Ka lawa ʻole o ka placenta? Mai hopohopo, e kamaʻilio kākou e pili ana!

Ua ʻike anei ʻoe i ka wā hāpai, he pilina koʻikoʻi ka placenta ma waena ou a me kāu pēpē. Ua like ia me ka mea e hāʻawi ana i nā meaʻai a pau, ka wai, a me ka oxygen e pono ai kāu pēpē. Akā i kekahi manawa, ʻaʻole hiki i kēia placenta ke hana pono. I kēia lā, e kamaʻilio mākou e pili ana i kēlā ʻano maʻi, ʻo ia hoʻi ka Placental Insufficiency. He mea weliweli iki paha kēia, akā mai hopohopo, e kamaʻilio mākou e pili ana i nā kikoʻī.

He aha ka lawa ʻole o ka Placental?

I ka ʻōlelo maʻalahi, ʻo kēia ka inoa a mākou e hāʻawi ai i ka ʻoiaʻiʻo ʻaʻole hana pono kāu placenta i ka wā hāpai. He ʻōkana kūikawā loa ka placenta e hāʻawi ana i ka oxygen a me nā meaʻai i ka pēpē. No laila, i ka wā e lawa ʻole ai ka hana o kēia placenta (Placental Insufficiency), ʻaʻole hāʻawi pono ka placenta i ke koko, ka oxygen, a i ʻole nā ​​​​meaʻai e pono ai ka pēpē. E noʻonoʻo iā ia e like me ka paipu e lawe ana i ka meaʻai i ka pēpē. Inā he mea paʻa a pale paha i loko, ʻaʻole e loaʻa i ka pēpē ka mea e pono ai. ʻO ke kumu o kēia, ʻaʻole paha e ulu pono ka placenta a ua hōʻino ʻia paha. ʻO ka hopena, ʻaʻole i loaʻa i ka pēpē ka meaʻai e pono ai a hiki ke liʻiliʻi no kona mau makahiki, ʻo ia hoʻi, he Intrauterine Growth Restriction (IUGR) paha . Inā liʻiliʻi loa ka pēpē, hiki ke hānau mua ʻia a me nā pilikia hāpai ʻē aʻe.

He mea maʻamau kēia ʻano, hiki ke ʻike ʻia ma kahi o hoʻokahi o ka ʻumi hāpai ʻana, no laila he mea nui loa ia e makaʻala i kēia.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'Auē, pehea lā wau e ʻike ai inā loaʻa iaʻu kēia?' ʻOiaʻiʻo, ʻo ka hapa nui o ka manawa ʻaʻohe hōʻailona maopopo o kēia ʻano . ʻO ia ke kumu e pono ai ʻoe e makaʻala iki. Eia nō naʻe, i kekahi manawa hiki iā ʻoe ke loaʻa kahi kuhi he pilikia paha me ka placenta me nā mea e like me:

• Hiki ke kahe koko ʻana o ka wahine i nā wā mua o ka hāpai ʻana.
• Ke emi nei ka neʻe ʻana o kāu pēpē ma ka ʻōpū . Inā manaʻo ʻoe e emi ana ka neʻe ʻana o kāu pēpē ma mua o ka wā ma mua, he mea nō hoʻi ia e noʻonoʻo ai.
• He hōʻailona paha ia ʻaʻole ʻoe e piʻi nui ana e like me kou wā i hāpai ai ma mua.

Akā e hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he loaʻa iā ʻoe ke ʻano. Eia kekahi, hiki iā ʻoe ke loaʻa ke ʻano me ka ʻole o nā hōʻailona. ʻO ia ke kumu he mea nui loa ka loaʻa ʻana o nā nānā lapaʻau i ka manawa kūpono.

