Ke hānau hānai ʻia kāu pēpē

ʻO ka hānau hānau ke make kahi pēpē i loko o ka ʻōpū i nā 20 mau pule hope o ka hāpai ʻana. ʻO ka hāʻule ʻole he poho fetal i ka hapa mua o ka hāpai ʻana.

Ma kahi o 1 i 160 mau hāpai hāpai e hoʻopau i ka hānau hānau. ʻOi aku ka liʻiliʻi o ka hānau hānau ma mua o ka wā ma mua no ka mea ʻoi aku ka maikaʻi o ka mālama hāpai ʻana. A i ka hapalua o ka manawa, ʻaʻole ʻike ʻia ke kumu o ka hānau hānau.

ʻO kekahi mau kumu i hiki ke kumu i ka hānau hānau ʻana:

• Hewa hānau
• Nā chromosome maʻamau
• ʻO ka maʻi i ka makuahine a i ʻole fetus
• Nā ʻeha
• ʻO nā kūlana olakino lōʻihi (mau) i ka makuahine (diabetes, epilepsy, a i ʻole ke koko kiʻekiʻe)
• Nā pilikia me ka placenta i pale i ka fetus mai ka loaʻa ʻana o ka meaʻai (e like me kahi kaʻawale placental)
• Hiki ke lilo i ke koko nui (hemorrhage) i ka makuahine a i ʻole fetus
• Hoʻopaʻi puʻuwai (hopu cardiac) i ka makuahine a i ʻole fetus
• Nā pilikia kaula Umbilical

Nā wahine ma ka makaʻu kiʻekiʻe no ka hānau hānau.

• Ma mua o 35 mau makahiki
• Ua momona
• Ke hāpai nei i nā pēpē he nui (māhoe a ʻoi paha)
• ʻAmelika ʻAmelika
• Ua hānau hānau hānau mua
• Loaʻa i ke koko kiʻekiʻe a diabetes paha
• Loaʻa i nā kūlana olakino ʻē aʻe (e like me lupus)
• Lawe i nā lāʻau

E hoʻohana ka mea mālama ola i kahi ultrasound e hōʻoia ua kū ka puʻuwai o ka pēpē i ka paʻi ʻana. Inā pilikia ka olakino o ka wahine, pono ʻo ia e hānau koke i ka pēpē. Inā ʻole, hiki iā ia ke koho i ka lāʻau e hoʻomaka ai ka hana a i ʻole ke kali no ka hoʻomaka ʻana o ka hana ma kāna iho.

Ma hope o ka lawe ʻana, e nānā ka mea hoʻolako i ka placenta, ka ʻōpū, a me ka umbilical cord no nā hōʻailona o nā pilikia. Noi ʻia nā mākua no ka ʻae e hana hou i nā hoʻokolohua kikoʻī. Hoʻopili paha kēia i nā hoʻokolohua kūloko (autopsy), x-ray, a me nā hoʻokolohua kūlohelohe.

He kūlohelohe ia no nā mākua e hopohopo ʻole e pili ana i kēia mau hoʻokolohua ke hana lākou me ka nalo o kahi pēpē. Akā ke aʻo ʻana i ke kumu o ka hānau hānau hiki ke kōkua i ka wahine i loaʻa kahi pēpē olakino i ka wā e hiki mai ana. Kōkua paha ia i kekahi mau mākua e kūpale i ko lākou nalowale e ʻike i ka mea hiki iā lākou.

