Aia kekahi pilikia me ke ʻano o ka hoʻopili ʻana o ke kaula umbilical o kāu pēpē i ka placenta? E aʻo kākou e pili ana i ka Velamentous Cord Insertion!

Inā he makuahine e hiki mai ana ʻoe, pono ʻoe e hopohopo nui e pili ana i ke olakino o kāu pēpē, ʻeā? I kekahi manawa i ka wā hāpai, hiki mai nā pilikia liʻiliʻi a mākou e noʻonoʻo ʻole ai. ʻO kekahi o ia ʻano maʻi, kahi i lohe pinepine ʻole ʻia, akā he mea nui loa ia e ʻike, ua kapa ʻia ʻo `(Velamentous Cord Insertion)`. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha kēia (Hoʻokomo ʻana o ke kaula Velamentous)? E hoʻomaopopo pono kākou!

I ka ʻōlelo maʻalahi, ʻo ka "Velamentous Cord Insertion" he pilikia ia e hiki ke hana i ka wā hāpai. Ma kēia, ʻaʻole pili ke kaula umbilical o ka pēpē i ka placenta, ka mea e hāʻawi ai i ka meaʻai i ka pēpē, e like me ka mea e pono ai.

E nānā, eia ka mea maʻamau e hana ʻia:

Hoʻomohala ʻia ka placenta i loko o kou ʻōpū. Ua like ia me kahi hale hana e hānai ana i kāu pēpē. Loaʻa i ka pēpē nā meaʻai a me ka oxygen e pono ai mai iā ʻoe ma o kēia placenta. Ua like ke kaula umbilical me kahi alahaka e hoʻopili ai i ka pēpē i ka placenta. Pono e hoʻopili pololei ʻia kēia kaula umbilical mai ka ʻōpū o ka pēpē i ka placenta. A laila wale nō e hiki ai i ka pēpē ke loaʻa maʻalahi ka meaʻai.

ʻO kekahi mea ʻē aʻe, aia kahi mea like me ka gel i kapa ʻia ʻo "Wharton's jelly" i loko o ke kaula umbilical e pale i nā kīʻaha koko. ʻO kēia ka mea e pale ai i nā aʻa koko i loko o ke kaula umbilical mai ka wili ʻia a me ke kaomi ʻia, a pale iā lākou.

Eia nō naʻe, i ke ʻano o ka `(Velamentous Cord Insertion)`, ʻaʻole i hoʻopili pololei ʻia ke kaula umbilical i ka placenta, akā i nā membrane lahilahi ma waho o ka placenta. E noʻonoʻo iā ia me he mea lā ʻaʻole i hoʻopili pololei ʻia kahi paipu wai i ka piula wai nui, akā i kahi nāwaliwali ma kahi mamao iki aku mai ka piula wai.

No laila he aha ka mea e hana ʻia ke hana ʻia kēia?

Pono nā kīʻaha koko e hele mai ana mai ke kaula umbilical e hele i kahi mamao loa e loaʻa ai nā meaʻai mai ka placenta. Eia kekahi, ʻaʻole i loaʻa i kēia mau aa ka pale o ka `(Wharton's jelly)`. Ua like ia me ka uea me ka ʻole o kahi pale. Ma muli o kēia, ʻoi aku ka maʻalahi o ka ʻūlū ʻia, ka haki ʻana, a me ke kahe ʻana o ke koko i kēia mau aa. Eia kekahi, ʻoiai ʻaʻole maʻalahi ka loaʻa ʻana o nā meaʻai i ka placenta, lohi iki paha ka ulu ʻana o ka pēpē. Ua maopopo iā ʻoe?

Pehea ka maʻamau o kēia ʻano? Hiki mai kēia i nā kānaka a pau?

ʻAʻole, he ʻano laha ʻole ka `(Velamentous Cord Insertion)`. ʻIke pinepine ʻia ia ma kahi o 1% o nā hāpai keiki hoʻokahi. Eia nō naʻe, i loko o nā māhoe, ʻoi aku ka kiʻekiʻe o kēia helu, ʻo ia hoʻi, ma kahi o 6%. ʻOi loa aku hoʻi i nā māhoe e kaʻana like ana i ka placenta like (MCDA māhoe), hiki ke piʻi kēia ʻano i 15%.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa ke kumu kikoʻī o ka `(Velamentous Cord Insertion)`. Eia naʻe, ua ʻike ʻia he ʻoi aku ka ʻike ʻia ma lalo o kekahi mau kūlana hāpai. Inā ʻike ʻoe a me kāu kauka i kēia mau pilikia, ʻoi aku ka maʻalahi o ka lawe ʻana i nā hana palekana e pono ai.

