ʻO ka hoʻohuliʻana i ka wai o ka waipika i loko o ke koko o ka makuahine i ka wā o ka hana, ua kapaʻiaʻo ka hōʻailona. He hōʻailona pilikino koʻikoʻi kēia e hiki ai ke alakaʻi i ka makeʻana o ka makuahine a me ke keiki hānai, i kapaʻia he hōʻailona amniotic a he thromboembolism.
Nā kumu o ka hōʻailona me ka wai o ka wai
ʻO ka komoʻana o ka wai amniotic i loko o nā moku nui a hiki i ka hanaʻana o ka pulmonary ma muli o:
- ka wāwahi o ka pūpū i ka wā hānau a i ka kōpū pono'ī;
- ka pauku hemahema;
- nā mea āpau i ka uluʻana o nā pūpū;
- ke kūkākūkāʻana ma waena o nā kahawai āpau a me nā amniotic o ka makuahine.
ʻO nā kumu e hoʻonāukiuki nei i kēia mauʻano pilikino:
- placenta previa;
- aʻo maikaʻiʻole i ka wai o ka wailele;
- ka haʻalulu mua o ka placental, ka mea i hala mua i ka waiʻona amniotic me ke koko;
- ka piʻiʻana o ka nui i loko o ka'ōpū me ka polyhydramnios, ka nui o ka hānauʻana, ka wehewehe, ka hana koʻikoʻi.
ʻO keʻano o ka hoʻopiliʻiaʻana e ka wailele amniotic
ʻO ka Meconium, ka momona momona, nāʻili o kaʻili, ka placenta, ka cordi umbilical a me ka wai amniotic i loko o nā moku kūpono e komo i nā kumuhana nui. Loaʻa lākou iā lākou iho ma ka'ākau pono a me ka loli pulmonary. ʻO ka hapanui pinepine, nā hopena i ka hopena o ka hānauʻana. ʻO nā manawa kūpono e ala mai ana he nui:
- nā mea'ē aʻe ke kumu i ka hana anaphylactic a iʻole ka hoʻohūhū anaphylactic ;
- nā'alewai o ka wai, e hana ana ma keʻano momona, e hoʻopau i ka hana o ka holohemo;
- Hoʻonuiʻia ke kaheʻana o ka wai āpau, a ke alakaʻiʻia i ka hoʻolakoʻiaʻana o ka'ōwili intravascular.
Hōʻoiaʻiʻo pono nā hōʻike hōʻailona ma:
- ka mechanism a me nā kumu o ka waiʻona;
- ka nui o ka wai i loko o ke koko;
- nā kūlohelohe o kahi wahine;
- ka wā hānau;
- nā kūlana concomitant pathology.
Nā hōʻailona a me nāʻano likeʻole o ka hana hoʻohālike me ka waiāmiko
ʻO nā hōʻailona likeʻole o ka maʻi keʻano penei:
- pōkole o ka hanu;
- he makaʻu, kūpilikiʻi;
- ka eha ma hope o ka sternum;
- ka hoʻonuiʻia o ke kinohana;
- keʻano o nā'ōpū;
- moe;
- nā manaʻo nui a me nā nāwaliwali;
- hihihihi, akā nāwaliwali ka pulse;
- haʻi i ka cyanosis o ka pahu a me ke alo;
- ka hala o kaʻike.
Ma muli o ka hōʻailona,ʻike nā mea kilokilo i nāʻano likeʻole o ka hōʻailona hili:
- collaptoid;
- ua hewa;
- pā'ālua;
- hemorrhagic;
- e uila ana i ka uila, i ke ano o ka holo wikiwiki.
Ka hōʻoiaʻana o ka thromboembolism me ka wai amniotic
ʻO ka hōʻailona o ka hōʻailona me kēia mau mea:
- ke alakaʻi i kahi noiʻi electrocardiographic (ECG) e hiki ai keʻike i ka sinus tachycardia i'ōleloʻia, he naʻau pulmonary nui, hypoxia o ka myocardium;
- e halihali ana i ka pahu x-ray no kaʻikeʻana i ka pehu kani e like me nā'ēheu lele;
- nā ho'āʻo toto.
Hoʻomaʻoʻia o ka hoʻokomoʻana i ka wai me ka wailele amniotic
ʻO ka kōkua ma kaʻikeʻana i ka hōʻailona amniotic:
- ka hoʻomahaʻana o ka hanuʻana;
- ka hopena hana;
- ka palekana a me ka mālama koke i nā pilikia o ka hemorrha;
- e lawelawe ana i nā hana kūpono.
ʻO ka hoʻomaʻamaʻa o ka hoʻomaʻamaʻaʻia he mālama i loko o ka dimedrol, promedol, diazepam, antispasmodics, glycosides a me corticosteroids ma lalo o ka mālama mauʻana o diuresis, CVP, AD, ECG, CBS, hematocrit and electrolyte balance. Ma hope o ka hoʻokōʻana i nā mea hana kūpono i'ōleloʻia i mua, ua'ōleloʻia kahi māheleʻano mālie akā wikiwiki. Inā hoʻomohala ke kāpili i ka lua o ka manawa o ka hana, e hoʻohana i nā puʻupuʻu pale. ʻO ka pāpāʻana o ka wai o ka'ōnipiki i loko o nā wāhine maʻamau i ke koko ka mea nui o ka hānauʻana. No kēia kumu, he mea koʻikoʻi loa ka paleʻana i ka hoʻohilahila, kahi e hanaʻia ai me ka mea hulihonua e hoʻohana i nā mea e hoʻonāuki i ka'ōnaehana coagulation.