ʻO ka ulu ʻana o ka ulu (ulu lohi)

Anter

• ʻO nā hōʻailona o ka ulu ʻana o ka ulu
• Pehea e hoʻomohala ai nā keiki i ka ulu ulu ulu?
• Nā kumu makuahine
• Nā Kūmole Fetal
• Nā mea Intrauterine
• ʻIke i ka ulu ʻana o ka ulu
• Hiki ke mālama i ka retardation ulu?
• Ke hoʻonui nei i kāu ʻai pono
• Hoʻomaha Moe
• Lawe Lawe ʻia
• Nā pilikia mai ka ulu ʻana o ka ulu ʻana
• Pehea wau e mālama ai i kaʻu pēpē mai ka hoʻomohala ʻana i ka hopena ulu?

Kū ka pale o ka ulu ke ulu ʻole kāu pēpē i ka helu maʻamau. Kāhea ʻia ia i ka palena ulu ulu intrauterine (IUGR). Hoʻohana ʻia ka huaʻōlelo ulu ulu intrauterine.

ʻOi aku ka liʻiliʻi o nā fetus me IUGR ma mua o nā fetus ʻē aʻe o ka makahiki hānau like. Hoʻohana ʻia ka huaʻōlelo no nā pēpē piha piha ke kaumaha ma mua o 5 paona, 8 auneke i ka wā hānau.

ʻElua mau ʻano o ka ulu ʻana o ka ulu: symmetrical a asymmetrical. ʻO nā keiki me ka simetretrical IUGR he kino kūlike maʻamau, ʻoi aku ka liʻiliʻi ma mua o ka hapa nui o nā keiki o ko lākou wā hānau. ʻO nā keiki me ka asymmetrical IUGR he poʻo maʻamau maʻamau. Eia naʻe, ʻoi aku ka liʻiliʻi o ko lākou kino ma mua o ka mea. Ma kahi ultrasound, ʻike ʻia ko lākou poʻo i ʻoi aku ka nui ma mua o ko lākou kino.

ʻO nā hōʻailona o ka ulu ʻana o ka ulu

ʻAʻole paha ʻoe e ʻike i kekahi hōʻailona o ka nui o ka ulu o kāu puaʻa. ʻAʻole maopopo ka hapa nui o nā wahine i ke ʻano a hiki i ka haʻi ʻia ʻana iā ia i ka wā o kahi ultrasound. ʻAʻole ʻike kekahi ma a ma hope o ka hānau ʻana.

ʻO nā keiki i hānau ʻia me IUGR i ka makaʻu kiʻekiʻe o nā pilikia he nui, e like me:

• pae ʻokikene haʻahaʻa
• kō kō kō haʻahaʻa
• nui nā hunaola ʻulaʻula
• mālama ʻole i ka mahana o ke kino
• haʻahaʻa Apgar helu, kahi ana o ko lākou olakino i ka wā hānau
• pilikia hānai ʻana
• pilikia neurological

Pehea e hoʻomohala ai nā keiki i ka ulu ulu ulu?

Kū ʻo IUGR no kekahi mau kumu. Hiki i kāu keiki ke loaʻa kahi ʻona i hoʻoili ʻia i loko o kā lākou mau hunaola a i ʻole nāʻaʻaʻa. Hiki ke ʻeha ʻia lākou i ka malnutr a i ʻole ka lawe ʻana o oxygen liʻiliʻi. ʻO ʻoe, a i ʻole ka makuahine hānau o kāu keiki, he mau pilikia olakino paha e alakaʻi ai iā IUGR.

Hiki iā IUGR ke hoʻomaka i kēlā me kēia manawa o ka hāpai ʻana. Hoʻonui kekahi mau kumu i ka hopena o kāu keiki IUGR. Hoʻokaʻawale ʻia kēia mau mea i ʻekolu mau ʻāpana: nā kumu makuahine, nā kumu fetal, a me nā kumu uterine / placental. Kuhi ʻia nā kumu Uterine / placental e like me nā mea intrauterine.

Nā kumu makuahine

ʻO nā kumuhana makuahine nā kūlana olakino i hiki iā ʻoe, a i ʻole ka makuahine hānau o kāu keiki, ke hoʻonui i ka makaʻu o ka IUGR. Pākuʻi ʻia lākou:

• nā maʻi mau, e like me nā maʻi puʻuwai mau, diabetes, maʻi puʻuwai, a me nā maʻi hanu
• kahe koko kiʻekiʻe
• hana maikaʻi ʻole
• anemia
• kekahi mau maʻi
• hōʻino lāʻau
• puhipaka

Nā Kūmole Fetal

ʻO nā kumu Fetal nā kūlana olakino i hiki i kāu fetus ke loaʻa i ka hopena o ka IUGR. Pākuʻi ʻia lākou:

• maʻi maʻi
• hānau kīnā ʻole
• chromosome abnormalities
• hāpai hāpai hāpai hū

Nā mea Intrauterine

ʻO nā kumu intrauterine nā kūlana i hiki ke hoʻomohala i kāu kōpū e hāpai i ka makaʻu o IUGR, me:

• hoʻemi i ke kahe o ka uterine
• hoʻemi i ke kahe o ke koko i kāu placenta
• nā maʻi i nā aʻa a puni kāu fetus

ʻO kahi kūlana i kapa ʻia ʻo placenta previa hiki i ka IUGR. Kūpono ka placenta previa ke haʻahaʻa loa kāu placenta i kāu kōpū.

