Nā mea hoʻoili uila

ʻO ka placenta ka loulou ma waena o ka makuahine a me ka pēpē i ka wā hāpai. Lawe nā aʻa a me hoʻokahi aa i loko o ka umbilical cord i ke koko a hoʻi i mua. Inā maʻi ka pēpē hou ma hope pono o ka hānau ʻana, kau ʻia kahi catheter.

ʻO kahi catheter kahi paipu lōʻihi, palupalu, puha. ʻO kahi catheter umbilical artery (UAC) i ʻae ʻia e lawe i ke koko mai kahi pēpē i nā manawa like ʻole, me ka ʻole o nā lāʻau o ka nila. Hiki nō ke hoʻohana ʻia e nānā mau ai i ke kahe o ke pēpē.

Hoʻohana pinepine ʻia kahi catheter umbilical artery inā:

• Pono ka pēpē i ke kōkua hanu.
• Pono ka pēpē i nā kinoea koko a me ka nānā ʻia o ke kaomi koko.
• Pono ka pēpē i nā lāʻau ikaika no ke kahe o ke koko.

Hāʻawi kahi catheter venous umbilical (UVC) i nā wai a me nā lāʻau e hāʻawi ʻia me ka ʻole o ka hoʻololi pinepine ʻana i kahi laina intravenous (IV).

Hiki ke hoʻohana ʻia kahi catheter umbilical venous inā:

• Maikaʻi loa ka pēpē.
• Loaʻa i ka pēpē nā pilikia ʻōpū e pale i ka hānai ʻana.
• Pono ka pēpē i nā lāʻau ikaika loa.
• Pono ka pēpē i ka transfusion exchange.

PEHEA NĀ KAHI HUWAI UMBILIC.

ʻElua mau aʻa aʻa a me hoʻokahi aʻa umbilical i ka umbilical cord. Ma hope o ka ʻoki ʻia ʻana o ka umbilical cord, hiki i ka mea mālama ola ke loaʻa i kēia mau moku koko. Hoʻokomo ʻia nā catheters i loko o ke kīʻaha koko, a lawe ʻia ka x-ray e hoʻoholo i ke kūlana hope loa. I ka manawa kūpono o nā catheters, hoʻopaʻa ʻia lākou me ka pae silika. I kekahi manawa, hoʻopaʻa ʻia nā catheters i ka ʻōpū o ka pēpē.

He aha nā pilikia o nā CATHETERS UMBILICAL?

Komo pū nā pilikia:

• ʻO ke keʻakeʻa o ke kahe o ke koko i kahi ʻōpala (ʻōpū, nā konā, ke ake) a i ʻole ka lālā (ka wāwae a i ʻole ka hope o ka hope)
• Koko koko ma ka pōpoki
• Maʻi kīnā

Hiki i nā pilikia o ke kahe o ke kahe a me ke koko ke hoʻoweliweli i ke ola a koi i ka hemo ʻana o ka UAC. Mālama pono nā kahu hānai ʻo NICU i kāu pēpē no kēia mau pilikia kūpono.

UAC; UVC

• Pahu lulu uila

Miller JH, Moake M. Nā Kaʻina Hana. I: Ka Haukapila ʻo Johns Hopkins; Hughes HK, Kahl LK, hoʻoponopono. ʻO ka Halemai ʻo Johns Hopkins: Ka puke lima ʻo Harriet Lane. 21st ed. Piladelapia, PA: Elsevier; 2018: chap 3.

Santillanes G, Claudius I. Hiki i nā vaskular ke kōkua o ke keiki a me nā hana laʻana koko. In: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 19.

ʻO Whiting CH. ʻO ka catheterization moku Umbilical. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 165.