Pehea ka hopena o ke kaula Nuchal i kaʻu pēpē?

Anter

• He aha ke kumu o ke kaula nuchal?
• Nā ʻōuli
• Kānāwai
• Hoʻokele
• Nā pilikia
• Outlook
• Q&A: Nuchal kaula a me ka lolo pōʻino
• Q:
• A:

He aha ke kaula nuchal?

ʻO ke kaula Nuchal ka manawa i hoʻohana ʻia e nā kauka lapaʻau ke hoʻopili ʻia kāu pēpē umbilical i kā lākou ʻāʻī. Hiki i kēia ke hana i ka wā hāpai, hana, a hānau paha.

ʻO ka umbilical cord ke kumu ola o kāu pēpē. Hāʻawi ia iā lākou i ke koko, oxygen, a me nā meaola āpau e pono ai lākou. Hiki ke hopohopo nui kekahi pilikia me ka umbilical cord o kāu pēpē, akā ʻaʻole makaʻu ka hapanui o nā kaula nuchal i kekahi ʻano.

ʻO ke kaula nuchal he mea maʻamau loa ia, me kahi hānau hānau olakino maikaʻi me ke kaula i hoʻopili ʻia ma ko lākou ʻāʻī.

He aha ke kumu o ke kaula nuchal?

Inā hāpai ʻoe, e ʻike ʻoe ma mua o ka poʻe i ka neʻe ʻana o nā pēpē i laila! ʻO nā acrobatics pēpē kahi kumu paʻa no ke kumu e hopena ai lākou me ke kaula nuchal, akā aia kekahi mau kumu ʻē aʻe e makaʻala pū kekahi.

Pale ʻia nā kaula olakino e ka gelatinous, hoʻopiha hoʻopiha i kapa ʻia ʻo jelly ʻo Wharton. Aia ka jelly e mālama ʻole i ke kaula i ʻole nā ​​kaula i mea e palekana ai kāu pēpē no ka nui o ko lākou wili ʻana a hoʻohuli iā lākou iho. ʻAʻole lawa nā kaula o Wharton i kā kekahi mau kaula. ʻO ia ka mea e ʻoi aku ai ke aho nuchal.

E loaʻa paha iā ʻoe kahi kaula nuchal inā:

• loaʻa iā ʻoe he māhoe a nui paha
• Loaʻa iā ʻoe ka wai amniotic nui loa
• ʻoi loa ke kaula
• ʻilihune ke ʻano o ke kaula

ʻAʻohe ala e pale ai i ke kaula nuchal a ʻaʻole loa lākou e kumu ʻia e kekahi mea a ka makuahine i hana ai.

ʻAno paʻakikī ʻole nā ​​kaula Nuchal. Inā loaʻa iā ʻoe hoʻokahi makana, ʻaʻole paha ʻoe e lohe ia i ʻōlelo ʻia i ka wā hānau o kāu pēpē ke ʻole e kū mai kahi pilikia. Hiki i nā pēpē ke hoʻopaʻa i ke kaula a puni ko lākou ʻāʻī i mau manawa a maikaʻi loa.

Ma kahi e loaʻa kahi knot maoli i ke kaula, a ma ia hihia aia kekahi mau pilikia e pili ana. ʻOiai i kēia mau hihia, kākaʻikahi ka paʻa o ke kaula i mea e lilo ai i mea weliweli. ʻO kahi kaula nuchal nāna e ʻoki i ke kahe o ke koko e hoʻoweliweli i ke ola o ka pēpē.

Nā ʻōuli

ʻAʻohe hōʻailona maopopo o ke kaula nuchal. ʻAʻole hoʻololi iki i kou kino a i ʻole nā ​​hōʻailona hāpai. ʻAʻole hiki i ka makuahine ke haʻi inā he kaula nuchal kāna pēpē.

Kānāwai

Hiki ke ʻike wale ʻia nā kaula Nuchal me ka hoʻohana ʻana i kahi ultrasound, a ʻoiai ia manawa, paʻakikī loa lākou e ʻike. Hoʻohui ʻia, hiki i ka ultrasound ke hoʻomaopopo wale i ke kaula nuchal. ʻAʻole hiki i nā mea lawelawe olakino ke hoʻoholo mai kahi ultrasound inā pili ka nuchal cord i kāu pēpē.

Inā ʻike ʻia ʻoe me ke kaula nuchal i ka wanaʻao, he mea nui ʻaʻole e makaʻu. Wehe paha ke kaula ma mua o ka hānau ʻana. Inā ʻaʻole, hiki i kāu pēpē ke hānau hānau palekana ʻia. Inā ʻike kāu poʻe ʻoihana olakino i kahi kaula nuchal kūpono i ka wā o ka hana, manaʻo paha lākou i ka nānā hou ʻana i hiki iā lākou ke haʻi pololei inā loaʻa i kāu pēpē nā pilikia.

