Inā he makuahine hānau ʻoe, ʻike paha ʻoe ua hoʻopaʻa palekana ʻia kāu keiki liʻiliʻi i loko o kahi wai i kapa ʻia ʻo ka wai amniotic, a i ʻole e like me kā mākou e kapa nei, ʻo ka wai e hoʻopuni ana i ka pēpē. ʻO kēia wai ka mea e mālama ai i ka pēpē i ka ʻoluʻolu, palekana, a kōkua iā ia e neʻe a ulu. Akā i kekahi manawa, i kahi hapa liʻiliʻi loa o nā hihia, hiki i kēia wai ke lilo i mea nui loa. Ua haʻi aku anei kāu kauka iā ʻoe i kēlā? No laila ʻo ia ka mea a mākou e kamaʻilio nei. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo Polyhydramnios.
I ka ʻōlelo maʻalahi, he aha ka Polyhydramnios?
ʻO ka Polyhydramnios kahi kūlana i ʻoi aku ka nui o ka wai amniotic ma mua o ka maʻamau i loko o kou ʻōpū a puni kāu pēpē i ka wā hāpai. ʻIke pinepine ʻia ia i ka hapa lua o ka hāpai ʻana, akā hiki ke hana i kekahi manawa i ka wā mua o 16 mau pule.
Akā e hoʻomanaʻo i kēia. He mea kākaʻikahi loa kēia maʻi. Hoʻopilikia ia i hoʻokahi o 100 (1%) wahine hāpai. Eia kekahi, hele pinepine ʻia me ka piʻi iki ʻana o ka wai amniotic (mild polyhydramnios). ʻAʻole pinepine kēia piʻi iki ʻana i nā pilikia nui. E nānā mau kāu kauka iā ʻoe a nānā i kou kūlana.
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi? He aha nā hōʻailona?
I ka hapa nui o ka manawa, he ʻoluʻolu kēia maʻi, no laila ʻaʻole paha e ʻike kekahi mau makuahine i kekahi mau hōʻailona. Eia nō naʻe, inā kiʻekiʻe iki ka pae wai (hihia koʻikoʻi), hiki iā ʻoe ke ʻike i kēia mau hōʻailona.
ʻO ka mea e hana maoli nei, ʻoiai e piʻi aʻe ana ka wai, e nui aʻe ana ka ʻōpū. A laila kau ia i ke kaomi ma luna o nā ʻōpū e pili ana e like me nā māmā, ka ʻōpū, a me ka mimi ʻōpū. ʻO ia ke kumu o kēia mau hōʻailona.
| Nā hōʻailona āu e ʻike nei | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka ʻōpū paʻa a ʻeha paha | Malia paha e like me ka ʻūmiʻi ʻana o kou ʻōpū, a i kekahi manawa e like paha me nā ʻūmiʻi liʻiliʻi. |
| Paʻakikī ka hanu ʻana | Ke ulu nei ka ʻōpū a ke kaomi nei i nā māmā, no laila ke manaʻo nei ʻoe he luhi iki a paʻakikī ke hanu. |
| ʻĀʻī puʻuwai | ʻO ke ʻano o ka ʻā ʻana i loko o ka esophagus ma muli o ke kaomi ʻana o ka ʻōpū. |
| Ka paʻa ʻana o ka ʻōpū | Manaʻo maloʻo i loko o ka ʻōpū ma muli o ke kaomi i loko o nā ʻōpū. |
| Mimi pinepine | He ʻūmiʻi ka ʻōpū mimi, no laila pono ʻoe e mimi pinepine. |
| ʻO ka pehu ʻana o nā wāwae, nā wāwae, a me ka ʻāpana vaginal | Hiki mai ka pehu ʻana ma muli o ka hoʻonui ʻia o ke kaomi ma nā ʻāpana haʻahaʻa o ke kino a me ka hoʻopilikia ʻana i ke kahe koko. |
Nā mea a ke kauka e ʻike ai
ʻOiai inā ʻaʻole ʻoe e ʻike i kēia mau hōʻailona, hiki i kāu kauka ke kānalua i kēia inā ʻike lākou i kēia mau mea i ka wā o ka hoʻokolohua maʻamau:
- ʻIke ʻia ka nui o ka ʻōpū ma mua o ka nui o nā pule: No ka laʻana, inā he 30 pule kou hāpai ʻana, ua like kou ʻōpū me he 32 pule lā.
