Ua ʻike anei ʻoe i ka polyhydramnios (ka nui o ka wai a puni ke pēpē) i ka wā hāpai?

ʻO ka hāpai ʻana he manawa ia e loaʻa ai i kēlā me kēia makuahine ka manaʻolana nui a me kahi makaʻu iki. I loko o kēia manawa, ke noʻonoʻo mau nei ʻoe i ka ulu ʻana o ka pēpē i loko o kou ʻōpū a me kona olakino. I kekahi manawa, i ka wā o ka scan, ʻōlelo ke kauka , "Nui loa ka wai a puni ka pēpē." He mea maʻamau ka manaʻo makaʻu loa i kēlā manawa. Akā, mai hopohopo, inā maopopo pololei ʻoe i kēia, hiki iā ʻoe ke hoʻoponopono maikaʻi i kēia kūlana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia 'hoʻonui ʻia o ka wai a puni ka pēpē' a i ʻole ka huaʻōlelo lapaʻau 'Hydramnios' a i ʻole 'Polyhydramnios'.

I ka ʻōlelo maʻalahi, he aha ka Polyhydramnios?

I loko o kou ʻōpū, aia kāu pēpē i loko o kahi ʻeke piha i ka wai i kapa ʻia ʻo ka ʻeke amniotic. ʻO ka wai i loko o kēia ʻeke ua kapa ʻia ʻo ia he wai amniotic. He mea nui loa kēia wai no kāu pēpē. Ua like ia me kahi uluna pale. Mālama ia i kāu pēpē mai ka lele ʻana a puni, hoʻoponopono i ka mahana o ke kino o kāu pēpē, a kōkua i ka ulu ʻana o nā māmā a me ka ʻōnaehana hoʻoheheʻe ʻana o kāu pēpē.

ʻO ka maʻamau, pono kēia nui o ka wai i kahi pae i ka wā o ka hāpai ʻana. ʻO ka polyhydramnios ka wā he nui aku ka wai amniotic ma mua o ka maʻamau. Loaʻa kēia ʻano ma kahi o 1 a 2 paha o 100 mau hāpai ʻana.

Hiki i kēia ʻano ke ʻoluʻolu, waena, a koʻikoʻi paha. ʻO ka maʻamau, inā hoʻomaka kēia ʻano i ka wā hāpai mua, aia kahi manawa e piʻi ai ka nui o ka wai. I ka piʻi ʻana o ka nui o ka wai, hiki ke piʻi iki ka pilikia o nā pilikia a hiki i ka pēpē ke loaʻa kekahi mau kīnā hānau .

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

I ka hāpai ʻana maʻamau, ua hana nui ʻia kēia wai amniotic mai ka mimi o ka pēpē. Moni ke pēpē i kēia wai, a laila hoʻopuka hou aku ma ke ʻano he mimi. Hana ʻia kēia i loko o kahi pōʻaiapuni. No laila, inā he pilikia ma kekahi wahi o kēia pōʻaiapuni, hiki ke hoʻonui ʻia ka nui o ka wai. No ka laʻana, inā mimi nui ka pēpē, a inā ʻaʻole hiki i ka pēpē ke moni pono i ka wai, hiki ke hana ʻia kēia kūlana.

Akā i ka hapanui o nā hihia, ʻo ia hoʻi, ma kahi o 60%-70% o nā hihia, ʻaʻohe kumu kikoʻī i loaʻa. Kāhea mākou iā ia ʻo 'Idiopathic Polyhydramnios'. Eia nō naʻe, i kekahi mau hihia, aia kekahi mau kumu e kōkua i kēia.

Pehea e ʻike ai i kēia maʻi?

ʻIke nui ʻia ka Polyhydramnios ma o ka ultrasound scan . Hiki ke ʻike ʻia i ka wā o kāu hoʻokolohua lapaʻau maʻamau a i ʻole i ka wā o kahi scan i hana ʻia no nā hōʻailona ʻē aʻe.

I kekahi manawa, inā ulu wikiwiki loa kou ʻōpū no kou hāpai ʻana, a inā manaʻo ʻoe e neʻe iki ana kāu pēpē, kānalua paha kāu kauka i kēia a kuhikuhi iā ʻoe no kahi scan.

I ka wā o ke scan, ana ke loea a kauka paha i nā ʻeke wai i loko o ka ʻōpū a helu i ka nui o ka wai. He mea nui nō hoʻi ke scan i ka hoʻoholo ʻana inā he kīnā hānau ko ka pēpē.

He aha nā hōʻailona āu e ʻike ai?

Inā he hōʻiliʻili wai iki kou, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Akā i ka piʻi ʻana o ka nui o ka wai, e hoʻomaka paha ʻoe e manaʻo i kahi ʻoluʻolu ʻole .

