Inā hāpai ʻoe, ua lohe paha ʻoe e pili ana i ka " wai haʻahaʻa a puni ka pēpē ". Malia paha he memo e pili ana i ia mea ma kāu hōʻike scan. ʻO ka hapa nui o ka manawa, makaʻu iki kekahi mau makuahine i ka wā e kamaʻilio ai e pili ana i kēia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia wai haʻahaʻa a puni ka pēpē, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo `(Oligohydramnios)`. He mea weliweli anei kēia? No ke aha e hana ʻia ai kēia? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka wai a puni ke pēpē? (Wai Amniotic)
I ka ʻōlelo maʻalahi, ke lana nei kāu pēpē i loko o kēia wai i loko o ka ʻōpū. Kāhea mākou i kēia wai amniotic . ʻAʻole kēia he wai liʻiliʻi wale nō. Ua like ia me kahi uluna pale no ka pēpē. ʻO kēia wai ka mea e hiki ai i ka pēpē ke neʻe a puni a hoʻoneʻe i kona mau lālā. He mea nui nō hoʻi ia no ka ulu ʻana o nā māmā o ka pēpē, ka ʻōnaehana hoʻoheheʻe, a me nā puʻupaʻa.
E noʻonoʻo i kēia: Hoʻomaka kāu pēpē e hana i ka wai amniotic ma kahi o 12 mau lā ma hope o ka hāpai ʻana. Ma kahi o 16-20 mau pule, ke hana nei nā puʻupaʻa o ka pēpē, a lilo ka mimi i ʻāpana nui o kēia wai. Hoʻonui mālie ka pae o kēia wai a hiki i kahi o 36 mau pule, ma hope o ia mea e noho mau ana ma kahi pae paʻa a hiki i ka hānau ʻana. ʻO ka maʻamau, hiki i kēia wai ma waena o 500 a me 1000 milliliters (1 lita). ʻO "Oligohydramnios" ka wā e emi ai kēia wai ma mua o ka mea e pono ai no ka lōʻihi o ka hāpai ʻana.
Pehea ʻoe e ana ai i kēia nui o ka wai?
E ana kāu kauka i kēia pae wai ma o kahi scan ultrasound . Nui nā ala e ana ai i kēia.
ʻO ka mea nui, mai hopohopo e pili ana i kēia mau ana ma kāu iho. E nānā kāu kauka i ka hōʻike scan a wehewehe i kona manaʻo no ʻoe, ma muli o ka pule āu e noho nei.
ʻO kēia nā ʻano hana ʻelua i hoʻohana nui ʻia e nā kauka.
| ʻAno ana | Wehewehena | Waiwai awelika |
|---|---|---|
| Papa Kuhikuhi Wai Amniotic (AFI) | He ana i lawe ʻia ma ka māhele ʻana i ka ʻōpū i ʻehā mau ʻāpana, e ana ana i ke kiko hohonu loa o ka wai i kēlā me kēia ʻāpana, a e hoʻohui pū i kēlā mau waiwai ʻehā. | Mai 5 a 25 kenimika. (ʻO ka emi ma lalo o 5 kenimika ua manaʻo ʻia he wai haʻahaʻa.) |
| ʻEke Kū pololei Loa (MVP) | Ke ana ʻana i ke kiʻekiʻe o ka ʻeke wai hohonu loa i loko o ka ʻōpū. Hoʻohana pinepine ʻia kēia i ke kolu o ka trimester. | 2 a 8 kenimika. (ʻOi aku ma mua o 2 kenimika ua manaʻo ʻia he haʻahaʻa.) |
No ke aha lā e emi nei ka wai penei?
I ka hapanui o nā hihia, ma kahi o 50% o nā hihia, ʻaʻohe kumu kikoʻī e loaʻa. Eia nō naʻe, aia kekahi mau kumu e hiki ke kōkua i ka nele o ka wai.
- ʻOi aku ka lōʻihi o ka hāpai ʻana ma mua o ka lā hānau: Hiki ke emi maoli kēia wai ke hānau ʻia ka pēpē ma hope o ka lā hānau.
- ʻO ka haki ʻana o ka ʻeke amniotic: ʻO kēia ka mea a mākou e kapa nei ʻo "ka haki ʻana o ka wai." I kekahi manawa hiki ke kahe i waho ma kahi lua liʻiliʻi.
- Nā pilikia placental: Nā kūlana e like me ka placental abruption , kahi e hoʻokaʻawale ai ka placenta mai ka paia uterine.
- Nā kīnā hānau i ka pēpē: ʻOiai inā he pilikia me nā puʻupaʻa a i ʻole ka ʻōnaehana mimi o ka pēpē, e emi ana ka nui o ka mimi a ka pēpē e hana ai, e hopena ana i ka emi ʻana o ka lawe ʻana i ka wai.
- Nā ʻano ʻē o ka chromosome.
- Nā hāpai māhoe: I loko o ka maʻi transfusion twin-to-twin , kahi kūlana i hoʻokaʻawale like ʻole ʻia ai nā meaʻai ma waena o nā māhoe, hiki i kekahi pēpē ke emi ka wai a puni.
- Nā kūlana olakino makuahine: Nā kūlana e like me ka maʻi diabetes a me ke koko kiʻekiʻe o ka makuahine.
- Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau, e like me (ACE) inhibitors no ke koko kiʻekiʻe a me (NSAIDs) no ka hoʻomaha ʻeha.
