Moeʻuhane nā makuahine hāpai a pau i ka loaʻa ʻana o kahi pēpē olakino. Akā i kekahi manawa, hiki ke wāwahi ʻia kēlā manaʻolana ma nā ʻano i manaʻo ʻole ʻia. ʻO ka hāʻule ʻana o ka naʻau kekahi o ia mau ʻike naʻau a ʻeha hoʻi. ʻOiai he mea paʻakikī ke kamaʻilio e pili ana, he mea nui iā ʻoe a me kāu hoa e hoʻomaopopo piha i kēia maʻi.
He aha maoli ka hāʻule ʻana o ka hāpai keiki?
I ka ʻōlelo maʻalahi, ʻo ka hāʻule ʻana o ka hāpai ʻana ka nalowale ʻana o ka hāpai ʻana ma mua o ka pau ʻana o nā pule 20 o ka hāpai ʻana .
ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Akā, he paʻakikī ke ʻōlelo pololei i ka nui o nā hāʻule ʻana o ka hāpai ʻana, no ka mea, i kekahi manawa hiki ke hana ʻia ma mua o kou ʻike ʻana ua hāpai ʻoe, ʻoiai ma mua o ka lohi o kou wā. ʻO ka maʻamau, ma waena o 10% a me 20% o nā hāpai ʻana i ʻike ʻia e nā kauka e pau i ka hāʻule ʻana o ka hāpai ʻana. Akā, manaʻoʻiʻo nā kānaka noiʻi, ʻoi aku ka kokoke o ka helu maoli i ka 40%.
ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, ʻoi aku ma mua o 80% o nā hāʻule ʻana i loko o nā mahina 3 mua o ka hāpai ʻana . Wahi a kahi noiʻi, ʻo ka pilikia o ka hāʻule ʻana ma hope o ka pule 5 ma kahi o 20%. Akā ma waena o nā pule 8 a me 13, emi kēia pilikia i 2%-4%. Ma hope o 14 mau pule, ʻoi aku ka liʻiliʻi o ka pilikia ma mua o 1%.
ʻO ka mea nui, inā pau ka hāpai ʻana ma hope o 20 mau pule, kapa mākou ia he hānau make , ʻaʻole he hāʻule ʻana. He ʻokoʻa nā kūlana ʻelua.
He mau hōʻailona paha kēia no ka hāʻule ʻana o ka hāpai keiki?
I kekahi manawa hiki ke hana ʻia nā hāʻule ʻana me ka ʻole o nā hōʻailona. Akā aia kekahi mau hōʻailona maʻamau e pono ʻoe e makaʻala. Inā hāpai ʻoe, he mea nui loa ia e hoʻolohe i kēia mau hōʻailona.
| Hōʻailona | E aʻo e pili ana i kēia |
|---|---|
| Ke kahe koko ʻana o ka wahine | Hiki ke hoʻomaka me kahi kulu koko liʻiliʻi, a laila hoʻomaka e kahe nui ke koko. |
| ʻEha nui ke kua a me ka ʻeha o ka ʻōpū | ʻOi aku ka ʻeha ma mua o ka wā o ka menstruation, a ke hele nei e ʻino aʻe. |
| Ka hoʻokuʻu ʻana i nā ʻiʻo i hoʻopaʻa ʻia | Hiki ke puka mai nā ʻāpana ʻiʻo e like me nā ʻūpā koko mai loko mai o ka vagina. |
| He kahe keʻokeʻo-ʻulaʻula | Aia paha he kahe ʻana e like me ka huʻa keʻokeʻo-ʻulaʻula. |
| Ua emi nā hōʻailona hāpai | Nā mea e like me ka maʻi kakahiaka a me ka ʻeha o ka umauma nalo koke aku. |
| Kuni a me ka malaise | Inā loaʻa iā ʻoe ke kuni me nā hōʻailona i luna, he hōʻailona paha ia o kahi maʻi. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua. E kelepona koke aku i kāu kauka. E haʻi aku ke kauka iā ʻoe inā e noho ma ka home, e hele mai i kāna keʻena lapaʻau, a i ʻole e hele pololei i ka ʻOihana Pilikia (ETU) o ka haukapila.
No ke aha e hana ʻia ai kēia mau hāʻule ʻana?
Ke hāʻule ka pēpē, nui nā makuahine e hoʻāhewa iā lākou iho. Manaʻo lākou, "Ua hewa anei kekahi mea iaʻu?" Akā, ʻaʻole ia ka ʻoiaʻiʻo.
ʻO ke kumu nui o ka hapa nui o nā hāʻule ʻana, ʻo ia nā pilikia genetic i loko o ka embryo a i ʻole ka fetus. I ka ʻōlelo maʻalahi, aia kekahi mea hewa me nā cell e hana ana i ka pēpē. ʻO ka mea nui, ʻaʻole i hana ʻia kēia mau pilikia e kekahi hewa o ka makuahine . Hana maoli lākou.
Ma waho aʻe o kēia kumu nui, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hāʻule ʻana o ka hāpai ʻana :
- Nā maʻi: Hiki i kekahi mau maʻi i ka makuahine ke hoʻopilikia i ka ʻōpū.
- Nā kūlana olakino makuahine: Nā mea e like me ka maʻi diabetes i kāohi ʻole ʻia a i ʻole ka maʻi thyroid.
- Nā pilikia hormonal : Ke kaulike ʻole o nā pae hormone o ke kino.
- Nā pane a ka ʻōnaehana pale:Ke hana nei ka ʻōnaehana pale o ka makuahine e kūʻē i ka fetus.
- Nā ʻano ʻē o ka ʻōpū: Nā pilikia me ke ʻano a i ʻole ka hoʻonohonoho ʻana o ka ʻōpū.
- Ka nohona: Ka puhipaka, ka inu ʻana i ka waiʻona, ka hoʻohana ʻana i nā lāʻau lapaʻau .
- Ka ʻike ʻia ʻana i nā mea radioactive a i ʻole nā mea ʻawahia.
Nā hāʻule ʻana ma muli o ka lawa ʻole o ka cervical
He kūlana ʻokoʻa iki kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ka cervix, e like me ke komo ʻana i ka uterus, ʻaʻole i lawa ka ikaika e paʻa ai i ka pēpē i ka wā hāpai. Ma muli o kēia, hiki i ka cervix ke wehe koke me ka ʻeha ʻole a hoʻoulu i ka hāʻule ʻana. Hana pinepine kēia i ka trimester ʻelua. No nā makuahine me ka mōʻaukala o kēia, e kau ke kauka i kahi humuhumu a puni ka cervix ma kahi o 12 mau pule o ka hāpai ʻana aʻe. Ua kapa ʻia ʻo ia he 'cerclage'. Waiho ʻia ke humuhumu ma kahi a hiki i ka wā e kokoke ai ka pēpē i ka hānau ʻana a laila wehe ʻia.
Aia kekahi mau ʻano hoʻopau keiki like ʻole?
ʻAe, ua hoʻokaʻawale nā kauka i nā hāʻule ʻana i kekahi mau ʻano. He mea nui ka ʻike ʻana i ke ʻano āu e loaʻa nei no ka mālama ʻana.
| ʻAno o ka hāʻule ʻana o ke keiki | ʻO ke ʻano maʻalahi |
|---|---|
| Hoʻoweliweli ʻia ka hāʻule ʻana o ka hāpai keiki | Aia kekahi kahe koko, ʻo ia hoʻi, aia kahi hoʻoweliweli o ka hāʻule ʻana o ka naʻau. Akā, ʻaʻole i wehe ʻia ka ʻōpū o ka naʻau. ʻO ka hapa nui o ka manawa, hoʻomau kēia mau hāpai ʻana me ka ʻole o nā pilikia. |
| Ka Hāʻule ʻAna i hiki ʻole ke pale ʻia | Aia ke kahe koko, aia ka ʻeha, a ua hāmama ka ʻōpū o ka ʻōpū. He mea paʻakikī ke pale aku i ka hāʻule ʻana o ka hāpai keiki i kēia manawa. |
| Ka Hāpai ʻOle ʻAʻole i Hoʻopau ʻia | Ua kipaku ʻia kekahi mau ʻāpana o ka fetus a i ʻole ka placenta, akā aia nō kekahi mau ʻāpana i loko o ka ʻōpū. |
| Ka Hāʻule Piha ʻana o ka Hānau | Ua haʻalele loa nā ʻiʻo a pau e pili ana i ka hāpai ʻana mai ka ʻōpū. |
| Ka Hāʻule ʻana o ka Hānau | He hāʻule hāmau. Ua make ke keiki i loko o ka ʻōpū, akā ke noho nei nā ʻiʻo i loko o ka ʻōpū. ʻAʻohe paha he koko a ʻeha paha. |
| Ka Hāʻule Hou ʻana o ka Hānau | ʻO ka loaʻa ʻana ma mua o ʻelua mau hāʻule keiki i ka lālani. He mea kākaʻikahi kēia. |
Pehea e hōʻoia ai ke kauka inā ua hānau ʻia kahi hāʻule keiki?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, e hana ke kauka i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Hoʻokolohua Pelvic: Nānā inā ua wehe ʻia ka cervix.
- ʻO ke scan Ultrasound: Hana ʻia kahi scan e ʻike ai inā aia ka puʻuwai o ka pēpē. I kekahi manawa, inā ʻaʻole maopopo, e noi ʻia paha ʻoe e hana i kahi scan ʻē aʻe ma kahi o hoʻokahi pule.
- Nā Hoʻāʻo Koko: Nānā ʻia ka pae o ka hormone hāpai (hCG) i loko o ke koko a hoʻohālikelike ʻia me nā pae ma mua.
- Nā Hoʻāʻo ʻIʻo: Inā loaʻa iā ʻoe nā ʻiʻo e puka mai ana mai kou kino, hiki ke hoʻouna ʻia i kahi keʻena hoʻokolohua e hōʻoia i ke ʻano o ia mea.
Hiki iā ʻoe ke hōʻoia ma ka home?
ʻAʻole hiki i kahi hoʻāʻo hāpai ma ka home ke ʻike maopopo inā ua hāʻule kāu pēpē. ʻO kēia no ka mea inā ua hāʻule kāu pēpē, ʻaʻole e haʻalele koke nā hormones hāpai i kou kino, no laila hiki ke maikaʻi ka hoʻāʻo. No laila, pono ʻoe e ʻike i kāu kauka e ʻike pono i ka mea e hana nei.
He aha ka lāʻau e pono e hana ʻia ma hope o ka hāʻule ʻana o ka hāpai keiki?
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka hāʻule ʻana o ka ʻōpū āu i loaʻa ai a inā paha he ʻiʻo i koe i loko o ka ʻōpū.
- Inā hāʻule piha ka ʻōpū a hakahaka loa, ʻaʻole pono kekahi lāʻau kūikawā.
- I ke ʻano o ka hāʻule ʻole ʻana o ka hāpai keiki , ʻo ia hoʻi ke koe nei nā ʻiʻo, hiki i ke kauka ke hāʻawi i kekahi mau koho.
1. Ke kali nei: Ke ʻae nei i ke koena o nā ʻiʻo e hāʻule i waho ma kāna iho i loko o hoʻokahi a ʻelua paha pule.
2. Lāʻau lapaʻau: Lāʻau lapaʻau e hoʻoulu ai i ka ʻōpū e ʻūlū a hoʻokuke aku i ke koena o nā ʻiʻo.
3. ʻO ke ʻoki ʻana D&C: Ke hoʻomaʻemaʻe ʻana i ka ʻōpū. Ua kapa ʻia kēia ʻo D&C (Dilation a me Curettage) . Ma kēia, ua hoʻonui iki ʻia ka cervix a ua wehe pono ʻia nā ʻiʻo i koe.
Inā he Rh maikaʻi ʻole kou ʻano koko, e haʻi aku ke kauka iā ʻoeHāʻawi ʻia kahi lāʻau pale i kapa ʻia ʻo Rh immune globulin (RhoGAM) . Pale kēia i nā antibodies i hana ʻia e kou kino mai ka hōʻino ʻana i nā hāpai keiki e hiki mai ana.
He aha ka mea e hana ʻia ma ke kino a me ka noʻonoʻo ma hope o ka hoʻopau ʻana i ka hāpai keiki?
He mea maʻamau ka loaʻa ʻana o ke kahe koko a me ka ʻūlū iki no kekahi mau lā ma hope o ka hāʻule ʻana o ka hāpai keiki. Eia nō naʻe, inā nui kou kahe koko ʻana, loaʻa iā ʻoe ke kuni, ke anu, a i ʻole ka ʻeha nui, he hōʻailona paha ia o kahi maʻi. Inā hana ʻia kēia, e kāhea koke i kāu kauka.
He mea maʻamau ke manaʻo nui i ke kaomi ma kou noʻonoʻo, e like me nā mea e hana nei i kou kino. Hiki iā ʻoe ke ʻike i nā manaʻo he nui, e like me ke kaumaha, ka hoʻāhewa ʻana iā ʻoe iho, ka huhū, a me ka makaʻu no ka wā e hiki mai ana.
He mea maʻamau ka manaʻo i kou manaʻo, a ʻae iā ʻoe iho e manaʻo. He manawa kēia e kanikau ai. E kamaʻilio me kāu hoa, he lālā o ka ʻohana, a i ʻole he hoaaloha pili e pili ana i kēia. Hiki iā ʻoe ke ʻimi i ke kōkua loea inā pono ʻoe. Hoʻōla kēlā me kēia kanaka ma kahi wikiwiki ʻokoʻa a ma ke ʻano ʻokoʻa.
Hiki ke loaʻa kahi keiki ʻē aʻe ma hope o ka hāʻule ʻana?
ʻOiaʻiʻo hiki iā ʻoe! ʻO ka hāʻule ʻana o ka pēpē, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa hou kahi pēpē. ʻOi aku ma mua o 80% o nā wahine i hāʻule ka pēpē e loaʻa nā hāpai a me nā hānau keiki olakino.
E kamaʻilio me kāu kauka e pili ana i ka manawa e hoʻāʻo hou ai. ʻŌlelo kekahi mau kauka e kali i hoʻokahi a ʻekolu paha mahina. Akā ʻo ka mea nui loa, ʻo ia ke kali a hiki i kou mākaukau kino a me ka noʻonoʻo. Mai hoʻāhewa iā ʻoe iho no kēia.
ʻO ka hapa nui o nā hāʻule ʻana o ka hāpai keiki ma muli o nā kumu hoʻoilina i loko o ka ʻōpū i hiki ʻole iā mākou ke kaohi. Akā, aia kekahi mau mea hiki iā ʻoe ke hana ma mua o ka hāpai ʻana i ka wā e hiki mai ana. ʻO ka mea nui o kēia mau mea, ʻo ia ke lilo i mea ola kino olakino.
- E ʻai i ka meaʻai kaulike.
- E hoʻoikaika kino i nā manawa a pau.
- E mālama i ke kaumaha olakino.
- E hōʻalo loa i ka puhi paka, ka waiʻona, a me nā lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka hāʻule ʻana o ka hāpai keiki ka nalowale ʻana o ka hāpai ʻana ma mua o 20 mau pule o ka hāpai ʻana. He mea maʻamau ia ma mua o kou manaʻo.
- ʻAʻole i hana ʻia ka hapa nui o nā hāʻule ʻana e ka hewa o ka makuahine, akā, ma muli o nā pilikia genetic i loko o ka pēpē.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kahe koko nui o ka ʻōpū, ka ʻeha nui, a i ʻole ke kuni, e ʻike koke i kāu kauka.
- E hāʻawi iā ʻoe iho i ka manawa e ho'ōla ai i ke kino a me ka noʻonoʻo. E kamaʻilio me kahi āu e hilinaʻi ai e pili ana i kou mau manaʻo.
- He nui nā wāhine i hāʻule ka pēpē a hānau i nā pēpē olakino, no laila, mai hoʻopau i ka manaʻolana.
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