ʻO ke kahe ʻana ma hope o ka moekolohe ʻoiai ke kumu hāpai no ke hopohopo?

Anter

• ʻO nā kumu maʻamau o ke kahe ʻana ma hope o ka moekolohe
• Ka hoʻokahe ʻana i ke kano
• Hoʻololi serviks
• Lacerations o ke kino
• ʻTriwi uila
• Maʻi kīnā
• ʻO ka hōʻailona mua o ka hana
• ʻO nā kumu koʻikoʻi o ke kahe ʻana ma hope o ka moekolohe
• Pākuʻi Placental
• Placenta previa
• Hāʻule hāʻule
• He aha kāu e hana ai e pili ana i ke kahe ʻana ma hope o ka moekolohe?
• Hoʻomaʻo no ke kahe ʻana ma hope o ka moekolohe
• Kāohi i ke kahe ʻana ma hope o ka moekolohe
• ʻO ka lawe lawe ʻana

Hiki paha i kahi hoʻokolohua hāpai maikaʻi ke hōʻailona i ka hopena o kāu papa yoga wela a i ʻole ke kīʻaha waina me ka ʻaina awakea, akā ʻaʻole ia he manaʻo e haʻalele ʻoe i nā mea āpau āu e hauʻoli ai. ʻO ka moekolohe ʻoiai ʻoe e hāpai ana he palekana maikaʻi ia, a no nā wahine he nui, ʻoluʻolu loa. (Aloha, nā lua uila trimester lua!)

Eia nō naʻe, ʻike paha kekahi mau wahine i ke kahe ʻana ma hope o ka moekolohe i ka wā e hāpai ana, a noʻonoʻo inā he maʻamau a he aha ka mea e hiki ai iā lākou ke pale aku i ka hanana ʻana.

Ua kamaʻilio mākou i nā kauka ʻelua e pili ana i ke kumu e kahe nei i ke koko ma hope o ka moekolohe, he aha kāu e hana ai e pili ana, a me nā ala e pale aku ai iā ʻoe ke hāpai.

ʻO nā kumu maʻamau o ke kahe ʻana ma hope o ka moekolohe

Inā ʻaʻole i haʻi aku kāu kauka iā ʻoe, palekana ia i ka moekolohe ma nā wahi ʻekolu a pau. ʻOiai pono ʻoe e hoʻokolohua me nā kūlana hou, keu hoʻi i ka ulu ʻana o kou ʻōpū, ma ka laulā, ʻaʻole pono e loli ka nui āpau mai kāu mau lumi moe ma mua o ka hāpai ʻana.

ʻ saidlelo ia, ʻike paha ʻoe i kekahi mau hopena ʻē aʻe e like me ke kiko ʻana o ka ʻōpū a i ʻole ke kahe ʻana o ke koko ma hope o ka moekolohe

Akā ʻaʻole e hopohopo! ʻO ka nānā ʻana a i ʻole ke kahe ʻana o ke kahe i ka trimester mua he mea maʻamau. ʻO ka ʻoiaʻiʻo, ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG) e ʻōlelo ana ma kahi o 15 a 25 pākēneka o nā wahine e ʻike i ke kahe ʻana i nā hebedoma he 12 o ka hāpai ʻana.

Me ka noʻonoʻo, eia nā kumu maʻamau ʻeono o ke kahe ʻana o ke kahe ma hope o ka moekolohe.

Ka hoʻokahe ʻana i ke kano

Hiki paha iā ʻoe ke ʻike i ke kahe ʻana ma hope o ka hoʻopili ʻana o nā hua manu i loko o ka pale o ka kōpū. ʻO kēia kahe ʻana o ke kahe, ʻoiai ke kukui, hiki ke hala ma 2 a 7 mau lā.

ʻAʻole ia he mea maʻamau ka hoʻokuʻu ʻana ma hope o ka moekolohe ʻana, ʻoiai ʻaʻole ʻoe hāpai. A inā ʻoe e ʻike i ke kahe implantation, hiki ke hoʻohui ʻia kekahi o nā wahi āu e ʻike ai me ka semen a me nā mucus ʻē aʻe.

Hoʻololi serviks

Loaʻa i kou kino nā loli nui i ka wā o ka hāpai ʻana, me kāu cervix i hoʻokahi wahi, ʻo ia hoʻi, ka mea e loli nui. ʻO Painless, wā pōkole, pinkish, brown, a i ʻole spotting red light ma hope o ka moekolohe kahi pane maʻamau i nā loli i kou cervix, keu hoʻi i nā mahina mua.

