He aha ka 'Water Breaking' i ka wā hāpai? Mai hopohopo, e ʻike kākou! | Nirogi Lanka

I loko o kou hāpai ʻana, ua lohe paha ʻoe e pili ana i kāu 'wai haki' - he kumuhana e lawe pinepine mai i ka hui pū ʻana o ka hoihoi a me kahi hopohopo iki paha. Ke noʻonoʻo nei ʻoe i nā hiʻohiʻona keaka mai nā kiʻiʻoniʻoni kahi e puka koke mai ai kahi wai nui, e waiho ana i nā mea āpau i ka wikiwiki? ʻO ka ʻoiaʻiʻo, ʻaʻole ia e hana mau ʻia pēlā no nā mea āpau. I kekahi manawa, hiki ke lilo i kahi kahe mālie a paʻa. No laila, ʻaʻohe pono e hopohopo; e wehewehe pono kākou i ka mea e hana nei me nā loea ma Nirogi Lanka.

I ka huaʻōlelo maʻalahi, he aha ka 'wai e haki ana'?

I loko o kou hāpai ʻana, ua hoʻoluʻu palekana ʻia kāu pēpē i loko o ka ʻōpū i loko o kahi membrane piha i ka wai i ʻike ʻia ma ke ʻano lapaʻau ʻo 'amniotic sac.' ʻO ka wai i loko o kēia ʻeke ua kapa ʻia ʻo 'amniotic fluid.' Mālama kēia wai i kāu pēpē mai ka hopena kino a pale iā lākou mai nā maʻi hiki ke loaʻa.

No laila, ʻo ke ʻano o ka 'wai haki' ʻo ia hoʻi ua haki ka membrane pale e hoʻopuni ana i kāu pēpē, e ʻae ana i ka wai amniotic e kahe i waho, ma ke ʻano mālie a i ʻole ma ke kahe koke ʻana. He hōʻailona koʻikoʻi kēia e kokoke mai ana ka hānau ʻana. Hiki ke hana ma mua o ka hoʻomaka ʻana o ka hānau ʻana, i ka wā o ka hānau ʻana, a i ʻole i kou kokoke ʻana i ka hānau ʻana. I kekahi mau hihia, hiki i kāu kauka ke hana i kahi haki artificial o nā membrane, i ʻike ʻia ʻo Amniotomy .

Pehea ʻoe e ʻike pono ai inā ua haki kou wai?

Hiki ke huikau i kekahi manawa ke hoʻokaʻawale ma waena o kahi mimi liʻiliʻi, ke kahe mau ʻana o ka wahine, a i ʻole ka haki ʻana o kou wai. E makaʻala pono inā ʻike ʻoe i kēia mau mea:

• ʻO kahi manaʻo o ka 'pop' a ukali ʻia e ka hoʻokuʻu ʻia ʻana o ke wai e kahe ana mai ka vagina.
• ʻO ke ʻano o ka wai e kahe ana ma kou mau wāwae a i ʻole e pulu ana kou mau lole komo. Hiki i kēia ke ʻano mai ka pulu mālie a mau a hiki i ka hoʻokuʻu nui ʻana.
• ʻO ka maʻamau ka waiʻaʻohe ʻala a ʻike ʻia he melemele moakaka a melemele paha.
• He kahe mau ʻana o ka wai i hiki ʻole ke kāohi ʻia, ʻaʻole e like me ka mimi.
• Lahilahi a wai ke ʻano like, ma mua o ke ʻano mānoanoa maʻamau o ke kahe ʻana o ka wahine maʻamau.
• ʻO ka hoʻokuʻu ʻia ʻana o ka wai e hele pinepine me ka hoʻomaka ʻana o nā ʻūmiʻi ikaika a ʻoi aku ka ikaika.

He wai amniotic kēia, a i ʻole he mimi? Pehea e hiki ai iā ʻoe ke ʻike i ka ʻokoʻa?

