Inā he makuahine hāpai ʻoe, ʻo kekahi o nā manaʻolana nui loa i loko o kou puʻuwai, ʻo ia ka hānau ʻana i kahi pēpē olakino i kēia ao i ka manawa kūpono. Akā i kekahi manawa, me ka manaʻo ʻole ʻia, hiki iā ʻoe ke hopohopo iki e pili ana i ka loaʻa ʻana o kāu pēpē ma mua o kou lā hānau. He mea kēia a nā makuahine he nui e manaʻo nei. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia 'hānau mua' a i ʻole, ma ke ʻano lapaʻau, ka hānau mua ʻana . Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia.
He aha ka hānau mua ʻana?
I ka ʻōlelo maʻalahi, ʻo ka awelika o ka hāpai ʻana he 40 mau pule. Inā hoʻomaka mākou e loaʻa nā ʻūlū (ʻeha) a me ka hoʻonui ʻana o ka cervix ma mua o ka pule 37, kapa mākou i kēlā ʻano he Preterm Labor .
ʻO ka pilikia nui me kēia, ʻo ia ka ulu ʻole o nā ʻōpū o ka pēpē i hānau ʻia ma kēia ʻano, ʻoiai hoʻi nā māmā a me ka lolo. ʻOi aku ka nui o ka pilikia o ka pēpē i nā pilikia like ʻole. Ma kahi o 10% o nā hāpai ʻana e pau i ka hānau mua ʻana. Eia kekahi, ma kahi o 60% o nā pilikia koʻikoʻi a i ʻole ka make ʻana o nā pēpē i hana ʻia e kēia mau hānau mua ʻana.
He aha nā pilikia e kū mai ana i ke pēpē inā hānau mua ʻia?
Hiki i ka hānau ʻana o kahi pēpē hānau mua ke lilo i mea weliweli loa no ka makuahine. ʻO ke kumu o kēia, ʻo ia ka makaʻu i ka mea e hiki mai ana i kāna pēpē. Nui nā pilikia e kū ai i kahi pēpē hānau mua.
- ʻO ka palupalu o nā māmā: ʻO kēia ka pilikia nui loa. Inā ʻaʻole i ulu piha nā māmā o ka pēpē, e paʻakikī iā ia ke hanu iā ia iho. A laila pono e hoʻopili ʻia ka pēpē i kahi mīkini (ventilator) e kōkua iā ia e hanu . ʻOiai ke hāʻawi ʻia ka oxygen ma kēia ʻano, hiki ke loaʻa nā pilikia ʻē aʻe i kekahi manawa.
- Paʻakikī ke kāohi ʻana i ka mahana o ke kino: ʻAʻole hiki i ka pēpē ke mālama i ka mahana kino maʻamau. Ua kapa ʻia hoʻi kēia he hypothermia . ʻO ke ʻano kēia, hāʻule ka mahana o ke kino i lalo loa. No laila, pono nā lako kūikawā (incubator) e hoʻomehana i ka pēpē.
- Paʻakikī omo: I kekahi manawa, ʻaʻole i ulu piha nā ʻiʻo e pono ai ke omo i ka umauma o ka pēpē. I kēia hihia, pono paha e hāʻawi i ka meaʻai wai ma ke ʻano intravenous a i ʻole e hānai i ka pēpē ma o kahi ʻōmole i hoʻokomo ʻia ma ka ihu a me ka ʻōpū.
- Nā pilikia ʻē aʻe: Eia kekahi, aia kahi piʻi o ka pilikia o nā maʻi koʻikoʻi e like me ke kahe ʻana o ke koko i loko o ka lolo, meningitis a me sepsis , nā pilikia hana puʻupaʻa a me ka jaundice.Hiki ke kū mai nā kūlana e like me kēia.
ʻO ka mea nui loa, ʻo ia ka hoʻonui ʻia ʻana o kēia mau pilikia ma muli o ka wā mua o ka hānau ʻana o ka pēpē. ʻO ka emi ʻana o nā pule, ʻo ka ʻoi aku ka nui o ka pilikia.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia?
ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi mau makuahine ma mua o nā poʻe ʻē aʻe. E nānā i ka papa ma lalo nei e hoʻomaopopo i kēia mau mea pilikia .