- Paʻakikī ke lohe ʻana i ka puʻuwai o ka pēpē: Ma muli o ka nui o ka wai, he mea paʻakikī paha ke lohe i ka puʻuwai o ka pēpē.
- ʻAʻole hiki ke hoʻomaopopo pono i ke kūlana o ka pēpē: Ma muli o ka nui o ka wai o ka pēpē, he paʻakikī ke nānā pono i ke kūlana o ka pēpē me ka lima.
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO kēia ka nīnau a nā makuahine he nui: "No ke aha i hiki mai ai kēia iaʻu?"
ʻO kaʻoiaʻiʻo, ʻo ka hapa nui o ka manawa, ʻoiai ma nā hihia palupalu o ka polyhydramnios, ʻaʻohe kumu kikoʻī. Hana wale ia.
Eia nō naʻe, i nā hihia i piʻi nui ai ka nui o ka wai (mai ka waena a i ka nui), aia paha kekahi mau kumu no ia mea. Eia nā mea:
- ʻAʻole hiki i ka pēpē ke ale i ke kahe: ʻO ka maʻamau, ale iki ka pēpē i kēia wai, ʻo ia ke ʻano o ka hoʻomalu ʻana i ka nui o ka wai. Inā ʻaʻole hiki i ka pēpē ke hana i kēia ma muli o kekahi maʻi hānau, e hōʻiliʻili ka wai.
- Loaʻa i ka makuahine ka maʻi diabetes:Aia kēia pilikia inā loaʻa iā ʻoe ka maʻi diabetes ma mua o ka hāpai ʻana a i ʻole inā ulu ia i ka wā hāpai (gestational diabetes). I ka piʻi ʻana o ke kō koko o ka makuahine, piʻi ka nui o ka mimi o ka pēpē, a laila e hoʻonui ai i ka nui o ka wai i loko o ka mimi o ka pēpē.
- Nā Māhoe like: ʻO ka maʻi hoʻoili koko ʻelua a ʻelua paha (TTTS), kahi kūlana i kaulike ʻole ai ke kahe koko ma waena o nā māhoe, hiki ke hoʻoulu i ka wai e hōʻiliʻili a puni hoʻokahi pēpē.
- Ka kūlike ʻole o ka kumu Rh: Hiki ke hana kēia ma muli o nā pilikia e kū mai ana inā he Rh-negative ka makuahine a he Rh-positive ka pēpē.
- Nā pilikia me ka puʻuwai o ka pēpē: Hiki ke hana ʻia kēia kūlana e kekahi mau pilikia me ka puʻuwai o ka pēpē.
- Ka maʻi i loko o ka pēpē: Hiki i ka maʻi i loko o ka pēpē i loko o ka ʻōpū ke lilo i kumu.
Pehea lā e ʻike ai ke kauka i kēia?
Inā kānalua kāu kauka i kēia, e hana lākou i kekahi mau hoʻokolohua e hōʻoia i kēia.
ʻO ka mea mua āu e hana ai, ʻo ke ana ʻana i ke kiʻekiʻe o kou ʻōpū (kiʻekiʻe fundal). A laila, e loaʻa iā ʻoe kahi scan ultrasound e hōʻoia i kēia. ʻO kēia scan wale nō ke ala e ana pololei ai i ka nui o ka wai i loko o kou uterus. ʻElua mau ʻano nui i hoʻohana ʻia no kēia:
1. Amniotic Fluid Index (AFI): Ua māhele ʻia ka ʻōpū i ʻehā mau ʻāpana, ua ana ʻia ka hohonu o ka wai ma kēlā me kēia ʻāpana, a ua hoʻohui ʻia ka huina.
2. ʻEke Kū pololei Loa (MPV): Ke ana kēia i ka wahi hohonu loa o ka ʻōpū kahi i loaʻa ai ka nui o ka wai.