Hoʻokele

ʻAʻohe ala e pale a mālama ai i ke kaula nuchal. ʻAʻohe mea i hiki ke hana ʻia e pili ana a hiki i ka lawe ʻana. Nānā nā ʻoihana olakino i ke kaula a puni ka ʻāʻī o kēlā me kēia pēpē i hānau ʻia, a maʻamau ka maʻalahi o ka paheʻe mālie ʻana i mea e paʻa ʻole ai i ka ʻāʻī o ka pēpē ke hoʻomaka ka hanu o ka pēpē.

Inā loaʻa iā ʻoe kahi kaula nuchal i ka manawa o ka hāpai ʻana, ʻaʻohe hana hou e pono ai. ʻAʻole hōʻike kāu poʻe lawelawe i ka lawelawe olakino wikiwiki i ka pēpē.

Nā pilikia

ʻO nā pilikia e kū mai ana mai kahi kaula nuchal he mea maʻamau loa ia. He mea nui ka mālama ʻana i kāu pae stress. Kūkākūkā i nā hopohopo me kāu mea mālama ola i hiki iā lākou ke kōkua i ka noʻonoʻo ʻana i kou noʻonoʻo.

Kū ka pilikia e hana pinepine ʻia me nā kaula nuchal i ka wā o ka hana. Hiki i ka umbilical cord ke lilo i kaomi i ka wā o ka ʻaelike. Hoʻoemi kēlā i ka nui o ke koko e hoʻouka ʻia i kāu pēpē. Hiki i kēia ke alakaʻi i ka hōʻemi o ka puʻuwai o kāu pēpē.

Me ka nānā pono ʻana, hiki i kāu hui mālama ola ke ʻike i kēia pilikia a, i ka hapanui o nā hihia, hānau ʻia ka pēpē me ka ʻole o nā pilikia mai ke kaula nuchal. Inā hoʻomau ka hāʻule o ka puʻuwai o kāu pēpē a ua hoʻāʻo ʻoe e hana ma nā kūlana kūpono aʻe, e ʻōlelo paha kāu poʻe lawelawe mālama i kahi hoʻouna cesarean pilikia.

I nā hihia maʻamau, hiki i ke kaula nuchal ke alakaʻi i ka hoʻoliʻiliʻi o ka neʻe ʻana o ka fetal, hoʻemi i ka hoʻomohala inā kū i ke kakahiaka nui, a i ʻole ka hāʻawi paʻakikī ʻana.

Outlook

I ka hapa nui o nā hihia, ʻaʻohe mea weliweli ke kaula nuchal no ka makuahine a pēpē paha. I nā hihia maʻamau kahi e kū ai nā pilikia, ʻoi aku ka mākaukau o kāu hui olakino e kūpale me lākou. Hānau hānai ʻia nā pēpē palekana a maikaʻi pū kekahi ma hope o ka hoʻopiʻi nuchal cord.

He mea nui e hoʻomanaʻo ʻaʻole hiki ke pale ʻia nā kaula nuchal. ʻAʻohe mea a ka makuahine hānau e hana ai. Inā ua ʻike ʻia kāu pēpē me ke kaula nuchal, ʻoi aku ka maikaʻi e hoʻāʻo e hopohopo ʻole no kēia ʻano. ʻAʻole maikaʻi ka hoʻonui ʻana i ke koʻikoʻi iā ʻoe a i ʻole kāu pēpē. E kamaʻilio me kāu kauka inā loaʻa kāu hopohopo e pili ana i kāu ʻike nuchal cord diagnosis.

Q&A: Nuchal kaula a me ka lolo pōʻino

Q:

Hiki i ke kaula nuchal ke alakaʻi i ka lolo?

Hoʻomanawanui inoa ʻole

A:

Hiki i ke kaula nuchal paʻa a kūpaʻa ke hōʻoki i ke kahe o ke koko i ka lolo a hōʻeha i ka lolo a i ʻole ka make i ka wā hāpai. Inā puni ke ʻāʻī i ke kaula i ka wā e hānau ai, hiki ke hoʻopaʻa i ka neʻe ʻana o ka pēpē i lalo i ka puka hānau. Ke hāʻawi ʻia ke poʻo i ka ʻoihana ola kino e nānā no ke kaula a puni ka ʻāʻī a paheʻe ma luna o ke poʻo o ka pēpē. Inā paʻa loa ke kaula, hiki ke hoʻopaʻa ʻia i ʻelua a ʻoki ʻia ma mua o ka hānau ʻana o ke koena o ka pēpē. E loaʻa nā hōʻailona e paʻa ana ke kaula, me nā loli i ka helu o ka puʻuwai o ka pēpē. Inā ʻike ʻia ka pilikia o ke fetal e hōʻike ʻia kahi ʻāpana cesarean.

ʻO Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHTAnswers e hōʻike i nā manaʻo o kā mākou kauka loea.Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.