He pilikia kiʻekiʻe anei kou hāpai ʻana? (Hapai Keiki Kiʻekiʻe) E kamaʻilio kākou e pili ana i kēia

He mea nani ka manaʻolana ʻana i kahi pēpē. ʻO ka hapa nui o ka manawa, he hana kūlohelohe loa ia. Hoʻopau ka makuahine i kona lā hānau a hānau i kahi pēpē olakino . I loko o hoʻokahi a ʻelua paha lā, hoʻi ʻo ia i ka home mai ka haukapila a hoʻomaka i ke ola me kahi lālā ʻohana hou. Eia naʻe, ʻaʻole like ka maʻalahi a me ka pilikia o nā hāpai ʻana a pau. Pono kekahi mau makuahine e kū i ka mea a nā kauka i kapa ai he "hāpai pilikia kiʻekiʻe."

I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana me ka pilikia kiʻekiʻe he hāpai ʻana i pilikia i nā pilikia e hiki ke hoʻopilikia i ka makuahine, ka pēpē, a i ʻole nā ​​​​mea ʻelua. I kēlā mau hihia, he mea nui ka nānā ʻana o ke kauka kūikawā e hōʻoia i ke olakino maikaʻi loa o ka makuahine a me ke pēpē.

He aha nā kumu e hoʻolilo ai i ka hāpai ʻana i "ka pilikia"?

Aia kekahi mau kumu e hiki ai ke hoʻokaʻawale ʻia ka hāpai ʻana he mea pilikia. E nānā kākou i kēlā me kēia.

Makahiki o ka makuahine

ʻO kēia ke kumu pilikia maʻamau a maʻamau loa. Inā ma lalo o 17 a ʻoi aku paha ma mua o 35 mau makahiki o ka makuahine i ka wā o ka hāpai ʻana, ʻoi aku ke kiʻekiʻe o ka pilikia o nā pilikia ma mua o nā makuahine o ka hui makahiki maʻamau. Piʻi ka pilikia o ka hāʻule ʻana o ka hāpai keiki a me nā kīnā genetic i loko o ka pēpē, ʻoi aku hoʻi ma hope o 40 mau makahiki.

Nā kūlana olakino mua ma mua o ka hāpai ʻana

Inā loaʻa iā ʻoe kahi maʻi olakino mua, hiki iā ia ke hoʻopilikia i kāu hāpai ʻana. I kēlā mau hihia, he mea nui e kamaʻilio me kāu kauka ma mua o kou noʻonoʻo ʻana e loaʻa kahi pēpē. A laila hiki i kāu kauka ke hana i nā hoʻokolohua e pono ai, hoʻoponopono i kāu mau lāʻau lapaʻau, a aʻo iā ʻoe i ka mea āu e hana ai e pale aku i kou olakino a me ke olakino o kāu pēpē.

Eia kekahi, ʻo nā hāʻule ʻana ma mua, nā pilikia i ka wā o nā hāpai mua, a i ʻole ka mōʻaukala ʻohana o nā maʻi genetic ua manaʻo ʻia he mau mea pilikia .

Nā maʻi e kū mai ana i ka wā hāpai

I kekahi manawa, ʻoiai inā ua olakino loa ʻoe i ka wā e hāpai ai ʻoe, hiki iā ʻoe ke loaʻa i nā maʻi olakino hou i ka wā hāpai. Eia nā mea ʻekolu i maʻamau.

• Preeclampsia: He kūlana kēia i hōʻike ʻia e ke koko kiʻekiʻe, ka protein i loko o ka mimi, a me ka pehu ʻana. Inā ʻaʻole mālama pono ʻia, hiki ke hoʻoweliweli i ke ola no ka makuahine a me ka pēpē. Eia nō naʻe , me ka mālama lapaʻau kūpono, hānau ka hapa nui o nā makuahine i nā pēpē olakino . ʻOi aku ka nui o ka ulu ʻana o kēia kūlana inā ʻoi aku kou ʻelemakule, kaumaha, a i ʻole he koko kiʻekiʻe a i ʻole ka maʻi diabetes ma mua o ka hāpai ʻana.
• ʻO ka maʻi diabetes Gestational: He ʻano maʻi diabetes kēia e loaʻa wale ana i ka wā hāpai. Inā ʻoe e hahai pono i ka hoʻolālā lapaʻau i hāʻawi ʻia e kāu kauka, hiki iā ʻoe ke loaʻa kahi pēpē olakino me ka ʻole o nā pilikia. ʻO ka maʻamau, nalowale kēia ʻano maʻi diabetes ma hope o ka hānau ʻana o ka pēpē. Eia nō naʻe, ʻo nā makuahine i loaʻa i kēia maʻi e pilikia ana i ka loaʻa ʻana o ka Type 2 Diabetes ma hope o ke ola.
• Kaumaha: ʻO nā loli hormonal, ka luhi, a me nā pilikia o ka home i ka wā hāpai hiki ke hoʻoulu i ke kaumaha a me ke kaumaha. Hoʻopilikia kēia maʻi ma waena o 14% a me 23% o nā wahine hāpai. Hiki i kēia ke alakaʻi i nā pilikia i ka wā hānau a me ke kaumaha hānau haʻahaʻa. No laila, inā ʻoe e manaʻo nei i kēia ʻano, mai hilahila e kamaʻilio me kāu kauka e pili ana i ia mea.

