ʻO ka hāpai ʻana he manawa ia e loaʻa ai i nā makuahine āpau nā manaʻolana kiʻekiʻe a makaʻala loa hoʻi, ʻeā? ʻO ka ʻike ʻana i kekahi o nā pilikia e hiki mai ana i kēia manawa he mea nui loa ia no ka hānau olakino. Pēlā nō, ʻoiai ʻaʻole i kamaʻilio pinepine ʻia, ʻo kahi maʻi kakaʻikahi akā koʻikoʻi e pono ai mākou e makaʻala ua kapa ʻia ʻo Vasa Previa. Mai hopohopo, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ʻo Vasa Previa?
E noʻonoʻo, ua ʻike mākou e loaʻa ana i ka pēpē i loko o kou ʻōpū kona oxygen a me ka meaʻai ma o ke kaula umbilical. Ua pili kēia kaula umbilical i ka placenta. Lawe nā kīʻaha koko mai ka placenta i ke ola i ka pēpē ma o ke kaula umbilical.
ʻO ka maʻamau, palekana loa kēia mau kīʻaha koko i loko o ka placenta a me ke kaula umbilical. Akā i ke ʻano o Vasa Previa , hele kekahi o kēia mau kīʻaha koko, he mea nui no ka pēpē, me ka pale ʻole ʻia ma o a kokoke paha i ka puka o ka cervix, kahi i hānau ʻia ai ke pēpē.
E noʻonoʻo, ua like ia me ke alaloa me ka nui o nā aʻa koko, e hele ana ma waena o kahi huina alanui me ka ʻole o kahi pale. He mea weliweli loa kēia, ʻeā?
Ke haki kou wai i ka wā hānau, hiki i kēia mau kīʻaha koko palupalu ke pohā. Inā hana ʻia kēlā, hiki i ka nui o ke koko ke kahe i waho o ke kino o ka pēpē, e hiki ai ke hōʻeha nui i ke ola o ka pēpē. ʻO ia ke kumu he mea nui loa ka ʻike ʻana i ka Vasa Previa i ka wā mua.
He aha nā kumu o ka Vasa Previa?
ʻOiai he paʻakikī ke ʻike pono i ke kumu o kēia ʻano, aia kekahi mau kumu nui e kōkua ai.
| Kumu | Ua wehewehe maʻalahi ʻia |
|---|---|
| Hoʻokomo ʻana o ke kaula Velamentous | ʻO kēia ka manawa ʻaʻole i pili pono ke kaula umbilical i ka placenta, akā i nā membrane, kahi mamao iki aku mai ka placenta. ʻO ke ʻano kēia, ʻaʻole i pale hou ʻia nā kīʻaha koko e kahi mea e like me ka jelly pale (ʻo Wharton's jelly). No laila, ʻoi aku ka nui o ka hōʻino ʻia. |
| ʻO ka placenta bilobed | Maanei, ua māhele ʻia kou placenta i ʻelua ʻāpana like (lobes) ma kahi o hoʻokahi. Hiki i nā kīʻaha koko e holo ana ma waena o kēia mau ʻāpana ʻelua ke hele ma waena o ka cervix. |
| ʻO ka placenta succenturiate | Ua like kēia me ka mea ma luna, akā ma ʻaneʻi, ma waho aʻe o ka placenta nui, e ulu ana kahi ʻāpana liʻiliʻi a i ʻole kekahi mau ʻāpana o ka placenta. Hiki ke kau ʻia nā kīʻaha koko e holo ana ma waena o kēia ʻāpana nui a me ka ʻāpana hou aʻe ma ke ʻano weliweli. |
He like anei ka Vasa Previa lāua ʻo Placenta Previa?
ʻAʻole. He ʻelua kūlana ʻokoʻa loa kēia. He nui ka poʻe e huikau i nā mea ʻelua.
- Placenta previa: ʻO kēia ka wā e haʻahaʻa loa ai ka placenta i loko o ka ʻōpū, ma mua o ka piko, e uhi piha ana a hapa paha i ka cervix. He pilikia kēia no ka placenta.
- Vasa Previa: ʻAʻole kēia he pilikia me kahi o ka placenta. ʻO ka pilikia ma ʻaneʻi, ʻo ia ka hele ʻana o nā kīʻaha koko mai ka placenta ma o ka cervix. ʻO ka pilikia ma ʻaneʻi, pili pololei ia i nā kīʻaha koko o ka pēpē.
ʻO ka mea nui, ʻo ke kanaka me Placenta Previa he ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o Vasa Previa.
He aha nā hōʻailona o Vasa Previa?
ʻO ka mea weliweli ma ʻaneʻi, ʻo ka hapa nui o ka manawa ʻaʻohe hōʻailona. ʻAʻole paha ʻoe e manaʻo i kekahi ʻoluʻolu ʻole a ʻeha paha. ʻO ia ke kumu he mea nui loa nā scan ultrasound i ka wā hāpai.
I ka hapanui pinepine, hiki i kekahi poʻe ke ʻike i ke kahe koko ʻeleʻele (ʻeleʻele) me ka ʻole o ka ʻeha.
