He aha ke kumu o ka ʻike ʻana i ka hāpai ʻana?

Anter

• I ka wā hea e kāhea ai i kāu kauka
• Ke kiko ʻana i ka trimester mua
• Ka hoʻokahe ʻana i ke kano
• Hāpai keiki Ectopic
• ʻO ka lilo ʻana o ka hāpai mua a hānau ʻole paha
• Nā kumu i ʻike ʻole ʻia a me nā mea hou aʻe
• Kaha i ka manawa o ka lua o ka trimester
• Kaha ma ka ʻekolu trimester
• Nā hōʻailona o ka hāʻule ʻole ʻana
• ʻO ka ʻākala mua
• ʻElua a ʻekolu trimester
• Ke loaʻa nei ke kākoʻo
• Pehea e ʻike ai kāu kauka i kahi ʻike?
• Outlook

Kaha i ka hāpai keiki

ʻO ka nānā ʻana i ke kiko a i ʻole ke kahe ʻana o ke kahe i ka wā o ka hāpai ʻana hiki ke makaʻu i ka makaʻu, akā ʻaʻole ia he hōʻailona mau no ka hewa o kekahi mea. Nui nā wahine e ʻike i ka wā hāpai e hele i ka hānau pēpē olakino.

Manaʻo ʻia ʻo Spotting he kukui a kumumea paha o ke koko ʻulaʻula, ʻulaʻula, a ʻeleʻele ʻeleʻele (kala-kala). Hiki paha iā ʻoe ke ʻike i ke kiko ʻana ke hoʻohana ʻoe i ka lumi hoʻomaha a ʻike paha i kekahi mau kulu koko i kāu lole komo. ʻOi aku ka māmā ma mua o kou manawa menstrual. ʻAʻole lawa ke koko e uhi i ka panty liner.

I ka wā o ka hāpai ʻana, hiki i ka spotting ke kumu ʻia e nā kumu he nui. ʻOkoʻa ka nānā ʻana i ke kahe kaumaha, kahi e pono ai kahi pale a tampon paha e hoʻokū i ke koko mai ka hele ʻana i kou kapa. E ʻimi i ka mālama kūpilikiʻi inā ʻike ʻoe i ke kahe nui i ka wā hāpai.

I ka wā hea e kāhea ai i kāu kauka

E haʻi i kāu kauka inā ʻike ʻoe i ke kīnā a i ʻole ke kahe ʻana i kēlā me kēia manawa i ka wā o ka hāpai ʻana. Hiki iā lākou ke hoʻoholo inā pono ʻoe e hele mai no ka nānā ʻana a e loiloi ʻia paha. E nīnau paha lākou iā ʻoe e pili ana i nā ʻōuli ʻē aʻe me ke kiko e like me ka cramping a i ʻole ke kuni.

He mea nui nō hoʻi e hoʻomaopopo i kāu kauka no ke kahe ʻana o ka maʻi puʻupaʻa, ʻoiai ʻo kekahi mau wahine me kekahi ʻano o ke koko e koi aku i ka lāʻau inā ʻike lākou i ke kahe o ka maʻi ʻōpū i kēlā me kēia manawa i ka wā o ko lākou hāpai ʻana.

Inā ʻike ʻoe i ke kahe ʻana i kāu trimester ʻelua a ʻekolu paha, e hoʻomaopopo koke i kāu kauka a i ʻole e ʻimi i ka mālama olakino olakino.

Ke kiko ʻana i ka trimester mua

No nā wahine hāpai e manaʻo ʻia e ʻike i ke kiko i loko o kā lākou mau pule he 12 i hala.

mai ka makahiki 2010 i ʻike ʻia ʻike pinepine ʻia ke kīnā ʻana i ke ono a me ka hiku o nā pule o ka hāpai keiki. ʻAʻole nō ʻo Spotting ka hōʻailona o ka hāpai keiki ʻana a i ʻole no ka manaʻo ua hewa kekahi mea.

ʻO ke kiko ʻana i ka trimester mua e hāʻawi ʻia i.

• implantation kahe ʻana i ke kahe
• hāpai keiki ectopic
• hāʻule hāʻule
• kumu i ʻike ʻole ʻia

Eia ka mea e pono ai ʻoe e ʻike e pili ana i kēia mau kumu kūpono.

Ka hoʻokahe ʻana i ke kano

Hoʻopili ke kahe ʻana o ke kanu i 6 a 12 mau lā ma hope o ka hāpai ʻana. Manaʻo ʻia he hōʻailona ia e hoʻokomo ana ka embryo i loko o ka paia o ka kōpū. ʻAʻole ʻike kēlā me kēia wahine i ke kahe implantation, akā no nā wahine i ʻike iā ia, ʻo ka maʻa mau kekahi o nā ʻōuli mua o ka hāpai ʻana.

