Ke manaʻo nei hoʻi ʻoe he anemia kou i ka wā hāpai? (Anemia During Pregnancy) E kamaʻilio kākou e pili ana i kēia!

He mea maʻamau no nā makuahine he nui ke manaʻo iki i ka luhi a me ka luhi i ka wā hāpai. Akā i kekahi manawa ʻo kēia luhi, he manaʻo wale nō o ka palaualelo, hiki ke hana ʻia e ka emi ʻana o ka nui o ke koko i loko o ke kino, kahi a nā kauka i kapa ai he anemia . No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku , no ka mea, he mea nui kēia no kou olakino a me kāu pēpē.

I ka ʻōlelo maʻalahi, he aha ka anemia?

ʻO ka anemia, a i ʻole e like me ka kapa ʻana o nā kauka, ʻo ia ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula o kou kino e lawe i ka oxygen ma loko o kou kino. E noʻonoʻo wale, inā ʻaʻole hiki i ka oxygen ke hele i nā ʻāpana āpau o ko kākou kino, ʻaʻole hiki i ko kākou mau ʻōpū a me ko kākou mau ʻiʻo ke hana pono, ʻeā? ʻO ia ka mea e hana ʻia ke haʻahaʻa kou helu koko. ʻO ia ka mea e luhi ai ʻoe a pilikia ka hanu ʻana.

Aia i loko o kēia mau hunaola koko ʻulaʻula kahi protein koʻikoʻi loa. Ua kapa ʻia ʻo ia he hemoglobin . ʻO kēia ka mea e hopu ai i ka oxygen a lawe iā ia i kēlā me kēia hunaola o ke kino i ka wā e hanu ai kākou. Kōkua nō hoʻi ia i ka lawe ʻana mai i ke kalapona ʻokikene, kahi kinoea i makemake ʻole ʻia i hana ʻia i loko o ke kino, i hoʻi i nā māmā a i waho i ka wā e hanu ai kākou i waho.

No laila, pono ko mākou kino i ka hao a me kekahi mau huaora e hana i kēia mau hunaola koko ʻulaʻula a me ka hemoglobin. Inā ʻaʻole mākou e loaʻa i kēia mau mea mai ka meaʻai, ʻaʻole hiki i ko mākou kino ke hana i ka hemoglobin lawa a lawe pono i ka oxygen. He mea maʻamau no nā makuahine he nui ke loaʻa i ka anemia i ka wā hāpai ma muli o ka nele o ka hao a me nā huaora ʻē aʻe. ʻO kēia no ka mea e piʻi iki ana ka nui o kou koko i kēia manawa, me nā pono o ka pēpē.

He aha nā ʻano anemia maʻamau i ka wā hāpai?

Ua ʻōlelo ʻia aia ma mua o 400 mau ʻano anemia. Akā aia kekahi mau ʻano i maʻamau i ka wā hāpai a ʻike pinepine ʻia. E nānā kākou i ke ʻano o lākou:

• ʻAneemia nele i ka hao: ʻO kēia ke ʻano maʻamau. E like me ka inoa e hōʻike nei, hiki mai kēia ʻano ke loaʻa ʻole i ke kino ka hao lawa. He mea maʻamau kēia i ka wā hāpai no ka mea e piʻi ana ka pono no ka hao me ka ulu ʻana o ka pēpē.
• ʻAneemia nele i ka Folate: ʻO ka Folate, a i ʻole ka waikawa folic e like me kā mākou e ʻike nei, he mea nui nō hoʻi ia no ka hana ʻana i nā hunaola koko ʻulaʻula. Inā ʻaʻole lawa, hiki ke loaʻa ka anemia. Paipai ʻia hoʻi ka lawe ʻana i ka waikawa folic ma mua o ka hāpai ʻana e pale aku i ia mau mea.
• Anemia nele i ka wikamina B12: He mea nui ka wikamina B12 no ko kākou ʻōnaehana nerve a me ka hana ʻana o nā hunaola koko ʻulaʻula. Hiki i ka nele o kēia wikamina ke alakaʻi i ka anemia. He mea nui loa kēia no ka poʻe ʻai mea kanu.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia anemia?

