ʻO ka Fluid Amniotic Nui Loa paha kekahi mea e hopohopo ai?

Anter

• ʻOi aku ma mua o ka ʻōpū nui
• He aha nā polyhydramnios?
• He aha ke kumu?
• He aha nā makaʻi o polyhydramnios?
• Pehea e ʻike ai a mālama ʻia ai nā polyhydramnios?
• He aha ka hana ma hope o ka hōʻailona?

"Ua hewa kekahi mea"

Me kahi mau he 10 a ʻoi paha mau pule e hele ai i ka hā o koʻu hāpai ʻana, ua ʻike wau ua hewa kekahi mea.

ʻO wau e ʻōlelo nei, he wahine hāpai nui wau ma mua.

Makemake wau e ʻōlelo ʻo mākou nā wahine ma ka ʻaoʻao pōkole ʻaʻole wale ka lumi keu i kā mākou torsos, kahi e kū pololei ai kēlā mau pēpē. Akā, ʻoiai, ʻo ia wale nō e hoʻomaikaʻi ai iaʻu iho.

Ua loaʻa iaʻu kaʻu mahele maikaʻi o ka loaʻaʻana o ke kaumaha o ka hāpai ʻana me kaʻu mau hāpai ʻekolu ma mua a ua ʻike i ka leʻaleʻa o ka lawe ʻana i kahi keiki pēpē he 9-paona. Akā i kēia manawa, ʻano ʻokoʻa wale nā ​​mea.

ʻOi aku ma mua o ka ʻōpū nui

No ka poʻe hoʻomaka, nui wau. E like me ka lole-bust-out-of-my-maternity-lole-at-barely-30-wiki nui.

Ua pilikia wau i ka hanu ʻana, e hele ana me he mea lā ka nui o ka luʻuluʻu, ʻoi aku ka pehu o koʻu mau wāwae ma mua o ka pepeiao o ka boxer, a ʻaʻole hoʻi e hoʻomaka i ka paio o ka hoʻāʻo ʻana e ʻōwili i loko o koʻu wahi moe i ka pō.

No laila i ka manawa i hoʻomaha iki ai kaʻu kauka i ke ana ʻana i kuʻu ʻōpū i kahi nānā maʻamau, ua maopopo iaʻu aia kekahi mea i luna.

"Hmmm ..." i ʻōlelo ʻo ia, me ka hahau ʻana i kāna ana lekiō no kahi hele hou aku. "Me he mea lā ke ana nei ʻoe i 40 mau pule i kēia manawa. E hana mākou i kahi hoʻokolohua. "

ʻAe, heluhelu pololei ʻoe - ke ana nei au i hoʻokahi 40 mau pule ma 30 wale nō - a ʻaneʻane kokoke wau i ʻekolu mau mahina lōʻihi, ʻino hoʻi o ka hāpai ʻana e hele.

Ua hōʻike hou ʻia ʻaʻole he mea hewa me ka pēpē (mahalo nui) a ʻaʻohe oʻu maʻi diabetes (he kumu maʻamau ia o nā ʻōpū ʻoi aku ka nui ma mua o ke ola), akā ua loaʻa iaʻu kahi hihia koʻikoʻi o polyhydramnios.

He aha nā polyhydramnios?

ʻO kahi Polyhydramnios kahi kūlana kahi e nui ai ka wai amniotic a ka wahine i kona wā hāpai.

I nā ultrasounds hāpai maʻa mau, aia nā ala ʻelua e ana i ka nui o ka wai amniotic i loko o ka kōpū.

ʻO ka mua ka Amniotic Fluid Index (AFI), kahi e ana ʻia ai ka nui o ka wai i ʻehā mau ʻeke ʻokoʻa i nā wahi kikoʻī i loko o ka kōpū. Kūpono kahi pae AFI maʻamau.

ʻO ka lua e ana i ka ʻeke hohonu o ka wai i loko o ka kōpū. Kuhi ʻia nā ana ma luna o 8 knm ma ke ʻano he polyhydramnios.

Aia ka pae i kou lōʻihi i kou hāpai ʻana, no ka mea e hoʻonui ʻia nā pae wai i kāu ʻekolu trimester, a laila e emi.

Ma ke ʻano he manamana lima, ʻike pinepine ʻia nā polyhydramnios me kahi AFI ma mua o 24 a i ʻole he ʻeke nui o ka wai ma ka ultrasound ma mua o 8 cm. ʻIke ʻia ʻo Polyhydramnios ma kahi o 1 a 2 pakeneka wale nō o nā hāpai keiki. Laki iaʻu!

He aha ke kumu?

ʻEono kumu nui o Polyhydramnios:

• kahi kino kino ʻole me ka ʻōpū, e like me ka maʻi o ke kuamoʻo a i ʻole ka paʻa ʻana o ka ʻōnaehana digestive
• māhoe a i ʻole nā ​​lehulehu ʻē aʻe
• mimikū hānau a makuahine paha
• fetemia anemia (me anemia i kumu ʻia e Rh incompatibility, ke loaʻa ka makuahine a me ka pēpē i nā ʻano koko ʻokoʻa)
• kīnā kīnā a i ʻole nā ​​pilikia ʻē aʻe, e like me ka maʻi
• ʻaʻohe kumu i ʻike ʻia

ʻO nā mea maʻamau ʻole o Fetal ke kumu hopohopo nui o ka polyhydramnios, akā laki nō naʻe, ʻo lākou ka mea liʻiliʻi loa.

