Pehea e hoʻoholo ai i nā polyhydramnios?
Ke hōʻike nei kēia maʻi pilikino i kekahi mau hōʻailona, kahi e hoʻomaka ai e hōʻeha i ka wahine hāpai. ʻO kēiaʻano o ka kaumaha a me kaʻeha i loko o ka'ōpū, ka pihuʻana o nā piko, ka nui o ka naʻau a me keʻano o ka malaise. Eia kekahi, i keʻano o polyhydramnios me ka maka'ōlohelohe, hiki i kekahi keʻike i kekahi kuhihewa ma waena o ka nui o ka puka nui nui no kahi manawa kiko'ī.
Akā, hiki i ke diagnostics ke hana ma hope o ka hoʻopukaʻiaʻana o nā hanana he nui a me ka heleʻana o ke ultrasound. Hiki i nā kauka kūikawā ke koho i ka hōhā'ōlelo o ka wai o ka wailele me ka hoʻohālikelike i ka hopena me nā palena maʻamau maʻamau. Hiki iāʻoe keʻike i nā'ōkuʻu kaulike ma ka papa hana mau o ka'ōpū e hoʻohana ana i ka pākaukau.
Nā kumu o polyhydramnios ma ka'ōpū
He aha ka hopena o kēia maʻi? Aia a hiki i kēia manawa,ʻaʻole hiki i nāʻepekema ke pane i hoʻokahi pane i kēia nīnau.
Aia kekahi pūʻulu pilikia, nā wāhine e pili ana i ka nui o ka wai o ka wailele amniotic.
ʻO ka mea mua, he nui ka hāpaiʻana. I kēia hihia, pinepine ka ukuʻole o ka wai amniotic o kekahi pēpē i ka uku nui o kekahi.
ʻO ia mau maʻi kūikawā e like me ka maʻi diabetes, nā maʻi o ka'ōpū o ka maʻi a me ka maʻamau e hiki ai ke hoʻonāukiuki i kēia maʻi.
ʻO ka hānaiʻana o ka makuahine a me ke keiki, a me nā maʻi kūlohelohe chromosomal o ka'ōpū (Down's Syndrome, Edwards) i ka hopena o ka wai o ka wailele.
Akā, ua kāhea nā kānakaʻepekema i kēlā mau kumu o polyhydramnios i ka wā o ka hāpaiʻana, e like me ka nui o ka hānai a me nā maʻi kūlike i kona uluʻana. ʻO nā hana hewa liʻiliʻi ma ka hana o ka maʻi o ka naʻau, ke kikowaena pūnaewele a me ka esophagus, e hoʻololi i ka pale.
Ma waena o nā kumu'ē aʻe, he mea maʻamau ka noʻonoʻoʻana i ka hoʻoinuʻana i nā wāhine maʻamau e like me nā maʻi pīpī - rubella, toxoplasmosis, syphilis, etc. He mau manawa pinepine, ma keʻano he kumu hoʻonāukiuki, nā piko o ka placental a me nā pilikia me ke kelepili umbilical.
Hanaʻia o nā polyhydramnios
Ma mua o ka kohoʻana i kahi lāʻau hoʻomalu, mālama ke kauka i kahi hōʻailona maʻamau e maopopo ai i nā kumu kumu o polyhydramnios.
No ka hoʻokolokolo 'ana, hāʻawi kekahi wahine i nā hoʻowalewale o ke koko (total, glucose, rhesus-conflict), mimi. Ke kuhikuhi nei i ka paukū o ka ultrasound, cardiotography, Doppler.
ʻO ka hana hou e pili pono ana i nā kumu o kēia maʻi. ʻOiai, he hōʻailona kēia o ka loaʻaʻana o nā huaora, antibacterial therapy a me nā lāʻau lapaʻau e hoʻoikaika i ke kahe o ka maile utero-hāpala.
Nui nāʻano polyhydramnios - nui, hoʻomalu a me nā haʻahaʻa. Ma nā maʻi nui, ua maopopo loa nā hōʻailona, a ma ka hapanui o ka hihia, ua paʻakikī ka mālamaʻana i ke kumukū.
Hoʻoholo pono nā polyhydramnios i ka nānā mauʻana. Ma ka mālamaʻana i nā kūmole a pau hiki ke hānau i ke keiki olakino. ʻO nā polyhydramnios kūpono ke hōʻikeʻole iā ia iho heʻano hōʻikeʻike. Akā, pono ke nānā mau i nā loli o ka wai amniotic.
Nā hopena kūpono
Ma muli o kaʻikeʻana i nā kumu o polyhydramnios, pono e hoʻomaopopo kekahi i nā hopena kūpono:
- ka hānau mua, hiki ke hoʻouluʻia e kaʻonaʻole o ka wai;
- ka uluʻana i nāʻano pilikino o ka'ōpiopio - ka hōʻehaʻana o ka'ōpiopio o ka'ōpū a iʻole ka'āpana'ōpū;
- hypoxia a iʻole ka maʻi o ka'ōpiopio;
- ka hōʻike kūponoʻole o ka'ōpiopio, ke kaula me ka aho umbilical;
- ʻo ka hanuʻana o ka'ōpū.
ʻO ka Polyhydramniosʻaʻole ia he'ōlelo hoʻoholo. Me kaʻike o nā maʻi pilikino a me ka lāʻau kūpono, hiki iā ia ke hānau i nā keiki olakino.