ʻIke i ka ulu ʻana o ka ulu

ʻIke pinepine ʻia ʻo IUGR i ka manawa o kahi ultrasound kānana maʻamau. Hoʻohana nā ultrasounds i nā nalu kani e nānā i ka ulu ʻana o kāu pēpē a me kou kōpū. Inā heʻuʻuku kāu pēpē ma mua o ka maʻamau, manaʻo paha kāu kauka ʻo IUGR.

ʻO ka liʻiliʻi ma mua o ka fetus maʻamau ʻaʻole kumu o ka hopohopo i ka hāpai mua ʻana. ʻAʻole maopopo ka hapa nui o nā wahine i ko lākou manawa hope loa. No laila, ʻaʻole pololei paha nā makahiki hānau o kāu fetus. Liʻiliʻi paha ke fetus ke kūpono maoli ka nui.

Ke manaʻo ʻia ʻo IUGR i ka hāpai mua ʻana, e nānā kāu kauka i ka ulu ʻana o kāu fetus ma o nā ultrasounds maʻamau. Inā ʻaʻole ulu pono kāu pēpē, hiki i kāu kauka ke kuhikuhi i ka IUGR.

Hōʻike ʻia paha kahi hōʻike amniocentesis inā manaʻo kāu kauka ʻo IUGR. No kēia hoʻāʻo, e hoʻokomo kāu kauka i kahi kui kolo loloa ma loko o kou ʻōpū i loko o kāu ʻeke amniotic. A laila e lawe kāu kauka i kahi laʻana o ka wai. Hōʻaia kēia laʻana no nā hōʻailona o nā pono ʻole.

Hiki ke mālama i ka retardation ulu?

Kaukaʻi ʻia i ke kumu, hiki ke hoʻohuli ʻia ʻo IUGR.

Ma mua o ka hāʻawi ʻana i kahi lāʻau, e nānā paha kāu kauka i kāu fetus e hoʻohana nei:

• ultrasound, e ʻike pehea e ulu nei kā lākou meaola a nānā i nā neʻe maʻamau
• ka nānā ʻana o ka puʻuwai, e hōʻoia i ka piʻi o ko lākou puʻuwai ke neʻe ia
• Nā noiʻi kahe Doppler, e hōʻoia i ke kahe pono o ko lākou koko

E nānā ka mālama ʻana i ke kamaʻilio ʻana i ke kumu kumu o IUGR. Kaukaʻi ʻia i ke kumu, pono paha kekahi o nā koho i lalo:

Ke hoʻonui nei i kāu ʻai pono

Mālama kēia i ka loaʻa ʻana o ka meaʻai i kāu fetus. Inā ʻaʻole ʻoe i ʻai pono, ʻaʻole lawa paha ka momona o kāu pēpē e ulu.

Hoʻomaha Moe

Hoʻokomo ʻia ʻoe i kahi moe e kōkua ai i ka hoʻomaikaʻi ʻana i ka holo o kāu fetus.

Lawe Lawe ʻia

I nā hihia koʻikoʻi, pono paha i ka lawe mua. ʻAe kēia i kāu kauka e komo i mua o ka hōʻino ʻia ʻana e IUGR. Pono wale ka lawe ʻana i loko inā hoʻokomo ʻia kāu pēpē i ka ulu ʻana āpau a i ʻole nā ​​pilikia olakino koʻikoʻi. Ma ka laulā, makemake paha kāu kauka e ʻae iā ia e ulu no ka mea hiki ke hiki ma mua o ka lawe ʻana.

Nā pilikia mai ka ulu ʻana o ka ulu ʻana

ʻO nā keiki i loaʻa kahi ʻano IUGR koʻikoʻi e make i loko o ka ʻōpū a i ka wā hānau. ʻO nā keiki me kahi ʻano ʻoi loa o ka IUGR hiki ke loaʻa i nā pilikia.

ʻO nā keiki me ke kaumaha haʻahaʻa hānau he mahuahua ka makaʻu o:

• kino kīnā
• lohi ke kaʻa a me ka hoʻomohala kaiāulu
• nā maʻi maʻi

Pehea wau e mālama ai i kaʻu pēpē mai ka hoʻomohala ʻana i ka hopena ulu?

ʻAʻohe ala i ʻike ʻia e pale aku ai iā IUGR. Eia nō naʻe, aia kekahi mau ala e hōʻemi ai i ka makaʻu o kāu pēpē.

Pākuʻi ʻia lākou:

• ʻai ʻana i nā mea olakino
• ke lawe nei i kāu mau wikamina prenatal, me ka waikawa folic
• e hōʻalo nei i nā nohona olakino, e like me ka hoʻohana ʻana i ka lāʻau, ka hoʻohana ʻana i ka wai ʻona, a me ka puhi paka ʻana