He aha ka Polyhydramnios? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka polyhydramnios kahi kūlana kahi nui loa ka wai amniotic e hoʻopuni ana i kāu pēpē i ka wā hāpai. Hiki i kēia wai keʻoi aku ka nui o kou ʻōpū a me ke kaumaha, ʻoiai ʻaʻohe hōʻailona o nā wāhine he nui me nā hihia māmā.

Hana ka wai amniotic e like me ka palekana no kāu pēpē e ulu ana. Ma ke ʻano maʻamau, e ʻai kāu pēpē i kēia wai a laila e hoʻokuʻu aku ma o ka mimi ʻana, e mālama pono ai i nā pae. Ke haki kēia kaʻina hana maoli, hiki i ka wai ke piʻi aʻe ma mua o nā pae maʻamau.

He aha nā hōʻailona o ka polyhydramnios?

ʻAʻohe hōʻailona o nā wāhine he nui me ka polyhydramnios māmā. Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i ke kaomi hou mai ka nui o ka wai.

Hiki iā ʻoe ke ʻike i kekahi o kēia mau hōʻailona maʻamau:

• ʻOi aku ka nui o kou ʻōpū ma mua o kou wā hāpai
• Paʻakikī ke hanu a i ʻole ka pōkole o ka hanu
• ʻEhu i kou mau wāwae lalo, nā kuʻekuʻe wāwae, a i ʻole ka vulva
• ʻAʻole ʻoluʻolu ke moe
• Emi ka neʻe ʻana o ka pēpē āu e ʻike ai
• Nā ʻeha a i ʻole ka ʻāʻī ʻana o ka ʻōpū
• Heartburn a i ʻole indigestion

Hana ʻia kēia mau hōʻailona no ka mea e lawe ka wai hou aku i kahi nui i kou ʻōpū, e kaumaha ana i kou diaphragm a me nā ʻōnaehana ʻē aʻe. Hana ʻia ka neʻe ʻana o ka pēpē no ka mea nui kahi no kāu pēpē e neʻe ai, e hoʻoliʻiliʻi ana i kā lākou kīkī a me nā neʻe ʻana iā ʻoe.

He aha nā ʻano o ka polyhydramnios?

Hoʻokaʻawale nā kauka i ka polyhydramnios ma muli o ka nui o ka wai keu e loaʻa ana. Kūleʻa kēia iā lākou i ka nui a me ka hoʻolālā ʻana i ka mālama maikaʻi loa no ʻoe a me kāu pēpē.

ʻO ka polyhydramnios māmā ka ʻano maʻamau loa, e pili ana i 8 mai 10 mau wāhine me kēia kūlana. Ua kiʻekiʻe iki wale nō nā pae wai, a ʻaʻohe hōʻailona o nā wāhine he nui. ʻAʻole pinepine kēia ʻano i nā pilikia a hoʻoponopono pinepine ʻia iā ia iho.

ʻO ka polyhydramnios waena ke ʻano he nui aʻe ka piʻi ʻana o nā pae wai. ʻOi aku ka nui o kou ʻike ʻana i nā hōʻailona e like me ka pilikia o ka hanu a i ʻole ka ʻoluʻolu ʻole o ka ʻōpū. E nānā pono aku kāu kauka iā ʻoe, akā he mea maʻamau ʻole nā pilikia koʻikoʻi.

ʻO ka polyhydramnios koʻikoʻi ka ʻano ʻano maikaʻi ʻole, kahi i kiʻekiʻe loa ai nā pae wai. Hāpai kēia ʻano i nā pilikia kiʻekiʻe no ʻoe a me kāu pēpē, me ka hana hānau mua a me nā pilikia hānau. Eia naʻe, me ka mālama lapaʻau kūpono a me ka nānā ʻana, nui nā wāhine me ka polyhydramnios koʻikoʻi e loaʻa mau ana nā hāpai olakino.

He aha nā kumu o ka polyhydramnios?

ʻAʻole hiki ke ʻike mau ʻia ke kumu pololei o ka polyhydramnios, a hana kēia i ka hapalua o nā hihia a pau. Ke hiki i nā kauka ke kuhikuhi i ke kumu, pili pinepine ia i ka hiki o kāu pēpē ke ʻai a i ʻole ke kaʻina hana i ka wai amniotic maʻamau.

