Ka lawa ʻole o ka Placental

ʻO ka placenta ka loulou ma waena o ʻolua a me kāu pēpē. Ke holo ʻole ka placenta e like me ka mea e pono ai, hiki i kāu pēpē ke loaʻa i ka oxygen a me nā huaʻai mai iā ʻoe. ʻO ka hopena, hiki i kāu pēpē ke:

• ʻAʻole ulu maikaʻi
• Hōʻike i nā hōʻailona o ke koʻikoʻi fetal (ʻo kēia ka hana ʻole o ka puʻuwai o ka pēpē maʻamau)
• E loaʻa ka manawa paʻakikī i ka wā hana

ʻAʻole holo maikaʻi paha ka placenta, ma muli o nā pilikia hāpai a i ʻole nā ​​ʻano nohona. Pākuʻi ʻia kēia mau mea:

• Diabetes
• E hala ana i kāu lā kūpono
• ʻO ke koko kiʻekiʻe i ka wā hāpai (i kapa ʻia ʻo preeclampsia)
• ʻO nā kūlana olakino e hoʻonui ai i ka manawa o ka hū o ke koko o ka makuahine
• Puhipaka
• Lawe i ka cocaine a i ʻole nā ​​lāʻau ʻē aʻe

Hiki i kekahi mau lāʻau ke hoʻonui i ka makaʻu o ka lawa ʻole o ka placental.

I kekahi mau hihia, ka placenta:

• Loaʻa paha kahi ʻano kino ʻole
• ʻAʻole hiki ke ulu nui (ʻoi aku paha inā lawe ʻoe i nā māhoe a i ʻole nā ​​lehulehu ʻē aʻe)
• ʻAʻole pili pono i ka ʻili o ka ʻōpū
• Haki mai ka ʻili o ka ʻōpū a i ʻole ka wā wīwī ʻole

ʻO ka wahine me ka lawa ʻole o ka placenta ʻaʻohe ona ʻōuli. Eia nō naʻe, ʻo kekahi mau maʻi, e like me preeclampsia, hiki ke lilo i hōʻailona, ​​hiki ke hana i ka lawa ʻole o ka placenta.

E ana ana kāu mea mālama ola i ka nui o kou ʻōpū e ulu ana (uterus) i kēlā me kēia kipa, e hoʻomaka ana ma kahi o ka hapalua o kou hāpai ʻana.

Inā ʻaʻole ulu kou uterus e like me ka mea i manaʻo ʻia, e hana ʻia kahi ultrasound hāpai keiki. E ana kēia ho'āʻo i ka nui a me ka ulu ʻana o kāu pēpē, a nānā i ka nui a me ke kau ʻana o ka placenta.

ʻO nā manawa ʻē aʻe, hiki ke loaʻa nā pilikia me ka placenta a i ʻole ka ulu ʻana o kāu pēpē ma kahi ultrasound maʻamau i hana ʻia i kou wā hāpai.

Ma kēlā a me kēia ala, e kauoha kāu mea hāʻawi i nā hoʻokolohua e nānā pehea ka maikaʻi o kāu pēpē. Hōʻike paha nā hōʻike i ka hana a olakino o kāu pēpē, a maʻamau ka nui o ka wai amniotic.A i ʻole, hiki i kēia mau hoʻāʻo ke hōʻike he pilikia ko ka pēpē.

Nonoi ʻia ʻoe e mālama i kahi moʻolelo o kēlā me kēia lā o ka neʻe a kiki paha o kāu pēpē.

ʻO nā kaʻina hana hou e hilinaʻi ai kāu mea lawelawe:

• Nā hopena o nā hoʻāʻo
• ʻO kou lā palena pau
• Nā pilikia ʻē aʻe i loaʻa, e like me ke kiʻekiʻe o ke koko a me ka maʻi kō

Inā ʻoi aku ka nui o kāu hāpai ma mua o 37 mau pule a hōʻike nā hoʻokolohua ʻaʻole kaukaʻi nui kāu pēpē, hoʻoholo paha kāu mea lawelawe e kali lōʻihi. I kekahi manawa pono ʻoe e hoʻomaha hou. E hōʻoia pinepine ʻia ʻoe e hōʻoia i ka maikaʻi o kāu pēpē. ʻO ka mālama ʻana i ke koko kiʻekiʻe a i ʻole ka maʻi kō paha e kōkua pū paha i ka ulu ʻana o ka pēpē.

Inā hala kāu hapai ma mua o 37 mau pule a hōʻike paha i ka maikaʻi ʻole o kāu pēpē, makemake paha kāu mea e hāʻawi i kāu pēpē. Hoʻokomo ʻia paha ka hana (hāʻawi ʻia ʻoe i ka lāʻau e hoʻomaka ai ka hana), a i ʻole pono ʻoe e hāʻawi i kahi cesarean (ʻāpana C).

Hiki i nā pilikia me ka placenta ke hoʻopili i ka ulu ʻana o ka pēpē ulu. ʻAʻole hiki i ka pēpē ke ulu a ulu maʻamau i loko o ka ʻōpū inā ʻaʻole lawa ka oxygen a me nā mea momona.

Ke kū kēia, kāhea ʻia ia ka palena ulu ulu intrauterine (IUGR). Hoʻonui kēia i nā manawa o nā pilikia i ka wā hāpai a me ka hānau ʻana.

ʻO ka mālama ʻana i ka prenatal mālama mua i ka hāpai ʻana e kōkua ia e hōʻoia i ke olakino o ka makuahine ma mua o ka wā hāpai.

Hiki i ke puhipaka, ka waiʻona, a me nā lāʻau leʻaleʻa ʻē aʻe ke hoʻopilikia i ka ulu ʻana o ka pēpē. ʻO ka pale ʻana i kēia mau mea e kōkua i ka pale ʻana i ka lawa ʻole o ka placental a me nā pilikia o ka hāpai ʻana.

Ka hana a ka maʻi Placental; Ka lawa ʻole o ka vaskular Uteroplacental; ʻO Oligohidamnios

• ʻO Anatomy o kahi placenta maʻamau
• Placenta

Kamana JR, Lala DW. Nā maʻi vaskular Collagen i ka hāpai 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 46.

Lausman A, Aupuni J; Kōmike Hoʻoiho Fetal Maternal, et al. Ka palena o ka ulu Intrauterine: kānana, ʻike, a me ka hoʻokele. ʻO J Obstet Gynaecol Can. 2013; 35 (8): 741-748. PMID: 24007710 www.ncbi.nlm.nih.gov/pubmed/24007710.

ʻO Rampersad R, Macones GA. Lōʻihi a me ka hāpai hāpai hope. 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 36.

ʻO Resnik R. Intrauterine ulu kapu. 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 47.