Ma muli o ka maʻalahi o ka cervix i ka wā hāpai, hiki i kahi kahe koko ke hana inā ʻeha ka cervix i ka wā o ka hohonu a i ʻole ka hoʻokolohua kino.

Lacerations o ke kino

ʻO Kecia Gaither, MD, MPH, FACOG, kahi OB-GYN a me ka luna o nā lawelawe perinatal ma NYC Health + Hospitals, i ʻōlelo ʻia e ʻike paha ʻoe i nā lacerations a me nā ʻoki ʻana me ka moekolohe nui a hoʻohana ʻana paha i nā mea pāʻani. Hana ʻia kēia inā e haehae ka epithelium lahilahi o ka ʻōpū, e kahe ana ke kahe o ke kino.

ʻTriwi uila

I ka wā o ka hāpai ʻana, ʻōlelo ʻo Gaither hiki i ka cervix ke lilo i maʻalahi a maʻalahi hoʻi i ke kahe i ka wā o ka moekolohe. ʻO ka certricle ectropion ka kumu maʻamau o ke kahe ʻana o ke koko i ka hopena o kou hāpai ʻana.

Maʻi kīnā

ʻO Tamika Cross, MD, kahi OB-GYN i hoʻokumu ʻia ma Houston, i ʻōlelo ʻo trauma a i ʻole kahi maʻi i hiki ke hoʻokumu i ke kahe ʻana ma hope o ka moekolohe. Inā loaʻa ʻoe i kahi maʻi, cervicitis, kahi pehu o ka cervix, hiki ke hoʻopiʻi ʻia. Cervicitis hōʻailona pū me:

• ʻūlili
• hoʻoheheʻe koko
• ʻike kikino
• ʻeha me ka moekolohe

ʻO ka hōʻailona mua o ka hana

ʻAʻohe o ka pili koko ʻana ma hope o ka moekolohe me kāu hana hou, akā he hōʻailona mua paha ia o ka hana. 'Saysleloʻo Cross he hōʻike koko, kahi hoʻokuʻu mucus koko, hiki ke hana i kou hopena i ka hāpaiʻana. Hana ʻia kēia ma muli o ka loosening a dislodging o kāu plug mū.

Inā ʻoe e ʻike i kēia ma hope o ka moekolohe a aia ʻoe i loko o kekahi mau lā (a i ʻole mau hola) o kou lā kūpono, e kaha i ka kalena, no ka mea e hoʻomākaukau ana kēlā pēpē e hana i ko lākou helehelena.

ʻO nā kumu koʻikoʻi o ke kahe ʻana ma hope o ka moekolohe

I kekahi mau hihia, hiki i ke kahe ʻana o ke kahe ma hope o ka moekolohe ke kuhikuhi i kahi pilikia koʻikoʻi, keu hoʻi inā ʻoi aku ka nui o ke koko ma mua o ka ʻike kukui.

Wahi a ka ACOG, ʻaʻohe maʻamau ke kahe nui o ke kahe ma hope o ka moekolohe a pono e kamaʻilio koke. Hoʻomaopopo pū lākou i ka hele hou ʻana i kou hāpai ʻana, ʻoi aku ka koʻikoʻi o nā hopena.

Inā ʻoe e ʻike i ke kahe kaumaha a hoʻolōʻihi paha ma hope o ka moekolohe, e kāhea i kāu kauka. Loaʻa paha iā ʻoe kekahi o kēia kūlana olakino koʻikoʻi loa.

He mea nui e hoʻomaopopo i kēia mau ʻano ʻoi aku ke koʻikoʻi i hiki ke hele ʻole mai ka moekolohe.

Pākuʻi Placental

Inā hemo ka placenta mai ka paia uterine i ka wā hāpai, ʻōlelo ʻo Gaither hiki iā ʻoe ke hana me ka abruption placental, kahi kūlana weliweli ola no nā makuahine a me nā pēpē.

Me ka abruption placental, ʻike paha ʻoe i ka ʻeha o ka ʻōpū a i ʻole hope i ka wā a ma hope o ka moekolohe, me ke kahe o ke kahe.

Placenta previa

Ke piʻi aʻe ka placenta i ka cervix, e hōʻoia paha kāu kauka iā ʻoe me ka placenta previa. ʻ sayslelo ʻo Gaither hiki i kēia ke kumu i ka pōpilikia, ke hoʻoweliweli ʻana i ke ola me ka moekolohe.

Hana ʻia kēia ma ka lua o ka ʻekolu trimester. ʻAʻole kumu ka moekolohe ma kahi o ka placenta previa, akā ʻo ke komo ʻana i loko ke kumu e kahe ai ke kahe.

