Placenta abruptio

Hoʻopili ka placenta i ka fetus (pēpē i hānau ʻole ʻia) i ka kōpū o ka makuahine. Hāʻawi ia i ka pēpē e kiʻi i nā mea momona, ke koko, a me ka oxygen mai ka makuahine. Kōkua pū ia i ka pēpē e kāpae i ka ʻōpala.

ʻO Placenta abruptio (i kapa ʻia ʻo placenta abruption) ke kaʻawale ka placenta mai ka paia o ka kōpū ma mua o ka hānau ʻia ʻana o ka pēpē.

I ka hapanui o nā hāpai ʻana, noho paʻa ka placenta i ka ʻaoʻao kiʻekiʻe o ka paia uterine.

I kahi helu liʻiliʻi o ka hāpai ʻana, wehe ka placenta (huki iā ia iho mai ka paia o ka kōpū) i ka wanaʻao. ʻO ka hapanui o ka manawa, huki wale kahi hapa o ka placenta. I kekahi mau manawa huki loa ia. Inā kū kēia, pinepine ia i ka trimester 3.

ʻO ka placenta ke ola o kahi fetus. Kū nā pilikia koʻikoʻi inā hemo ia. Loaʻa ka liʻiliʻi o ka oxygen i ka pēpē a ʻoi aku ka nui o nā mea momona. Lilo kekahi pēpē i ka ulu ulu (liʻiliʻi loa), a i kekahi mau helu liʻiliʻi, he mea make ia. Hiki iā ia ke kumu i ke kahe o ke koko nui no ka makuahine.

ʻAʻohe mea i ʻike i ke kumu o ka abruption placental. Akā ʻo kēia mau mea e hāpai i ka makaʻu o ka wahine nona:

• Mōʻaukala o ka abruption placental i ka hāpai mua
• Lōʻihi (wā lōʻihi) ke koko kiʻekiʻe
• ʻO ke koko kiʻekiʻe kiʻekiʻe i nā wahine hāpai i loaʻa ke kahe o ke koko maʻamau i ka wā i hala
• Maʻi maʻi puʻuwai
• Hoʻopilikia ʻōpū
• Puhipaka
• Alkoholā a i ʻole ka cocaine
• ʻO ka abruption Placental i kahi hāpai mua
• ʻO Fibroids i ka kōpū
• ʻO kahi ʻeha i ka makuahine (e like me ka hāʻule ʻana o ke kaʻa a i ʻole hāʻule i loko kahi i ku ai ka ʻōpū)
• Ma mua o 40

ʻO nā ʻōuli maʻamau nā kahe koko a me nā kuʻikuʻi ʻeha. Pili ka nui o ke kahe ʻana i ka nui o ka hakahaka o ka placenta. I kekahi manawa ʻo ke koko e ʻohiʻohi ke kaʻawale ka placenta noho ma waena o ka placenta a me ka paia uterine, no laila ʻaʻole paha ʻoe e kahe ʻia mai kou puʻupuʻu.

• Inā liʻiliʻi iki ka hoʻokaʻawale, loaʻa wale iā ʻoe ke kahe koko māmā. Loaʻa paha iā ʻoe ka cramp a i ʻole ʻoluʻolu i kou ʻōpū.
• Inā hoʻohaʻahaʻa ka hoʻokaʻawale ʻana, loaʻa paha iā ʻoe ke kahe kaumaha o ke kahe. ʻOi aku ka maʻi ʻeha a me ka ʻeha o ka ʻōpū.
• Inā ʻoi aku ma mua o ka hapalua o ka placenta hoʻokaʻawale, loaʻa paha iā ʻoe ka ʻeha o ka ʻōpū a me ke kahe kaumaha. Hiki paha iā ʻoe ke hōʻemi. E neʻe paha ka pēpē ma mua o ka mea maʻamau.

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli i kou hāpai ʻana, e haʻi koke aku i kāu kauka.

E hāʻawi kāu mea hoʻolako:

• Hana i kahi hōʻike kino
• E nānā i kāu mau kuʻikahi a pehea e pane ai kāu pēpē iā lākou
• I kekahi manawa hana i kahi ultrasound e nānā i kāu placenta (akā ʻaʻole hōʻike pinepine ka ultrasound i kahi abruption placental)
• E hōʻoia i ka helu o ka naʻau o kāu pēpē a me kāu mele

Inā liʻiliʻi kāu abrastion placental, hiki i kāu mea hāʻawi ke hoʻokau iā ʻoe i kahi moe e hoʻomaha ai i kou kahe ʻana o ke kahe. Ma hope o kekahi mau lā, hiki i ka hapanui o nā wahine ke hoʻi i kā lākou hana maʻamau i ka nui o nā hihia.

No kahi kaʻawale kaulike, pono ʻoe e noho i ka haukapila. I ka haukapila:

• E kiaʻi ʻia ka nui o ka naʻau o kāu pēpē.
• Pono paha ʻoe i kahi kōpili.
• Inā hōʻike kāu pēpē i nā hōʻailona o ke kaumaha, hiki i kāu mea hāʻawi ke hoʻokomo i kāu hana ma mua. Inā ʻaʻole hiki iā ʻoe ke hānau hānau, pono ʻoe i kahi ʻāpana C.

ʻO ka abruption placental koʻikoʻi kahi pilikia. Pono ʻoe e lawe koke, ma ka ʻaoʻao ʻo C-ʻāpana. He kākaʻikahi loa ia, akā hiki ke hānau ʻia kahi pēpē inā loaʻa kahi abruption koʻikoʻi.

ʻAʻole hiki iā ʻoe ke pale i ka abruption placental, akā hiki iā ʻoe ke kaohi i nā pilikia e pili ana iā ia e:

• Ka mālama ʻana i ke koko kiʻekiʻe, nā maʻi puʻuwai, a me ka maʻi kō
• ʻAʻole hoʻohana i ka paka, ka wai ʻona, a me ka cocaine
• Ma hope o nā ʻōlelo aʻoaʻo a kāu mea hoʻolako e pili ana i nā ala e hoʻohaʻahaʻa ai i kāu makaʻu inā loaʻa ʻoe i kahi abruption i kahi hāpai mua

Hoʻokaʻawale placental premature; Hoʻokaʻawale Placental; Pākuʻi Placental; Kahe koko - abruption; Hāpai keiki - abruption

• ʻĀpana Cesarean
• Ultrasound i hāpai keiki
• ʻO Anatomy o kahi placenta maʻamau
• Placenta
• Placenta
• Ultrasound, placenta maʻamau - Braxton Hicks
• Ultrasound, fetus maʻamau - nā lima a me nā wāwae
• Ultrasound, placenta hōʻoluʻolu maʻamau
• ʻO Ultrasound, ke kala - nā kaula umbilical maʻamau
• Placenta

ʻO Francois KE, Foley MR. ʻO Antepartum a me ka hemorrhage postpartum. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

Hull AD, Resnik R, kālā RM. ʻO Placenta previa a me accreta, vasa previa, subchorionic hemorrhage, a me abruptio placentae. 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 46.

Salhi BA, Nagrani S. Kūpilikiʻi koʻikoʻi o ka hāpai ʻana. 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 178.

• Nā pilikia olakino i ka hāpai keiki