Fetal Echocardiography

Anter

• I ka manawa hea e hoʻohana ai ka echocardiography fetal?
• Pono wau e hoʻomākaukau no ke kaʻina hana?
• He aha ka hana i ka wā o ka hoʻokolokolo?
• Uchocardiography ʻōpū
• Transchaginal echocardiography
• Aia kekahi mau pilikia e pili ana i kēia hōʻike?
• He aha ke ʻano o nā hopena?
• No ke aha he mea nui kēia hoʻāʻo?

He aha ka echocardiography fetal?

ʻO ka Fetch echocardiography kahi hōʻike e like me ka ultrasound. Hāʻawi kēia hōʻike i kāu kauka e ʻike pono i ke ʻano a me ka hana o ka puʻuwai o kāu keiki hānau ʻole. Hana maʻamau ia i ka trimester ʻelua, ma waena o nā pule 18 a 24.

Hoʻohana ka hoʻokolohua i nā nalu kani e "hoʻōho" i nā hanana o ka puʻuwai o ka fetus. Nānā kahi mīkini i kēia mau nalu kani a hana i kiʻi, a i ʻole echocardiogram, o ko lākou puʻuwai o loko. Hāʻawi kēia kiʻi i ka ʻike e pili ana i ka hoʻokumu ʻana o ka puʻuwai o kāu pēpē a inā e holo pono paha ia.

Hāʻawi pū ia i kāu kauka e ʻike i ke kahe o ke koko ma o ka puʻuwai o ka fetus. ʻO kēia nānā hohonu e ʻae i kāu kauka e ʻike i nā mea kūpono ʻole i ke kahe o ke pēpē a i ʻole ka puʻuwai puʻuwai.

I ka manawa hea e hoʻohana ai ka echocardiography fetal?

ʻAʻole pono nā wahine hāpai āpau i kahi echocardiogram fetal. No ka hapanui o nā wahine, e hōʻike kahi ultrasound maʻamau i ka ulu ʻana o nā keʻena ʻehā o ka puʻuwai o kā lākou pēpē.

E paipai paha kāu OB-GYN e hana i kēia kaʻina hana inā ʻaʻole paʻa nā hoʻokolohua mua a i ʻole inā ʻike lākou i kahi puʻuwai puʻuwai maikaʻi ʻole i ka fetus.

Pono paha ʻoe i kēia hōʻoia inā:

• weliweli paha kāu keiki hānau ʻole no kahi maʻi kīnā ʻole o ka naʻau a i ʻole nā ​​maʻi ʻē aʻe
• he moʻolelo ʻohana kāu na ka maʻi puʻuwai
• ua hānau mua ʻoe i kahi keiki me ke ʻano puʻuwai
• ua hoʻohana ʻoe i nā lāʻau a i ʻole ka waiʻona i kou wā hāpai
• ua lawe ʻoe i kekahi mau lāʻau a i hōʻike ʻia i nā lāʻau e hiki ai ke hōʻeha i ka puʻuwai, e like me nā lāʻau epilepsy a i ʻole nā ​​lāʻau huehue kuhikuhi
• Loaʻa iā ʻoe nā kūlana olakino ʻē aʻe, e like me rubella, ʻano diabetes 1, lupus, a i ʻole phenylketonuria

Hana kekahi mau OB-GYN i kēia hoʻāʻo. Akā maʻamau ka mea loea ultrasound ʻike loea, a i ʻole ultrasonographer, hana i ka hōʻike. ʻO ke kauka lāʻau nāna i loea i ka lāʻau pediatric e nānā i nā hopena.

Pono wau e hoʻomākaukau no ke kaʻina hana?

ʻAʻole pono ʻoe e hana i kekahi mea e hoʻomākaukau ai no kēia hōʻike. ʻAʻole like me nā ultrasounds prenatal ʻē aʻe, ʻaʻole pono ʻoe i kahi bladder piha no ka hoʻāʻo.

Hiki ke hoʻokolohua ma kahi o 30 mau minuke a i ʻelua mau hola e hana ai.

He aha ka hana i ka wā o ka hoʻokolokolo?

Ua like kēia hōʻike me kahi ultrasound hāpai hāpai maʻamau. Inā hana ʻia ma o kou ʻōpū, kapa ʻia ia he echocardiography ʻōpū. Inā hoʻokō ʻia ma o kāu ʻōpala, ua kapa ʻia he echocardiography transvaginal.

Uchocardiography ʻōpū

ʻO kahi echocardiography ʻōpū e like me kahi ultrasound. Nīnau kahi loea ultrasound iā ʻoe e moe i lalo a hōʻike i kou ʻōpū. Hoʻopili lākou i kahi jelly lubricating kūikawā i kou ʻili. Ke pale nei ka jelly i ka hakakā i hiki i ka mea loea ke neʻe i kahi transducer ultrasound, kahi mea hana e hoʻouna a loaʻa i nā nalu kani, ma luna o kou ʻili. Kōkua ka jelly i ka lawe ʻana i nā nalu kani.

