Nānā Fetal: Nānā i waho a me kūloko

Anter

• He aha ka nānā ʻana o ka naʻau Fetal?
• Ka nānā ʻana o ka naʻau Fetal External Fetal
• ʻAuscultation
• Nānā Fetal uila (EFM)
• Nā pilikia a me nā palena o ka nānā ʻana o Fetal External
• Ke nānā nei i ka helu o ka naʻau Fetal
• Nā Pilikia a me nā Kau palena o ka Monitoring Heart Fetal Heart
• He aha ka mea e hana ai inā ʻaʻole kūpono ke kuʻi puʻuwai o kaʻu pēpē?

He aha ka nānā ʻana o ka naʻau Fetal?

E hoʻohana kāu kauka i ka nānā ʻana o ka puʻuwai fetal e nānā i ke kūlana o ka pēpē i ka wā o ka hana a me ka hānau ʻana. Hiki iā ia ke hana ma mua o ka hana a me ka lawe ʻana, ma ke ʻano he maʻa o ka loiloi maʻamau i ka hopena o ka hāpai ʻana, a i ʻole inā ʻike ʻoe i ka hōʻemi ʻana o ka helu kik o kāu pēpē. ʻO kahi helu naʻau puʻuwai ʻole he hōʻailona ia e loaʻa ana i kāu pēpē nā pilikia olakino. ʻEkolu ala ʻokoʻa e nānā i ka pā o ka puʻuwai o kāu pēpē, e like me: auscultation, uila fetal monitoring, a me nā fetal monitoring.

Ka nānā ʻana o ka naʻau Fetal External Fetal

ʻElua ala ʻokoʻa e nānā ai i ka puʻuwai o kāu pēpē i waho.

ʻAuscultation

Hana ʻia ʻo Fetus auscultation me kahi mea liʻiliʻi, lima nui i kapa ʻia he transducer. Hoʻopili nā uea i ka transducer i kahi monitor rate heart fetal. E kau kāu kauka i ka transducer ma kou ʻōpū i mea e hāpai ai ka hāmeʻa i ka puʻuwai puʻuwai o kāu pēpē.

E hoʻohana kāu kauka i ka transducer e nānā i ka puʻuwai o kāu pēpē i nā manawa i hoʻonohonoho ʻia ma kāu hana. Kuhi ʻia kēia mea maʻamau no nā hāpai hānau haʻahaʻa.

Nānā Fetal uila (EFM)

E hoʻohana pū kāu kauka iā EFM e nānā pehea ka pane ʻana o ka puʻuwai o kāu pēpē i kāu ʻelike. I mea e hana ai i kēia, e kāʻei kāu kauka i ʻelua mau kāʻei a puni kou ʻōpū. E hoʻopaʻa kekahi o kēia mau kāʻei i ka helu o ka puʻuwai o kāu pēpē. Ana ke kāʻei ʻē aʻe i ka lōʻihi o kēlā me kēia contraction a me ka manawa ma waena o lākou.

E hoʻohana wale paha kāu kauka i ka hāmeʻa EFM no ka hapalua hola mua o kāu hana inā ʻoe a me kāu pēpē ke ʻano maikaʻi nei.

Nā pilikia a me nā palena o ka nānā ʻana o Fetal External

Hoʻohana wale ʻia ka Auscultation ma kāu mau hana a ʻaʻohe ona palena. Eia naʻe, koi ʻo EFM e noho mālie ʻoe. Hiki i ka neʻe ke hoʻohaunaele i ka hōʻailona a pale i ka mīkini mai ka loaʻa ʻana o kahi heluhelu pololei.

ʻO ka hoʻohana maʻamau o EFM he mea hoʻopaʻapaʻa i kekahi mau haukapila. Manaʻo kekahi mau loea he pono ʻole ka EHF maʻamau i nā hāpai haʻahaʻa haʻahaʻa.

Hiki i ka EFM ke kaupalena i kāu neʻe i ka wā hana. ua hōʻike i ke kūʻokoʻa o ka neʻe i ka hana hana maʻalahi no ka hapa nui o nā wahine.

Manaʻo kekahi poʻe loea i ke alakaʻi ʻana o EFM i nā hāʻawi cesarean pono ʻole a i ʻole ka hoʻohana ʻana i ka forceps a i ʻole ka hakahaka i ka wā o ka lawe ʻana i ka ʻōpū.

Ke nānā nei i ka helu o ka naʻau Fetal

Hoʻohana ʻia kēia hana inā ʻaʻole hiki i kāu kauka ke loaʻa kahi heluhelu maikaʻi mai EFM, a i ʻole inā makemake kāu kauka e nānā pono i kāu pēpē.

Hiki ke ana ʻia ka puʻuwai puʻuwai o kāu pēpē i loko ma hope o ka haki ʻana o kāu wai. E hoʻopili kāu kauka i kahi electrode i ka ʻāpana o ke kino o kāu pēpē e pili kokoke ana i ka wehe ʻana o ka ʻeha. ʻO ka maʻa mau kēia o nā poʻo poʻo o kāu pēpē.

Hiki iā lākou ke hoʻokomo i kahi catheter kaomi i loko o kāu kōpū e nānā i kāu hana.

Nā Pilikia a me nā Kau palena o ka Monitoring Heart Fetal Heart

ʻAʻohe pāhawewe e pili ana i kēia hana. Eia nō naʻe, ʻoluʻolu ʻole ka hoʻokomo o ka uila iā ʻoe. Hiki i ka electrode ke hōʻeha i ka ʻaoʻao o ka pēpē i pili iā ia.

ʻAʻole koi ʻia kēia ala no nā wahine i loaʻa nā maʻi herpes ikaika i ka wā e hana nei.ʻO kēia no ka mea hiki ke hoʻolilo iā ia i mea hou aʻe e hoʻoneʻe ʻia ka maʻi i ka pēpē. ʻAʻole pono e hoʻohana ʻia i nā wahine HIV-positive, ma muli o ka hopena o ka maʻi.

He aha ka mea e hana ai inā ʻaʻole kūpono ke kuʻi puʻuwai o kaʻu pēpē?

He mea nui e hoʻomanaʻo i ka helu o ka puʻuwai maʻamau ʻole ka manaʻo pinepine aia kekahi hewa me kāu pēpē. Inā hoʻomohala kāu pēpē i ka helu o ka puʻuwai abnormal, e hoʻāʻo kāu kauka e ʻike i ke kumu o ia. Pono lākou e kauoha i kekahi mau hoʻokolohua e ʻike ai i ke kumu o ka helu o ka puʻuwai maʻamau. Kaukaʻi ʻia i nā hopena hōʻike, hoʻāʻo paha kāu kauka e hoʻololi i ke kūlana o kāu pēpē a hāʻawi iā ia i ka nui o ka oxygen. Inā ʻaʻole holo pono kēia mau ʻano hana, e hoʻopakele paha kāu kauka i kāu pēpē ma o kahi cesarean, a i ʻole me ke kōkua o ka forceps a i ʻole ka hakahaka.