He aha ka Placental Abruption? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hana ʻia ka placental abruption i ka wā e hoʻokaʻawale ai ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o kāu pēpē. Hiki ke hapa a piha paha kēia hoʻokaʻawale ʻana, ʻo ia kekahi o nā pilikia o ka hāpai ʻana e lohe ʻia e ʻoi aku ka weliweli ma mua o ka pono ke hoʻomaopopo ʻoe i ka mea e hana nei.

E noʻonoʻo i ka placenta e like me ke ola o kāu pēpē i ka wā hāpai. Hāʻawi ia i ka oxygen a me nā meaʻai ʻoiai e wehe ana i nā huahana ʻōpala. I ka wā e hoʻokaʻawale koke ʻia ai, hiki ke hoʻopilikia iā ʻoe a me kāu pēpē, akā ʻo ka ʻike ʻana i nā hōʻailona a me ka loaʻa ʻana o ka mālama koke e hana i ka ʻokoʻa i nā hopena.

He aha nā hōʻailona o ka placental abruption?

ʻO ka hōʻailona maʻamau loa ka koko mai ka ʻōpū, akā ʻaʻole mau loa e hoʻolaha aku ka placental abruption iā ia iho i ke ala like no kēlā me kēia wahine. Loaʻa i kekahi mau wahine nā hōʻailona maopopo, ʻoiai paha he mau hōʻailona iki aʻe i loaʻa i kekahi.

Eia nā hōʻailona e pono ai ʻoe e nānā:

• Ke koko mai ka ʻōpū e hiki ke piʻi mai ka wahi liʻiliʻi a hiki i ke koko nui
• ʻEha ʻōpū a i ʻole nā ​​ʻeha e like ʻole me ka ʻoluʻolu maʻamau o ka hāpai ʻana
• ʻEha kua e mau loa ana a ʻaʻole hoʻomaha me nā loli kūlana
• ʻO ka palupalu o ka ʻōpū i ka wā e pā ai ʻoe i kou ʻōpū
• Nā ʻōpū ʻōpū wikiwiki e kokoke mai ana
• Ke neʻe iki nei kāu pēpē ma mua o ka maʻamau a i ʻole nā ​​loli i nā ʻano neʻe

I kekahi manawa, noho hūnā ka koko i loko o kou ʻōpū, kahi i kapa ʻia e nā kauka he "concealed abruption." I kēia mau hihia, ʻaʻole paha ʻoe e ʻike i ke koko mai ka ʻōpū akā hiki nō ke loaʻa iā ʻoe ka ʻeha, ka palupalu, a i ʻole nā ​​loli i ke ʻano o ka neʻe ʻana o kāu pēpē.

Hoʻopili pinepine ka nui o nā hōʻailona i ka nui o ka placenta i hoʻokaʻawale ʻia. Hiki i nā hoʻokaʻawale liʻiliʻi ke hana i nā hōʻailona māmā, ʻoiai nā mea nui e hiki ke hana i ka ʻeha nui a me ke koko e pono ai ka nānā koke.

He aha nā ʻano o ka placental abruption?

Hoʻokano nā kauka i ka placental abruption ma muli o ka nui o ka hoʻokaʻawale ʻana a me kahi e hana ai. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau ʻano e wehewehe i ke kumu e ʻokoʻa ai nā hōʻailona ma waena o nā wahine like ʻole.

ʻO nā ʻano nui e komo pū ana:

• Partial abruption: Hoʻokaʻawale wale ʻia kahi hapa o ka placenta mai ka paia o ka ʻōpū
• Complete abruption: Hoʻokaʻawale loa ka placenta, ʻo ia kahi pilikia olakino
• Marginal abruption: Hana ʻia ka hoʻokaʻawale ʻana ma ka lihi o ka placenta
• Central abruption: Hana ʻia ka hoʻokaʻawale ʻana ma ka waena o ka placenta

Hoʻokano pū nā kauka i nā abruptions he "revealed" i ka wā e ʻike ʻia ai ke koko, a i ʻole "concealed" i ka wā e paʻa ai ke koko ma hope o ka placenta. Hiki ke paʻakikī ke ʻike i nā concealed abruptions no ka mea ʻaʻole ʻike ʻia ka hōʻailona maopopo o ke koko.

ʻO ka papa o ka abruption mai ka māmā (Grade 1) a hiki i ka koʻikoʻi (Grade 3), me kēlā me kēia pae e hōʻike ana i ka nui o ka placenta i hoʻokaʻawale ʻia a pehea ka hoʻopilikia ʻana iā ʻoe a me kāu pēpē.

He aha ka mea e hana ai i ka placental abruption?