Eia nā kumu nui e hiki ai ke ulu ka polyhydramnios:

• Ka maʻi diabetes o ka makuahine, hiki ke hoʻopilikia i ka hana ʻana o ka wai
• Twin-to-twin transfusion syndrome i nā māhoe hoʻokahi
• Nā pilikia ʻai ʻana o ka pēpē ma muli o nā kūlana neurological
• Nā pilikia gastrointestinal i loko o ka pēpē
• Nā maʻi maʻi i ka wā hāpai
• Ka maʻi anemia a i ʻole nā pilikia naʻau o ka pēpē
• Nā kūlana genetic e hoʻopilikia ana i ka ulu ʻana o ka pēpē

I kekahi manawa, e ulu ana ke kūlana ke paʻakikī i kāu pēpē ke ʻai i ka wai amniotic ma muli o nā kūlana e like me ka spina bifida a i ʻole nā hemahema neural tube ʻē aʻe. I nā hihia maikaʻi ʻole, hiki i kekahi mau lāʻau a i ʻole nā maʻi ʻōnaehana pale ke kōkua pū i ka hana ʻana o ka wai keu.

I ka wā e ʻike ai i ke kauka no ka polyhydramnios?

E hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i kou ʻōpū e ulu wikiwiki ana ma mua o ka mea i manaʻo ʻia a i ʻole inā ʻoe e ʻike ana i ka ʻoluʻolu ʻole nui. E hilinaʻi i kou mau manaʻo e pili ana i nā loli i kou kino i ka wā hāpai.

E ʻimi i ka mālama lapaʻau inā ʻoe e ʻike ana i ka pōkole o ka hanu nui, ʻoi aku hoʻi ke moe ʻana, a i ʻole inā ʻoe e ʻike ana i ka emi koke ʻana o nā neʻe ʻana o kāu pēpē. Hiki i kēia mau hōʻailona ke hōʻike i ka hoʻopilikia ʻana o nā pae wai iā ʻoe a i ʻole ka maikaʻi o kāu pēpē.

E kāhea koke aku i kāu kauka inā loaʻa iā ʻoe nā hōʻailona o ka hana hānau mua, e like me nā ʻeha maʻamau, ke kaomi ʻana o ka pelvis, a i ʻole ka wai e kahe mai kou vagina. Hiki i ka hoʻoponopono lapaʻau mua ke kōkua i ka pale ʻana i nā pilikia a me ka hōʻoia ʻana i nā hopena maikaʻi loa no ʻoe a me kāu pēpē.

He aha nā mea pilikia no ka polyhydramnios?

Nui nā mea e hoʻonui ai i kou manawa e ulu ai ka polyhydramnios, ʻoiai ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ke ʻano e ulu maoli ai ʻoe i ke kūlana. Kūleʻa ka hoʻomaopopo ʻana i kēia mau mea i kāu kauka e hāʻawi i ka mālama a me ka nānā ʻana maikaʻi aʻe.

ʻO nā mea pilikia nui loa e komo pū ana:

• Loaʻa ka maʻi diabetes ma mua o ka hāpai a i ʻole ka ulu ʻana o ka maʻi gestational diabetes
• Hāpai i nā māhoe, nā triplets, a i ʻole nā mea ʻē aʻe
• Hāpai mua me ka polyhydramnios
• Ka makahiki makuahine ma mua o 35
• Nā maʻi maʻi e like me ka parvovirus B19 a i ʻole cytomegalovirus
• Mōʻaukala ʻohana o nā kūlana genetic
• Rh incompatibility ma waena o ka makuahine a me ka pēpē

ʻOi aku ka nui o ka pilikia o nā wāhine me ka maʻi diabetes no ka mea hiki i nā pae kō koko kiʻekiʻe ke hoʻonui i ka hana ʻana o ka wai amniotic. Hāpai nā hāpai he nui i ka pilikia nui ma muli o ka paʻakikī o ka mālama ʻana i ka wai me ka nui o hoʻokahi pēpē.

He aha nā pilikia hiki ke loaʻa o ka polyhydramnios?

ʻAʻole ʻike ka hapa nui o nā wāhine me ka polyhydramnios māmā i nā pilikia koʻikoʻi, akā he mea nui ia e hoʻomaopopo i ka mea hiki ke hana i hiki iā ʻoe ke hana pū me kāu hui mālama ola e pale aku i nā pilikia.

