ʻO Amniotic Fluid Embolism

Anter

• ʻO ke embolism wai Amniotic
• He aha ke kumu?
• He aha nā hōʻailona?
• Pehea kona koʻikoʻi?
• Pehea e mālama ʻia ai?
• Makuahine
• Pēpē
• Hiki ke pale ʻia?
• He aha ka kuanaʻike?
• Makuahine
• Pēpē

ʻO ke embolism wai Amniotic

ʻO ka amniotic fluid embolism (AFE), i ʻike ʻia he anaphylactoid Syndrome o ka hāpai ʻana, kahi ʻōpū e hāpai i nā kūlana hoʻoweliweli i ke ola, e like me ka puʻuwai puʻuwai.

Hiki iā ia ke hoʻopili iā ʻoe, kāu pēpē, a i ʻolua paha. Hana ʻia ia i ka wai amniotic (ka wai e hoʻopuni ana i kāu keiki i hānau ʻole ʻia) a i ʻole nā ​​hunaola fetal, ka lauoho, a i ʻole nā ​​ʻōpala ʻē aʻe e hele i kou koko.

Kākaʻikahi ʻo AFE. ʻOiai ʻokoʻa nā kuhiakau, hōʻike ka AFE Foundation i ke ʻano i loko wale nō o 1 o kēlā me kēia 40,000 e lawe ana ma ʻAmelika Hema (a me 1 i kēlā me kēia 53,800 hāʻawi ma ʻEulopa). Eia nō naʻe, he kumu nui ia o ka make i ka wā hana a i ʻole ma hope koke o ka hānau ʻana.

He aha ke kumu?

Hiki i ka AFE ke hana i ka wā hana a ma hope koke paha o ka hānau ʻana i nā hānau āpau a me nā cesarean. I nā hihia kakaikahi, hiki ke hana ʻia i ka wā o ka abort a i ʻole ke kiʻi ʻia ʻana o kahi wai amniotic i lawe ʻia no ka hoʻokolokolo ʻana (amniocentesis).

He hopena maikaʻi ʻole ʻo AFE i ka wā e komo ai ka wai amniotic i loko o kāu ʻōnaehana puni. ʻAʻole hiki ke kāohi ʻia, a ʻike ʻole ʻia ke kumu e kū ai kēia hopena.

He aha nā hōʻailona?

ʻO ka pae mua o AFE ke kumu o ka hopu ʻana i ka naʻau a me ka hanu wikiwiki ʻana. Loaʻa ka hopu ʻia o Cardiac ke kū ka puʻuwai o kāu puʻuwai, a nalowale ʻoe i ka ʻike a kū i ka hanu

Hana ʻole ka hanu wikiwiki i ka hiki ʻole i kāu mau māmā ke hāʻawi i ka oxygen lawa i kou koko a hemo paha i ka carbon dioxide mai iā ia. He mea paʻakikī loa kēia e hanu.

ʻO nā hōʻailona kūpono ʻē aʻe e pili pū me:

• pilikia pēpē (hōʻailona e maikaʻi ʻole ke pēpē, me nā loli o ka helu o ka puʻuwai fetal a i ʻole hoʻemi ʻia ka neʻe ʻana i ka ʻōpū)
• ka luaʻi
• nausea
• ka hopu ʻana
• hopohopo nui, hoʻohaunaele
• ʻiliʻiliʻili

Hiki i nā wahine i ola i kēia mau hanana ke komo i kahi pae i kapa ʻia ka pae hemorrhagic. Kū kēia i ka wā he nui ke kahe ʻana ma kahi o ka placenta i hoʻopili ʻia ai ʻole, i ka hihia o kahi hānau cesarean, ma ka cesarean incision.

Pehea kona koʻikoʻi?

Hiki i ka AFE ke make, keu hoʻi i ka wā mua. Loaʻa ka hapa nui o nā make AFE ma muli o kēia:

• hopu koke ʻia ka naʻau
• lilo loa ke koko
• ʻeha hanu koʻikoʻi
• holo pono ʻole o ke kino

Wahi a ka AFE Foundation, ma kahi o 50 pākēneka o nā hihia, make nā wahine ma waena o 1 mau hola ma hope o ka hoʻomaka ʻana o nā ʻōuli.

