Inā he makuahine aloha ʻoe e hāpai ana i kahi pēpē, ehia mau nīnau, manaʻolana, a me nā makaʻu liʻiliʻi āu e noʻonoʻo ai i kēia manawa? He mea maʻamau loa ia. Makemake ʻoe e pale i kāu keiki liʻiliʻi mai nā mea āpau a hiki i kona hiki ʻana mai i kēia ao. No laila, ua lohe paha ʻoe e pili ana i ka 'placenta' e lawe mai ana i nā mea āpau mai ka meaʻai a hiki i ka oxygen i ka pēpē. Ua like kēia placenta me ke koko ola o ka pēpē. Akā, he mea kakaikahi loa, hiki i kēia placenta ke hoʻokaʻawale mai ka paia uterine ma mua o ka hānau ʻana o ka pēpē. ʻO ia ka mea a mākou e kapa nei he placental abruption i ka lāʻau lapaʻau. ʻOiai paha he mea weliweli kēia inoa, he mea nui loa ka hoʻomaopopo pono ʻia e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha ka abruption placental?
E noʻonoʻo, aia kahi pēpē i loko o kou ʻōpū. ʻO ka placenta kahi ʻōkana kūikawā i hoʻopili ʻia i ka paia o ka ʻōpū. Hoʻopili ʻia ka pēpē i kēia placenta ma o ke kaula umbilical. Loaʻa i ka pēpē ka meaʻai mai nā mea āu e ʻai ai a inu ai, ka oxygen mai ka ea āu e hanu ai, ʻo kēia mau mea a pau ma o kēia placenta. Eia kekahi, hoʻopau kēia placenta i nā huahana ʻōpala i hana ʻia i loko o ke kino o ka pēpē. Ua like ia me kahi 'lawelawe hoʻolako' e hāʻawi ana i nā mea āpau i ka pēpē.
ʻO ka maʻamau, hoʻokaʻawale ka placenta mai ka ʻōpū ma hope o ka hānau ʻana o ka pēpē. Eia nō naʻe, ma ke ʻano i kapa ʻia ʻo Placental Abruption , hoʻokaʻawale loa a hapa paha ka placenta mai ka paia o ka ʻōpū i ka wā hāpai, ma mua o ka hānau ʻana o ka pēpē. Hiki i kēia ke lilo i mea weliweli no ʻoe a me kāu pēpē. ʻO ka mea pōmaikaʻi, ʻaʻole kēia he mea maʻamau loa. Hoʻopilikia ia i hoʻokahi o 100 (1%) wahine hāpai.
Pehea mākou e ʻike ai i kēia maʻi? He aha nā hōʻailona?
ʻIke pinepine ʻia kēia ʻano ma hope o 20 mau pule o ka hāpai ʻana , ʻoiai hoʻi i ke kolu o ka trimester. I kekahi manawa hiki ke hana mālie, a i ʻole hiki ke hana koke.
E nānā pono kākou i kēia mau ʻano hōʻailona ʻelua ma ka papa ma lalo nei.
| ʻAno o ka hōʻailona | Nā hōʻailona āu e ʻike ai |
|---|---|
| Ka Hoʻokuʻu koke ʻana |
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| Ka hoʻopau mau ʻana |
|
ʻO ka mea nui loa, ʻoiai inā he liʻiliʻi ka nui o ke kahe ʻana o ke koko ma ka ʻōpū, mai manaʻo ʻoe ʻaʻole ia he mea koʻikoʻi. I kekahi manawa, hiki ke paʻa ke koko ma waena o ka placenta a me ka paia o ka ʻōpū. No laila, inā loaʻa iā ʻoe kekahi ʻano kahe koko a ʻeha nui paha ka ʻōpū, e ʻimi koke i ke kōkua lapaʻau .
He aha nā kumu pilikia e hiki ai ke hana i kēia?
He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia, akā ua ʻike ʻia kekahi mau mea e hoʻonui ai i ka pilikia.
- ʻO ka loaʻa ʻana o kēia maʻi i ka hāpai ʻana ma mua: Inā ua loaʻa iā ʻoe kēia maʻi i ka hāpai ʻana ma mua, aia ma kahi o 10% ka manawa e hiki hou mai ai. No laila he mea nui loa e haʻi i kāu kauka.
- Puhipaka: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā wahine e puhipaka ana ma mua o ko lākou hāpai ʻana. Manaʻo kekahi mau noiʻi e piʻi ana ka pilikia ma kahi o 40% no kēlā me kēia makahiki o ka puhipaka ʻana.
- ʻAila a me nā lāʻau lapaʻau: ʻO ka inu ʻana i ka waiʻona a me ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine i ka wā hāpai e hoʻonui nui i ka pilikia o kēia.
- Ke koko kiʻekiʻe: Inā paha he koko kiʻekiʻe kou ma mua o kou hāpai ʻana a inā paha e ulu ana i ka wā hāpai, he mea nui e hana pū me kāu kauka e hoʻokele pono iā ia.
- Nā pilikia wai amniotic: Hiki ke hoʻonui ʻia kēia pilikia inā haki mua ka ʻeke i loaʻa ka wai amniotic e pale ana i ka pēpē a hoʻokahe paha i ka wai.
- Makahiki: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā makuahine ma luna o 35 mau makahiki, ʻoi aku hoʻi ka poʻe ma luna o 40.
- Ka hāpai ʻana i nā keiki he nui:Ke nui nā pēpē, e like me nā māhoe, hiki i ka placenta ke hoʻokaʻawale ma hope o ka hānau ʻana o ka pēpē mua a ma mua o ka hānau ʻana o ka lua o ka pēpē.