No ʻoe ma ke ʻano he makuahine, nā pilikia hiki ke komo pū ana:

• Ka hana hānau mua a me ka hānau ʻana
• Placental abruption (ka hoʻokaʻawale ʻana o ka placenta)
• Ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana
• Nā pilikia hanu ma muli o ke kaomi ʻana i ka diaphragm
• Ka hana hānau lōʻihi ma muli o ka maikaʻi ʻole o nā ʻeha o ka uterus

No kāu pēpē, nā pilikia hiki ke komo pū ana:

• Ka hānau mua
• Cord prolapse i ka wā hānau
• Ke kūlana kūpono ʻole i loko o ka uterus
• Stillbirth i nā hihia koʻikoʻi

ʻO ka lono maikaʻi, me ka nānā pono a me ka mālama, hiki ke pale ʻia a i ʻole ke hoʻokele pono ʻia ka hapa nui o kēia mau pilikia. E hana pū kāu hui mālama ola me ʻoe e hoʻemi i nā pilikia a me ka hōʻoia ʻana i ka hopena olakino loa no ʻoe a me kāu pēpē.

Pehea e hiki ai ke pale aku i ka polyhydramnios?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka polyhydramnios, ʻoi aku hoʻi ke kumu ʻia e nā kūlana pēpē, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia a me ka hoʻolaha ʻana i ka hāpai olakino.

ʻO ka mālama ʻana i kou pae kō koko kekahi o nā hana pale nui loa. Inā loaʻa iā ʻoe ka maʻi diabetes, e hana pono pū me kāu hui mālama ola e mālama i kou pae glucose i nā pae pahuhopu. Hoʻemi nui kēia i kou pilikia e ulu ai ka polyhydramnios.

ʻO ka hele ʻana i kāu mau hālāwai prenatal a pau e hiki ai i kāu kauka ke nānā pono i kou hāpai a hopu i nā pilikia i ka wā mua. Hiki i nā ultrasounds maʻamau ke ʻike i nā loli i nā pae wai ma mua o ka lilo ʻana i pilikia.

ʻO ka noho ʻana i ka lā me nā inikini a me ka hana ʻana i ka hoʻomaʻemaʻe maikaʻi e kōkua i ka pale ʻana i nā maʻi e hiki ke kōkua i ka polyhydramnios. Hiki i kāu kauka ke ʻōlelo aku i nā inikini kūikawā a i ʻole nā ​​​​palekana ma muli o kāu mau mea pilikia pilikino.

Pehea e ʻike ʻia ai ka polyhydramnios?

E manaʻo mua paha kāu kauka i ka polyhydramnios i ka wā o ka kipa prenatal maʻamau inā ʻoi aku ka nui o kou ʻōpū ma mua o ka mea i manaʻo ʻia no kou wā hāpai. Ke kapa ʻia kēia loiloi mua ʻana i ke ana ʻana i kou kiʻekiʻe fundal.

ʻO ka ultrasound ka mea hana nui e hoʻohana ʻia e ʻike i ka polyhydramnios. I kēia hoʻokolohua ʻoluʻolu ʻole, e ana kāu kauka i ka wai amniotic i nā ʻeke like ʻole a puni kāu pēpē. Hoʻohana lākou i ka ana ʻana i kapa ʻia ʻo ka amniotic fluid index (AFI) e hoʻoholo inā he maʻamau, borderline, a i ʻole nā ​​pae wai kiʻekiʻe.

Inā hōʻoia ʻia ka polyhydramnios, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aku e ʻimi i nā kumu hiki ke loaʻa. Hiki i kēia ke komo pū me nā ultrasounds kikoʻī e nānā i ke kino o kāu pēpē, nā hoʻokolohua koko e nānā i ka maʻi diabetes a i ʻole nā ​​maʻi, a i ʻole ka hoʻokolohua genetic inā manaʻo ʻia kekahi mau kūlana.

I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i kahi amniocentesis, kahi e wehe ʻia ai kahi laʻana liʻiliʻi o ka wai amniotic no ka hoʻokolohua. Hiki i kēia hoʻokolohua ke kōkua i ka ʻike ʻana i nā kūlana genetic a i ʻole nā ​​maʻi e hiki ke hoʻokumu i ka wai keu.

He aha ka lapaʻau no ka polyhydramnios?