I ka wā hāpai, piʻi ka nui o kou koko ma kahi o 20% a 30%. ʻO ke ʻano kēia, pono ka hao i nā hunaola koko ʻulaʻula keu āu e hana ai. ʻOi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o ka anemia. Eia kekahi laʻana:

• No ka poʻe e hāpai ana i nā pēpē he nui i ka manawa hoʻokahi, e like me nā māhoe a i ʻole nā ​​​​māhoe ʻekolu: No ka mea, ʻoi aku ka nui o nā koi meaʻai ma ke kino.
• No ka poʻe i loaʻa ʻole ka hao lawa mai ka meaʻai: ʻO ka poʻe ʻaʻole i ʻai i ka meaʻai kaulike e pilikia ana.
• No ka poʻe me nā hāpai he nui: Inā ʻaʻole lawa ka manawa o ke kino e hoʻōla ai ma hope o hoʻokahi hāpai ʻana, hiki ke loaʻa ka anemia i ka wā hāpai aʻe.
• No ka poʻe i loaʻa ke kahe nui o ka menstruation mai ka wā ma mua o ka hāpai ʻana: Ua pau paha ka waihona hao o ko lākou kino.
• No ka poʻe e luaʻi pinepine ana ma muli o ka maʻi kakahiaka: Hiki ke loaʻa nā hemahema meaʻai no ka mea ʻaʻole i komo pono ka meaʻai.

E noʻonoʻo, kou hoaaloha, e ʻōlelo kākou ʻo Nadeesha. Ua kokoke ʻo ia e hānau i nā māhoe. Ua hala hoʻokahi makahiki mai kona hānau ʻana i kahi pēpē ma mua o kēlā. No laila, pono kona kino i kahi hao hou aʻe. Eia kekahi, i kekahi manawa ʻaʻole hiki iā ia ke ʻai pono i ke kakahiaka me ka maʻi kakahiaka. ʻOi aku ka nui o ka poʻe e like me ʻoe e loaʻa i ka anemia.

He mea maʻamau anei ke loaʻa ke koko haʻahaʻa i ka wā hāpai?

ʻAe, he mea maʻamau ka loaʻa ʻana o ka anemia iki i ka wā hāpai, ʻoiai e piʻi ana ka nui o ke koko. Ma nā ʻāina e ulu ana, ua hōʻike ʻia ʻaʻole lawa ka hao i ka 52% o nā wahine hāpai. Eia nō naʻe, ʻaʻole maʻamau ka anemia koʻikoʻi .

Eia nō naʻe, inā he anemia iki a koʻikoʻi paha kou, he mea nui e mālama ʻia . He mea nui loa ia no ke olakino o ʻoe a me kāu pēpē i hānau ʻole ʻia.

Pehea ka hopena o ka anemia i kahi pēpē?

Loaʻa i kāu pēpē i loko o kou ʻōpū nā meaolaola a pau e pono ai, e like me ka hao, ka wikamina B12, a me ka waikawa folic, mai iā ʻoe mai. No laila, inā ʻaʻole lawa kēia mau meaolaola iā ʻoe, hiki iā ia ke hoʻopilikia i ka ulu ʻana o kāu pēpē, ʻoiai i nā mahina mua ʻekolu o ka hāpai ʻana, a i ʻole ka trimester mua .

ʻO ka mea nui loa, inā ʻaʻole mālama ʻia kēia anemia, hiki i ka pēpē ke loaʻa i ka anemia ma hope o ka hānau ʻana, kahi e alakaʻi ai i kekahi mau pilikia me kona ulu ʻana. Eia kekahi, piʻi ka pilikia o ka hānau mua ʻana o ka pēpē (hānau mua) a me ka loaʻa ʻana o ke kaumaha hānau haʻahaʻa (low birth weight) . No laila, he mea nui loa ka mālama ʻana i kēia.

Hiki i kēia nele o ke koko ke kumu i ka hāʻule ʻana o ka hāpai keiki?

