ʻO wai ke kauka perinatologist nāna i loea i nā hāpai keiki kiʻekiʻe? E ʻike kākou i nā mea āpau!

Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē koke, ua lohe paha ʻoe i nā huaʻōlelo 'high-risk pregnancy'. He mea maʻamau ke hopohopo iki ke lohe ʻoe i kahi mea e like me ia. E hopohopo paha ʻoe, "He aha ka mea e hiki mai ana iaʻu a me kaʻu pēpē?" Akā , mai hopohopo! Aia nā kauka akamai loa e hiki ke hāʻawi i ka mālama kūikawā a me ke kōkua iā ʻoe a me kāu pēpē i hānau ʻole ʻia i loko o ia ʻano kūlana. ʻO kekahi o ia ʻano loea he 'perinatologist' . Ua kapa pū kekahi poʻe iā lākou he 'maternal-fetal medicine (MFM) specialists '. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia loea, kāna hana, a pehea e hiki ai iā ʻoe ke loaʻa ke kōkua mai iā ia.

ʻO wai ke Perinatologist? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he Obstetrician-Gynecologist (OBGYN) kahi Perinatologist. Akā ua loaʻa iā ia ke aʻo kūikawā ma mua o kahi obstetrician maʻamau. ʻIke anei ʻoe i ke kumu? Nānā pono lākou a mālama i nā hāpai keiki kiʻekiʻe . ʻO ia hoʻi, inā he pilikia olakino ka makuahine a i ʻole ka pēpē i loko o ka ʻōpū, ua aʻo ʻia kēia mau kauka e hāʻawi i ka mālama kūikawā no lāua ʻelua i ka wā hāpai, i ka wā hānau, a ma hope.

E noʻonoʻo he maʻi maʻi mau kou i loaʻa ma mua o kou hāpai ʻana. A laila pono paha ʻoe e ʻike i kahi loea e like me kēia ke hoʻolālā nei ʻoe e hāpai, a i ʻole i nā wā mua o kou hāpai ʻana. A i ʻole, inā kū mai kahi maʻi hou i ka wā hāpai e pono ai ka hoʻāʻo hou a me ka mālama ʻana, a laila pono paha ʻoe i ke kōkua o kahi perinatologist. I kekahi manawa, inā he kānalua he maʻi hānau a he kīnā hānau paha ka pēpē i loko o ka ʻōpū , hiki i kēia mau loea ke noiʻi iā ia.

No laila, he aha ka hana a ka perinatologist?

He kauka loea ka perinatologist i loea i ka mālama ʻana i nā makuahine a me nā pēpē i loaʻa nā pilikia i ka wā hāpai, hānau keiki, a i ʻole ka wā postpartum. Mālama lākou i nā kūlana i hala mua a me nā kūlana hou e ulu ana i ka wā hāpai. Loea lākou i ka mālama ʻana i nā wahine hāpai, ka nānā ʻana i nā pilikia olakino i kā lākou mau pēpē, a me ka mālama ʻana iā lākou.

Hāʻawi nui ka perinatologist i kēia mau mea:

