Nānā i ka naʻau Fetal: He aha ka mea maʻamau, he aha ka mea ʻole?

Anter

• Nā Hoʻoikaika
• Nā hoʻoholomua
• Hoʻonohonoho wawe
• Nā hoʻohiolo hope loa
• Nā decelerations loli
• He aha e manaʻo ai

Hōʻike Overview

He mea nui e kiaʻi i ka nui o ka puʻuwai o kāu pēpē a me kāu mele e hōʻoia i ka maikaʻi o ka pēpē i ke kolu o ka trimester o kou hāpai ʻana a i ka wā o ka hana. ʻO ka nui o ka puʻuwai fetal ma waena o 110 a me 160 mau paʻi i kēlā me kēia minuke i ka wā o ka hāpai hope a me ka hana, e like me ka Johns Hopkins Medicine Health Library.

Hiki i nā kauka ke hoʻohana i nā pono kūloko a i waho paha e nānā i ka paʻi o ka puʻuwai fetal. Ana pinepine ʻia ia me ka hoʻohana ʻana i kahi hāmeʻa ultrasound. I kekahi manawa e hoʻopili pono kāu kauka i kahi mea nānā kūloko i ka ʻili o ka pēpē e kōkua ai i ke ana ʻana i ka helu o ka puʻuwai me ka pololei.

E ʻimi ana kāu kauka i nā ʻano puʻuwai puʻuwai like ʻole, e like me ka wikiwiki a me ka hoʻēmi ʻana. E nānā lākou no nā loli e pili ana i ka puʻuwai e kū mai, no ka mea he mau hōʻailona pinepine kēia e pili ana paha ka pēpē a i ʻole ka makuahine i ka makaʻu kino. ʻO ia mau hōʻailona o ka makaʻu e hoʻonā koke paha i ke kauka e hana koke i ka hoʻihoʻi ʻana i ka palekana o ka fetus a me ka makuahine.

Nā Hoʻoikaika

E nānā nā kauka no ka holo wikiwiki i ka wā hana. Piʻi nā wikiwiki i ka helu o ka puʻuwai ma kahi o 15 mau kuʻi i kēlā me kēia minuke, a ma ka liʻiliʻi he 15 kekona. He mea maʻamau a olakino nā wikiwiki. ʻLelo lākou i ke kauka he lako lawa ko ka pēpē i ka oxygen, kahi mea koʻikoʻi. ʻO ka hapanui o nā fetus i ka wikiwiki o ka wikiwiki i nā helu like ʻole ma ka hana a me ke kaʻina hana. E hoʻāʻo paha kāu kauka e hoʻoulu i nā wikiwiki inā hopohopo lākou i ke olakino o ke pēpē a ʻike ʻole i ka holo wikiwiki. Hiki iā lākou ke hoʻāʻo i kekahi o nā ʻano hana like ʻole e hoʻoulu ai i ka holomua. Pākuʻi ʻia kēia mau mea:

• luliluli mālie i ka ʻōpū o ka makuahine
• kaomi ʻana i ke poʻo o ka pēpē ma o ka cervix me ka manamana lima
• ke lawelawe nei i kahi pā o ke kani (vibro acoustic stimulate)
• ke hāʻawi nei i ka makuahine i kahi meaʻai a wai paha

Inā kēia mau ʻenehana e hoʻonāukiuki i ka wikiwiki o ka naʻau fetal, he hōʻailona ia e hana maikaʻi ana ka pēpē.

Nā hoʻoholomua

ʻO nā decelerations he mau kulu wā pōkole ia i ka helu o ka puʻuwai fetal. ʻEkolu ʻano maʻalahi o ka decelerations: decelerations mua, decelerations lohi, a me decelerations variable. He mea maʻamau ka decelerations mua a ʻaʻole pili. Hiki i nā decelerations lohi a me nā loli ke lilo i hōʻailona i ka maikaʻi ʻole o ka pēpē.

