E aʻo kākou e pili ana i ke kaula piko o kāu pēpē! ʻO ka pilina kupaianaha ma waena o ka makuahine a me ke pēpē!

Inā he makuahine e hiki mai ana ʻoe, a inā paha ua hoʻokipa wale ʻoe i kahi pēpē hou i loko o kou home, he mea nui loa kēia kamaʻilio ʻana iā ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i kēlā pilina kupaianaha a hāʻawi ola ma waena o ka makuahine a me kāna pēpē i hānau ʻole ʻia - ʻo ke kaula umbilical . Ua like ia me ke kaula ola ma waena o ka makuahine a me ka pēpē, he mea kupanaha loa, ʻeā?

He aha ke kaula umbilical? He aha ka mea e hana ʻia iā ia?

I ka ʻōlelo maʻalahi, he ʻōmole palupalu a momona iki ke kaula umbilical e hoʻopili iā ʻoe i kāu pēpē e ulu ana. Lawe ia i nā mea āpau e pono ai kāu pēpē e ola a ulu i ka wā hāpai. E noʻonoʻo iā ia e like me kahi ʻōnaehana kūikawā o nā kaula kamaʻilio mai kou makuahine a i kāu pēpē.

He aha ka hana a ke kaula umbilical?

Hana pū ke kaula umbilical a me ka placenta e mālama i ke kahe koko kūpono ma ka ʻaoʻao o ka pēpē. ʻOiaʻiʻo, i ka wā e ulu ana ke pēpē i loko o ka ʻōpū, nui nā hana a ke pēpē, e like me nā māmā o ke pēpē, ka puʻuwai, a me ka ʻōnaehana hoʻoheheʻe, e hoʻokō ʻia ma o kēia placenta. ʻO ke kaula umbilical ka mea e hoʻopili ai i ka pēpē i kēia placenta.

Hiki iā ʻoe ke noʻonoʻo iā ia penei: Ua like ke kaula umbilical me ke alanui ʻelua ala.

• Ma kekahi ʻaoʻao, ke kahe nei ke koko i piha i ka oxygen a me nā meaʻai mai ka placenta a i ka pēpē ma o ke kaula umbilical. ʻO kēia ka mea e hāʻawi ai i ka pēpē i ka ikaika e ulu maikaʻi ai.
• Ma ka ʻaoʻao ʻē aʻe, ʻo ke koko nele i ka oxygen, i piha i nā huahana ʻōpala e like me ke kalapona ʻokikene i hana ʻia e ke kino o ke pēpē, ua lawe ʻia aku i ka placenta ma o ke kaula umbilical. A laila hoʻoneʻe kou kino i kēlā mau huahana ʻōpala.

Ke hoʻomau nei kēia kahe koko ʻelua ala a hiki i ka hānau ʻana o ka pēpē. Ma hope o ka hānau ʻana o ka pēpē, ʻaʻole pono hou ka pēpē i ka placenta a me ke kaula umbilical e hāʻawi i ka meaʻai a me ka oxygen. A laila e lawe nā ʻōnaehana kino ponoʻī o ka pēpē (e like me nā māmā a me nā ʻōpū) a hoʻomaka e hana i kēlā mau mea ma o lākou iho.

Aia i hea ke kaula umbilical? Pehea kona ʻano?

Hoʻomohala ʻia ke kaula umbilical i loko o kou ʻōpū, i nā mahina mua ʻekolu o ka hāpai ʻana. Hoʻopili ia i ka pēpē e ulu ana i ka placenta. He ʻōkana manawa pōkole ka placenta e hoʻopili ana i ka paia o kou ʻōpū.

ʻO ka maʻamau, ua hoʻopili ʻia ke kaula umbilical i waenakonu o ka placenta ma kekahi ʻaoʻao a me ka ʻōpū o ke pēpē (kahi e ulu ai ka piko ma hope) ma kekahi ʻaoʻao.

