Ma ke ʻano he makuahine hou, ke noʻonoʻo nei paha ʻoe i nā mea he tausani. He mea maʻamau ke noʻonoʻo inā maikaʻi ke pēpē, inā loaʻa iā ia nā mea āpau āna e pono ai, a inā ke hana pono nei au i nā mea āpau. I ka manawa e like me kēia, ʻo ka lohe ʻana e pili ana i kahi mea e like me ke "knot in the umbilical cord" hiki ke lilo i manaʻo weliweli. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano maoli, ke kumu o ia mea, a me nā mea e pono ai mākou e makaʻala.
I ka ʻōlelo maʻalahi, he aha ke knot ma ke kaula umbilical?
Ua like kēia me kahi puʻupuʻu e hana ana i loko o kou kaula kāmaʻa. ʻO ke kaula umbilical ke kaula ola e lawe ana i ka oxygen a me nā meaʻai i ka pēpē a lawe i ka ʻōpala o ka pēpē i hope. Ua like ia me kahi alahaka liʻiliʻi ma waena ou a me ke pēpē. I ka neʻe ʻana o ka pēpē i loko o ka ʻōpū, i kekahi manawa hiki ke nakinaki ʻia kēia kaula umbilical.
Akā eia ka mea. ʻAʻole weliweli nā puʻupuʻu a pau e hana ʻia. ʻO ka hapa nui o ka manawa, he mau puʻupuʻu palupalu loa kēia. Aia kahi mea e like me ka jelly i loko o ke kaula umbilical, a mākou e kapa nei ʻo `(Wharton's jelly)`, ka mea e pale ai i kēia mau puʻupuʻu mai ka paʻa ʻana. Aia kekahi mau manawa e hemo wale ai kēia mau puʻupuʻu liʻiliʻi i ka wā e huli hou ai ke pēpē.
Akā, he mea kākaʻikahi loa , ma lalo o 1 i loko o 100 mau hāpai ʻana, hiki i kēia puʻupuʻu ke lilo i mea paʻa loa. ʻO ia ka mea a nā kauka e kapa nei he "puʻupuʻu maoli. " ʻO ka pōʻino e hiki mai ana mai kahi puʻupuʻu paʻa e like me kēia, hiki iā ia ke ʻoki i ka oxygen a me nā meaʻai e hiki ai i ka pēpē.
E noʻonoʻo inā he ʻūmiʻi i loko o ka paipu wai, e lohi ke kahe ʻana o ka wai, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. Hoʻopilikia kēia ʻūmiʻi i ke kahe ʻana o nā mea e pono ai ka pēpē.
Akā ke ʻōlelo hou nei au, he mea kākaʻikahi loa kēia. I ka hapanui o nā hihia, hānau ʻia kahi pēpē olakino me ka ʻole o nā pilikia.
No ke aha e kū mai ai kēia ʻano pilikia? ʻO wau anei ke kuleana no kēia?
ʻAʻole loa. ʻAʻole kēia kou hewa. ʻAʻole kēia he mea hiki iā ʻoe ke kaohi. ʻO ke kumu nui o kēia, ʻo ia ka neʻe ʻana o ka pēpē i loko o ka ʻōpū . Ke neʻe a wili ka pēpē, hiki ke hana ʻia kēia mau puʻupuʻu. He mea maoli loa ia.
