ʻO ka hānau hānau Pelvic: he aha ia a me nā pilikia ʻē aʻe

Anter

• No ka mea ʻaʻole huli ka poʻo i lalo o ka pēpē
• Pehea e haʻi ai inā e noho ana kāu pēpē
• Pehea ka External Cephalic Version (VCE) hana ʻia
• He aha nā makaʻi o ka lawe pelvic
• ʻOi aku ka palekana o ka loaʻa ʻana o kahi ʻāpana cesarean a i ʻole kahi hānau pelvic?

Hana ʻia ka pelvic ke hānau ʻia ka pēpē i kahi kūlana ʻē aʻe ma mua o ka maʻamau, kahi e hiki ai i ka wā e noho ana ka pēpē i kahi noho, a ʻaʻole huli i lalo i ka hopena o ka hāpai ʻana, ka mea i manaʻo ʻia.

Inā hoʻokō ʻia nā kūlana kūpono a pau, hiki ke hoʻokō palekana ʻia ka pelvic, eia nō naʻe, i kekahi mau hihia, e like me ke kaumaha nui a pēpē paha o ka pēpē, a i ʻole ʻae ʻia e ke kūlana olakino o ka makuahine, pono paha ia e hana i kahi ʻāpana cesarean.

No ka mea ʻaʻole huli ka poʻo i lalo o ka pēpē

Aia paha ka pēpē i nā kūlana ʻokoʻa ma loko o ka hāpai keiki. Eia nō naʻe, ma kahi o ka pule 35, pono e hōʻike i luna i lalo, ʻoiai mai kēlā wā o ka hāpai ʻana, he nui ia i hiki ke paʻakikī e hoʻololi i ke kūlana. ʻO kekahi o nā kumu i hiki ke pale i ka pēpē mai ka huli ʻana i lalo i ka hopena o ka hāpai ʻana.

• Ke kū nei o nā hāpai mua;
• Hapai māhoe;
• Nui a lawa ʻole paha ka wai amniotic, kahi e hiki ʻole ai i ka pēpē ke neʻe, a i ʻole e neʻe me ka maʻalahi.
• Hoʻololi i ka morphology o ka kōpū;
• Pākuʻi mua

Hana ʻia ka placenta previa ke hoʻonohonoho ʻia ka placenta i kahi ala e uhi ai i ka wehe ʻana o ka cervix. E aʻo hou e pili ana i ka placenta previa a pehea e ʻike ai.

Pehea e haʻi ai inā e noho ana kāu pēpē

E ʻike inā e noho ana ka pēpē a huli i luna i lalo, hiki i ke kauka ke nānā i ke ʻano o ka ʻōpū a hana i kahi ultrasound, ma kahi o ka pule 35th. Eia hou, hiki i ka wahine hāpai ke ʻike i ka huli ʻana o ka pēpē i lalo, ma o kekahi mau hōʻailona, ​​e like me ka manaʻo ʻana i nā wāwae o ka pēpē i ka umauma a i ʻole me ka makemake nui e mimi, no ka laʻana, ma muli o ka nui o ka kaomi ʻana o ka ʻōpū. E ʻike i nā hōʻailona ʻē aʻe e hōʻike i ka huli ʻana o ka pēpē i lalo.

Inā ʻaʻole i huli ka pēpē i lalo, hiki i ke kauka ke hoʻāʻo e hoʻohuli iā ia me ka lima, me ka hoʻohana ʻana i kahi maneuver i kapa ʻia ʻo ka cephalic version (VCE).Inā, ma o kēia ʻano hana, ʻaʻole hiki ke hoʻohuli i ka pēpē i lalo, pono ke kauka i ka makuahine e pili ana i ka hānau pelvic a i ʻole e ʻōlelo i kahi ʻāpana cesarean, e pili ana i nā olakino he nui o ka makuahine a me ke kaumaha o ka pēpē.

E ʻike pū i nā mea hoʻoikaika i hiki iā ʻoe ke hana ma ka home e kōkua ai i kāu pēpē.

Pehea ka External Cephalic Version (VCE) hana ʻia

Aia ka External Cephalic Version i kahi maneuver i hoʻohana ʻia e ka mea hānau lāʻau, ma waena o nā 36th a me 38 mau pule o ka hānau ʻana, ke huli ʻole ka pēpē i lalo. Hana lima ʻia kēia maneuver e ke kauka, nāna i kau kona mau lima ma luna o ka ʻōpū o ka wahine hāpai, e hoʻohuli mālie i ka pēpē i kahi kūpono. I kēia kaʻina hana, nānā ʻia ka pēpē i mea e hōʻalo ai i nā pilikia.

He aha nā makaʻi o ka lawe pelvic

Hāʻawi ka hānau pelvic i nā mea ʻoi aku ka nui ma mua o ka hānau maʻamau, no ka mea aia a hiki i ka pēpē ke paʻa i loko o ke aʻa aʻa, e hiki ai i ka hōʻemi ʻana o ka lako oxygen e ka placenta. Eia hou, aia kekahi pilikia e lilo ka poʻo a me nā poʻohiwi o ke pēpē i loko o nā iwi o ka pelvis o ka makuahine.

ʻOi aku ka palekana o ka loaʻa ʻana o kahi ʻāpana cesarean a i ʻole kahi hānau pelvic?

E like me ka lawe pelvic, nā ʻāpana cesarean i hōʻike i kekahi mau pilikia no ka pēpē a me ka makuahine, e like me nā maʻi, ke kahe ʻana o ke koko a i ʻole nā ​​ʻeha i nā ʻokena a puni ka uterus, no ka laʻana. No laila, he mea nui ka loiloi i ke kūlana e ka mea hānau, e noʻonoʻo ana i ke kūlana olakino o ka makuahine a me nā makemake, a me nā ʻano o ka pēpē, i mea e hoʻoholo ai i ke ʻano kūpono loa.

Paipai ka hapa nui o nā ʻōpū i kahi ʻāpana cesarean no nā pēpē i kahi kūlana pelvic, keu hoʻi no nā pēpē ma mua, no ka mea he liʻiliʻi lākou a palupalu hoʻi, a he poʻo nui aʻe ka nui ma ko lākou kino, paʻakikī iā lākou e hele i loko inā pēpē ka pēpē. ma kona poʻo. i luna.