Hoʻomaka ka weaning me ka puʻuwai fetal?
Hiki i nā kauka ke nānā i ka puʻuwai o ka pēpē no ka manawa mua ma waena o ka ʻelima a me ke ono o nā pule o ka hāpai ʻana me ka hoʻohana ʻana i kahi mea hana ultrasound vaginal, a hiki ke ʻike ʻia me ka hoʻohana ʻana i ka ultrasound transabdominal kuʻuna i ka wā ʻeono a hiki i ka pule ʻehiku. Ma ka ʻaoʻao ʻē aʻe, ʻokoʻa ka ʻike o nā wahine me ka hoʻomaka ʻana o ka manawa menstrual, ʻoiai e hoʻomaka ana nā hōʻailona e like me ka nausea ma mua o ka pule ʻehā.
Hōʻike ʻia nā hōʻailona o ka wean i nā manawa like ʻole i kēlā me kēia wahine, a ʻaʻole hiki ke ʻike ʻia kēia mau hōʻailona i kekahi mau wahine i ka wā hāpai. I kekahi mau hihia, hiki ke lohi kēia mau hōʻailona a hiki i ka mahina ʻelua. He mea pono e hoʻomaopopo i ke kipa ʻana i ke kauka i kēia mau manawa hiki ke hāʻawi i kahi manawa e lohe ai i ka pulse o ka fetus, ma o ka ultrasound vaginal ma mua a i ʻole ma o ka ultrasound abdominal ma hope iki.
Inā kū ka puʻuwai o ka fetal, pau ka wili?
Hōʻike nā noiʻi hou ʻo ke ʻano o ka nausea a me ka luaʻi ʻana i ka wā hāpai, i kapa ʻia ʻo "ka hāpai ʻana," he hōʻailona paha ia o ke olakino o ka pēpē a me ke kūpaʻa o ka hāpai ʻana. Wahi a nā haʻawina, ʻo nā kiʻekiʻe kiʻekiʻe o ka hormone hāpai e hoʻomaka i kēia mau hōʻailona, a ke emi kēia mau pae, e emi ana ka hōʻailona hānau, e hana pinepine ʻia ma hope o ka pau ʻana o ka ulu ʻana o ka pēpē.
ʻOiai kona hopena maikaʻi ʻole i ka maikaʻi o ke ola o ka wahine hāpai, ʻike maikaʻi ʻia ke ʻano o ka hānau hānau no ka mea e hōʻike ana i ka ulu maʻamau o ka pēpē.
Ma ka ʻaoʻao ʻē aʻe, kahi noiʻi hou i paʻi ʻia ma ka puke pai ʻo JAMA Internal Medicine i hoʻopaʻa i nā ʻike o kahi pūʻulu o nā wahine i hoʻomaka e hoʻopaʻa i nā hōʻailona o ke kuni ma mua o ka hāpai ʻana i hoʻopaʻa ʻia i loko o ke ʻano o ka mea i kapa ʻia ʻo "prospective study."
Ua hōʻike ʻia nā hopena ma kahi o ʻelua hapakolu o kēia mau wahine i ka nausea ma ka ʻewalu pule o ka hāpai ʻana, a ʻo ke koena i loaʻa i ka nausea i hui pū ʻia me ka luaʻi. ʻO ka mea kupanaha, ua hōʻike ʻia ka haʻawina ʻo nā wahine i ʻike i kēia mau hōʻailona he 75% ka liʻiliʻi i ka pilikia o ka hāʻule ʻana.
Ua hōʻike ʻia nā manaʻoʻiʻo kahiko he hōʻailona maikaʻi ka hāpai ʻana o ka hāpai ʻana, a ua kākoʻo nā noiʻi hou i kēia me nā hōʻike ʻepekema e hōʻike ana i ke ʻano o nā hōʻailona, ʻoiai he mea hoʻonāukiuki, he hōʻailona maikaʻi e hōʻike ana i ka ulu ʻana o ka fetal.
