Makemake ʻoe e aʻo e pili ana i nā pilikia hāpai? Mai makaʻu, e kamaʻilio kākou!

Hauʻoli loa ʻoe i kou lilo ʻana i makuahine, akā i kekahi manawa hiki iā ʻoe ke makaʻu i nā mea liʻiliʻi, ʻeā? I ka wā hāpai, i kekahi manawa hiki ke loaʻa kekahi mau pilikia olakino , ʻo ia hoʻi nā pilikia, e hoʻopilikia iā ʻoe a me kāu pēpē. Akā, mai hopohopo, inā ʻike ʻoe i kēia mau mea āpau ma mua a mālama pono iā lākou, hiki iā ʻoe ke pale i nā kūlana koʻikoʻi i ka nui. Mālama mau kāu kauka i kēlā mau mea. Pono ʻoe e hele i kēlā me kēia keʻena lapaʻau a kōkua iā lākou.

No ke aha e kū mai ai kēia mau pilikia hāpai?

ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe no ke aha e loaʻa ai kēia mau pilikia hāpai. He mea paʻakikī loa ke ʻōlelo aku hoʻokahi wale nō kumu. I kekahi manawa hiki ke kumu o kahi maʻi olakino mua. No ka laʻana, kekahi mea e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. A i ʻole he maʻi hou paha e ulu ana ma muli o ka hāpai ʻana. ʻO ia ke kumu e ʻōlelo ai mākou e hahai pono i nā ʻōlelo a kāu kauka a hele i kēlā me kēia keʻena lapaʻau. No ka mea, he mea nui ka ʻike mua ʻana.

He aha nā pilikia maʻamau i ʻike ʻia i ka wā hāpai mua?

Hiki ke loaʻa kekahi mau pilikia i nā mahina mua o ka hāpai ʻana. E nānā kākou i ke ʻano o ia mau mea.

Ka hāpai ʻana o ka ectopic

Ua kapa ʻia kēia he hāpai ectopic . I ka ʻōlelo maʻalahi, ʻo ia ka wā e hoʻokomo ʻia ai kahi hua manu i hoʻoulu ʻia ma waho o ka ʻōpū, maʻamau i loko o kahi ʻōmole fallopian. Ke hana ʻia kēia, ʻaʻole hiki i ka pēpē ke ulu. Pono kēia i ke ʻoki kino a i ʻole ka lāʻau lapaʻau e wehe i nā ʻiʻo. He mea nui e ʻike i kēia i ka wā mua loa.

Ka hāʻule ʻana o ka hāpai keiki

ʻO ka hāʻule ʻana o ka hāpai ʻana ka nalowale ʻana o ka hāpai ʻana i loko o nā pule he 20 mua o ka hāpai ʻana. ʻO ka hapa pinepine, hana ʻia kēia i ka trimester mua. ʻO ka ʻoiaʻiʻo, ma waena o 10% a me 20% o nā hāpai ʻana e pau i ka hāʻule ʻana o ka hāpai ʻana. He ʻike kaumaha kēia no nā poʻe he nui. Akā e hoʻomanaʻo, ʻaʻole na ʻoe ka hewa.

Hyperemesis Gravidarum (HG)

ʻOiai he mea maʻamau ka maʻi kakahiaka i ka wā hāpai, he ʻano koʻikoʻi kēia. I ka pololei, ua kapa ʻia ʻo ia he `(Hyperemesis Gravidarum - HG).` ʻOi aku ka ʻino ma mua o ka luaʻi maʻamau a mau loa. Hiki i kēia ke alakaʻi i ka maloʻo ʻana o ka wai, ka pohō kaumaha nui, a me nā hemahema meaʻai. I kēlā kūlana, he mea nui e ʻimi i ke aʻo lapaʻau.

Nā maʻi hānau

I kekahi manawa, manaʻo paha nā kauka he maʻi hānau ʻia ko ka pēpē. ʻO ia hoʻi, ua hānau ʻia ka pēpē me kahi maʻi i paʻakikī ke ʻike ʻia. Inā hana ʻia kēia, pono paha ka mālama hou a me nā hoʻokolohua kūikawā i ka wā hāpai. Pono paha ka pēpē i ka mālama kūikawā ma hope o ka hānau ʻana.

