Kūlana poʻo: he aha ia a pehea e ʻike ai inā kūpono ka pēpē

Anter

• Pehea e haʻi ai inā ua huli ke alo i lalo i lalo
• He aha inā ʻaʻole huli ke alo o ka pēpē i lalo?

ʻO ke kūlana cephalic kahi manawa i hoʻohana ʻia e wehewehe i ka wā o ka pēpē me ke poʻo i hoʻohuli ʻia i lalo, ʻo ia ke kūlana i manaʻo ʻia e hānau ʻia ʻo ia me ka ʻole o nā pilikia a no ka hoʻomau ʻana o ka hānau ʻana.

Ma waho aʻe o ka hoʻohuli ʻana i lalo, e huli paha ka pēpē me kona kua i ka hope o ka makuahine, a i ʻole me kona kua i ka ʻōpū o ka makuahine, ʻo ia ke kūlana maʻamau.

ʻO ka maʻamau, huli ka pēpē me ka ʻole o nā pilikia ma kahi o ka pule 35, akā naʻe, i kekahi mau hihia, ʻaʻole paha ʻo ia e huli aʻe a moe i luna a moe paha i luna, e koi ana i kahi ʻāpana cesarean a i ʻole ka lawe pelvic. E ʻike pehea ka lawe ʻana o ka pelvic a pehea nā pōpilikia.

Pehea e haʻi ai inā ua huli ke alo i lalo i lalo

ʻAʻole ʻike paha kekahi mau wahine hāpai i nā ʻōuli a i ʻole nā ​​hōʻailona, ​​eia naʻe, ke nānā nei, aia kekahi mau hōʻailona aia ke pēpē i ke kūlana poʻo, a hiki ke ʻike maʻalahi ʻia, e like me:

• ʻO ka neʻe ʻana o nā wāwae o ka pēpē i ka iwi ʻaoʻao;
• ʻO ka neʻe ʻana o nā lima a i ʻole nā ​​lima i lalo o ka pelvis;
• Hiccups i loko o ka ʻōpū o lalo;
• Hoʻonui i ke alapine o ka urination, ma muli o ka hoʻonui ʻia o ka pēpē i ka ʻai;
• ʻO ka hoʻomaikaʻi ʻana i nā ʻōuli e like me ka puʻuwai puʻuwai a me ka hanu, no ka mea, ʻoi aku ka liʻiliʻi o ka compression i loko o ka ʻōpū a me nā māmā.

Hoʻohui ʻia, hiki i ka wahine hāpai ke lohe i ka puʻuwai o ka pēpē, kokoke i ka ʻōpū o lalo, ma o kahi pēpē pēpē lawe, a he hōʻailona nō hoʻi ia e kūlia ana ka pēpē i lalo. E ʻike he aha ia a pehea e hoʻohana ai i ka hiki ke lawe i ka fetal doppler.

ʻOiai hiki i nā ʻōuli ke kōkua i ka makuahine e ʻike i ka huli ʻana o ka pēpē i lalo, ʻo ke ala ʻoi loa e hōʻoia ai ma o ka ultrasound a me ka hoʻokolokolo kino ʻana, i ka wā o ke kūkākūkā ʻana me ka mea hānau hānau.

He aha inā ʻaʻole huli ke alo o ka pēpē i lalo?

ʻOiai he kakaikahi ia, i kekahi mau hihia, ʻaʻole paha e huli ke alo o ka pēpē a hiki i ka hebedoma 35 o ka hāpai ʻana. ʻO kekahi o nā kumu e hoʻonui ai i ka makaʻu o kēia hana ʻo ka noho ʻana o nā hāpai mua, nā loli i ka morphology o ka kōpū, ka lawa ʻole a i ʻole ka nui o ka wai amniotic a i ʻole ka hāpai ʻana me nā māhoe.

I ka nānā ʻana i kēia kūlana, hiki i ka mea hānau ke koi aku i ka hana o nā hana hoʻoikaika i ka manawa o ka pēpē, a i ʻole hana i kahi maneuver i kapa ʻia ʻo External Cephalic Version, kahi e kau ai ke kauka i kona mau lima ma ka ʻōpū o ka wahine hāpai, e hoʻohuli mālie i ka pēpē i ka pololei. kulana. Inā ʻaʻole hiki ke hana i kēia maneuver, hiki i ka hānau pēpē ʻana me ka palekana, ma o ka ʻāpana cesarean a i ʻole ka hānau pelvic.