• ʻŌlelo aʻoaʻo ma mua o ka hāpai ʻana:E hoʻomaopopo mua ʻia ʻoe inā loaʻa iā ʻoe kekahi mau maʻi olakino mua e hiki ke hoʻopilikia i ka wā hāpai. No ka laʻana, inā loaʻa iā ʻoe ka maʻi diabetes , ke koko kiʻekiʻe , a i ʻole ka maʻi puʻuwai, he mea nui e kūkākūkā i kēia mau mea ma mua o kou hāpai ʻana.
• Ka mālama maʻamau ma mua o ka hāpai ʻana a me ka hoʻāʻo ʻana no nā hāpai pilikia kiʻekiʻe: Inā pilikia nui kou hāpai ʻana, pono paha ʻoe i nā hoʻokolohua hou aʻe a me nā kipa pinepine ʻana i ke kauka ma mua o ka hāpai maʻamau. Na kēia loea e hoʻolālā i kēia mau mea āpau.
• Ka mālama ʻana i nā kūlana olakino o ka makuahine hāpai: Inā ʻoi aku ka ʻino o ke kūlana olakino o ka makuahine i ka wā hāpai, a inā paha e kū mai kahi kūlana hou (e.g., gestational diabetes , preeclampsia ), ua mālama ʻia.
• Ke hoʻohana nei i ka ultrasound a i ʻole nā ​​​​hoʻokolohua ʻē aʻe e ʻike ai i nā maʻi genetic a i ʻole nā ​​​​hemahema hānau: Hiki iā lākou ke hana i nā scans kūikawā a me nā hoʻokolohua genetic e ʻike ai inā he mau maʻi congenital ka pēpē. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike maopopo e pili ana i ka hopena o kahi kūlana i ka pēpē.
• Kōkua i ka hānau keiki inā pono: I kekahi mau hihia paʻakikī, pono paha ke komo ʻana o kēia loea i ka wā hānau keiki .
• Ka mālama ʻana i nā pilikia postpartum: Inā loaʻa i ka makuahine kekahi mau pilikia (e like me ke kahe koko nui) ma hope o ka hānau ʻana , e mālama ʻia kēlā mau mea.

He aha ka 'Hapai Keiki Kiʻekiʻe'? He mea maoli anei ia e makaʻu ai?

Ke haʻi ʻia aku ʻoe he "kiʻekiʻe ka pilikia" o kou hāpai ʻana , ʻo ia hoʻi, pono ʻoe i ka mālama a me ka nānā hou aku e hōʻoia i ka hāpai ʻana a me ka hānau ʻana. Mai makaʻu e nīnau iā ʻoe iho, "Aia kekahi hewa me kaʻu pēpē?" a i ʻole "He mea weliweli maoli anei koʻu hāpai ʻana?"

ʻO ka mea nui loa: ʻO ka "pilikia kiʻekiʻe" ʻaʻole ia he manaʻo mau he pilikia me ka pēpē a he mea weliweli paha kou hāpai ʻana. ʻO ia hoʻi ke nānā pono ʻia nei ʻoe a me kāu pēpē no ka mea he kiʻekiʻe aʻe ka pilikia o kekahi pilikia ma mua o ka maʻamau . Ua like ia me ke akahele iki i ka wā e hele ana ʻoe i kahi huakaʻi koʻikoʻi.

Eia kekahi mau kumu e hiki ai ke hoʻoulu i ka hāpai ʻana i ka pilikia nui:

• Ke hoʻonui nei i ka makahiki o ka makuahine: ʻOi aku hoʻi inā ʻoi aku ma mua o 40 mau makahiki.
• Nā hāpai keiki he nui:ʻO ia hoʻi, inā he ʻoi aku ma mua o hoʻokahi pēpē i loko o ka ʻōpū, e like me nā māhoe a i ʻole nā ​​​​māhoe ʻekolu.
• Ua loaʻa mua nā hāʻule keiki a i ʻole nā ​​​​hānau make.
• Loaʻa ʻana o nā maʻi hoʻoilina i loko o kekahi o ka ʻohana.
• Ua loaʻa nā pilikia i ka wā o nā hāpai mua: No ka laʻana, nā kūlana e like me ka preeclampsia , ka hānau mua ʻana, a i ʻole ka maʻi diabetes gestational .
• Loaʻa iā ʻoe kahi maʻi olakino koʻikoʻi: nā mea e like me ka maʻi puʻuwai, ka maʻi diabetes , ke koko kiʻekiʻe, ka maʻi ʻōpū mumū, a i ʻole ka maʻi autoimmune .

No ke aha e kuhikuhi ʻia ai au i kahi perinatologist?