Nā pilikia e hiki ke kū mai i ka wā hāpai hope

I ka holomua ʻana o ka hāpai ʻana, hiki ke kū mai nā pilikia ʻē aʻe.

ʻO ka preeclampsia

ʻO ka preeclampsia kahi maʻi e hiki ke ulu i ka hapa lua o ka hāpai ʻana, a i ʻole a hiki i ʻeono pule ma hope o ka hānau ʻana. Hiki iā ia ke hana i ka protein i loko o ka mimi. Ma kahi o 10% o nā wahine hāpai e loaʻa i kēia maʻi. ʻO ka poʻe i loaʻa mua ke koko kiʻekiʻe e ʻoi aku ka pilikia. Hiki iā ia ke hoʻopilikia i ka makuahine a me ka pēpē, no laila he mea nui e ʻike a mālama iā ia i ka wā mua. Eia naʻe, e emi mālie kēia maʻi ma hope o ka hānau ʻana o ka pēpē.

Maʻi diabetes hāpai

Ua kapa ʻia kēia he maʻi diabetes gestational. Hiki i nā hormones i hoʻokuʻu ʻia i ka wā hāpai ke hoʻolilo i ka paʻakikī ke kāohi i kou pae kō koko. ʻO ia ke kumu e hana ʻia ai nā hoʻāʻo kō koko i ka wā hāpai. Hiki i ka hapa nui o ka poʻe ke kāohi i kēia me ka ʻai a me ka hoʻoikaika kino. Pono kekahi poʻe i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o kēia ma hope o ka hānau ʻana o ke pēpē.

Ka hānau mua ʻana

ʻO ka hānau mua ʻana, ʻo ia ka hānau ʻana o kahi pēpē ma mua o ka manawa i manaʻo ʻia, ʻo ia hoʻi, ma mua o 37 mau pule. Hiki i kēia ke alakaʻi i ke kaumaha hānau haʻahaʻa, nā ʻōpū i ulu ʻole, a me nā pilikia olakino ma hope o ka hānau ʻana.

Nā maʻi

Hiki i nā maʻi viral a me bacteria he nui ke hoʻopilikia i ka hāpai ʻana.

• Nā maʻi ʻōpū mimi (UTI)
• Maʻi hū
• ʻO ka maʻi bacteria i kapa ʻia ʻo `(Group B strep)`
• Nā maʻi ʻōpū e like me ka bacterial vaginosis

Hiki i nā maʻi i laha ma ke ʻano moekolohe (STI) ke hoʻoulu i nā pilikia. Hiki ke hoʻoili ʻia kekahi mau maʻi, e like me nā maʻi TORCH, i ka pēpē, no laila he mea kēia e makaʻala ai.

Ke kahe koko ʻana o ka wahine

Inā ʻoe e kahe nui ana ke koko i ka wā hāpai, he mea ia e pono ai ʻoe e haʻi koke aku i ke kauka. Inā ʻike ʻoe i ke kahe ʻana o ke koko i kēlā me kēia manawa, e hoʻomaopopo koke aku i kāu kauka.

Nā pilikia o ka placenta (Placenta previa a i ʻole placenta accreta)

ʻO nā pilikia placenta, e like me ka placenta previa, kahi i waiho haʻahaʻa ai ka placenta i loko o ka uterus, a i ʻole ka placenta accreta, kahi e pili pono ai ka placenta i ka paia o ka uterine, hiki ke hoʻopilikia i ka hāpai ʻana a me ka hānau ʻana.

Ka wai amniotic haʻahaʻa `(Oligohydramnios)`

ʻO ka Oligohydramnios ka wā ʻaʻole lawa ka wai amniotic a puni ka pēpē. Hoʻonui kēia i ka pilikia o ka hānau mua ʻana. ʻO ka Polyhydramnios ka wā he nui loa ka wai amniotic, a hiki nō hoʻi ke hana i nā pilikia, akā ʻoi aku ka maʻamau o ka ʻike ʻana i ka emi ʻana.