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

ʻO ka nele o ka placenta ke hiki mai ka lawa ʻole o ke koko (ke koko i loaʻa ka oxygen a me nā meaʻai) i hoʻololi ʻia ma waena ou a me kāu pēpē. ʻO ke ʻano kēia, ʻaʻole i loaʻa i ka pēpē ka mea e pono ai no ka ulu ʻana. Hiki ke hana ʻia kēia maʻi e kahi pilikia me ke ʻano o ka hoʻopili ʻana o ka placenta i ka uhi ʻōpū.

Aia kekahi mau kumu ʻē aʻe:

• Hoʻokaʻawale ʻia kou placenta mai ka paia o ka uterine (Placental abruption)He pilikia kēia.
• ʻO kēlā me kēia hōʻino a ʻeha paha i ka placenta .
• ʻAno kūpono ʻole o ka placenta .
• ʻAʻole ulu nui ka placenta a ua liʻiliʻi paha .

Eia kekahi, hiki ke hana ʻia ka lawa ʻole o ka placenta e kekahi mau kūlana olakino āu e loaʻa ai a i ʻole kekahi mau mea i kou nohona. I kekahi manawa, hiki ke loaʻa kēia ʻano idiopathically. ʻO ia hoʻi, aia kekahi mau manawa i hiki ʻole ke ʻōlelo pololei 'ʻo ia ke kumu i hana ʻia ai kēia'.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Ua ʻike nā kauka he nui aku ka pilikia o nā makuahine me kekahi mau maʻi olakino i ka ulu ʻana o ka placenta a me ka hana i ka wā hāpai. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi placenta:

• Maʻi diabetes
• Ke koko kiʻekiʻe (Ke koko kiʻekiʻe / Hypertension)
• Maʻi puʻuwai
• Nā kūlana koko koko
• Ke hele nei ma ʻō aku o 40 mau pule o ka hāpai ʻana . Ke ʻōlelo nei mākou 'ua hala ka lā hānau'.
• ʻO ka Preeclampsia . He kūlana kēia e piʻi ai ke koko i ka wā hāpai a hoʻopilikia i nā kino ʻē aʻe.
• Nā maʻi ʻōpū i mālama ʻole ʻia .
• Ke kahe koko nui a i ʻole nā ​​​​pilikia ʻē aʻe i ka wā hāpai mua .
• Ke ʻoi aku ma mua o 35 mau makahiki .
• Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau .

Eia kekahi, ʻo nā mea e like me ka puhipaka, ka inu ʻana i ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau i ka wā hāpai hiki ke hoʻopilikia i ka hana o ka placenta. ʻO kēia nā mea hiki iā mākou ke pale aku iā mākou iho, ʻeā?

He aha nā pilikia e hiki ke kū mai ma muli o ka hana kūpono ʻole o ka placenta?

Hiki i ka lawa ʻole o ka placenta ke hoʻoulu i nā pilikia no ka makuahine a me ka pēpē. Eia nō naʻe, ʻoi aku ka nui o ka hoʻoweliweli ʻana i ke ola o ka pēpē . ʻO ia ke kumu e hopohopo nui nei mākou no kēia.

Nā pilikia e hiki ke loaʻa i ka pēpē:

Ke hana pono ʻole ka placenta, hiki i ka pēpē ke loaʻa nā pilikia e like me:

