Ua loaʻa anei iā ʻoe kahi scan anomaly ma waena o 18-21 mau pule o ka hāpai ʻana? Ua ʻike anei ʻoe i ka huaʻōlelo ' Anterior Placenta ' ma kēlā hōʻike scan? I kou ʻike ʻana, ua manaʻo paha ʻoe i kahi makaʻu iki, "ʻAuē, he ʻano pilikia anei kēia?" Manaʻo ka nui o nā makuahine pēlā. Akā, ʻaʻohe mea e makaʻu ai. No laila, i kēia lā, e kamaʻilio maopopo kākou e pili ana i ke ʻano o kēia 'Anterior Placenta' a inā he hopena kona.
ʻO ka mea mua, e nānā kākou, he aha kēia placenta?
I ka ʻōlelo maʻalahi, he ʻōkana kūikawā ka placenta e ulu ana i loko o kou ʻōpū i ka wā hāpai wale nō. Ua like ia me ka 'ʻōnaehana kākoʻo ola' o kāu pēpē. Ua hoʻopili ʻia ke kaula umbilical o ka pēpē i kēia placenta.
Eia kekahi o nā hana nui a ka placenta:
- Lawe ia i nā meaola a me ka oxygen mai kou kino a hāʻawi iā lākou i kāu pēpē ma o ke kaula umbilical.
- Hoʻopau ia i ke kalapona ʻokikene a me nā huahana ʻōpala ʻē aʻe mai ke koko o ke pēpē a hoʻokuke aku iā lākou ma o kou kino.
I ka pōkole, hana ka placenta i ka hapa nui o nā hana o nā māmā, nā puʻupaʻa, a me ke akepaʻa o ka pēpē a hiki i ka hānau ʻana o ka pēpē.
Hiki ke loaʻa ka placenta ma nā wahi like ʻole i loko o ka ʻōpū . Loaʻa kona inoa ma muli o kona wahi.
| Ke kūlana o ka placenta | Manaʻo maʻalahi |
|---|---|
| ʻO ka Placenta mua | Aia ia ma ka paia mua o ka uterus, ʻo ia hoʻi ma ka ʻaoʻao o kou ʻōpū. |
| ʻO ka Placenta Hope | Aia ia ma ka paia hope o ka ʻōpū, ʻo ia hoʻi ma kou kua. |
| Placenta Fundal | Aia ma ka piko o ka uterus. |
| ʻO ka Placenta Lateral | Aia ma ka ʻaoʻao ʻākau a hema paha o ka ʻōpū. |
He aha ka hopena o kahi 'Anterior Placenta'?
ʻAʻole he maʻi a he kūlana ʻē paha ka Anterior Placenta. He mea maʻamau loa ia. ʻAʻole ia e hoʻopilikia i ke olakino iā ʻoe a i kāu pēpē paha.
Eia nō naʻe, ʻokoʻa iki paha kekahi mau mea āu e manaʻo ai.
Pehea e ʻike ai i nā neʻe ʻana o ke pēpē (e hoʻowali ana)
ʻO ka maʻamau, hoʻomaka ka makuahine e ʻike i ka neʻe ʻana o ka pēpē ma kahi o 18 mau pule. Akā inā he 'Anterior Placenta' kou, hana ka placenta e like me kahi uluna mānoanoa ma waena o kou ʻōpū a me kāu pēpē. No laila, hiki iā ʻoe ke manaʻo iki i ka neʻe ʻana o ka pēpē. Hiki iā ʻoe ke manaʻo iki ma hope a ʻo nā neʻe āu e manaʻo ai e emi iki ka ikaika. He mea maʻamau loa kēia, no laila mai hopohopo.
Ke hoʻolohe nei i ka puʻuwai o ka pēpē
Ke hele ʻoe no kāu nānā mahina, hoʻohana ke kauka i kahi mea liʻiliʻi (Doppler) e hoʻolohe i ka puʻuwai o ka pēpē, ʻeā? No ka mea aia ka placenta ma mua, hiki ke paʻakikī iki ke lohe maopopo i ke kani. Akā, ʻaʻole ia he manaʻo he hewa kekahi mea me ka pēpē. Ua like ia me ka lohe ʻana i kahi leo mai hope o kahi pā paʻa.
Aia kekahi mau kumu a me nā pilikia o kahi 'Placenta Anterior'?
ʻAʻohe kumu maopopo no ke kumu e hoʻokomo maoli ai ka hua i hoʻoulu ʻia i loko o ka paia mua o ka ʻōpū. He hanana kūlohelohe loa ia. ʻAʻole ia wahi e hōʻeha i ka hana o ka placenta ma kekahi ʻano.
Eia nō naʻe, aia ʻelua mau pilikia kakaikahi loa e pono ai ʻoe e makaʻala. ʻAʻole hiki kēia i nā kānaka a pau, akā he mea nui e makaʻala.
