Inā he makuahine hāpai ʻoe, ua lohe nui paha ʻoe e pili ana i ka wai e hoʻopuni ana i ka pēpē, ʻo ia hoʻi ka 'ʻeke wai'. Ua kamaʻāina paha ʻoe i ka moʻolelo o 'kou haki wai'. Penei ʻoe e ʻike ai ua kokoke mai ka pēpē. No laila he aha kēia wai amniotic ? Pehea kona koʻikoʻi i ka pēpē? Hiki iā ʻoe ke loaʻa nā pane i nā nīnau āpau āu e noʻonoʻo nei ma kēia ʻatikala. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
He aha maoli ka wai amniotic?
I ka wā hāpai, ulu kāu pēpē i loko o kahi ʻeke pale. Kāhea mākou i kēia ʻeke ʻo ka ʻeke amniotic. E noʻonoʻo iā ia e like me kahi pehu pale liʻiliʻi. ʻO ka wai moakaka i loko o kēia ʻeke ua kapa ʻia ʻo ka wai amniotic . Lana a ulu maikaʻi kāu pēpē i loko o kēia wai. I ka ʻōlelo maʻalahi, ʻo kēia wai ka uluna pale o kāu pēpē a me ke kaiapuni meaʻai koʻikoʻi no ka ulu ʻana o kāu pēpē.
Pehea i hana ʻia ai kēia wai? He aha ka mea i loko?
Hoʻomaka kēia ʻeke amniotic e hana ma kahi o 12 mau lā ma hope o ka hāpai ʻana. I ka ulu ʻana o ka pēpē, piha kēia ʻeke me ka wai amniotic.
I nā pule mua o ka hāpai ʻana, ʻo kēia wai he wai ia mai kou kino mai. Akā i ka hala ʻana o ka manawa, i ka holomua ʻana o ka hāpai ʻana , loli ke ʻano o kēia wai.
He aha ka mea i loko o kēia wai?
I nā pae mua, he 98% ka wai a me nā minelala i kapa ʻia he electrolytes. ʻO ke koena 2% ua hana ʻia me nā mea nui loa.
- Nā Antibodies: ʻO kēia nā mea i loaʻa i kāu pēpē mai kāu ʻōnaehana pale a pale iā ia mai nā maʻi.
- Nā Hormones : Nā ʻelele kemika e pono ai no ka ulu ʻana o ka pēpē.
- Nā Meaʻai: ʻO nā meaʻai e pono ai ka pēpē, e like me nā protein, nā kalapona, nā lipid, a me nā wikamina.
ʻO ka mea kupanaha iki, ma hope o 20 mau pule, ua hana nui ʻia kēia wai mai ka mimi ponoʻī o ka pēpē. He maʻemaʻe loa ia a ʻaʻohe germs. Ua hui pū ʻia me nā mea huna mai nā māmā i ka wā e "hanu" ai ka pēpē (hanu i loko a i waho) i loko o kēia wai.
He aha ke kala o kēia wai? He mea weliweli anei inā he ʻōmaʻomaʻo?
ʻO ka maʻamau, ʻaʻohe kala o ka wai amniotic (e like me ka wai) a melemele paha .
Akā i kekahi manawa he ʻōmaʻomaʻo a ʻeleʻele paha kēia wai.Hiki ke hana. Hana ʻia kēia ke hele ka pēpē i kona ʻōpū mua i loko o ka ʻōpū. Kāhea mākou i kēia he meconium . ʻO ka maʻamau, loaʻa i nā pēpē ko lākou ʻōpū mua ma hope o ko lākou hānau ʻana.
Inā hui koke ʻia kēia meconium me ka wai amniotic, hiki ke lilo i mea weliweli iki no ka pēpē. Ma muli o ka moni ʻana o ka pēpē i kēia wai, hiki i ka wai i hui pū ʻia me ka meconium ke komo i loko o nā māmā o ka pēpē. Inā hana ʻia kēlā, hiki i ka pēpē ke loaʻa nā pilikia hanu koʻikoʻi. Ua kapa ʻia kēia ʻano ʻo Meconium Aspiration Syndrome . ʻO ia ke kumu, ke haki kou wai, e nīnau maoli nā kauka a me nā kahu maʻi e pili ana i kona kala. Pono paha kahi pēpē i loaʻa i kēia ʻano i ka mālama kūikawā ma hope koke o ka hānau ʻana.
No ke aha he mea nui kēia wai amniotic?