• Hānau mua ʻia : Hānau ʻia kahi pēpē ma mua o kona lā hānau. Hiki i kēia ke hoʻohaʻahaʻa i ka mahana o ke kino o ka pēpē a me ke kaumaha o ka hānau ʻana. Me he mea lā e puka mai ana ke pēpē mai loko mai o ka ʻōpū ma mua o kona mākaukau e hānau ʻia.
• Ka Pale ʻana o ka Ulu ʻana o ka Pēpē i loko o ka ʻŌpū (IUGR) : E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ulu ka pēpē i loko o ka ʻōpū i ka wikiwiki kūpono no kona mau makahiki.
• ʻO ka hypoxia fetal : ʻO kēia ka manawa ʻaʻole lawa ka oxygen i ka lolo o ka pēpē a me nā ʻōpū ʻē aʻe. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi ʻē aʻe.
• AnemiaKa nele o ke koko i loko o ke kino o ka pēpē.
• Haʻahaʻa ke kō koko (Hypoglycemia) .
• Ka emi ʻana o ka nui o ka calcium i loko o ke koko (Hypocalcemia) .
• Hoʻonui ʻia ka bilirubin i loko o ke koko : Hiki i kēia ke hana i ka pēpē e loaʻa i kahi maʻi i kapa ʻia ʻo jaundice.
• Hānau make : ʻO kēia ka hopena ʻino loa a mākou e makemake ʻole ai e lohe. ʻO ia hoʻi ka make ʻana o ke pēpē i loko o ka ʻōpū.

Nā pilikia e hiki ke loaʻa i ka makuahine:

Hiki i kēia ke hana i kekahi mau pilikia no ka makuahine:

• Ka hoʻopau ʻana o ka placenta : E like me ka mea i ʻōlelo ʻia ma mua, ʻo kēia ka hoʻokaʻawale ʻana o ka placenta mai ka paia o ka ʻōpū. He pilikia kēia a he mea weliweli no ka makuahine a me ke pēpē.
• Ka hānau mua ʻana : ʻO ka ʻeha o ka hānau ʻana i kahi pēpē ma mua o ka lā hānau.
• Ka hānau mua ʻana : ʻO ia hoʻi ka hānau ʻana o kahi pēpē ma mua o ka lā hānau.

Ua ʻike wau he mea weliweli ke lohe i kēia mau mea, akā ʻo ka ʻike ʻana iā lākou e paipai iā ʻoe e ʻimi koke i ke aʻo lapaʻau.

Pehea ʻoe e ʻike ai i kēia kūlana?

Na kāu mea mālama hāpai e nānā i kēia maʻi, ka mea i ʻike pinepine ʻia i ka wā o ka hoʻokolokolo prenatal a i ʻole ka ultrasound scan .

Hiki i kahi scan ultrasound ke nānā i nā mea e like me ke kahe ʻana o ke koko ma waena o ka placenta a me ka pēpē, ka nui a me ke kūlana o ka placenta a me ka pēpē. E noʻonoʻo, hōʻike maopopo ia i ka mea e hana nei i loko o ka placenta.

Inā ʻike ʻia kāu pēpē me ka liʻiliʻi ma mua o ka maʻamau ma ke kiʻi ʻana, a inā paha ʻoi aku ka haʻahaʻa o ke ana o kou fundal kiʻekiʻe ma mua o ka mea i manaʻo ʻia, hiki i kāu kauka ke manaʻo he pilikia me ka placenta.

He mea nui hoʻi e kamaʻilio me kāu kauka e pili ana i ka nui o kou manaʻo i nā neʻe ʻana o kāu pēpē a me nā hopohopo ʻē aʻe āu e loaʻa ai. E kōkua kēia ʻike i kāu kauka e loaʻa kahi manaʻo maikaʻi o ke ʻano o ka holomua o kou hāpai ʻana.

ʻAʻohe lāʻau lapaʻau no kēia? Pehea ʻoe e mālama ai i kēia?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no ka nele o ka placenta i kēia manawa . ʻO ia hoʻi, ʻaʻohe lāʻau lapaʻau e hiki ke hoʻihoʻi i ka placenta i kāna hana maʻamau. Akā , mai hopohopo! E hāʻawi kāu kauka hānau i nā ala e mālama ai i ke kūlana a hoʻēmi i kona hopena i kāu hāpai ʻana.

He kū hoʻokahi ka mālama āu e pono ai no kou hāpai ʻana. ʻO ia hoʻi, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. Ma muli o nā mea e like me:

• I loko o ka trimester hea ʻoe o ka hāpai ʻana?
• Nā hopena o kāu hoʻāʻo.
• Nā pilikia a i ʻole nā ​​hōʻailona ʻē aʻe āu e loaʻa ai.

