ʻAmionitis

Anter

• He aha ke kumu o ka maʻi?
• He aha nā pilikia?
• He aha nā hōʻailona a me nā hōʻailona?
• Pehea e ʻike ʻia ai ka amnionitis?
• Pehea e mālama ʻia ai ka amnionitis?
• He aha ka manaʻo no ka amnionitis?

He aha ka amnionitis?

ʻO ka amnionitis, ʻo chorioamnionitis a i ʻole intra-amniotic maʻi, he maʻi ia o ka uterus, ka ʻeke amniotic (ʻeke o nā wai), a i kekahi mau hihia, o ka fetus.

Kākaʻikahi loa ʻo Amnionitis, aia wale nō ma kahi o 2 a 5 pākēneka o nā hāpai hāpai wā hānau.

ʻO ka uterus kahi maʻamau o ke kaiapuni (ʻo ia hoʻi ʻaʻole ia i loko o nā koʻohune a me nā mea hoʻomaʻi paha). Eia nō naʻe, hiki i kekahi mau ʻano ke maʻalahi i ka uterus i ka maʻi.

Ke hiki mai ia, maʻi nui ka maʻi o ka uterus ma muli o ka hiki ʻole ke mālama maikaʻi ʻia me ka lawe ʻole ʻana i ka pēpē. ʻO kēia kahi pilikia pilikia ke hiki ʻole ka pēpē.

He aha ke kumu o ka maʻi?

ʻO nā koʻohune e hoʻouka i ka ʻōpū ke kumu o ka amnionitis. Hana maʻamau kēia i kekahi o nā ala ʻelua. ʻO ka mea mua, hiki i nā koʻohune ke komo i loko o ka kōpū ma o ke kahena o ka makuahine. ʻO ke ala ʻelua a ʻoi aku ka maʻamau mai ka ʻōpala a me ka cervix.

I nā wahine olakino, loaʻa mau ka helu o nā koʻohuna i ka ʻōhū a me ka cervix. I kekahi poʻe, akā hiki i kēia mau bacteria ke hōʻeha i ka maʻi.

He aha nā pilikia?

ʻO nā pōpilikia no ka amnionitis ka hana o ka preterm, rupture o nā membrane, a me kahi cervix kīnā ʻia. Hiki i kēia ke ʻae i nā koʻohune i loko o ka lua e loaʻa i ke kōpū.

ʻO ka haki mua o nā membrane (aka PPROM, haki wai ma mua o 37 mau wiki) e hōʻike ana i ka makaʻu kiʻekiʻe loa no ka maʻi amniotic.

Hiki i ka Amnionitis ke hana i ka hana maʻamau. Nā kumu i hiki ke hoʻonui i ka makaʻu no ka amnionitis me:

• he hana loihi
• hoʻolōʻihi lōʻihi o nā membrane
• nā hoʻāʻo ʻana he nui
• hoʻonohonoho o nā uila uila o ke poʻo fetal
• pōpō puʻe intrauterine

He aha nā hōʻailona a me nā hōʻailona?

He loli nā ʻōuli o amnionitis. Hiki i kekahi o nā hōʻailona mua ke lilo i mau kuʻikahi maʻamau me ka dilation cerviation. Hoʻohālikelike kēia mau ʻōuli i ka hoʻomaka o ka hana mua.

Loaʻa ka wahine i ke kuni e kū mai 100.4 a 102.2ºF, e like me ka The American College of Obstetricians and Gynecologists.

Hoʻohui ʻia nā hōʻailona hou aʻe:

• manaʻo like flu
• palupalu ʻōpū
• kahe o cer servic cerulent (drainage that is pilau-smelling a manoanoa)
• wikiwiki ka puʻuwai ma ka makuahine
• wikiwiki o ka puʻuwai i ka pēpē (ʻike wale ʻia ma o ka nānā ʻana o ka puʻuwai fetal)

Hōʻike paha nā hoʻokolohua Laboratory i ka piʻi ʻana o ka helu keʻokeʻo o ke koko keʻokeʻo. Inā mālama ʻole ʻia ka maʻi, maʻi paha ka pēpē a piʻi aʻe paha ka helu o ka puʻuwai fetal. ʻAʻole maopopo kēia inā ʻaʻole ka makuahine i ka haukapila a pili i kahi monitor heart rate fetal.