- ʻEha ʻōpū: E noʻonoʻo ua hāʻule koke ʻoe i ka honua, kuʻi i kou ʻōpū i kekahi wahi, a i ʻole ua loaʻa iā ʻoe kahi ʻeha i kou ʻōpū, e like me kahi ulia kaʻa. Hiki i kēia mau mea ke hoʻokaʻawale i ka placenta. No laila e noʻonoʻo mau i ka palekana.
Pehea e ʻike ai ke kauka i kēia a mālama i kēia?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, ʻoiai ke kahe koko a i ʻole ka ʻeha o ka ʻōpū, pono ʻoe e hele koke i ka haukapila a i ʻole kāu kauka . E nānā ke kauka iā ʻoe.
- E hana ʻia kahi hoʻokolohua kino e nānā i ka palupalu a me ka ʻeha i loko o kou ʻōpū.
- Hana ʻia kekahi mau hoʻāʻo koko .
- Hoʻāʻo kahi scan ultrasound e nānā i loko o ka ʻōpū a me ke kūlana o ka placenta. Eia nō naʻe, e hoʻomanaʻo ʻaʻole hōʻike mau kēia scan i ka placental abruption.
He aha nā lāʻau lapaʻau?
ʻO ka mea mua e pono ai mākou e hoʻomaopopo, ʻaʻole hiki ke hoʻopili hou ʻia ka placenta previa i ka paia o ka ʻōpū . No laila, pili ka lāʻau lapaʻau i kou makahiki hāpai (ma nā pule), ka nui o ka placenta previa, a me ke olakino o ʻoe a me kāu pēpē.
- Inā ʻaʻole ʻoe i hāpai ma mua o 34 mau pule: Inā ʻaʻole koʻikoʻi ka placental abruption a maʻamau ka puʻuwai o ka pēpē, e mālama ʻia ʻoe i ka haukapila no ka nānā ʻana. Inā pau ke kahe ʻana o ke koko, hiki paha iā ʻoe ke hoʻi i ka home. Eia kekahi, no ka mea hiki ke hānau mua ʻia ka pēpē, hiki ke hāʻawi ʻia iā ʻoe nā steroids e kōkua i ka ulu wikiwiki ʻana o nā māmā o ka pēpē.
- Inā ʻoi aku ʻoe ma mua o 34 mau pule hāpai: Inā liʻiliʻi ke kahe koko, hiki paha iā ʻoe ke hānau ma ke ʻano he vaginal. Eia nō naʻe, inā koʻikoʻi ke kūlana, ʻo ia hoʻi ke ola o kāu pēpē a i ʻole ke ola o kāu pēpē, pono paha ʻoe e hana i kahi ʻoki cesarean ulia pōpilikia (C-section) . Pono paha ʻoe i ka hoʻoili koko.
He aha nā pilikia e hiki ai i kēia ke hana?
He kūlana koʻikoʻi kēia. Inā he ʻāpana liʻiliʻi wale nō o ka placenta e kaʻawale ana, ʻaʻole paha he pilikia nui. Akā inā he ʻāpana nui e kaʻawale ana, hiki iā ia ke hoʻopilikia i ka makuahine a me ke pēpē.
Nā hopena hiki ke loaʻa ma ka makuahine
- Ke komo nei i ka haʻalulu a i ʻole ka pono o ke kahe koko ma muli o ke kahe koko nui.
- Nā pilikia me ka ʻōnaehana hoʻopaʻa koko.
- Ka hemahema o nā puʻupaʻa a i ʻole kekahi ʻano kino ʻē aʻe.
- He mea kākaʻikahi loa, ua pilikia ke ola o ka makuahine.
Nā hopena hiki ke loaʻa ma ka pēpē
- Ka hānau mua ʻana: He pēpē i hānau ʻia ma mua o 37 mau pule.
- Nā pilikia ulu ʻana: ʻO ka hānau mua ʻole ʻana e hoʻolilo i ka pēpē i ka pilikia o ka loaʻa ʻana o nā pilikia olakino ma hope aku o ke ola.
- Hānau make: Ka make ʻana o kahi pēpē i loko o ka ʻōpū ma hope o 20 mau pule o ka hāpai ʻana.
He ʻoiaʻiʻo he mea weliweli kēia mau mea ke lohe ʻia. Akā ua ʻike mākou iā lākou e pale aku iā mākou iho mai ia mau mea. Hiki ke pale ʻia ka nui o kēia mau pilikia ma ka hana ʻana i ka wā e ʻike ʻia ai nā hōʻailona.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ke kahe koko ʻana o ka ʻōpū, ka ʻeha nui o ka ʻōpū, a i ʻole ka palupalu mau o ka ʻōpū i ka wā hāpai, mai hoʻonele i ka manawa a e ʻike koke i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- He maʻi koʻikoʻi ka hoʻopau ʻana o ka placenta. Akā hiki mai ia i nā kānaka a pau, ʻaʻole ia he mea maʻamau loa. No laila, mai hopohopo me ka pono ʻole. ʻO ka ʻike ka mea nui loa.
- E noho mamao loa mai ka puhipaka, ka waiʻona, a me nā lāʻau lapaʻau pono ʻole i ka wā hāpai. Inā he koko kiʻekiʻe kou, e kāohi pono iā ia e like me nā kuhikuhi a kāu kauka.
- Inā ua loaʻa iā ʻoe kēia maʻi i ka wā hāpai mua, e haʻi pono i ke kauka nāna ʻoe e mālama nei no kou hāpai ʻana i kēia manawa i hiki iā lākou ke nānā nui aku iā ʻoe.
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