Ke hānau keiki nei ʻoe i kahi pēpē hānau mua? E ʻike kākou i kēia mau mea! (Preterm Labour)

He manawa kūikawā loa ka hāpai ʻana i ke ola o kēlā me kēia makuahine. Eia nō naʻe, he mea maʻamau nō hoʻi ke loaʻa ʻana o kekahi mau makaʻu a me nā kānalua. ʻO ka makaʻu nui loa e hiki mai ana i kou manaʻo, ʻo ia paha, "Pehea inā loaʻa iaʻu kahi pēpē ma mua o ka lā hānau?" ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. I ka lāʻau lapaʻau, kapa mākou i kēia he 'hanau mua' a i ʻole ka hānau mua ʻana . Mai hopohopo, inā ʻike ʻoe i kēia, hiki i kā mākou mau kauka ke kāohi i kēia kūlana i ka hapa nui o nā hihia.

I ka ʻōlelo maʻalahi, ʻo ka hānau mua ʻana ka wā e hoʻomaka ai kou kino e hoʻomākaukau no ka hānau ʻana he 3 mau pule a ʻoi aku paha ma mua o kou lā hānau. ʻO ka lōʻihi o ka noho ʻana o ka pēpē i loko o ka ʻōpū, ʻo ka emi ʻana o ka loaʻa ʻana o nā pilikia ma hope o ka hānau ʻana. No laila he mea nui ka ʻike e pili ana i kēia.

He aha nā kumu pilikia e hoʻopilikia ai i kēia?

Aia kekahi mau kumu e hiki ke kōkua i ka hānau mua ʻana. Hiki iā mākou ke kāohi i kekahi, ʻaʻole hiki i kekahi. E nānā kākou i nā kumu pilikia nui.

E makaʻala i kēia mau hōʻailona!

I mea e pale ai i ka hānau mua ʻana, he mea nui e makaʻala i nā hōʻailona mua . ʻO ka hana wikiwiki ʻana me ka kānalua iki hiki ke hana i kahi ʻokoʻa nui. Inā ʻike ʻoe i kekahi mea e like me kēia , e kāhea koke i kāu kauka .

Pehea ʻoe e ʻike pono ai i ka wā e hiki mai ai nā contractions?

ʻO nā 'ʻūmiʻi' kekahi o nā hōʻailona nui o ka hānau ʻana. He mea nui e ʻike pololei i kēia.

1. E kau i kou mau manamana lima ma kou ʻōpū .

2. E nānā inā manaʻo ka ʻōpū e like me ka ʻūmiʻi ʻana a laila e wehe hou ana. ʻO ia ke ʻano o ka 'contraction'.

3. E hoʻopaʻa i ka manawa. E kākau i lalo i ka manawa i hoʻomaka ai ka ʻeha a me ka manawa i hoʻomaka ai ka ʻeha aʻe.

4. E ho'āʻo e hoʻōki i ka ʻeha. E noho ma kahi moe. E hoʻololi i nā kūlana . E hoʻomaha maikaʻi. E inu i ʻelua a ʻekolu mau kīʻaha wai.

5. Inā loaʻa ka ʻeha i kēlā me kēia 10 mau minuke a ʻoi aku paha pinepine, a inā e ʻoi aʻe ka ʻino o nā hōʻailona, ​​e kāhea koke aku i kāu kauka.

Akā e hoʻomanaʻo, he nui nā wahine hāpai e ʻike i nā ʻūmiʻi wahaheʻe ʻino ʻole i kapa ʻia ʻo 'Braxton Hicks Contractions'. ʻAʻole hiki mai kēia mau mea a pau i ka manawa hoʻokahi, a nalo lākou ma hope o ka hele wāwae iki a i ʻole ka hoʻomaha ʻana. Inā ʻaʻole ʻoe maopopo i ke ʻano o ka ʻeha āu e manaʻo nei, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka.

He aha ka mea e hana ʻia inā pono wau e hele i ka haukapila?

Inā manaʻo kāu kauka ua hānau mua ʻoe, e hoʻokomo ʻia paha ʻoe i ka haukapila. ʻAʻohe mea e hopohopo ai. E hana nā limahana lapaʻau i kēia mau mea:

• E nīnau lākou e pili ana i kou mōʻaukala olakino piha, ʻoiai e pili ana i nā lāʻau lapaʻau āu i lawe ai i ka wā hāpai.
• E nānā lākou i kou pulse, ke koko, a me ka mahana.
• E kau ʻia kahi mea nānā ma kou ʻōpū e nānā i ka puʻuwai o kāu pēpē a me ke ʻano o kāu mau ʻōʻō ʻana .
• Hiki ke hana i kahi hoʻokolohua i kapa ʻia ʻo 'Fetal Fibronectin' e nānā i ka pilikia o ka hānau mua ʻana.
• E lawe ʻia kahi hoʻāʻo mimi a i ʻole kahi hāpana mai ka cervix e nānā ai no ka maʻi.
• Nānā lākou e ʻike inā ua wehe ʻia ka cervix.

