Ke lilo nei ka huʻi ʻana o ka hāpai ʻana
Anter
- He aha ke kumu o ka pehu ʻana i ka wā hāpai
- Nā ʻōuli o ka ʻōpū hāpai maʻamau
- Nā ʻōlelo aʻoaʻo e hōʻoluʻolu i ka ʻōpū hāpai maʻamau
- E pili ana i nā ʻōuli e pili ana i ka pehu
- Preeclampsia
- Huʻi koko
- ʻLelo aʻoaʻo pale
- Pehea e hoʻohaʻahaʻa ai i kāu makaʻi o ka preeclampsia
- Pehea e hoʻohaʻahaʻa ai i kāu makaʻi o ke koko koko
- ʻO ka lawe lawe ʻana
I ka hāpai mua ʻana, hiki paha iā ʻoe ke kaola mai loko mai me ka ʻili, ʻōmaʻomaʻo a me ka lauoho lauoho e ʻālohilohi ana no nā lā. A laila, i kekahi lā, lawe kekahi mea i ka makani mai kāu peʻa prego-nani - nānā ʻoe i lalo a ʻike ʻole i nā mea ʻelua loa cankles puffy ma lalo ou.
Minamina, hāʻule ka pehu i kēlā mahele maʻamau maʻamau o nā hopena ʻaoʻao hāpai. ʻO ka ʻoiaʻiʻo, ke ʻike nei ka hapanui o nā māna iā ia. Akā no ke aha?
E nānā mākou i ke kumu o ka ʻōhū i ka wā hāpai a hāʻawi i kekahi mau ʻōlelo aʻoaʻo e hoʻokuʻi i ka momona me ka hōʻoluʻolu a me ka hilinaʻi.
A, kahi memo o ke akahele: Aia kekahi mau manawa e pili ai ka ʻōhū i ka wā hāpai. E wehewehe pū mākou i ka manawa hiki e lilo i hōʻailona no ke kūlana olakino koʻikoʻi.
He aha ke kumu o ka pehu ʻana i ka wā hāpai
I ka wā hāpai, hana kou kino i kekahi mau mea herculean nani, a he nui nā mea, ʻe, hoʻonui. ʻO kekahi o lākou ka nui o ka wai i kou kino. ʻOiai hāpai, hiki ke hoʻonui i kou nui o ka nui o ka wai o ke kino a hiki i - ʻoi aku ma luna o 33 mau kīʻaha!
I kēia manawa, lele ka nui o kāu plasma, ʻo ia hoʻi ka piʻi ʻana o kāu nui o ke koko.
No laila, ma hea e hele ai kēlā wai a pau? Nīnau maikaʻi.
Noho kekahi o ka wai i loko o kāu mau pūnaewele e kōkua iā lākou e hana. Hoʻopili ke koena i waho o kāu mau pūnaewele e hoʻonui ai i ka lawe ʻana o ka oxygen, hoʻomaʻemaʻe i ka ʻōpala, a kaohi i ke kahe o ka electrolyte.
ʻO ka hoʻonui i ka pane ʻana i nā pono ulu o ka placenta a me nā lālā o kou makuahine, ʻoiai ke piʻi nei kou nui o ke koko e hāʻawi i nā mea āpau e pono ai kāu pēpē e ulu.
I kou kokoke ʻana i kahi ʻīniha o kou ʻīniha i ka ʻekolu trimester, piʻi ka nui o kou koko i kona piko. Kōkuhi: ʻO ia ke kumu e piʻi ai kou pehu (i waena o nā mea ʻoluʻolu ʻē aʻe) a puni kēia manawa.
Akā ʻaʻole wale kēlā.
ʻO ka hoʻonui nui ʻia o nā wai o ke kino i ka wā o ka hāpai ʻana e hui pū ʻia me ka hoʻonui ʻana i nā pae sodium. A ʻo ka hapanui o mākou ua ʻike i nā hopena o ka mea liʻiliʻi pū kekahi hiki i ka nui o ka lawe ʻana i ka pizza.
Hoʻopili ka Sodium i ka hopena o kou kino i ka wai. ʻOiai ke piʻi iki ʻana o ka sodium e hoʻonāukiuki paha iā ʻoe e ʻike i ka mana o ka "puff."