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Nā hāpai mua | Inā ua loaʻa iā ʻoe kahi pēpē hānau mua ma mua a i ʻole inā ua loaʻa kahi kūlana like. |
| Hāpai keiki he nui | ʻO ka loaʻa ʻana o nā pēpē he nui i loko o ka ʻōpū, e like me nā māhoe a i ʻole nā māhoe ʻekolu. |
| Nā pilikia me ka ʻōpū a i ʻole ka cervix | ʻAno ʻē o ka ʻōpū, nāwaliwali o ka ʻāʻī, a i ʻole ke ʻoki kino ʻana ma mua (cone biopsy) . |
| Makahiki | Ma lalo o 18 mau makahiki a ʻoi aku paha ma mua o 40 mau makahiki. |
| Ola kino a me ke ʻano o ka nohona | Puhi paka, hoʻohana lāʻau lapaʻau, kaumaha iki ma mua o ka hāpai ʻana, a me ka hana ʻana i kahi hana paʻakikī loa. |
| Nā kūlana maʻi | ʻO ke kuamoʻoʻO ka loaʻa ʻana o nā maʻi e like me ka streptococci hui B, gonorrhea, a me ka chlamydia. |
| Ke pale nei i nā keʻena obstetrics a me gynecology | ʻO ka loaʻa ʻole o ke aʻo lapaʻau kūpono a me ka hele ʻana i nā keʻena lapaʻau i ka wā hāpai. |
He aha nā hōʻailona o kēia maʻi?
He mea nui loa ka ʻike i kēia mau hōʻailona, i hiki iā ʻoe ke hana koke.
- Nā ʻūmiʻi: Inā paʻakikī a paʻakikī kou ʻōpū e like me ka pōhaku ma mua o ʻehā manawa i ka hola. I kekahi manawa hiki ke ʻeha ʻole kēia.
- ʻEha o ka ʻōpū lalo : ʻEha kua a i ʻole ka ʻeha o ka ʻōpū lalo, e like me nā ʻeha o ka menstrual.
- ʻEha hope: He ʻeha mau a palupalu hoʻi ma ke kua haʻahaʻa.
- Kaomi pelvic: He manaʻo e like me kekahi mea e paʻi ana i lalo i ka ʻaoʻao o ka vagina.
- Ka loli ʻana o ke kahe ʻana o ka ʻōpū: He loli i ka nui a i ʻole ke ʻano o ke kahe ʻana o ka ʻōpū, ʻoiai ka hoʻokuʻu koke ʻana o kahi wai wai a i ʻole ka liki mālie.
- ʻEha ʻōpū a pehu paha: I kekahi manawa, hiki ke ʻike ʻia nā hōʻailona e like me ka ʻeha ʻōpū, nā hōʻailona like me ka gastritis , a i ʻole ka pehu ʻana.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
Pehea ʻoe e hōʻoia ai i kēia, e ke kauka?
Ke hele ʻoe i ka haukapila, e hana nā kauka i kekahi mau hoʻokolohua e hōʻoia inā ʻoe e hānau mua ana.
1. Nānā ʻana: Ua kau ʻia ʻelua mau kaula a puni kou ʻōpū e hoʻopaʻa i ka puʻuwai o ka pēpē a me nā ʻūmiʻi ʻana o ka ʻōpū.
2. Ka hoʻokolokolo ʻana o ka vagina: Nānā ke kauka i loko o ka cervix e ʻike inā ua hāmama a lahilahi paha.
3. Ke hoʻāʻo ʻana i ka ʻeke wai: Inā ʻōlelo ʻoe a kānalua paha ua haki kāu ʻeke wai, e lawe ʻia kahi hāpana o ka wai e puka mai ana mai kou ʻōpū e nānā inā he wai amniotic maoli ia e hoʻopuni ana i ka pēpē.
4. Nā hoʻokolohua ʻē aʻe: Lawe ʻia nā laʻana mai ka vagina a me ka mimi a hoʻouna ʻia i ka hale hana e nānā i nā maʻi. I kekahi manawa hiki ke hana ʻia kahi ultrasound transvaginal kūikawā e ana i ka lōʻihi o ka cervix.
He aha nā lāʻau lapaʻau no kēia?
