No ke aha la e mākou pono ai, e lawe i ke kuli-kuʻekuʻe aku i nā hana i hāpai keiki?

I keia la, Eia naʻe, ka mea, ua lilo increasingly pohihihi hāpai keiki e hana loa smoothly, loa me kekahi complications. Nā kumu ke e na mea he nuiʻaneʻi. Akā, e like me ka hoa, a me ka "pono" o ka hāpai keiki gynecologist waiho aku i expectant makuahine i kekahi mau manawa lawe i ke kuli-kuʻekuʻe aku kūlana o ka lā. Ke ninau aicieeaao, o keia maoli no laila, maikaʻi kēia? A me ka aha i ka pono o keia hookoikoi? E ke kumu o ia no laila, pono e lawe i ke kuli-kuʻekuʻe aku i nā hana i hāpai keiki o ka ike.

No ka hapanui o nā wāhine, ka kulana o ka fetus i hāpai keiki me nā mea a pau i nā ana hoʻohālike o ia i hoakaka ia ma ke ano maoli, i mea - i lalo ke alo. Akā, aia no na hihia a pau ma ka fetus mea hewa. Kēia paha e kēlā, pelvic a transverse fetal hōʻike. Ma keia hihia, e like me ka manawa a ka mea, ua pono e hoʻohana i ke kuli-kuʻekuʻe wahi - ma keia hihia, he mea hiki wale mai i ke keiki e e hiki i kaʻolokaʻa ma mua o ka hānauʻana, a me ka pololei kulana. Ma waho Bozeman oweliweli kōkua e hoʻonānea na nāʻiʻo o ka uterus, penei, ua hoakaka ia me ka moku'āina o ke koena.

Nō kāu, e aʻo aku ai iā kauka i kekahi mau manawa lawe i ke kuli-kuʻekuʻe aku i nā hana i hāpai keiki i ka lā no ka 12 - 15 minuke, e hoʻomaka ana i loko o ka lua o ka trimester. ia he kulana home 'ole i hiki pono i ka hanu I, ka spine inā pilikia ka haumāna he nui hookuuia. Ua hoonui ae i ke koko kahe i ka fetus, a me ka mea, i kēia huahelu mea nui loa e like me ka mea i ai me ke koko o ke keiki e launa mai i ka mea e pono ai nā iā ia, a me ka mea pono keia mau oihana mua i ka mea, "e hana ana" i ka wā e hiki mai ana o kona iwi. Kēia poe noonoo ole hoounauna hiki ke hai i ko laua manawa e like me ka mea i ike pono hāpai keiki iho -ʻaneʻi, e like me ka mea, e olelo aku nei, i ka poino, i kekahi maikai, a me ka makuwahine a me ke keiki.

Bozeman kulou i hāpai keiki mea,ʻaʻole mea huikau, a ua hana ia i loko o ka'ōpao. Oe Pono e kiʻi ma luna o nā mea a pau, eha, a lawe i ka pa holoi ua ma luna o kona poʻo i ke kūlana. E hana i kēia, mai hapai ku like haʻahaʻa i hiki ke poo a me ka poohiwi me ka pili ana i ka nohoia oweliweli ole he leo. No ka nui hōʻoluʻolu, e hiki ke apo ai i ka pahu cushion paha uluna. Kekahi wahine keia iloko o ia i hāpai keiki i loko o ia ke kulana, ka mea, kokoke e ola - kiai ana kīwī, e kamailio ana ma ke kelepona, a hiki ai. He aha e hana, inā wale nō i loko o ke kuli-kuʻekuʻe aku kulana e paa ana ia manao o ka luhi a me ka puʻe ma ka malalo o ka spine.

Bozeman ka wahi i hāpai keiki pinepine waiho aku expectant makuwahine, e wehe nāʻano likeʻole o ka stagnation i loko o ka hakuʻala. Oia hanana e hana ana i ka ulu ana o ka uterus, a hiki E'ō'ū i ka ureters i hāpai keiki a me ka mimi i paʻakikī kupono e komo i loko o ka bladder. Kēia kahua ho'ēmi i kā i ka leo o ka uterus, ho'ēmi i kā ka pilikia o ka nani, e kokua na wahine i hana eha iaʻi mai hemorrhoids. A lohe ke kuli-kuʻekuʻe aku kulana mea emi stress a me ka puʻe o ka uterus ma ka lalo na naau oʻu, ka mea no hoi e kokua i ka Kāohiʻana o ka preeclampsia.

He pono ia Bozeman ka wahi i hāpai keiki, a ua kōkua unload i ka uterine artery a me ka emi iki mahope o vena cava. Ma hāpai keiki, ka uterus hiki oOeEIAOO na moku ke koko, no ka mea, o ka mea e hiki mai ana mea hōʻemi fetal o oxygen lako, a hiki aku i ka hoʻohuikau o ka cardiac pāpana ma ka auscultation (auscultation). A ua he kulou iaono? Ienoai oxygenation (oxygen kokuaia) o ka fetus.

Kekahi maikaʻi kēia lākiō o ke kuli-kuʻekuʻe aku kulou i hāpai keiki ua mama puʻe ma ka spine, a hāpai he kaumaha haawe ana, a me ka abdominal lua. Ke spine Ua hookuu ia i ka manawa o keia haawe ana, e loaa i ka pōkole wanaao ae.