ʻO Nuchal Cord: He mea anei e hopohopo ai?

Inā hāpai ʻoe, ua ʻike paha ʻoe i kahi mea i kapa ʻia ʻo ' Nuchal Cord ' ma kāu hōʻike scan. A i ʻole ua lohe paha ʻoe e pili ana i ia mea mai kahi hoaaloha a ʻohana paha. He mea maʻamau loa ia no ka makuahine ke makaʻu iki a hopohopo i ka lohe ʻana i kēia mau ʻōlelo. "E pilikia anei kaʻu pēpē? E paʻakikī anei ʻo ia i ka hanu?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā he aha kēia Nuchal Cord? He mea anei kēia e makaʻu ai kākou? E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi.

He aha maoli ke kaula Nuchal?

I ka ʻōlelo maʻalahi, ʻo ke kaula nuchal ka umbilical o kāu pēpē e ʻōwili ana a puni kona ʻāʻī i hoʻokahi a ʻoi aku paha mau manawa.

ʻIke ʻoe, ʻo kēia kaula umbilical ke kaula ola e lawe ana i ka oxygen a me nā meaola a pau e pono ai kāu pēpē e ulu a hoʻomohala, a hoʻoneʻe pū ia i nā ʻōpala mai ke kino o kāu pēpē. He ʻōmole palupalu wale nō ia. Loaʻa iā ia ʻelua mau aʻa a me kahi aʻa koko i loko. No ka pale ʻana i kēia mau kīʻaha koko, ua hoʻopuni ʻia e kahi mea like me ka jelly kūikawā i kapa ʻia ʻo 'Wharton's jelly.'

No laila, ʻo kēia kaula umbilical ke kaula e hoʻopuni ana i ka ʻāʻī o ka pēpē. Hiki i kēia ʻōwili ke wehe loa i kekahi manawa, a i kekahi manawa hiki ke paʻa iki. Ua māhele ʻia kēia mau mea i ʻelua ʻano nui:

• ʻAno A (Kaula Wehe ʻole ʻia): Ua like kēia me kahi lei maʻalahi a puni ka ʻāʻī. Neʻe manuahi ke kaula umbilical, no laila he mea hiki ke hemo ke neʻe ka pēpē.
• ʻAno B (Kaula Paʻa): He ʻano kaula kēia i wahī ʻia me he puʻupuʻu lā. No laila, he mea paʻakikī loa ke wehe ʻana o kēia ʻano iā ia iho. Eia naʻe, he mea kākaʻikahi loa kēia ʻano `ʻAno B`.

No ke aha i ʻōwili ʻia ai ke kaula piko a puni ka ʻāʻī penei?

ʻO ke kumu nui o kēia, ʻo ia nā neʻe liʻiliʻi a kāu pēpē e hana ai i loko o ka ʻōpū. E noʻonoʻo iā ia e neʻe ana a puni, e kīkēkē ana, a e hoʻoluliluli ana i kona mau lima. Me kēia mau neʻe ʻana e hihia pinepine ai ke kaula umbilical a puni ka ʻāʻī. He mea kūlohelohe loa kēia.

Eia kekahi, aia paha kekahi mau kumu ʻē aʻe:

• Ka nui o ka wai amniotic: Inā ʻoi aku ka nui o ka wai a puni ka pēpē ma mua o ka maʻamau, loaʻa iā ia kahi ākea e neʻe ai a ʻauʻau. Aia kekahi wahi ākea no ke kaula umbilical e hihia ai.
• Ka hoʻolōʻihi ʻana o ke kaula piko: ʻOi aku ka lōʻihi o ke kaula piko o kekahi mau pēpē ma mua o ka maʻamau. ʻOiai pēlā, ʻoi aku ka kiʻekiʻe o ka manawa e hihia ai.

He mea pilikia maoli anei ka loaʻa ʻana o kahi Nuchal Cord?

ʻO ka pane i kēia nīnau, i ka hapanui o nā hihia, ʻaʻole . ʻOi aku ka maʻamau o ke kaula nuchal ma mua o ko mākou manaʻo. Hōʻike ka noiʻi he hoʻokahi o nā pēpē ʻehā i hānau ʻia (ʻoi aku ma mua o 25%) i loaʻa i kēia maʻi.

Hoʻonui ka nui o kēia maʻi i ka holomua ʻana o ka hāpai ʻana. No ka laʻana, i 20 mau pule, ma kahi o 6% o nā pēpē i loaʻa iā ia, akā i ka 42 mau pule, piʻi kēlā helu i 29%. He mea maʻamau iki nō hoʻi ia i nā keikikāne ma mua o nā kaikamahine.