Ua like ke kaula umbilical me ke kaula mānoanoa, a ua wili mau ʻia a ua ʻōwili ʻia . Hoʻoikaika kēia mau ʻōwili i ke kaula a pale iā ia mai ka ʻūlū ʻia ʻana i ka wā e ulu ana ke pēpē i loko o ka ʻōpū. Hoʻopuni ʻia ke kaula e kahi ʻiʻo hoʻohui keʻokeʻo e like me ka jelly - i kapa ʻia ʻo Wharton's jelly - e pale ana iā ia.

ʻO ka maʻamau, ma kahi o 19.6 a 23.6 ʻīniha (50 a 60 kenimika) ka lōʻihi o ke kaula umbilical ma ka hopena o kāu trimester ʻelua. ʻO kona mānoanoa (ke anawaena) he emi ma mua o hoʻokahi ʻīniha (ma kahi o 1 a 2 kenimika).

He aha nā kīʻaha koko i loko o ke kaula umbilical?

ʻEkolu mau kīʻaha koko i loko o ke kaula umbilical maʻamauAia. E noʻonoʻo, ua like kēia me ʻekolu paipu liʻiliʻi.

• Hoʻokahi aa koko umbilical: ʻO kēia kahi e lawe ʻia ai ke koko maʻemaʻe a waiwai i ka oxygen mai ka placenta a i ka pēpē. ʻO kēia koko ke kōkua i ka ulu ʻana o ka pēpē.
• ʻElua mau aʻa umbilical: Lawe kēia mau mea ʻelua i ke koko ʻilihune o ka pēpē i ka oxygen a piha i ka ʻōpala i ka placenta, e like me ka ʻōnaehana hoʻolei ʻōpala.

He aha nā pilikia e hiki ke loaʻa me ke kaula umbilical?

I kekahi manawa, aia kekahi mau pilikia me ke kaula umbilical. ʻO ka pilikia nui o kēia, ʻo ia ka emi ʻana o ke koko o ka pēpē. Hiki i kēia ke hoʻopilikia i ka ulu ʻana a me ka ulu ʻana o ka pēpē. Akā e hoʻomanaʻo, he nui o kēia mau mea he mea kakaikahi loa , a i ʻole he mea kakaikahi ke kumu o nā pilikia koʻikoʻi. E nānā pono kāu kauka iā ʻoe i kou wā hāpai. Hiki i nā scan ultrasound ke hōʻike maopopo i ke kaula umbilical, no laila hiki i nā kauka ke ʻike i nā ʻano ʻē. Inā he mea, e haʻi lākou iā ʻoe inā pono ʻoe i nā hoʻokolohua hou a i ʻole ka nānā ʻana.

Eia kekahi o nā kūlana e hiki ke kū aʻe:

