Fetal echocardiography

ʻO kahi Fetch echocardiography kahi hōʻike e hoʻohana ai i nā nalu kani (ultrasound) e loiloi i ka puʻuwai o ka pēpē no nā pilikia ma mua o ka hānau ʻana.

ʻO ka Fetch echocardiography kahi hōʻike i hana ʻia i ka wā e noho ana ka pēpē i loko o ka ʻōpū. Hana pinepine ʻia i ka lua o ka trimester o ka hāpai ʻana. ʻO kēia kahi wahine ma kahi o 18 a 24 mau pule hāpai.

Ua like ke kaʻina hana me ka ultrasound hāpai keiki. E moe ʻoe i lalo no ka hana.

Hiki ke hoʻokō ʻia ka hoʻāʻo ma kou ʻōpū (ʻōpū ultrasound) a i ʻole ma o kāu ʻōpala (ultrasound transvaginal).

I loko o kahi ultrasound ʻōpū, hoʻokau ke kanaka i ka hoʻokolohua i kahi gel moʻo wai ma luna o kou ʻōpū. Hoʻoneʻe ʻia kahi kuʻina lima paʻa ma luna o ka wahi. Hoʻouna ka probe i nā nalu kani, e kīkē ana i ka puʻuwai o ka pēpē a hana i kiʻi o ka puʻuwai ma ka pakuhi kamepiula.

I loko o kahi ultrasound transvaginal, hoʻonoho ʻia kahi kuʻina liʻiliʻi loa i loko o ka ʻōpū. Hiki ke hana ʻia kahi ultrasound transvaginal ma mua i ka hāpai ʻana a hana i kahi kiʻi akāka ma mua o kahi ultrasound ʻōpū.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

ʻIke paha ke gel gel i ke anuanu a pulu hoʻi. ʻAʻole ʻoe e ʻike i nā nalu ultrasound.

Hana ʻia kēia hoʻāʻo e ʻike i kahi pilikia puʻuwai ma mua o ka hānau ʻana o ka pēpē. Hiki iā ia ke hāʻawi i kahi kiʻi kikoʻī o ka puʻuwai o ka pēpē ma mua o kahi ultrasound hāpai mau.

Hiki i ke hōʻike ke hōʻike:

• Holo ke koko i loko o ka puʻuwai
• Puʻuwai puʻuwai
• Nā hanana o ka puʻuwai o ka pēpē

Hana ʻia ka hōʻike inā:

• Loaʻa i kahi makua, hoahānau a ʻohana ʻohana ʻē aʻe paha i kīnā ʻole ka puʻuwai a i ʻole maʻi maʻi puʻuwai.
• ʻIke ʻia kahi ultrasound hāpai maʻamau i kahi puʻuwai puʻuwai abnormal a i ʻole pilikia pilikia puʻuwai i ka pēpē i hānau ʻole ʻia.
• He maʻi diabetes ka makuahine (ma mua o ka hāpai ʻana), lupus, a i ʻole phenylketonuria.
• He rubella ko ka makuahine i ka manawa o ka trimester mua o ka hāpai ʻana.
• Ua hoʻohana ka makuahine i nā lāʻau i hiki ke hōʻino i ka puʻuwai ulu o ka pēpē (e like me kekahi mau lāʻau epilepsy a me nā lāʻau huehue kuhikuhi).
• Ua hōʻike ʻia kahi amniocentesis maʻi chromosome.
• Aia kekahi kumu ʻē aʻe e kānalua ai ʻoi aku ka nui o ka pilikia o ka pēpē no nā pilikia puʻuwai.

ʻAʻole loaʻa i ka echocardiogram nā pilikia i ka puʻuwai o ka pēpē i hānau ʻole ʻia.

Nā hopena kūpono ʻole ma muli o:

• He pilikia ma ke ʻano o ka naʻau o ka pēpē i hana ai (maʻi puʻuwai congenital)
• ʻO kahi pilikia me ke ʻano o ka hana o ka puʻuwai o ka pēpē
• Nā haunaele o ka puʻuwai puʻuwai (arrhythmia)

Pono e hana hou i ka hōʻike.

ʻAʻohe hopohopo i ʻike ʻia i ka makuahine a i ʻole pēpē i hānau ʻole ʻia.

ʻAʻole hiki ke ʻike ʻia kekahi mau kīnā o ka puʻuwai ma mua o ka hānau ʻana, ʻoiai me ka echocardiography fetal. Hoʻopili kēia i nā puka liʻiliʻi i ka puʻuwai a i ʻole nā ​​pilikia kiwikā mālie. Eia kekahi, no ka mea hiki ʻole paha ke ʻike i kēlā me kēia ʻāpana o nā kīʻaha koko nui e alakaʻi ana i waho o ka puʻuwai o ka pēpē, e ʻike ʻole paha nā pilikia ma kēia wahi.

Inā loaʻa i kahi mea mālama ola i kahi pilikia i ke ʻano o ka puʻuwai, e hana ʻia paha kahi ultrasound kikoʻī e nānā no nā pilikia ʻē aʻe me ka pēpē e ulu ana.

Donofrio MT, Moon-Grady AJ, Hornberger LK, a me al. Kuhi a me ka mālama ʻana i ka maʻi cardiac fetal: kahi ʻōlelo ʻepekema mai ka ʻAmelika ʻAmelika Hui Pū ʻIa. Kaapuni. 2014; 129 (21): 2183-2242. PMID: 24763516 www.ncbi.nlm.nih.gov/pubmed/24763516.

Hagen-Ansert SL, Guthrie J. Fetal echocardiography: maʻi maʻi puʻuwai. I: Hagen-Ansert SL, ed. Puke aʻo o Diagnostic Sonography. 8th ed. St Louis, MO: Elsevier; 2018: chap 36.

ʻO Stamm ER, Drose JA. Ka puʻuwai fetal. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 37.