Hāʻule hāʻule
ʻO ka hāʻule ʻole ka nalowale ʻana o kahi pēpē ma mua o ka hebedoma 20 o ka hāpai ʻana (kapa ʻia nā pohō hāpai ma hope o ka hebedoma 20) he hānau hānau). He hanana kūlohelohe ka miscarriage, ʻaʻole like me ka hoʻōla a me ka hoʻōki kino.
Hiki ke kapa ʻia ka hāʻule ʻole he "abortual spontan." ʻO nā huaʻōlelo ʻē aʻe no ka nalo mua ʻana o ka hāpai keiki:
- Hoʻopau hoʻopau: ʻO nā huahana āpau (kele) o ka hapai haʻalele ʻana i ke kino.
- Hoʻopau kīnā ʻole: ʻO kekahi o nā huahana o ka hāpai ʻana haʻalele i ke kino.
- Hiki ʻole ke hoʻopau ʻia nā ʻōuli: a hiki i kahi hāʻule ʻole.
- Infected (septic) abortion: ka uhi ʻana o ka ʻōpū (uterus) a me nā huahana i koe o ka hapai ʻana i maʻi.
- Hōʻalo hapa ʻole: ua nalowale ka hāpai ʻana a ʻaʻole nā huahana o ka hapai ʻana e haʻalele i ke kino.
Hiki paha i kāu kauka olakino ke hoʻohana i ka huaʻōlelo "hoʻoweliweli i ka hāpai keiki ʻole." ʻO nā ʻōuli o kēia ʻano he ʻōpū o ka ʻōpū me ka ʻole a me ka ʻole o ke kahe ʻana o ka ʻōpū. He hōʻailona lākou e hiki ai i kahi hāpai keiki.
Hoʻokumu ʻia ka hapa nui o nā hāʻule ʻole e nā pilikia chromosome e hiki ʻole ai i ka pēpē ke ulu. I nā hihia kakaikahi, pili kēia mau pilikia i nā genes o ka makuahine a makua paha.
Hiki i nā kumu kumu ʻē aʻe o ka hāʻule ʻole ke komo pū:
- Hana ʻino a me ka ʻalekohola
- Hōʻike i nā toxins kaiapuni
- Nā pilikia Hormone
- Maʻi kīnā
- Kaumaha kaumaha
- Nā pilikia o ke kino me nā kino hānau o ka makuahine
- Ka pilikia me ka pale o ke kino
- ʻO nā maʻi ākea ākea (ʻōnaehana) i ka makuahine (e like me ka maʻi kōkō ʻole ʻole)
- Puhipaka
Ma kahi o ka hapalua o nā hua momona a pau a make a nalowale (hoʻopau ʻia) me ka maʻamau, ma mua o ka ʻike o ka wahine ua hāpai ʻo ia. Ma waena o nā wahine ʻike he hāpai lākou, ma kahi o 10% a 25% e loaʻa ʻole kahi hānau hānau. ʻO ka hapa nui o nā hāpai ʻole e hana ʻia ma nā pule he 7 o ka hāpai ʻana. ʻO ke ana o ka hāʻule hāʻule ʻana ma hope o ka ʻike ʻia o ka puʻuwai o ka pēpē.
ʻOi aku ka makaʻu o ka hāʻule ʻole:
- I nā wahine i ʻelemakule - Hoʻonui ka makaʻi ma hope o 30 mau makahiki a lilo i ʻoi aku ka nui ma waena o 35 a 40 mau makahiki, a kiʻekiʻe loa ma hope o 40 mau makahiki.
- I nā wahine i loaʻa i kekahi mau hānau hewa.
Hiki i nā ʻōuli kūpono o ka hāpai keiki ʻole ke komo pū:
- ʻEha ʻeha haʻahaʻa a ʻeha hoʻi o ka ʻōpū
- ʻO ka pehu a i ʻole nā mea like me ka lole e hele aʻe mai ka lua
- ʻO ke kahe o ke kīpē, me ka ʻole o nā ʻōpū o ka ʻōpū
I ka wā o kahi hōʻike pelvic, ʻike paha kāu mea hāʻawi ua wehe ʻia kāu cervix (dilated) a lahilahi ʻia (effence).
Hiki ke hana ʻia i ka ultrasound ʻōpū a i ʻole vaginal e nānā ai i ka ulu a me ka puʻuwai o ka pēpē, a me ka nui o kou kahe ʻana.
Hiki ke hana i nā hoʻokolohua koko aʻe:
- ʻO ke ʻano o ke koko (inā loaʻa iā ʻoe kahi ʻano koko Rh-maikaʻi ʻole, pono ʻoe i kahi lāʻau me Rh-immune globulin).
- Helu piha ke koko (CBC) e hoʻoholo i ka nui o ke kahe o ke koko.
- HCG (qualitative) e hōʻoia i ka hāpai ʻana.
- Hana ʻia ʻo HCG (helu) i kēlā me kēia lā i nā pule he nui.
- Helu keokeo (WBC) a me nā mea ʻokoʻa e kāpae i ka maʻi.
