Makemake ʻoe e aʻo e pili ana i nā kīnā hānau? Mai makaʻu, e kamaʻilio kākou e pili ana!

Ke manaʻo nei ʻoe e lilo i makuahine, a i ʻole ke manaʻo nei ʻoe i kahi lālā hou e hui pū me kou ʻohana, ʻo ka makemake nui loa i kou manaʻo he pēpē olakino. Akā i kekahi manawa, me ka manaʻo ʻole ʻia, hiki i ka pēpē ke hānau ʻia me kekahi mau loli i kona ulu ʻana. ʻO kēia ka mea a mākou e kapa nei he "Nā Kīnā Hānau ". He mea maʻamau ke manaʻo iki i ka makaʻu a me ke kaumaha ke lohe ʻoe i kēia huaʻōlelo. Akā, mai hopohopo. He mea nui loa ka loaʻa ʻana o ka ʻike kūpono e pili ana i kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha ke kīnā hānau?

I ka ʻōlelo maʻalahi, ʻo ka hemahema hānau he ulu ʻano ʻē ia e kū mai ana i ka wā o ka ulu ʻana o ka fetal. Hiki i kēia mau loli ke hoʻopilikia i kekahi ʻāpana o ke kino o ka pēpē. Hiki i nā kauka ke ʻike i kekahi mau hemahema hānau i ka wā hāpai . Hiki ke ʻike ʻia kekahi ma hope o ka hānau ʻana o ka pēpē a i ʻole i ka wā i ʻoi iki ai ka pēpē. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau kūlana i loko o ka makahiki mua o ke ola o kahi pēpē. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole ʻike ʻia nā hemahema hānau āpau ma waho .

ʻOiai hiki i kekahi mau kīnā hānau ke hoʻoweliweli i ke ola, ʻaʻole nā ​​​​mea āpau. ʻO ke ʻano o ko lākou hopena i kahi keiki e pili ana i ke kūlana i ʻike ʻia. Hiki i kekahi mau kīnā hānau ke hoʻololi wale i ke ʻano o ke keiki. Akā hiki i nā mea ʻē aʻe ke hoʻopilikia i ke ʻano o ka noʻonoʻo ʻana o ke keiki, ka neʻe ʻana, a me ka hana ʻana i nā hana o kēlā me kēia lā.

He aha nā kīnā hānau maʻamau?

Eia kekahi o nā hemahema hānau maʻamau:

• Lehelehe māwae a me/a i ʻole lehelehe māwae.
• Nā ʻano ʻē i ka ulu ʻana o ka iwi , e like me ke kino pōkole , ka nalowale ʻana o nā lālā, a i ʻole ka scoliosis.
• Nā maʻi puʻuwai hānau .
• Nā ʻano ʻino o ka chromosome - ʻO kahi laʻana he kūlana i kapa ʻia ʻo Down syndrome .
• Ka wāwae kalapu
• Nā kūlana i hoʻokumu ʻia e ka hoʻohana ʻana o ka makuahine i ka waiʻona i ka wā hāpai (Fetal alcohol syndrome).
• ʻAʻai ʻole o ke kelepona sickle.

ʻAʻole i piha kēia papa inoa, nui paha nā kīnā hānau ʻē aʻe e like me kēia.

Pehea ka maʻamau o nā kīnā hānau?

ʻO kaʻoiaʻiʻo, ʻaʻole i laha nā kīnā hānau e like me kou manaʻo. No ka laʻana, e like me nā helu helu ma ʻAmelika Hui Pū ʻIa, hānau ʻia kahi pēpē me kahi kīnā hānau i kēlā me kēia ʻehā a me ka hapa mau minuke. ʻO ia hoʻi, ma kahi o hoʻokahi o kēlā me kēia 33 mau pēpē i hānau ʻia he ʻano kīnā hānau paha. Hōʻike kēia he maʻi maʻamau kēia.

He pololei anei ka hoʻohana ʻana i ka huaʻōlelo "maʻi hānau"?

He huaʻōlelo pololei ke ʻano lapaʻau ʻo "Kīnā hānau". Hoʻohana ʻia ia e wehewehe i nā loli i ke ʻano o ke kino i ka wā embryonic. No laila, ʻaʻohe hewa o ke kapa ʻana i kahi maʻi he "kīnā hānau."