Eia nā hōʻailona i ʻike ʻia ma ke ʻano laulā:

• Paʻakikī ka hanu ʻana : E paʻakikī paha ʻoe i ka hanu ʻana i ka wā e hoʻonui ai ka ʻōpū a kaomi i kou mau māmā.
• ʻO ka ʻeha a me ke kaumaha o ka ʻōpū: Ma muli o ka nui loa o ka ʻōpū, aia kahi manaʻo kaumaha a me ka ʻoluʻolu ʻole.
• ʻOi aku ka nui o ka ʻōpū ma mua o ka mea e pono ai: No ka laʻana, ʻoiai he 32 mau pule, ua like ia me ka ʻōpū he 36 mau pule.
• ʻEha hānau mua : ʻO ka hoʻomaka ʻana o nā ʻeha hānau ma mua o ka lā hānau.
• Ka pehu ʻana o ke kino haʻahaʻa: Ka pehu ʻana ma nā wahi e like me nā wāwae a me nā kuʻekuʻe wāwae.

He aha nā pilikia e hiki ai i kēia ke hana?

Inā koʻikoʻi ka polyhydramnios, aia kahi pilikia o nā pilikia i ka wā hāpai a me ka hānau keiki. E hoʻomanaʻo, ʻaʻole hiki kēia i nā kānaka a pau, akā he mea nui e makaʻala i nā pilikia.

He aha nā lāʻau lapaʻau no kēia?

E pili ana kāu mālama ʻana i ke koʻikoʻi o kou kūlana, ke kahua o kou hāpai ʻana, a me ke kumu.

• Nā hihia liʻiliʻi: Inā hoʻonui iki ʻia ka wai, ʻaʻole pono pinepine ka lāʻau lapaʻau. Eia nō naʻe, e nānā pono kāu kauka iā ʻoe a me kāu pēpē. E noi lākou iā ʻoe e hele pinepine i ke keʻena lapaʻau ma mua o ka maʻamau, a e hana pinepine i nā scan.
• Nā hihia koʻikoʻi: Inā kiʻekiʻe loa ka wai a pilikia ʻoe, pono paha ka lāʻau.
• Ke Mālama ʻana i ke Kumu: Inā ʻo ke kumu o kēia ʻano he maʻi diabetes gestational, ʻo ka mālama pono ʻana iā ia hiki ke kōkua i ka kaohi ʻana i ka nui o ka wai.
• Amnioreduction: Hoʻohana ʻia kahi nila lahilahi e wehe i ke kahe keu mai ka ʻōpū. Ua like kēia me kahi hoʻāʻo amniocentesis. Pono paha e hana ʻia kēia i nā manawa he nui.
• Lāʻau lapaʻau: Hāʻawi ʻia kekahi lāʻau lapaʻau (`Indomethacin`) e hōʻemi ana i ka nui o ka mimi a ka pēpē e hana ai. Eia naʻe, ʻaʻole ʻōlelo ʻia kēia ma hope o 31 mau pule o ka hāpai ʻana.
• Ka hānau mua ʻana: Inā kiʻekiʻe nā pilikia a ua ulu aʻe nā māmā o ka pēpē, hiki i ke kauka ke hoʻoholo e hānau i ka pēpē ma mua iki o ka lā i manaʻo ʻia.
• Ka nānā mau ʻana: Me kēia mau mea a pau, nānā mau ʻia ka puʻuwai o ka pēpē a me kona ulu ʻana. Inā he kānalua no ka pilikia me ka puʻuwai o ka pēpē, hiki ke hana ʻia kahi scan kūikawā e like me ka `Fetal Echocardiogram`.

Inā loaʻa iā ʻoe nā hydramnios, he aha kāu e hana ai?

Ma hope o ka ʻike ʻana i kēia ʻano, pono ʻoe e hana i kekahi mau hoʻololi liʻiliʻi i kou nohona a me kāu mau hoʻolālā.

• E hoʻomaha hou aku: E ho'āʻo e pale i ka hoʻoluhi ʻana i kou kino i ka hiki. E hoʻomaha me kou mau wāwae i hoʻokiʻekiʻe ʻia. Inā hiki, e lawe i ka hoʻomaha hānau keiki ma mua iki.
• E hoʻomākaukau no ka hiki ʻana mai o ka pēpē i ka wā mua: Mai manaʻo e hiki iā ʻoe ke kali a hiki i ka lā hānau. E hoʻomākaukau i nā mea e pono ai ka pēpē, e like me nā lole, nā diaper, a me kahi moena, ma mua.
• E hana i kahi hoʻolālā pilikia: E kamaʻilio me kāu kāne, ʻohana, a me ke kauka e pili ana i ka mea e hana ai inā haki koke kou wai a pehea e hiki ai i ka haukapila.
• E haʻi i kāu kauka e pili ana i kekahi ʻano ʻeha āu e ʻike nei (paʻakikī i ka hanu ʻana, ʻeha). E aʻo aku ʻo ia iā ʻoe i nā ala e hōʻoluʻolu ai.