Il ka wehe ʻana o ka placenta hiki iā ia ke hana i kēlā me kēia manawa i ka manawa o 9 mau mahina o ka hāpai ʻana: ʻōlelo mākou no ka hoʻokaʻawale hapa a i ʻole piha kaukaʻi ʻia i ka hihia, akā ʻo ka hapa nui o ka manawa inā ʻoe e komo i ka manawa hiki iā ʻoe ke hoʻoponopono pono i ka pilikia. KA mau kumu no laila ka lilo ka placenta i mea kaʻawale ma mua o ka paia uterine he nui, i kēia ʻatikala e ʻike mākou i kekahi, akā ʻo ka mua eia kahi wikiō e aʻo hou aʻe e pili anahāʻule hāʻule.
Hoʻokaʻaʻike o ka placenta: he aha ke ʻano o ia?
E like me ka mea i ʻōlelo ʻia, ka ka wehe ʻana o ka placenta he ʻano ia he ʻāpana o nā pilikia o ka hāpai keiki. ʻO ka placenta, ʻo ia ka ʻāpana kēlā ʻae i ka hoʻololi o ka oxygen a me nā meaola mai ka makuahine a hiki i ka ʻōpū, hiki ke hoʻokaʻawale hapa a hapa ʻia paha mai ka kōpū ma mua o ka hānau ʻia ʻana o ka pēpē.
ʻIke maikaʻi mākou i ka wā hānau a no laila i ka manawa o ka hānau ʻana, he physiological ia e hemo ai ka placenta: he mahele nui ia o ka hānau ʻana iho; ala mai ka pilikia ke Hōʻalo ke kaʻawale ma mua o ka hānau ʻana, no ka mea, ʻo nā lako oxygen a pau i ka pēpē i hōʻoia ʻia a hiki i kēlā manawa no ka nalowale o ka pēpē.
Me kēia mau wahi, ke kuhikuhi nei mākou i nā abruptions placental e hiki ke hana ma hope o 20 mau pule o ka hāpai ʻana, kahi hiki ʻole ke hoʻōla. ʻOkoʻa loa kēia nā hapa liʻiliʻi o ka placenta "kumu" (trophoblast), i hiki ke hana a 14-15 mau pule o ka hāpai ʻana, i ʻike ʻia me nā liu a me ke kahe ʻana o ke koko a aia lākou i ka hapanui o nā hihia me ka ʻole o nā hopena.
Nā ʻōuli o ka abruption placental
Aia kekahi ala e ʻike ai ke hana nei kahi abruption placental? ʻAe, pono ʻoe e nānā i nā hōʻailona aʻe:
- kahe koko, ka mea, ʻaʻole paha i loaʻa
- ʻōpū paʻakikī e hoʻoili pāʻālua ikaika a kūpaʻa hoʻi
- abdominal eha me kēlā me kēia kuʻina, hiki ke hoʻonui i ka hope.
Le lilo ke koko ʻaʻole paha e ʻike ʻia inā pili kēia i ka hapa waena o ka placenta. I kēia hihia, i ka ʻoiaʻiʻo, infiltrates ke koko i ka uterus ma mua o ka loaʻa ʻana o kahi ala i waho.
ʻAʻole kēia e ʻōlelo inā inā ʻaʻohe ou a mau pohō paha, pono e hoʻowahāwahā i ke kūlana.
E hoʻāʻo e hoʻolohe i ka nā neʻe o ka fetus: inā ma ke ʻano he makuahine ʻike ʻoe i ka neʻe ʻana o ka pēpē ma mua o ka maʻamau, ʻoi aku ka maikaʻi e nīnau koke i kāu kauka aiʻole e hele i ka lumi pilikia no kahi hoʻokolokolo pono. He mea ʻole paha ia, a he mea pāʻani paha nā kumu liʻiliʻi ʻē aʻe, akā ʻoi aku ka maikaʻi o ka nānā ʻana.
Inā liʻiliʻi ka abruption placental a i ʻole hele mālie ma ka liʻiliʻi, pono nō ke hana nā loiloi lāʻau lapaʻau hou aʻe a kikoʻī: hiki i ke kūlana ke hōʻike i kahi ulu lohi a hoʻoliʻiliʻi paha o ka wai amniotic i lawa ʻole no ka fetus.