Akā, ʻo ka mea nui loa, mai kapa aku i kahi mea me ke kīnā hānau he "kīnā" a i ʻole "kīnā." ʻAʻole ko lākou ʻokoʻa kino e wehewehe i ko lākou ʻano. He mea nui e pale i ka hoʻohana ʻana i ka ʻōlelo hōʻeha a maikaʻi ʻole i ka wā e kamaʻilio ai e pili ana i nā kīnā hānau, a i ʻole nā ​​​​kānaka me nā kīnā hānau.

Inā pilikia ʻoe i ka hoʻohana ʻana i ka huaʻōlelo "birth defect," hiki iā ʻoe ke hoʻohana i nā huaʻōlelo ʻē aʻe e like me kēia:

• Nā ʻano ʻē o ka hānau ʻana - ʻo ia hoʻi, nā ʻano ʻē i loaʻa i ka wā hānau.
• Nā kūlana hānau ʻole.
• Nā ʻano kino ʻole.

He aha nā hōʻailona o nā kīnā hānau?

Hiki i nā hōʻailona o nā kīnā hānau ke ʻano like ʻole mai ka liʻiliʻi a i ka koʻikoʻi. Hiki iā lākou ke hoʻopilikia i kekahi ʻāpana o ke kino, me nā iwi a me nā ʻōpū o loko.

Nā hōʻailona i ʻike ʻia i ka wā hāpai

I ka wā hāpai, hoʻohana nā kauka i nā hoʻokolohua nānā like ʻole e nānā i nā hōʻailona o nā kīnā hānau. ʻO nā hōʻailona e ʻike ʻia i kēia manawa:

• ʻOi aku ka haʻahaʻa a kiʻekiʻe paha o ka nui o ka protein i loko o kahi hoʻāʻo koko ma mua o ka mea i manaʻo ʻia.
• Ua hōʻike ʻia kahi hoʻokolohua ultrasound aia kekahi wai keu ma hope o ka ʻāʻī o ke keiki.
• Hōʻike kahi scan e nānā ana i ka puʻuwai o ka pēpē (fetal echocardiogram) i nā ʻano ʻē i ke ʻano o nā ʻōpū o loko, e like me ka puʻuwai.

Nā hōʻailona i ʻike ʻia ma hope o ka hānau ʻana o ke pēpē

ʻAʻole ʻike ʻia kekahi mau kīnā hānau a hiki i ka hānau ʻana o ka pēpē, a i ʻole kekahi mau lā ma hope o ka hānau ʻana. ʻO nā hōʻailona maʻamau i ʻike ʻia i nā pēpē a me nā kamaliʻi liʻiliʻi:

• He ʻano kū ʻē o ka puʻuwai.
• Paʻakikī ka hanu ʻana mehameha.
• ʻAʻole pane mai i ke kāhea ʻia ʻana ma ka inoa a i ʻole nā ​​​​walaʻau nui.
• ʻAʻole e hahai ana kou mau maka iā ʻoe iho a i ʻole i kahi mea i mua ou.
• Ka paʻakikī i ka ʻai ʻana a me ka inu ʻana i ka waiū.
• He ʻano kikoʻī a ʻano ʻē hoʻi ma ke poʻo, ka maka, nā maka, nā pepeiao, a me ka waha.
• ʻO ka hiki ʻole ke hoʻokō i nā pae hoʻomohala kūpono i ka makahiki (e laʻa, ʻaʻole e ʻōwili a noho paha i luna).
• Hoʻomaha mau a me ka huhū.

ʻAʻole kēia he papa inoa piha.Inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha e pili ana i kāu keiki, a inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka o kāu keiki.

He aha nā kumu o nā kīnā hānau?

Aia kekahi mau kumu no nā kīnā hānau. ʻO nā mea nui:

• Nā loli hoʻoilina.
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau.
• Ka ʻike ʻia ʻana i kekahi mau mea a i ʻole nā ​​kemika.
• Nā pilikia o ka hāpai ʻana.

Hoʻopilikia kēia mau mea āpau i ka ulu ʻana o ka ʻōpū. ʻO ka hapa nui o ka manawa, he mau mea kēia ma waho o ko mākou mana, no laila he kakaikahi wale nō ka mea hiki iā mākou ke hana e pale aku ai iā lākou.

He mea iki e pili ana i nā pae o ka ulu ʻana o ka fetal

ʻElua mau pae nui o ka ulu ʻana o kahi pēpē ma hope o kona hāpai ʻia ʻana i loko o ka ʻōpū.

