He makuahine hānau anei ʻoe? A i ʻole ua hoʻokipa wale ʻoe i kahi mea liʻiliʻi i loko o kou mau lima? A laila he nui paha kāu mau nīnau e pili ana i kēlā pilina kupaianaha ma waena ou a me kāu pēpē i hana ʻia no nā mahina, ʻo ke kaula umbilical. Hiki paha iā ʻoe ke hopohopo iki e pili ana i ke ʻano o ka mālama ʻana i kēia ʻāpana liʻiliʻi o ke kaula umbilical ma hope o ka hānau ʻana o ka pēpē. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ke kaula umbilical?
I ka ʻōlelo maʻalahi, ʻo ke kaula umbilical ke kaula ola e hoʻopili ai iā ʻoe a me kāu pēpē i kou wā hāpai. ʻO kēia ʻano paipu palupalu kahi e loaʻa ai i kāu pēpē nā oxygen a me nā meaʻai āpau e pono ai. Lawe pū ia i nā huahana ʻōpala mai ke kino o kāu pēpē i kou kino a hoʻoneʻe iā lākou.
ʻO kēia kaula umbilical, me ka placenta, e hana pū i nā mea āpau e pono ai no ka ulu ʻana o ka pēpē. He ʻāpana manawa pōkole ka placenta e hana ana e like me nā māmā o ka pēpē, ka puʻuwai, a me ka ʻōpū. Hoʻohui ke kaula umbilical i ka pēpē i ka placenta.
E noʻonoʻo i ke kaula umbilical e like me ke alaloa ʻelua ala. Ma kekahi ʻaoʻao, hele ke koko maʻemaʻe, piha i ka oxygen a me nā meaʻai, mai ka placenta a i kāu pēpē. Ma kekahi ʻaoʻao, hele ke koko, piha i nā huahana ʻōpala (e like me ke kalapona ʻokikene) mai ke kino o kāu pēpē, i ka placenta a hoʻi i kou kino e hoʻomaʻemaʻe ʻia.
Ma hope o ka hānau ʻana o ke pēpē, hiki iā ia ke hanu a inu waiū nona iho, no laila ʻaʻole pono ʻo ia i kēia kaula umbilical. No laila, ʻoki ke kauka a kahu maʻi paha i ke kaula umbilical. A laila, koe kahi ʻāpana liʻiliʻi ma ka ʻōpū o ke pēpē. Kāhea mākou i kēia ʻo "umbilical cord stump". Maloʻo kēia ʻāpana i koe a hāʻule iho i loko o kekahi mau pule. A laila wale nō e waiho ʻia ai ka pihi ʻōpū nani o ke pēpē (umbilical cord).
Pehea ke ʻano o ke kaula umbilical a pehea kona ʻano?
ʻO ke ʻano maʻamau o ke kaula umbilical e like me ke kaula umbilical i ʻōwili paʻa ʻia a mānoanoa. Hoʻoikaika kēia mau wili i ke kaula a pale iā ia mai ka ʻūpā ʻia ʻana i ka wā e neʻe ai ke pēpē i loko o ka ʻōpū. Aia kahi ʻiʻo keʻokeʻo e like me ka jelly e hoʻopuni ana i ke kaula umbilical. Ua kapa ʻia kēia ʻo "Wharton's jelly" ma nā ʻōlelo lapaʻau. Hāʻawi kēia i ka palekana maikaʻi no ke kaula umbilical.
I ka hopena o ka hāpai ʻana, ʻo ke kaula umbilical maʻamau ma waena o 50 a me 60 kenimika (20-24 ʻīniha) ka lōʻihi a he 1 a 2 kenimika wale nō ka mānoanoa.
He aha ka mea i loko o ke kaula umbilical?