Hiki i kāu kauka lapaʻau a me ke kauka wahine (OBGYN) ke kuhikuhi iā ʻoe i kahi perinatologist inā he pilikia kiʻekiʻe kou hāpai ʻana, a inā he kānalua paha he pilikia olakino paʻakikī a i ʻole ke ʻano hānau ʻana o kāu pēpē i hānau ʻole ʻia.

ʻO ka hapa nui o ka manawa, hiki i nā kauka hānau keiki laulā ke hoʻokele i nā pilikia liʻiliʻi i ka wā hāpai (e.g., ke koko kiʻekiʻe i kāohi maikaʻi ʻia, ka maʻi diabetes gestational ). Eia nō naʻe, inā lilo ke ʻano i mea koʻikoʻi, a inā ʻaʻole ia ma mua o ka ʻike loea o ke kauka hānau keiki laulā, e kuhikuhi lākou iā ʻoe i kahi loea lapaʻau makuahine-fetal, i kapa ʻia he perinatologist. I kekahi manawa, e kūkākūkā pū nā kauka hānau keiki me kahi perinatologist no ka lua o ka manaʻo.

Ua ʻike paha ʻoe ma mua o kou hāpai ʻana he kiʻekiʻe ka pilikia o kou hāpai ʻana. I kēlā hihia, hiki iā ʻoe ke hālāwai me kahi perinatologist ma mua o kou hāpai ʻana. I nā hihia ʻē aʻe, hiki i ka hāpai ʻana ke kumu i kahi maʻi olakino koke.

Eia kekahi mau kumu e kuhikuhi ai kāu kauka obstetric iā ʻoe i kahi perinatologist:

• Nā kūlana olakino i loaʻa mua: e like me ka maʻi puʻuwai, lupus , a i ʻole ka maʻi diabetes .
• Ke koko kiʻekiʻe koʻikoʻi a i ʻole ka preeclampsia.
• Inā he pilikia o ka hānau mua ʻana.
• Inā he moʻolelo kou o nā maʻi puʻuwai, nā hopu ʻana, a i ʻole nā ​​pilikia puʻupaʻa.
• Inā ua loaʻa iā ʻoe nā hāʻule ʻana he nui a i ʻole nā ​​hānau make.
• Inā loaʻa iā ʻoe kahi hopena kūpono ʻole mai kahi hoʻokolohua nānā prenatal.
• Inā ʻoe e kali ana i nā keiki he nui, e like me nā māhoe a i ʻole nā ​​​​triplets.

Ma hope o ka hānau ʻana o kahi pēpē, pono ʻoe e ʻike i kahi perinatologist inā he nui ke kahe koko o ka ʻōpū, kahi maʻi, a i ʻole nā ​​​​pilikia olakino ʻē aʻe.

He aha nā kūlana e mālama ai ka perinatologist?

Kōkua nā Perinatologists i ka mālama ʻana i nā maʻi maʻi mau āu e loaʻa ai a hiki ke hoʻopilikia i kāu hāpai ʻana a i ʻole pēpē. ʻO kekahi o kēia mau kūlana:

• Maʻi diabetes
• Ke koko kiʻekiʻe
• Nā maʻi koko a me ke kāpili ʻana
• Maʻi puʻuwai
• Maʻi puʻupaʻa
• nā maʻi autoimmune (e.g., lupus)
• Nā maʻi hoʻoilina , no ka laʻana , cystic fibrosis a i ʻole ka maʻi sickle cell .

Eia kekahi, inā ua loaʻa iā ʻoe nā hāpai kiʻekiʻe a paʻakikī paha i ka wā ma mua, pono paha ʻoe e ʻike i kahi perinatologist. ʻO nā hiʻohiʻona o nā pilikia mai nā hāpai mua e komo pū ana me:

• Ka hānau mua ʻana a i ʻole ka haki mua ʻana o nā membrane.
• Nā hāʻule ʻana o ka hāpai keiki a i ʻole ka hānau make ʻana.
• Ka palena o ka ulu ʻana o ka ʻōpū.
• Nā maʻi hānau ʻia a i ʻole nā ​​maʻi genetic.
• ʻO nā maʻi placental, no ka laʻana , ka placental abruption a i ʻole ka placenta previa .