ʻAʻole ʻike pinepine ʻia ke kumu pololei o ka placental abruption, akā nui nā mea e hiki ke hoʻonui i ka hiki ke hana. Hana kou kino a me nā kūlana hāpai i kahi ʻano paʻakikī kahi e hiki ai i nā manaʻo he nui ke komo pū.

ʻO nā kumu kōkua maʻamau e komo pū ana:

• Ke koko kiʻekiʻe i ka wā hāpai a i ʻole ka hypertension maʻamau
• Trauma i kou ʻōpū mai nā hāʻule, nā ulia kaʻa, a i ʻole ka hopena kino
• Placental abruption ma mua i nā hāpai mua
• Pāʻana a i ʻole ka hoʻohana ʻana i nā mea hoʻohana i ka wā hāpai
• Nā maʻi clotting koko e hoʻopilikia ana i ke ʻano o ke kahe ʻana o kou koko
• Ka nalowale wikiwiki ʻana o ka wai amniotic (oligohydramnios)
• Nā hāpai he nui e like me nā māhoe a i ʻole nā ​​triplets

ʻO nā kumu liʻiliʻi akā hiki ke komo pū me kekahi mau kūlana olakino e like me ka maʻi diabetes, ka maʻi kidney, a i ʻole nā ​​maʻi autoimmune. Hiki i ka makahiki makua nui (ma mua o 35) a me ka nui o nā hāpai mua ke pāʻani pū.

I nā hihia he nui, hana ʻia ka placental abruption me ka ʻole o kekahi mea hoʻonāukiuki maopopo, kahi e hiki ai ke hoʻonāukiuki i ka wā e ʻimi nei ʻoe i nā pane. ʻO ka mea nui e hoʻomanaʻo ai ʻo ka hapa nui o kēia mau mea ma waho o kou mana.

I ka wā e ʻike ai i ke kauka no ka placental abruption?

Pono kekahi koko mai ka ʻōpū i ka wā hāpai i ka nānā koke ʻana olakino, ʻoiai inā ua hui pū ʻia me ka ʻeha a i ʻole ka ʻeha. Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma luna o lākou iho, ʻoiai hiki i ka placental abruption ke holomua koke.

E kāhea i kāu kauka a hele i ka lumi pilikia koke inā loaʻa iā ʻoe:

• Kekahi nui o ke koko mai ka ʻōpū ma hope o 20 mau wiki o ka hāpai ʻana
• ʻEha ʻōpū a i ʻole kua koʻikoʻi ʻaʻole e hele
• Kou ʻōpū e paʻakikī a palupalu paha i ka pā ʻana
• Nā ʻōpū e hele mai ana pinepine a mau loa
• Ke neʻe iki nei kāu pēpē ma mua o ka maʻamau
• Ke manaʻo nei ʻoe i ka dizziness, nāwaliwali, a i ʻole e like me ka hiki iā ʻoe ke hāʻule

ʻOiai inā ʻaʻole ʻoe i maopopo inā koʻikoʻi kāu mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka nānā ʻia. Makemake nui nā limahana olakino e ʻike iā ʻoe no kahi hoʻomaopopo hewa ma mua o ka nalo ʻana i kahi mea nui.

E hilinaʻi i kou mau manaʻo e pili ana i kou kino a me kāu pēpē. Inā he mea ʻokoʻa a hewa paha, lawa kēlā kumu e ʻimi koke ai i ka mālama olakino.

He aha nā mea pilikia no ka placental abruption?

Nui nā mea e hiki ke hoʻonui i kou manawa e loaʻa ai ka placental abruption, ʻoiai ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e manaʻo ʻia e hana maoli ia iā ʻoe. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau mea iā ʻoe a me kāu hui olakino e makaʻala no nā pilikia hiki ke loaʻa.

ʻO nā mea pilikia nui e komo pū ana:

• Placental abruption ma mua, kahi e hoʻonui ai i ka pilikia i nā hāpai e hiki mai ana
• Ke koko kiʻekiʻe ma mua a i ʻole i ka wā hāpai
• Makahiki ma mua o 35 a i ʻole ʻōpio loa (ma lalo o 20)
• Pāʻana i nā sigareta a i ʻole ka hoʻohana ʻana i nā lāʻau kūʻē, ʻo ka cocaine kekahi
• Loaʻa nā pēpē he nui (māhoe, triplets, etc.)
• Nā maʻi clotting koko a i ʻole ka lawe ʻana i nā lāʻau lapaʻau e hoʻonui ai i ke koko
• Diabetes a i ʻole ka maʻi kidney
• Loaʻa ma mua o ʻehā mau hāpai mua

Hoʻonui pū kekahi mau pilikia hāpai i ka pilikia, e komo pū ana ka preeclampsia, ka haki mua ʻana o nā membrane, a me nā maʻi i loko o ka ʻōpū. Hiki i ka trauma kino i ka wā hāpai, mai nā hanana iki ʻia, ke hoʻonāukiuki i ka abruption.