Nā ʻōuli o ka ʻōpū hāpai maʻamau
He mea maʻamau loa ka hoʻokahe iki ʻana i kahi waimaka i ka lā e kūpono ʻole ai kāu mau apo a me nā kuʻekuʻe punahele (ʻū). ʻO kahi ʻōniʻoniʻu iki i kou mau manamana lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae i loko o ka hāpai ʻana he ʻāpana ia o ka huakaʻi.
ʻIke paha ʻoe e hoʻomāhuahua kāu ʻōhū i ka hopena o ka lā. ʻO kēia no ka hiki i ka wai keu i kou kino ke ʻākoakoa i nā ʻāpana o kou kino i mamao loa mai kou puʻuwai. Hiki i kekahi lā wela, mahana a i ʻole ke kū mau ke hāʻawi i kekahi pehu maʻamau.
Ke neʻe nei i ka ʻelua a me ke kolu o ka trimesters, ʻoi aku ka nui o ke kaomi o kāu mea liʻiliʻi e ulu ana - me ka hoʻohui ʻana i ka nui o ke koko - e hoʻopili hou paha i ke kahe o ke koko i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae, e ʻike ai i ka pehu hou aʻe.
Nā ʻōlelo aʻoaʻo e hōʻoluʻolu i ka ʻōpū hāpai maʻamau
I kekahi manawa, he mea hiki ʻole ke pale ʻia e like me kēlā ʻano supersonic o ka honi a me ka huhū ahi e lawe ai i ke ala me nā leʻaleʻa maoli o ka hāpai ʻana. Eia nō naʻe, eia kekahi mau mea i hiki iā ʻoe ke hana e kōkua i ka pale ʻana a hōʻoluʻolu paha iā ia.
- E hoʻokiʻekiʻe i kou mau wāwae i kahi pae ma luna o kou puʻuwai i ka lā holoʻokoʻa, no ka mea, kōkua kēia i ka wai e hoʻi i kou puʻuwai.
- E inu hou i ka wai e hoʻoheheʻe i ka wai a me ka sodium i waho o kou kino.
- E hoʻokomo i nā stocking compression e hoʻomaikaʻi ai i ke kaapuni, keu hoʻi inā e holo lōʻihi ana ʻoe.
- Hōʻalo i waho i ka wā wela a me ka wela.
- E haki pinepine e hāpai i kou mau wāwae ke kū no nā wā lōʻihi.
- Hōʻalo i nā kuʻekuʻe wāwae a komo i nā kāmaʻa ʻoluʻolu, hanu, a kākoʻo.
- E ʻai i nā meaʻai hou aʻe me ka potassium, e like me ka maiʻa a me nā avocados, e hoʻolei i ka sodium a hoʻonui i ka mimi (ʻae, ʻoi aku.)
- E kaupalena i nā meaʻai paʻakai kiʻekiʻe, e like me ka ʻai i hoʻomākaukau ʻia, nā meaʻai wikiwiki, a me nā ʻāpana.
E pili ana i nā ʻōuli e pili ana i ka pehu
ʻIke mākou i kēlā me kēia mama bear makemake e ʻike i ka wā e panic. ʻO ka pane? ʻAʻole loa. Hoʻonui wale ka panic i kou naʻau a me ke koʻikoʻi koʻikoʻi. Ma kahi o, e mana ʻoe e ke aʻo ʻana i ka wā e hea ai i kāu OB-GYN a i ʻole ka palekeiki e pili ana i ka pehu.
ʻO nā mea ʻelua e pili ana i nā kūlana i ka wā o ka hāpai ʻana e hiki ai ke hoʻāla i ka preeclampsia a me ke koko.
ʻO ka mea mua e hoʻomanaʻo ai: ʻAʻole maʻamau kēia mau ʻano, akā maoli ka makaʻu i ka wā hāpai. No laila, he mea nui e makaʻala iā lākou.
ʻO ka lua, ʻokoʻa ka ʻōhū e pili ana i kēia mau ʻano ma mua o ka maʻamau, ka pulu lohi āu e ʻike ai ma mua o ka wā o kou hāpai ʻana.
Eia pehea ka ʻokoʻa o ka pehu.