1. Kahua Embryo: ʻO kēia nā pule he 10 mua ma hope o ka hāpai ʻana. ʻO kēia ka manawa e hoʻomaka ai ke kūkulu ʻia ʻana o nā ʻōnaehana kino nui a me nā ʻōkana o ke pēpē. ʻOi aku ka nui o ka pilikia o nā kīnā hānau i kēia wā embryonic, ʻoiai ke ulu mau nei nā ʻōkana. No ka laʻana, inā pili ka makuahine i kahi mea ʻino ma waena o ʻelua a me ʻumi pule ma hope o ka hāpai ʻana, hiki iā ia ke hōʻeha nui i ka fetus.

2. Kahua o ka ʻōpū: ʻO kēia ke koena o ka hāpai ʻana. I loko o kēia wā, hoʻomau ka ulu ʻana o nā ʻōkana e ulu ana a ulu nui ka ʻōpū.

Wahi a ka ʻepekema lapaʻau, ʻike ʻia nā kumu o kahi 30% wale nō o nā kīnā hānau. ʻO ia hoʻi, no kahi 70%, ʻaʻole i loaʻa kahi kumu maopopo. Malia paha ma waena o 50% a me 70% o nā kīnā hānau he mea ulia wale nō, a ʻaʻole ʻike ʻia ke kumu.

Nā Kumu Hoʻoilina a me nā Kīnā Hānau

Ma kahi o 20% o nā kīnā hānau i hana ʻia e nā kumu hoʻoilina. Loaʻa i ko kākou mau pūnaewele kino nā chromosomes, ʻo ka maʻamau he 46. Loaʻa i kēlā me kēia chromosome nā tausani o nā genes. Loaʻa i kēlā me kēia gene ka hoʻolālā no kahi ʻāpana o ko kākou kino e ulu a hana paha. Inā he nui a liʻiliʻi paha nā chromosomes o kekahi, huikau ka leka i loaʻa i nā pūnaewele.

Hiki ke hana ʻia nā loli i nā chromosomes ma nā ʻano penei:

• Loaʻa kahi chromosome keu: ʻO kahi laʻana ʻo Down syndrome. Loaʻa i ka poʻe me kēia maʻi kahi kope keu o ka chromosome 21.
• Ka hemahema o ka Chromosomal: ʻO ka maʻi Turner kahi kūlana i hānau ʻia ai ke kanaka me ka ʻole o kahi hapa a i ʻole ka chromosome X sex āpau.
• Nā chromosomes i holoi ʻia: ʻO kahi laʻana ʻo Prader-Willi syndrome, kahi i nalowale ai kahi hapa o ka ʻike genetic ma ka chromosome 15.
• Nā chromosomes i hoʻoneʻe ʻia / Translocation: Neʻe nā chromosomes mai ko lākou wahi maʻamau i kahi ʻē aʻe.

Ua hoʻoilina ʻia kekahi mau kīnā hānau.ʻO ia hoʻi, hiki i kekahi o ka ʻohana ke loaʻa iā ia a hiki nō hoʻi ke loaʻa i ke keiki. Loaʻa pū kekahi i kekahi manawa, ʻo ia hoʻi, ʻaʻohe mea o ka ʻohana i loaʻa mua.

ʻO kekahi mau lāʻau lapaʻau a me nā kīnā hānau

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka ʻōpū e ulu ana a hoʻoulu i nā kīnā hānau. ʻO kekahi mau laʻana:

• ʻO Isotretinoin (he lāʻau lapaʻau no ka ʻākena - Accutane® a i ʻole Roaccutane®)
• ʻO kekahi mau lāʻau i hāʻawi ʻia no nā maʻi (nā lāʻau antiepileptic), e.g. valproic acid
• Litiuma
• ʻO Warfarin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko)

Inā ʻoe e hoʻolālā ana e hāpai a i ʻole ua hāpai mua, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe nei. E nīnau pū e pili ana i nā hopena ʻaoʻao o nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻae ʻole o kāu kauka.

Ma muli o kekahi mau mea a me nā kemika

Hiki i kekahi mau mea a me nā kemika i ko mākou wahi noho ke hoʻopilikia i ka ulu ʻana o ka ʻōpū i loko o ka pēpē a hoʻoulu i nā kīnā hānau.

• ʻAila.
• Nā mea hoʻomake - e.g. caffeine (inā lawe ʻia ma ke keu), nā lāʻau lapaʻau i kūʻai ʻia ma ke kauka, nā lāʻau lapaʻau.
• Nā pesticides a i ʻole nā ​​​​​​lāʻau herbicides.
• Ka haumia o ke kaiapuni.

