He aha nā Fetal hydrops, nā kumu nui a me ka mālama ʻana

Anter

• He aha ka mea e hiki ai i nā fetal hydrops
• Pehea e ʻike ai inā he pulu kāu pēpē
• Nā pilikia o nā fetal hydrops
• Pehea e mālama ai a mālama ai i nā hydrop fetal

He maʻi maʻi ʻole ʻo Fetal dropsy kahi e hōʻuluʻulu ai nā wai i nā wahi like ʻole o ke kino o ke pēpē i ka wā hāpai, e like me nā akemāmā, ka puʻuwai a me ka ʻōpū. He koʻikoʻi loa kēia maʻi a paʻakikī hoʻi e mālama a hiki ke alakaʻi i ka make o ka pēpē i ke kakahiaka a i ʻole ka hānau hānau ʻole.

I Pepeluali 2016, ua loaʻa ka dropsy i loko o kahi ʻōpū i loaʻa pū kekahi me ka microcephaly a ʻaʻole i ola i ka hāpai ʻana. Eia nō naʻe, ʻaʻole maopopo ka loulou ma waena o Zika a me nā fetal hydrops a ʻano laha ʻole, ʻo ka mea koʻikoʻi a koʻikoʻi loa o Zika i ka hāpai hāpai e noho microcephaly. Hoʻomaopopo i nā pilikia o Zika i ka hāpai ʻana.

He aha ka mea e hiki ai i nā fetal hydrops

He kumu pale ʻole paha ka Fetal dropsy a i ʻole he pale ʻole ia, ʻo ia ka wā he ʻano koko maikaʻi ʻole ka makuahine, e like me A-, a me ka pēpē i kahi ʻano koko maikaʻi, e like me B +. Kuhi kēia ʻokoʻa i nā pilikia ma waena o ka makuahine a me ke keiki a pono e mālama ʻia mai ka hoʻomaka e pale i nā pilikia. E ʻike hou aʻe ma: Pehea e hoʻopili ai ke ʻano maikaʻi ʻole o ke koko i ka hāpai ʻana.

Ma waena o nā kumu o ka ʻano pale ʻole ʻo:

• Nā pilikia Fetus: hoʻololi i ka puʻuwai a i ʻole nā ​​ake māmā;
• Nā loli genetic: Edwards 'Syndrome, Down's Syndrome, Turner's Syndrome a alpha-thalassemia paha;
• Nā maʻi: cytomegalovirus, rubella, herpes, syphilis, toxoplasmosis a me parvovirus B-19;
• Nā pilikia makuahine: pre-eclampsia, diabetes, anemia koʻikoʻi, nele i ka protein i loko o ke koko a me Mirror Syndrome, kahi pehu āpau i loko o ke kino o ka makuahine a me nā ʻōpū.

Eia hou, hiki i kēia pilikia ke ala kūlohelohe i kahi hāpai kino olakino, me ke kumu ʻole e ʻike ʻia.

Pehea e ʻike ai inā he pulu kāu pēpē

Hana ʻia ka diagnose o nā fetal hydrops mai ka hopena o ka trimester mua o ka hāpai ʻana ma o ka nānā ʻana i ultrasound i ka wā prenatal care, i hiki ke hōʻike i ka wai amniotic a nui a me ka huʻu ma ka placenta a me nā wahi like ʻole o ke kino o ka pēpē.

Nā pilikia o nā fetal hydrops

Ke loaʻa nā hydrops o ka fetus i nā fetalis hiki i nā pilikia hiki ke ala aʻe e ʻokoʻa e like me ka ʻāpana o ke kino i hoʻopili ʻia. Kū aʻe nā hihia ʻoi loa ke kū ka wai i ka lolo o ka pēpē, i hiki ke alakaʻi i ka ulu maikaʻi ʻole o nā ʻōnaehana a me nā ʻōnaehana.

Eia nō naʻe, hiki i ka dropsy ke hoʻopili i kahi ʻāpana o ke kino, e like me nā akemāmā a ma kēia hihia aia wale nō nā pilikia hanu. No laila, ʻaʻole like nā pilikia āpau a pono e loiloi ʻia kēlā me kēia hihia e ka pediatrician, a pono e hoʻokō ʻia nā hōʻike e hōʻoia ai i ke koʻikoʻi o ka maʻi a ʻo kahi kūpono kūpono loa.

Pehea e mālama ai a mālama ai i nā hydrop fetal

Ke ʻike ʻia ka maʻi i ka wā hāpai, hiki i ka mea hānau ke koi i ka hoʻohana ʻana i nā lāʻau corticosteroid a i ʻole e hōʻeleu i ka ulu ʻana o ka pēpē, a i ʻole e koi paha i ke ʻoki ʻana i ka pēpē i ka wā o ka ʻōpū e hoʻoponopono i nā pilikia i ka puʻuwai a i ʻole nā ​​māmā, ke hoʻopili ʻia kēia mau mea .

I kekahi mau hihia, noi ʻia paha e hāʻawi i kahi pēpē ma mua, e ka ʻāpana caesarean.

Pono e mālama koke ʻia nā pēpē ola ma hope koke iho o ka hānau ʻana, akā pili ka mālama ʻana i ka hopena o ka pēpē a me ke koʻikoʻi o ka maʻi, e pili ana i ke kumu o ka maʻi kō. I nā hihia o immune fetal hydrops a i ʻole ke kumu he anemia a i ʻole maʻi parvovirus, hiki ke hana i ka lāʻau ma o ke transfusions koko, no ka laʻana.

I nā hihia o ka dropsy akahai, hiki ke hoʻokō ʻia ka hoʻōla, eia naʻe, ke pili nui ka ʻōpū, aia paha he hāʻule hāʻule, no ka laʻana.

E ʻike he aha nā hōʻailona hōʻailona nui i ka hāpai ʻana a akahele hoʻi e hōʻalo ai i nā pilikia.