Kaohi ulu ulu Intrauterine

ʻO ke kaohi ulu ulu Intrauterine (IUGR) pili i ka ulu maikaʻi ʻole o kahi pēpē ʻoiai i ka ʻōpū o ka makuahine i ka wā hāpai.

Hiki i nā mea like ʻole ke alakaʻi i ka IUGR. ʻAʻole paha lawa ka oxygen a me ka meaʻai o ka pēpē i hānau ʻole ʻia mai ka placenta i ka wā hāpai.

• Kiʻekiʻena kiʻekiʻe
• Hānau hānai he nui, e like me nā māhoe a i ʻole nā ​​kolikolu
• Nā pilikia Placenta
• Preeclampsia a i ʻole eclampsia

ʻO nā pilikia i ka wā hānau (nā maʻi ʻōiwi) a i ʻole nā ​​pilikia chromosome e pili pinepine ʻia me ka kaupaona ma lalo-maʻamau. Hiki i nā maʻi i ka wā hāpai ke hoʻopili i ke kaumaha o ka pēpē e ulu ana. Pākuʻi ʻia kēia mau mea:

• Cytomegalovirus
• ʻO Rubella
• Syphilis
• Toxoplasmosis

Nā kumuhana kūpilikiʻi i ka makuahine e hāʻawi i IUGR i loko:

• ʻIno ʻino
• Puhipaka
• Hoʻopilikia lāʻau
• Nā maʻi maʻi
• ʻO ke koko kiʻekiʻe a i ʻole nā ​​maʻi puʻuwai
• Diabetes
• ʻO ka maʻi kīwī
• ʻAnoʻai maikaʻi ʻole
• Nā maʻi maʻi ʻē aʻe

Inā liʻiliʻi ka makuahine, he mea maʻamau paha ka liʻiliʻi o kāna pēpē, akā ʻaʻole kēia na IUGR.

Kaukaʻi ʻia i ke kumu o ka IUGR, liʻiliʻi paha ka pēpē hoʻomohala ma nā wahi āpau. A i ʻole, he poʻo maʻamau paha ke poʻo o ka pēpē ʻoiai ke liʻiliʻi o ke koena o ke kino.

Manaʻo paha ka wahine hāpai ʻaʻole nui kāna pēpē e like me ka nui. ʻO ke ana ʻana mai ka iwi pubic o ka makuahine a i ka piko o ka kōpū e liʻiliʻi ia ma mua o ka mea i manaʻo ʻia no ka wā hānau o ka pēpē. Kapa ʻia kēia ana ka kiʻekiʻe o ke kālā uterine.

Hoʻohuoi ʻia ʻo IUGR inā liʻiliʻi ka nui o ka kōpū o ka wahine hāpai. Hoʻopaʻa pinepine ʻia ke ʻano e ultrasound.

Pono paha nā ho'āʻo hou aʻe e nānā no ka maʻi a i ʻole nā ​​pilikia kūpuna inā manaʻo ʻia ʻo IUGR.

Hoʻonui ka IUGR i ka makaʻu e make ka pēpē i loko o ka ʻōpū ma mua o ka hānau ʻana. Inā manaʻo kāu kauka olakino he IUGR kāu, e kiaʻi pono ʻia ʻoe. E hoʻopili kēia i nā ultrasounds hāpai mau e ana i ka ulu ʻana o ka pēpē, ka neʻe ʻana, ke kahe o ke koko, a me ka wai a puni ka pēpē.

E hana ʻia hoʻi ka hoʻāʻo Nonstress. Hoʻopili kēia i ka hoʻolohe ʻana i ka puʻuwai o ka pēpē no kahi manawa o 20 a 30 mau minuke.

Kaukaʻi ʻia i nā hopena o kēia mau hoʻāʻo, pono e hānau mua kāu pēpē.

Ma hope o ka lawe ʻana, ulu ka ulu a hānau hou a pili i ka paʻakikī a me ke kumu o ka IUGR. Kūkākūkā i ka nānā ʻana o ka pēpē me kāu poʻe hāʻawi.

Hoʻonui ka IUGR i ka makaʻu o ka hāpai keiki a me nā pilikia hānau hou, ma muli o ke kumu. ʻO nā pēpē ka mea i kapu ka ulu ʻana e lilo i mea koʻikoʻi i ka wā o ka hana a pono i ka lawe ʻana i ka ʻāpana C.

E kāhea koke aku i kāu mea hāʻawi inā hāpai ʻoe a ʻike ʻoe i ka neʻe ʻana o ka pēpē ma mua o ka maʻamau.

Ma hope o ka hānau ʻana, kāhea i kāu mea hāʻawi inā ʻaʻole e ulu a ulu paha kāu keiki pēpē maʻamau.

E kōkua ana ka hahai ʻana i kēia mau alakaʻi i ka pale ʻana iā IUGR:

• Mai inu i ka ʻalekohola, puhipaka, a hoʻohana i nā lāʻau leʻaleʻa.
• ʻAi i nā meaʻai olakino.
• E mālama i ka mālama prenatal maʻamau.
• Inā loaʻa ʻoe i kahi maʻi olakino mau a i ʻole lawe pinepine ʻoe i nā lāʻau i kuhikuhi ʻia, e ʻike i kāu mea hāʻawi ma mua o kou hāpai ʻana. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā pilikia i kou hāpai ʻana a me kāu pēpē.

Hoʻonui ka ulu ulu Intrauterine; IUGR; Hāpai - IUGR

• Ultrasound, pēpē maʻamau - ana ʻōpū
• Ultrasound, fetus maʻamau - ka lima a me nā wāwae
• Ultrasound, pēpē maʻamau - alo
• Ultrasound, fetus maʻamau - ana wahine
• Ultrasound, pēpē maʻamau - ka wāwae
• Ultrasound, fetus maʻamau - nā ana poʻo
• Ultrasound, fetus maʻamau - nā lima a me nā wāwae
• Ultrasound, fetus maʻamau - ʻike ʻike
• Ultrasound, fetus maʻamau - iwi kuamoʻo a me nā iwi ʻaoʻao
• Ultrasound, fetus maʻamau - ventricle o ka lolo

Baschat AA, Galan HL. Kaohi ulu ulu Intrauterine. 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 33.

ʻO Carlo WA. ʻO ke keiki hānai kiʻekiʻe. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 97.