I ka hapanui o nā hihia o ka polyhydramnios akahai a haʻahaʻa, akā naʻe, ʻaʻohe kumu maʻalahi i ʻike ʻia.

E noʻonoʻo pono ʻoe ʻoiai me ka hoʻāʻo ʻana o ultrasound, ʻaʻole hiki ke ʻike ʻia ka 100 pakeneka pololei. Aia ma waena o kahi AFI kiʻekiʻe a me nā hopena maikaʻi ʻole no kāu pēpē. Hiki i kēia mau mea ke:

• hoʻonui i ka makaʻu no ka lawe mua ʻana
• hoʻonui i ka makaʻu no ke komo ʻana i ka neonatal intensive care unit (NICU)

ʻO kekahi mau hihia o polyhydramnios. Eia nō naʻe, e hoʻomau ana kāu kauka i ka nānā ʻana i nā pae o ka wai i ka manawa e hana ʻia ai ka diagnostical e mālama pono ʻia ai ʻoe a me kāu pēpē.

He aha nā makaʻi o polyhydramnios?

E loli ka makaʻu o polyhydramnios ma muli o ka lōʻihi o kou noho ʻana i kou hāpai ʻana a me ke ʻano o ke ʻano. Ma ka laulā, ʻoi aku ka nui o nā polyhydramnios, ʻoi aku ke kiʻekiʻe o ka makaʻu o nā pilikia i ka wā hāpai a hānau paha.

ʻO kekahi o nā pilikia me nā polyhydramnios ʻoi aku ka nui i loko o:

• hoʻonui i ka makaʻu o kahi pēpē breech (me ka nui o ka wai, hiki i ka pēpē ke loaʻa ka pilikia e iho i lalo ke poʻo)
• mahuahua ka makaʻu o ka umbilical cord prolaps, ʻo ia ka wā e heʻe ai ka umbilical cord mai ka pūpū a i loko o ka ʻōpū ma mua o ka hānau ʻana o ka pēpē.
• hoʻonui i ka pilikia o ke kahe ʻana o ke kahe ma hope o ka hānau ʻana
• haki mua o nā membrane, i hiki ke alakaʻi i ka hana mua a me ka lawe ʻana
• hoʻonui i ka makaʻu o ka placenta abruption, kahi a ka placenta i hoʻokaʻawale ai mai ka paia uterine ma mua o ka hānau ʻana o ka pēpē

Pehea e ʻike ai a mālama ʻia ai nā polyhydramnios?

Inā kānalua kāu kauka i ka polyhydramnios, ʻo ka mea mua loa a lākou e hana ai ke kauoha i nā hoʻokolohua hou aʻe e hōʻoia i ka hewa ʻole o kāu pēpē. Akahai a akahai polyhydramnios ʻaʻole pono i kahi lāʻau hou aʻe ma mua o ka nānā ʻana.

I nā mea kakaikahi wale nō, noʻonoʻo ʻia nā hihia koʻikoʻi. Hoʻopili kēia i ka lāʻau a me ka hoʻokahe ʻana i ka wai amniotic ʻoi loa.

Hiki iā ʻoe ke manaʻo i ka nānā pinepine a me ka hoʻāʻo pinepine ʻana, a he nui nā kauka e kūkākūkā i ka hānau cesarean inā manaʻo lākou he nui ka pēpē, a ʻo ka breech a me ka hānau wahine paha he mea weliweli loa ia.

Hiki paha iā ʻoe ke hoʻomaʻamaʻa hou i nā hōʻoia kō kō e hoʻopau i ka maʻi diabetes.

He aha ka hana ma hope o ka hōʻailona?

I koʻu hihia, ua nānā pinepine ʻia au me nā hōʻike biweekly non-stress a hana ikaika loa e kiʻi i kaʻu pēpē e lele i luna i lalo.

I ka manawa i hana ai ʻo ia, ua ʻae wau a me kaʻu kauka i ka hoʻokomo mua ʻana i ka wā mua, i ʻole ia e lele hou a i ʻole e haki kaʻu wai ma ka home. Ua hānau maikaʻi ʻia ʻo ia ma hope o ka haki ʻana o kaʻu kauka i kaʻu wai - a nui ka wai.

Noʻu, makaʻu maoli ka polyhydramnios i koʻu wā hāpai no ka mea he nui nā mea ʻike ʻole ʻia me ke ʻano.

Inā loaʻa iā ʻoe ke ʻano like, e ʻike pono e kamaʻilio me kāu kauka no ka mālama ʻana i nā kumu kumu a ke kaupaona ʻana i nā pōmaikaʻi a me nā maikaʻi ʻole o ka hānau mua ʻana e hoʻoholo i ke ala ʻoi loa no ʻoe a me kāu pēpē.

ʻO Chaunie Brusie, BSN, kahi kahu hānai i hoʻopaʻa inoa ʻia me ka ʻike i ka hana a me ka lawe ʻana, mālama koʻikoʻi, a me kahi kahu hānai wā lōʻihi. Noho ʻo ia ma Michigan me kāna kāne a me kāna mau keiki ʻehā, a ʻo ia ka mea kākau o ka puke "Tiny Blue Lines."