Inā ua hōʻoia ʻia ka hānau mua ʻana, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau penei:

• Ke hāʻawi ʻana i ka saline (nā wai IV).
• Ke hāʻawi nei i ka lāʻau lapaʻau e hoʻomaha ai i ka ʻōpū a hoʻōki i ka ʻeha.
• Ke hāʻawi ʻana i ka pēpē i kahi lāʻau lapaʻau kūikawā (steroids) e kōkua i ka ulu wikiwiki ʻana o nā māmā o ka pēpē .
• Ke hāʻawi nei i nā lāʻau antibiotic.

I kekahi mau hihia, inā ʻaʻole hiki ke kāohi ʻia ka ʻeha, hiki i nā kauka ke hoʻoholo e hānau i ka pēpē. Eia kekahi, inā loaʻa i ka makuahine kahi maʻi e like me ka preeclampsia koʻikoʻi, inā ʻaʻole maikaʻi ke pēpē, a inā he pilikia me ka placenta (placenta previa/abruption), pono paha e hānau mua ʻia ke pēpē.

Hiki ke pale ʻia ka hānau ʻana ma mua o ka manawa?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• E kiʻi i ka mālama maikaʻi ma mua o ka hāpai ʻana: He mea nui e hele i ke keʻena lapaʻau kūpono. E ʻike ke kauka i kāu mau kumu pilikia a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
• E hōʻemi i ke kaumaha: E hoʻokaʻawale i kekahi manawa i kēlā me kēia lā e noho mālie. E noi i kou ʻohana no ke kōkua inā pono ʻoe.
• E mālama i kou olakino waha: Ua ʻike ʻia kahi pilina ma waena o ka maʻi ʻāʻī a me ka hānau keiki ʻana ma mua o ka manawa. No laila e palaki i kou mau niho i ʻelua manawa i ka lā.
• E hōʻalo i nā ʻano maikaʻi ʻole: Inā ʻoe e puhipaka, e hoʻōki. E hōʻalo loa i ka waiʻona a me nā lāʻau lapaʻau.

I kekahi manawa hoʻohana nā kauka i kahi ultrasound transvaginal kūikawā e ana i ka lōʻihi o ka cervix e loiloi i ka pilikia. No nā wahine me ka cervix pōkole, ʻo ka hāʻawi ʻana i ka hormone progesterone e pale aku i ka hānau mua ʻana he ala kūpono hoʻi ia e pale aku ai i ka hānau mua ʻana.

He aha ka mea e hana ai inā hānau mua ʻia ke pēpē?

He mea kēia a nā makuahine he nui e makaʻu nei. Akā ʻo ka ʻoiaʻiʻo, ʻo ka hapa nui o nā pēpē i hānau mua ʻia e ulu a olakino a maikaʻi e like me nā pēpē i hānau ʻia i ka manawa kūpono.

Eia nō naʻe, ke kū nei nā pēpē hānau mua i kekahi mau pilikia olakino. ʻOkoʻa kēia ma muli o ka pule i hānau ʻia ai ke pēpē.

• Lapaʻau NICU (Neonatal Intensive Care Unit): Pono nā pēpē i hānau ʻia me ka wā ʻōpiopio loa e noho i loko o kahi keʻena mālama kūikawā (NICU), kahi e loaʻa ai iā lākou ka mehana e pono ai, ka meaʻai, a me ka mālama olakino.
• ʻIke Meaʻai: He paʻakikī i nā pēpē hānau mua ke omo i ka nui o ka waiū i ka manawa hoʻokahi, no laila pono e hānai pinepine ʻia lākou, ma kahi o kēlā me kēia 3-4 hola.
• Ka hanu ʻana: Loaʻa paha i kekahi mau pēpē ka paʻakikī o ka hanu ʻana. Inā ʻike ʻoe ua paʻakikī kāu pēpē i ka hanu ʻana, e kelepona koke aku i kāu kauka a lawe paha iā lākou i ka ETU (Emergency Treatment Unit).
• ʻĀʻī:Inā melemele ka ʻili a i ʻole nā ​​maka o kāu pēpē, he hōʻailona paha ia o ka jaundice. ʻO ke ʻano kēia, ke pilikia nei ke akepaʻa i ka hoʻomaʻemaʻe ʻana i ka bilirubin mai ke koko. Hiki i kēia ke hōʻeha i ka lolo inā ʻaʻole mālama koke ʻia, no laila e nānā pono ma mua o kou haʻalele ʻana i ka haukapila. E makaʻala i kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home.
• Nā maʻi: ʻAʻole i hoʻomohala piha ʻia nā ʻōnaehana pale o nā pēpē hānau mua, no laila ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi. E makaʻala i nā hōʻailona e like me ke kuni a me ka paʻakikī o ka hanu ʻana.