ʻO kahi hānau hānau he hanana kaumaha ia no ka ʻohana. Hiki i ke kaumaha o kahi hāpai hāpai ke hāpai i ka makaʻu o ke kaumaha postpartum. Hoʻopilikia ka poʻe i ke kaumaha ma nā ʻano like ʻole. He mea kōkua paha ke kamaʻilio me kāu mea hāʻawi a i ʻole kākāʻōlelo e pili ana i kou mau manaʻo. ʻO nā mea ʻē aʻe i hiki ke kōkua iā ʻoe ma o ke kanikau e:

• E nānā i kou olakino. ʻAi a hiamoe maikaʻi i ikaika ai kou kino.
• E ʻike i nā ala e hōʻike ai i kou mau manaʻo. ʻO ka hui ʻana i kahi hui kākoʻo, ke kamaʻilio ʻana me ka ʻohana a me nā hoaaloha, a me ka mālama ʻana i kahi puke pai kekahi mau ʻano e hōʻike ai i ke kaumaha.
• E aʻo iā ʻoe iho. Ke aʻo e pili ana i ka pilikia, ka mea e hiki ai iā ʻoe ke hana, a pehea e kōkua ai nā poʻe ʻē aʻe iā ʻoe.
• Hāʻawi iā ʻoe iho i ka manawa e hoʻōla ai. ʻO ke kanikau kahi hana. ʻAe e lawe i ka manawa e maikaʻi maikaʻi ai.

ʻO ka hapa nui o nā wahine i hānau i ka hānau hānau make paha e loaʻa i kahi hāpai hāpai olakino i ka wā e hiki mai ana. ʻAʻole hiki ke hana hou i nā pilikia Placenta a me nā kaula a i ʻole nā ​​hemahema chromosome. ʻO kekahi mau mea hiki iā ʻoe ke hana e pale i ka hānau hou ʻana o kekahi:

• E launa me ke kākāʻolelo aʻoaʻo. Inā ua make ka pēpē ma muli o kahi pilikia i hoʻoili ʻia, hiki iā ʻoe ke aʻo i kāu mau pilikia no ka wā e hiki mai ana.
• E kamaʻilio i kāu mea hāʻawi ma mua o kou hāpai ʻana. E hōʻoia i ka mālama maikaʻi ʻana o nā pilikia olakino lōʻihi (mau) e like me ka maʻi kō. E haʻi i kāu mea hoʻolako e pili ana i kāu mau lāʻau āpau, ʻo nā mea āu e kūʻai ai me ka ʻole o ka lāʻau.
• Lilo kaupaona inā ʻoi nui ʻoe. Hāpai ʻo Obesity i ka makaʻu o ka hānau hānau. E noi i kāu mea e hoʻolako pehea e nalowale ai i ke kaumaha ma mua o kou hāpai ʻana.
• Lawe i nā ʻano olakino maikaʻi. ʻO ka puhipaka, inu ʻana, a me ka hoʻohana ʻana i nā lāʻau i ke alanui weliweli i ka wā hāpai. E kōkua i ka haʻalele ʻana ma mua o kou hāpai ʻana.
• E mālama i ka mālama prenatal kūikawā. E nānā pono ʻia nā wahine i hānau hānau hānau ʻia i ka wā hāpai. Pono paha lākou i nā hoʻokolohua kūikawā e nānā i ka ulu a me ka maikaʻi o kā lākou pēpē.

Kāhea i ka mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau pilikia:

• Fiva.
• Kahe keu kahe nui.
• Manaʻo maʻi, hoʻolei i luna, pākī, a i ʻole ʻeha o ka ʻōpū.
• ʻO ke kaumaha a me ka manaʻo e like me ʻoe ʻaʻole hiki ke kū i ka mea i hana ʻia.
• ʻAʻole i neʻe kāu pēpē e like me ka maʻa mau. Ma hope o kāu ʻai ʻana a ʻoiai ʻoe e noho mālie ana, e helu i nā neʻe. ʻO ka maʻamau maʻamau ʻoe e manaʻo i kāu pēpē e neʻe i 10 mau manawa i hoʻokahi hola.

Hānau hānau; Ka make ʻana o Fetal; Hapai keiki - hānau hānau hou

ʻO Reddy UM, Spong CY. Hānau hānau. I: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 45.

Simpson JL, Jauniaux ERM. ʻO ka lilo mua a me ka hānau hānau hou. 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 27.

• Hānau hānau