ʻO wai ka mea i pilikia nui?
ʻOiai hiki ke loaʻa kēia ʻano i kēlā me kēia hāpai ʻana, ʻoi aku ka kiʻekiʻe o ka pilikia no kekahi poʻe.
- Loaʻa iā ia ke kūlana Previa o ka Plac ENT i ʻōlelo ʻia ma luna.
- ʻO ka placenta haʻahaʻa.
- ʻO ke alo o nā kūlana e like me ka hoʻokomo ʻana o ke kaula Velamentous i ʻōlelo mua ʻia, Bilobed a i ʻole Succenturiate placenta .
- IVF (Inā ua hoʻokō ʻia ka hāpai ʻana ma o ka ʻenehana In Vitro Fertilization (IVF ).
- Inā ʻoe e hāpai ana i nā pēpē he nui, e like me nā māhoe a i ʻole nā triplets.
Pehea e ʻike ai i kēia maʻi i ka wā mua?
ʻO ka mea pōmaikaʻi, hiki ke ʻike ʻia kēia maʻi i ka wā hāpai. E hana kāu kauka i nā hoʻokolohua hou aʻe inā kānalua ʻia kēia i ka wā o kahi scan anomaly maʻamau i ka wā hāpai, ʻoiai ma waena o 18 a me 26 mau pule .
Inā kānalua, hiki i kāu kauka ke ʻōlelo aku i kahi ultrasound transvaginal . Hiki i kēia ke ʻike maopopo i nā kīʻaha koko kokoke i ka cervix. Hiki iā ia ke kōkua i ka hōʻoia ʻana i kahi a me ke ʻano o ka placenta.
Inā ua ʻike ʻia, pehea e mālama ʻia ai?
Mai hopohopo inā ua ʻike ʻia ʻoe me Vasa Previa. Inā ʻike mua ʻia, hiki ke mālama maikaʻi ʻia a hiki iā ʻoe ke loaʻa kahi pēpē olakino me ka ʻole o nā pilikia. ʻO ka pahuhopu nui ka mālama ʻana iā ʻoe a me kāu pēpē i ka palekana a hiki i ka hānau ʻana, a hānau i kāu pēpē ma o ka ʻoki C-section i hoʻolālā ʻia i ka manawa i hoʻonohonoho ʻia .
Hiki i kāu kauka ke ʻōlelo i nā mea e like me:
- Ke nānā mau ʻana i ke olakino o ka pēpē: Ke nānā mau ʻia nei nā mea e like me ka puʻuwai o ka pēpē.
- Ka Hoʻokipa ʻana ma ka Halemai: Ma kahi o 30-32 mau pule o kou hāpai ʻana, hiki ke hoʻokomo ʻia ʻoe i ka haukapila no ka nānā pono ʻana, no ka mea, pono koke ka mālama ulia pōpilikia inā he ulia pōpilikia.
- Nā inikini Corticosteroid: Inā hānau ʻia ka pēpē ma mua o ka lā i hoʻolālā ʻia, hāʻawi ʻia kēia mau inikini e kōkua i ka oʻo pono ʻana o nā māmā o ka pēpē.
- Hoʻomaha Pelvic: Ua ʻōlelo ʻia ʻoe e kāohi i ka moekolohe a pale i ka hoʻokomo ʻana i kekahi mea i loko o ka vagina.
- ʻO ka ʻoki ʻoki C i hoʻolālā ʻia: Hānau ʻia ke pēpē ma o ka ʻoki ʻoki caesarean i hoʻolālā ʻia, ma waena o 34 a me 37 mau pule , ma mua o ka haki ʻana o ka wai.
- ʻOkioki C-ʻoki ulia pōpilikia: Inā haki ka wai i ka wā ʻōpiopio, aia ke kahe koko, a i ʻike ʻia paha ke pēpē i loko o ka pilikia o ka fetal, e hana koke ʻia kahi ʻokioki caesarean ulia pōpilikia.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka. Na lākou e hoʻolālā i ka mea maikaʻi loa nou a me kāu pēpē.
Leka Lawe-Home
- He maʻi laha ʻole ka Vasa Previa i hiki ke kū i ka wā hāpai, akā hiki ke lilo i mea koʻikoʻi loa inā ʻaʻole i ʻike mua ʻia.
- ʻO ka mea e hana ʻia ma ʻaneʻi, hele nā aʻa koko o ke pēpē ma o ka cervix me ka ʻole o ka pale.
- He mea nui loa nā ultrasound i ka wā hāpai, no ka mea, ʻaʻole lākou e hōʻike i nā hōʻailona .
- Inā ʻike mua ʻia kēia maʻi, mālama maikaʻi ʻia, a hana ʻia kahi ʻoki cesarean i hoʻolālā ʻia , aia kahi kokoke i 100 pakeneka o ka manawa e hānau ai i kahi pēpē olakino.
- Inā he kānalua kou e pili ana i kēia a inā paha no kahi hui pilikia ʻoe, e kamaʻilio ākea me kāu kauka e pili ana i ia mea. ʻO ka mea nui loa, ʻo ia ka lako me ka ʻike kūpono, mai makaʻu.
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