Hoʻouna ka transducer i nā nalu kani kani pinepine ma o kou kino. Kū ka nalu i ko lākou pā ʻana i kahi mea paʻa, e like me ka puʻuwai o kāu keiki hānau ʻole. Hōʻike hou ʻia kēlā mau leo ​​i kahi kamepiula. Kiʻekiʻena kiʻekiʻe nā nalu kani no ka lohe o ka pepeiao kanaka.

Neʻe ka ʻenehana i ka transducer a puni kou ʻōpū e kiʻi i nā kiʻi o nā ʻāpana like ʻole o ka puʻuwai o kāu pēpē.

Ma hope o ke kaʻina hana, hoʻomaʻemaʻe ʻia ka jelly mai kou ʻōpū. Aia manuahi ʻoe e hoʻi i kāu hana maʻamau.

Transchaginal echocardiography

No kahi echocardiography transvaginal, noi ʻia ʻoe e hemo mai ka pūhaka i lalo a moe i ka papa hōʻike. E hoʻokomo kahi mea ʻenehana i kahi probe liʻiliʻi i loko o kāu wahine. Hoʻohana ka probe i nā nalu kani e hana i kiʻi o ka puʻuwai o kāu pēpē.

Hoʻohana pinepine ʻia kahi echocardiography transvaginal i nā wā mua o ka hāpai ʻana. Hāʻawi paha ia i kahi kiʻi akāka o ka puʻuwai fetal.

Aia kekahi mau pilikia e pili ana i kēia hōʻike?

ʻAʻohe pilikia i ʻike ʻia e pili ana i ka echocardiogram no ka mea hoʻohana ia i ka ʻenehana ultrasound a ʻaʻohe pāhawewe.

He aha ke ʻano o nā hopena?

I kāu manawa e hoʻopaʻa ai, e wehewehe ke kauka i nā hopena iā ʻoe a pane i nā nīnau. ʻO ka mea maʻamau, ʻo nā hopena maʻamau ka loaʻa ʻole o kāu kauka i mea kūpono ʻole.

Inā loaʻa i kāu kauka kahi pilikia, e like me ka kīnā o ka puʻuwai, ka nohona ritme, a i ʻole nā ​​pilikia ʻē aʻe, pono paha ʻoe i nā hoʻokolohua hou aku, e like me ka scan MRI fetal a i ʻole nā ​​ultrasound kiʻekiʻe.

E kuhikuhi pū kāu kauka iā ʻoe i nā kumuwaiwai a i ʻole nā ​​loea e hiki ke mālama i ke kūlana o kāu keiki hānau ʻole.

Pono paha ʻoe e hana i kahi echocardiograph i hana ʻia ma mua o hoʻokahi manawa. A i ʻole makemake ʻoe i kahi hoʻokolohua hou inā manaʻo kāu kauka he hewa paha kekahi mea ʻē aʻe.

He mea nui e hoʻomanaʻo ʻaʻole hiki i kāu kauka ke hoʻohana i nā hopena o ka echocardiography e hōʻoia ai i kēlā me kēia ʻano. ʻO kekahi mau pilikia, e like me ka lua o ka puʻuwai, paʻakikī e ʻike a ʻoiai me nā pono holomua.

E wehewehe kāu kauka i ka mea hiki iā lākou a hiki ʻole ke diagnose me ka hoʻohana ʻana i nā hopena hōʻike.

No ke aha he mea nui kēia hoʻāʻo?

Hiki i nā hopena maʻamau ʻole mai ka echocardiography fetal ke lilo i manaʻo ʻole a koi paha e kiʻi ʻoe i nā hoʻokolohua hou aku e ʻike i ka hewa. I kekahi manawa haʻalele ʻia nā pilikia a ʻaʻole pono e hoʻāʻo hou. Ke kuhi ke kauka i kahi kūlana, hiki iā ʻoe ke hoʻokele maikaʻi i kou hāpai ʻana a hoʻomākaukau no ka lawe ʻana.

E kōkua nā hopena mai kēia hōʻike iā ʻoe a me kāu kauka e hoʻolālā i nā mālama ʻana e pono ai kāu pēpē ma hope o ka hānau ʻana, e like me ke ʻoki hoʻoponopono. Hiki iā ʻoe ke loaʻa i ke kākoʻo a me nā ʻōlelo aʻoaʻo e kōkua iā ʻoe e hoʻoholo maikaʻi i ke koena o kou hāpai ʻana.