Inā hōʻoia kēia scan he polyhydramnios kou, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua hou aʻe e ʻike ai i ke kumu.
- ʻO ka Fetal Echocardiogram: He scan kūikawā a kikoʻī hoʻi e nānā ana i ka hana a me ke ʻano o ka puʻuwai o ke pēpē.
- Hoʻāʻo ʻole i ke kaumaha: He hoʻāʻo e nānā ai i nā ʻano ʻē i ka helu o ka puʻuwai o ka pēpē.
- ʻIke pilikino: Nānā kahi scan i nā ʻano hanu o ka pēpē a me nā neʻe ʻana o ke kino.
- ʻAmniocentesis: He hoʻāʻo e lawe i kahi hāpana liʻiliʻi o ka wai amniotic e nānā i kekahi mau kīnā hānau.
- Hoʻāʻo hoʻāʻo glucose: He hoʻāʻo e ʻike ai inā loaʻa iā ʻoe ka maʻi diabetes gestational.
He aha ka lāʻau lapaʻau no kēia?
I ka manawa pinepine, inā he ʻoluʻolu ke ʻano a inā kokoke ʻoe i ka hopena o kou hāpai ʻana, ʻaʻohe pono o kahi lāʻau kūikawā. E nānā mau kāu kauka iā ʻoe a me kāu pēpē a nānā i ke ʻano. ʻO ia hoʻi, pono paha ʻoe e kipa pinepine aku i ke keʻena lapaʻau a loaʻa nā scan hou aku. I ka hapanui o nā hihia, ʻo kēia nānā pono ʻana ke koho maikaʻi loa.
Eia nō naʻe, inā nui loa ka wai (polyhydramnios koʻikoʻi) a ke ʻeha nui nei ʻoe, pono paha ʻoe i ka lāʻau lapaʻau. Aia kekahi mau koho no kēia:
- Ke mālama ʻana i ke kumu kumu: No ka laʻana, inā he maʻi diabetes ke kumu, e mālama ʻia kāu maʻi diabetes e kaohi ai.
- Ka wehe ʻana i ka wai keu: I kekahi mau hihia, ua wehe ʻia kahi wai liʻiliʻi i loko o ka ʻōpū me ke kōkua o kahi nila.
- Ka hānau mua ʻana: Inā koʻikoʻi ke kūlana a ua ulu piha ka pēpē, hiki i ke kauka ke hoʻoholo e hoʻoulu i ka hana, ma waena o 37 a me 39 mau pule.
He aha nā pilikia e hiki ai i kēia ke hoʻopilikia?
E hoʻomaopopo pono i kēia. ʻAʻole e hōʻeha pololei ka wai keu i ka pēpē. Eia nō naʻe, aia kahi pilikia iki o nā pilikia ma muli o ka hoʻonui ʻia o ke kaomi ma luna o ka ʻōpū ma muli o kēia wai keu. Inā loaʻa kēia ʻano i ka wā mua o ka hāpai ʻana, hiki ke kiʻekiʻe iki aʻe ka pilikia no ka mea ua loaʻa i ka wai ka manawa e hōʻiliʻili ai.
| Pōpilikia | ʻO ke ʻano kēia... |
|---|---|
| Ka hānau mua ʻana | ʻO ka hoʻomaka ʻana o nā ʻeha hānau ma mua o ka lā hānau. |
| Ka hānau mua ʻana | Ka hānau ʻana o kahi pēpē ma mua o 37 mau pule. |
| Ka hoʻopau ʻana o ka placenta | Hoʻokaʻawale ʻia ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē. |
| Ke kahe koko ma hope o ka hānau ʻana | Ke kahe koko nui ma hope o ka hānau ʻana. |
| Ka emi ʻana o ke kaula umbilical | Ke haki ka wai, komo ke kaula umbilical i loko o ka vagina ma mua o ke keiki. |
| He ʻūhā ka pēpē | Ma muli o ka nui o ka wai, hiki i ka pēpē ke huli maʻalahi, a hiki i ke poʻo ke noho pālahalaha me ka ʻole o ka hāʻule ʻana i lalo. |
| Hānau make | ʻO kēia ka pilikia koʻikoʻi loa e hiki ke hana kākaʻikahi loa. |
Mai makaʻu i kēia mau mea. He mau mea "hiki" kēia, ʻaʻole he mau mea "paʻa" . Aia kāu kauka ma laila e kōkua iā ʻoe e hoʻokele i kēia mau pilikia.