ʻO ka hoʻoulu ʻana i ke kahe ka mea ʻulaʻula māmā a i ʻeleʻele eleele. ʻOkoʻa ia mai kou wā maʻamau maʻamau no ka mea he wahi kukui wale nō ia. ʻAʻole ʻoe e kahe ana i ke kahe e pono ai kahi tampon a i ʻole e uhi i kahi pale hoʻomaʻemaʻe. ʻAʻole e kulu ke koko i loko o ka lua ke hoʻohana ʻoe i ka lua.

Hoʻopaʻa ke kahe ʻana i ke kahe no kekahi mau hola, a i 3 mau lā, a kū ma kāna iho.

Hāpai keiki Ectopic

ʻO ka hāpai hāpai ectopic kahi pilikia olakino. Hana ʻia ia i ka hoʻopili ʻana o ka hua manu i waho o ka kōpū. ʻO ka mālamalama i ka nānā ʻana i nā ʻōpū kaumaha a i ʻole ke kahe ʻana o ke kahe hiki ke lilo i hōʻailona o kahi hāpai ectopic.

ʻO ke kahe ʻana a i ʻole ke kiko ʻana i ka wā o ka hāpai hāpai ectopic ʻike pinepine ʻia me:

• ʻeha a puʻupuʻu paha i ka ʻōpū a i ʻole ka ʻeha pelvis
• nāwaliwali, luʻuluʻu, a maule paha
• puʻupuʻu ākea

E kāhea koke i kāu kauka inā ʻike ʻoe i kēia mau ʻōuli.

ʻO ka lilo ʻana o ka hāpai mua a hānau ʻole paha

ʻO ka hapa nui o nā hāʻule ʻole i loko o nā hebedoma 13 mua o ka hāpai ʻana. Inā ʻike ʻoe he hāpai ʻoe a ʻike i ke koko a i ʻole ke kahe ʻulaʻula a me ka ʻole o ka cramp, e ʻōlelo i kāu kauka.

Me kahi hāʻule ʻole, ʻike paha ʻoe i nā ʻōuli penei:

• ʻeha a ʻeha hoʻi i hope
• Kaumaha emi
• mucus keʻokeʻo-ʻākala
• cramping a ʻaelike paha
• nāʻaʻaʻa me nā mea like-clot e hele nei mai kāu ʻōpala
• kahi hōʻemi hōʻemi o nā ʻōpū hāpai

I ka manawa i hoʻomaka ai kahi hāʻule ʻole, he mea liʻiliʻi loa i hiki ke mālama ʻia e hāpai i ka hāpai keiki. E kāhea nō naʻe ʻoe i kāu kauka, akā, i hiki iā lākou ke kāpae i ka hāpai ʻana ectopic a i ʻole kahi komplication ʻē aʻe.

E hana paha kāu kauka i ʻelua a ʻoi paha hoʻokolohua koko e nānā i kāu pae hormonone hāpai. Kapa ʻia kēia hormone he gonadotropin chorionic kanaka (hCG).

ʻO nā hōʻike he 24 a 48 mau hola ma ke kaʻawale. ʻO ke kumu e pono ai ʻoe ma mua o hoʻokahi hoʻokolohua koko e hiki ai i kāu kauka ke hoʻoholo inā e hōʻemi ana kāu mau hCG. Kuhi ka hāʻule o ka hCG pae i kahi hāpai hāpai.

ʻO ka loaʻa ʻana o kahi hāʻule ʻole ʻaʻole ia he pilikia e hāpai i ka wā e hiki mai ana. ʻAʻole ia e hoʻonui i kou makaʻu no ka hāʻule ʻana o ka wā e hiki mai ana, ʻoiai inā inā ua hala mua nā hāʻule he nui.

He mea nui e hoʻomaopopo i ka hāʻule ʻole ʻana o ka hāʻule ʻole e kekahi mea āu i hana ai ʻole i hana. Hōʻike nā noiʻi he maʻamau nā miscarriages a hiki i ka 20 pākēneka o ka poʻe ʻike he hāpai lākou.

Nā kumu i ʻike ʻole ʻia a me nā mea hou aʻe

Hiki nō hoʻi ke loaʻa i kahi kikoʻī no kahi kumu ʻike ʻole. I ka hāpai mua ʻana e hele ana kou kino i nā loli. Hiki i nā loli i kāu cervix ke kuleana no ka ʻike ʻana i nā wahi maʻa mau i kekahi mau wahine. ʻO nā hoʻololi Hormonal paha ke kuleana.