Preeclampsia
Hoʻopili wale ka Preeclampsia e pili ana i nā wahine hāpai, ma hope o ka hebedoma 20. ʻO nā mea aʻe ʻekolu mau hōʻailona nui o kēia maʻi:
- kahe koko kiʻekiʻe
- protein i ka mimi
- edema (kahi ʻōlelo moemoeā no ka pehu ʻana i kumu ʻia e ka nui o ka wai i ke kino)
Hōʻike paha nā labs i nā mea kūpono ʻole i nā enzymes ate a haʻahaʻa ma mua o nā pae platelet maʻamau.
Hiki i kēia ʻano ʻano laha ʻole ke loaʻa nā hopena weliweli no ka makuahine a me ka pēpē inā ʻaʻole e mālama koke ʻia, no laila he mea nui e makaʻala i nā ʻōuli - a ʻo ka pehu kekahi o nā mea nui.
ʻO ka ʻōhū nui i kou mau lima, ka maka, a i ʻole puni kou mau maka e hiki koke mai ana a i ʻole e hele a ʻoi aku ka maikaʻi e makaʻala iā ʻoe e kāhea iā OB-GYN. Inā ʻike ʻia kou pehu he "pitted" - ke ʻano ke kaomi ʻoe i kou ʻili, he indentation ka i koe - pili pū kēia.
I ka preeclampsia, huipū paha me ka ʻeha mau o ke poʻo, hoʻololi i ka ʻike, ʻeha o ka ʻōpū, a me ka loaʻa koke o ke kaupaona. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu OB a i ʻole ka palekeiki. E ʻōlelo paha lākou iā ʻoe e hele i kahi lumi pilikia kokoke loa.
Huʻi koko
ʻO ka hāpai he mea pilikia ia no ka pehu koko i ka wāwae, ka ʻūhā, a i ʻole pelvis i kapa ʻia ʻo thrombosis venous hohonu (DVT). ʻO kahi ʻōlelo i ka hāpai wale nō e hoʻonui i ka makaʻu o ka wahine i ka DVT ʻelima mau manawa. Kūlike ka pilikia ma kēlā me kēia trimester a hiki i 12 mau pule ma hope o ka lawe ʻana.
He kūlana koʻikoʻi ʻo DVT i ka wā hāpai a hōʻoia i ka mālama koke ʻana, no ka mea he kumu ia no ka pulmonary embolism (PE), a he mea make ia.
E pale aku i ka makuahine a me ka pēpē, he mea nui e hopu i kahi DVT ma o ka ʻike ʻana i nā ʻōuli. ʻO ka pehu wale nō ekahi he wāwae nui ka wāwae.
Kū pinepine ka huelo e pili ana i ka DVT me nā ʻōuli ʻē aʻe e pili ana i ka wahi like, e like me:
- ʻeha koʻikoʻi
- palupalu
- ʻulaʻula
- mehana i ka hoʻopā
Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kāhea koke i kāu OB a i ʻole palekeiki a hāhai i kā lākou ʻaoʻao.
ʻLelo aʻoaʻo pale
ʻO ka hoʻemi ʻana i ka ʻōpū hāpai maʻamau he maikaʻi akā ʻaʻole hiki mau - a ua maikaʻi ia.
ʻOi aku ka nui o ka mea e hiki ai iā ʻoe ke pale i nā kūpikipiki koʻikoʻi e like me ka preeclampsia a me ke koko. Eia hou, eia naʻe, ʻaʻole hiki ke kāohi a ʻo ka ʻike mua ke kī. ʻ saidlelo ʻia, eia kekahi mau ʻōlelo aʻoaʻo e hoʻoliʻiliʻi ai i kāu makaʻi.
Pehea e hoʻohaʻahaʻa ai i kāu makaʻi o ka preeclampsia
Ua hōʻike ʻia kahi helu palena ʻia o nā noiʻi i nā ala kūpono e pale aku ai i ka preeclampsia.
ʻOiai e noiʻi ʻia me ka supplementation me nā huaora C a me E ma ke ʻano he mea hiki ke pale aku, ua hoʻoholo ʻia kahi noiʻi ma 2007 ʻaʻole pono e paipai ʻia ka hoʻohuihui antioxidant me kēia mau huaora no ka pale preeclampsia i ka wā hāpai.
Eia kekahi, ʻoiai ua hōʻike ʻia kekahi mau noiʻi i kahi pilina kūpono ma waena o ka hana kino prenatal a me ka hoʻemi ʻia o ka pilikia preeclampsia, pono hou nā noiʻi e hōʻoia i kēia pilina.