ʻO nā mea pilikia liʻiliʻi e komo pū ana ka pōkole o ka umbilical cord, kekahi mau kūlana genetic e hoʻopilikia ana i ke clotting koko, a me kekahi mau maʻi autoimmune. E nānā pono aku kāu kauka iā ʻoe inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia.

He aha nā pilikia hiki ke loaʻa o ka placental abruption?

Hiki i ka placental abruption ke hana i nā pilikia no ʻoe a me kāu pēpē, akā ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ke kumu e nui ai ka mālama koke. Hoʻopili pinepine ka nui o nā pilikia i ka nui o ka placenta i hoʻokaʻawale ʻia a me ka wikiwiki o ka hoʻomaka ʻana o ka mālama.

ʻO nā pilikia hiki ke loaʻa i kāu pēpē e komo pū ana:

• Ka emi ʻana o ka oxygen a me ka lako meaʻai e alakaʻi ana i nā pilikia ulu
• Ka hānau mua inā pono ka hānau
• Ka kaumaha hānau haʻahaʻa mai ka meaʻai lawa ʻole
• Nā pilikia hanu inā hānau mua ʻia
• I nā hihia koʻikoʻi, ka hōʻeha lolo mai ka nele o ka oxygen

ʻO nā pilikia e hiki ke hoʻopilikia iā ʻoe e komo pū ana:

• Ke koko nui e pono ai ka transfusion koko
• Nā pilikia clotting koko (disseminated intravascular coagulation)
• Ka hōʻino ʻana o ka kidney mai ke koko nalowale
• Ka hānau cesarean emergency
• Hoʻonui i ka pilikia o ka abruption i nā hāpai e hiki mai ana

ʻO nā pilikia koʻikoʻi akā koʻikoʻi e komo pū ana i ka shock mai ke koko nalowale a, i nā hihia koʻikoʻi loa, ka pono no ka hysterectomy e kaohi i ke koko. Eia naʻe, me ka mālama olakino hou a me ka hoʻoponopono wikiwiki, nui nā wahine a me nā pēpē e hana maikaʻi ma hope o ka loaʻa ʻana o ka placental abruption.

Pehea ka ʻike ʻana o ka placental abruption?

ʻO ka ʻike ʻana i ka placental abruption e komo pū ana i ka hoʻohui ʻana i kāu mau hōʻailona me ka nānā kino a me nā hoʻokolohua olakino. E hoʻomaka kāu kauka ma ka hoʻolohe ʻana i kou mau hopohopo a me ka nānā ʻana iā ʻoe e hoʻomaopopo i ka mea e hana nei.

ʻO ke kaʻina hana diagnostic e komo pū ana:

• Nānā kino e nānā i kou ʻōpū a loiloi i ke koko
• Ultrasound e nānā i kou placenta a me ke kūlana o kāu pēpē
• Ke nānā nei i ka wikiwiki o ka naʻau o kāu pēpē no nā hōʻailona o ka pilikia
• Nā hoʻokolohua koko e nānā no ka anemia a me nā pilikia clotting
• Ke nānā nei i kou koko kiʻekiʻe a me nā hōʻailona ola

ʻAʻole mau loa e hōʻike maopopo ka ultrasound i ka placental abruption, ʻoiai i nā wā mua a i ʻole me nā hoʻokaʻawale liʻiliʻi. Hiki i kāu kauka ke ʻike ia ma muli o kāu mau hōʻailona a me nā ʻike kino ʻoiai inā maʻamau ka ultrasound.

I kekahi manawa, lilo ka ʻike i ka maopopo wale nō i ka wā hānau ke ʻike nā kauka i ka wahi i hoʻokaʻawale ʻia o ka placenta. ʻO ia ke kumu e kau ai kāu hui olakino i ka nānā pono ʻana iā ʻoe a me kāu pēpē ma mua o ka hilinaʻi wale ʻana i nā hopena hoʻokolohua.

He aha ka lapaʻau no ka placental abruption?

Hoʻoholo ʻia ka lapaʻau no ka placental abruption ma muli o nā mea he nui e komo pū ana i ka lōʻihi o kou hāpai ʻana, ka nui o ka hoʻokaʻawale ʻana, a pehea kou a me kāu pēpē e hana nei. E hana kāu hui olakino i kahi hoʻolālā e hoʻomaopopo i kou palekana a me ka maikaʻi o kāu pēpē.

