ʻO ka Placenta Previa i ka wā hāpai - Mai makaʻu, e makaʻala kākou i kēia!

He mea maʻamau no ka makuahine ke hopohopo no nā mea liʻiliʻi loa i ka wā hāpai. ʻOi loa aku inā ʻōlelo kāu hōʻike scan "low-lying placenta", a i ʻole inā ʻike koke ʻoe i ke kahe koko ʻana o ka wahine i waenakonu o kou hāpai ʻana, hiki ke hopohopo loa. No laila, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia makaʻu maʻamau o ka placenta previa, a i ʻole he aha ia, he mea pono maoli anei ke hopohopo, a me ka mea e hana ai i ia kūlana.

I ka ʻōlelo maʻalahi, he aha ka placenta previa?

E noʻonoʻo, i ka wā e noho ana kāu pēpē i loko o kou ʻōpū, loaʻa iā ia ka oxygen a me ka meaʻai āpau e pono ai ma o kahi ʻōkana i kapa ʻia ʻo ka placenta. Ua like ia me ka pahu ʻaina awakea o ka pēpē. Hoʻopili ʻia kēia placenta i ka pēpē ma o ke kaula umbilical, a lawe ia i nā meaʻai mai ou aku i ka pēpē, a me ka wehe ʻana i ka ʻōpala o ka pēpē. Hoʻomohala kēia placenta i loko o ka uterus.

ʻO ka maʻamau, aia kēia placenta ma ka ʻaoʻao o luna o ka uterus, ma kahi mamao aku o ka puka (cervix) kahi e puka mai ai ke pēpē. Ua like ka cervix me ka "puka" kahi e puka mai ai ke pēpē.

ʻO ka Placenta previa ka wā e waiho ai ka placenta, e like me ka pahu ʻaina awakea o kahi pēpē, ma lalo o ka ʻōpū, e uhi piha ana a hapa paha i ka "puka" (cervix).

He aha nā ʻano nui o ka Placenta Previa?

ʻAʻole like kēia kūlana, aia kekahi mau ʻano. Hiki ke ʻokoʻa nā hopena ma muli o ke ʻano āu e loaʻa ai.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā makuahine me Placenta Previa i kekahi mau hōʻailona. ʻIke ʻia ia i ka wā o kahi scan maʻamau. Eia nō naʻe, inā loaʻa nā hōʻailona , ​​​​hiki iā lākou ke komo pū me:

• ʻO ka hōʻailona nui: Ke kahe koko ʻulaʻula māmā, koke, ʻeha ʻole i ka hapa lua o ka hāpai ʻana (ma hope o 20 mau pule). Hiki ke māmā a kaumaha paha kēia.
• ʻŌpū ʻeha: Hiki iā ʻoe ke ʻeha i ka ʻōpū (contractions) i ka holomua ʻana o ke kahe ʻana o ke koko. Manaʻo paha ia e like me ka ʻūlū ʻana o kou ʻōpū, a i ʻole e like me ka ʻeha kua.

Inā nalowale ke koko he nui, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe o ka anemia, e like me ka ʻili keʻokeʻo, ka pulse wikiwiki a nāwaliwali, ka paʻakikī o ka hanu ʻana, a me ke koko haʻahaʻa.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka Placenta Previa?

ʻOiai hiki ke loaʻa kēia ʻano i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• No nā makuahine puhipaka.
• No ka poʻe e hoʻohana ana i nā lāʻau lapaʻau e like me ka cocaine.
• No nā poʻe ma luna o 35 mau makahiki.
• Inā he nui nā hāpai mua.
• Inā ua loaʻa iā ʻoe nā ʻoki cesarean (C-sections) a i ʻole nā ​​​​ʻoki ʻōpū ʻē aʻe (e.g., D&C).
• Inā hāpai ʻoe i nā māhoe a i ʻole nā ​​​​māhoe ʻekolu.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ma ka ulia pōpilikia. Hiki i kāu kauka ke ʻike iā ia i ka wā o kahi scan maʻamau i kou wā hāpai, ʻoiai i ka wā o ka scan anomaly, kahi i hana ʻia ma kahi o 20 mau pule.

Hoʻohana ʻia kahi scan ultrasound no kēia. ʻO ka mea mua, e nānā ʻia ʻoe me kahi ultrasound ʻōpū. Inā ʻaʻole maopopo loa kēlā, hiki i kāu kauka ke hana i kahi scan liʻiliʻi ma o ka vagina (transvaginal ultrasound) e ʻike pono ai i kahi o ka placenta. ʻAʻohe pono e hopohopo no ia mea, he hoʻāʻo palekana loa ia.

Pehea e mālama ʻia ai kēia?

ʻO ka mea mua e hoʻomaopopo ai, ʻaʻohe lāʻau lapaʻau a lāʻau lapaʻau paha no ka Placenta Previa, ʻo ia ke kūlana kahi e waiho ai ka placenta ma ka ʻaoʻao haʻahaʻa o ka ʻōpū. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke kāohi i ke kahe ʻana o ke koko a hoʻolōʻihi i ka hāpai ʻana a hiki i ka wā e ulu piha ai ka pēpē, ʻo ia hoʻi ke kokoke aku i kou lā hānau.

Pili ka lāʻau lapaʻau i kekahi mau kumu:

• Ka nui o ke kahe ʻana o ke koko.
• Aia i hea ʻoe i kou wā hāpai?
• ʻO kou olakino a me ke olakino o kāu pēpē.
• Ke kūlana o ka placenta a me ke pēpē.

Inā māmā ke kahe ʻana o ke koko (Light Bleeding)

Inā he wahi kahe koko iki kou, e like me hoʻokahi a ʻelua paha kulu, e haʻi aku paha kāu kauka iā ʻoe e hoʻomaha (hoʻomaha moe) a e pale loa i nā hana kaumaha, ka hoʻoikaika kino, a me ka moekolohe.

Inā he kahe koko nui

Inā nui ke kahe ʻana o ke koko, he pilikia ia. Pono ʻoe e lawe koke ʻia i ka haukapila. E hoʻokomo pinepine ʻia ʻoe i ka Emergency Treatment Unit (ETU) a nānā pono ʻia. Inā pono, pono paha ʻoe i ka hoʻoili koko.

Hiki i ke kauka ke hāʻawi iā ʻoe i nā inikini corticosteroid e kōkua i ka ulu wikiwiki ʻana o nā māmā o kāu pēpē. Ke hāpai kāu pēpē ma kahi o 36 mau pule a manaʻo ʻo ia ua palekana ka hānau ʻana, e hoʻonohonoho ʻoe i kahi ʻoki C-section i hoʻolālā ʻia .

Āhea wau e ʻike koke ai i ke kauka?

E hoʻomanaʻo pono i kēia.

Inā loaʻa iā ʻoe kekahi kahe koko ʻana o ka ʻōpū i ka lua a i ʻole ke kolu o ka trimester o ka hāpai ʻana, inā he māmā a kaumaha paha, e kāhea koke i kāu kauka.

Inā nui ke kahe ʻana o ke koko, mai noʻonoʻo i kekahi mea ʻē aʻe a e hele koke i ka haukapila kokoke loa. Mai hoʻonele i ka manawa.