Nā hōʻailona o ka hoʻomaka ʻana o ka puʻuwai fetal
Ke ʻike ka makuahine i ka puʻuwai puʻuwai i loko o kona ʻōpū, ʻaʻole ia e hōʻike pono i ka puʻuwai fetal. Hoʻopaʻa ʻia ka pulse fetal me ka hoʻohana ʻana i kahi mea Doppler kūikawā, a loaʻa pinepine kēia i ka iwa a i ka ʻumi o ka pule o ka hāpai ʻana, ʻoiai ma kekahi mau mea hiki ke ʻike i ka pulse e hoʻomaka ana mai ka pule ʻelima a ʻeono paha.
He mea nui e hoʻokūpaʻa ʻaʻole ʻaʻohe mea hilinaʻi a i ʻae ʻia e ka ʻepekema home e hiki ai ke ʻike i ka puʻuwai fetal, a pono e hilinaʻi kekahi i kahi hoʻokolohua lapaʻau kūikawā ma nā keʻena i hoʻolako ʻia no kēia kumu.
He aha ka ʻokoʻa ma waena o ka wili ʻana o ke kaikamahine a me ke keikikāne? Pehea e luhi ai ke keiki?
I loko o nā hui like ʻole, ke hoʻolaha nei nā lono aia nā hōʻailona e hōʻike ana i ka hāpai ʻana me kahi keikikāne, e like me ka makemake nui o ka makuahine e ʻai i nā meaʻai paʻakai e like me ka pickles a me ka ʻuala. Ua ʻōlelo pū ʻia ʻo ka hoʻomaikaʻi ʻana i ka ʻili o ka makuahine a me ka piʻi ʻana o ka ʻālohilohi a me ka mānoanoa o kona lauoho he mau hōʻailona ia o kēia.
Eia nō naʻe, e like me nā noiʻi ʻepekema, ʻaʻohe mea hōʻike e hōʻoiaʻiʻo i kēia mau hiʻohiʻona e hōʻike pono i ke kāne o ka pēpē. Hōʻike ka ʻepekema hou i ka like like ka manawa o ka hāpai ʻana i ke keikikāne a i ʻole ke kaikamahine, ma kahi o 50% no kēlā me kēia kāne.
Ke kuko no ka exoticism i ka wā hāpai
I ka wā hāpai, hiki i kekahi mau wāhine ke hoʻomohala i kahi maʻi i kapa ʻia ʻo pica, kahi i huki ʻia ai ka wahine hāpai e ʻai i nā mea hiki ʻole ke ʻai ʻia e like me ka lepo, ka niho niho, a me ka lanahu. Hiki i kēia mau hana ke hōʻike iā ia a me kāna pēpē i nā pōʻino koʻikoʻi i ke olakino, me ka make ʻana. Hōʻike maʻamau kēia mau makemake i kahi hemahema o kekahi mau minerala a me nā huaora, e like me ka anemia, pono e nīnau i ke kauka e uku i kēia hemahema.
ʻO kahi pōʻino koʻikoʻi o ka pica ʻo ka make kepau, aia paha i loko o ka lepo a me ka lepo. Hiki i kēia ʻano mea ʻawaʻawa ke alakaʻi i nā hopena lōʻihi ma luna o ke keiki e like me ka emi ʻana o ka IQ, ka lohe ʻole, a me ka emi ʻana o ka mākau kaʻa. Hoʻonui ia i ka pilikia o ke aʻo ʻana i nā pilikia a me nā pilikia deficit nānā i ka wā e hiki mai ana.
Ma kekahi ʻaoʻao, ʻo nā meaʻai a ka makuahine e ʻai ai i ka wā hāpai e pili ana i ka makemake o kāna keiki ma hope aku. Hoʻouna ʻia nā ʻano ʻono like ʻole a ka makuahine e ʻai ai i ka pēpē ma o ka wai amniotic e hoʻopuni ana iā ia, e kōkua ana i ka ulu ʻana o kona ʻono a me ka honi ʻoiai ʻo ia i loko o ka ʻōpū. Me kēia, makemake paha ke keiki i nā meaʻai like a kona makuahine i makemake ai.