Pehea e mālama ʻia ai?

Makuahine

Hoʻoponopono ka mālama ʻana i ka mālama ʻana i nā ʻōuli a me ka pale ʻana i ka AFE mai ke alakaʻi ʻana i ka maʻi koma a make paha.

Hiki ke kōkua i ka oxygen therapy a i ʻole ka ʻeaʻea iā ʻoe e hanu. ʻO ka hōʻoia ʻana i ka loaʻa ʻana o ka oxygen he mea nui ia no ka lawa pono o ka oxygen i kāu pēpē.

E noi paha kāu mea mālama ola e hoʻokomo i kahi catheter arter pulmonary i mea e hiki ai iā lākou ke nānā i kou puʻuwai. Hoʻohana ʻia nā lāʻau e hoʻokele i kou kaomi koko.

I nā manawa he nui, pono i nā koko, platelet, a me nā transfusions plasma e pani i ke koko i nalowale i ka wā hemorrhagic.

Pēpē

E mālama kāu kauka olakino i kāu pēpē a nānā i nā ʻōuli o ke kaumaha. E hoʻopakele ʻia paha kāu pēpē ke kūpaʻa ʻia kou ʻano. Hoʻonui kēia i kā lākou kūlana o ke ola. I ka hapanui o nā hihia, hoʻoneʻe ʻia nā pēpē i ka hale mālama nui no ka nānā pono ʻana.

Hiki ke pale ʻia?

ʻAʻole hiki ke pale ʻia ʻo AFE, a he mea paʻakikī no nā mea lawelawe olakino e wānana inā a hiki i ka wā e hiki ai. Inā loaʻa iā ʻoe ka AFE a me ka hoʻolālā ʻana e loaʻa i kahi pēpē hou, paipai ʻia ʻoe e kamaʻilio mua me ka mea hānau kiʻekiʻe pilikia.

E kūkākūkā lākou i nā pilikia o ka hāpai ma mua a e nānā pono iā ʻoe inā ʻoe hāpai hou.

He aha ka kuanaʻike?

Makuahine

Kahi no ka AFE Foundation, he nui nā helu i manaʻo ʻia no ka make ʻana no nā wahine me AFE. Kuhi ʻia nā hōʻike kahiko ma mua o 80 pakeneka o nā wahine i ola ʻole, ʻoiai ua manaʻo ʻia nā ʻike hou loa e pili ana kēia helu ma kahi o 40 pākēneka.

Hiki i nā wahine i ola i ka AFE ke loaʻa pinepine i nā pilikia lōʻihi, hiki ke hoʻopili ʻia:

• poho hoʻomanaʻo
• maikaʻi ʻole o ke kino
• pōʻino puʻuwai i hiki ke lilo i wā pōkole a paʻa paha
• pilikia ʻōnaehana
• kahi hysterectomy hapa a piha paha
• poino i ka pituitary gland

Hiki pū kekahi nā pilikia noʻonoʻo a me ka naʻau, keu hoʻi inā ʻaʻole e ola ke pēpē. Hiki i nā kūlana olakino ke hoʻopili i ke kaumaha postpartum a me ka maʻi ahulau post-traumatic (PTSD).

Pēpē

Wahi a ka AFE Foundation, ʻokoʻa nā helu make no nā pēpē me AFE.

Ma kahi o me AFE e ola ʻole ai, no kēlā me kēia noi 2016 i paʻi ʻia i loko o ka Ka Nūpepa o Anesthesiology Clinical Pharmacology.

Ua hōʻike ʻo ka AFE Foundation i ka nui o ka make no nā pēpē i loko o ka ʻōpū ma kahi o 65 pākēneka.

Hiki i kekahi mau pēpē ke ola i nā wā lōʻihi a i ʻole ke ola ʻana mai AFE, a i ʻole komo pū:

• hoʻohaʻahaʻa kino ʻōnaehana i hiki ke maʻalahi a koʻikoʻi paha
• ʻaʻole lawa ka oxygen i ka lolo
• cerebral palsy, kahi maʻi e hoʻopili i ka lolo a me ka ʻōnaehana