He ʻāpana koʻikoʻi o ka mālama ʻana i kou hāpai ʻana ka nānā ʻana i kou hāpai ʻana . Pono kāu kauka e ʻike iā ʻoe i nā manawa a pau, a hiki paha iā ia ke hana i nā scan ultrasound a me ka nānā ʻana i ka puʻuwai o ka pēpē e nānā i ka ulu ʻana a me ke olakino o ka pēpē.

ʻO ka kaohi pono ʻana i nā kūlana olakino ʻē aʻe āu e loaʻa ai (e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe) he ʻāpana koʻikoʻi loa ia o kēia hoʻokele.

I ka hapanui o nā hihia, inā ʻoe i 37 mau pule o ka hāpai ʻana, hiki i kāu kauka ke ʻōlelo aku i ka hānau ʻana inā ʻo ia ka mea palekana loa no ʻoe a me kāu pēpē.

Inā ʻaʻole ʻoe i hānau mua, e nānā pono kāu kauka iā ʻoe e hōʻoia i ka maikaʻi o kāu pēpē i ka wā hāpai. Inā he mau hōʻailona e hōʻike ana ʻaʻole maikaʻi kāu pēpē, ʻo ia hoʻi, ʻoi aku ka pilikia o ka pēpē i loko o ka ʻōpū, hiki ke ʻōlelo ʻia ka hānau mua ʻana . ʻO kēia no ka mea ʻo ia ke koho palekana loa i kēlā manawa. Inā pono ka hānau mua ʻana, hiki ke hāʻawi ʻia nā steroids e kōkua i ka ulu ʻana o nā māmā o ka pēpē.

Hiki i kēia kūlana ke hoʻomaikaʻi aʻe?

Ke ʻike ʻia ʻoe me ka Placental Insufficiency, ʻaʻole e hoʻi hou kou placenta i kahi kūlana olakino piha a hana pono. He ʻoiaʻiʻo kēlā. Eia nō naʻe, e mālama kāu kauka i ke kūlana a nānā pono i ka pēpē no nā hōʻailona o nā pilikia.

Eia nō naʻe, ʻo ka ʻike mua ʻana, ka mālama pono ʻana i nā kūlana kumu āu e loaʻa ai, a me ka hele ʻana i nā manawa mālama prenatal āpau e kōkua i ka pale ʻana i ka lilo ʻana o kou placenta i mea ʻino. ʻO ke ʻano kēia, hiki ke mālama ʻia me ka ʻole o ka hōʻino hou ʻana.

He aha ka nui o ke ola ʻana o nā pēpē me ka hana pono ʻole o ka placenta?

He nui nā wahine hāpai me ka lawa ʻole o ka placenta e hoʻomau i ka hānau ʻana me ka holomua. He nūhou maikaʻi kēlā. Eia nō naʻe, pili nui kēia i ke kūlana kumu, ke koʻikoʻi o ka hana hewa o ka placenta, a me ka lōʻihi o kou hāpai ʻana i ka wā i ʻike ʻia ai ʻoe .

ʻO ia ke kumu he mea nui ka ʻike mua ʻana a me ka mālama pono ʻana.

Hiki ke pale ʻia kēia kūlana?

I ka hapanui o nā hihia, ʻaʻole hiki iā mākou ke pale loa i ka Placental Insufficiency. ʻO ia ka ʻoiaʻiʻo. No ka mea, aia kekahi mau kumu ma waho o kā mākou mana.

Eia nō naʻe, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hele i ka mālama prenatal i ka wā mua o kou hāpai ʻana.No ka mea a laila hiki i ke kauka ke ʻike mua i ke kūlana. Hiki i ka ʻike mua ʻana a me ka hoʻokele ʻana ke hōʻemi i ka pilikia o nā pilikia i kou wā hāpai.