ʻAʻole. ʻAʻole ke kumu pololei o ka anemia i ka wā hāpai i ka hāʻule ʻana o ka hāpai keiki. Eia nō naʻe, inā he anemia koʻikoʻi , hiki iā ia ke hana i nā pilikia ʻē aʻe i ka wā hāpai. ʻO ia ke kumu e ʻōlelo ʻia ai e loaʻa ka lāʻau no ka anemia i ka wā hikiwawe loa.

He aha nā kumu ʻē aʻe o ke koko haʻahaʻa i ka wā hāpai?

Hiki i ka hāpai ʻana ke kumu i ka anemia, ʻoiai e piʻi ana ka nui o ke koko o ke kino. Ma waho aʻe o kēlā, e like me kā mākou i kūkākūkā mua ai, ʻo ka loaʻa ʻole o ka hao lawa, ka huaora B12, a me ka waikawa folic nā kumu nui.

Eia kekahi, hiki i nā kumu maʻamau ʻē aʻe o ka anemia ke hoʻopilikia i ka hāpai ʻana:

• ʻO kekahi mau maʻi, e like me ka sickle cell anemia a me ka thalassemia, he mau maʻi hoʻoilina.
• Hāʻawi pinepine i ke koko (ʻaʻole ʻōlelo ʻia ka hāʻawi koko i ka wā hāpai, akā hiki ke hoʻopilikia ʻia ka mōʻaukala mua).
• Ka kahe koko nui o ke koko ma mua o ka hāpai ʻana.
• Nā ʻōpū a i ʻole nā ​​polyp i loko o ke ala ʻai.

He aha nā hōʻailona o kēia anemia?

I ka wā mua, ʻaʻole paha ʻoe e ʻike i ka ʻokoʻa nui ke loaʻa iā ʻoe ka anemia iki. Akā i ka hala ʻana o ka manawa, e hoʻomaka paha ʻoe e ʻike i nā mea e like me:

• Manaʻo luhi loa (Fatigue): Hiki paha iā ʻoe ke manaʻo luhi a hiamoe.
• Ke anu nei: Hiki iā ʻoe ke anu ʻoiai he maʻamau ka mahana o kekahi.
• Pōkole o ka hanu: He manaʻo o ka pōkole o ka hanu ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi.

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia paha:

• Pōʻino a nāwaliwali paha
• Manaʻo e like me ka wikiwiki o ka puʻuwai (Fast heartbeat)
• ʻEha poʻo
• ʻO ke kala ʻili (palupalu), ʻili maloʻo, a i ʻole ka maʻalahi o ka palapū
• ʻEha ke alelo
• ʻO ka restless legs syndrome kahi manaʻo ʻē o ka ʻūmiʻi ma nā wāwae, ʻoi aku hoʻi nā wāwae haʻahaʻa, e makemake ai ʻoe e neʻe a puni.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka haʻi ʻana i ke kauka.

Pehea e ʻike pono ai inā loaʻa iā ʻoe kēia anemia?

ʻO ke ala wale nō e ʻike pono ai inā he anemia kou, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko . Ua kapa ʻia kēia he helu koko piha (CBC) . Hana pinepine ʻia kēia hoʻāʻo CBC i kāu kipa mua ʻana ma mua o kou ʻike ʻana ua hāpai ʻoe.

Me kēia hoʻāʻo "(CBC)", e nānā kāu kauka i kēia mau mea:

• ʻEhia mau hunaola koko ʻulaʻula i loko o kou kino, ko lākou nui, a me ke ʻano (hiki i kēia ke kōkua i ke kuhikuhi ʻana i nā kūlana kikoʻī e like me ka anemia cell sickle).
• ʻEhia ka nui o ka hao i loko o kou kino?
• Ua nele ʻoe i ka wikamina B12 a me ka folate (wikamina B9)?

He aha ka anemia koʻikoʻi?

ʻO ka anemia koʻikoʻi ka wā e pili ana kou pae hemoglobin ma ka helu koko piha (CBC) ma waena o 6.5 a me 7.9 grams no ka deciliter (g/dL). Inā hōʻike kāu mau hopena i ka anemia koʻikoʻi, hiki i kāu kauka ke ʻōlelo aku i ka hoʻoili koko., ʻo ia hoʻi, hiki iā ʻoe ke hoʻoholo e hāʻawi i ke koko mai waho. Hana pinepine ʻia kēia ma kahi hoʻonohonoho outpatient. Hoʻolako koke ka hoʻoili koko i kou kino me nā hunaola koko ʻulaʻula olakino.