Eia nō naʻe, ua ʻike nā kauka i kekahi mau kumu e hoʻonui iki i ka pilikia o ka loaʻa ʻana o kahi "True Knot" i kekahi mau hihia. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, e nānā pono kāu kauka iā ia.
| Kumu pilikia | He wehewehe maʻalahi |
|---|---|
| Hoʻonui ʻia ka lōʻihi o ke kaula umbilical | Inā ʻoi aku ka lōʻihi o ke kaula umbilical ma mua o ka maʻamau, ʻoi aku ka maʻalahi o ka hihia ʻana. |
| Ke liʻiliʻi nei ka pēpē | Inā he ʻuʻuku ke pēpē, ʻoi aku ka nui o kahi e neʻe ai a puni i loko o ka ʻōpū, no laila hiki ke hana ʻia nā puʻupuʻu. |
| Nā māhoe `(Nā māhoe Monoamniotic)` | Inā he mau māhoe i loko o ka ʻeke amniotic hoʻokahi, aia ka pilikia o ka hihia ʻana a me ka nakinaki ʻia ʻana o ko lāua mau kaula umbilical. |
| Hoʻonui ʻia ka wai amniotic `(Polyhydramnios)` | ʻO ka nui o ka wai (wai amniotic) a puni ka pēpē, ʻo ka nui o ka hiki ke hoʻomohala i kahi tangle no ka mea he nui ka lumi o ka pēpē e neʻe ai. |
| ʻO ka hāpai ʻana i ka lua a ma hope paha (Multiparity) | ʻO nā makuahine e hāpai ana i kā lākou keiki ʻelua a ʻekolu paha, loaʻa paha iā lākou kahi ākea no ka neʻe ʻana o ka pēpē no ka mea ua kīkoʻo iki ko lākou ʻōpū. |
| ʻOi aku ka makahiki o ka makuahine ma mua o 35 | Ua hōʻike ʻia nā noiʻi he kiʻekiʻe iki aʻe kēia pilikia no nā makuahine ma luna o 35 mau makahiki. |
He hōʻailona nō hoʻi ka emi ʻana o nā neʻe ʻana o ka pēpē?
ʻAe. ʻO ka emi koke ʻana o ka neʻe ʻana o ka pēpē i ke kolu o ka trimester o ka hāpai ʻana, hiki nō hoʻi ke lilo i hōʻailona ua paʻa kēia ʻano puʻupuʻu. No laila, he mea nui loa ia e hoʻolohe i ka neʻe ʻana o ka pēpē.
Hiki ke ʻike ma mua inā he puʻupuʻu?
ʻO ka hapa nui o ka manawa, ma hope wale nō o ka hānau ʻana o ke pēpē e ʻike pono ai ʻoe inā aia kēia puʻupuʻu a ʻaʻole paha, no ka mea, he mea paʻakikī loa ke ʻike maopopo ʻia me ka ultrasound scan.
Eia nō naʻe, i kekahi manawa, inā ʻike ke kauka i ka emi ʻana o ka puʻuwai o ka pēpē a i ʻole nā ʻano ʻē aʻe i ka wā o ke scan, hiki i kēia ke hoʻāla i nā kānalua.
Eia kekahi, i ka wā hānau, inā he mau loli koke i ka puʻuwai o ka pēpē me nā ʻūmiʻi, manaʻo nā kauka i kēia puʻupuʻu, no ka mea, hiki i ke puʻupuʻu ke paʻa loa i ka wā e ʻūmiʻi ai ka ʻōpū.
ʻO ia ke kumu e ʻōlelo mau ai nā kauka , "Inā manaʻo ʻoe e neʻe iki ana kāu pēpē, e hele koke mai i ka haukapila." Mai lawe māmā. E kamaʻilio me kāu kauka e pili ana i ka kānalua liʻiliʻi loa āu.
He aha nā pilikia e hiki ke loaʻa inā he puʻupuʻu?
He mea weliweli paha kēia iā ʻoe, akā he mea nui e makaʻala. Inā paʻa loa ka "True Knot", hiki ke ʻoki loa ʻia ka lako oxygen o ke pēpē. Kāhea mākou i kēia kūlana he "Hypoxia".
Aia nā hopena lōʻihi i ke ʻano o ka paʻa o ke kaula. Inā paʻa loa ke kaula a ʻoki ʻia ka lako o ka oxygen no ka manawa lōʻihi, hiki iā ia ke hoʻopilikia i ke ola o ka pēpē. Aia kekahi hiki ke hōʻino ʻia ka lolo.