ʻO nā kumu kumu o ka abruption placental
He paʻakikī loa e hoʻomaopopo i ka mea a kumu o ka abruption placental. Aia i waena o nā mea kaulana loa ka hōʻeha ʻōpū, ma hope o nā pōpilikia kaʻa a i ʻole nā hāʻule pōʻino. Eia kahi papa inoa o nā kumu ʻē aʻe e noʻonoʻo ai:
- predisposition (ua loaʻa ka abruption placental i nā hāpai mua)
- hoʻoilina i ka puhipaka
- makahiki o ka makuahine ma luna o 35/40 makahiki
- nā maʻi uterine
- hypertension
- māhoe hāpai keiki, kahi e alakaʻi ai i ka distension nui o ka uterus, a me ke alo o ka nui o ka lwai hoʻomeamea
- ka ʻai ʻana o ka cocaine a me nā lāʻau ʻē aʻe
Hoʻokaʻaʻike o ka placenta: he aha ka manaʻo no ka makuahine a me ka pēpē
No ke keiki hoʻi, a abruption placental ʻAʻole manaʻo ʻia ka liʻiliʻi no ia, akā e nānā mau ʻia ke kūlana. Ke, ma ka ʻaoʻao ʻē aʻe, nui ka abruption placental, i ka pēpē ʻaʻole hiki hou mai nā meaola a me nā oxygen ʻO ka lawa, pili ka ʻeha fetal me nā kapu nui i ka ulu ʻana, a i hānau hānau hou. ʻO ke ala wale nō e puka aku ai, akā pili i nā pilikia, ʻo ia ka hānau hānau mua.
No ka makuahine, akā, inā hele pū ka abruption o ka placenta me lilo nui ke koko, hoʻokahi mea e pono ai hoʻoiho koko.
Inā hoʻomau ke kahe ʻana ma hope o ka lawe ʻana, pono ia e hoʻomau me kaexcision o ka uterus (hysterectomy).
No nā mākuahine i loaʻa i kahi abruption placental aia paha hopena hopena lōʻihi. I waena o nā mea āpau, e hōʻike i ka makaʻu nui o ka make no maʻi maʻi maʻi
ʻIke a me ka hoʻopili ʻana
no hōʻoia i kahi abruption placental pono ʻoe e hana i hoʻokahi ultrasound, me ka hoʻohui i nā kālailai lapaʻau kilakila. Inā ʻike nui ʻia ke kaʻahua, e hiki i ka ultrasound ke hoʻomaopopo iā ia; i nā hihia ʻē aʻe, e koi ʻia hoʻokahi maʻi ʻaʻai.
Pehea e hana ai?
- Inā liʻiliʻi ka hakahaka
Inā ʻaʻole koʻikoʻi kēia kūlana, palena iki ka abruption placental a hōʻike ʻole ka ʻōpū i nā ʻōuli o ke kaumaha, hiki iā ʻoe ke hoʻāʻo e lawe i kou manawa a ʻike i nā mea e hana ʻia. A malumalu i kiaʻi mau ʻia ai ka makuahine. Inā aia nā kūlana e hana a ka hoʻouna pilikia ʻana, hoʻāʻo ʻia e lawelawe i nā lāʻau corticosteroid i ka ʻōpū e hāpai i ka ulu ʻana o nā māmā pēpē.
- Inā hoʻopau a aneane paha pau ka abruption o ka placenta
Inā, ma ka ʻaoʻao ʻē, koʻikoʻi ka hanana a piha a ʻaneʻane wehe loa paha ka placenta, aia paha ke hōʻike nei ke fetus i nā hōʻailona o ka ʻeha. ʻo ka hiki wale nō i kēia mau hihia, ke ʻākoakoa nei i a ka hoʻouna ʻana caesarean pilikia.
Hiki paha ke pale aku i ka abruption placental?
Il abruption placental he kūlana i kū i ka'1% o nā hāpai keiki, no laila pōmaikaʻi hiki ke noʻonoʻo ʻia a hanana kakaʻikahi. Akā aia kekahi mea hoihoi hou aʻe: nā ʻano ʻoi aku ka paʻakikī, e pili ana i kahi kaʻawale kokoke o ka placenta a hiki ke alakaʻi i make o ke keiki hānau ma utero, Owau no ʻoi aku ka liʻiliʻi a pili i nā wahine i ka hānau hoʻokahi i kēlā me kēia 800-1600.
ʻAʻohe kaohi pale e ukali e hōʻalo ai i ka abruption placental, hele ia me ka ʻōlelo ʻole he pono ia i ka manaʻo o ka makuahine e hiki mai ana hōʻole i ka puhipaka, nā lāʻau a me nā kumu pilikia ʻē aʻe a mākou i ʻōlelo ai i nā paukū i hala. He ʻoiaʻiʻo nō hoʻi inā aia nā kūlana predisposing, (ʻo kahi laʻana: hāpai keiki māhoe a i ʻole hypertension), ka e ukali maikaʻi loa ʻia ka hāpai ʻana, me nā loiloi pinepine a hoʻomāka ʻia.
Kumuhana ʻatikala Alfeminile