• ʻAno ʻole o ke kaula wili: Hiki i ke kaula ke wili nui ʻia (hypercoiled) a i ʻole ke wili nui ʻia (hypocoiled). Hiki ke hana ʻia kēia e nā mea e like me nā loli i ke kahe koko a me nā neʻe ʻana o ka pēpē. I kekahi manawa, hiki ke pili i nā pilikia i ka wā hāpai.
• Ke hoʻokomo ʻana o ke kaula ʻaoʻao: ʻO ka maʻamau, ua hoʻokomo ʻia ke kaula umbilical i waenakonu o ka placenta. I kēia hihia, ua hoʻopili ʻia ke kaula umbilical i kekahi ʻaoʻao a i ʻole ka lihi o ka placenta.
• ʻO ke kaula ʻōpū: ʻO kēia kahi e ʻōwili ai ke kaula ʻōpū a puni ka ʻāʻī o ka pēpē. ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino inā aia ia ma ka nipple. Eia nō naʻe, i kekahi manawa, inā ua ʻōwili paʻa ʻia, hiki iā ia ke hana i nā pilikia liʻiliʻi i ka wā hāpai a i ʻole ka wā e hānau ai ke pēpē.
• ʻO ke aʻa umbilical hoʻokahi / ʻelua kīʻaha koko: ʻO kēia ka manawa he hoʻokahi wale nō aʻa a me hoʻokahi aʻa koko o ke kaula umbilical (ʻo ka maʻamau he ʻelua). Hiki i kēia ke hōʻailona o kekahi mau kūlana genetic, e like me ka trisomy . I kekahi manawa pili pū ia me nā loli kūkulu i nā ʻōpū o ka pēpē, e like me ka puʻuwai.
• ʻO ke kaula umbilical ke kaula e hana i kahi puʻupuʻu. Inā he puʻupuʻu paʻa kēia, hiki ke loaʻa nā pilikia e like me ke kahe ʻana o ke koko i ka pēpē.
• Nā cysts o ke kaula umbilical: Hiki ke ulu nā cysts i piha i ka wai i loko o ke kaula umbilical. I ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia. Eia nō naʻe, i kekahi manawa, hiki i kahi cyst ke ʻūlū i ke kaula umbilical a ālai i ke kahe koko.
• Ka emi ʻana o ke kaula umbilical:Hele mai ke kaula umbilical ma o ka cervix ma mua o ka hānau ʻana o ke pēpē. He pilikia olakino kēia, a koi pinepine ʻia ka ʻoki cesarean (C-section) .
• Vasa previa: Ka hele ʻana o nā kīʻaha koko mai ke kaula umbilical ma o ka puka o ka cervix me ka pale ʻole. Hiki i ke kaomi o ka hānau ʻana o ka pēpē ke kumu o ka haki ʻana o kēia mau kīʻaha koko, e kahe nui ai ke koko. ʻO ka ʻike mua ʻana a me ka hānau ʻana ma o ka ʻoki cesarean hiki ke pale i nā pilikia koʻikoʻi a i ʻole ka make.
• Hoʻokomo ʻia ke kaula velamentous: I kēia hihia, ʻaʻole pili pono ke kaula umbilical i ka placenta. Ma kahi o ka hoʻopili ʻana i ka placenta ponoʻī, pili ia i nā membrane ma waho o ka placenta. Hiki i kēia ke hana i nā pilikia ʻē aʻe, e like me ka ulu lohi o ka pēpē.

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 kāu pēpē, e ʻoki nā kauka i ke kaula umbilical a hoʻokaʻawale iā ia mai ka placenta. ʻO ke kumu, ua mākaukau ka pēpē e hanu a ʻai iā ia iho. No laila, ʻaʻole pono hou ke kaula umbilical. He ʻāpana liʻiliʻi wale nō i koe i loko o ka ʻōpū o ka pēpē, a mākou e kapa nei he ʻōpuʻu kaula umbilical . E maloʻo kēia i loko o kekahi mau pule a hāʻule iho. ʻO ia ka manawa e ʻike ʻia ai ka pihi ʻōpū nani o kāu pēpē. ʻO ka ʻoki ʻana i ke kaula umbilical he hana maʻalahi loa ia, a ʻaʻole ia e hōʻeha i ka pēpē .

He ʻeha anei ke ʻoki ʻia ke kaula piko o ke pēpē?

ʻAʻole loa. ʻAʻohe aʻalolo i loko o ke kaula umbilical. No laila, ʻaʻohe manaʻo o ka pēpē i loko o ke kaula umbilical. ʻAʻole ʻeha ka pēpē i ka wā e ʻoki ai ke kauka a kahu maʻi paha i ke kaula umbilical. Eia kekahi, ʻaʻole ʻeha ka pēpē a ʻoluʻolu ʻole paha i ka wā e maloʻo ai ke koena o ke kaula umbilical, e emi ana, a e hāʻule ana. No laila, mai hopohopo no ia mea, ʻae?

Pehea e mālama ai i ke kumu o ke kaula umbilical o kahi pēpē hānau hou?

Ke hiki ʻoe i ka home, e hāʻawi kāu kauka a kahu maʻi paha iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ke kaula umbilical o kāu pēpē. Ma keʻano laulā, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i ke kaula maʻemaʻe a maloʻo . E kōkua kēia i ka pale ʻana i ka maʻi (ʻoi aku ka omphalitis) .