He mea nui loa ia e ʻike i kāu mau pilikia e hiki ai i kāu kauka ke nānā pono iā ʻoe inā pono.
ʻO kekahi mau kumu pilikia no ka preeclampsia e komo pū ana:
- ke kiʻekiʻe o ke koko kiʻekiʻe ma mua o ka hāpai ʻana a i ʻole ka hāpai mua
- maʻi maʻi ʻōpū ma mua o ka hāpai ʻana
- moʻolelo pilikino a ʻohana paha o preeclampsia
- ka momona a momona paha
- me ka hāpai ʻana i nā ʻōpū he nui (ʻoi aku ma mua o hoʻokahi pēpē)
- ma luna o 40 mau makahiki
- e hāpai ana me kāu pēpē mua
- mimikō maʻānō a me ka ʻōpū
- no ka lāhui ʻAmelika ʻApelika
No nā wahine me ka mōʻaukala o preeclampsia, ʻo aspirin haʻahaʻa ka hopena ma ke ʻano he papa hana pale kiʻekiʻe ʻelua. Aspirin e pale aku i ka preeclampsia i nā wahine me ka nui o ka makaʻu akā ʻaʻohe mōʻaukala pilikino e hoʻopaʻapaʻa ʻia.
Pehea e hoʻohaʻahaʻa ai i kāu makaʻi o ke koko koko
E like me preeclampsia, ka pale ʻana i nā kahe koko i ka wā hāpai, hānau keiki, a me ka manawa 3-mahina ma hope e hoʻomaka me ka ʻike ʻana i kāu, e like me:
- moʻolelo pilikino a ʻohana paha o nā clots koko
- moʻolelo pilikino o ka ʻohana pilikino o ka maʻi kāpili koko
- mōʻaukala o kahi ʻāpana cesarean, i ʻike ʻia ma ke ʻano he ʻāpana C
- immobility a moe lōʻihi paha
- kekahi pilikia a hānau hānau pilikia paha
- loaʻa ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole ke ʻano māmā
Hiki i kāu OB a i ʻole palekeiki ke hana pū me ʻoe e kōkua i ka hōʻemi ʻana i kou makaʻu ma ka hoʻomohala ʻana i kahi hoʻolālā pale pilikino. Eia kekahi mau mea maʻalahi i kēlā me kēia lā hiki iā ʻoe ke hana:
- inu nui i ka wai
- hoʻoneʻe i kou mau wāwae a i ʻole e ala aʻe ma ka liʻiliʻi i kēlā me kēia 1 a 2 mau hola inā ʻoe e noho nui ana
- hoʻoikaika kino e like me ka ʻōlelo a kāu kauka
- hoʻohana i nā kākena compression a i ʻole nā stockings inā paipai ʻia e kāu kauka
- lawe i nā lāʻau i kuhikuhi ʻia e like me ke kuhikuhi
ʻO ka lawe lawe ʻana
Inā kūlike nā wāwae e ulu ana me kou ʻōpū e ulu ana, ʻo ʻoe nō i kahi ʻoihana maikaʻi loa. Aia kahi pae maʻamau o ka pehu e pili i nā wahine e kali nei.
Hiki i ka pehu maʻamau ke piko ma ke kolu o ka trimester, e hoʻopili ana i nā wāwae i ka hapanui. ʻO kahi kiʻekiʻe a me R & R me kahi aniani nui o ka wai e pono ai e hōʻoluʻolu i kāu mau cankles cranky.
I nā hihia rarer, he ʻōuli ka hōʻailona o kekahi mea ʻoi aku ke koʻikoʻi. Inā pili ka ʻōhū i hoʻokahi wāwae wale nō a hele pū me ka ʻeha, ʻulaʻula, a mehana, hiki ke hopohopo kahi pūpū koko, a pono ʻoe e kāhea i kāu kauka.
Inā ʻoe e ʻike i ka pehu a piʻi iki paha o kou helehelena, a puni kou mau maka, a i ʻole i kou mau lima me ke koko kiʻekiʻe, e kāhea koke i kāu kauka. He hōʻailona paha kēia o preeclampsia, kahi e koi koke ai i ka mālama ʻana e pale aku ai iā ʻoe a me kāu pēpē.