Ua ʻike anei ʻoe i kēia mau mea e pili ana i ke kaula umbilical o kahi pēpē?

ʻO ka hāpai ʻana ka manawa nani loa a koʻikoʻi hoʻi i ke ola o ka makuahine. Mai ka lā i hāpai ʻia ai a hiki i ka hānau ʻana o kāna pēpē, loaʻa i ka makuahine nā manaʻolana a me nā makaʻu. "Ua maikaʻi anei kaʻu pēpē?", "Ua lawa anei kāna meaʻai a me ka mea inu?" Kū aʻe nā nīnau e like me kēia i loko o kou manaʻo, ʻeā? No laila, ʻo kēia ʻatikala ke hoʻomaʻemaʻe i nā nīnau a me nā kānalua āu e pili ana i ke "umbilical cord" e hoʻopili ai iā ʻoe a me kāu pēpē, ʻo ia hoʻi ke kaula ola o ka pēpē.

ʻO ka mea mua, e hoʻomaopopo pono kākou i ke ʻano o kēia kaula umbilical?

I ka ʻōlelo maʻalahi, ʻo ke kaula umbilical kahi paipu kūikawā e hoʻopili ai i kāu pēpē i ka placenta i loko o ka ʻōpū. ʻO kēia ke kaula ola e hāʻawi i kāu pēpē i nā mea āpau e pono ai, me ka oxygen a me ka meaʻai, ʻoiai ʻo ia i loko o ka ʻōpū. Ua like ia me ke 'laina lako' o ka pēpē.

ʻO ka maʻamau, ʻekolu ʻano kīʻaha koko o ke kaula umbilical olakino.

• ʻElua mau aʻa: Lawe kēia i ke koko me nā huahana ʻōpala a me ke kalapona ʻokikene mai ke kino o ke pēpē i ka placenta.
• Hoʻokahi Aa: ʻO kēia kahi e lawe ʻia ai ke koko maʻemaʻe, piha i ka oxygen a me nā meaolaola, mai kou kino aku a i ke kino o ke pēpē.

Ua hana ʻia ke kaula umbilical holoʻokoʻa i kahi mea like me ka jelly kūikawā e pale ana i kēia mau aʻalolo ʻekolu. Mālama kēia i ke kaula umbilical mai ka hihia a me ka maʻalahi o ka haki ʻana.

He aha nā pilikia maʻamau e hiki ke kū mai i loko o ke kaula umbilical?

I ka hapa nui o ka manawa, hana pono ke kaula umbilical i kāna hana i ka wā hāpai me ka ʻole o nā pilikia. Eia nō naʻe, he mea kakaikahi loa, hiki ke kū mai kekahi mau kūlana pilikia. He mea nui loa ia e ʻike mua i kēia mau mea. Akā , mai makaʻu e heluhelu e pili ana i kēia mau mea. Hiki ke ʻike mua ʻia ka nui o kēia mau kūlana me nā scan holomua.

1. Hoʻokahi ʻAʻa Umbilical (SUA)

E like me kā mākou i kūkākūkā ai ma mua, ʻelua mau aʻa koko a hoʻokahi aa koko o ke kaula umbilical maʻamau. Eia nō naʻe, i kekahi manawa ʻaʻohe aʻa koko, a hoʻokahi wale nō aʻa koko a hoʻokahi aa koko. Ua kapa ʻia kēia he `Single Umbilical Artery` (SUA) a i ʻole `ʻElua-kaula koko'.

Hiki i kāu kauka ke ʻike maʻalahi i kēia i ka wā o kahi scan, e like me ka scan anomaly maʻamau. Loaʻa paha i kekahi mau pēpē me SUA nā pilikia olakino liʻiliʻi ʻē aʻe (e like me nā loli liʻiliʻi i ka puʻuwai a i ʻole nā ​​​​puʻupaʻa), no laila e nānā nui aku kāu kauka i kēia a kauoha i nā hoʻokolohua hou aʻe. Akā i ka hapa nui o ka manawa, ʻaʻohe pilikia ʻē aʻe.Hānau ʻia kahi keiki olakino .

2. ʻO Vasa Previa

He mea hopohopo iki kēia, akā he maʻi kakaikahi loa ia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole pili pono nā kīʻaha koko o ka pēpē i loko o ke kaula umbilical i ka paia o ka uterine, akā hele ma waena o ka ʻeke amniotic, kokoke i ka cervix.

ʻO ka pilikia me kēia, ke haki kou wai i ka wā hānau, hiki ke haki kēia mau kīʻaha koko. Inā hana ʻia kēlā, hiki i ke pēpē ke kahe nui ke koko a make paha.

