū ka mimi i hoʻopuka ʻia.
• Ka hana pono ʻole o ka placenta: Inā emi iho ka lako koko i ka pēpē mai ka placenta, e emi iho paha ka hana ʻana o ka mimi o ka pēpē a e emi iho paha ka wai amniotic.
• Nā membrane e kahe ana: Inā ua hana ʻia kahi lua liʻiliʻi i loko o ka ʻeke amniotic a ke kahe nei ka wai mai loko mai o ka vagina, e emi ana ka nui o ka wai.
• ʻAʻole inu ka makuahine i ka wai lawa: I kekahi mau hihia, hiki i ka makuahine ke inu ʻole i ka wai lawa ke loaʻa kahi hopena liʻiliʻi.
• Hāpai keiki ma hope o ka hānau ʻana: I kekahi manawa, ma hope o 42 mau pule, e emi paha ka wai amniotic.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau i lawe ʻia no ke koko kiʻekiʻe ke hoʻopilikia iā ia.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka `(Oligohydramnios)`? He aha nā pilikia?

ʻIke pinepine ʻia kēia i ka wā o ka scan. Manaʻo paha kāu kauka ua liʻiliʻi kou ʻōpū no ka pule o ka hāpai ʻana. ʻO kekahi o nā pilikia o ka wai amniotic haʻahaʻa:

• Ka Pale ʻana i ka Ulu ʻana o ka Hānau Keiki.
• Aia kahi pilikia o ka nele o ka oxygen i ka pēpē ma muli o ke kaomi ʻana o ke kaula umbilical.
• ʻO ka hypoplasia pulmonary, ʻoiai inā ua pau ka wai i ka wā mua o ka hāpai ʻana.
• Hiki ke loli ke ʻano o nā lālā o ka pēpē (e like me ke "clubfoot") inā ʻaʻole hiki i ka pēpē ke neʻe pono ma muli o ka nele o nā wai.
• ʻOi aku ka nui o ka pilikia o ka hānau ʻana.

Akā, mai hopohopo hoʻi ma ʻaneʻi. E nānā pono kāu kauka i kēia kūlana. Inā pono, e haʻi aku ʻo ia iā ʻoe e inu i ka wai hou aku, a e ʻae paha iā ʻoe i ka haukapila a hāʻawi iā ʻoe i ka saline. I kekahi mau hihia kūikawā, hiki ke hana ʻia kahi lāʻau i kapa ʻia ʻo "Amnioinfusion", kahi e hoʻokomo ʻia ai ka saline i loko o ka ʻeke amniotic. Hiki ke hoʻoholo ʻia e hānau mua i ka pēpē no ka palekana o ka pēpē.

Pehea e nānā ai ke kauka i kēia mau mea?

He mea nui loa ʻoe e hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hana i nā scan a ke kauka i kuhikuhi ai. E like me kēlā me kēia scan `(Ultrasound)`, nānā ke kauka i ka nui o ka wai amniotic. No kēia, hoʻohana ʻo ia i nā ana e like me `(Amniotic Fluid Index - AFI)` . Hana ʻia kēia ma ke ana ʻana i ka pae wai ma nā wahi ʻehā i loko o ka ʻōpū o ke pēpē a lawe i ka huina o kēia mau mea, e manaʻo ʻia ka nui o ka wai.

Pehea ʻoe i ka hebedoma 31?

I kēia manawa, ke ʻike nei paha ʻoe i kekahi o nā ʻano ʻeha maʻamau o ka hāpai ʻana.

