ʻO ka haki mua o nā membrane

ʻO nā papa o nā kiko i kapa ʻia ka ʻeke amniotic e paʻa i ka wai e hoʻopuni ana i kahi pēpē i loko o ka ʻōpū. I ka hapanui o nā hihia, haki kēia mau membrane i ka hana a i ʻole ma waena o 24 mau hola ma mua o ka hoʻomaka ʻana o ka hana. Wahi mua o nā membrane (PROM) i ʻōlelo ʻia e kū ana i ka wā e haki ai nā membrane ma mua o ka hebedoma 37 o ka hāpai ʻana.

ʻO ka wai Amniotic ka wai e hoʻopuni i kāu pēpē i ka ʻōpū. Mālama nā membranes a i ʻole nā ​​papa o nā mea i kēia wai. Kapa ʻia kēia membrane ka ʻeke amniotic.

ʻO ka pinepine, haki nā membranes (haki) i ka wā o ka hana. Kāhea pinepine ʻia kēia "ke haki ka wai."

I kekahi manawa haki nā membrane ma mua o ka hele ʻana o ka wahine i ka hana. Ke haki ka wai i ka wanaʻao, kapa ʻia ia ka wā mua o ka haki ʻana o nā membrane (PROM). ʻO ka hapa nui o nā wahine e hana i kā lākou iho i loko o 24 mau hola.

Inā haki ka wai ma mua o ka hebedoma 37th o ka hāpai keiki, kapa ʻia ia ka wā mua o ka poha ʻana o nā membrane (PPROM). ʻO ka mua o ka haki o kāu wai, ʻoi aku ka koʻikoʻi iā ʻoe a me kāu pēpē.

I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu o PROM. ʻO kekahi mau kumu a i ʻole nā ​​mea weliweli paha:

• Nā maʻi o ka pūpū, cervix, a i ʻole ka ʻōpū
• Ke kīloi nei i ka ʻeke amniotic (hiki paha kēia inā he nui ka wai, a ʻoi aku paha ma mua o hoʻokahi pēpē e hoʻokau ana i nā membrane)
• Puhipaka
• Inā ua ʻoki ʻia ʻoe a i ʻole biopsies o ka cervix
• Inā hāpai ʻoe ma mua a he PROM a i ʻole PPROM

ʻO ka hapa nui o nā wahine i haki ka wai ma mua o ka hana ʻaʻohe mea pilikia.

ʻO ka hōʻailona nui loa e nānā no ka kahe ʻana o ka wai mai ka ʻōpala. Hele liu mālie paha ia, a puka i waho paha. Lilo kekahi o ka wai i ka wā e haki ai nā membrane. E hoʻomau ka liʻu o nā membrane.

I kekahi manawa ke hele lohi ka wai i waho, kuhihewa nā wahine no ka mimi. Inā ʻoe e ʻike i ke kahe ʻana o ka wai, e hoʻohana i kahi pad e omo i kekahi o ia. E nānā iā ia a pilau. ʻAʻohe kala o ka wai Amniotic a ʻaʻohe ona ʻaʻala e like me ka mimi (he ʻala onaona kona).

Inā manaʻo ʻoe ua haki kou mau membrane, e kāhea koke aku i kāu kauka. Pono ʻoe e kaha koke ʻia.

Ma ka haukapila, hiki i nā hoʻokolohua maʻalahi ke hōʻoia ua haki kou mau membrane. E nānā kāu mea lawelawe i kou pūpū e ʻike inā ua palupalu ia a ke hoʻomaka nei e pā (wehe).

Inā ʻike kāu kauka he PROM kāu, pono ʻoe i ka haukapila a hiki i ka hānau ʻana o kāu pēpē.

MAHOPE 37 hebedoma

Inā hala kāu hapai i 37 mau pule, ua mākaukau kāu pēpē e hānau. Pono ʻoe e hele i ka hana koke. ʻO ka lōʻihi o ka hoʻomaka ʻana o ka hana, ʻo ka nui o kou hiki ke loaʻa i kahi maʻi.

Hiki iā ʻoe ke kali no kahi manawa pōkole a hiki i kou wā e hana ai i kāu hana, a i ʻole hiki ke hoʻopili ʻia ʻoe (e kiʻi i ka lāʻau e hoʻomaka ai ka hana). ʻO nā wahine e hoʻopakele ma waena o 24 mau hola ma hope o ka wāwahi ʻana o kā lākou wai, ʻaʻole hiki ke loaʻa i kahi maʻi. No laila, inā ʻaʻole hoʻomaka ka hana ma kāna iho, hiki ke ʻoi aku ka palekana e hoʻokomo ʻia.

MAI ANA O 34 ME 37 WEEKS

Inā aia ʻoe ma waena o 34 a 37 mau hebedoma ke haki kāu wai, e ʻōlelo paha kāu mea lawelawe e hoʻokomo ʻia ʻoe. ʻOi aku ka palekana no ka hānau ʻia ʻana o ka pēpē i kekahi mau pule ma mua o ka hiki ʻana iā ʻoe ke makaʻu i kahi maʻi.

IMUA 34 HIKI

Inā haki kou wai ma mua o 34 mau pule, ʻoi aku ka koʻikoʻi. Inā ʻaʻohe hōʻailona o ka maʻi, hiki i ka mea hāʻawi ke hoʻāʻo e hoʻopaʻa i kāu hana ma ka waiho ʻana iā ʻoe i kahi hoʻomaha moe. Hāʻawi ʻia nā lāʻau Steroid e kōkua i nā māmā o ka pēpē e ulu wikiwiki. E ʻoi aku ka maikaʻi o ka pēpē inā loaʻa ka manawa o kona mau māmā e ulu ma mua o ka hānau ʻana.

E loaʻa iā ʻoe nā lāʻau ʻalopika e pale aku ai i nā maʻi. E nānā pono ʻia ʻoe me kāu pēpē i ka haukapila. Hana paha kāu mea hāʻawi i nā hoʻokolohua e nānā i nā ake māmā o kāu pēpē. Ke ulu a lawa nā māmā, e hoʻoulu ka mea lawelawe i kāu hana.

Inā haki kou wai, e haʻi aku kāu mea hāʻawi iā ʻoe i ka mea palekana loa e hana. Aia kekahi mau pilikia i ka hānau mua ʻana, akā ʻo ka haukapila kahi āu e hānau ai e hoʻouna i kāu pēpē i ka unit premerm (kahi hui kūikawā no nā pēpē i hānau mua ʻia). Inā ʻaʻohe kahi preterm kahi e hāʻawi ai ʻoe, e hoʻoneʻe ʻia ʻoe a me kāu pēpē i kahi haukapila nona.

KAHAKAI; PPROM; Nā pilikia o ka hāpai ʻana - haki mua

ʻO Mercer BM, Chien EKS. 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 Mercer BM, Chien EKS. ʻO ka haki mua o nā membrane. 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 37.

• Hānau keiki
• Nā Pilikia hānau keiki