Ke hiki i kahi hāʻule ʻole, pono e nānā i ke kiko. Hana ʻia kēia e hoʻoholo inā he placenta maʻamau a i ʻole kahi mole hydatidiform (kahi ulu ulu ʻole i hana ʻia i loko o ka ʻōpū i ka wā mua o ka hāpai ʻana). He mea nui nō hoʻi e ʻike inā e waiho ana kekahi i loko o ka kōpū. I nā hihia kakaikahi hiki i kahi hāpai hāpai ectopic ke nānā aku e like me ka hāpai keiki ʻole. Inā ua hala ʻoe i ke kino, e nīnau i kāu mea hāʻawi inā hoʻouna ʻia kaʻiʻo no ka hoʻāʻo genetic. He kōkua paha kēia e hoʻoholo inā aia kahi kumu kūpono o ka hāpai ʻana i ka hāpai ʻole.
Inā haʻalele ʻole ka ʻōpū hāpai i ke kino, e nānā pono ʻia ʻoe a hiki i 2 mau pule. ʻO ke ʻoki (cuructionage omo, D a me C) a i ʻole lāʻau e pono ai e hemo i nā mea i koe mai kou ʻōpū.
Ma hope o ka hoʻomaʻamaʻa, hoʻomau pinepine nā wahine i kā lākou maʻamau maʻamau ma waena o 4 a 6 mau pule. Pono e nānā pono ʻia kekahi kahe ʻana o ke kahe. Hiki pinepine ke hāpai koke. Manaʻo ʻia ʻoe e kali i kahi pōʻai menstrual maʻamau ma mua o ka hoʻāʻo ʻana e hāpai hou.
I nā hanana kakaʻikahi, ʻike ʻia nā pilikia o ka hāpai keiki ʻole.
Hiki ke hana i kahi hāpai maʻi maʻi inā pili kekahi o nā placenta a i ʻole fetus i loko o ka kōpū ma hope o ka hānau ʻole ʻana. ʻO nā ʻōuli o kahi maʻi e pili ana i ke kuni, ke kahe o ke kahe e kū ʻole, cramping, a me kahi hoʻokuʻu pilau ʻaʻala. Hiki i nā maʻi ʻino ke koʻikoʻi a pono i ka lāʻau lapaʻau koke.
ʻO nā wahine i lilo i kahi pēpē ma hope o 20 mau pule o ka hāpai ʻana e loaʻa ka mālama olakino ʻokoʻa. Kāhea ʻia kēia ka hānau mua a i ʻole ka make ʻana o ka fetal. Pono kēia i ka lāʻau lapaʻau koke.
Ma hope o ka hāʻule ʻole ʻana o ke keiki, kaumaha paha nā wahine a me kā lākou mau hoa. He maʻamau kēia. Inā ʻaʻole e hele a hele a ʻino ʻole paha kou mau manaʻo kaumaha, e ʻimi i nā ʻōlelo aʻoaʻo mai ka ʻohana a me nā hoa aloha a me kāu mea hāʻawi. Eia nō naʻe, no ka hapanui o nā kāne, ʻaʻole e hōʻemi kahi moʻolelo o ka hāʻule hāʻule ʻana i nā manawa o ka loaʻa ʻana o kahi pēpē olakino i ka wā e hiki mai ana.
Kāhea i kāu mea hāʻawi inā ʻoe:
- Loaʻa i ke kahe o ka maʻi pū me ka ʻole o ka cramping i ka wā hāpai.
- Hāpai ʻoe a nānā i nā mea a i ʻole nā mea like-lole e hele ma waena o kāu wahine. E hōʻiliʻili i nā mea a lawe mai i kāu mea hāʻawi no ka hoʻokolokolo.
ʻO ka wanaʻao, ka mālama prenatal piha ka pale maikaʻi loa no nā pilikia o ka hāpai ʻana, e like me ka hānau ʻole ʻana.
Hiki ke pale ʻia nā miscarriages i hoʻokumu ʻia e nā maʻi ʻōnaehana e ka ʻimi ʻana a me ka mālama ʻana i ka maʻi ma mua o ka hāpai ʻana o ka hāpai.
ʻOi aku ka liʻiliʻi o nā miscarriages ke hōʻalo ʻoe i nā mea hōʻeha i kou hāpai ʻana. Hoʻopili kēia i nā x-ray, nā lāʻau leʻaleʻa, ʻalekohola, lawe ʻana i ka caffeine kiʻekiʻe, a me nā maʻi lele.
Ke paʻakikī ka kino o ka makuahine i ka mālama ʻana i ka hāpai ʻana, hiki mai nā hōʻailona e like me ke kahe ʻana o ke kahe liʻiliʻi. ʻO ke kumu o kēia aia ka makaʻu o ka hāʻule ʻole. Akā ʻaʻole ia he manaʻo e kū maoli kekahi. ʻO ka wahine hāpai e hoʻomohala i nā hōʻailona a i ʻole nā hōʻailona o ka hāʻule ʻole o ka hoʻoweliweli e hoʻokaʻaʻike koke aku i kāna mea nāna e hānau.
Lawe i kahi huaora prenatal a i ʻole folic acid supplement ma mua o kou hāpai ʻana hiki ke hoʻohaʻahaʻa nui i nā manawa kūpono o ka hāpai ʻana a me kekahi mau kīnā hānau.
Abortion - kūlohelohe; Hoʻoipo kūlohelohe; Hoʻoilo keiki - hala; Abortion - piha ʻole; Abortion - piha; Abortion - hiki ʻole ke alo aʻe; Abortion - maʻi maʻi; Ua haʻalele ʻia ka hāpai keiki; Hoʻopau kīnā ʻole; Hoʻopau piha; Hoʻokiʻiliʻi kūpono ʻole; Hoʻopilikia maʻi
- Anatomy uterine maʻamau (ʻoki ʻoki)
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