He aha ka Fetal Biophysical Profile a pehea e hana ai
Anter
ʻO ka hōʻike biophysical fetal, a i ʻole PBF, kahi hōʻike e loiloi i ka maikaʻi o ke fetus mai ke kolu o ka hapai o ka hāpai ʻana, a hiki ke loiloi i nā palena a me nā hana a ka pēpē, mai ka neʻe ʻana o ke kino, ka neʻe ʻana o ka hanu, ka ulu kūpono, amniotic ka leo a me ka helu o ka puʻuwai.
He mea nui kēia mau palena i loiloi ʻia, no ka mea ke hōʻike nei lākou i ka hana o ka ʻōnaehana ʻōpiopio o ka pēpē a me ke kūlana o ka oxygenation, no laila, inā ʻike ʻia kekahi pilikia, hiki ke hana i ka lāʻau i ka wā hiki loa, me ka pēpē mau i ka ʻōpū.
Ke pono
Hōʻike nui ʻia ka hoʻokolohua hōʻikeʻike pilikino o fetal i nā hihia o ka hāpai ʻana i hoʻonui ʻia ka pilikia o ka pilikia, a hiki i nā hanana e like me:
- ʻO pēpē me ka ulu haʻahaʻa ma mua o ka mea i manaʻo ʻia no nā makahiki hānau;
- Ke kūʻana o ka wai amniotic liʻiliʻi;
- ʻO nā wahine hāpai me ka hoʻomohala ʻana i nā maʻi hāpai e like me ka maʻi diabetes gestational, ke koko kiʻekiʻe a i ʻole pre-eclampsia;
- Hapai hāpai keiki, me 2 a ʻoi aku fetus
- ʻO ka wahine hāpai me ka puʻuwai, akemāmā, hakuʻala a i ʻole nā maʻi hematological;
- ʻO nā wahine hāpai ma luna a i ʻole ma lalo o ka makahiki i manaʻo ʻia he palekana.
Hoʻohui ʻia, noi paha kekahi mau kauka no ka hōʻike biophysical fetal e kōkua wale ai i ka hāpai maikaʻi ʻana, ʻoiai ʻo ka wahine hāpai kahi pilikia i ka hana, ʻoiai ʻaʻohe hōʻike o ka pōmaikaʻi o kēia hana.
Pehea e hana ai
Hana ʻia ka hōʻike hōʻike pilikino biophysical fetal i nā keʻena lapaʻau obstetric, maʻamau me ka ultrasound scan, e nānā i ka pēpē, a me ka hoʻohana ʻana o nā mea ʻike e ʻike i ka puʻuwai a me ke kahe o ke koko.
No ka ninaninau ʻana, koi ʻia i ka wahine hāpai e komo i nā lole māmā a ʻoluʻolu hoʻi, e hānai maikaʻi ʻia e hōʻalo ai i ka hypoglycemia a noho mau a moe paha i kahi kūpono.
No ke aha ia
Me ka ʻike o ka pili o ka biophysical fetal, hiki i ka mea hānau ke kuhikuhi i nā palena penei:
- ʻ Flelo Fetal, e like me ke kūlana o ke poʻo a me ke kumu, ka flexion kūpono, ka wehe a me ka pani ʻana o nā lima, ka neʻe ʻana, ka pani ʻana a me ka wehe ʻana o nā maka maka, no ka laʻana;
- Holo ke kino Fetal, e like me ke kaʻapuni ʻana, ke kau ʻana, ka neʻe ʻana o ka umauma;
- Nā neʻe hanu o ka ʻōpū, e hōʻike ana inā lawa ka ulu ʻana o ka hanu, e pili ana i ke ola o ka pēpē;
- ʻO ka nui o ka wai Amniotic, kahi e hoʻemi ʻia (oligohidamnios) a i ʻole hoʻonui ʻia (polyhydramnios);
Hoʻohui ʻia, ana ʻia hoʻi ka helu o ka puʻuwai fetal, ana ʻia ma o ka pilina me ka hoʻāʻo cardiotocography fetal.
Pehea e hāʻawi ʻia ai ka hopena
Loaʻa i kēlā me kēia māka loiloi, i kahi manawa o 30 mau minuke, kahi helu mai 0 a 2, a hāʻawi ʻia ka hopena o nā palena āpau me nā memo aʻe:
Kaha kākau ʻōlelo | Ka hopena |
8 a i ʻole 10 | hōʻike i ka hoʻokolokolo maʻamau, me nā fetus olakino a me ka makaʻu haʻahaʻa o ka hanu ʻana; |
6 | hōʻike i kahi hoʻāʻo kānalua, me ka asphyxia fetal hiki, a pono e hana hou i ka hōʻike ma loko o 24 mau hola a i ʻole hōʻike i ka hoʻopau ʻana o ka hāpai keiki; |
0, 2 a i ʻole 4 | kuhikuhi i kahi kiʻekiʻe o ka fetal asphyxia. |
Mai ka wehewehe ʻana i kēia mau hopena, hiki i ke kauka ke hoʻomaopopo mua i nā loli e waiho i ke ola o ka pēpē i kahi pōpilikia, a hiki ke mālama ʻia me ka wikiwiki loa, a ʻo ia pū kekahi me ka pono o ka hānau mua.