Eia kekahi mau hihia:

• Nā hāpai māhoe: ʻOi loa aku inā he mau māhoe e kaʻana like ana i ka placenta hoʻokahi.
• Nā Hāpai ma o IVF (In Vitro Fertilization): ʻOi aku ke kiʻekiʻe o kēia pilikia no nā makuahine i hāpai ma o ka mālama ʻana o IVF.
• Nā makuahine manawa mua: Hiki ke ʻike ʻia kēia ʻano i waena o nā makuahine e kali ana i kā lākou keiki mua.
• Placenta Previa: Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo "Placenta Previa", kahi i loaʻa ai ka placenta ma ka ʻaoʻao haʻahaʻa o ka ʻōpū, kokoke i ka cervix .
• Vasa Previa: Hiki ke pili pū kēia i kahi kūlana i kapa ʻia ʻo "Vasa Previa", kahi e hele ai nā kīʻaha koko pale ʻole o ke kaula umbilical ma o ka cervix . E nānā kākou i kēia me nā kikoʻī hou aku.

He kūlana weliweli anei ka hoʻokomo ʻana o ke kaula Velamentous?

ʻAe, ua manaʻo ʻia kēia he kūlana pilikia iki. No ka mea, e like me kā mākou i kūkākūkā ai ma mua, hiki i kēia ke hoʻolohi i ka ulu ʻana o ka pēpē. Eia kekahi, ʻoiai ʻaʻole palekana ka `(Wharton's jelly)`, aia kahi manawa kiʻekiʻe o ka haki ʻana o nā kīʻaha koko o ke kaula umbilical a me ke kahe ʻana o ke koko. Hiki i kēia mau kūlana pilikia ke hoʻopilikia i kāu hāpai ʻana a me kāu pēpē.

Me ka `(Velamentous Cord Insertion)`, ʻoi aku ka nui o ka hiki ke hana ʻia nā mea aʻe:

Nā pilikia e hiki ke loaʻa i ka makuahine:

• Ka hānau mua ʻana: Pono paha e hānau ʻia ke pēpē ma mua o ka lā palena.
• Ka hānau ʻana ma ke ʻano he Cesarean / C-section: Hiki i kāu kauka ke ʻōlelo aku i ka hana ʻana i ka ʻoki ʻana ma ke ʻano he Cesarean i ka wā mua. A i ʻole, inā nui ke kahe ʻana o ke koko i ka wā hānau, pono paha ʻoe e hana i ka ʻoki ʻana ma ke ʻano he Cesarean ulia pōpilikia.
• Ka hoʻopau ʻana o ka placenta: He kūlana weliweli nō hoʻi kēia.
• Preeclampsia: Hiki ke piʻi koke kou koko ma hope o 20 mau pule o ka hāpai ʻana.

Nā hopena hiki ke loaʻa ma ka pēpē:

• ʻEmi paha ko lākou kaumaha ma mua o nā pēpē hānau hou ʻē aʻe a ʻano liʻiliʻi paha ke nānā aku.
• Pono paha ka mālama kūikawā ma ka Neonatal ICU/NICU.
• Hiki ke loaʻa nā helu Apgar haʻahaʻa: I loko o nā minuke ʻelima mua o ka hānau ʻana, e hāʻawi ʻia kāu pēpē i kahi "hoʻāʻo Apgar." Ana kēia i ka hanu ʻana o ka pēpē, ka helu o ka puʻuwai, ke ʻano o nā ʻiʻo, nā reflexes, a me ke kala o ka ʻili, a hāʻawi iā lākou i kahi helu (0-10). ʻO ka helu haʻahaʻa ke ʻano o ka pēpē e pono ai ke kōkua hou aku i ka hanu ʻana a me ka hoʻomaʻamaʻa ʻana i ke ola ma waho o ke kino.

ʻO ka pilikia weliweli loa e hele mai me ka Velamentous Cord Insertion: (Vasa Previa)

Ma kahi o 6% o nā hāpai ʻana me ka Velamentous Cord Insertion he maʻi koʻikoʻi ʻē aʻe i kapa ʻia ʻo Vasa Previa, kahi e hele ai nā kīʻaha koko pale ʻole o ke kaula umbilical ma o a kokoke loa paha i ka cervix.

E noʻonoʻo wale, i ka hoʻomaka ʻana o ka hānau ʻana, i ka wā e paʻi ai ke pēpē ma o ka cervix, nui ke kaomi ma luna o kēia mau aa koko i pale ʻole ʻia. A laila kiʻekiʻe loa ka pilikia o ka haki ʻana o kēia mau aa koko.Inā hana ʻia kēia, hiki i ka makuahine a me ke pēpē ke kahe nui ke koko. Ma kahi o ka hapalua o kēia mau hāpai ʻana e pau i ka hānau make.

