Nā kumu o ka hana Preterm: Hōʻike no nā Infections

Anter

• Nā maʻi i ka hāpai keiki
• Nā ʻōuli o nā maʻi
• Pehea e hōʻoia ai i nā maʻi
• Hoʻomaʻo a me ka pale ʻana
• Outlook

Hōʻike Overview

Manaʻo ʻia ka hana ma mua ke hele a hana ka wahine i ka hana ma 37 mau pule a i ʻole. ʻO ka manawa maʻamau no ka hele ʻana i ka hana he 40 mau pule.

ʻO ka loaʻa ʻana o kahi pēpē prematurely hiki ke alakaʻi i nā pilikia. Hiki i ka maʻi maʻi ke kumu i ka hana wawe. Hiki i kekahi mau keiki hānau hou ke hoʻomohala i ke kino kīnā a i ʻole ka noʻonoʻo inā ʻaʻole kamaʻilio ʻia nā maʻi a hānau hānau ʻia paha ka pēpē.

Nā maʻi i ka hāpai keiki

Hiki i kekahi maʻi ke alakaʻi i ka haki o nā membrane a me ka hana mua. Ma mua o ka 12 pākēneka o nā pēpē i hānau ʻia ma ʻAmelika Hui Pū ʻIa ʻaʻole hiki wawe. Kanaha pākēneka o kēlā mau hānau hānau e pili ana i nā maʻi.

Inā hōʻike ʻia kahi wahine hāpai i nā mea maʻi maʻi i ka wā hāpai, hiki i nā hopena i ka fetus ke weliweli a hiki i ka hoʻoweliweli ola. Loaʻa nā maʻi Intrauterine i ka pēpē ma o ke koko o ka makuahine a ma o ka placenta. Hiki ke hoʻokumu ʻia nā maʻi Intrauterine e ka rubella (ʻāpana Kelemānia), toxoplasmosis (mai nā ʻāpana popoki), a i ʻole herpes virus. ʻO kēia mau maʻi āpau āpau ke weliweli i kahi fetus e ulu nei. ʻO Syphilis kekahi kumu hoʻohālikelike o kahi maʻi kūlohelohe.

Hiki i nā maʻi ʻino ke komo i loko o ka ʻōpū ma o ka ʻōpala inā loaʻa kahi maʻi puʻupaʻa a i ʻole kahi maʻi maʻi urinary (UTI). Hiki i nā maʻi puʻupuʻu (bacterial vaginosis a i ʻole BV) a me nā UTI ke alakaʻi i nā maʻi i loko o ka ʻōpū hāpai. ʻO kēia mau ka E. coli, Group B strep, a i ʻole nā ​​bacteria ʻē aʻe. ʻOiai hiki i nā mākua ke hoʻōla mai nā maʻi o ka Group B strep (ʻo kahi laʻana), koʻikoʻi nā hopena i ka pēpē. ʻO ka piʻi ʻana o kahi bacteria a maʻi paha ma o ka ʻōpala e hoʻopili hope loa i ka ʻeke amniotic a me ka wai. Wāwahi ka ʻeke a me ka hana maʻa mau a me ka lawe ʻana ma hope.

Ma kahi o 10 a 30 pākēneka o nā wahine hāpai e ʻaelike me BV i ka wā hāpai. ʻO ia ka hopena o ke kaulike ʻole o nā koʻohune maʻamau i ka ʻōpala. ʻAʻole ia he maʻi lele i ka moekolohe, akā pili ia me ka moekolohe wahine. Hiki iā ʻoe ke hoʻonui i kou makaʻu i ka loaʻa ʻana o ka BV ma o ka loaʻa ʻana o kahi hoa moe kolohe hou, nā hoa moekolohe he nui, a i ʻole ke douching ʻana.

Wahi a ka American Pregnancy Association, he UTI, i kapa ʻia hoʻi he maʻi ʻaʻai, he mumū i ka ʻōnaehana mimi. Hiki i nā UTI ke hana i kāu mau puʻupaʻa, loko o ka wai, ureter, a i ʻole urethra. Hoʻololi pinepine lākou i ka bladder a me ka urethra.

Loaʻa ka nui o ka makaʻu o nā wahine hāpai no ka UTI, ma waena o nā hebedoma 6-24 o ka hāpai keiki. ʻO ka hoʻonui ʻana o ke kaumaha o ka kōpū, ke ulu ia i ka wā hāpai, hiki ke pale i ke kahe o ka mimi i ka pūpū. Hiki i kēia ke kumu i kahi UTI.

Nā ʻōuli o nā maʻi

Ke hiki mai i ka BV, loaʻa ka maʻi i ke kaulike o ke koʻohune i loko o ka moku. Hiki iā ia ke kumu i nā ʻōuli e pili pū me:

• ʻume puʻu ʻili
• ʻaʻala ʻaʻano ʻole
• hoʻokuʻu hoʻokuʻu
• wela wela i ka wā o ka urination

He ʻeha nō ka UTI. Pili pū nā ʻōuli maʻamau:

• koi hoʻomau i ka mimi
• wela wela i ka wā o ka urination
• mimi ʻohu a ʻulaʻula paha
• mimi ikaika loa
• ʻeha pelvis

He mea nui e hoʻāʻo no ka maʻi inā loaʻa ʻoe i kekahi o kēia mau ʻōuli. ʻO ka mālama ʻana iā BV a i ʻole UTI e hoʻohaʻahaʻa i kou makaʻi o nā pilikia i ka wā hāpai a kōkua e pale i ka hana mua.