• ʻO nā ʻūmiʻi ʻana o Braxton Hicks: He mau ʻūmiʻi koke kēia, ʻoi, a i kekahi manawa ʻeha e like me ka hiki koke ʻana mai a laila e mālie mālie ana. ʻAʻole kēia he mau ʻeha hānau maoli. ʻO ka ʻōpū wale nō ia e hoʻomākaukau ana no ka hānau ʻana.
• Paʻakikī ka hanu ʻana: I ka ulu ʻana o ke pēpē, hiki iā ia ke paʻakikī iki i ka hanu ʻana ma muli o ke kaomi ʻana ma luna o nā māmā.
• ʻEha umauma, ʻeha ʻōpū: He mea maʻamau kēia i kēia mau lā.
• ʻEha kua, ʻeha wāwae.
• ʻInsomnia: ʻO ka paʻakikī i ka loaʻa ʻana o kahi kūlana ʻoluʻolu e hiki ke alakaʻi i nā pilikia hiamoe.

Aia kekahi mau mea liʻiliʻi hiki iā ʻoe ke hana e hoʻoponopono ai i kēia mau pilikia.

• E hoʻomaha nui. E ho'āʻo e hiamoe ma kou ʻaoʻao hema i ka hiki.
• E ʻai i ka meaʻai momona. Mai ʻai i kahi meaʻai nui i ka manawa hoʻokahi, akā e ʻai i nā meaʻai liʻiliʻi ma luna o kekahi mau meaʻai.
• E inu i ka wai nui.
• E hana i ka hoʻoikaika kino māmā (ma hope o ke kūkākūkā ʻana me kāu kauka).
• Mai komo i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe.

I ka manawa hea e ʻike koke ai i ke kauka!

Pono ʻoe e makaʻala i kēia mau mea. Inā loaʻa kekahi mea e like me kēia, e ʻike koke i ke kauka.

• Ka hoʻokuʻu koke ʻia ʻana o kahi wai wai (wai menstrual) mai loko mai o ka vagina.
• Ke kahe ʻana o ke koko.
• Ke emi mālie nei a nalowale paha nā neʻe ʻana o ka pēpē. (E nānā e ʻike inā neʻe ka pēpē ma ka liʻiliʻi he 10 mau manawa i ka lā.)
• ʻEha nui a mau ka ʻōpū a i ʻole ka ʻeha kua.
• ʻEha poʻo nui, ʻike maka pohihihi, pehu ʻana o nā lima a me nā wāwae (he mau hōʻailona paha kēia o ke koko kiʻekiʻe).
• Kuni, anuanu.

Ke hoʻokokoke aku nei ʻoe i ka hopena o ka huakaʻi...

Eia mākou, pule 31. I loko o kekahi mau pule hou aʻe, e paʻa ana ʻoe i kāu keiki liʻiliʻi. He mea waiwai kēlā me kēia manawa o kēia manawa. Inā he mau makaʻu a kānalua paha kāu, mai kānalua e kamaʻilio me kāu kauka.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo e hiki iā ʻoe ke hoʻomanaʻo i kekahi mau mea nui mai kā mākou i kamaʻilio ai i kēia lā.

• He mea nui ka waiū umauma no ka ulu ʻana a me ka palekana o kahi pēpē.
• Ke nānā mau nei nā kauka i nā kūlana e like me polyhydramnios a me oligohydramnios, no laila he mea nui e hele i nā nānā maʻamau a me nā scans.
• E makaʻala i nā loli i kou kino a me nā neʻe ʻana o kāu pēpē. Inā ʻike ʻoe i kekahi mea ʻē, e ʻimi koke i ke kōkua lapaʻau.
• He mea maʻamau ka ʻike ʻana i ka ʻoluʻolu ʻole i kēia manawa, akā hiki ke hoʻokele ʻia. Mai poina e loaʻa ka meaʻai maikaʻi a me ka hoʻomaha.
• E noho hauʻoli a hoʻomaha. He mea nui loa hoʻi kou olakino noʻonoʻo no ka pēpē.

Makemake mākou iā ʻoe a me kāu pēpē aloha i ke ola olakino a pōmaikaʻi!

Hāpai keiki , 31 pule, Wai Amniotic, Polyhydramnios, Oligohydramnios, Ultrasound, Ka ulu ʻana o ka pēpē