ʻEkolu mau kīʻaha koko nui i loko o ke kaula umbilical maʻamau. E hoʻomaopopo pono kākou i kā lākou hana.
| ʻAno kīʻaha koko | Helu | Ka hana e hana ʻia nei |
|---|---|---|
| ʻAʻa koko umbilical | Hoʻokahi (1) | Lawe ʻia ke koko waiwai i ka oxygen a me nā meaola mai ka placenta a i ke pēpē. |
| Nā ʻAʻa Umbilical | ʻElua (2) | Hoʻihoʻi ʻia ke koko ʻōpala (deoxygenated) o ke kino o ke pēpē i ka placenta. |
He aha nā pilikia e hiki ke loaʻa mai ke kaula umbilical?
I ka hapa nui o ka manawa, ʻaʻohe pilikia me ke kaula umbilical. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke loaʻa kekahi mau kūlana pilikia. Hiki i kēia ke hoʻopilikia i ke kahe koko i ka pēpē. Hiki i kēia ke hoʻopilikia i ka ulu ʻana o ka pēpē. Mai hopohopo, e makaʻala mau ana kāu kauka i kēia mau mea i kāu mau scan ultrasound.
- ʻŌwili ʻano ʻē: Hiki ke ʻōwili nui ʻia ke kaula umbilical (hypercoiled) a i ʻole undercoiled (hypocoiled).
- Ke hoʻokomo ʻana o ke kaula marginal/velamentous: ʻO ka maʻamau, pono e hoʻopili ʻia ke kaula umbilical i waenakonu o ka placenta. I kekahi manawa, hiki ke hoʻopili ʻia i ka lihi a i ʻole i nā membrane ma waho o ka placenta.
- ʻO ke kaula nuchal: He mea kēia a nā makuahine he nui e makaʻu nei. Akā i ka hapa nui o ka manawa, ua ʻōwili ʻia me ka palupalu. No laila, ʻaʻole ia e hōʻeha i ka pēpē. Eia nō naʻe, inā ua ʻōwili paʻa ʻia, hiki i kekahi manawa ke hana i nā pilikia.
- ʻAʻa umbilical hoʻokahi: ʻOiai ʻelua mau aʻa maʻamau, i kekahi manawa hoʻokahi wale nō aʻa e hiki ke loaʻa.
- ʻO ke kaula maoli: I ka neʻe ʻana o ke pēpē i loko o ka ʻōpū, hiki ke hana ʻia kahi kaula maoli i loko o ke kaula umbilical. Inā paʻa kēia kaula, hiki ke ālai i ke kahe koko.
- ʻO ka prolapse o ke kaula umbilical: He pilikia olakino kēia. ʻO kēia ka wā e iho ai ke kaula umbilical ma o ka cervix ma mua o ka hānau ʻana o ke pēpē. I kēia hihia, pono ka ʻoki ʻana o C-section wikiwiki.
- Vasa previa: He pilikia kakaikahi loa kēia. I kēia hihia, hele nā kīʻaha koko i pale ʻole ʻia i loko o ke kaula umbilical ma o ka cervix. Hiki i kēia mau mea ke haki i ka wā hānau keiki a hoʻoulu i ke kahe nui.
ʻO ka mea nui, he mea laha ʻole ka nui o kēia mau maʻi. E nānā ana kāu kauka i kēia ma o nā hoʻokolohua maʻamau, no laila mai hopohopo pono ʻole.
He aha ka mea e hana ʻia i ke kaula umbilical i ka wā e hānau ai ke pēpē?
Ma hope o ka hānau ʻana o ke pēpē, ʻaʻole pono hou ke kaula umbilical no ka mea hiki iā ia ke hanu iā ia iho. No laila, ʻoki ke kauka a kahu maʻi paha i ke kaula umbilical a hoʻokaʻawale i ke pēpē mai ka placenta.
He ʻeha anei ke pēpē ke ʻoki ʻia ke kaula piko?
ʻAʻole loa. ʻAʻohe aʻalolo o ke kaula umbilical. ʻO ia hoʻi, ʻaʻohe ona manaʻo. No laila, ʻaʻole ʻeha ka pēpē i ka wā e ʻoki ʻia ai ke kaula umbilical. Eia kekahi, ʻaʻole ʻoluʻolu ka pēpē i ka wā e maloʻo ai ke koena a hāʻule.