I nā pae hope o ka hāpai ʻana, he mea maʻamau ka ʻike ʻana i ka liki liʻiliʻi o ka mimi no ka mea ke kau nei kou ʻōpū i ke kaomi ma luna o kou ʻōpū mimi. Ma muli o kēia, he mea maʻalahi ke huikau i nā mea ʻelua. E kōkua kēia papa iā ʻoe e hoʻokaʻawale maʻalahi ma waena o lāua.

Akā naʻe, inā he kānalua kou, ʻoi aku ka maikaʻi o ka hoʻokaʻaʻike koke ʻana aku i kāu kauka. Hiki iā lākou ke hana i kahi hoʻokolokolo e hōʻoia pono i ke ʻano o ka wai.

Hiki i kou wai ke haki i ka wā ʻōpiopio?

ʻAe, hiki ke hana ʻia kēia. Ke haki kou wai ma mua o ka hebedoma 37 o ka hāpai ʻana, ua ʻike ʻia ʻo ia ʻo Premature Rupture of Membranes (PROM). Hana ʻia kēia ma kahi o 8% a 10% o nā hāpai ʻana. Hoʻonui kekahi mau mea i kēia pilikia:

• Puhipaka
• ʻO ke kahe koko ʻana o ka wahine hāpai i ka lua a i ʻole ke kolu o ka trimester
• Nā maʻi i loko o ke kino a i ʻole ke ala vaginal
• He moʻolelo o ka haki ʻana o ka wai mua i nā hāpai mua
• He pōkole ka cervix

I ia mau hihia, e loiloi kāu kauka i kāu hāpai ʻana a hoʻoholo i ke ala hana maikaʻi loa:

• Inā ua hala ʻoe i 34 mau pule: ʻO ka hānau ʻana ka mea i manaʻo ʻia he koho palekana loa.
• Inā ʻoe ma mua o 34 mau pule: Hiki i kāu kauka ke hoʻāʻo e mālama i ka pēpē i loko o ka ʻōpū no ka lōʻihi e like me ka hiki:
• Ke hāʻawi nei i nā antibiotics e pale ai i ka maʻi.
• Ke hāʻawi nei i nā inikini steroid e kōkua i ka oʻo koke ʻana o nā māmā o ke pēpē.
• Ke hāʻawi ʻana i ka magnesium sulfate e kākoʻo i ka ulu ʻana o ka lolo o ke pēpē.

E hāʻawi ʻia kēia mau mālama a pau ma lalo o ka nānā pono ʻana ma kahi haukapila.

I ka manawa hea e hoʻokaʻaʻike aku ai ʻoe i kāu kauka inā haki kou wai?

Hana ka wai amniotic ma ke ʻano he pale pale no kāu pēpē. Ke nalowale, piʻi ka pilikia o ka maʻi, ʻo ia ke kumu he mea nui ka nānā koke ʻana i ke kauka.

Ke kāhea ʻoe, e nīnau paha kāu kauka iā ʻoe i kēia mau nīnau:

• ʻEhia ka nui o ke wai i hoʻokuʻu ʻia?
• He aha ke kala? (E hoʻomaopopo koke iā lākou inā ʻike ʻia he ʻōmaʻomaʻo).
• He ʻala anei?
• Ke ʻike nei ʻoe i nā ʻūmiʻi i kēia manawa?
• Ua hoʻāʻo maikaʻi ʻia ʻoe no ka Group B Streptococcus (GBS)?
• ʻEhia pule o kou hāpai ʻana?

E mākaukau e pane i kēia mau nīnau. Ma luna o nā mea a pau, e noho mālie a e hoʻomau i kou manaʻo i ka hele palekana ʻana i ka mālama i hāʻawi ʻia e Nirogi Lanka a i ʻole ka hale maʻi kokoke loa iā ʻoe.

Hāpai keiki, Wāwahi wai, Wai amniotic, Hānau keiki, ʻŌpū ʻana, Ola kino makuahine