No nā hihia māmā me nā hōʻailona iki:

• Ke nānā ʻana i ka haukapila e nānā no nā loli i kou kūlana
• Ke moe ʻana e hoʻemi i ke kaumaha ma ka placenta
• Ke nānā mau ʻana i ka wikiwiki o ka naʻau o kāu pēpē
• Nā hoʻokolohua koko e hahai i kou kūlana olakino
• Nā inikini steroid inā ʻoe ma waena o 24-34 mau wiki e kōkua i nā māmā o kāu pēpē e ulu

No nā hihia waena a koʻikoʻi paha, lilo ka lapaʻau i mea wikiwiki:

• Ka hānau koke ʻana, pinepine ma o ka cesarean section
• Nā wai IV a me ka transfusion koko paha no ke koko nalowale
• Nā lāʻau lapaʻau e kōkua i ke kaohi ʻana i ke koko
• Ke nānā nui ʻana i kahi ʻāpana kūikawā
• Mālama NICU no kāu pēpē inā hānau mua ʻia

Hoʻoholo ʻia ka manawa o ka hānau ʻana ma muli o ke kahua o kāu hāpai ʻana a me ka nui o ka abruption. Inā kokoke ʻoe i ka manawa a kūpaʻa ʻoe a me kāu pēpē, hiki paha i kāu kauka ke ho'āʻo e hānau vaginally. Eia naʻe, pono pinepine ka hānau cesarean emergency e pale aku iā ʻolua.

Pehea e mālama ai i ka mālama ma ka home i ka wā o ka placental abruption?

ʻO ka mālama home wale nō ka mea kūpono no nā hihia māmā loa kahi i hoʻoholo ai kāu kauka he palekana, a ʻoiai pēlā, pono ʻoe i ka nānā olakino pinepine. Pono ka hapa nui o nā hihia o ka placental abruption i ka haukapila no ka mea hiki i ke kūlana ke loli koke.

Inā ʻae kāu kauka i ka nānā home, pono ʻoe e:

• E noho ma ka moe piha e like me ke kuhikuhi ʻia
• E nānā i nā neʻe o kāu pēpē a hōʻike i nā loli
• E nānā no ke koko hou a i ʻole ka ʻeha nui
• E hele i nā hālāwai olakino i hoʻonohonoho ʻia
• Loaʻa i kekahi e hoʻokele koke iā ʻoe i ka haukapila inā pono

E nānā no nā hōʻailona hoʻomaopopo e pono ai ka nānā koke ʻana olakino, e komo pū ana i kekahi hoʻonui ʻana i ke koko, ka ʻeha nui, ka emi ʻana o ka neʻe ʻana o ka pēpē, a i ʻole ka manaʻo ʻole ma kekahi ʻano. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī e pili ana i ka wā e kāhea ai a hele i ka haukapila.

E hoʻomanaʻo ʻo ka nānā home wale nō ka mea kūpono no nā kūlana māmā loa. Pono ka hapa nui o nā wahine me ka placental abruption e noho i ka haukapila kahi e hiki ai i nā hui olakino ke pane koke i nā loli.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

I ka wā e hana ana me ka placental abruption, e ʻike paha ʻoe i kāu kauka i kahi kūlana wikiwiki a pilikia paha ma mua o ka hālāwai maʻamau. Eia naʻe, ke kōkua nei ka hoʻomākaukau ʻana iā ʻoe e kamaʻilio maikaʻi i kēia manawa pilikia.

E lawe mai a i ʻole e mākaukau e hāʻawi:

• Kāu mau moʻolelo hāpai a me nā hopena hoʻokolohua hou
• Ka papa inoa o nā lāʻau lapaʻau āu e lawe nei i kēia manawa
• ʻIke e pili ana i ka wā i hoʻomaka ai kāu mau hōʻailona a pehea lākou i loli ai
• Nā kikoʻī e pili ana i kāu moʻolelo olakino, ʻoiai nā hāpai mua
• Kāu ʻike ʻinikua a me nā pilina pilikia

E kākau i nā nīnau āu e makemake ai e nīnau, e like me pehea kēia e hoʻopilikia ai i kāu pēpē, he aha nā koho lapaʻau i loaʻa, a me ka mea e manaʻo ai e hele mai.

E kūpaʻa e pili ana i kāu mau hōʻailona a pau, ʻoiai inā he mea liʻiliʻi lākou. ʻO nā kikoʻī e pili ana i ka manawa, ka nui, a me nā loli i ke ʻano o kou manaʻo e kōkua i kāu hui olakino e hana i nā hoʻoholo maikaʻi loa no kāu mālama.