ʻO ka mea e maʻalahi ai ka placenta previa i kekahi manawa ke ʻike, ʻo ke kahe ʻana o ke kahe, ʻoiai ka profuse, hele mai me ka ʻeha ʻole. ʻO ia ke kumu e koʻikoʻi e hoʻolohe i ka nui o ke koko.

Hāʻule hāʻule

ʻOiai ka moekolohe ʻaʻole e hoʻohenehene ʻoe, inā ʻike ʻoe i ke kahe nui o ke kahe ma hope o ke komo ʻana, pilikia paha kāu hāpai ʻana.

ʻO ke kahe ʻana o ke kaupaumaha e hoʻopiha i kahi pad i kēlā me kēia hola a i ʻole mau no kekahi mau lā ka hōʻailona maʻamau o ka hāpai ʻana i ka hāpai ʻole. Kāhea koke i kāu kauka inā ʻoe e ʻike nei i kēia mau ʻōuli.

He aha kāu e hana ai e pili ana i ke kahe ʻana ma hope o ka moekolohe?

ʻO kēlā me kēia kahe o ke kahe o ka maʻi ma hope o ka moekolohe e hoʻonāukiuki i kekahi hopohopo a hopohopo hoʻi i ka hapanui o nā makuahine. A ʻoiai ʻo kāu kauka ka loea i nā mea āpau e pili ana i ka hāpai ʻana, he mea maikaʻi ke nānā ʻana me lākou.

Eia nō naʻe, inā kaumaha a kūpaʻa ke kahe ʻana a i ʻole hele pū me ka ʻeha ma kou ʻōpū a i ʻole hoʻi, ʻōlelo ʻo Cross e hele koke i ka lumi pilikia, no laila hiki i ke kauka ke hana i kahi loiloi piha e hoʻoholo ai i ke kumu o ke kahe ʻana.

Hoʻomaʻo no ke kahe ʻana ma hope o ka moekolohe

ʻO ka lālani pale mua no ka mālama ʻana i ke kahe ʻana ma hope o ka moekolohe e hōʻole i ka moekolohe ʻana, keu hoʻi inā ʻoe e pili ana i kahi kūlana ʻoi aku ka koʻikoʻi e like me ka placenta previa a i ʻole ka placenta abruption.

Ma waho o kēlā, ua ʻōlelo ʻo Cross e hiki i kāu kauka ke koi aku i ke koena pelvic, ka mea e ʻalo nei i nā mea āpau i ka wana a hiki i ka wā e ʻike hou ai, a i ʻole nā ​​lāʻau ʻaloʻalo inā pili me kahi maʻi.

Kaukaʻi ʻia i ke kahua a me ka paʻakikī, ʻōlelo ʻo Gaither hiki ke pono ʻia nā hana lapaʻau e mālama ai i nā ʻano aʻe:

• No ka hāpai keiki ectopic, pono i ka lāʻau olakino a ʻoki lāʻau paha a me ke kaʻi ʻana o ke koko.
• No nā lacerations liʻiliʻi me ka kahe nui ʻana o ke kahe, pono ʻia ka lāʻau lapaʻau a me ka hoʻokaʻawale ʻana i ke koko.
• No ka placenta previa a me ka placenta abruption, pono e hāʻawi cesarean a me kahi transfusion ke koko.

Kāohi i ke kahe ʻana ma hope o ka moekolohe

ʻOiai ke kumu o ke kahe ʻana o ke kahe ma hope o ka moekolohe e nā kumuwaiwai paʻa, ʻo ke ʻano pale wale nō ka abstinence.

Akā inā ua hoʻomaʻemaʻe kāu kauka iā ʻoe no ka moekolohe, makemake paha ʻoe e nīnau iā lākou inā he loli i nā kūlana moekolohe a i ʻole ka hoʻemi ʻana i ka nui o kāu aloha aloha hiki ke pale i ke kahe ʻana ma hope o ka moekolohe. Inā maʻa ʻoe i ka moekolohe, ʻo kēia paha ka manawa e hoʻomāmā ai, a hele maikaʻi a lohi.

ʻO ka lawe lawe ʻana

Inā ʻaʻole i haʻi aku kāu kauka iā ʻoe, ʻaʻole pili ka wahine hāpai i kahi mea āu e pono ai e kau i ka papa inoa no-go. Eia nō naʻe, inā ʻike ʻoe i ke kahe māmā a i ʻole ke kiko ʻana ma hope o ka moekolohe, e nānā i ka nui a me ke alapine, a kaʻana like i kāu ʻike me kāu kauka.

Inā kaumaha a kūpaʻa ke kahe a hele pū me ka ʻeha nui a i ʻole ke kuʻi ʻana, e kāhea koke aku i kāu kauka.