ʻO Polyhydramnios

Hana ʻia nā Polyhydramnios ke kūkulu ʻia ka wai amniotic nui loa i ka wā hāpai. Kāhea ʻia ʻo ia ʻo ka maʻi amniotic fluid, a i ʻole hydramnios.

ʻO ka wai Amniotic ka wai e hoʻopuni i ka pēpē i loko o ka ʻōpū (kōpū). Hele mai ia mai nā puʻupaʻa o ke pēpē, a hele i loko o ka kōpū mai ka mimi o ka pēpē. Hoʻokomo ʻia ka wai i ka wā e ale ai ka pēpē iā ia a ma o nā neʻe hanu ʻana.

ʻOiai i loko o ka ʻōpū, lana ka pēpē i ka wai amniotic. Hoʻopuni ia a cushions i ka pēpē i ka wā hāpai. ʻO ka nui o ka wai amniotic ma 34 a 36 mau pule o ka hāpai ʻana. A laila e emi mālie ka nui a hānau ka pēpē.

ʻO ka wai amniotic:

• ʻAe i ka pēpē e neʻe i loko o ka ʻōpū, e hāpai ana i ka ulu ʻana o nā mākala a me ka iwi
• Kōkua i nā māmā o ka pēpē e hoʻomohala
• Pale i ka pēpē mai ka pohō wela ma ka mālama mau ʻana i ka mahana
• Pale a pale aku i ka pēpē mai ka lele koke ʻana mai waho o ka ʻōpū

Hiki i nā Polyhydramnios ke hana inā ʻaʻole e ale ke pēpē a omo i ka wai amniotic i nā helu maʻamau. Hiki i kēia ke hana inā loaʻa kekahi pilikia olakino i ka pēpē, e like me:

• ʻO nā maʻi Gastrointestinal, e like me atodia duodenal, atresia esophageal, gastroschisis, a me diaphragmatic hernia
• Nā pilikia o ka lolo a me nā ʻōnaehana, e like me ka anencephaly a me ka myotonic dystrophy
• Achondroplasia
• Beckwith-Wiedemann maʻi

Hiki iā ia ke hana inā loaʻa ʻole ka maʻi diabetes i ka makuahine.

Hiki paha i nā Polyhydramnios ke hana ʻia inā nui ka wai. Pili paha kēia i:

• ʻO kekahi mau maʻi maʻi māmā i loko o ka pēpē
• Hānau hānai he nui (e laʻa me nā māhoe a i ʻole triplets)
• ʻO Hydrops fetalis i ka pēpē

I kekahi manawa, ʻaʻohe kumu kikoʻī i loaʻa.

Kāhea i kāu mea mālama ola inā hāpai ʻoe a nānā e ulu wikiwiki ana kou ʻōpū.

Ana kāu mea hāʻawi i ka nui o kou ʻōpū i kēlā me kēia kipa. Hōʻike kēia i ka nui o kāu ʻōpū. Inā ulu wikiwiki kou ʻōpū ma mua o ka mea i manaʻo ʻia, a ʻoi aku ka nui ma mua o ka maʻamau no ka hānau hānau o kāu pēpē, hiki i ka mea hāʻawi ke:

• Ua hoʻi mai ʻoe ma mua o ka maʻamau e nānā hou
• Hana i kahi ultrasound

Inā loaʻa i kāu mea hāʻawi kahi kīnā hānau, pono ʻoe i ka amniocentesis e hoʻāʻo no kahi kīnā o ka ʻaoʻao.

ʻO nā polyhydramnios māmā e hōʻike ma hope i ka hāpai hāpai ʻana ʻaʻole pinepine i nā pilikia koʻikoʻi.

Hiki ke mālama ʻia nā polyhydramnios koʻikoʻi me ka lāʻau a i ʻole ka lawe ʻia ʻana o kahi wai keu.

ʻO nā wahine me ka polyhydramnios e hele i ka hana mua. Pono e hānau i ka pēpē i kahi haukapila. ʻO kēlā ala, hiki i nā mea hoʻolako ke nānā koke i ke olakino o ka makuahine a me ka pēpē a hāʻawi i ka lāʻau inā pono.

Hāpai keiki - polyhydramnios; Hydramnios - polyhydramnios

• ʻO Polyhydramnios

ʻO Buhimschi CS, Mesiano S, Muglia LJ. ʻO Pathogenesis o ka hānau mua ʻole. 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 7.

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 Suhrie KR, Tabbah SM. Ka ʻōpū. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 115.