Kaumaha a me ka hopohopo

ʻO nā manaʻo o ke kaumaha nui a me ka hopohopo, inā paha i ka wā hāpai a i ʻole ma hope o ka hānau ʻana, hiki ke hoʻopilikia i ka ulu ʻana o kāu pēpē. Inā he mau manaʻo kou e hōʻeha iā ʻoe iho a i ʻole kāu pēpē, e ʻoluʻolu e ʻike i ke kauka i ka wā hikiwawe loa. Mai makaʻu e kamaʻilio e pili ana i kēia a loaʻa ke kōkua.

Anemia

ʻO ka anemia kahi kūlana i lawa ʻole ai nā hunaola koko ʻulaʻula e lawe i ka oxygen ma ke kino holoʻokoʻa. Hiki i kēia ke hoʻoluhi a make ʻoe. He mea maʻamau kēia i ka wā hāpai, no ka mea, pono nō hoʻi i kāu pēpē nā hunaola koko ʻulaʻula hou aʻe e lawe i ka oxygen. ʻO ka nele i ka hao ke kumu nui o ka anemia. Hiki ke pale ʻia kēia ma ka lawe ʻana i nā papa hao a me ka ʻai ʻana i nā meaʻai waiwai i ka hao (e like me ka spinach, ka ʻiʻo, a me ka moa).

ʻO wai ka mea i pilikia nui no kēia mau pilikia?

Hiki i kekahi ke loaʻa nā pilikia i ka wā hāpai, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.

Nā kūlana olakino mua

Hiki i kekahi mau kūlana olakino mua ke hoʻonui i kou pilikia o nā pilikia i ka wā hāpai. Eia kekahi laʻana:

• Maʻi diabetes
• Ka maʻi ʻaʻai
• Ke koko kiʻekiʻe. Loaʻa i kekahi poʻe ke koko kiʻekiʻe ma mua o ko lākou hāpai ʻana, aʻo kekahi poʻe e loaʻa i ka wā hāpai. Hiki i kēia koko kiʻekiʻe ke pale i ka placenta mai ka loaʻa ʻana o ke koko lawa.
• Nā maʻi i laha ma ke ʻano moekolohe (STIs)
• Nā maʻi e pili ana i ka puʻupaʻa
• ʻEpilepsy
• Anemia

ʻO ka hapa nui o nā lāʻau lapaʻau no nā maʻi maʻi e like me kēia e palekana ke hoʻohana i ka wā hāpai. Eia nō naʻe, pono paha i kekahi mau lāʻau lapaʻau kahi hoʻololi i ka nui o ka lāʻau a i ʻole nā ​​hoʻokolohua lapaʻau pinepine. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau o kēia manawa a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka.

Nā kumu pilikia ʻē aʻe

• ʻOiai ma luna o 35 mau makahiki.
• Ma lalo o 20 mau makahiki (ʻoi aku hoʻi nā kaikamahine ʻōpio ma lalo o 15 mau makahiki).
• Puhi paka, inu waiʻona.
• Nā hāpai keiki he nui, e like me nā māhoe a me nā triplets.
• Inā ua loaʻa iā ʻoe kahi hāʻule mua.
• Inā he momona ʻoe.
• Inā loaʻa iā ʻoe kahi maʻi e like me ka anorexia, ʻo ia hoʻi, ka nalowale o ka makemake.

Ke hoʻopilikia nei nā fibroids uterine i nā pilikia i ka wā hāpai?

ʻAʻole pinepine nā fibroids uterine e hoʻoulu i nā pilikia nui i ka wā hāpai. Eia nō naʻe, i kekahi manawa hiki iā lākou ke hana i ka hānau mua ʻana a i ʻole kahi loli i ke kūlana o ka pēpē (breech position). Inā paʻakikī ka fibroid i ka pēpē e puka i waho o ka vagina, ʻoi aku ka palekana o ka hana ʻoki cesarean (C-section).