Ma kekahi mau wahi o ka honua, he mea maʻamau nā kīnā hānau ma muli o ka hoʻohana ʻana i nā pesticides weliweli a me nā herbicides. ʻO kahi laʻana o kēia ka herbicide Agent Orange i hoʻohana ʻia i ka wā o ke Kaua Vietnam.

Ma muli o nā pilikia i ka wā hāpai

Hiki ke loaʻa nā kīnā hānau ma muli o kekahi mau pilikia i ka wā hāpai. He mau mea kēia ma waho o ka mana o nā mākua, no laila ke hana ʻia nā mea e like me kēia, hiki ke ʻeha loa.

Nā Laʻana:

• Ka palena o ka ʻōpū: Poha ka ʻeke amniotic e loaʻa ana i ka fetus i ka wā hāpai. Hiki i kēia ke hana i nā kūlana e like me ka amniotic band syndrome, hiki ke hōʻino i nā lālā.
• ʻAʻohe wai amniotic: ʻAʻole lawa ka nui o ka wai a puni ka fetus i loko o ka ʻōpū. Hiki i kēia ke kau i ke kaomi ma luna o ka fetus a hōʻino i ka māmā (pulmonary hypoplasia).
• Ka maʻi: ʻO kekahi mau maʻi, e like me ka toxoplasmosis a me ka cytomegalovirus, hiki ke hoʻopilikia i ka ʻōpū e ulu ana.

I mea e pale aku ai i kēia mau pilikia, e kamaʻilio me ke kauka e pili ana i nā ala e mālama ai iā ʻoe iho a me kāu pēpē e ulu ana i ke olakino i ka wā hāpai.

He aha nā kumu pilikia e hoʻonui ai i ka pilikia o nā kīnā hānau?

Hiki i kekahi mau kumu a i ʻole nā ​​​​kūlana olakino ke hoʻonui i ka pilikia o ka loaʻa ʻana o kahi keiki me kahi kīnā hānau.

• Ka maʻi diabetes.
• Ka momona.
• Ka makahiki o ka makuahine (ʻoi aku ma mua o 35 mau makahiki).
• Loaʻa kahi predisposition genetic i loko o kekahi o ka ʻohana.
• Ka maʻi hoʻohana ʻona.
• Ke lawe nei i kekahi mau lāʻau lapaʻau.

Inā loaʻa iā ʻoe kekahi ʻano e like me kēia, hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele iā ia. Hiki iā lākou ke hana i nā hoʻokolohua e loiloi i kou pilikia o ka loaʻa ʻana o kahi maʻi genetic.

Pehea e ʻike ʻia ai nā kīnā hānau?

Hiki i ke kauka ke ʻike i kahi kīnā hānau i ka wā hāpai, ma hope o ka hānau ʻana o ke pēpē, a i ʻole ma hope o ke ola ke ʻike ʻia nā hōʻailona. Hōʻoia nā hoʻokolohua i ka hōʻailona.

Nā Hoʻāʻo Nānā i ka wā Hāpai

I ka wā hāpai, hiki iā ʻoe ke koho e loaʻa nā hoʻokolohua nānā no nā kīnā hānau a me nā kūlana genetic. Hiki i kēia ke lilo i ultrasounds a i ʻole nā ​​​​hoʻokolohua koko. Inā hōʻike kahi hoʻokolohua nānā i kekahi mau mea ʻē aʻe, hiki i kāu kauka ke paipai i kahi hoʻokolohua diagnostic.

Nā hoʻokolohua o ka trimester mua: E nānā i ka ʻōpū no nā ʻano ʻē o ka puʻuwai a me nā kūlana chromosomal e like me Down syndrome.

• Nānā koko: Ana i nā pae protein a i ʻole ka DNA fetal manuahi e kahe ana i loko o ke koko o ka makuahine. Hiki i nā hopena maʻamau ʻole ke hōʻike i ka piʻi ʻana o ka pilikia o kahi kūlana chromosomal i loko o ka fetus.
• Ultrasound: Nānā kēia i ka wai keu ma hope o ka ʻāʻī o ke keiki i loko o ka ʻōpū. He hōʻailona paha kēia o ka maʻi puʻuwai a i ʻole ke kūlana chromosomal.

Nā hoʻokolohua ʻelua o ka trimester: E nānā i nā pilikia kūkulu i loko o ka pēpē.