Pehea e mālama ai i ke kaula umbilical o ke pēpē?
ʻO kēia ka pilikia nui loa no nā mākua hou. He mea maʻalahi loa ia. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kēia wahi i maʻemaʻe a maloʻo . E kōkua kēia i ka pale ʻana i ka maʻi (omphalitis).
Eia kekahi mau hana maʻalahi hiki iā ʻoe ke hahai:
- Holoi ʻana i ka huʻahuʻa: Mai hoʻokomo i kāu pēpē i loko o kahi ʻōmole wai a hiki i ka wā e pili mau ai ke kaula piko. Akā, e holoi i ke kino o ke pēpē me kahi lole kopa a huʻahuʻa paha. A laila, e makaʻala ʻaʻole e komo ka wai ma ke kaula piko.
- E ʻae e maloʻo maikaʻi i ka ea: Ma hope o ka ʻauʻau ʻana a inā pulu ke kaula umbilical, e pā mālie i ka ʻāpana me kahi lole maʻemaʻe a e ʻae e maloʻo i ka ea.
- E pelu i ka diaper i lalo: I ke kau ʻana i ka diaper ma luna o kāu pēpē, e pelu i ke alo o ka diaper ma lalo o ke kaula umbilical, i ka ʻōpū. E pale kēia i ka mimi a me ka ʻōpala o ke pēpē mai ke kau ʻana ma luna o ke kaula umbilical. I kēia manawa, loaʻa i kekahi mau diaper no nā pēpē hānau hou kahi ʻoki kaʻawale no ke kaula umbilical.
- E hoʻomaʻemaʻe i nā ninini: Inā ua ninini hewa ʻoe i ka mimi a i ʻole ka feces, e holoi mālie i ka wahi me kahi lole pulu a e hoʻomaloʻo i ka ea.
- E hoʻokuʻu iā ia iho: Mai huki a hoʻāʻo paha e wehe i ke koena o ke kaula umbilical me ka lima. Mai huki ma luna, ʻoiai inā me he mea lā e kau ana ma kahi kaula. Pono ia e hāʻule ma luna ona iho. ʻO ka huki ʻana iā ia hiki ke hoʻokahe i ke koko a me ka hōʻeha i ka pēpē.
- E makaʻala i nā hōʻailona o ka maʻi: Inā he mau hōʻailona e like me ka ʻulaʻula, ka pehu ʻana, ka pus a i ʻole ke wai ʻala ʻino, a i ʻole ke kahe ʻana o ke koko, he maʻi paha ia.
He mea maikaʻi anei ka hoʻohana ʻana i ka waiʻona e hoʻomaʻemaʻe i ke kaula umbilical?
ʻAʻole maikaʻi iki.I ka wā ma mua, ua hoʻohana kekahi poʻe i ka waiʻona hamo e hoʻomaʻemaʻe i ke kaula umbilical. Akā ua ʻike ʻia kahi noiʻi hou e hiki i ka hoʻohana ʻana i ka waiʻona ke pepehi i nā bacteria maikaʻi e kōkua ana i ke kaula e maloʻo a hāʻule, e hoʻopaneʻe ana i kēlā kaʻina hana. No laila, ʻoi aku ka maikaʻi o ka holoi ʻana me kahi lole maʻemaʻe i pulu ʻia i ka wai a hoʻomaloʻo.
Āhea e hāʻule ai ke koena o ke kaula umbilical?
