Uterus huhū huhū a me nā kuʻina Uterus huhuhuhu: Nā kumu, nā ʻōuli, ka mālama ʻana

Anter

• ʻO nā kuʻina maʻamau i ka hāpai ʻana
• He aha ka pūpū huhū?
• Nā Kumu o IU
• I ka wā hea e kāhea ai i kāu kauka
• Nā hoʻāʻo no ka hana mua
• Pehea e kū ai
• Nā ʻanuʻu aʻe

Nā ʻelike aelike

Ke lohe ʻoe i ka huaʻōlelo contractions, manaʻo paha ʻoe e pili ana i nā pae mua o ka hana ke paʻa a hoʻonui ka ʻōpū i ka cervix. Akā inā ua hāpai ʻoe, ʻike paha ʻoe he nui nā ʻano ʻē aʻe i hiki ke hālāwai ʻia i kou wā hāpai. Loaʻa pinepine kekahi mau wahine i nā kuʻina maʻamau ma waena o ka hāpai ʻana, ʻo ia hoʻi he pūpū huhū lākou (IU).

Eia ka mea e pono ai ʻoe e ʻike e pili ana i kēia ʻano, ke hea ʻana i kāu kauka, a he aha kāu e hiki ai ke hana e pale ai.

ʻO nā kuʻina maʻamau i ka hāpai ʻana

Ua ʻike paha ʻoe i ka hoʻopaʻa paʻa ʻana i loko o kou kōpū i kēlā me kēia manawa e hele mai a hele a puni ka lā? ʻIke paha ʻoe i nā kuʻikahi ʻo Braxton-Hicks. Hoʻomaka paha kēia mau kuʻikahi mālie ma kahi o ka hā o ka malama o ka hāpai ʻana a hoʻomau mau i nā manawa āpau.

Ke kokoke nei ʻoe i kāu lā palena, loaʻa iā ʻoe nā pāʻina ʻo Braxton-Hicks e hoʻomākaukau ai i kou kino no ka hana. He maʻamau kēia. Inā kūleʻa lākou, ʻaʻole lākou e manaʻo ʻia he hana maoli. Akā inā hoʻomohala kāu mau kuʻikahi i kahi manawa manawa a i hele pū ʻia me ka ʻeha a me ke kahe ʻana o ke koko, e kāhea i kāu kauka.

ʻOi aku ka hōʻiliʻili ʻo Braxton-Hicks inā ʻoe i kou wāwae he nui a make wai paha. Hiki i ka lohi iā lākou ke maʻalahi e like me ka hoʻomaha, hoʻololi i kou kūlana noho, a i ʻole inu i kahi kīʻaha wai kiʻekiʻe.

He aha ka pūpū huhū?

Hoʻomohala kekahi mau wahine i nā kuʻikahi pinepine, maʻamau i hana ʻole i kahi loli i ka cervix. Kāhea ʻia kēia ʻano he uterus irable (IU). ʻO nā kuʻikahi IU e like me Braxton-Hicks, akā hiki iā lākou ke ʻoi aku ka ikaika, hiki pinepine pinepine, a mai pane i ka hoʻomaha a hydration paha. ʻAʻole maʻamau kēia mau kuʻikahi i mea maʻamau, akā ʻaʻole nō hoʻi ia he mea hōʻeha.

ʻAʻole nui nā noiʻi i hana ʻia ma IU a me ka hāpai keiki. Ma 1995, ua ʻimi nā kānaka noiʻi i ka loulou ma waena o IU a me ka hana mua a paʻi ʻia kā lākou mea i loaʻa ma ka. Ua wehe lākou i ka 18.7 pakeneka o nā wahine me ka huhū uterine i ʻike i ka hana preterm, hoʻohālikelike ʻia me 11 pākēneka o nā wahine me ka ʻole o kēia pilikia.

I nā huaʻōlelo ʻē aʻe: hoʻonāukiuki a hoʻoweliweli paha nā kuʻikuʻi huhū i kekahi manawa, akā ʻaʻole paha lākou e hoʻonui i nā manawa o kāu pēpē i ka wanaʻao.

Nā Kumu o IU

Inā ʻoe e ʻimi pūnaewele, ʻaʻole paha i loaʻa iā ʻoe ka ʻike he nui i nā puke olakino e pili ana i ka loaʻa ʻana o kahi kōpū huhū. Eia nō naʻe, e ʻike ʻoe i nā kumuhana kumumanaʻo he nui ʻole mai nā wahine maoli e pili ana i nā kuʻikahi i kēlā me kēia lā. ʻAʻole maopopo ke kumu o ka huhū uterine, a ʻaʻole like ke kumu i nā wahine āpau.

Eia nō naʻe, aia kekahi mau kumu no ke aha e loaʻa pinepine ai ʻoe i nā pāʻina maʻamau i ka wā hāpai. Pākuʻi paha lākou i kekahi mea mai ka make wai i ke koʻikoʻi i nā maʻi i hana ʻole ʻia, e like me ka maʻi urinary tract. Minamina, ʻaʻole ʻoe e aʻo i ke kumu o kāu huhū ʻoihana kōpū huhū.