Akā, mai hopohopo! ʻO ka ʻike mua ʻana i kēia kūlana hiki ke pale i kēia mau hopena weliweli. Inā ʻike kāu kauka i kahi kīʻaha koko i pale ʻole ʻia ma ke kaula umbilical kokoke i ka cervix i ka wā o ka ultrasound scan, e paipai paha ʻo ia i kahi ʻoki C. Inā hana ʻia kahi ʻoki C i kahi hihia o Vasa Previa, ʻo ka nui o ka manawa e hoʻopakele ai i ke ola o ka pēpē he 97% a 99%.

He aha nā hōʻailona o ka hoʻokomo ʻana o ke kaula Velamentous? Pehea ʻoe e ʻike ai?

I kekahi manawa, ʻoi aku hoʻi i ke kolu o ka trimester o kou hāpai ʻana, hiki i ke kahe ʻana o ke koko ke hōʻailona o kahi maʻi i kapa ʻia ʻo "Velamentous Cord Insertion." Eia nō naʻe, ʻaʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona.

ʻIke pinepine ʻia kēia e kāu kauka ma o kahi scan ultrasound a me ka nānā ʻana i kāu pēpē. Loaʻa paha i kāu pēpē nā hōʻailona e like me:

• Lohi ka puʻuwai.
• Hoʻemi ʻia ke koko.

Pehea e ʻike pono ʻia ai kēia maʻi?

I ka lua o ka trimester o kou hāpai ʻana, hiki i kāu kauka ke ʻike i kahi i hoʻopili ʻia ai ke kaula umbilical ma o kahi scan ultrasound. Hiki ke ʻike maopopo ʻia kēia me kahi ultrasound Doppler kala.

Eia nō naʻe, ʻoiai ua nui loa ka pēpē i ke kolu o ka trimester, hiki i kekahi manawa ke paʻakikī ke loiloi pololei i ke kaula umbilical. No laila he mea nui e hana ʻia nā scan i ka manawa kūpono.

Aia kekahi lāʻau lapaʻau no ka hoʻokomo ʻana o ke kaula Velamentous? He aha ka mea e hana ʻia ai?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau pololei no ke kūlana `(Velamentous Cord Insertion)`. ʻO ia hoʻi, ʻaʻohe ala e hoʻoponopono ai i ke kaula umbilical i hoʻopili pono ʻole ʻia. Akā, mai hopohopo! Ke hana nei nā kauka i nā hana palekana hou aʻe e hōʻemi i nā pilikia e hiki ai i kēia ke hana.

Hiki i kāu kauka ke hana i nā mea e like me:

• Ke nānā ʻana i ka ulu ʻana o ka pēpē i kēlā me kēia 4-6 pule: Hana ʻia nā scan e ʻike inā e ulu pono ana ka pēpē.
• E hana mau i kahi Hoʻāʻo No ke Koʻikoʻi ʻole (NST) ma kāu pēpē: Ana ka NST i ka puʻuwai o kāu pēpē a me ka neʻe ʻana. He palekana loa kēia hoʻāʻo no ʻoe a me kāu pēpē.
• ʻO ka haukapila i ka wā e hiki mai ai ka pēpē: Hiki ke hoʻokomo ʻia ʻoe i ka haukapila no kekahi mau lā ma mua o ka lā i manaʻo ʻia.
• Inā he kānalua e haki paha kekahi kīʻaha koko a hoʻokahe nui i ke koko, e like me ke ʻano o "Vasa Previa", hiki ke hoʻonohonoho ʻia kahi ʻoki "C-section" ma kahi o 34 mau pule: Hana ʻia kēia no ka pale ʻana i ka pēpē.
• Inā ʻoe e hānau ana i kāu pēpē ma ke ʻano vaginal, e hoʻoulu i ka hānau ʻana ma kahi o 40 mau pule: I kēia manawa, ua emi ka nui o ka wai amniotic i loko o ka ʻōpū, hiki ke kau i ke kaomi hou aʻe ma luna o nā kīʻaha koko.
• E nānā pono i nā hōʻailona koʻikoʻi o ka pēpē i ka wā hānau, e kōkua ana i ka hānau palekana ʻana o ka pēpē.

Aia kekahi ala e pale aku ai i ka hoʻokomo ʻana o ke kaula Velamentous?