He hana maikaʻi loa kēia wai no ka pēpē. Ua like ia me ka 'ʻōnaehana kākoʻo ola ' o ka pēpē i loko o ka ʻōpū.
| Ka hana o ka wai | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka palekana a me ka hoʻoluʻu ʻana | ʻOiai kahi pā iki a pā paha ma ka ʻōpū o ka makuahine e pale aku ai i ka pēpē mai ka pōʻino. |
| Ke pale ʻana i ke kaula umbilical | Pale i ke kaula umbilical, ka mea e lawe ana i ka oxygen a me nā meaʻai mai ka makuahine a i ke pēpē, mai ka ʻūmiʻi ʻia. |
| Kaohi mahana | Mālama ke pēpē i ka mahana mau i loko o ka ʻōpū. |
| Ka palekana mai nā maʻi | Mālama nā antibodies o ka makuahine i ka pēpē mai nā maʻi. |
| Kōkua i ka ulu ʻana o ke kino | Ke ale ke pēpē i kēia wai, ulu kona ʻōnaehana hoʻoheheʻe ʻana, ke "hanu" ʻo ia e ulu ana kona mau māmā, a ke lana a hoʻoneʻe i kona mau lālā, ulu kona mau ʻiʻo a me nā iwi. |
ʻEhia ka nui o ka wai e pono ai? He aha ka mea e hana ai inā liʻiliʻi a nui paha?
Hoʻololi ka nui o kēia wai i ka wā hāpai. ʻO ka maʻamau, piʻi aʻe ia ma kahi o 34 mau pule , ma kahi o 800 milliliters (ml) . A laila, i ka wā e kokoke mai ai ka pēpē i ka hānau ʻana, hoʻomaka mālie ka nui e emi iho. I ka hala ʻana o 40 mau pule, ua emi iho ia ma kahi o 600 ml.
I kekahi manawa hiki ke liʻiliʻi loa kēia nui o ka wai (Oligohydramnios) a nui loa paha (Polyhydramnios) . ʻOiai hiki i kēia mau kūlana ʻelua ke hoʻopilikia i ka wā hāpai, hānau maikaʻi ʻia nā pēpē . Eia nō naʻe, he mea nui ka nānā ʻana o ke kauka.
| Kūlana | Wehewehena |
|---|---|
| Wai haʻahaʻa (Oligohydramnios) | Ma waena o 32-36 mau pule, ʻoi aku ka liʻiliʻi o ka wai ma mua o 500ml. Hiki ke kumu kēia ma muli o nā kumu e like me ka makahiki hāpai a me kekahi mau kūlana olakino o ka makuahine. Nā hopena: Ka lohi o ka ulu ʻana o ka pēpē, ka emi ʻana o ka oxygen a me ka meaʻai i ka pēpē ma muli o ke ʻoki ʻia ʻana o ke kaula umbilical, a i kekahi manawa e pono ai ke ʻoki ʻoki cesarean. |
| Hoʻonui ʻia ka wai (Polyhydramnios) | Ka hōʻiliʻili nui ʻana o ka wai i loko o ka ʻōpū. He ʻano laha ʻole kēia. Hiki ke hana ʻia e nā kumu e like me nā māhoe a me ka maʻi diabetes gestational i ka makuahine. Nā hopena: Ka hānau mua ʻana, ka nui loa o ke pēpē, ka hemo ʻana o ka placenta, ke kahe koko nui ma hope o ka hānau ʻana. |
E ke kauka, pehea ʻoe e hoʻāʻo ai i kēia nui o ka wai?
Hoʻohana kāu kauka i kēia wai amniotic e nānā i ke olakino o ke pēpē i ka wā hāpai.
- Ke nānā ʻana i ka Ultrasound:Hiki iā ʻoe ke ana i ka nui o kēia wai i ka wā o nā scan. Hoʻohana nā kauka i nā ana e like me ka Amniotic Fluid Index (AFI) .
- Amniocentesis: He hoʻāʻo kūikawā kēia. Hoʻohana ʻia kahi nila lahilahi loa e wehe i kahi liʻiliʻi o ka wai amniotic mai ka ʻōpū. Aia i loko o kēia wai nā pūnaewele o ka pēpē, hiki ke hoʻāʻo ʻia e hoʻoholo inā he mau maʻi genetic ka pēpē, nā kīnā hānau, a i ʻole nā pilikia olakino ʻē aʻe. Hana pinepine ʻia kēia ma ke ʻōlelo aʻo a ke kauka inā he pilikia i manaʻo ʻia.
ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila inā manaʻo ʻoe e puka mai ana kekahi wai mai loko mai o kou ʻōpū i kou wā hāpai. E nānā lākou e ʻike inā he wai amniotic a i ʻole.
Leka Lawe-Home
- He wai koʻikoʻi ka wai amniotic e pale ai, hānai, a kōkua i ka ulu ʻana o ka pēpē.
- ʻO ka nui a me ke kala o kēia wai e hōʻike i ka ʻike koʻikoʻi e pili ana i ke olakino o ke pēpē.
- Inā loaʻa iā ʻoe ke kahe wai o ka ʻōpū i ka wā hāpai, mai hopohopo no ia mea a kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila .
- ʻOiai ʻaʻole ia he pilikia koʻikoʻi i nā manawa a pau ka lawe ʻana i ka wai haʻahaʻa a nui paha, pono nō hoʻi ka nānā pono ʻana e ke kauka.
- He mea nui loa e hahai i nā ʻōlelo a kāu kauka a hana i kāu mau scan i ka manawa kūpono.
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