Ka nui o ka wai a puni ka pēpē i ka wā hāpai (Polyhydramnios): He mea anei e hopohopo ai?

Inā he makuahine aloha ʻoe e kali ana i kahi pēpē, he tausani mau mea kou ma kou manaʻo e pili ana i ke pēpē i loko o kou ʻōpū. Makemake nui ʻoe e lohe i ka ʻōlelo a ke kauka ma hope o kēlā me kēia scan. Akā inā ʻōlelo koke ke kauka i kahi mea e like me "he nui iki ka wai a puni ka pēpē", he mea maʻamau loa ke manaʻo makaʻu a hopohopo. Akā, mai makaʻu. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana e hiki i nā makuahine he nui ke loaʻa, ʻo ia hoʻi, ua ʻike ʻia kēia kūlana ma ke ʻano lapaʻau ʻo `(Polyhydramnios)`.

I ka ʻōlelo maʻalahi, he aha ka Polyhydramnios?

ʻAe, e hoʻomaka kākou ma ka hoʻomaka. Aia kahi wai e puni ana i kāu pēpē i loko o kou ʻōpū, ʻo ia hoʻi, i loko o kou uterus. Kāhea mākou i kēia wai amniotic . Ua like ia me kahi loko ʻauʻau liʻiliʻi e pale ana i ka pēpē. He mea nui loa kēia wai no ka ulu ʻana o ka pēpē, ka neʻe ʻana, a me ka palekana.

ʻO ka Polyhydramnios ka wā he nui loa ka wai amniotic i loko o ka ʻeke amniotic. ʻIke pinepine ʻia kēia ʻano i ka hapa lua o ka hāpai ʻana, akā hiki ke hana ʻia i kekahi manawa i ka wā mua o 16 mau pule. ʻO ka mea nui, inā he akahai ka hoʻonui ʻana o ka wai, ʻaʻole ia e hoʻoulu i kekahi pilikia. E nānā pono kāu kauka iā ʻoe a me kāu pēpē a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai.

Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi? He aha nā hōʻailona?

I ka hapa nui o ka manawa, i ka wā e akahai ai kēia ʻano, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona kikoʻī. Eia nō naʻe, inā kiʻekiʻe loa ka nui o ka wai, hiki iā ʻoe ke ʻike i kēia mau hōʻailona.

Pehea lā e hiki ai i ke kauka ke kānalua i kēia?

Ke hele ʻoe i ke keʻena lapaʻau, e nānā ke kauka i kou ʻōpū. Hiki iā ia ke kānalua inā ʻike ʻo ia i nā mea e like me kēia:

• Inā ʻoi aku ka nui o kou ʻōpū ma mua o ka helu o nā pule āu e hāpai ai.
• Inā paʻakikī ke lohe i ka puʻuwai o ka pēpē.
• Inā ʻaʻole hiki iā ʻoe ke manaʻo pono i ke kūlana o ke pēpē.

No ke aha e hana ai kēia? He aha nā kumu o ka polyhydramnios?

He nīnau kēia a nā makuahine he nui e nīnau ai. "Ua hana hewa anei au?" E noʻonoʻo paha ʻoe. ʻAʻole manaʻo pēlā. I ka manawa pinepine, ʻoiai ke kiʻekiʻe iki ka pae wai, he paʻakikī ke loaʻa kahi kumu maopopo.

Eia nō naʻe, i nā hihia kahi i ʻoi aku ai ka nui o ka wai (ma ke ʻano waena a koʻikoʻi), hiki ke kumu ʻia e kekahi a ʻoi aku paha o kēia mau kumu:

• ʻAʻole hiki i ka pēpē ke ale i ka wai amniotic: ʻO ka maʻamau, ale ka pēpē i kēia wai, hoʻopili iā ia i loko o ke kino, a laila hoʻopuka hou iā ia ma ke ʻano he mimi. Ua like kēia me kahi pōʻaiapuni. Inā loaʻa i ka pēpē kahi maʻi hānau e hoʻopilikia ai i kēia kaʻina hana ale, hiki i ka wai ke hōʻiliʻili.
• Nā pae kō koko kiʻekiʻe i loko o ka makuahine: Inā paha he maʻi diabetes kou ma mua o ka hāpai ʻana a i ʻole ua loaʻa iā ʻoe ka maʻi diabetes gestational i ka wā hāpai, inā ʻaʻole i kāohi ʻia kou pae kō koko, e mimi hou aku kāu pēpē. Hiki i kēia ke hoʻonui i ka wai amniotic.
• Loaʻa nā māhoe like: I kekahi manawa, ʻo kahi kūlana i kapa ʻia ʻo Twin to Twin Transfusion Syndrome (TTTS), kahi i kaulike ʻole ai ke kahe koko ma waena o nā māhoe, hiki ke hoʻoulu i ka wai nui a puni hoʻokahi pēpē.
• Ka kūlike ʻole o ka kumu Rh: Ma muli o nā pilikia e hiki ke kū mai inā he "Rh-negative" ke koko o ka makuahine a he "Rh-positive" ke koko o ke pēpē.
• Nā pilikia me ka puʻuwai o ka pēpē.
• Ka maʻi o ka pēpē i loko o ka ʻōpū.

Pehea e ʻike pono ai nā kauka i kēia?

Inā kānalua kāu kauka i kēia, ʻo ke ala nui e hōʻoia ai me ka ultrasound scan .