Me ka ʻole o ka mālama ʻana, hele paha ka makuahine i kahi hana preterm. I nā hihia kakaikahi, hiki i kahi maʻi maʻi ke alakaʻi i ka make fetal.

Hiki i ka makuahine ke maʻi nui a hoʻomohala i ka sepsis. ʻO Sepsis ka manawa e komo ai ka maʻi i ke kahena o ka makuahine e hana ana i nā pilikia i nā ʻāpana ʻē aʻe o ke kino.

Hiki i kēia ke komo i ke kahe o ke koko haʻahaʻa a me ka hōʻino i nā mea ʻē aʻe. Hoʻokuʻu ka bacteria i nā toxins i hiki ke hōʻeha i ke kino. He kūlana hoʻoweliweli kēia i ke ola. ʻO ka mālama ʻana i ka amnionitis me ka wikiwiki hiki ke mālama pono i kēia mai ka hanana ʻana.

Pehea e ʻike ʻia ai ka amnionitis?

Hoʻokumu ʻia ke kuhi o ka amnionitis i ka hana ma ke kū ʻana o ke kuni, ka palupalu o ka uterine, ka nui o ka helu keʻokeʻo o ke koko keʻokeʻo, a me nā wai amniotic pilau.

ʻAʻole hoʻohana ʻia ka Amniocentesis (lawe ʻana i kahi hāpana o ka wai amniotic) e ʻike pono ai i ka amnionitis i ka hana maʻamau. He mea hoʻopilikia loa kēia i ka wā e hana ana kahi makuahine.

Pehea e mālama ʻia ai ka amnionitis?

Pono e hāʻawi ʻia nā lāʻau antibiotic ma hope koke o ka hana ʻia ʻana e hoʻohaʻahaʻa i ka makaʻu no ka makuahine a me ka fetus. Kauoha pinepine ke kauka i kēia mau lāʻau e lawelawe i loko o ke kino.

ʻO ke kākoʻo kākoʻo e like me ka ʻai ʻana i nā ʻili hau, hoʻoluʻolu i ka lumi, a i ʻole ka hoʻohana ʻana i nā pā, hiki ke kōkua i ka hōʻoluʻolu i ka mahana o ka wahine.

Ke kuhi ke kauka i kahi maʻi i ka wā o ka hana, pono e hana i nā hana e hoʻopōkole i ka hana e like me ka hiki. Kauoha paha lākou i ka oxytocin (Pitocin) e hoʻoikaika i ka hoʻoliʻiliʻi. Hiki i ke Amnionitis ke kumu o ka hana paʻahana, ʻoiai ka hoʻohana o ka oxytocin.

ʻAʻole hoʻolaha nā kauka i kahi hoʻouna cesarean (ʻāpana C) no ka makuahine no ka mea he amnionitis kāna.

He aha ka manaʻo no ka amnionitis?

ʻO ka hoʻomaopopo ʻana a me ka ʻimi ʻana i ka lāʻau no amnionitis he mea nui ia i kahi hopena maikaʻi no ka makuahine a me ka pēpē. E kāhea mau ka wahine i kāna kauka inā he kuni ka mea i ʻoi aku ma mua o kekahi mau hola.

Inā ʻaʻole ʻo ia e ʻimi i ka lāʻau, hiki ke holo i mua ka maʻi. Hiki ke hopena i nā pilikia Sepsis a fetal paha. Me nā lāʻauʻalopero a me ka hoʻonui i ka hana, hiki i ka wahine a me kāna pēpē keʻike i kahi hopena maikaʻi a hoʻemi i nā pilikia no nā pilikia.