He aha kaʻu e hana ai? Hiki iaʻu ke loaʻa i kekahi kōkua?
He mea maʻamau ke makaʻu a me ka hopohopo ke ʻike ʻoe he loaʻa iā ʻoe kēia maʻi. Akā, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kēia ʻoluʻolu ʻole a me ka hopohopo.
- E hoʻomaha nui: E hoʻomaha nui e like me ka hiki. Mai hoʻoikaika nui iā ʻoe iho.
- E ʻimi i nā ala e hoʻomaha ai: E hana i nā mea e hoʻomaha ai iā ʻoe. E heluhelu i kahi puke, e hoʻolohe i ke mele, e hana i kahi mea āu e makemake ai.
- E kamaʻilio ākea me kāu kauka: E kamaʻilio me kāu kauka e pili ana i kou mau hopohopo a me kou mau makaʻu. Mai hūnā i kekahi mea iā ʻoe iho.
- E makaʻala i nā loli: Inā manaʻo koke kou ʻōpū i ka nui a i ʻole ʻoe e loaʻa i nā hōʻailona hou, e kāhea koke i kāu kauka.
- He mea pono anei ka ʻoki ʻana ma ke ʻano C? I ka hapa nui o ka manawa, hiki iā ʻoe ke hānau maʻamau. Eia nō naʻe, inā manaʻo kāu kauka he ʻoi aku ka palekana o ka ʻoki ʻana ma ke ʻano C ma muli o nā kumu e like me ke kūlana o ka pēpē, hiki iā ia ke koho. He liʻiliʻi loa ka pilikia i hoʻonui ʻia.
- ʻAʻole hiki iā kākou ke pale aku i kēia? ʻAʻole, ʻaʻole hiki iā kākou ke pale aku i kēia. Akā inā loaʻa iā ʻoe ka maʻi diabetes, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka kaohi pono ʻana i kou pae kō koko.
ʻO ka mea nui loa, ʻo ia ke hele ʻana i kēlā me kēia keʻena lapaʻau a nānā i nā kuhikuhi a kāu kauka. Pēlā e hiki ai iā ʻoe ke mālama pono iā ʻoe a me kāu pēpē.
E nānā pono ʻia ʻoe a me kāu pēpē ma hope o ka hānau ʻana. I ka wā e hānau ai ke pēpē, e nānā ke kauka lapaʻau i ke pēpē e hōʻoia i kona olakino.
Leka Lawe-Home
- ʻO ka Polyhydramnios ka hoʻonui ʻia ʻana o ka nui o ka wai a puni ka pēpē. Eia nō naʻe, no ka hapa nui o nā kānaka, hana ʻia kēia ma nā liʻiliʻi liʻiliʻi a ʻaʻole ia e hōʻeha nui.
- He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia. No laila, mai hopohopo a noʻonoʻo, "ʻO koʻu hewa anei kēia?"
- ʻIke ʻia nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ka ʻōpū paʻa i ka wā e hoʻonui ai ka ʻōpū a kaomi i nā kino ʻē aʻe.
- ʻO ka lāʻau lapaʻau pinepine e pili ana i ka nānā mau ʻana iā ʻoe a me kāu pēpē. I nā hihia koʻikoʻi wale nō e loaʻa ai nā lāʻau lapaʻau ʻē aʻe.
- E kūkākūkā i kāu mau nīnau a me kou mau makaʻu me kāu kauka. E hōʻoia e hele i nā hoʻokolohua i hoʻonohonoho ʻia.
- He nui nā makuahine me kēia maʻi e hānau i nā pēpē olakino me ka ʻole o nā pilikia, no laila e noho ikaika.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo