Hāʻule ʻana o ka Hānau: E kamaʻilio kākou e pili ana i kēia ʻike ʻeha, ʻaʻole ʻoe hoʻokahi

ʻO kekahi o nā huaʻōlelo ʻeha loa a ka makuahine hāpai e lohe ai, ʻo ia ka 'miscarriage'. ʻO ke kaumaha, ka makaʻu, ka hewa e hele mai me ka lohe ʻana i kēia huaʻōlelo hiki ke hoʻolilo iā ʻoe e like me ʻoe wale nō. Akā, ʻaʻole ʻoe wale nō. ʻOi aku ka maʻamau o ka miscarriage ma mua o kou manaʻo. A, ʻo ka mea nui loa, ʻaʻole ia kou hewa i ka hapa nui o nā hihia. E kamaʻilio kākou e pili ana i nā mea a pau i kēia lā.

He aha maoli ka hāʻule ʻana o ka hāpai keiki?

I ka ʻōlelo maʻalahi, ʻo ka hāʻule ʻana o ka pēpē ka nalowale ʻana o kahi pēpē i loko o ka ʻōpū ma mua o 20 mau pule o ka hāpai ʻana.

He mea maʻamau loa nā hāʻule ʻana o ka ʻōpū. I kekahi manawa hiki ke hana ʻia ma mua o kou hala ʻana i kou wā a i ʻole ʻike ʻoe ua hāpai ʻoe. No laila, paʻakikī ke ʻōlelo pololei i ka nui o nā hāʻule ʻana o ka ʻōpū e hana maoli ʻia. Ma kahi o 10% a 20% o nā hāpai ʻana i hōʻoia ʻia e nā kauka e pau i ka hāʻule ʻana o ka ʻōpū. Akā, ʻōlelo nā kānaka noiʻi, hiki i ka nui holoʻokoʻa ke piʻi aʻe i ka 40%.

Inā nalowale ke pēpē ma hope o 20 mau pule o ka hāpai ʻana, kapa mākou ia he hānau make.

He aha nā hōʻailona o ka hāʻule ʻana o ka pēpē?

I kekahi manawa hiki ke hāʻule ka hāpai ʻana me ka ʻole o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, e kelepona koke aku i kāu kauka. E haʻi aku ʻo ia iā ʻoe inā e noho ma ka home, e hele mai i ke keʻena lapaʻau, a i ʻole e hele i ka lumi pilikia (ETU).

He aha nā kumu o ka hāʻule ʻana o ka hāpai keiki? He hewa anei ia naʻu?

He nīnau kēia a nā makuahine he nui e nīnau ai iā lākou iho. ʻO ka hapa nui o nā hāʻule ʻana i ka wā hāpai e hana ʻia e nā pilikia genetic koʻikoʻi i loko o ka embryo a i ʻole ka fetus. He mau hanana maʻamau kēia, me ke komo ʻole ʻana o ka makuahine a i ʻole ka makuakāne. I ka ʻōlelo maʻalahi, hele hewa kekahi mea i ka wā mua o ka ulu ʻana o ka pēpē. ʻAʻole kēia he mea hiki i kekahi ke pale aku.

I kekahi manawa, hoʻokomo ʻia kahi hua i hoʻoulu ʻia i loko o ka ʻōpū akā ʻaʻole e ulu a lilo i embryo. Ua kapa ʻia kēia he "Anembryonic Pregnancy" a i ʻole "Blighted Ovum". Hoʻopau pū kēia i ka hāʻule ʻana o ka hāpai keiki.

Ma waho aʻe o kēia kumu nui, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hāʻule ʻana:

• Nā kūlana maʻi i ka makuahine.
• Nā kūlana e like me ka maʻi diabetes i kāohi ʻole ʻia a i ʻole ka maʻi thyroid i ka makuahine.
• Nā pilikia hormonal.
• Nā pilikia o ka ʻōnaehana pale .
• ʻO nā mea ʻino a pau i loko o ka ʻōpū (e like me nā cysts).
• Ka puhipaka, ka inu ʻana i ka waiʻona a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
• Ka ʻike ʻia ʻana i nā mea radioactive a i ʻole nā ​​​​kemika ʻawahia.
• ʻOi aku ka makahiki o ka makuahine ma mua o 35 mau makahiki.
• Ua loaʻa iā ia ʻelua a ʻoi aku paha nā hāʻule ʻana ma mua.

Ka lawa ʻole o ka cervical

I kekahi manawa hiki ke hāʻule ka ʻōpū ma muli o ka nāwaliwali o ka cervix. Ua kapa ʻia kēia e nā kauka he 'Cervical Insufficiency'. I kēia hihia, wehe mua ka cervix no ka mea ʻaʻole hiki iā ia ke kākoʻo i ke kaumaha o ka pēpē e ulu ana. Hana pinepine kēia i ka trimester ʻelua o ka hāpai ʻana. Ma muli o kēia, hiki i ka pēpē a me ka placenta ke puka koke mai, me ka ʻeha ʻole, i ka wā o ka hāʻule ʻana. No kekahi kanaka me ka mōʻaukala o kēia, kau ʻia kahi cerclage a puni ka cervix ma kahi o 12 mau pule o ka hāpai ʻana e hoʻoikaika iā ia. Wehe ʻia nā sutures ke kokoke ka pēpē i ka hānau ʻana.