Pehea e mālama ai i ka anemia i ka wā hāpai?

ʻO ka mālama ʻana no ka anemia i ka wā hāpai e pili ana i kona koʻikoʻi.

• No ka anemia ʻoluʻolu a kaulike: E kuhikuhi pinepine kāu kauka i kahi huaora prenatal a i ʻole ka mea hoʻohui hao e lawe i kēlā me kēia lā. E hōʻoia kēia i ka loaʻa ʻana o ka hao, ka huaora B12, a me ka waikawa folic i kou kino.
• Anemia koʻikoʻi: E like me ka mea i ʻōlelo ʻia ma mua, pono paha ka hoʻoili koko.

He aha ka mea hiki ke hana ʻia ma ka home no kēia anemia?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana ma ka home e pale aku ai i ka anemia, ka mea i hoʻokumu pinepine ʻia e ka nele o ka hao, ka huaora B12, a i ʻole ka folate, ʻo ia ka hōʻoia ʻana ua lawa kāu mau meaola. E lawe i kāu huaora prenatal i kēlā me kēia lā e like me ke kauoha a kāu kauka. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka huaora kūpono loa iā ʻoe.

Eia kekahi, ʻo ka hoʻololi ʻana i kāu meaʻai he kōkua nui ia.

• E ʻai i nā meaʻai waiwai i ka hao . E hoʻokomo i nā lau ʻōmaʻomaʻo ʻeleʻele e like me ka spinach a me ka kale, ka ʻiʻo ʻulaʻula (pipi, kao), ka moa (ʻoi aku ka ate), ka iʻa (ʻoi aku ka halibut, mackerel), nā legume e like me ka lentil, chickpeas, nā pīni ʻōmaʻomaʻo, nā yolks hua manu i hoʻolapalapa ʻia, nā hua waina maloʻo, a me nā lā i kāu papaʻai.
• He mea nui nō hoʻi nā meaʻai i waiwai i ka wikamina C , no ka mea, kōkua lākou i ke kino e omo maikaʻi i ka hao. E hoʻāʻo e ʻai i nā mea e like me nā lime, nā ʻalani, nā tangerine, nā lemona, guava, guava, mango, nā tōmato, nā pepa, a me nā chili iʻa me kāu mau meaʻai. No ka laʻana, hiki iā ʻoe ke hoʻohui i kahi lime liʻiliʻi i ka salakeke a ʻai paha i ka ʻalani ma hope o ka ʻai ʻana.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Inā loaʻa iā ʻoe ka anemia i hoʻokumu ʻia e ka nele i ka hao, ka nele o ka wikamina B12, a i ʻole ka nele o ka folate, e hoʻomaka paha ʻoe e ʻoi aku ka maikaʻi a me ka ikaika i loko o kekahi mau lā o ka hoʻomaka ʻana e lawe i nā mea hoʻohui. Akā inā ʻaʻole ʻoe e ʻike i kekahi ʻokoʻa, e hōʻoia e haʻi i kāu kauka.

He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau?

Inā ʻaʻole mālama ʻia, hiki i ka anemia ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. I ka emi ʻana o ka nui o ka oxygen i loko o kou koko, hiki iā ia ke hōʻino i kou mau kino . Pono hoʻi kou puʻuwai e hana ikaika e pamu i ke koko a puni kou kino me ka oxygen liʻiliʻi. Hoʻonui kēia i kou pilikia o ka loaʻa ʻana o nā maʻi e like me:

• Nā ʻano ʻino o ka puʻuwai `(Arrhythmia)`
• Puʻuwai i hoʻonui ʻia
• Ka hāʻule ʻana o ka puʻuwai

No laila, ʻaʻole pono e lawe māmā ʻia ka anemia.