• Nānā koko: Hiki i nā hoʻokolohua koko i hana ʻia i ka lua o ka trimester ke nānā no nā kūlana chromosomal a/a i ʻole nā ​​​​kūlana e like me ka spina bifida.
• ʻAnomaly ultrasound: Nānā kēia i ka nui o ka fetus a nānā pū kekahi no nā kīnā hānau.

Nā Hoʻāʻo Hōʻoia

Inā ʻaʻole kūpono nā hopena o kahi hoʻāʻo ma mua, hiki i ke kauka ke kuhikuhi i nā hoʻokolohua hou aʻe. Hana ʻia kēia mau hoʻokolohua i nā hāpai keiki kiʻekiʻe.

• ʻO ka echocardiogram fetal: He scan ultrasound kēia e nānā pono ana i ka puʻuwai fetal. Eia naʻe, ʻaʻole hiki iā ia ke ʻike i nā kūlana puʻuwai āpau ma mua o ka hānau ʻana.
• MRI Fetal: Nānā kēia i ka lolo a i ʻole ka ʻōnaehana nerve o ke keiki.
• ʻO ka laʻana villus Chorionic (CVS): Lawe kēia hoʻāʻo i kahi ʻāpana liʻiliʻi loa o ka placenta a hoʻāʻo iā ia no nā kūlana chromosomal a i ʻole genetic.
• Amniocentesis: Hoʻoneʻe ʻia kahi liʻiliʻi o ka wai amniotic. Hoʻāʻo ʻia nā pūnaewele i loko no nā ʻano chromosomal a me nā loli genetic. Hiki iā ia ke ʻike i kekahi mau maʻi, e like me ka cytomegalovirus (CMV).

ʻIke ʻia kekahi mau kīnā hānau e nā kauka ma hope o ka hānau ʻana o ka pēpē. Hiki ke ʻike ʻia kekahi mau maʻi, e like me ka lehelehe māwae, i ka wā hānau. ʻIke ʻia kekahi i ka wā kamaliʻi a i ʻole ka wā makua.E makaʻala i ke olakino o kāu pēpē a e haʻi i ke kauka o kāu keiki inā ʻike ʻoe i kekahi mau hōʻailona.

He aha nā lāʻau lapaʻau no nā kīnā hānau?

Aia ka lāʻau lapaʻau ma ke ʻano i ʻike ʻia. ʻO ka maʻamau, ʻo ka lāʻau lapaʻau ka hoʻēmi ʻana i nā hōʻailona a i ʻole ka hoʻoponopono ʻana i nā ʻano ʻē. Hiki i kēia mau mea ke komo pū me:

• ʻOki kino.
• Nā lāʻau lapaʻau.
• Hoʻōla kino.
• Ka hoʻohana ʻana i nā mea hana e like me nā mea kōkua hoʻolohe, nā maka aniani, nā mea pale, a me nā noho huila.
• Kākoʻo hoʻonaʻauao ma ke kula (hoʻonaʻauao kūikawā).

Hiki ke ho'ōla loa ʻia nā kīnā hānau?

Ma keʻano laulā, ʻaʻohe lāʻau lapaʻau no nā kīnā hānau, ʻoiai nā kūlana genetic. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ke keiki a, inā koʻikoʻi nā hōʻailona, ​​​​e hōʻemi i ka pilikia o nā pilikia e hoʻoweliweli i ke ola.

Hiki ke pale ʻia nā kīnā hānau? He aha kāu e hana ai e loaʻa ai kahi hāpai olakino?

ʻAʻole hiki ke pale ʻia nā kīnā hānau he nui. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻoia i kahi hāpai olakino:

• E ʻike pinepine i kāu kauka. Inā ʻoe e hoʻāʻo nei e hāpai, a inā ʻoe e hana moekolohe a ʻaʻole hoʻi e hoʻohana i ka kaohi hānau, e lawe i kahi huaora prenatal nona ka 400 mcg o ka folic acid.
• Inā manaʻo ʻoe ua hāpai ʻoe, e ʻike koke i ke kauka.
• Mai inu i ka waiʻona.
• E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha āu e lawe ai.
• Mai lawe i kekahi lāʻau lapaʻau i kauoha ʻole ʻia e ke kauka.

He aha kaʻu e noʻonoʻo ai inā he kīnā hānau ko kaʻu keiki?

He pilikia paʻakikī a koʻikoʻi hoʻi nā kīnā hānau. ʻO ka ʻoiaʻiʻo ʻaʻohe lāʻau lapaʻau a pale paha no nā kīnā hānau he nui hiki ke hoʻonāukiuki a hoʻoweliweli.