Pili ka lapaʻau no ka polyhydramnios i ka nui o kou kūlana a me ke kumu o ia mea. ʻAʻohe lapaʻau kūikawā o nā hihia he nui o ka polyhydramnios māmā ma mua o ka nānā pono ʻana.

No nā hihia waena a koʻikoʻi, hiki i kāu kauka ke ʻōlelo aku:

• Nā kipa prenatal pinepine a me nā ultrasounds
• Moe a i ʻole ka palena ʻana i ka hana
• Nā lāʻau lapaʻau e hoʻemi i ka hana ʻana o ka wai
• Amnioreduction (ka wehe ʻana i ka wai keu ma o ka nila)
• Ka hānau mua inā kiʻekiʻe loa nā pilikia

Inā ke kumu o ka polyhydramnios kou maʻi diabetes, ʻo ka mālama ʻana i kou pae kō koko e kōkua pinepine i ka hoʻemi ʻana i ka hana ʻana o ka wai. E hana pū kāu kauka me ʻoe e hoʻoponopono i kāu meaʻai, hana hoʻoikaika kino, a i ʻole nā ​​​​lāʻau lapaʻau e like me ka pono.

I nā hihia koʻikoʻi, pono paha kahi kaʻina hana i kapa ʻia ʻo amnioreduction. I kēia kaʻina hana, hoʻohana kāu kauka i kahi nila lahilahi e wehe i ka wai amniotic keu, hiki ke hāʻawi i ka hoʻomaha koke mai nā hōʻailona a hoʻemi i ka pilikia o nā pilikia.

Pehea e mālama ai i ka polyhydramnios ma ka home?

ʻOiai he mea nui ka mālama lapaʻau, nui nā mea hiki iā ʻoe ke hana ma ka home e ʻoluʻolu aʻe a kākoʻo i kou olakino i ka wā hāpai me ka polyhydramnios.

He mea nui ka hoʻomaha e hoʻokele i nā hōʻailona a pale aku i nā pilikia. E ho'āʻo e moe ma kou ʻaoʻao hema, e hoʻomaikaʻi ana i ke kahe koko i kāu pēpē a hiki ke kōkua i ka hoʻemi ʻana i ka ʻehu. E hoʻohana i nā uluna e kākoʻo i kou ʻōpū a loaʻa nā kūlana ʻoluʻolu.

E nānā i nā neʻe ʻana o kāu pēpē i kēlā me kēia lā a e hōʻike i nā loli nui i kāu kauka. ʻOiai hiki ke ʻokoʻa ka neʻe ʻana me ka wai keu, pono ʻoe e ʻike mau i ka hana maʻamau mai kāu pēpē i kēlā me kēia lā.

E inu wai, akā mai kaupalena i kou inu wai ke ʻole kāu kauka e ʻōlelo kūikawā. Hiki i ka ʻai ʻana i nā mea liʻiliʻi, pinepine ke kōkua i ka heartburn a me nā pilikia hanu e hele pū ana me ka polyhydramnios.

E hoʻolohe i nā hōʻailona o ka hana hānau mua, e like me nā ʻeha maʻamau, ke kaomi ʻana o ka pelvis, a i ʻole nā ​​​​loli i ka wai vaginal. ʻO ka loaʻa ʻana o ka polyhydramnios ke ʻano he nui kou pilikia no ka hana hānau mua, no laila he mea nui ka noho makaʻala i kēia mau hōʻailona.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu hālāwai, e kākau i lalo i nā hōʻailona āu i ʻike ai, me ka wā i hoʻomaka ai a pehea lākou i loli ai i ka manawa. Kūleʻa kēia ʻike i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. Makemake paha ʻoe e ʻike e pili ana i kāu mau mea pilikia kūikawā, ka mea e pono ai ka nānā ʻana, a i ʻole nā ​​​​hōʻailona e hoʻoikaika iā ʻoe e kāhea i ke keʻena.

E lawe mai i kahi mea kākoʻo me ʻoe inā hiki, ʻoi aku hoʻi inā ʻoe e manaʻo hopohopo e pili ana i ka ʻike. Hiki i ka loaʻa ʻana o kekahi ma laila e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a nīnau i nā nīnau ke kōkua nui.

Inā loaʻa iā ʻoe ka maʻi diabetes, e lawe mai i kāu mau moʻolelo kō koko e hōʻike i kāu kauka i ka maikaʻi o kāu pae hoʻokele. He mea nui kēia ʻike no ka mālama pono ʻana i ka polyhydramnios.

