Hewa ʻino - hoʻoweliweli

ʻO kahi hāʻule hoʻoweliweli ʻia kahi kūlana e hōʻike i ka hāʻule ʻole a i ʻole ke kakahiaka nui o ka hāpai ʻana. Hana ʻia ia ma mua o ka hebedoma 20 o ka hāpai keiki.

Loaʻa i kekahi mau wahine hāpai i ke kahe o ke kahe, me ka ʻole o nā ʻōpū o ka ʻōpū, i loko o nā mahina 3 mua o ka hāpai ʻana. Ke hōʻike nā ʻōuli i ka hiki ʻole o ka hāpai keiki, kapa ʻia ke ʻano he "hoʻōla hoʻoweliweli." (Kuhi kēia i kahi hanana kūlohelohe, ʻaʻole ma muli o kahi abortions olakino a i ʻole ka hāpai ʻōpala.)

Kūleʻa ka hāʻawe ʻole. Hiki i nā hāʻule liʻiliʻi, nā ʻeha a i ʻole ke koʻikoʻi i ka manawa o ka trimester mua o ka hāpai ʻana ke kumu o ka hāʻule ʻana o ka hāpai keiki. Hana ʻia ia ma kahi o hoʻokahi hapalua o nā hāpai āpau. ʻOi aku ka kiʻekiʻe o ka hāpai hāpai ʻana i ka wahine ma mua. Ma kahi o ka hapalua o nā wahine e kahe ana ke kahe i ka trimester mua e hānau keiki ʻole.

ʻO nā ʻōuli o kahi hāʻule hoʻoweliweli e hoʻopili ʻia:

• ʻO ke kahe o ka maʻi maʻi i nā hebedoma 20 mua o ka hāpai ʻana (ʻo ka manawa o ka menstrual ma lalo o 20 mau pule i hala). Hiki ke kahe ʻana o ka maʻi ʻōpū ma aneane o nā hāʻule hoʻoweliweli a pau.
• Hiki paha i nā ʻōpū ʻōpū. Inā kū nā ʻōpū o ka ʻōpū i ka loaʻa ʻole o ke kahe nui, e nīnau aku i kāu kauka mālama ola e nānā no nā pilikia ʻē aʻe ma kahi o ka hāʻule ʻole ʻana o ka maʻi.

Kahakaha: I ka wā o ka hāpai keiki ʻole, hiki i ka ʻehaʻeha haʻahaʻa a i ʻole ka ʻeha o ka ʻōpū (ʻūlū i ka ʻoi, paʻa mau). Hiki i ke kele a i ʻole nā ​​mea like me ka lole ke hemo mai ka lua.

Hana paha kāu mea hāʻawi i kahi ultrasound ʻōpū a i ʻole vaginal e nānā i ka ulu a me ka puʻuwai o ka pēpē, a me ka nui o ke kahe ʻana o ke kahe. E hana ʻia paha kahi hōʻike pelvic e nānā i kou cervix.

Hoʻokomo ʻia paha nā hoʻokolohua koko i:

• Hoʻokolohua Beta HCG (helu) (hōʻike hāpai keiki) ma luna o kekahi mau lā a i ʻole mau pule e hōʻoia ai ke hoʻomau nei ka hāpai ʻana
• Helu piha ke koko (CBC) e hoʻoholo i ke alo o ka anemia
• Pae Progesterone
• Helu keokeo keʻokeʻo (WBC) me ka hoʻokaʻawale e kāpae i ka maʻi

Ma waho o ka kaohi ʻana i ke kahe o ke koko, ʻaʻole pono ʻoe i kekahi ʻano lāʻau. Inā Rh Negative ʻoe, a laila hāʻawi ʻia ʻoe i immune globulin. ʻ belelo ʻia ʻoe e hōʻalo a pāpā paha i kekahi mau hana. Paipai pinepine ʻia ka moe kolohe a hiki i ka nalo ʻana o nā hōʻailona hōʻailona.

ʻO ka hapanui o nā wahine me ka hāʻule hoʻoweliweli e hele i kahi hāpai maʻamau.