Inā ua ʻike ʻia ʻoe he kīnā hānau, nui paha kāu mau nīnau. Hiki i nā kauka, nā loea, a me nā kākāʻōlelo genetic ke kōkua iā ʻoe e hoʻomaopopo hou aʻe e pili ana i ke kīnā hānau a pehea e kōkua ai i kāu keiki.

E hoʻomanaʻo, he mea maʻamau nā kīnā hānau. Nui nā kumu ma waho o kou mana, a hiki wale mai lākou me ka mana ʻole. ʻAʻohe ala e pale aku ai i kāu keiki mai kēlā me kēia kīnā hānau. Akā hiki iā ʻoe ke aloha i kāu keiki, kākoʻo iā lākou, a mālama iā lākou. ʻO ia ka makana nui loa hiki iā ʻoe ke hāʻawi iā lākou.

Inā he makua ʻoe no kahi keiki me kahi kīnā hānau, e ʻike pinepine i ke kauka o kāu keiki. Pono ʻoe a me ke kauka e kamaʻilio pono e pili ana i nā kumu hiki, nā hoʻokolohua, nā lāʻau lapaʻau, nā kuhikuhi ʻana i nā loea, a me nā hui kākoʻo. Inā he mau nīnau kāu, e noi i ke kōkua o ka hui mālama o kāu keiki.

Āhea wau e ʻike ai i ke kauka?

Inā hōʻike kāu pēpē i kekahi mau hōʻailona o kahi kīnā hānau, e ʻike i ke kauka.ʻO ka mea nui, e makaʻala i nā pae holomua o ka ulu ʻana o kāu keiki. Eia kekahi laʻana, i ka wā e hana ai lākou i kā lākou mau ʻanuʻu mua, a inā paha e hana ana lākou i nā mea kūpono no ko lākou mau makahiki. Inā ʻaʻole i loaʻa i kāu keiki kekahi mau pae holomua, e ʻike i kāu kauka.

I ka manawa hea ʻoe e pono ai e hele i ka Emergency Treatment Unit (ETU) ?

E hele i ka lumi pilikia inā hōʻike kāu keiki i kēia mau hōʻailona koʻikoʻi:

• Paʻakikī ka hanu ʻana.
• Ke polū nei ka ʻili, keʻokeʻo, a hina paha.
• Melemele o nā keʻokeʻo o nā maka a i ʻole ka melemele o ka ʻili.
• He puʻuwai puʻuwai kūpono ʻole.
• Ka paʻakikī e ala aʻe.
• ʻAʻole ʻai/ʻaʻole inu waiū.

Nā nīnau e nīnau aku ai i kāu kauka

• He aha ke kumu o ke kīnā hānau o kaʻu keiki?
• Pono anei iaʻu e hana i kahi ʻāpana cesarean?
• He aha nā koho lapaʻau e loaʻa ana e kōkua i kaʻu keiki?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
• He aha nā hōʻailona e pono iaʻu e makaʻala?
• Hiki iā ʻoe ke kuhikuhi i nā hui kākoʻo e kōkua ana i nā ʻohana?

He kīnā hānau anei nā lua liʻiliʻi?

ʻAʻole, ʻaʻole he kīnā hānau nā lua liʻiliʻi. He mau lua liʻiliʻi a hohonu nā lua liʻiliʻi e ʻike ʻia ma kou mau papālina ke minoʻaka ʻoe. ʻOiai hiki ke hoʻoilina ʻia, ʻaʻole lākou i manaʻo ʻia he ʻano ʻē o ka ulu ʻana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO kekahi o nā mea paʻakikī loa a ka makua hāpai e lohe ai, ʻo ia kekahi mea hewa me kā lākou ʻōpū a keiki hānau hou paha. ʻOiai ʻaʻole hiki ke pale ʻia nā kīnā hānau he nui, aia kekahi mau hana hiki iā ʻoe ke hana ma mua a i ka wā hāpai e hōʻemi i ka pilikia o nā kīnā hānau.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Hoʻomaopopo kāu mau kauka i nā pilikia o ka hānai ʻana i kahi keiki me kahi kīnā hānau. E kaʻana like lākou i ka ʻike me ʻoe e pili ana i nā hoʻokolohua, nā lāʻau lapaʻau, a me nā ala ʻē aʻe e kōkua ai i kāu keiki e hoʻokō i kona hiki piha. ʻO kou aloha, mālama, a me ke kākoʻo ʻana nā mea waiwai nui loa e hiki i kahi keiki ke loaʻa.