ʻAʻole, ʻaʻole hiki iā ʻoe ke pale aku i ka hoʻokomo ʻana o ke kaula Velamentous. Eia nō naʻe, e hoʻomanaʻo he haʻahaʻa loa ka manawa e hiki ai kēia.

ʻO ka mea nui , inā ua ʻike ʻia ʻoe me ka Velamentous Cord Insertion, ʻo ia hoʻi e nānā pono ana kāu kauka iā ʻoe no kekahi mau pilikia e hiki mai ana i kou wā hāpai. ʻO ka ʻike mua ʻana a me ka nānā pono ʻana ke ala maikaʻi loa e loaʻa ai kahi hāpai olakino a me kahi pēpē olakino.

Inā loaʻa iaʻu (Velamentous Cord Insertion), he aha kaʻu e manaʻo ai?

E mālama pono kāu kauka i kou hāpai ʻana i hiki iā ʻoe ke hānau palekana i kāu pēpē. Hiki i kēia ke komo pū me nā scan ultrasound maʻamau a me nā hoʻāʻo ʻole-stress. Loaʻa paha iā ʻoe kahi C-section a i ʻole ka hānau ʻana ma ke ʻano vaginal. Hiki i kāu kauka ke kuhikuhi aku iā ʻoe e hānau i kāu pēpē i kou lā hānau a i ʻole kekahi mau pule ma mua. Pono paha kāu pēpē i ka mālama hou aku ma ka NICU ma hope o ka hānau ʻana.

Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka hoʻolālā kūpono no kou hāpai ʻana, nā mea e manaʻo ai i nā lā ma mua o ka hiki ʻana mai o kāu pēpē, a me nā mea e manaʻo ai ma hope o ka hānau ʻana o kāu pēpē.

He aha kaʻu e hana ai inā loaʻa iaʻu (Velamentous Cord Insertion)?

E kamaʻilio me kāu kauka e hoʻomaopopo pono i ka hopena o ka hoʻokomo ʻana o Velamentous Cord i kāu hāpai ʻana. ʻO ka lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo āu e loaʻa ai e kū hoʻokahi i kou kūlana. E hahai pono i nā ʻōlelo a kāu kauka.

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• ʻEhia ka nui o ka hana e pono iaʻu e hana i kēlā me kēia lā?
• He aha nā hoʻomaʻamaʻa e hiki iaʻu ke hana me ka palekana?
• Aia kekahi mau hana e pono iaʻu ke hōʻalo a ʻaʻole paha e hana?
• He aha ke ʻano o nā meaʻai e pono iaʻu ke ʻai?
• ʻEhia ka nui o ka hoʻomaha e pono iaʻu e loaʻa i kēlā me kēia lā?
• ʻEhia ka lōʻihi e pono ai iaʻu e hiamoe i ka pō?

Hiki ke hopohopo ke aʻo ʻana e pili ana i nā pilikia hiki ke loaʻa mai ka Velamentous Cord Insertion. Akā e hoʻomanaʻo, he kakaikahi nā pilikia. Pono ʻoe e nānā pono ʻia i kou wā hāpai a me ka hānau ʻana, akā hiki i kēia mālama ke kōkua iā ʻoe e loaʻa kahi hopena maikaʻi aʻe i nā hāpai ʻana me ka Velamentous Cord Insertion. Pehea ka hopena o kāu Velamentous Cord Insertion i kāu hoʻolālā hāpai?E kamaʻilio me kāu kauka e pili ana i nā hopena.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i ka `(Velamentous Cord Insertion)`, ʻeā? ʻO ka mea nui, ʻoiai he maʻi kakaikahi kēia, inā ʻike mua ʻia a ma lalo o ka nānā pono ʻana o ke kauka, hiki iā ʻoe ke lawe mai i kahi pēpē olakino i ka honua me ka ʻole o nā pilikia.

• E hahai pono i nā ʻōlelo a kāu kauka.
• Mai hōʻalo i nā scan i hoʻonohonoho ʻia a me nā hoʻokolohua ʻaʻole pilikia.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e like me ke kahe ʻana o ke koko i loko o ka ʻōpū, e haʻi koke aku i kāu kauka.
• Mai hopohopo, e hoʻomaha wale. E hana kāu hui lapaʻau i ka mea maikaʻi loa nou a me kāu pēpē.

Ke makemake nei iā ʻoe a me kāu pēpē i ke olakino maikaʻi!

ʻUmbilical Cord, Placenta, Nā Pilikia o ka Hāpai Keiki, Hoʻokomo ʻana i ke Kaula Velamentous, Vasa Previa, C-section, Ultrasound, Ola Kino no ka Hāpai Keiki