Pehea ʻoe e ola ai a pale aku paha i kēia anemia?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana e pale aku i ka anemia, ʻo ia ka ʻai ʻana i nā meaʻai e hāʻawi ana ma ka liʻiliʻi he 30 milligrams o ka hao i kēlā me kēia lā (ma kahi o ʻekolu lawelawe) . Inā pilikia ʻoe i ka loaʻa ʻana o kēlā nui mai ka meaʻai wale nō, e kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i kahi mea hoʻohui hao.

He mea nui hoʻi e lawe i ka huaora prenatal i kēlā me kēia lā. Inā hiki, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana e lawe i nā huaora prenatal i ka wā e hoʻolālā ai ʻoe e hāpai . ʻAʻole lawa ka hao i kekahi mau huaora prenatal. No laila, e nīnau i kāu kauka i ka huaora prenatal maikaʻi loa iā ʻoe.

Akā, pono ʻoe e hoʻomanaʻo i kēia. ʻOiai inā hana pololei ʻoe i nā mea āpau, hiki nō iā ʻoe ke loaʻa i kahi anemia iki ma muli o ka piʻi maoli ʻana o ka nui o ke koko i ka wā hāpai. He mea maʻamau kēia. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, e like me ka luhi, ka poniuniu, a i ʻole ka pōkole o ka hanu, he mea naʻauao ke ʻike i ke kauka a kamaʻilio e pili ana i ia mea.

He aha ka wā e hiki mai ana no kekahi ma kēia kūlana?

Inā mālama pono ʻia, hiki i ke kanaka me ka anemia i ka wā hāpai ke hoʻōla maikaʻi loa. Hiki ke hoʻomalu maʻalahi i kēia kūlana me nā mea hoʻohui meaʻai a me nā hoʻololi liʻiliʻi i ka ʻai. Ma hope o kou hānau ʻana i kāu pēpē, e hoʻi hou kāu helu koko a me nā pae plasma i ka maʻamau.

Āhea wau e ʻike ai i ke kauka e pili ana i kēia anemia?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka anemia, he mea maikaʻi ke kamaʻilio me ke kauka:

• Pōʻino
• ʻEha poʻo
• Nā palpitations o ka puʻuwai
• ʻIli keʻokeʻo
• ʻEha a ʻeha paha ke alelo
• He pono kūikawā e hoʻoneʻe i nā wāwae

Inā he mau hopohopo a hopohopo paha kāu e pili ana i kēia, e noi i kāu kauka e nānā i ka anemia a me nā mea hiki iā ʻoe ke hana e mālama i nā pae koko ʻulaʻula olakino i kou hāpai ʻana. Mai hopohopo, aia nā hopena no kēia mau mea āpau.

Pehea ʻoe e mālama ai iā ʻoe iho i kou wā e loaʻa ai ka anemia?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana ke loaʻa iā ʻoe ka anemia, ʻo ia ka hoʻāʻo ʻana e ʻai i kahi meaʻai olakino a waiwai i ka hao . E hoʻomaha nui a inu i ka wai he nui . E lawe i kāu huaora prenatal a/a i ʻole nā ​​​​mea hoʻohui hao e like me ke kauoha a kāu kauka. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mea hoʻohui maikaʻi loa nāu.

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

I ka wā hāpai, piʻi ka nui o kou koko ma kahi o 20% a 30%, no laila e loaʻa paha iā ʻoe ka anemia iki. ʻOiai he mea maʻamau kēia, he mea nui e makaʻala i kēia.

ʻO ka hoʻonui ʻana i kāu meaʻai me ka hao, ka wikamina C, a me nā wikamina B hiki ke kōkua i ka hōʻemi a me ka pale ʻana i ka anemia. Mai poina e lawe i kahi wikamina prenatal i kēlā me kēia lā. E kamaʻilio ākea me kāu kauka e pili ana i nā pilikia o ka anemia i ka wā hāpai a me nā hopohopo āu e loaʻa ai. Ma kēlā ala, hiki iā ʻoe a me kāu pēpē ke noho olakino!

`Anemia, hāpai keiki, hao, hemoglobin, nā wikamina, folic acid, nā hōʻailona