Pehea e hōʻoia ai i nā maʻi

I mea e hoʻāʻo ai no BV, e hana paha kāu kauka i kahi hōʻike pelvic a lawe paha i kahi laʻana o kāu huna ʻana i nā moʻo wahine a me nā hunaola e uhi ana i kou ʻōpū. Hiki paha i kāu kauka ke hōʻoia i ka pae pH i loko o kāu wahine.

No ka hoʻāʻo ʻana no kahi UTI, e lawe kāu kauka i kahi laʻana o kou mimi e nānā i nā keʻokeʻo keʻokeʻo a me nā ʻulaʻula a i ʻole bacteria. Inā loaʻa pinepine ʻoe i nā maʻi, hiki i kāu kauka ke hana i kahi scan CT a i ʻole MRI e nānā i kāu wahi urinary e ʻike inā aia kekahi ʻano ʻē. Hiki paha i kāu kauka ke hana i kahi cystoscopy ma o ka hoʻohana ʻana i kahi paipu lahilahi me kahi kāmela e nānā ai i kou urethra a me ka bladder.

Hoʻomaʻo a me ka pale ʻana

E pale i ka pale no ka rubella ma mua o kou hāpai a i ʻole ma hope koke o kou hānau ʻana.

ʻAʻole pono nā wahine hāpai e lawelawe i nā feces o ka pōpoki a me nā pahu ʻōpala.

I kāu huakaʻi hele mua me kāu kauka a i ʻole ka palekeiki, e nānā ʻia ʻoe no nā ʻano he nui e noho nei. E nīnau i nā nīnau e pili ana i nā hoʻokolohua i hana ʻia. Hana ʻia ka hana koko a me nā swab vaginal e kāpae ai i nā kūlana he nui.

E hoʻāʻo ʻia ʻoe no ka pūʻulu B pūʻulu me kahi ʻōpala puʻu ma hope i ka hāpai ʻana, no laila mai haʻalele i kāu mau koho mālama prenatal maʻamau.

ʻOi aku ka nui o ka makaʻu o nā wahine hāpai i ka ʻaelike ʻana i nā BV a me nā UTI ma mua o ka heluna lehulehu. Maʻalahi ʻo BV a me nā UTI e kāpae ʻia me ke kōkua o nā lāʻau ʻaloʻalo. Loaʻa nā kalima a me nā lāʻau ʻalopika i ke ʻano pila e mālama iā BV. Eia nō naʻe, ʻoiai ma hope o ka lapaʻau hiki ke hana hou, ma waena o 3-12 mau mahina.

Inā kuhikuhi ʻia ʻoe i nā lāʻau antibiotic, he mea nui e hoʻopau i kāu papa hana hoʻomalu, ʻoiai inā e hala kāu mau hōʻailona. Mālama pū ʻia nā UTI me nā lāʻau ʻaloʻalo. Inā loaʻa iā ʻoe kahi hihia ʻoluʻolu, e hoʻomaʻemaʻe ia i kekahi mau lā. E hoʻomau i ka lawe ʻana i nā lāʻau ʻalopika a hiki i ka wā e pau ai i ka lāʻau. E koho ke kauka i kahi antibiotic e palekana i ka hāpai ʻana. Kau kauka paha i kau kauka painkiller inā ʻoe e ʻeha ana i ka ʻehaʻeha i loko o kāu pākeke ma ka laulā a i ʻole ʻoe e mimi.

Hiki i ka maʻi Intrauterine ke alakaʻi i nā ʻano ʻē a i ʻole nā ​​maʻi i loko o ka hānau hou, hānau mua ʻole, a me ke kaumaha hānau haʻahaʻa. No laila, koi ʻia e mālama ʻia no nā maʻi i ka hikiwawe loa e hōʻalo ai i nā pilikia.

Outlook

E nānā pono no nā maʻi i kāu kipa prenatal mua a i ʻole ke ʻike ʻoe i nā ʻōuli. ʻO ka ʻike mua a me ka hōʻailona e kōkua iā ʻoe e mālama koke i ka maʻi a kōkua e hōʻemi i ka makaʻu o nā pilikia i kou hāpai ʻana.

Kekahi mau maʻi maʻi he asymptomat. Hiki paha iā ʻoe ke kamaʻilio pū me kāu kauka e pili ana i ka nānā ʻana no nā maʻi inā ʻaʻohe ou ʻōuli.

E ʻike pono i ke kauka e mālama nei iā ʻoe no ka maʻi ʻike ua hāpai ʻoe. ʻO nā lāʻau lapaʻau i hoʻohana ʻia e mālama iā BV a me UTI ka mea maʻamau palekana no ka hapanui o nā wahine hāpai. Eia nō naʻe, makemake ʻoe e kūkākūkā i nā ʻano maʻi no ka maʻi me kāu kauka. He mea nui e hoʻomaopopo i nā pilikia e pili ana i ka lawe ʻana i nā lāʻau ʻalopika a me nā hopena ʻē aʻe āu e ʻike ai ke hāpai ʻoe. Eia kekahi, e haʻi mau i kāu kauka e pili ana i nā maʻi āpau i loaʻa iā ʻoe.