I ka wā o ke scan, hiki iā ia ke ana i ka nui o ka wai ma nā ʻano ʻelua:

1. Amniotic Fluid Index (AFI): Pili kēia i ka hoʻokaʻawale ʻana i kou uterus i ʻehā mau ʻāpana, e ana ana i ke kiko hohonu loa o ka pae wai i kēlā me kēia ʻāpana, a e hoʻohui i nā waiwai ʻehā.

2. ʻEke Kū pololei Loa (MPV): Ana kēia i ka wahi hohonu loa o ke wai i loko o ka ʻōpū.

Inā hōʻoia kēia mau hoʻokolohua ua kiʻekiʻe loa ka nui o ka wai, hiki i ke kauka ke paipai i kekahi mau hoʻokolohua hou aʻe e ʻike ai i ke kumu.

• ʻEchocardiogram Fetal: He scan kūikawā e nānā ana i ka hana a me ke ʻano o ka puʻuwai o ke pēpē.
• Hoʻāʻo Kokoke ʻole: He hoʻāʻo e nānā i ke ʻano o ka puʻuwai o ka pēpē e ʻike ai inā e maikaʻi ana ka pēpē.
• ʻIke Biophysical: Nānā kahi scan i ʻelima mau mea, e like me ka neʻe ʻana o ka pēpē a me nā ʻano hanu.
• Amniocentesis: I kekahi manawa, lawe ʻia kahi liʻiliʻi o ka wai mai ka ʻōpū e nānā inā he maʻi genetic ko ka pēpē.
• Hoʻāʻo Glucose Challenge: He hoʻāʻo e ʻike ai inā he maʻi diabetes kāu.

He aha nā lāʻau lapaʻau no kēia?

Inā ʻoluʻolu ka paʻa ʻana o ka wai a aia ʻoe i ka hapa hope o kou hāpai ʻana, ʻo ka hapa nui o ka manawa ʻaʻohe pono o kahi lāʻau kūikawā . E nānā mau ke kauka iā ʻoe a me kāu pēpē e hōʻoia i ka holo pono ʻana o nā mea āpau.

Eia nō naʻe, inā kiʻekiʻe loa ka nui o ka wai a ke ʻike nei ʻoe i ka ʻeha nui aʻe, pono paha ka lāʻau lapaʻau.

• Ke mālama ʻana i ke kumu kumu: No ka laʻana, inā loaʻa iā ʻoe ka maʻi diabetes, e aʻo i ka pehea e kaohi ai i kāu pae kō koko.
• Ka wehe ʻana i ka wai keu: I kekahi mau hihia, hoʻohana kahi kaʻina hana i kapa ʻia ʻo "Amnioreduction" i kahi ʻōmole lahilahi e wehe i ka wai keu mai ka ʻōpū.
• Ka hānau mua ʻana: Inā ua piha ka pēpē a ke ʻeha nui nei ka makuahine, hiki i ke kauka ke hoʻoholo e hoʻoulu i ka hana ma waena o 37 a me 39 mau pule.

He aha nā pilikia o ka polyhydramnios?

ʻO ka mea mua, ʻaʻole ka hoʻonui ʻia ʻana o ka wai amniotic e hōʻeha pololei i ka pēpē. Eia nō naʻe, aia kahi pilikia liʻiliʻi o kekahi mau pilikia ma muli o ka nui loa o ka ʻōpū.

Mai makaʻu i kēia mau mea. He mau pilikia wale nō kēia. ʻAʻole hiki mai kēia i nā kānaka a pau. Ua ʻike kāu kauka i kēia mau pilikia a e hana ʻo ia i nā hana e pono ai e pale aku iā lākou.

E hoʻopilikia anei kēia i kaʻu lawe ʻana?

I ka hapa nui o ka manawa, e hānau maʻamau kāu pēpē. Eia nō naʻe, e hoʻomau kāu kauka i ka nānā ʻana i ka puʻuwai o kāu pēpē i ka wā hānau. Ke haki kou wai, hiki i ka nui o ka wai ke puka koke mai. E nānā ke kauka pediatric i kāu pēpē i kona wā hānau.

Aia paha he piʻi iki ka manawa e pono ai ʻoe i kahi ʻāpana cesarean (C-section), akā na kāu kauka e hoʻoholo i kēia ma muli o kou kūlana a me ke kūlana o kāu pēpē.

He aha kaʻu e hana ai e hōʻemi i ka ʻoluʻolu ʻole aʻu e manaʻo nei?

He mea maʻamau ke hopohopo ke ʻike ʻoe he loaʻa iā ʻoe kēia ʻano maʻi, akā hiki iā ʻoe ke hana i kēia mau mea e hoʻomaha ai.

• E hoʻomaha nui: E hoʻomaha nui e like me ka hiki. Mai hoʻoikaika nui iā ʻoe iho.
• E hoʻomaha i kou manaʻo: E hoʻomaha i kou manaʻo ma ka hana ʻana i kahi mea āu e hauʻoli ai, e like me ka noʻonoʻo ʻana a i ʻole ka hoʻolohe ʻana i ke mele.
• E kamaʻilio me ke kauka: E kamaʻilio me ke kauka e pili ana i kou mau pilikia a me kou mau makaʻu. E ʻike ʻoe i ka nui o ka hōʻoluʻolu.
• E makaʻala i nā hōʻailona hou: Inā manaʻo koke kou ʻōpū i ka nui a i ʻole ua paʻakikī loa ʻoe i ka hanu ʻana, e hoʻomaopopo koke i kāu kauka.