He aha ka mea nui e pili ana i ka placental abruption?

ʻO ka placental abruption kahi pilikia hāpai koʻikoʻi e pono ai ka nānā koke ʻana olakino, akā me ka mālama koke, nui nā wahine a me nā pēpē i nā hopena maikaʻi. ʻO ka mea nui loa ka ʻike ʻana i nā hōʻailona hoʻomaopopo a me ka ʻimi ʻana i ke kōkua koke.

E hoʻomanaʻo ʻo ke koko mai ka ʻōpū i ka wā hāpai e pono mau ai ka loiloi olakino, ʻoiai ke hui pū ʻia me ka ʻeha a i ʻole nā ​​loli i ka neʻe ʻana o kāu pēpē. E hilinaʻi i kou mau manaʻo e pili ana i kou kino a mai kānalua e kāhea i kāu limahana olakino inā he mea ʻokoʻa.

ʻOiai hiki i ka placental abruption ke hopohopo, ua hana nā mālama olakino hou i nā hoʻomaikaʻi nui i ka hoʻokele ʻana i kēia kūlana. Loaʻa i kāu hui olakino ka ʻike a me nā mea hana e pono ai e mālama iā ʻoe a me kāu pēpē i kēia manawa paʻakikī.

Nā nīnau pinepine e pili ana i ka placental abruption

Hiki i ka placental abruption ke hana hou i nā hāpai e hiki mai ana?

ʻAe, ʻo ka loaʻa ʻana o ka placental abruption i hoʻokahi hāpai e hoʻonui i kou pilikia i nā hāpai e hiki mai ana, akā ʻaʻole ia e manaʻo e hana hou ia. Hoʻonui kou pilikia mai kahi 1% a i kahi 10-15% ma nā hāpai e hiki mai ana. E nānā pono aku kāu kauka iā ʻoe a hiki ke ʻōlelo aku i ka hānau mua a i ʻole nā ​​pale ʻē aʻe e hoʻemi i nā pilikia.

He aha ka mea hiki iaʻu ke hana e pale aku ai i ka placental abruption?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka placental abruption, hiki iā ʻoe ke hoʻemi i kekahi mau mea pilikia. E pale i ka pāʻana a me nā lāʻau kūʻē, e hoʻokele i ke koko kiʻekiʻe me ke kōkua o kāu kauka, e komo pono i nā kāʻei noho, a e hele i nā hālāwai prenatal a pau. Eia naʻe, nui nā hihia e hana me ka ʻole o ke kumu hiki ke pale ʻia, no laila mai hewa iā ʻoe inā hana ia.

Pehea ka wikiwiki o ka holomua o ka placental abruption?

Hiki i ka placental abruption ke holomua i nā wikiwiki like ʻole. Hoʻomohala kekahi mau hihia ma nā hola a i ʻole nā ​​lā, ʻoiai hiki i kekahi ke lilo i mea koʻikoʻi i loko o nā minuke. ʻO kēia ʻano manaʻo ʻole ke kumu e pono ai kekahi mau hōʻailona i ka loiloi koke ʻana olakino ma mua o ka kali ʻana e ʻike inā e hoʻomaikaʻi lākou ma luna o lākou iho.

E maikaʻi anei kāu pēpē inā loaʻa iaʻu ka placental abruption?

Hoʻoholo ʻia ka hopena no kāu pēpē ma muli o ka nui o ka placenta i hoʻokaʻawale ʻia, pehea ka wikiwiki o kou loaʻa ʻana i ka mālama, a pehea ka lōʻihi o kou hāpai ʻana. Nui nā pēpē e hana maikaʻi, ʻoiai ke hopu koke ʻia ke kūlana a mālama koke ʻia. E nānā pono aku kāu hui olakino i kāu pēpē a e lawe i nā ʻanuʻu e hoʻomaikaʻi i ko lākou olakino.

Hiki ke ʻike ʻia ka placental abruption i nā kipa prenatal maʻamau?

Hoʻomohala pinepine ʻia ka placental abruption ma ka wikiwiki ma mua o ka ʻike ʻia ʻana i nā kipa maʻamau. ʻAʻole paha e hōʻike nā ultrasounds maʻamau i nā hōʻailona mua o ka abruption, ʻo ia ke kumu e nui ai ka ʻike ʻana i nā hōʻailona a me ka ʻimi ʻana i ke kōkua koke. E nānā kāu kauka i nā mea pilikia a e nānā pono iā ʻoe ma muli o kou kūlana pilikino.