Hiki paha iā ʻoe ke ʻike i kahi kīnā ma hope o ka moekolohe a i ʻole inā ʻeleu loa ʻoe.

ʻO ka maʻi ka maʻi kumu ʻē aʻe no ka nānā ʻana, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i ke kiko i ka wā o ka hāpai ʻana. Hiki iā lākou ke pale i nā kumu koʻikoʻi.

Kaha i ka manawa o ka lua o ka trimester

ʻO ke kahe ʻana o ke kahe a i ʻole ke kiko ʻana i ka manawa o ka trimester ʻelua ma o ka hoʻonāukiuki ʻana i ka cervix, ma hope o ka moekolohe ʻana a i ʻole ka hoʻāʻo cervix. He mea maʻamau kēia a ʻaʻole kumu maʻamau no ka hopohopo.

ʻO kahi polyp cervix kekahi kumu kūpono no ke kahe ʻana o ke kahe i ka lua o ka trimester. He ulu maikaʻi ʻole kēia ma ka cervix. Loaʻa paha iā ʻoe kahi kiko mai ka wahi a puni ka cervix ma muli o ka hoʻonui ʻia o nā kīʻaha koko i nā mea a puni ka cervix.

Inā ʻike ʻoe i kekahi kahe o ka maʻi mānoanoa e like me ka manawa menstrual, e hōʻike koke i kāu kauka. ʻO ke kahe ʻana o ke kahe nui i ka trimester ʻelua he hōʻailona ia o kahi ulia pōpilikia, e like me:

• placenta previa
• hana paakiki
• hāʻule hāʻule hope

Kaha ma ka ʻekolu trimester

ʻO ke kahe ʻana o ke kahe a i ʻole ke kiko ʻana i ka wā hope o ka hāpai ʻana ma hope o ka moekolohe a i ʻole kahi hōʻike cervix. He mea maʻamau kēia a ʻaʻole kumu maʻamau no ka hopohopo. Hiki paha ma muli o kahi "hōʻike koko," a i ʻole kahi hōʻailona e hoʻomaka ana ka hana.

Inā ʻike ʻoe i ke kahe ʻana o ka maʻi puʻupuʻu kaumaha i ka wā o ka hāpai hope ʻana, e ʻimi i ka mālama olakino olakino Hiki ke kumu ʻia e:

• placenta previa
• abruption placental
• vasa previa

Pono ka mālama manawa pōkole no ka palekana o ʻoe a me kāu pēpē.

Inā ʻike ʻoe i kahi kahe māmā a i ʻole kahi ʻike māmā, pono ʻoe e kāhea koke i kāu kauka. Kaukaʻi ʻia i kāu mau hōʻailona ʻē aʻe, pono paha ʻoe i kahi loiloi.

Nā hōʻailona o ka hāʻule ʻole ʻana

ʻO ka ʻākala mua

ʻO ka hapa nui o nā hāʻule ʻole i loko o nā hebedoma 13 mua o ka hāpai ʻana. Ma kahi o 10 pākēneka o nā hānau hānai ʻike a pau i ka hāʻule ʻole.

E hoʻomaopopo i kāu kauka inā ʻike ʻoe i ka ʻike ʻana i ka maʻi puʻupuʻu a i ʻole ke kahe ʻana e kū ʻole ma kāna iho ma hope o kekahi mau hola. Hiki iā ʻoe ke ʻike i ka ʻeha a i ʻole ke ʻūlū ʻana i kou kua i lalo a i ʻole ʻōpū, a i ʻole ka wai a i ʻole nā ​​mea i hele mai kāu puki me nā ʻōuli aʻe:

• Kaumaha emi
• mucus keʻokeʻo-ʻākala
• hoʻoili pāʻālua
• kahi hōʻemi hōʻemi o nā ʻōpū hāpai

I nā pule mua o ka hāpai ʻana, hiki i kou kino ke kipaku i nā kiko fetal iā ia iho a ʻaʻole koi i kahi kaʻina olakino, akā pono ʻoe e hōʻike i kāu kauka inā manaʻo ʻoe ke ʻike nei ʻoe a ua ʻike paha ʻoe i kahi hānau ʻole. Hiki iā lākou ke hōʻoia ua hala nā mea āpau, a me ka nānā ʻana i ka laulā e hōʻoia i ka maikaʻi o nā mea āpau.

Ma kahi ʻē aʻe o ka trimester mua, a inā he mau pilikia, koi paha ʻoe i kahi kaʻina hana i kapa ʻia ka dilation a me ka curettage - i kapa ʻia he D a me C - e hoʻōki i ke kahe ʻana o ka toto a pale i ka maʻi. He mea nui e mālama pū kekahi iā ʻoe iho i kēia manawa.