He aha ka ʻokoʻa ma waena o kahi obstetrician a me gynecologist (OBGYN) a me kahi perinatologist?

He nīnau kēia a ka poʻe he nui. He kauka hānau keiki a he kauka wahine (OBGYN) nō hoʻi ka perinatologist. Eia nō naʻe, ua loaʻa iā lākou ʻelua a ʻekolu mau makahiki o ke aʻo kūikawā hou (fellowship) i nā hāpai keiki kiʻekiʻe. Aʻo hohonu kēia aʻo ʻana iā lākou pehea e mālama ai i nā pilikia lapaʻau a me nā ʻoki kino paʻakikī e kū mai ana i ka wā hāpai, a pehea hoʻi e ʻike ai a hoʻokele i nā kūlana e like me nā maʻi genetic i loko o ka fetus (pēpē).

ʻOiai ʻoe e ʻike ana i kahi perinatologist, ʻaʻole ia he manaʻo e lilo lākou i mea mālama mua iā ʻoe. I ka hapanui o nā hihia, e pili ana kāu mālama hāpai i kāu kauka hānau maʻamau (OBGYN) a me kahi perinatologist. Na kāu kauka hānau e hoʻoholo i ka pinepine o kou pono e ʻike i kahi perinatologist. Hiki i ka perinatologist ke komo i nā ʻano he nui o kou hāpai ʻana a me ka hānau ʻana. A i ʻole, hiki iā ʻoe ke ʻike iā lākou i hoʻokahi a ʻelua paha manawa i kou wā hāpai.

He mea like anei ʻo 'Maternal-Fetal Medicine' a me 'Perinatologist'?

ʻAe! Pili kēia mau inoa ʻelua i ka loea hoʻokahi.ʻO ia hoʻi, inā ʻoe e kapa iā ia he 'Maternal-Fetal Medicine specialist' a i ʻole he 'Perinatologist', he mau kauka ʻelua nā mea nāna e mālama i nā hāpai keiki kiʻekiʻe a i ʻole nā ​​​​​​kūlana olakino paʻakikī i ka wā hāpai.

Pehea ka lōʻihi e lilo ai i perinatologist?

He mea maikaʻi kēia ke ʻike, ʻeā? He ʻoihana kūikawā ʻo Perinatology o Obstetrics and Gynecology. No ka lilo ʻana i perinatologist, pono mua ʻoe e loaʻa i ke kēkelē laepua a laila hele i ke kula lapaʻau. Ma hope o ʻehā mau makahiki o ke aʻo ʻana ma ka obstetrics a me ka gynecology, pono ʻoe e hoʻopau i ʻelua a ʻekolu mau makahiki o ke aʻo ʻana ma ka perinatology. I loko o kēia aʻo kūikawā āu e aʻo hohonu ai pehea e mālama ai i nā pilikia o ka hāpai ʻana a pehea e hoʻopilikia ai nā maʻi i ka wahine hāpai a me ka fetus.

He aha kāu e manaʻo ai i kāu hālāwai mua ʻana me kahi perinatologist?

Hiki ke ʻokoʻa kēia ma muli o ke kumu i kuhikuhi ʻia ai ʻoe i kahi perinatologist a me kou kūlana. ʻO ka hapa nui, ʻo kāu hālāwai mua e pili ana i ka lawe ʻana i kāu mōʻaukala olakino , a i ʻole ke kūkākūkā ʻana i kou kūlana olakino a pehea e pili ai i kāu hāpai ʻana.

Hiki i kāu perinatologist ke aʻo aku iā ʻoe e pili ana i kekahi mau kūlana genetic a congenital paha i loaʻa i kāu pēpē, a hiki ke kūkākūkā i ke ʻano o ka mālama olakino e pono ai kāu pēpē ma hope o ka hānau ʻana. I kekahi manawa, e hana pū kekahi perinatologist i nā hoʻāʻo genetic, nā scan ultrasound , ka nānā ʻana i ka fetal, a me nā hoʻokolohua ʻē aʻe e ʻike ai i kahi maʻi.

