ʻO ka hana mua

ʻO ka hana i hoʻomaka ma mua o ka pule 37 ua kapa ʻia ʻo "preterm" a i ʻole "premature." Ma kahi o 1 o kēlā me kēia pēpē 10 i hānau ʻia ma United States he preterm.

ʻO ka hānau mua ʻole kekahi o nā kumu nui i hānau ʻia ai nā pēpē kīnā a make paha. Akā hoʻomaikaʻi maikaʻi ka mālama prenatal i nā manawa kūpono e hana maikaʻi ai kahi pēpē preterm.

Pono ʻoe e ʻike i kahi mea mālama ola inā loaʻa iā ʻoe:

• ʻO ke kiko a me nā cramp i loko o kou ʻōpū
• ʻO nā kuʻikahi me ka ʻeha o ka ʻaoʻao i lalo a i ʻole kaomi i kāu aʻa a i ʻole nā ​​uha
• Loli ka wai e kahe mai kāu puki i kahi trickle a i ʻole gush
• ʻO ke kahe ʻulaʻula mai kou ʻōpala
• ʻO kahi hoʻokuʻu mānoanoa, hoʻopiha ʻia o mucous mai kou pūpū me ke koko i loko
• Haki kou wai (ruptured membranes)
• ʻOi aku ma mua o 5 mau kuʻikahi i kēlā me kēia hola, a i ʻole nā ​​ʻoniʻoni i maʻamau a ʻeha hoʻi
• ʻOi aku ka lōʻihi o ka ʻaelike, ikaika, a pili pū

ʻAʻole ʻike ka poʻe noiʻi he aha ka mea e kumu ai ka hana preterm i ka hapa nui o nā wahine. Eia nō naʻe, ʻike mākou i kekahi mau ʻano hiki ke hoʻonui i ka makaʻu o ka hana mua, e like me:

• Ka lawe mua ʻana
• ʻO kahi moʻaukala o ke kīʻaha ʻeha, e like me ka LEEP a i ʻole he biopsy cone
• Hāpai ʻia me nā māhoe
• ʻO ka maʻi i ka makuahine a i ʻole nā ​​membrane a puni ka pēpē
• Kekahi hānau kīnā i loko o ka pēpē
• ʻO ke koko kiʻekiʻe i ka makuahine
• Wawahi ke ʻeke o ka wai
• Nui loa ka wai amniotic
• ʻO ka hoʻokahe koko trimester ʻekahi

Nā pilikia olakino o ka makuahine a i ʻole nā ​​koho nohona e hiki ai ke alakaʻi i ka hana preterm me:

• Puhi paka
• Hoʻohana lāʻau pono ʻole, pinepine ka cocaine a me nā amphetamines
• Kino a koʻikoʻi koʻikoʻi koʻikoʻi paha
• Loaʻa maikaʻi ʻole i ka wā hāpai
• Ka momona

Nā pilikia me ka placenta, kōpū, a i ʻole ka cervix e hiki ai ke alakaʻi i ka hana preterm pū me:

• Ke pani ʻole ka cervix iā ia iho (hiki ʻole ka cervix)
• Ke maʻamau ʻole ke kinona o ka uterus
• Nā hana maikaʻi ʻole o ka placenta, abruption placental, a me placenta previa

I mea e hōʻemi ai i kāu pilikia o ka hana mua, e hāhai i ka ʻōlelo aʻoaʻo a kāu mea hāʻawi. Kāhea koke ke hiki iā ʻoe inā manaʻo ʻoe ke hana nei ʻoe i kahi hana preterm. ʻO ka lapaʻau mua ke ala ʻoi loa e pale ai i ka lawe ʻana i ka wā mua.

Hoʻoiho ka mālama Prenatal i ka makaʻu o ka loaʻa mua o kāu pēpē. E ʻike i kāu mea hoʻolako ke manaʻo ʻoe he hāpai ʻoe. Pono ʻoe:

• E kiʻi i nā loiloi maʻamau i kou wā hāpai
• ʻAi i nā meaʻai olakino
• ʻAʻole puhi
• ʻAʻole hoʻohana i ka waiʻona a me nā lāʻau

ʻOi aku ka maikaʻi o ka hoʻomaka ʻana e ʻike i kāu mea hāʻawi inā ʻoe e hoʻolālā ana i loaʻa kahi pēpē akā ʻaʻole hāpai. E ola i ke olakino ma mua o ka hāpai ʻana:

• E haʻi iā ʻoe i ka mea hāʻawi inā manaʻo ʻoe he maʻi ʻaʻā kou.
• E hoʻomaʻemaʻe i kou mau niho a me nā niho a ma mua o ka wā hāpai.
• E mālama pono i ka mālama prenatal a hoʻomau me nā kipa a me nā hoʻokolohua i ʻōlelo ʻia.
• E hōʻemi i ke koʻikoʻi i kou hāpai ʻana.
• E kamaʻilio i kāu mea hāʻawi a palakō paha e pili ana i nā ala ʻē aʻe e noho olakino ai.

ʻO nā wahine me ka mōʻaukala o ka lawe ʻana i ka preterm pono paha i nā injection o kēlā me kēia pule o ka hormone progesterone. E pono e haʻi aku i kāu mea hāʻawi inā loaʻa kahi hānau mua ma mua.

Kāhea koke i kāu mea hāʻawi inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma mua o kāu hebedoma 37th o ka hāpai ʻana.

• Pākuʻi, ʻeha, a i ʻole kaomi i kou ʻōpū
• ʻO ke kiko ʻana, ke kahe ʻana o ke koko, ka mucous, a i ʻole ke kahe o ka wai mai kou pūnana
• Hoʻonui piʻi i ka hoʻokuʻu ʻana o ka ʻōpū

Hiki i kāu mea hāʻawi ke hana i kahi hoʻokolohua e ʻike ai inā loaʻa iā ʻoe kahi hana preterm.

• E nānā ana kahi hoʻokolohua inā ua kīloi (wehe ʻia kāu cervix a i ʻole inā ua haki kāu wai.
• Hana pinepine ʻia kahi ultrasound transvaginal e nānā i ka lōʻihi o ka cervix. Hiki ke ʻike pinepine ʻia ka hana ma ka preterm ke hoʻopōkole ka cervix. Pōkole ka cervix ma mua o ka pā.
• Hiki i kāu mea hāʻawi ke hoʻohana i kahi mea nānā e nānā i kāu ʻaelike.
• Inā loaʻa kahi wai kahe, e hoʻāʻo ʻia ia. Hiki ke kōkua i ka hoʻāʻo inā e lawe wana ʻoe ʻaʻole paha.

Inā he hana preterm kāu, pono ʻoe i ka haukapila. Hiki paha iā ʻoe ke loaʻa nā lāʻau e hōʻoki ai i kāu hana kuʻina a oʻo i nā ake māmā o kāu pēpē.

Nā pilikia o ka hāpai keiki - preterm

HN, Romero R. ʻO ka hana mua a me ka hānau ʻana. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 36.

Sumhan HN, Berghella V, Iams JD. ʻO ka haki mua o nā membrane. I: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, nā mea i hana ʻia. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 42.

ʻO Vasquez V, Desai S. Hana a me ka lawe ʻana a me kā lākou pilikia. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 181.

• Nā Pepe Makahiki
• Preterm Hana