ʻO Placenta previa

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.

Ulu ka placenta i ka wā hāpai a hānai i ka pēpē e ulu ana. ʻO ka cervix ka puka o ka puka hānau.

I ka wā hāpai, neʻe ka placenta i ka wā e hāpai ai a ulu ai ka ʻōpū. He mea maʻamau ka haʻahaʻa o ka placenta i ka ʻōpū i ka hāpai mua. Akā ke hoʻomau nei ka hāpai ʻana, neʻe ka placenta i luna o ka ʻōpū. I ke kolu o ka trimester, kokoke ka placenta i ka piko o ka ʻōpū, no laila ua hāmama ka cervix no ka lawe ʻana.

I kekahi manawa, uhi ākea ka placenta i ka cervix. Kapa ʻia kēia he previa.

Aia kekahi ʻano o ka placenta previa:

• Pākuʻi: Aia ka placenta i ka cervix akā ʻaʻole uhi ia i ka wehe.
• Māhele: Uhi ka placenta i kahi ʻāpana o ka wehe ʻana o ka haʻi.
• Piha: Hoʻopuni ka placenta i nā wehe āpau o ka haʻi.

Hana ʻia ka placenta previa i 1 mai 200 mau hāpai keiki. ʻOi aku ka maʻamau i nā wahine i loaʻa:

• ʻO kahi kōpū ʻole
• Nui nā hānau hānau i ka wā i hala
• Loaʻa i nā hāpai he nui, e like me nā māhoe a i ʻole nā ​​kolikolu
• Scarring ma ka uhi o ka uterus ma muli o ka mōʻaukala o ke ʻoki, C-ʻāpana, a i ʻole ka hāpai keiki
• I ka hoʻouluulu vitro

ʻO nā wahine puhipaka, hoʻohana ʻana i ka cocaine, a i ʻole nā ​​keiki i ka wā ʻelemakule e hoʻonui pū ʻia paha ka makaʻu.

ʻO ka ʻōuli nui o ka placenta previa ke kahe koke mai ka ʻōpū. He cramp kekahi o nā wahine. Hoʻomaka pinepine ke kahe ʻana i ke koko ma kahi o ka hopena o ka trimester ʻelua a i ʻole ka hoʻomaka ʻana o ka ʻekolu trimester

He koʻikoʻi a he hoʻoweliweli ke ola. Kū paha iā ia iho akā hiki ke hoʻomaka hou i nā lā a i ʻole mau pule ma hope.

Hoʻomaka ka hana i kekahi manawa i loko o kekahi mau lā o ke kahe nui. I kekahi manawa, ʻaʻole hiki ke kahe ʻana a hiki i ka hoʻomaka ʻana o ka hana.

Hiki i kāu mea mālama ola ke hōʻoia i kēia ʻano me ka ultrasound hāpai keiki.

E noʻonoʻo pono kāu mea hāʻawi i ka makaʻu o ke kahe ʻana i ka hānau mua o kāu pēpē. Ma hope o 36 mau pule, ʻo ka hānau ʻana o ka pēpē paha ka lapaʻau maikaʻi loa.

Ma kahi kokoke i nā wahine āpau me ka placenta previa pono i kahi C-ʻāpana. Inā uhi ka placenta i nā mea āpau a ʻāpana paha o ka cervix, hiki i kahi lawe ʻōpū ke kumu i ke kahe ʻana o ke kahe. Hiki ke make kēia i ka makuahine a me ka pēpē.

Inā kokoke ka placenta a i ʻole ke uhi ʻana i ka ʻaoʻao o ka cervix, hiki i kāu mea hāʻawi ke noi aku:

• Ke hōʻemi nei i kāu mau hana
• Hoʻomaha moe
• Hoʻomaha pelvic, ʻo ia hoʻi ʻaʻohe moekolohe, ʻaʻohe tampons, a ʻaʻohe douching

ʻAʻohe mea e kau ʻia i ka lua.

Pono ʻoe e noho i ka haukapila i hiki i kāu hui mālama ola ke nānā pono iā ʻoe a me kāu pēpē.

Nā hana ʻē aʻe i loaʻa iā ʻoe:

• Hoʻokahe koko
• Nā lāʻau e pale ai i ka hana mua
• ʻO nā lāʻau e kōkua i ka hāpai ʻana e hoʻomau i 36 mau pule
• Kaha ʻia o kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Rhogam inā he Rh-maikaʻi ʻole kāu ʻano koko
• Nā pana Steroid e kōkua i nā māmā o ka pēpē e oʻo

Hiki ke hana ʻia kahi ʻāpana C pilikia inā kaumaha ke kahe ʻana a ʻaʻole hiki ke kaohi ʻia.

ʻO ka makaʻu nui loa ka hoʻokahe nui ʻana i ke koko i hiki ke hoʻoweliweli i ke ola i ka makuahine a me ka pēpē. Inā loaʻa ʻoe i ke kahe nui, pono e hānau wawe kāu pēpē, ma mua o ka ulu ʻana o nā mea nui, e like me nā akemāmā.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ke kahe o ka maʻi i ka wā hāpai. Hiki ke weliweli iā Placenta previa iā ʻoe a me kāu pēpē.

Kahe koko - placenta previa; Hāpai keiki - placenta previa

• ʻĀpana Cesarean
• Ultrasound i hāpai keiki
• ʻO Anatomy o kahi placenta maʻamau
• ʻO Placenta previa
• Placenta
• 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: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: 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.