Hoʻonohonoho wawe

Hoʻomaka ka hoʻomaka ʻana o nā decelerations ma mua o ka piko o ka contraction. Hiki i nā decelerations mua ke hiki i ke kaomi ʻia o ke poʻo o ka pēpē. Hana pinepine kēia i nā wā ma hope o ka hana ke iho nei ka pēpē ma o ka puka hānau. Hiki iā lākou ke hana i ka wā o ka hana mua inā pēpē ka pēpē a i ʻole i kahi kūlana breech. ʻO kēia ke kumu o ka ʻūlū e ʻūlū i ke poʻo i ka wā o ka hoʻoliʻiliʻi. ʻAʻole pōʻino nā decelerations mua.

Nā hoʻohiolo hope loa

ʻAʻole hoʻomaka nā decelerations lohi a hiki i ka piko o kahi kuʻina a i ʻole ma hope o ka pau ʻana o ka hoʻohaʻahaʻa uterine. Mālamu lākou, luʻu pāpaʻu i ka helu o ka puʻuwai e aniani i ke ʻano o ke kuʻina e loaʻa iā lākou. I kekahi manawa ʻaʻohe kumu o ka hopohopo me nā decelerations lohi, ʻoiai ke hōʻike pū ka puʻuwai puʻuwai o ka pēpē i ka wikiwiki (ʻike ʻia kēia me ka loli) a me ka hoʻihoʻi wikiwiki i ka pae o ka puʻuwai maʻamau.

I kekahi mau hihia, hiki i nā decelerations lohi ke lilo i hōʻailona no ka lawa ʻole o ka oxygen o ka pēpē. Hiki ke hoʻohālikelike i nā decelerations lohi me ka wikiwiki o ka naʻau (tachycardia) a me ka loli liʻiliʻi hiki ke hōʻino ʻia nā pēpē i ka pēpē ma ka hoʻonele ʻana iā lākou i ka oxygen. Koho paha kāu kauka e hoʻomaka i kahi ʻāpana cesarean urgent (a i ʻole kū mai) inā hopena decelerations a me nā kumu ʻē aʻe e hōʻike i ka pilikia o ka pēpē.

Nā decelerations loli

He kūlike ʻole nā ​​decelerations loli, pinepine ʻia i loko o ka pā o ka puʻuwai fetal e ʻoi aku ka nui ma mua o ka decelerations o ka hopena. Hiki i nā decelerations loli ke keikipiki ʻia ka umbilical cord o ka pēpē no ka manawa pōkole. Hana kēia i ka hapa nui o nā hana. Pili ka pēpē i ke kahe o ke kahe o ke kahe ma waena o ka umbilical cord e loaʻa ai ka oxygen a me nā mea kōkua nui ʻē aʻe. Hiki iā ia ke lilo i hōʻailona e hoʻemi ʻia ke kahe o ke pēpē inā holo pinepine nā decelerations variable. Hiki ke hōʻeha i kēlā pēpē i ka pēpē.

Hoʻoholo nā kauka inā pilikia ka decelerations variable ma muli o ka mea ʻē aʻe a kā lākou puʻuwai e hōʻike ai iā lākou. ʻO kekahi kumu ke kokoke i ka hānau ʻia o ka pēpē. ʻO kahi laʻana, makemake paha kāu kauka e hana i kahi ʻāpana cesarean inā nui nā decelerations variable i ka wanaʻao o ka hana. Manaʻo ʻia he maʻamau inā kū lākou ma mua o ka lawe ʻana a hele pū ʻia me nā holomua pū kekahi.

He aha e manaʻo ai

ʻAʻole ʻeha nā kaʻina hana no ka nānā ʻana i ka helu o ka puʻuwai fetal, akā ʻoluʻolu ʻole ka nānā ʻana o loko. Heʻuʻuku nā pilikia e pili ana i kēia kaʻina hana, no laila hana mau ʻia i nā wahine āpau i ka hana a me ka lawe ʻana. E kamaʻilio me kāu kauka, pale keiki, a kahu maʻi hana paha inā he mau nīnau kāu e pili ana i ka nui o ka puʻuwai o kāu pēpē i ka wā o ka hana. Pehea e heluhelu ai i nā ʻāpana i kahi hoʻomaʻamaʻa. E hoʻomanaʻo i nā ʻano mea like ʻole, ʻaʻole ka helu puʻuwai wale nō, hiki ke hoʻoholo i ke ʻano o ka maikaʻi o kāu pēpē.