He aha nā pilikia o ka wai haʻahaʻa?
ʻO ke koʻikoʻi o kēia maʻi e pili ana i ka pae o ka hāpai ʻana .
I ka ʻōlelo maʻalahi, hiki i ka dehydration i ka wā hāpai mua ke ʻoi aku ka koʻikoʻi ma mua o ka dehydration i ka wā hāpai hope.
| Ka pae hāpai | Nā pilikia hiki ke loaʻa |
|---|---|
| I loko o nā mahina 6 mua (ʻelua trimester) |
|
| ʻEkolu o ka mahina |
He aha ka Potter Syndrome?
He kūlana kakaikahi kēia akā he koʻikoʻi e pili ana me ka `(Oligohydramnios)`. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e ulu pono ana nā puʻupaʻa o ke pēpē, no laila ua haʻahaʻa loa ka hana ʻana o ka mimi. ʻO ka hopena, ʻaneʻane ʻaʻohe wai amniotic. Hiki i kēia ke hana i nā pilikia koʻikoʻi e like me nā hiʻohiʻona helehelena kikoʻī (ihu pālahalaha, nā maka i hoʻokaʻawale ʻia), nā lālā pōkole, a me nā māmā i ulu ʻole.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi? (Nā hōʻailona)
ʻO ka mea nui, hiki iā ʻoe ke loaʻa i kēia maʻi me ka ʻole o nā hōʻailona i ka hapa nui o nā hihia. E ʻike wale kāu kauka iā ia i ka wā o kāu scan ultrasound maʻamau.
Eia nō naʻe, aia kekahi mau hiʻohiʻona e pono ai ʻoe e makaʻala:
1. Ka wai kahe mai ka ʻōpū: ʻO kēia ka hōʻailona nui. ʻAʻole pono ka nui o ka wai e puka mai ana i ka manawa hoʻokahi e like me nā kiʻiʻoniʻoni. I kekahi manawa hiki ke lilo i mea liʻiliʻi, e like me ke kaula. Inā ʻike ʻoe i kahi mea e like me kēia , e kāhea koke i kāu kauka.
2. Ua ʻoi aku ka liʻiliʻi o kou ʻōpū ma mua o ka mea i manaʻo ʻia: Inā ʻoi aku ka liʻiliʻi o kou ʻōpū i ka hoʻohālikelike ʻia me kou pule hāpai ʻana, he hōʻailona paha kēlā.
3. Ka emi ʻana o ka neʻe ʻana o ka pēpē: Ke emi nei ka pae wai, ua emi ka wahi o ka pēpē e neʻe ai, no laila e ʻike paha ʻoe i ka emi ʻana o ka neʻe ʻana o ka pēpē.
He aha nā lāʻau lapaʻau no kēia?
Hoʻokumu ʻia ka lāʻau lapaʻau i ka haʻahaʻa o kou pae wai a me ke kahua o ka hāpai ʻana.
- Nānā pinepine ʻia: Hana ʻia nā scan ultrasound i kēlā me kēia pule e nānā i nā pae wai a me ka ulu ʻana o ka pēpē.
- E inu i ka wai nui: Ua hōʻike kekahi mau noiʻi e hiki i ka inu ʻana i ka wai nui, ʻoiai i ka wā hope o ka hāpai ʻana, ke kōkua i ka hoʻonui ʻana i nā pae wai i kekahi ʻano.
- Ka kaohi ʻana i nā maʻi o ka makuahine: Inā he mau maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe, he mea nui e kaohi pono iā lākou.
- Ka hānau mua ʻana: I kekahi mau hihia, no ka palekana o ka pēpē, hiki i nā kauka ke hoʻoholo e hoʻoulu i ka hana ma mua o ka lā hānau.
Āhea wau e ʻike ai i ke kauka?
Inā he kānalua a nīnau paha kāu i kou wā hāpai, mai kānalua e nīnau i kāu kauka. ʻOi aku hoʻi, inā loaʻa iā ʻoe kekahi o kēia mau mea , e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā e kahe ana kahi wai mai loko mai o ka vagina.
- Inā he kahe koko o ka ʻōpū.
- Inā ʻoe e manaʻo i nā ʻūmiʻi o ka ʻōpū me ka ʻeha o ka ʻōpū a i ʻole ke kua.
- Inā manaʻo ʻoe ua emi nui ka neʻe ʻana o kāu pēpē.
Leka Lawe-Home
- ʻO ka wai amniotic haʻahaʻa, a i ʻole "Oligohydramnios," he kūlana ia e hiki ke kū i kēlā me kēia manawa i ka wā hāpai a he kumu ia e hopohopo ai.
- Hoʻomaopopo pinepine ʻia kēia ma o kahi scan ultrasound. No laila, he mea nui loa ka hana ʻana i nā scan i ka manawa kūpono.
- Inā ʻike ʻoe i kahi kahe wai mai kou ʻōpū, mai hoʻowahāwahā iā ia. E haʻi koke aku i kāu kauka.
- Inā ʻike ʻoe i kēia maʻi, mai hopohopo a hahai i nā ʻōlelo aʻoaʻo lapaʻau. ʻO ka nānā pinepine ʻana a me ka mālama pono ʻana e hiki ke hōʻemi i nā pilikia i ka makuahine a me ka pēpē.
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