Eia kekahi mau mea e kōkua ai:

• E ʻauʻau me ka huʻahuʻa a hiki i ka hāʻule ʻana o ka ʻōpala: ʻO ke ʻano kēia, ma kahi o ka ʻauʻau ʻana i kāu pēpē i loko o kahi kīʻaha wai, holoi wale ʻoe i ke kino o ke pēpē me kahi lole kopa. E waiho i ka ʻōpala e maloʻo i ka ea. Ma hope o ka hāʻule ʻana, hiki iā ʻoe ke hoʻomaka e ʻauʻau maʻamau i loko o ʻelua a ʻekolu mau lā.
• E pelu i ka diaper i lalo: I ke kau ʻana i ka diaper o kāu pēpē, e pelu i ke alo o ka diaper ma lalo o ke koena o ke kaula umbilical, i ka ʻōpū o ke pēpē. E kōkua kēia i ka pale ʻana i ka mimi a me ka ʻōpala mai ke kau ʻana ma luna o ke koena. Loaʻa i kekahi mau diaper hānau hou kahi ʻoki kūikawā no kēia kaula umbilical.
• E hoʻomaʻemaʻe inā pono: mimiInā lepo ke koena o ke kaula umbilical, e hoʻomaʻemaʻe iā ia me kahi lole pulu. A laila, e waiho i ka lewa e maloʻo.
• E kali a hāʻule ke koena ma kāna iho: e hana aunoa ia.

ʻO ka mea nui loa, ʻo ke kali ʻana a hiki i ka hāʻule ʻana o ke koena o ke kaula umbilical ma kāna iho. ʻOiai inā e kau ana ia ma kahi kaula, mai huki iā ia. ʻO ka hana ʻana pēlā e hiki ai ke hoʻokahe i ke koko pono ʻole a hiki ke hōʻeha i ka pēpē.

• E nānā i nā hōʻailona o ka maʻi: ʻO ka ʻulaʻula, ka pehu ʻana, ka kahe ʻana e like me ka pus, kahi ʻala pilau, a i ʻole ke kahe ʻana o ke koko he mau hōʻailona ia o ka maʻi. Inā ʻike ʻoe i kekahi o kēia mau mea , e kāhea koke aku i kāu kauka keiki .

Ua maikaʻi anei ke kau ʻana i ka waiʻona ma ke koena o ke kaula umbilical?

ʻAʻole ia he manaʻo maikaʻi . I ka wā ma mua, ua hoʻohana nā mākua hou i ka waiʻona hamo e hoʻomaʻemaʻe i ke kaula umbilical ma hope o ka ʻauʻau ʻana a i ʻole ka hoʻololi ʻana i ka diaper o ke pēpē. Akā ua hōʻike ʻia nā noiʻi hou e hiki i ka hana ʻana pēlā ke pepehi i nā bacteria olakino e kōkua ana i ka hāʻule ʻana o ke kaula.

No laila, ma kahi o ka hoʻohana ʻana i ka waiʻona, e holoi mālie i ke koena o ke kaula umbilical o ka pēpē me kahi huʻahuʻa pulu a lole paha a waiho i ka lewa e maloʻo.

I ka manawa hea e hāʻule ai ke koena o ke kaula umbilical?

ʻO ka hapa i koe o ke kaula umbilical e maloʻo pinepine a hāʻule i loko o hoʻokahi a ʻekolu mau pule ma hope o ka hānau ʻana . Inā pili mau ia ma hope o ʻekolu pule, e ʻike i kāu pediatrician. He hōʻailona paha ia o kahi maʻi ma lalo.

I ka maloʻo ʻana o ke koena, e emi ana a hoʻololi i ke kala. Huli ia mai ka melemele-ʻōmaʻomaʻo a i ka ʻeleʻele, a laila ʻeleʻele, a laila hāʻule iho ia ma kona iho. Ma hope o kona hāʻule ʻana, hiki iā ʻoe ke wehe.

