ʻO ka wai amniotic ka wahi mua no ka pēpē. Hāpai lākou iā ia, pale a hana i ka palaualelo. ʻO ka uluʻana a me ka palekana o ke keiki e pili ana i ka nui a me ka hanaʻana o ka wai amniotic . No ka manawa mua,ʻikeʻia ka wai amniotic i ka 8 o ka hebedoma o ka hāpaiʻana, a he filtrate ia o ka plasma toto o ka makuahine.
ʻEhia ka nui o ka wai o ka amniotic?
Inā mākou e kamaʻilio e pili ana i ka hua'ōlelo, a laila, e kahe ana ka nui o ka wai amniotic ma waena o 600-1500 ml. Mai ka nui o ka wai amniotic nui ka hilinaʻi, no ka mea, hāʻawi lākou i ke keiki me ke kūʻokoʻa o ka neʻeʻana, ka hana kūpono maʻamau a me ka paleʻana i ke kaula mai ka huki.
ʻO ka nui o ka wai amniotic e pili pono ana i ka wā o ka hāpaiʻana. Me ka hoʻonuiʻana o ka wā, piʻi ka nui o lākou. ʻO ka nui o ka wai amniotic no nā wiki e like me kēia: i ka mau hebedoma he 30 ml ka wai amniotic, 13-14 - 100 ml, i nā hebedoma 18-20 - e pili ana i 400 ml. ʻO ka 37-38 hebedoma o ka'ōpūʻana,ʻo ka nui o ka wai o ka wai o ka amniotic a he 1000-1500 ml.
Ma ka hopena o ka'ōpū, hiki ke hoʻemiʻia kēia puʻupuʻu i 800 ml. A inā heʻoi aku ka māmā o ka wai o ka waikiko, hiki ke emi ma lalo o 800 ml. No laila,ʻo ka kaumaha o ka placenta a me ka wai amniotic i puka i ka hānauʻana o ke pēpēʻo kahi 1300-1800 mg. I kēia hihia, ua kaumaha ka placenta mai ka 500 a 1000 mg, aʻo ka kaumaha o ka wai amniotic e pili ana i 800 mg.
Nā hanaʻino i loko o ka helu o ka waiwai amniotic
I kekahi manawa, no hoʻokahi kumu a iʻole,ʻaʻole e like ka nui o ka wai o ka wailele me ka maʻamau - ua nui aʻe aʻoi aku paha i kāohiʻia aiʻole i ka mea likeʻole. Inā ho'ēmiʻia ka nui o ka wai amniotic, e pili ana i ka piliʻole i ka hāpaiʻana . ʻO ka nui o ka wai amniotic ka mea i kapaʻia he polyhydramnios.
ʻO kahi liʻiliʻi o ka wai amniotic ka mea e hōʻino ai i ka hypoxia pūpū ponoʻole, no ka mea,ʻo kēiaʻano ke ho'ēmi nei i ka hikiʻole o ka neʻeʻana o ka'ōpū. Hoʻopuni ke kōpū i ka pēpē, aʻo nā mea a pau e hoʻopiʻiʻia ai e ka wahine hāpai. Aia kahi pilikia o ke uluʻana i loko o ke keiki o iaʻano keakea me keʻano liʻiliʻi a me ke kaumaha ma ka hānauʻana, ka wāwae hāmaʻa, kaʻaoʻao o ka'ōiwi, ka maloʻo a me ka wrinkledness o kaʻili.
Inā mākou e kamaʻilio e pili ana i nā kumu o ka meaʻaiʻole,ʻo nā mea nui ka maʻiʻeha a me nā maʻi kīnāʻole i ka makuahine, nā maʻi o ke kino, ka lawaʻole o ka hemoʻole, nā meaʻino o ka'ōnaehana urinarya o ke keiki. ʻO ka manawa pinepine uaʻikeʻia kēlāʻanoʻano likeʻole ma kekahi o nā māhoe like e pili ana i ka māheleʻole o ka wai amniotic.
No ka hoʻonuiʻana i ka nui o ka wai o ka wailele, he mea pono, he mea nui, e hōʻolo aiʻole e ho'ēmi i ka maʻi i hiki ai i ke kinakō haʻahaʻa. Hoʻopiliʻia, ua hoʻolakoʻia ka lāʻau lapaʻau no ka hoʻonuiʻana i ke kahe o ka mute uteroplacental, hoʻoula hou i ka hoʻokele kinoea a me ka hana o ka plaque.
ʻO ka meaʻokoʻa he polyhydramnios. Hanaʻia kēiaʻikepili ināʻikeʻia ma mua o 2 lita o ka wai i ke kumu o ultrasound ma ka wahine hāpai. ʻO nā kumu o polyhydramnios he mea ia e hōʻeha i ka uluʻana o nā'ōnaehana o ka'ōpiopio i loko o ke keiki (ʻo ka'ōpala,
ʻO ka Polyhydramnios hiki ke alakaʻi i kahi wai kūpilikiʻi, no laila he mea pono e hakakā i kēiaʻano. ʻO ka hanaʻana,ʻo ia ka hoʻopauʻana (inā hiki) i nā kumu i alakaʻiʻia ai nā maʻi pilikino, a me ka laweʻana i nā lāʻau e kōkua ai i ke kūpono i ka nui o ka wai o ka wailele.
I nā hihia koʻikoʻi nui, ua'ōleloʻiaʻoe e hele i ka haukapila a mālama mau i ka lāʻau olakino. Hoʻohālikeʻia kahi hōʻike nui loa eʻike i nā hemahema i ka hanaʻana o ka pēpē.