Eia nō naʻe, he mea maikaʻi ke ʻike i kekahi o nā pilikia kakaikahi e hiki ke hana. Akā e hoʻomanaʻo, ʻo ka hapa nui o kēia mau mea he kakaikahi loa.

I kekahi manawa, inā ua ʻōwili paʻa ʻia ke kaula umbilical a puni ka ʻāʻī, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo `tCAN (tight cord around neck) syndrome`. Ua like ia me ka ʻū ʻana o ka ʻāʻī. A laila e ʻike paha ʻoe i nā kiko koko ʻulaʻula liʻiliʻi `(petechiae)` ma ka maka o ka pēpē, ka ʻāʻī, a me nā maka. Akā he mea kākaʻikahi loa kēia.

Pehea e ʻike ʻia ai kēia? He aha ka lāʻau lapaʻau?

Ka ʻike ʻana

Hiki ke ʻike ʻia ke alo o ke kaula nuchal i kekahi manawa i ka wā o ka ultrasound scan i kou wā hāpai. Eia naʻe, ʻaʻole pinepine ʻia a hiki i ka hānau ʻana o ka pēpē. Nānā pinepine nā kauka a me nā kahu hānai i kahi kaula nuchal i ka wā hānau. He ʻāpana ia o ke kaʻina hana maʻamau.

Ka mālama ʻana a me ka hoʻokele ʻana

Ke nānā pono nei nā kauka iā ʻoe a me ke pēpē.

• Ma mua o ka hānau ʻana: Inā hōʻike kahi scan i kahi kaula nuchal, hiki i kāu kauka ke aʻo aku iā ʻoe e makaʻala hou aku i ka puʻuwai o ka pēpē a me nā neʻe ʻana.
• I ka wā hānau keiki:
• I ka hapa nui o ka manawa, ua palupalu loa ke kaula umbilical. Ke lawe ke kauka i ka pēpē i waho, huki mālie ʻo ia ma luna o ke poʻo o ka pēpē a lawe aku. He mea maʻalahi loa kēia.
• Inā ua paʻa loa ke kaula umbilical, pono paha ʻoe e hoʻopaʻa iā ia ma mua o kou hiki ke wehe piha i ka pēpē. Hana ʻia kēia e pale i ke kaula mai ka huki ʻana a me ka huki ʻana mai ka placenta. He ʻano palekana loa nō hoʻi kēia.
• Inā ke kumu o ke kaula umbilical e lohi ai ka puʻuwai o kāu pēpē , e noi paha kāu kauka iā ʻoe e hoʻololi i nā kūlana. Hiki i kēia ke kōkua i ka hoʻomaha ʻana i ke kaomi ma ke kaula umbilical. Hiki iā lākou ke hāʻawi iā ʻoe i nā wai hou a i ʻole ka oxygen.
• Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi ke kūlana, hiki ke noʻonoʻo ʻia nā lāʻau ʻeha a i ʻole ka ʻoki ʻana i ka ʻōpū . Hana ʻia kēia mau hoʻoholo a pau e hōʻoia i ka palekana nui o ka makuahine a me ka pēpē.

No laila, pono anei iaʻu e makaʻu i kēia?

ʻO ka pane pōkole, ʻaʻole paha . ʻOi aku ka maʻamau o ke kaula nuchal ma mua o kou manaʻo. A pono ʻoe e hoʻomaopopo ʻaʻole ia e hoʻopilikia pinepine i ka pēpē a i ʻole nā ​​​​pilikia no ka wā lōʻihi.

ʻO nā pēpē i hānau ʻia me ke kaula nuchal, ʻaʻole lākou i loaʻa nā helu Apgar haʻahaʻa, nā pilikia ulu a ulu paha, a i ʻole ka piʻi ʻana o ka pilikia o ka hānau keiki make. Ua aʻo maikaʻi ʻia nā hui lapaʻau e mālama i kēia kūlana.

Eia nō naʻe, inā he mau nīnau, makaʻu, a kānalua paha kāu, ma ke ʻano he makuahine, mai hūnā iā ʻoe iho. E kamaʻilio ākea me kāu kauka e pili ana i ia mea. ʻO ka mea āu e lohe ai ma ka pūnaewele a i ʻole mai nā malihini mai hiki ke hoʻopilikia hou aku iā ʻoe. No laila, ʻo kahi maikaʻi loa e loaʻa ai ka ʻike pololei a hilinaʻi hoʻi, ʻo ia kāu kauka.