Akā ʻo ka mea maikaʻi loa, hiki ke ʻike mua ʻia kēia ʻano me nā scan ultrasound. Inā ʻike ʻia, hiki i nā kauka ke hana i kahi hānau cesarean i hoʻolālā ʻia ma mua o ka hānau ʻana, ma waena o 34-37 mau pule, e hānau palekana i ka pēpē. No laila , he mea nui loa e hele i kāu keʻena lapaʻau i ka manawa kūpono a hana i kāu mau scan i ka manawa kūpono.

3. Kaula Nuchal

Ua lohe paha ʻoe i kēia. ʻO ka 'Nuchal Cord' ka huaʻōlelo i hoʻohana ʻia e wehewehe i ke kaula umbilical e hoʻopuni ana a puni ka ʻāʻī o ka pēpē i hoʻokahi a ʻoi aku paha mau manawa i ka neʻe ʻana o ka pēpē i loko o ka ʻōpū. Nui nā makuahine e makaʻu i ka lohe ʻana i kēia.

I ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia. Mālama ka mea like me ka jelly i loko o ke kaula umbilical i nā kīʻaha koko mai ka hoʻopaʻa ʻia. Hiki nō hoʻi ke hemo ke neʻe ka pēpē. I ka wā hānau, e nānā ke kauka a i ʻole ka kahu hānai i kēia a wehe pono iā ia i ka wā e hānau ai ka pēpē. I nā hihia kakaikahi wale nō, i ka wā e ʻōwili paʻa loa ʻia ai ke kaula umbilical a lohi ka puʻuwai o ka pēpē, e hana ke kauka i nā hana e hānau koke i ka pēpē.

4. Nā Knots o ke Kaula Umbilical

Hiki nō hoʻi kēia ke hana i ka wā e hakakā ana ke pēpē i loko o ka ʻōpū. Hiki iā ia ke hana i kahi puʻupuʻu ma ke kaula umbilical, e like me ke kaula kāmaʻa. ʻElua ʻano o nā puʻupuʻu:

• Nā Knot Wahaheʻe: ʻAʻole kēia he mau knot maoli. He pehu liʻiliʻi lākou o kahi kīʻaha koko i loko o ke kaula umbilical e like me kahi knot. ʻAʻohe mea ʻino kēia.
• Nā Knots ʻoiaʻiʻo: ʻO kēia ka manawa e hana maoli ai kahi knot. He palupalu loa kēia mau mea, e like me ke kaula maʻalahi i nakinaki ʻia a puni ka nipple. No laila, ʻaʻohe kapu o ke kahe koko i ka pēpē.

Akā, he mea kākaʻikahi loa, ʻaʻole i hiki i ka 1% o ka manawa, hiki i kēia puʻupuʻu ke paʻa. Inā hana ʻia kēia, e nele paha ka pēpē i ka oxygen a me nā meaʻai. E nānā mau nā kauka i ka puʻuwai o ka pēpē a me kāna neʻe ʻana e nānā i kēia pilikia.

No laila, he aha kaʻu e hana ai?

ʻO ka mea nui loa, ʻo ia ka heluhelu ʻana e pili ana i kēia mau mea a mai makaʻu pono ʻole, akā , e hana mālie a akamai hoʻi. E mālama ana kāu kauka a me ke kanaka hana olakino ʻohana iā ʻoe i kou wā hāpai.

• E hele i kāu mau keʻena lapaʻau i ka manawa kūpono. E hana i nā hoʻokolohua āpau i ka manawa kūpono.
• E hōʻoia e loaʻa iā ʻoe nā scan a kāu kauka i kuhikuhi ai. He mea nui loa ka Anomaly Scan.
• Inā ʻike ʻoe i kahi loli koʻikoʻi i ke ʻano o ka neʻe ʻana o kāu pēpē (e laʻa, inā ʻaʻole lākou e neʻe e like me ka mea maʻamau), e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila.
• Inā he mau nīnau a hopohopo paha kāu, mai hūnā iā ʻoe iho a hopohopo no lākou, akā e nīnau i kāu kauka.

E hoʻomanaʻo, ua holomua loa ka ʻepekema lapaʻau i kēia lā. Hiki i nā kauka i kēia lā ke ʻike i nā ʻano maʻi he nui i ka wā mua, e hana i nā hana e pono ai, a hānau i kahi pēpē olakino me ka ʻole o ka hōʻeha i ka makuahine a me ke pēpē.