Eia kekahi, ʻo ka mālama pono ʻana i kekahi mau kūlana olakino e kū nei a i ʻole nā ​​​​​​kūlana olakino hou paha āu e loaʻa nei e hiki ke kōkua i ka pale ʻana i nā pilikia hou aʻe. Eia kekahi laʻana, ʻo ka kaohi ʻana i nā mea e like me ka maʻi diabetes a me ke koko kiʻekiʻe e hiki ke kōkua.

Inā loaʻa iaʻu kēia maʻi, pehea lā wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka lawa ʻole o ka placenta, he mea nui e hahai pololei i nā ʻōlelo a kāu kauka. Hiki ke ʻokoʻa ke ʻano o ka mālama ʻana o nā kauka i kēia kūlana. Aia ia i ka lōʻihi o kou hāpai ʻana a me ke koʻikoʻi o kou kūlana.

Pono paha nā pēpē hānau mua a i ʻole nā ​​​​pēpē me kekahi mau kūlana olakino i ka mālama kūikawā ma kahi Neonatal Intensive Care Unit (NICU) . ʻO ka mākaukau no kēia hiki ke kōkua iā ʻoe e hoʻoponopono i ke kūlana. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kou mau makaʻu a me kou hopohopo. E nīnau i kāu kauka i kāu mea hiki ke hana e kōkua iā ʻoe e loaʻa kahi pēpē olakino.

E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi, a aia ka hui lapaʻau e kōkua iā ʻoe .

Āhea wau e ʻike ai i ke kauka?

ʻOiai ʻaʻole hiki i ka lawa ʻole o ka placental ke hoʻoulu mau i nā hōʻailona, ​​ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke mālama i kāu mau manawa mālama prenatal āpau . Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā hōʻailona āu e ʻike nei. E kōkua kēia i kāu kauka e ʻike i nā pilikia e kū mai ana i kou wā hāpai.

I ka wā hāpai, inā loaʻa iā ʻoe ke kahe koko ʻana o ka ʻōpū a i ʻole nā ​​ʻeha pelvic , pono ʻoe e ʻike koke i ke kauka . Mai poina i kēlā.

Leka Hoʻihoʻi Hope Loa

ʻAe, ua kamaʻilio nui mākou e pili ana i ka lawa ʻole o ka placenta, ʻeā? ʻOiai ʻaʻohe lāʻau lapaʻau no ia mea, aia nā ala e hoʻokele pono ai i ke kūlana a hoʻonui i kou manawa e loaʻa ai kahi hāpai olakino a me ka hānau ʻana .

E hahai pono i nā ʻōlelo a kāu kauka. E mālama i nā kūlana olakino ʻē aʻe āu e loaʻa ai, a e hele i nā keʻena antenatal i ka manawa kūpono. E pale loa i ka waiʻona, ka hoʻohana ʻana i nā lāʻau lapaʻau, a me ka hoʻohana ʻana i ka paka i ka wā hāpai. He mea ʻino loa kēia iā ʻoe a me kāu pēpē.

E nānā pono kāu kauka iā ʻoe a me kāu pēpē i kou wā hāpai, e ʻimi ana i nā hōʻailona o nā pilikia. Inā pono, hiki iā lākou ke ʻōlelo aku i ka hānau mua ʻana. ʻO kēia wale nō no kou palekana a me kāu pēpē .

No laila, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia, e hahai i nā ʻōlelo aʻoaʻo lapaʻau, a e noho maikaʻi. Makemake mākou iā ʻoe i kahi hānau hānau hauʻoli!

ʻO ka Placenta, ka lawa ʻole o ka Placenta, ka hāpai ʻana, ka ulu ʻana o ka pēpē, ka hānau mua ʻana, nā pilikia o ka hāpai ʻana, ka lawa ʻole o ka Placenta