- Ka maʻi lolo
- Ka hōʻino ʻana i ka lolo ma muli o ka nele o ka oxygen (Hypoxic-ischemic encephalopathy - HIE)
- Nā lohi o ka ulu ʻana a i ʻole ka noʻonoʻo
Hiki ke kū mai kēia mau kūlana. Akā, ke hoʻoikaika hou nei au, ʻo ia nā hopena koʻikoʻi loa e hiki pinepine ʻole mai ana. I ka hapanui o nā hihia, no ka mea ʻaʻole paʻa loa ke kaula a i ʻole ma muli o ke komo koke ʻana o nā kauka, ua hānau ʻia kahi pēpē olakino me ka ʻole o ka pōʻino.
Aia kekahi lāʻau lapaʻau a hoʻokele paha no kēia?
ʻAʻohe ala e wehe ai i kēia puʻupuʻu i loko o ka ʻōpū, no laila ke nānā nei nā kauka i ka mālama ʻana i ke kūlana.
- Inā ʻike mua ʻia: Inā kānalua ʻia kahi puʻupuʻu i ka wā o ka scan prenatal, e nānā pono kāu kauka iā ʻoe a me kāu pēpē . Hiki i kēia ke komo pū me nā scan pinepine, ka nānā ʻana i ka ulu ʻana o ka pēpē, a me nā haʻawina Doppler e nānā i ke kahe koko o ka pēpē.
- Inā ʻike ʻia i ka wā hānau: Inā manaʻo ʻia he puʻupuʻu i ka wā hānau, e like me ka emi ʻana o ka puʻuwai o ka pēpē, e makaʻala loa ke kime lapaʻau. Inā hōʻike ka pēpē i kekahi mau hōʻailona o ka "fetal distress," e hoʻoholo lākou e hana i kahi ʻoki C-section ulia pōpilikia . I kēia manawa, ʻo kā lākou pahuhopu wale nō ka hoʻopakele ʻana i ka pēpē me ka hoʻonele ʻole i kahi kekona.
No laila, inā ʻoe ma lalo o ka mālama ʻana a kahi hui lapaʻau akamai, hiki iā lākou ke lawelawe i kēia ʻano pilikia. ʻO kāu hana ke hahai i nā ʻōlelo aʻoaʻo a ke kauka a hoʻomaopopo koke iā lākou i nā loli āu e ʻike ai.
Leka Lawe-Home
- He mea laha ʻole ka puʻupuʻu maoli ma ke kaula umbilical. No laila, mai makaʻu pono ʻole i kēia a hoʻolilo i kou hāpai ʻana i ke kaumaha.
- ʻO ka neʻe ʻana o ka pēpē ke kumu o kēia mau puʻupuʻu, ʻaʻole na kou hewa. Mai hopohopo no ia mea.
- ʻO ka mea nui loa āu e hiki ai ke hana, ʻo ia ke nānā pono i nā neʻe ʻana o kāu pēpē (nā neʻe ʻana), ʻoi aku hoʻi i nā mahina i hala iho nei. Inā ʻike ʻoe i kahi loli nui i ke ʻano o ka neʻe ʻana o kāu pēpē i ka lā holoʻokoʻa, a i ʻole ka emi ʻana o ka neʻe ʻana, mai manaʻo wale he fluke ia, akā e hele koke i kāu kauka a i ʻole ka haukapila kokoke loa.
- ʻOiai inā he mau kumu pilikia a i ʻole kahi pilikia, ʻo ka hapa nui o ka manawa e hiki mai ana kahi pēpē olakino a hānai maikaʻi ʻia i kēia ao me ka ʻole o ka pōʻino.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a i ʻole nā makaʻu āu e loaʻa nei. E hōʻemi nui ia i ke kaumaha ma kou noʻonoʻo.
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