Hiki i nā lāʻau hoʻomalu hānau ke hoʻoulu i nā pilikia o ka hāpai ʻana?

ʻAʻohe hōʻike ikaika e hōʻeha ana ka lawe ʻana i nā lāʻau hoʻomalu hānau i ka wā hāpai mua i ka pēpē. Eia nō naʻe, pono ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻomalu hānau hormonal āpau i ka wā e ʻike ai ʻoe ua hāpai ʻoe. Inā kānalua ʻoe ua hāpai ʻoe, e lawe koke i kahi hoʻāʻo hāpai.

He aha kā mākou e hana ai e pale aku i kēia mau pilikia?

ʻOiai ʻaʻole hiki iā mākou ke kāohi i kekahi mau pilikia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia. E noʻonoʻo i kēia ʻano, ua like ia me ke akahele i ka wā e hoʻokele ana.

• E noho olakino ma mua o kou hāpai ʻana: ʻO ia hoʻi ka mālama ʻana i nā kūlana i hala mua, ka hōʻea ʻana i kahi kaumaha olakino, a me ka haʻalele ʻana i ka puhipaka.
• Ke hele ʻana i kēlā me kēia keʻena lapaʻau a me ka nānā ʻana i ka ultrasound a ke kauka i kuhikuhi ai: He mea kēia e pono e hana ʻia.
• Ke hoʻomaopopo nei i kāu kauka e pili ana i nā hōʻailona ʻē aʻe āu e ʻike nei: Mai makaʻu e haʻi aku i ka mea liʻiliʻi loa.
• Ka mālama ʻana i kahi nohona olakino: E ʻai i nā meaʻai momona (nā mea kanu, nā huaʻai, a me nā mea kanu) i ka wā hāpai, e hana i ka hoʻoikaika kino mau i ʻāpono ʻia e ke kauka, a e pale loa i ka waiʻona a me ka puhipaka.
• Ke hoʻāʻo nei e hōʻemi i ke kaumaha: He mea nui loa ka loaʻa ʻana o ka hoʻomaha lawa a me ka hauʻoli o kou noʻonoʻo.
• Ka lawe pono ʻana i ka huaora prenatal i kauoha ʻia e ke kauka.
• Mai lawe i kekahi lāʻau lapaʻau me ka ʻae ʻole ʻia e kāu kauka.

Pehea ka maʻamau o nā pilikia hāpai? A aia kekahi pilikia o ka make?

ʻAʻole loaʻa i ka hapa nui o ka poʻe kekahi mau pilikia nui i ka wā hāpai. Ua hōʻike ʻia nā noiʻi e pili ana i ka 8% o nā hāpai ʻana e pau i nā pilikia e hiki ke hoʻopōʻino iā ʻoe a i kāu pēpē inā ʻaʻole mālama ʻia. ʻO ia ke kumu a mākou e ʻōlelo nei he mea nui e ʻike a mālama i kēia i ka wā mua.

ʻOiaʻiʻo, ma kekahi mau ʻāina o ka honua, aia nā hihia o nā makuahine e make ana ma muli o nā pilikia hāpai. Akā no ka mea he mau lawelawe olakino maikaʻi ko mākou e like me ko mākou ʻāina, a no ka mea ua ʻike mua ʻia a mālama ʻia kēia mau kūlana, ua haʻahaʻa loa kēlā pilikia. ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana i nā hōʻailona a me ka ʻimi ʻana i ka lāʻau lapaʻau. Wahi a ka World Health Organization, hiki ke pale ʻia nā make he nui, ʻoiai inā ʻike mua ʻia a mālama ʻia.

Hoʻoulu pinepine ia i nā maʻi koʻikoʻi:

• Nā maʻi puʻuwai a me nā pilikia o ke kaʻapuni (me ke koko kiʻekiʻe).
• Ka maʻi a i ʻole ka sepsis.
• Ke kahe koko nui ʻana.
• ʻO ka embolism pulmonary (PE) kahi ʻōpū koko i loko o nā māmā.