ʻO ka maʻamau, maloʻo kēia a hāʻule iho i loko o hoʻokahi a ʻekolu mau pule ma hope o ka hānau ʻana o ke pēpē. He melemele-ʻōmaʻomaʻo kona kala i ka wā mua, akā i ka wā e maloʻo ai, lilo ia i ʻeleʻele a ʻeleʻele ma mua o ka hāʻule ʻana. Inā ʻaʻole i hāʻule ma hope o ʻekolu pule, e haʻi i kāu kauka e pili ana i ia mea. He hōʻailona paha ia o kahi maʻi.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma ke kua o ke kaula umbilical o kāu pēpē a i ʻole ma ko lākou ʻano, e ʻike koke i ke kauka pediatric.
| Wahi o ke kālele ʻana | Nā hōʻailona hoʻolaha |
|---|---|
| Nā pilikia e pili ana i ke kuʻekuʻe o ka ʻōpū | |
| Nā hōʻailona o ka maʻi | - ʻUlaʻula a pehu paha o ka ʻili a puni ke kaula umbilical. - Ka hoʻokuʻu ʻia ʻana o ka pus a i ʻole ke wai melemele me kahi ʻala ʻino. - Ke kahe koko ʻana ʻaʻole e pau (e hana hou ana ʻoiai ma hope o ka holoi ʻana). |
| Hoʻopaneʻe pakele | - ʻAʻole e hoʻomaikaʻi ma hope o ʻekolu pule . |
| Nā pilikia e pili ana i ke olakino laulā o ka pēpē | |
| Nā loli kino | - Ua wela ke pēpē. - Hiamoe nui, palaualelo . |
| Nā loli ʻano | - ʻAʻole inu waiū e like me ka mea maʻamau. - Uē ʻana (ma muli o ka ʻeha) i ka wā e hoʻopā ai i ke kaula umbilical a i ʻole ka ʻili a puni ia. |
He aha inā he melemele ke kaula umbilical ma lalo ma hope o kona wehe ʻia ʻana?
I kekahi manawa, ma hope o ka hāʻule ʻana o ke kaula umbilical, e ʻike ʻia paha kahi puʻupuʻu liʻiliʻi, poni, a pulu i loko o ka vagina. Ua kapa ʻia kēia he umbilical granuloma. Hiki nō hoʻi ke hoʻopuka i kahi wai melemele liʻiliʻi. ʻAʻole kēia he mea weliweli a e nalo wale nō ia ma kahi o hoʻokahi pule. Eia nō naʻe, inā hoʻomau ia ma hope o hoʻokahi pule, e ʻike i kāu kauka. Hiki ke hāʻawi ʻia kahi lāʻau maʻalahi.
ʻO ke kaula umbilical kahi hōʻailona o ke ola i hoʻopili iā ʻoe a me kāu pēpē i ka wā hāpai. ʻO ka ʻoki ʻana iā ia ma hope o ka hānau ʻana o kāu pēpē he mea ʻeha iki paha. Akā i kēlā me kēia manawa āu e ʻike ai i ka puʻupuʻu nani a liʻiliʻi o ka hauʻoli e ulu ana ma kona wahi, e hoʻomanaʻo mau ia iā ʻoe i ka pilina kupaianaha a kūikawā i kū ma waena o ʻolua.
Leka Lawe-Home
- ʻO ke kaula umbilical ke kaula ola e hāʻawi ana i ka oxygen a me ka meaʻai i ka pēpē i ka wā hāpai.
- Ke ʻoki ʻia ke kaula umbilical ma hope o ka hānau ʻana o ka pēpē, ʻaʻole e ʻeha ka pēpē no ka mea, ʻaʻohe aʻalolo ma laila.
- He mea nui loa ia e mālama i ke kumu i maʻemaʻe a maloʻo . Mai hoʻohana i kekahi mea e like me ka waiʻona no kēia.
- Mai ho'āʻo e huki a wehe paha i ke koena o ke kaula umbilical me ka lima . E hāʻule wale nō ia i loko o 1-3 mau pule.
- Inā ʻike ʻoe i kekahi mau hōʻailona a puni ke kaula umbilical, e like me ka ʻulaʻula, ka pehu, ka pus ʻala pilau, ke kahe koko mau, a i ʻole ke kuni o kāu pēpē , e ʻimi koke i ke kōkua lapaʻau .
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