1. Ke kūlana o ka pēpē a me ka lōʻihi o ka hānau ʻana
Me kahi 'Anterior Placenta', i kekahi manawa ke kū pono nei ke poʻo o ka pēpē i lalo, akā ma kahi o ke kū pono ʻana i kou kua, hiki ke kū pono i kou ʻōpū. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo ke kūlana 'Occiput Posterior (OP)' . Inā ua kau ʻia ke pēpē ma kēia ʻano, hiki ke paʻakikī iki i ka pēpē ke iho i lalo ma o ka pelvis i ka wā hānau. No laila, hiki ke lōʻihi iki ka hānau ʻana . Akā, mai hopohopo, i ka hapa nui o ka manawa, ke hoʻomaka ka hānau ʻana, e huli koke ke pēpē i ke kūlana kūpono, ʻo ia hoʻi ke kūlana 'Occiput Anterior (OA)' , ʻo ia hoʻi ke kū pono nei i kou kua.
2. ʻO ka Placenta Previa
ʻO kēia ke kūlana e pono ai mākou e hopohopo nui. Akā, ʻaʻole kēia e hana i nā mea a pau me ka 'Anterior Placenta'.ʻO ka Placenta Previa ka wā ʻaʻole e piʻi ka placenta i luna o ka ʻōpū, akā e waiho ana ma lalo o ka ʻōpū, e uhi ana i ka cervix a pau a hapa paha, a i ʻole ka puka e puka mai ai ke pēpē .
E noʻonoʻo, inā he keʻena nui ma mua o ka puka nui o ka hale, ʻaʻole hiki iā ʻoe ke puka i waho, ʻeā? ʻO ke ʻano o ka " Placenta previa" he mea like ia.
Inā ʻo kēia ke ʻano, hiki iā ʻoe ke ʻike i ke kahe koko ʻana o ka ʻōpū i ka wā hāpai. Eia kekahi, pono paha ka ʻoki ʻana i ka ʻāpana cesarean (C-section) no ka mea ʻaʻole hiki i ka pēpē ke puka maʻamau. Inā hōʻike kāu scan i kahi placenta haʻahaʻa, e hoʻomau kāu kauka i ka nānā ʻana iā ʻoe no kēia. I ka hapa nui o nā hihia, e neʻe ka placenta i luna ma kona iho i ka ulu ʻana o kou ʻōpū.
Inā he 'Anterior Placenta' kou, he aha kāu e hana ai?
ʻAʻohe lāʻau lapaʻau kūikawā no kēia, no ka mea, ʻaʻole ia he maʻi. Akā, aia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo.
- Mai hopohopo e pili ana i ka manaʻo ʻana i ka neʻe ʻana o kāu pēpē: ʻOiai inā ʻo kāu pēpē mua kēia, ke kakali nei paha ʻoe e ʻike i ka neʻe ʻana o kāu pēpē. Hiki ke kaumaha a weliweli hoʻi ke manaʻo ʻoe he emi iho. Akā e hoʻomaopopo he mea maʻamau kēia.
- ʻAʻole kēia kou hewa: ʻaʻole hiki iā mākou ke kāohi i kahi e ulu ai ka placenta. No laila, mai hopohopo no ia mea.
- E hahai i nā ʻōlelo aʻoaʻo a kāu kauka: E hana i nā scan e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻOiai inā haʻahaʻa ka placenta, e hoʻomaha e like me ka ʻōlelo a kāu kauka iā ʻoe, a e hele koke i ka haukapila inā ʻike ʻoe i kekahi kahe koko.
- Hiki iā ʻoe ke manaʻo i kahi hānau maʻamau: Inā ʻaʻole ʻoe he 'Placenta Previa', ʻaʻole e pale ka loaʻa ʻana o kahi 'Anterior Placenta' i kahi hānau maʻamau.
Inā he mau nīnau kāu a i ʻole he hopohopo iki paha e pili ana i kēia, e kamaʻilio me kāu kauka. Mai hūnā iā ʻoe iho. E nānā ʻo ia i kāu mau hōʻike scan a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa nou a me kāu pēpē.
Leka Lawe-Home
- ʻO ka Placenta mua ka wā e waiho ai ka placenta ma ka paia mua o ka ʻōpū. He kūlana maʻamau a maʻamau kēia.
- ʻAʻole kēia e hōʻeha i ka pēpē a i ka makuahine paha.
- No ka mea, aia ka placenta ma mua, hiki iā ʻoe ke ʻike i nā neʻe ʻana o kāu pēpē ma hope iki a i ʻole ka liʻiliʻi pinepine. He mea maʻamau kēia.
- ʻAʻole ka loaʻa ʻana o 'Anterior Placenta' wale nō ke kumu no ka ʻoki ʻoki cesarean.
- ʻO ka pilikia wale nō e hopohopo ai, ʻo ia ka hiki ke lilo i kahi kūlana i kapa ʻia ʻo 'Placenta Previa', kahi i uhi ʻia ai ka cervix. E nānā ʻia kēia e ke kauka.
- E kamaʻilio mau me kāu kauka e pili ana i kāu hōʻike scan a me nā hopohopo āu e loaʻa ai.
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