ʻO ke kahe o ke kīnā i ka hāpai ʻana
ʻO ka holo ʻana o ka maʻi ʻōpū i ka hāpai keiki ke hoʻokahe ʻia o ke koko mai ka pūnana i ka wā hāpai.
Hiki i ka 1 i ka 4 mau wahine ke kahe ʻana o ka maʻi ʻōpū i kekahi manawa i ko lākou hāpai ʻana. ʻOi aku ka maʻamau o ke kahe ʻana i nā mahina 3 mua (trimester mua), keu hoʻi me nā māhoe.
Hoʻomaopopo ʻia kahi wahi liʻiliʻi o ke kukui a i ʻole ke kahe ʻana o 10 a 14 mau lā ma hope o ka hapai ʻana. ʻO kēia kahi ʻike ʻana i nā hopena mai ka hua manu momona e hoʻopili iā ia iho i ka uhi o ka kōpū. Ke kuhi nei he māmā a ʻaʻole lōʻihi lōʻihi, ʻaʻole pinepine kēia ʻike ʻana i mea e hopohopo ai.
I loko o nā mahina he 3 i hala, he hōʻailona paha ka heʻe ʻana o ka maʻi ʻōpū o ka hāpai keiki ʻana a i ʻole hāpai ectopic. Kāhea koke aku i ka lawelawe mālama ola.
I nā mahina 4 a i ka 9, hiki i ke kahe ʻana ke hōʻailona o:
- Hoʻokaʻawale ka placenta mai ka paia o loko o ka kōpū ma mua o ka hānau ʻia ʻana o ka pēpē (abruptio placentae)
- Hāʻule hāʻule
- Ka placenta uhi a pau a ʻāpana o ka wehe i ka cervix (placenta previa)
- ʻO Vasa previa (nā kīʻaha koko o ke pēpē e hōʻike ākea a kokoke paha i ka wehe o loko o ka kōpū)
ʻO nā kumu kumu ʻē aʻe o ke kahe ʻana o ka maʻi ʻohe i ka wā hāpai:
- ʻO ka polyp cervical a i ʻole ka ulu ʻana
- Hana mua (hōʻike koko)
- Hāpai keiki Ectopic
- ʻO ka maʻi o ka cervix
- Trauma i ka cervix mai ka moekolohe (ka liʻiliʻi o ke kahe ʻana o ke kahe) a i ʻole ka hoʻāʻo pelvic hou
Hōʻalo i ka moekolohe a haʻi aʻe kāu mea lawelawe iā ʻoe palekana no ka hoʻomaka hou ʻana o ka moekolohe.
E hoʻopau wale i nā wai inā koʻikoʻi ke kahe ʻana a me ka cramping.
Hiki paha iā ʻoe ke ʻoki i kāu hana a i ʻole kau ʻia i ka hoʻomaha moe ma ka home.
- ʻO ka hoʻomaha moe ma ka home no ke koena o kou hāpai ʻana a i ʻole a kū ke kahena.
- Hoʻopau paha ka wahi moe.
- A i ʻole, e ala paha ʻoe e hele i ka lua, e hele wāwae a puni ka hale, a i ʻole nā hana māmā.
ʻAʻole pono ka lāʻau i ka hapanui o nā hihia. Mai lawe i nā lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana i kāu mea hāʻawi.
E kamaʻilio me kāu mea hoʻolako e pili ana i ka mea e nānā ai, e like me ka nui o ke kahe ʻana a me ke kala o ke koko.
Kāhea i kāu mea hāʻawi inā:
- Loaʻa iā ʻoe ke kahe o ke kaʻi i ka wā hāpai. Hana i kēia ma ke ʻano he pilikia kūpilikia.
- Loaʻa iā ʻoe ke kahe o ka maʻi a loaʻa ka placenta previa (e hele koke i ka haukapila).
- He ʻūlū a i ʻole nā ʻeha hana.
E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino.
E loaʻa paha iā ʻoe kahi hōʻike pelvic, a i ʻole ultrasound pū kekahi.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Nā hoʻāʻo koko
- ʻO ke ultrasound hāpai keiki
- Ultrasound o ke pelvis
E kiʻi ʻia ʻoe i kahi loea loea kiʻekiʻe no ka lōʻihi o ka hāpai ʻana.
Hāpai keiki - kahe koko; Kaʻi ʻana o ke koko makuahine - vaginal
- Ultrasound i hāpai keiki
- Anatomia hānau wahine
- ʻO Anatomy o kahi placenta maʻamau
- ʻO Placenta previa
- ʻO ke kahe o ke kīpē i ka wā hāpai
ʻO Francois KE, Foley MR. ʻO Antepartum a me ka hemorrhage postpartum. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 18.
Salhi BA, Nagrani S. Kūpilikiʻi koʻikoʻi i 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.