ʻO ke aho umbilical kahi māhele nui ma waena o ka makuahine a me ke keiki, ma o ka oxygen a me nā meaʻai nā mea e pono ai e hele mai i ka pēpē, aʻo nā huahana hoʻi o ka mea hana i ka manawa. ʻO kaʻike i keʻano o ka hōʻailona kaula i loko e kōkua i ka wānana i ka hopena o ka hānauʻana.
Ke kumu o kahi kaula liʻiliʻi liʻiliʻi
ʻO ka anomaly maʻamau o ka uluʻana o ke aho umbilical, he loliʻo kona nui. ʻO ka lōʻihi o ke kaula umbilical maʻamau he 40-70 cm.ʻO ke aho umbilical umauma ka mea maʻamau maʻamau o nā mea a pau i hana. Aia kekahi kaula umbilical pōkole a me kahi aho umbilical pokole, kahi e ulu pinepine ana. ʻO kahi kaula liʻiliʻiʻeleʻele loa he emi iho ka emi i lalo o 40 knm, a heʻano lōʻihi ka lōʻihi, akā, hiki ke hoʻopōkoleʻia no nā kumu e pili nei:
- e apo ana ma nā wahi likeʻole o ke kino o ke keiki (ka'ā'ī, nā wāwae, ke kino);
- ke kūkuluʻiaʻana o nā pūnana ma luna o ka'ahamele: e hoʻomaopopo i nā pūnana pololei a me nā waha o ke kaula umbilical. ʻO nā pūnana maoli he mea maʻalahi a me keʻano o ka hōʻailona varicose o kekahi o ke kaula umbilical ma kahi aʻoi aku paha. Loaʻa nā pūnana pololei o ka'elepili i 1-2% o nā hihia a ke pani nei i kahi kūpuni kūpopo o kaʻahu umbilical. Hoʻomaopopoʻia nā pūnana pololei i ka wā he kōkoʻolua liʻiliʻi akāʻoi;
- kahi kūpono o ke kino o ka'ōpū.
Nā pilikia o ka hāpaiʻana a me ka hānauʻana me kahi aho umbilical pōkole
Hiki i ke kaula liʻiliʻi pōkole ke hoʻopili i ka hana o ka hoʻounaʻana a kāohi i ka neʻeʻana o ka'ōpiopio ma o ke kōna hānau. Ma ka maʻi maʻamau, hiki i ka hānauʻana ke hana me ka hana haʻahaʻa a me ka hopena me ka māhele caesareana. Hiki i kahi kaula umbilical pōkole, i hanaʻia e ka paʻiʻana, hiki ke alakaʻi i ka hōʻehaʻana i ka hanu naʻau o ka'ōpū a hōʻike i ke kiʻi o kahi hypoxia fetal āpau. Hiki i nā pūnana maoli ke pilikia no ka uluʻana o ka hypoxia i ka hānauʻana, i ka wā e hele ai ka pēpē ma o ke kahawai hānau
E like me kā mākou eʻike nei,ʻo ka loli o ka lōʻihi o ke kaula he mea kūponoʻole ia e hiki ke hoʻopili i ka papa o ka hāpaiʻana a me ka hānauʻana. ʻO ka hōʻoiaʻiʻoʻana o kēia anomaly i ka manawa eʻae ai i kahi wahine, me ke kauka, e koho i nāʻano kūpono no ka laweʻana.