Nā kumu o Preterm Hana

Anter

• Nā kumu o ka lawe ʻana i Preterm
• No ke aha he pilikia nui ka Preterm Labor?

Inā pilikia ʻoe i ka hana ma mua, hiki i nā hoʻokolohua loiloi ke kōkua iā ʻoe a me kāu kauka e hoʻoholo i ka nui o kāu makaʻu. Ana kēia mau hoʻokolohua i nā loli e hōʻike ana i ka hoʻomaka ʻana o ka hana a me nā loli e pili ana me ka nui o ka pilikia o ka hana mua. Hiki ke hoʻokō ʻia kēia mau hoʻāʻo ma mua o kāu loaʻa ʻana i nā hōʻailona o ka hana preterm a i ʻole hoʻohana ʻia ia ma hope o ka hoʻomaka ʻana o ka hana.

Ke hānau ʻia kahi pēpē ma mua o ka hebedoma 37 o ka hāpai ʻana, ua kapa ʻia ia a lawe mua ʻana. Kūleʻa kekahi mau hānau ʻōmaka ma kā lākou iho - hele kahi makuahine i ka hana a kakahiaka nui kāna pēpē. I nā hihia ʻē aʻe, hoʻonāukiuki nā pilikia me ka hāpai i nā kauka e hānau i kahi pēpē ma mua o ka hoʻolālā. Ma kahi o ʻekolu hapahā o ka hānau mua ʻia ʻana he spontaneous a ma kahi o ka hapahā e kū ana ma muli o nā pilikia olakino. Ma ka hapanui, ma kahi o ʻewalu mau wahine hāpai e hānau mua.

ʻAʻole maopopo i nā kauka ka nui o nā hoʻokolohua-a i ʻole ka hoʻohui o nā hoʻāʻo-e kōkua nui i ka hoʻoholo ʻana i ka makaʻu no ka hana mua. Ke aʻo ʻia nei kēia. ʻIke lākou, eia nō naʻe, ʻoi aku ka maikaʻi o ka hoʻāʻo ʻana o ka wahine ma ke ʻano he kiʻekiʻe, ʻoi aku ke kiʻekiʻe o ka makaʻu no ka hānau mua. ʻO kahi laʻana, inā aia ka wahine i kāna hebedoma 24th o ka hāpai ʻana me ka ʻole o ka mōʻaukala o ka hana mua a ʻaʻohe hōʻailona o ka hana, hōʻike ʻia kāna ultrasound cervix ma mua o 3.5 cm ka lōʻihi o kāna cervix, a maikaʻi ʻole kāna fetron fibronectin, ma lalo o hoʻokahi pākēneka manawa kūpono o ka lawe ʻana ma mua o kāna pule 32. Eia nō naʻe, inā he moʻolelo ko ka wahine hoʻokahi no ka lawe mua ʻana, kahi hoʻokolohua fetal fibronectin maikaʻi, a ʻoi aku ka liʻiliʻi o kāna cervix ma mua o 2.5 cm ka lōʻihi, he 50% kona manawa e hāʻawi ai ma mua o kāna 32 mau pule.

Nā kumu o ka lawe ʻana i Preterm

Hāʻawi i ka lawe preterm i mau kumu. I kekahi manawa hele ka wahine i ka hana me ka wanaʻao no ke kumu ʻole. I nā manawa ʻē aʻe aia paha he kumu olakino no ka hana mua a me ka lawe ʻana. ʻO ka pakuhi ma lalo e hōʻike nei i nā kumu o ka lawe mua ʻana a me nā pākēneka o nā wahine e hānau wawe ma muli o kēlā me kēia kumu. I kēia pakuhi, ka mahele? Hana hana mua? pili i nā wahine i ʻike ʻole ʻia ke kumu no ka hana mua a me ka lawe ʻana.

No ke aha he pilikia nui ka Preterm Labor?

ʻOiai nā holomua olakino kupaianaha i ka mālama ʻana o nā pēpē preterm, ʻaʻole hiki ke hoʻohālikelike ʻia ke ʻano o ka ʻōpū o ka makuahine. ʻO kēlā me kēia pule e noho nei kahi ʻōpū i loko o ka ʻōpū e hoʻonui i nā manawa o ke ola. O kahi laʻana:

• ʻAʻole hiki i kahi ʻōpū i hānau ma mua o 23 mau wiki ke ola ma waho o ka ʻōpū o ka makuahine.
• ʻO ka hiki i ke fetus ke ola ma waho o ka ʻōpū e hoʻonui nui ma waena o 24 a me 28 mau pule, mai kahi o 50 pākēneka i ka hoʻomaka o ka pule 24 a ʻoi aku ma mua o 80 pākēneka ʻehā mau pule ma hope.
• Ma hope o 28 mau pule o ka hāpai ʻana, ʻoi aku ma mua o 90 pākēneka o nā pēpē ke ola iā lākou iho.

Aia kekahi pilina ma waena o ka hānau hānau o ka pēpē i ka wā hānau a me ka likelike e loaʻa iā ia nā pilikia ma hope o ka hānau ʻana. O kahi laʻana:

• ʻO nā pēpē i hānau ma mua o 25 mau hebedoma i ka makaʻu loa i nā pilikia lōʻihi, e like me ke aʻo ʻana i ke kino kīnā a me nā pilikia neurological. Ma kahi o 20 pākēneka o kēia mau pēpē e maʻi kīnā loa.
• Ma mua o ka hebedoma 28 o ka hāpai keiki, kokoke i nā pēpē āpau e loaʻa i nā pilikia pōkole, e like me ka paʻakikī o ka hanu ʻana. Ma kahi o 20 pākēneka o nā pēpē e loaʻa kekahi mau pilikia lōʻihi.
• Ma waena o nā 28th a me 32 mau pule o ka hāpai ʻana, hoʻomaikaʻi iki nā pēpē. Ma hope o 32 mau pule, ʻo ka makaʻu o nā pilikia lōʻihi ma lalo o 10 pākēneka.
• Ma hope o ka hebedoma 37 o ka hāpai keiki, he mau helu liʻiliʻi wale nō o nā pēpē e loaʻa i nā pilikia (e like me ka jaundice, nā pae glucose ʻole, a i ʻole ka maʻi maʻi), ʻoiai piha ka manawa.

Wahi a ka March of Dimes, he $ 57,000 ka nui o ka noho ʻana no ka pēpē preterm ma kahi o $ 3,900 no kahi pēpē manawa. ʻO ka nui o nā kumukūʻai i nā ʻinikua olakino i hoʻonui ʻia $ 4.7 biliona ma kahi noi 1992. I loko nō o kēia helu helu nui, he nui nā holomua o ka ʻenehana i ʻae i nā pēpē liʻiliʻi e hoʻi i ka home, hana maikaʻi, a ulu aʻe i mau keiki olakino.