I ka wā hea e kāhea ai i kāu kauka

Inā manaʻo ʻoe he IU kāu, e hoʻomaopopo i kāu kauka. E hoʻāʻo e mālama i kahi lōkō o kāu mau kuʻikuʻi, ehia mau manawa e hana ai, a ehia mau hola a lākou i hoʻomaka ai a hoʻomaka. Hiki iā ʻoe ke hāʻawi i kēia ʻike i kāu kauka a ʻike paha inā aia kekahi mea e hoʻonāukiuki i nā mea hōʻemi.

ʻOiai ʻaʻole manaʻo ʻia nā kuʻikahi IU i kahi hana ma mua, e kāhea i kāu kauka inā ʻoi aku ʻoe ma mua o ʻeono a ʻewalu pāʻina i ka hola.

Kāhea i kāu kauka inā loaʻa iā ʻoe:

• kahe ʻana ka wai amniotic
• hoʻemi i ka neʻe fetal
• kahe koko
• ʻoluʻolu hōʻoluʻolu i kēlā me kēia 5 a 10 mau minuke

Nā hoʻāʻo no ka hana mua

ʻAʻole alakaʻi pinepine ʻo IU i ka hana, akā hana paha kāu kauka i kahi hoʻokolohua a i ʻole ultrasound e ʻike ai inā e paʻa paʻa ana kāu cervix. Hiki ke hoʻopili ʻia ʻoe i kahi monitor e ana i ke alapine, ka lōʻihi, a me ka ikaika o kāu mau aelike.

Inā hopohopo kāu kauka e pili ana i ka hana preterm, loaʻa paha iā ʻoe kahi hōʻike fetal fibronectin. Maʻalahi loa kēia hoʻāʻo e like me ke kāhili ʻana i nā huna ʻōpū ma kahi o ka pūpū a loaʻa kahi hopena maikaʻi a maikaʻi ʻole paha. ʻO ka hopena maikaʻi paha e hele paha ʻoe i ka hana i nā pule ʻelua e hiki mai ana.

Hiki i nā Corticosteroids ke kōkua i ke ake māmā o kāu pēpē ma mua o ka hebedoma 34 inā paha he hānau mua. Pēlā nō, lawelawe ʻia kahi magnesium sulfate i kekahi manawa e hoʻokū i ka kōpū mai ka hana kuʻikahi. Pono ʻoe e hōʻola ʻia i ka haukapila no ka nānā pono ʻana, a i ʻole lawe i ka tocolytic e hana ai i kahi manawa kūlohelohe.

Pehea e kū ai

Nui a hewahewa nā ala e hana ai me IU. E hōʻoia pono e nānā me kāu kauka ma mua o ka hoʻāʻo ʻana i nā mea kōkua.

Eia kekahi mau ʻōlelo aʻoaʻo e hoʻāʻo e hōʻoluʻolu i nā mea maoli.

• noho hydrated
• ke waiho mau nei i kāu ʻōpū
• e ʻai nei i nā meaʻai liʻiliʻi, pinepine, a maʻalahi hoʻi i ka ʻai
• ke hoʻomaha nei ma kou ʻaoʻao hema
• ke hoʻāʻo ʻana a me ka mālama ʻana i nā maʻi āpau
• loaʻa ʻana ka lawa o ka hiamoe
• ke haʻalele nei i nā meaʻai a me nā mea inu
• pale i ka hāpai ʻana i nā mea kaumaha
• hoʻemi ana i ke koʻikoʻi
• lawe ana i nā mea hoʻopiha magnesium

Ināʻaʻohe mea e kōkua i kāu IU, hiki i kāu kauka ke kuhikuhi i ka lāʻau. ʻO nā lāʻau e hiki ke kōkua me nā kuʻina e komo pū me nifedipine (Procardia) a me hydroxyzine (Vistaril). E ʻōlelo paha kāu kauka iā ʻoe e kau i ka moe a me / a i ʻole ke koina pelvic inā manaʻo lākou aia ʻoe i kahi makaʻu nui no ka hoʻomohala ʻana i ka hana preterm.

Nā ʻanuʻu aʻe

He ʻoluʻolu ʻole nā ​​kuʻikahi IU a hoʻohoka paha iā ʻoe, akā ʻaʻole paha lākou e hoʻokau iā ʻoe i ka hana ma mua. Nānā ʻole ʻia, ʻo kekahi mea i manaʻo ʻia ma waho o ka mea maʻamau a hāʻawi iā ʻoe i ke kumu no ka hopohopo he huakaʻi ia i kāu kauka. Hoʻohana ʻia nā keʻena hana a me nā ʻoihana hoʻouna i ka ʻike ʻana i nā mea maʻi me nā hoʻoliʻiliʻi kānalua, a ʻoi aku ka maikaʻi o ka hōʻoia ʻana i kahi pū waikaua wahaheʻe ma mua o ka hānau wanaʻao