He mea maʻamau anei ka melemele ʻana o ka ʻāpana ma lalo o ka piko ma hope o ka hāʻule ʻana o ke kaula umbilical?

Inā ʻike ʻoe i kekahi mau loli i ka ʻili o kāu pēpē, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka keiki. ʻO ka mea āu e ʻike nei paha he puʻu o ka ʻiʻo ʻeha maʻamau a ʻino ʻole i kapa ʻia he umbilical granuloma . Hiki i kēia ke ulu ma ka pihi ʻōpū o kāu pēpē ma hope o ka hāʻule ʻana o ke koena o ke kaula umbilical. Hiki i kēia granuloma ke hoʻopuka i kahi wai melemele māmā.

ʻO ka maʻamau, e ho'ōla ponoʻī kēia ʻano granuloma ma ka umauma i loko o hoʻokahi pule. Inā aia nō ia ma hope o hoʻokahi pule, hiki i kāu kauka pediatric ke wehe iā ia me nā lāʻau lapaʻau maʻalahi e hiki ke hana ʻia ma ko lākou keʻena.

He aha kāu e hana ai ke hāʻule ke koena o ke kaula umbilical o ke pēpē?

Ke hāʻule ke kaula umbilical, hiki i kāu pēpē ke kahe iki ke koko . He mea maʻamau ke kahe iki ke koko. E holoi mālie i ke koko. Akā inā hoʻomau ʻoe i ke kahe ʻana o ke koko ma hope o ka holoi ʻana, e kāhea i kāu kauka pediatric.

Eia kekahi, inā hemo hewa ke kaula umbilical o ka pēpē, aia paha ke kahe ʻana o ke koko. I kēlā hihia, like nō ka ʻōlelo aʻo: e holoi i ke koko, a inā hoʻomau ke kahe ʻana o ke koko, e ʻimi i ke kōkua lapaʻau.

Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?

E kelepona i kāu pediatrician inā ʻike ʻoe i kekahi o kēia mau mea e pili ana i ke kaula umbilical o kāu pēpē:

• Inā ʻaʻole ia e hāʻule ma hope o ʻekolu pule.
• Inā e kahe ana ka pus a i ʻole kekahi wai ʻē aʻe.
• Inā he pehu a ʻulaʻula/ʻeleʻele paha ke kala o ka ʻāpana a puni.
• Inā ʻaʻole e pau ke kahe ʻana o ke koko.

Eia kekahi, e ʻike i ke kauka inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona:

• Inā he kuni kou.
• Inā ʻaʻole ʻoe e inu waiū maʻamau.
• Inā ʻike ʻia ʻoe ua hiamoe a palaualelo paha ma mua o ka maʻamau.
• Inā uē kāu pēpē ke hoʻopā ʻoe i ke koena o ke kaula umbilical a i ʻole ka ʻili a puni ia.

ʻO ka mea hope loa, kahi mea e hoʻomanaʻo ai

He mea nui loa ke kaula umbilical i ka wā hāpai, e hoʻopakele ana i nā ola. A, manaʻo paha ʻoe he hōʻailona ia o ka pilina ma waena ou a me kāu pēpē. No laila, ʻo ka ʻoki ʻana i kēlā kaula ke hānau ʻia kāu pēpē he manawa kaumaha a ʻoluʻolu hoʻi. Akā, ʻo kēlā mea liʻiliʻi nani e hoʻomākeʻaka iā ʻoe i kēlā me kēia manawa āu e hoʻololi ai i ka diaper o kāu pēpē? E mau loa ana ia ma laila, e hoʻomanaʻo ana iā ʻoe i kēlā pilina kūikawā e kū wale ana ma waena o ʻolua ʻelua. ʻAʻole anei he nani?

ʻO ke kaula piko, hāpai keiki, keiki hānau hou, placenta, mālama kaula piko, nā maʻi, ke olakino o ka pēpē