ʻElua a ʻekolu trimester

Nā ʻōuli o ka hāpai hāpai hāpai hāpai ʻole ʻana (ma hope o 13 mau pule) pili pū:

• ʻike ʻole i ka neʻe ʻana o ka ʻōpū
• kahe koko a i ʻole ke kiko ʻana
• hoʻi a i ʻole ka ʻōpū ʻana o ka ʻōpū
• ka wai i wehewehe ʻole ʻia a i ʻole nā ​​mea i hele aʻe mai ka lua

E hoʻomaopopo i kāu kauka inā ʻike ʻoe i kēia mau hōʻailona. Inā ʻaʻole ola ke fetus, hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e lawe i ka fetus a me ka placenta a i ʻole hoʻoholo paha kāu kauka e hoʻopau i ka fetus me ka hoʻohana ʻana i kahi hana i kapa ʻia ka dilation a me ka hoʻokuʻu ʻana (D a me E).

ʻO ka hāʻule ʻelua a ʻekolu paha trimester hāʻule e koi i ka mālama kino a me ka naʻau. E noi i kāu kauka ke hiki iā ʻoe ke hoʻi i ka hana. Inā manaʻo ʻoe pono ʻoe i kahi manawa hou no ka hoʻihoʻi manaʻo, e hoʻomaopopo i kāu kauka. Hiki iā lākou ke hāʻawi i nā palapala i kāu luna e ʻae iā ʻoe e lawe i kahi manawa hou aʻe.

Inā ʻoe e hoʻolālā e hāpai hou, nīnau i kāu kauka pehea ka lōʻihi o kā lākou koi ʻana iā ʻoe e kali ma mua o ka hoʻāʻo ʻana e hāpai hou.

Ke loaʻa nei ke kākoʻo

Hiki ke luku ʻia ka ʻike ʻana i ka hāpai keiki ʻole. E ʻike he hewa ʻole ʻoe no ka hāpai keiki ʻana. Lean ma ka ʻohana a me nā hoaaloha no ke kākoʻo i kēia manawa paʻakikī.

Hiki iā ʻoe ke loaʻa i kahi kākāʻōlelo kaumaha i kou wahi. E ʻae iā ʻoe iho i ka manawa e pono ai ke kanikau.

Nui nā wahine e hāpai i nā hāpai hāpai olakino ma hope o ka hānau ʻana ʻole. E kamaʻilio me kāu kauka ke mākaukau ʻoe.

Pehea e ʻike ai kāu kauka i kahi ʻike?

Inā ʻoe e ʻike i ka ʻike ʻana ʻaʻole ka implantation kahe ʻana a i ʻole kū ʻole i kāna iho ma hope o kekahi mau hola, hiki i kāu kauka ke koi iā ʻoe e hele mai no kahi loiloi. E hana paha lākou i kahi hoʻokolohua puʻupaʻa e nānā i ka nui o ke kahe ʻana o ke kahe. Hiki iā lākou ke lawe i kahi ultrasound abdominal a vaginal paha e hōʻoia i kahi fetus olakino, hoʻomohala maʻamau a e nānā no ka puʻuwai.

I ka wā o ka hāpai mua, pono paha ʻoe i kahi hoʻokolohua koko chorionic gonadotropin (hCG). ʻO kēia mau ho'āʻo no kahi hāpai maʻamau a hiki ke kōkua i ke kuhi ʻana i kahi hāpai ectopic a i ʻole hoʻokau ʻia i kahi hānau kūpono ʻole. E hōʻoia ʻia hoʻi kāu ʻano koko.

Outlook

ʻO ka nānā ʻana i ka wā o ka hāpai ʻana ʻaʻole ia he kumu no ka pūoho. Nui nā wahine ʻike i ke kahe implantation i ka hāpai mua ʻana. He mea maʻamau nō hoʻi ke ʻike i kekahi mau kīʻaha ma hope o ka moekolohe, no ka laʻana.

E hoʻomaopopo i kāu kauka inā ʻaʻole kū ka spotting nona iho a i ʻoi aku ka kaumaha. E hoʻomaopopo pū i kāu kauka inā ʻike ʻoe i nā ʻōuli ʻē aʻe me ka spotting, e like me cramp, backache, a i ʻole ke kuni.

E hoʻomanaʻo i ka nui o nā wahine i ʻike i ka ʻike kīnā e hāpai i nā hāpai hāpai olakino. Hiki i kāu kauka ke kōkua i ka loiloi i kāu mau hōʻailona.