Aia kekahi mau ʻano hoʻopau keiki like ʻole?

ʻAe, hiki ke hoʻokaʻawale ʻia nā hāʻule ʻana i kekahi mau ʻano ma muli o ke ʻano o ko lākou hana ʻana.

He aha kāu e hana ai ma hope o ka hoʻopau ʻana i ka hāpai keiki?

Ma hope o ka hōʻoia ʻana ua hana ʻia kahi hāʻule ʻana, e hoʻoholo kāu kauka i ka mea e hana ai ma hope.

• Inā hāʻule piha ka ʻōpū a hakahaka ka ʻōpū, ʻaʻohe lāʻau ʻē aʻe e pono ai.
• Inā loaʻa iā ʻoe kahi hāʻule ʻole piha a me nā koena o ke kino, hiki i kāu kauka ke kuhikuhi i kekahi mau koho.
• Ke kali nei: E noi ʻia paha ʻoe e kali i hoʻokahi a ʻelua paha pule no ka hāʻule maoli ʻana o ke koena o nā ʻiʻo.
• Lāʻau lapaʻau: Hiki ke hāʻawi ʻia ka lāʻau lapaʻau e kōkua i ka hoʻokahe ʻana o ke koena o nā ʻiʻo.
• Ke kaʻina hana D&C: Hiki ke hana ʻia ka Dilation and Curettage (D&C), kahi kaʻina hana e hoʻomaʻemaʻe ai i ka ʻōpū.
• ʻAno koko Rh maikaʻi ʻole: Inā he Rh maikaʻi ʻole kou ʻano koko, e hāʻawi kāu kauka iā ʻoe i kahi pana i kapa ʻia ʻo 'Rh immune globulin (RhoGAM)' e pale aku i nā antibodies i hana ʻia e kou kino mai ka hōʻino ʻana i nā hāpai keiki e hiki mai ana.

Inā loaʻa iā ʻoe nā hāʻule ʻana i ka wā ma mua, e ʻōlelo aku kāu kauka i ka hoʻāʻo ʻana i ka genetic, nā hoʻāʻo koko, a me nā scan e ʻike ai i ke kumu.

Ma hope o ka hāʻule ʻana o ka naʻau ... ma ke kino a me ka noʻonoʻo

He manawa ka lōʻihi e ho'ōla ai i ke kino a me ka noʻonoʻo ma hope o ka hoʻopau ʻana i ka hāpai keiki.

Ma ke kino, aia paha kekahi kahe koko māmā a me ka ʻoluʻolu ʻole no kekahi mau lā. Eia nō naʻe, inā loaʻa iā ʻoe ke kahe koko nui, ke kuni, ke anu, a i ʻole ka ʻeha nui, e haʻi koke i kāu kauka. He mau hōʻailona paha kēia o kahi maʻi.

Ma ke ʻano naʻau, hiki iā ʻoe ke manaʻo i ka nui o ke kaumaha, ka huhū, ka hewa, a me ka makaʻu no ka wā e hiki mai ana. He mea maʻamau kēia mau manaʻo a pau. E ʻae iā ʻoe iho e kanikau a uē. E kamaʻilio e pili ana i kēia me kāu hoa, he lālā o ka ʻohana, a i ʻole he hoaaloha pili. Inā pono, e ʻimi i ke kōkua o kahi kākāʻōlelo. Hoʻōla kēlā me kēia kanaka ma kahi wikiwiki ʻokoʻa a ma ke ʻano ʻokoʻa. No laila e hāʻawi iā ʻoe iho i ka manawa.

Hiki ke loaʻa kahi keiki ʻē aʻe ma hope o ka hāʻule ʻana?

ʻAe, hiki nō iā ʻoe! ʻO ka hāʻule ʻana o ka ʻōpū, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa nā keiki. ʻOi aku ma mua o 80% o nā wahine i hāʻule ka ʻōpū e loaʻa nā hāpai olakino a me nā pēpē olakino.

E kamaʻilio me kāu kauka e pili ana i ka lōʻihi o kou kali ʻana ma mua o ka hoʻāʻo hou ʻana. Manaʻo kekahi mau kauka e kali i hoʻokahi a ʻekolu paha mahina, akā ʻaʻole i hōʻike ʻia e ka noiʻi he pono lapaʻau kūikawā ke kali ʻana i kēlā lōʻihi. ʻO ka mea nui, ʻo ia kou hoʻōla ʻana, ma ke kino a me ka noʻonoʻo.