Inā ua ʻike ʻia ʻoe me ka hānau mua ʻana, e pili ana ka lāʻau lapaʻau i ka nui o nā pule āu e hana ai, ke kūlana o kāu pēpē, a me kou kūlana ponoʻī. ʻO ka pahuhopu nui ka hoʻopaneʻe ʻana i ka hānau ʻana i ka hiki a ʻae i ka pēpē e noho i loko o ka ʻōpū no kekahi manawa hou aku.
- Hoʻomaʻū wai intravenous a me ka hoʻomaha moe: ʻO ka hana mua, ʻo ia ka hoʻomaha moe a me ka saline intravenous. Hiki i kēia mau mea maʻalahi ke hoʻōki i nā ʻūlū.
- Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia nā lāʻau lapaʻau e like me ka magnesium sulfate a i ʻole terbutaline ma ke ʻano intravenous e hoʻōki i nā ʻūmiʻi. Hana kēia ma ka hoʻomaha ʻana i nā ʻiʻo o ka ʻōpū a me ka hoʻōki ʻana i ka ʻeha.
- Nā lāʻau lapaʻau e kōkua i ka ulu ʻana o nā māmā o ka pēpē: ʻOiai inā ʻaʻole hiki ke hoʻōki i ka hānau ʻana, inā hiki ke hoʻopaneʻe ʻia ma ka liʻiliʻi he ʻelua lā, hāʻawi ʻia ka makuahine i nā inikini steroid i kēia manawa. Kōkua kēia i ka oʻo wikiwiki ʻana o nā māmā o ka pēpē.
- Ke ʻae ʻana i ka hānau ʻana: I kekahi mau hihia, hoʻoholo nā kauka e hoʻomau i ka hānau ʻana me ka ʻole o ka hoʻōki ʻana. No ka laʻana, inā loaʻa i ka makuahine kahi maʻi koʻikoʻi, ke koko kiʻekiʻe (preeclampsia) , a inā ʻaʻole maikaʻi ka pēpē i loko o ka ʻōpū, ʻoi aku ka palekana no ka makuahine a me ka pēpē ke hānau mua.
He aha kā mākou e hana ai e pale aku i kēia?
ʻOiai ʻaʻole hiki ke pale ʻia kēia kūlana 100%, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
ʻO ka mea nui a me ka mea mua, ʻo ia ka hele ʻana i ka mālama prenatal i ka manawa kūpono mai ka lā āu i ʻike ai ua hāpai ʻoe.
E nānā kāu kauka iā ʻoe, e ʻike i nā kumu pilikia āu e pilikia ai, a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
Inā hoʻomaka ʻoe e ʻike i nā hōʻailona i kūkākūkā ʻia ma mua, eia ka mea e hana ai:
1. E hoʻōki koke i kāu hana.
2. E hele i ka lua a mimi. (I kekahi manawa hiki i ka ʻōpū piha ke hana i nā ʻūmiʻi.)
3. E inu ma kahi o ʻelua kīʻaha wai a wai huaʻai paha.
4. E huli i ka hema a hoʻomaha.
5. Inā hoʻomau ka ʻeha ma mua o ʻehā manawa i ka hola ʻoiai ke hana nei i kēia mau mea, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila me ka hoʻokaʻulua ʻole.
Leka Lawe-Home
- ʻO ka hoʻomaka ʻana o ka hānau ʻana ma mua o 37 mau pule o ka hāpai ʻana ua kapa ʻia ʻo 'Preterm Labor', a hiki iā ia ke hoʻoweliweli i ka pēpē.
- E makaʻala mau i nā hōʻailona e like me ka pehu ʻana o ka ʻōpū, ka ʻeha o ka ʻōpū ma lalo, ka ʻeha o ke kua, a me nā loli i ke kahe ʻana o ka ʻōpū.
- ʻO ka hele ʻana i nā keʻena lapaʻau i ka manawa kūpono a ma ka papa manawa ke ala maikaʻi loa e hōʻemi ai i ka pilikia.
- Inā ʻike ʻoe i kekahi mau hōʻailona, mai hopohopo, e hoʻomaha, e inu i ka wai, a e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila. ʻO ka hana wikiwiki ʻana hiki ke hoʻopaneʻe pinepine i ka hānau ʻana.
- ʻOiai i loko o kēia kūlana, nui nā mea e hiki ke hana ʻia e pale aku iā ʻoe a me kāu pēpē ma lalo o ka ʻepekema lapaʻau hou. No laila e noho ikaika.
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