Pono ʻoe e manaʻo i kāu perinatologist e hana pū me kāu obstetrician (OBGYN) a me nā mea lawelawe olakino ʻē aʻe ma kāu hui mālama i kou wā hāpai a me ka wā hānau. Hiki iā lākou ke hana pū me kahi neonatologist a pediatrician paha .

He aha nā hoʻokolohua e hana ai kahi perinatologist?

Hana nā Perinatologists i nā hoʻokolohua like ʻole e ʻike i nā kūlana genetic a me nā maʻi i ka wā hāpai. ʻO kekahi o lākou:

• Nā hoʻāʻo ultrasound: Hiki i kēia ke lilo i mau scan maʻamau, akā i kekahi manawa hiki ke ʻoi aku ka kikoʻī.
• Nā hoʻāʻo koko: E ʻike i kekahi mau kūlana i ka makuahine a me ka pēpē paha.
• Nānā ma mua o ka hānau ʻana: Nā hoʻāʻo e ʻike ai inā he maʻi hoʻoilina ko ka pēpē.
• Amniocentesis: Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka wai amniotic e hoʻopuni ana i ka pēpē a hoʻāʻo iā ia.
• ʻO Chorionic Villus Sampling (CVS): Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka placenta a hoʻāʻo iā ia.

Ke hānau keiki nei nā perinatologists? Hana lākou i nā ʻoki kino?

I kekahi manawa ʻae. Aia ia i kou kūlana olakino a me nā pilikia e kū mai ana. I ka hapa nui o nā hihia, e hānau kāu kauka hānau keiki (OBGYN) i ka pēpē. Eia nō naʻe, aia paha kahi perinatologist ma ka lumi hānau inā pono.

Na kāu kauka hānau keiki-makuahine e mālama i ka hapa nui o kāu mālama. E kūkākūkā lākou i kāu mau pono e pili ana i kou hāpai ʻana, ka hānau ʻana, a me nā kūlana olakino e pili ana me kāu perinatologist.

Hana nā Perinatologists i kekahi mau ʻoki kino kūikawā . Eia kekahi laʻana:

• Nā ʻoki Caesarean paʻakikī (nā ʻoki C)
• ʻO ka Cervical Cerclage (kahi hana e hoʻoikaika ai i ka cervix inā nāwaliwali)
• ʻO ka Hysterectomy Pōpilikia

ʻO ka mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo (Leka Lawe-Home)

He poʻe loea nā Perinatologists i loea i nā hāpai keiki kiʻekiʻe a paʻakikī paha. Ke kuhikuhi ʻia ʻoe i kahi perinatologist, hiki ke hopohopo iki. Akā, ʻaʻole ia he manaʻo he pilikia nui me kou hāpai ʻana. ʻO ia hoʻi , ke hoʻāʻo nei kāu hui lapaʻau e hāʻawi iā ʻoe a me kāu pēpē i ka mālama maikaʻi loa a kūpono hoʻi .

E hoʻomanaʻo: E ʻoluʻolu e kamaʻilio me kāu kauka hānau keiki (OBGYN) a me ka perinatologist e pili ana i nā nīnau, hopohopo, a hopohopo paha āu e loaʻa ai. Mai makaʻu e nīnau iā lākou. He mea nui iā ʻoe ke loaʻa kahi ʻike maopopo i kou kūlana a me ka mālama ʻana. E wehewehe lākou i nā mea āpau iā ʻoe. ʻAʻole ʻoe hoʻokahi, a aia kahi hui o nā kauka kūpono e kōkua iā ʻoe.

`Kauka Perinatologist, Hāpai Piʻi Loa, Lāʻau Lapaʻau Māmā-Pēpē, Mālama Hāpai, Obstetrics, Ola Kino o ka Pēpē, Loea