Ke kahe koko nei i ka wā hāpai? He hematoma subchorionic paha ia.

Ke lilo ʻoe i makuahine hāpai, ʻaʻole hiki ke wehewehe ʻia ka makaʻu a me ka hopohopo āu e ʻike ai ke ʻike ʻoe i kahi koko liʻiliʻi. ʻO ka nīnau mua e hiki mai ana i ka noʻonoʻo, 'He aha ka mea i hana i kaʻu pēpē?'. ʻO ka hapa nui o ka manawa, manaʻo mākou he hōʻailona ia o ka hāʻule ʻana o ka ʻōpū. Akā i ka wā hāpai, ʻoi aku hoʻi i nā mahina mua, ʻaʻole wale ke koko ke kumu o ka hāʻule ʻana o ka ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i maʻamau, akā ʻaʻole i ʻike maopopo ʻia e ka poʻe he nui. ʻO ia ka Subchorionic Hematoma.

He aha ka Hematoma Subchorionic?

I ka ʻōlelo maʻalahi, he koko liʻiliʻi kēia e hōʻiliʻili ana ma waena o ka paia o kou ʻōpū a me ka membrane waho loa (membrane chorionic) e hoʻopuni ana i ka ʻeke amniotic kahi o ke pēpē. E noʻonoʻo, i ka wā e ʻeha ai mākou i kahi o ko mākou kino, e polū mākou a hana ʻia kahi ʻūlū koko ma lalo o ka ʻili, ʻeā? Pēlā kēia. He koko liʻiliʻi e kahe ana ma kahi e mamao iki ai kēlā membrane mai ka paia o ka ʻōpū, a hōʻiliʻili kēlā koko ma laila. Ua kapa ʻia hoʻi kēia he Subchorionic Hemorrhage.

ʻO kēia ke kumu nui o ke kahe ʻana o ke koko i loko o ka ʻōpū i nā pule 10 a 20 mua o ka hāpai ʻana. ʻO ka hapa nui o ka manawa, he liʻiliʻi loa kēia mau ʻōpū koko (hematomas). ʻAʻole lākou e hōʻeha a e omo ʻia e ke kino i ka hala ʻana o ka manawa a ho'ōla. No laila, mai hopohopo ke lohe ʻoe i kēia inoa.

He aha nā hōʻailona?

ʻO ka hōʻailona nui o kēia maʻi, ʻo ia ke kahe ʻana o ke koko ma ka ʻōpū, akā ʻaʻole like ia no nā kānaka a pau.

No ke aha e hana ʻia ai kēia? ʻO wai ka mea i hoʻonui ʻia ka pilikia?

E like me kā mākou i kūkākūkā ai ma mua, hana ʻia kēia hōʻiliʻili koko i ka wā e hoʻokaʻawale ʻia ai ka membrane waho o ka ʻeke (membrane chorion) kahi i hānau ʻia ai ke pēpē mai ka paia o ka ʻōpū. ʻAʻole i ʻike ʻia ke kumu pololei o kēia kaʻawale ʻana. Eia nō naʻe, ua ʻike ʻia he hiki i kekahi mau mea ke hoʻonui iki i kēia pilikia.

Hiki i kēia ke hoʻoulu i nā pilikia?

He nīnau kēia e hopohopo iki paha ke lohe. ʻAe, i kekahi manawa, ʻoiai inā nui ka hematoma, he liʻiliʻi loa ka pilikia o nā pilikia. No ka laʻana, nā kūlana e like me ka hānau mua ʻana a me ka placental abruption.

Akā, mai makaʻu i ka lohe ʻana i kēia. Ke ʻōlelo hou nei au, ʻoi aku ma mua o 90% o nā hematoma subchorionic e ho'ōla iā lākou iho me ka ʻole o nā pilikia.He mea kākaʻikahi loa nā pilikia. E wehewehe kāu kauka iā ʻoe inā paha ʻoe i ka pilikia ma hope o kahi scan, ma muli o ka nui o ke koko i hoʻopaʻa ʻia, kona wahi, a me kou pae o ka hāpai ʻana.

Pehea e mālama ʻia ai?

ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i kekahi lāʻau kūikawā. E like me ka ho'ōla ʻana o kahi palapū ma ko kākou ʻili iā ia iho, e omo ʻia kēia e ke kino a nalowale. Eia nō naʻe, ma muli o kou kūlana, hiki i kāu kauka ke ʻōlelo aku i kekahi mau mea.

• E hōʻalo i nā hana ikaika: E noi ʻia paha ʻoe e hoʻōki i ka hana ʻana i nā mea e like me ka hāpai ʻana i nā kaupaona a me ka hoʻoikaika kino no kekahi manawa.
• Hoʻomaha piha i kahi moe: I kekahi manawa, inā nui ke koko, e noi ʻia ʻoe e hoʻomaha ma kahi moe no kekahi mau lā.
• E pale i ka moekolohe: Ua ʻōlelo ʻia e pale i ka moekolohe a hiki i ka hoʻomaikaʻi ʻana o ke kūlana.
• E hana hou i ka scan: E noi ʻia ʻoe e hana hou i kahi scan i loko o kekahi mau pule e ʻike ai inā e liʻiliʻi a nui paha ke koko.
• He lāʻau pale kūikawā no nā makuahine RhD maikaʻi ʻole: Inā ʻo kou ʻano koko he RhD maikaʻi ʻole, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau pale kūikawā i kapa ʻia ʻo `Anti-D immune globulin (Rh0(D))`. E pale aku kēia i nā pilikia e hiki mai ana i ka pēpē i ka wā e hiki mai ana.

E hōʻeha anei kēia i kaʻu pēpē?

ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o kēlā me kēia makuahine. ʻO ka pane , i ka hapanui o nā hihia, ʻaʻole e hōʻeha ka Hematoma Subchorionic i kāu pēpē. Inā liʻiliʻi ke koko, e hoʻomau ka hāpai ʻana me ka ʻole o nā pilikia. Inā nui iki ke koko, e nānā pono ke kauka iā ʻoe a me ka pēpē. ʻO ka mea nui, he nui nā makuahine me kēia maʻi e hānau i nā pēpē olakino.

Nā kumu ʻē aʻe o ke kahe koko i ka wā hāpai

ʻO ka Hematoma Subchorionic hoʻokahi wale nō kumu. Hiki ke loaʻa nā kumu ʻē aʻe o ke kahe koko i ka wā hāpai.

• Ka hāʻule ʻana o ka hāpai keiki
• Ka hāpai ʻana o ka ectopic
• ʻO ke kahe koko implantation he kahe koko liʻiliʻi ia e hana ʻia i ka wā e hoʻokomo ʻia ai ka embryo i loko o ka ʻōpū.
• Kahe iki o ke koko ma hope o ka moekolohe
• ʻO kahi maʻi ʻōpū a i ʻole ka maʻi ʻāʻī
• Nā pilikia placental (e like me ka placenta previa a i ʻole ka placental abruption)

ʻOiai ke kumu, ʻo ka mea maikaʻi loa e hana ai inā ʻike ʻoe i ke kahe ʻana o ke koko, ʻo ia ke hoʻomaopopo koke aku i kāu kauka .