He aha ka mea nui e pili ana i ka polyhydramnios?

ʻO ka polyhydramnios kahi kūlana hiki ke hoʻokele ʻia e pili ana i 1-2% o nā hāpai, a hele ka hapa nui o nā wāhine me kēia ʻike i ka loaʻa ʻana o nā pēpē olakino. ʻOiai pono ia i ka nānā pono ʻana, ʻo ka hapa nui o nā hihia he māmā a ʻaʻole hoʻokumu i nā pilikia koʻikoʻi.

ʻO ka mea nui loa āu e hiki ke hana ai, ʻo ia ke hana pū me kāu hui mālama ola a hele i kāu mau hālāwai prenatal a pau. Hoʻomaikaʻi nui ka ʻike mua a me ka hoʻokele pono i nā hopena no ʻoe a me kāu pēpē.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o ka polyhydramnios ke ʻano he hewa kekahi mea iā ʻoe a i ʻole ua hana ʻoe i kekahi mea e hoʻokumu ai. Hana ʻia ka nui o nā hihia no nā kumu ʻike ʻole ʻia, a me ka mālama pono, hiki iā ʻoe ke loaʻa mau kahi ʻike hāpai maikaʻi.

E hilinaʻi i kou mau manaʻo e pili ana i nā loli i kou kino a mai kānalua e hoʻokaʻaʻike i kāu kauka me nā nīnau a i ʻole nā ​​​​manaʻo hopohopo. Aia kāu hui mālama ola ma laila e kākoʻo iā ʻoe ma kēia huakaʻi a hōʻoia i ka hopena maikaʻi loa no kou ʻohana.

Nā nīnau pinepine e pili ana i ka polyhydramnios

Hiki i ka polyhydramnios ke hoʻokumu i ka autism i loko o kaʻu pēpē?

ʻAʻohe hōʻike ʻepekema e hoʻokumu ana ka polyhydramnios i ka autism. ʻOiai ua nānā kekahi mau haʻawina i nā pilina hiki ke loaʻa ma waena o nā pilikia hāpai a me ka pilikia autism, ʻaʻole manaʻo ʻia ka polyhydramnios iho he kumu pololei o nā maʻi autism spectrum.

Pono anei iaʻu kahi C-section inā loaʻa iaʻu ka polyhydramnios?

ʻAʻole pono. Hiki i nā wāhine he nui me ka polyhydramnios ke loaʻa nā hānau vaginal, ʻoi aku hoʻi inā he māmā ke kūlana. E noʻonoʻo kāu kauka i nā mea e like me ke kūlana o kāu pēpē, ka nui o ke kūlana, a me kou olakino holoʻokoʻa i ka wā e hoʻolālā ana i kāu ʻano hānau.

Hiki anei ke hana hou ka polyhydramnios i nā hāpai e hiki mai ana?

ʻAe, nui ka manawa e hana hou ai ka polyhydramnios i nā hāpai e hiki mai ana, ʻoi aku hoʻi inā loaʻa iā ʻoe nā kūlana underlying e like me ka maʻi diabetes. Eia naʻe, ʻaʻole ʻo ka loaʻa ʻana i hoʻokahi manawa ke ʻano e hana hou ia, a ʻokoʻa kēlā me kēia hāpai.

Pono anei iaʻu ke hopohopo inā emi ka neʻe ʻana o kaʻu pēpē me ka polyhydramnios?

Hiki ke maʻamau ka emi ʻana o ka neʻe ʻana o ka pēpē me ka polyhydramnios no ka mea nui kahi no kāu pēpē e neʻe ai. Eia naʻe, pono ʻoe e ʻike mau i nā ʻano neʻe maʻamau. E hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i ka emi nui ʻana o nā pae hana o kāu pēpē.

Hiki anei i ka inu ʻana i ka wai emi ke kōkua i ka hoʻemi ʻana i ka wai amniotic?

ʻAʻole, ʻaʻole e kōkua ka kaupalena ʻana i kou inu wai i ka hoʻemi ʻana i nā pae wai amniotic a hiki ke hoʻopilikia maoli iā ʻoe a me kāu pēpē. Hoʻokele ʻia ka hana ʻana o ka wai amniotic e nā kaʻina hana biological paʻakikī, ʻaʻole ma ka nui o ka wai āu e inu ai. E noho mau i ka wai pono i ka wā hāpai.