Wai Amniotic
ʻO ka wai Amniotic kahi wai aniani a melemele e hoʻopuni ana i ka pēpē i hānau ʻole ʻia (fetus) i ka wā hāpai. Loaʻa iā ia i loko o ka ʻeke amniotic.
ʻOiai i loko o ka ʻōpū, lana ka pēpē i ka wai amniotic. ʻO ka nui o ka wai amniotic ma kahi o 34 mau pule (hāpai) i ka hāpai ʻana, ke awelika ʻo 800 mL. Ma kahi o 600 mL o ka wai amniotic e hoʻopuni ana i ka pēpē i ka manawa piha (40 mau pule hānau).
Holo mau ka wai amniotic (circulate) i ka wā e ale ai ka pēpē a "inhale" i ka wai, a laila hoʻokuʻu iā ia.
Kōkua ka wai amniotic:
- ʻO ka pēpē e ulu ana e neʻe i loko o ka ʻōpū, e ʻae ai i ka ulu pono ʻana o ka iwi
- ʻO nā māmā e hoʻomohala pono
- Kāohi i ke kaomi ma luna o ka umbilical cord
- E mālama i kahi mahana mau a puni ka pēpē, e pale ana mai ka pohō wela
- Palekana i ka pēpē mai ka ʻeha ma waho e ka ʻūlū ʻana i nā hahau a i ʻole ka neʻe ʻana
Kāhea ʻia ka wai amniotic nui loa he polyhydramnios. Hiki ke hana i kēia ʻano me nā hāpai ʻana he nui (māhoe a ʻekolu paha), nā anomalies hānau (nā pilikia e kū nei i ka wā e hānau ʻia ai ka pēpē), a i ʻole ka mimikō hānau.
ʻIke ʻia ka wai amniotic liʻiliʻi loa ma ke ʻano he oligohiddramnios. Hiki ke hana i kēia ʻano me nā hāpai hāpai hope loa, nā membrane ruptured, nā wahi o ka placental, a i ʻole nā fetal abnormalities.
Hiki i nā mea kūpono ʻole o ka wai amniotic ke kumu i ke kahu mālama ola e nānā pono i ka hāpai keiki. Ke wehe nei i kahi laʻana o ka wai ma o ka amniocentesis hiki ke hāʻawi i ka ʻike e pili ana i ka moekolohe, ke olakino, a me ka ulu ʻana o ka fetus.
- ʻO Amniocentesis
- Wai Amniotic
- ʻO Polyhydramnios
- Wai Amniotic
Burton GJ, Sibley CP, Jauniaux ERM. Anatomy Placental a me ka physiology. 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 1.
ʻO Gilbert WM. Nā maʻi loli Amniotic. 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 35.
ʻO Ross MG, Beall MH. ʻO ka dynamika fluid amniotic. I: Resnick R, Lockwood CJ, Moore TR, Greene MF, et al, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 4.