ʻO ka poʻe me nā maʻi maʻi maʻi mua, e like me ke koko kiʻekiʻe a me ka maʻi diabetes, ʻoi aku ka nui o ka pilikia o nā pilikia i ka wā hāpai. Inā loaʻa iā ʻoe kēlā ʻano maʻi maʻi, he mea nui loa ia e nīnau i ke kauka ma mua o ka hāpai ʻana.

Aia kekahi mau pilikia kūikawā e kū mai ana i ka wā e hāpai ai nā ʻōpio?

Inā hāpai kekahi kaikamahine ʻōpio, e like me ka mea ma lalo o 15 mau makahiki, aia ka nui o ka pilikia o kekahi mau pilikia.

• Ka hānau mua ʻana.
• ʻAʻohe maʻi koko.
• Ke koko kiʻekiʻe i ka wā hāpai (Pregnancy-induced hypertension - PIH) a i ʻole (Toxemia).
• ʻO ke kaulike ʻole o ka Cephalopelvic (ʻoi aku ka nui o ke poʻo o ke pēpē ma mua o ka puka pelvic o ka makuahine).

Eia kekahi, ua hōʻike ʻia e nā noiʻi he kiʻekiʻe ka nui o ka make ma waena o nā pēpē a nā mākua ʻōpio.

Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?

He mea nui e kamaʻilio me kāu kauka e pili ana i nā hōʻailona āu e ʻike ai i ka wā hāpai. E kōkua kēia iā lākou e ʻike a mālama i nā pilikia āu e loaʻa ai. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e haʻi koke i kāu kauka:

• Inā he nui ke kahe koko a i ʻole he wai wai e puka mai ana mai loko mai o ka vagina.
• Inā he ʻeha poʻo koʻikoʻi a mau loa kou.
• Inā pehu koke kou kino, ʻoiai kou mau lima, nā wāwae, a me ke alo.
• Inā manaʻo ʻoe ua poniuniu a ua pōwehiwehi paha kou ʻike.
• Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka ʻūmiʻi (ʻoi aku hoʻi inā he koʻikoʻi a mau loa).
• Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole makemake ʻoe e luaʻi.
• Inā ʻike ʻia ka emi ʻana o nā neʻe ʻana (ka hoʻowali ʻana) o kāu pēpē ma mua o ka maʻamau.

He mea maʻamau ka makaʻu ke ʻike ʻoe he pilikia hāpai kou. He mea maʻamau nō hoʻi ka hopohopo no kāu pēpē a me ʻoe iho. Akā, hiki ke mālama ʻia nā pilikia hāpai he nui, ʻoiai inā ʻike mua ʻia. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hele i kēlā me kēia keʻena lapaʻau a nānā. Mai makaʻu e nīnau i kāu kauka e pili ana i kāu hōʻailona. Hiki iā lākou ke hoʻomaha i kou manaʻo. E kaʻana like i kāu mau hōʻailona me lākou i hiki iā lākou ke hāʻawi koke iā ʻoe i ka lāʻau kūpono.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

He wā nani loa ka hāpai ʻana, akā he manawa nō hoʻi ia e makaʻala ai.

ʻO ka mea nui loa, ʻo ka hoʻolohe ʻana i kāu kauka, e hele i kēlā me kēia keʻena lapaʻau, a e haʻi iā lākou i nā mea ʻē aʻe āu e manaʻo ai.

Hiki ke mālama pono ʻia nā pilikia he nui inā ʻike mua ʻia. No laila, mai makaʻu, e kamaʻilio ākea me kāu kauka. E loaʻa iā ʻoe ka ikaika e lilo i makuahine olakino a hauʻoli!

Nā pilikia hāpai , hāpai keiki, hānau keiki, olakino wahine, preeclampsia, maʻi diabetes gestational, hāʻule keiki, hoʻopau keiki, hānau mua ʻole, anemia