Hydramnios

ʻO Hydramnios kahi kūlana i kū ke kūkulu ʻia nā wai amniotic ʻoi loa i ka wā hāpai. Kāhea ʻia ʻo ia ʻo ka maʻi amniotic fluid, a i ʻole polyhydramnios.

ʻO ka wai Amniotic kahi wai e hoʻopuni a cushions i ka fetus (pēpē hānau ʻole) i loko o ka kōpū. Hele mai ia mai nā puʻupaʻa o ke pēpē, a hele i loko o ka kōpū mai ka mimi o ka pēpē. Hoʻokomo ʻia ka wai i ka wā e ale ai ka pēpē iā ia a ma o nā neʻe hanu ʻana.

Hoʻonui ka nui o ka wai a hiki i ka hebedoma 36th o ka hāpai ʻana. Ma hope o kēlā, emi mālie ia. Inā hana nui ka ʻōpū i ka mimi a ʻaʻole ʻai paha i ka lawa, kūkulu ʻia ka wai amniotic. ʻO kēia ke kumu o nā hydramnios.

ʻAʻole pilikia nā hydramnios māmā. ʻO ka pinepine, hoʻi ka wai keu i ka wā o ka trimester ʻelua e hoʻi i ka maʻamau ma kāna iho. ʻOi aku ka maʻamau o nā hydramnios māmā ma mua o nā hydramnios koʻikoʻi.

Hiki i nā Hydramnios i nā hāpai maʻamau me ka ʻoi aku o hoʻokahi pēpē (māhoe, ʻekolu a ʻoi aku paha).

Hiki paha i nā hydramnios koʻikoʻi ke manaʻo he pilikia me ka pēpē. Inā loaʻa iā ʻoe nā hydramnios koʻikoʻi, e nānā kāu mea mālama ola no kēia mau pilikia.

• Nā kīnā hānau o ka lolo a me ka kolamu spinal
• Nā wahi i ka ʻōnaehana digestive
• He pilikia kūpuna (kahi pilikia me nā chromosome i hoʻoili ʻia)

I nā manawa he nui, ʻaʻole i loaʻa ke kumu o ka hydramnios. I kekahi mau hihia, pili ia i ka hāpai ʻana i nā wahine i loaʻa i ka maʻi diabetes a i ʻole ke nui loa ka ʻōpū.

ʻAʻohe ʻōuli o ka hydramnios māmā. E haʻi pono i kāu mea hāʻawi inā loaʻa iā ʻoe:

• He manawa paʻakikī e hanu ai
• ʻEha ʻōpū
• ʻO ka ʻōhū a i ʻole ka ʻōpū ʻana o kou ʻōpū

No ka nānā ʻana i nā hydramnios, e ana ana kāu mea hāʻawi i kāu "kiʻekiʻe kālā" i ka wā o kāu nānā prenatal. ʻO ke kiʻekiʻe o ka waihona kālā ka mamao mai kāu iwi pubic a i ka piko o kou kōpū. E nānā pū kāu mea hāʻawi i ka ulu ʻana o kāu pēpē ma ka manaʻo ʻana i kou kōpū ma o kou ʻōpū.

E hana kāu mea hāʻawi i kahi ultrasound inā loaʻa kahi manawa e loaʻa iā ʻoe nā hydramnios. E ana kēia i ka nui o ka wai amniotic a puni kāu pēpē.

I kekahi mau hihia, hiki ke mālama ʻia nā ʻōuli o hydramnios akā ʻaʻole hiki ke mālama ʻia ke kumu.

• Makemake paha kāu mea hāʻawi iā ʻoe e noho i ka haukapila.
• Kauoha paha kāu mea hāʻawi i ka lāʻau e pale ai i kahi hānau mua.
• Lawe paha lākou i kekahi o nā wai amniotic keu e hōʻoluʻolu i kāu mau ʻōuli.
• Hiki ke hana i nā hoʻokolohua Nonstress e hōʻoia i ka makaʻu ʻole o ka pēpē (ʻo nā hoʻokolohua Nonstress e pili ana i ka hoʻolohe ʻana i ka puʻuwai puʻuwai o ka pēpē a me ka nānā ʻana i nā hoʻoliʻiliʻi no 20 a 30 mau minuke.)

Hana paha kāu mea hāʻawi i nā hoʻokolohua e ʻike ai i ke kumu o kou loaʻa ʻana o ka wai keu. Pili pū paha kēia:

• Nā ho'āʻo koko e nānā no ka maʻi kō a i ʻole ka maʻi
• Amniocentesis (kahi hoʻāʻo e hōʻoia ai i ka wai amniotic)

Hiki iā Hydramnios ke hana iā ʻoe i ka hana mua.

Maʻalahi no ka fetus me ka nui o ka wai a puni ia e hoʻohuli a huli. ʻO ke kumu kēia aia kahi manawa ʻoi aku ka nui o ka noho ʻana i kahi kūlana wāwae-lalo (breech) ke hiki i ka manawa e hāʻawi ai. Hiki ke hoʻoneʻe ʻia nā pēpē Breech i kekahi manawa i kahi kūlana poʻo-lalo, akā hāʻawi pinepine ʻia lākou e C-ʻāpana.

ʻAʻole hiki iā ʻoe ke pale aku i nā hydramnios. Inā loaʻa iā ʻoe nā ʻōuli, e haʻi i kāu mea lawelawe i hiki iā ʻoe ke nānā a mālama ʻia, inā pono.

Maʻi hōʻino Amniotic; Polyhydramnios; Nā pilikia o ka hāpai keiki - hydramnios

ʻO Buhimschi CS, Mesiano S, Muglia LJ. ʻO Pathogenesis o ka hānau mua ʻole. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 7.

ʻO Gilbert WM. Nā maʻi loli Amniotic. 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 28.

• Nā pilikia olakino i ka hāpai keiki