ʻO nā wahine i loaʻa i nā hāʻule ʻelua a ʻoi paha i ka lālani e ʻoi aku ka nui o ka make ma mua o nā wahine ʻē aʻe.

Komo pū nā pilikia:

• ʻO ka Anemia mai ke kaulike a hiki i ke kahe o ke koko, kahi manawa e koi ai i kahi transfusion.
• Maʻi kīnā.
• Hāʻule hāʻule.
• E mālama pono ke kauka i ka ʻike ʻole ʻia o nā ʻōuli ma muli o ka hāpai ʻana o ka ectopic, kahi pilikia e hoʻoweliweli ai ke ola.

Inā ʻike ʻoe he hāpai paha ʻoe (a he ʻeha paha ʻoe) a loaʻa iā ʻoe kekahi mau ʻōuli o ka hānau hānau hoʻoweliweli, e hoʻopili koke aku i kāu mea hānau.

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hāʻule miscarriages. ʻO ke kumu maʻamau o ka hāʻule ʻana he maʻi maʻamau i loko o ka hāpai hāpai ʻana. Inā loaʻa iā ʻoe ʻelua a ʻoi paha mau hana hoʻopunipuni pinepine hou, pono ʻoe e nīnau i kahi loea e ʻike inā he maʻi hiki ke mālama ʻia e hoʻopuka nei i nā hāʻule ʻole. ʻO nā wahine i loaʻa i ka mālama prenatal ʻoi aku ka maikaʻi o nā hopena hāpai no lākou iho a me kā lākou pēpē.

ʻOi aku ka hāpai o ke olakino ke pale aku ʻoe i nā mea hōʻeha i kou hāpai ʻana, e like me:

• ʻAlekohola
• Nā maʻi maʻi maʻi
• Loaʻa i ka caffeine kiʻekiʻe
• Nā lāʻau hoʻoliʻiliʻi
• Nā kukuna X

Lawe i kahi huaora prenatal a i ʻole folic acid supplement ma mua o ka hāpai ʻana a i loko o kou hāpai ʻana hiki ke hoʻohaʻahaʻa i kou manawa o ka hāpai keiki ʻole a hoʻomaikaʻi i ka manawa o ka hānau ʻana i kahi pēpē olakino.

ʻOi aku ka maikaʻi e mālama i nā pilikia olakino ma mua o kou hāpai ʻana ma mua o ke kali a hiki i kou hāpai ʻana. ʻO nā miscarriages i hoʻokumu ʻia e nā maʻi e hoʻopili i kou kino holoʻokoʻa, e like me ke kahe koko kiʻekiʻe, kākaʻikahi. Akā hiki iā ʻoe ke pale i kēia hana hewa ʻana ma ka ʻike ʻana a mālama ʻana i ka maʻi ma mua o ka hāpai ʻana.

Nā kumu ʻē aʻe i hiki ke hoʻonui i kou makaʻu no ka hāʻule ʻana o ka hāʻule pū me:

• Ka momona
• Nā pilikia thyroid
• Diabetes kāohi ʻole ʻia

Hoʻoweliweli hoʻoweliweli ʻia; Hoʻoweliweli wale i ka hoʻoweliweli; Hoʻoiho keiki - hoʻoweliweli; Hoʻoweliweli hoʻoweliweli; Lilo hāpai hānau mua; Hoʻoiho kōkō

• Hāpai hāpai mua
• Hoʻoweliweli hoʻoweliweli

ʻO Gregory KD, Ramos DE, Jauniaux ERM. Mālama mua ʻana a me ka mālama mua ʻana. 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 6.

ʻO Hobel CJ, Willaims J. Antepartum mālama: mālama mua a me ka mālama prenatal, loiloi genetics a me teratology, a me ka loiloi fetal antenatal. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 7.

Keyhan S, Muasher L, Muasher SJ. ʻO ka hāpai keiki kūlohelohe a me ka nalo ʻana o ka hāpai hāpai hou ʻana: etiology, diagnose, lapaʻau. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 16.

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.