ʻO ke kahe o ke kīpē i ka hāpai hope ʻana

Hoʻokahi o nā wahine he 10 e loaʻa i ke kahe wahine i loko o kā lākou trimester 3. I kekahi manawa, he hōʻailona paha ia o kahi pilikia koʻikoʻi. I nā mahina i hala iho nei o ka hāpai ʻana, pono ʻoe e hōʻike mau i ke kahe ʻana i kāu kauka ola.

E hoʻomaopopo ʻoe i ka ʻokoʻa ma waena o ka nānā ʻana a me ke kahe ʻana o ke kahe.

• ʻO ka nānā ʻana ke ʻike ʻoe i kekahi mau kulu koko i kēlā me kēia manawa a ma luna o kou lole komo. ʻAʻole lawa ka uhi ʻana i ka laina panty.
• ʻO ke kahe kahe nui o ke kahe o ke koko. Me ke kahe ʻana o ka toto, pono ʻoe i ka liner a i ʻole ka pale i mea e pale ʻole ai ke koko i kou kapa.

Ke hoʻomaka ka hana, hoʻomaka ka ʻōpū e hāmama hou, a i ʻole pālahalaha. ʻIke paha ʻoe i kahi liʻiliʻi o ke koko i hui pū ʻia me ka hoʻokuʻu maʻamau, a i ʻole ka mucus.

Hoʻokumu pū ʻia ke kahe waena a waena paha e:

• Loaʻa ka moekolohe (ʻo ka nānā pinepine wale ʻana)
• ʻO kahi hoʻokolohua kūloko e kāu mea hāʻawi (ʻike pinepine wale ʻia.
• Nā maʻi a i ʻole nā ​​maʻi o ka ʻōpū a i ʻole ka cervix
• ʻO nā fibroids utterine a i ʻole nā ​​ulu o ka cervix a polyps paha

ʻO nā kumu ʻoi loa o ke kahe ʻana o ka wā hope e komo pū paha:

• ʻO ka Placenta previa kahi pilikia o ka hāpai keiki kahi e ulu ai ka placenta i ka hapa haʻahaʻa o ka ʻōpū (uterus) a uhi i nā mea āpau a ʻāpana paha o ka wehe ʻana o ka cervix.
• Kū ka placenta abruptio (abruption) ke kaʻawale ka placenta mai ka paia o ka kōpū ma mua o ka hānau ʻia ʻana o ka pēpē.

E ʻike ai i ke kumu o kou kahe ʻana o ke kaʻi, pono paha i kāu mea lawelawe e ʻike:

• Inā loaʻa ʻoe i ka cramping, ʻeha, a i ʻole ka ʻaelike
• Inā loaʻa iā ʻoe kekahi kahe koko i kēia wā hāpai
• I ka wā i hoʻomaka ai ke kahe ʻana a hiki mai a hele a hoʻomau mau paha
• Ehia ka nui o ke kahe ʻana o ke koko, a inā he kiko a he kahe nui paha ia
• ʻO ke kala o ke koko (ʻeleʻele a ʻulaʻula ʻulaʻula)
• Inā he pilau i ke koko
• Inā ʻoe i maule, luʻuluʻu a pualu paha, luaʻi, a i loaʻa paha i ka palahī a i ʻole ke kuni
• Inā he mau ʻeha i hala iho nei a hāʻule paha ʻoe
• I ka manawa i moe kolohe ai ʻoe a inā pili ka lua ma hope

ʻO kahi liʻiliʻi o ke kiko ʻana me ka ʻole o nā ʻōuli ʻē aʻe i kū ma hope o ka moekolohe ʻana a i ʻole kahi hōʻike e kāu mea hāʻawi hiki ke nānā ʻia ma ka home. E hana i kēia:

• E kau i kahi pale maʻemaʻe a nānā hou i kēlā me kēia 30 a 60 mau minuke no kekahi mau hola.
• Inā hoʻomau ka ʻike ʻana a i ʻole ke kahe ʻana, e kāhea i kāu mea hāʻawi.
• Inā kaumaha ke kahe, kaumaha ka ʻeha o kou ʻōpū a ʻeha hoʻi, a i ʻole ke loaʻa nei ʻoe i ka ikaika a me ka pinepine o ka hoʻoliʻiliʻi, pono ʻoe e kāhea iā 911.

No nā hoʻokahe ʻē aʻe, e kāhea koke aku i kāu mea hāʻawi.

• E haʻi ʻia iā ʻoe inā e hele i ka lumi pilikia a i ka wahi hana a me ka lawe i kāu haukapila.
• E haʻi aku kāu mea lawelawe iā ʻoe inā hiki iā ʻoe ke hoʻokele iā ʻoe iho a i ʻole e kāhea ʻoe i kahi kaʻa kaʻahua.

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.

ʻO Frank J. Vaginal e kahe ana i ka hopena o ka hāpai ʻana I: Kellerman RD, Bope ET, eds. ʻO Conn's Current Therapy 2018. Piladelapia, PA: Elsevier; 2018: 1138-1139.

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
• ʻO ka maʻi koko