Nā pilikia ʻē aʻe e pili ana i ka hāpai ʻana

I kekahi manawa, hiki ke lilo i mea pilikia ma muli o nā pilikia e kū mai ana mai ka hāpai ʻana iho, ʻoiai me ka ʻole o nā pilikia me ke olakino o ka makuahine.

• Ka hānau mua ʻana : Hoʻomaka ka hānau ʻana ma mua o 37 mau pule o ka hāpai ʻana. ʻOi aku ka nui o ka loaʻa ʻana o nā pilikia olakino i nā pēpē hānau mua.
• Nā hānau keiki he nui: Ke hāpai ʻana i nā pēpē he nui (māhoe, ʻekolu). Hoʻonui kēia i ka pilikia o ka hānau mua ʻana, ka maʻi diabetes gestational, a me ke koko kiʻekiʻe.
• Placenta Previa: ʻO kēia ka manawa e uhi ai ka placenta i ka cervix. Hiki i kēia ke hoʻokahe koko. Inā hoʻomau kēia ʻano a kokoke i ka manawa hānau, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki cesarean.
• Nā pilikia o ka ʻōpū: Hiki i nā scan ultrasound ke hōʻike i nā pilikia me ka ulu ʻana o ka pēpē. Ma kahi o 2% - 3% o nā pēpē āpau he mau pilikia ulu liʻiliʻi a nui paha.

Pehea e nānā ai i ke olakino o ke pēpē i ka wā hāpai me ka pilikia kiʻekiʻe?

No nā makuahine me nā hāpai keiki pilikia kiʻekiʻe, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua kūikawā e nānā i ke olakino o kāu pēpē i hānau ʻole ʻia. Ua kapa ʻia ʻo ia he Biophysical Profile (BPP) . Hana pinepine ʻia kēia ma hope o 28 mau pule o ka hāpai ʻana.

ʻO ka hoʻāʻo NST e pili ana i ka hoʻopili ʻana i kahi mea nānā i ka ʻōpū o ka makuahine a me ka nānā ʻana i ke ʻano o ka loli ʻana o ka puʻuwai o ka pēpē i ka pane ʻana i nā neʻe ʻana o ka pēpē. Hāʻawi ka hoʻāʻo BPP i ka ʻike hohonu hou aku.

He aha nā mea e hiki ke hana ʻia e pale aku a mālama i nā pilikia?

ʻOiai inā ʻaʻohe ou pilikia olakino i kēia manawa, he mea nui e loaʻa kahi manawa ma mua o ka hāpai ʻana me kāu kauka ma mua o kou noʻonoʻo ʻana e loaʻa kahi pēpē. Ma kēia ʻano, hiki iā ʻoe ke hōʻemi i nā pilikia e kū mai ana.

E kōkua kēia mau mea iā ʻoe e noho olakino i kou wā hāpai:

• E lawe ma ka liʻiliʻi he 400 micrograms o ka folic acid i kēlā me kēia lā ma mua a ma ka wā o ka hāpai ʻana.
• E kiʻi i nā lāʻau pale āpau i ʻōlelo ʻia.
• E ʻai i ka meaʻai olakino a mālama i ke kaumaha kūpono o ke kino.
• A hiki i ka wā e ʻōlelo ai kāu kauka ʻaʻole, e hana i nā hoʻoikaika kino māmā e kūpono iā ʻoe.
• E hōʻalo loa i ka puhi paka, ka waiʻona, a me nā lāʻau lapaʻau.
• E hoʻohana wale i nā lāʻau lapaʻau i ʻāpono ʻia e kāu kauka.
• E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia. Mai poina i kekahi lā.
• E hana pū me kāu kauka e kaohi i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.

Inā manaʻo ʻia kou hāpai ʻana he pilikia kiʻekiʻe, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi perinatologist , he kauka hānau keiki a me ke kauka wahine i loaʻa ka hoʻomaʻamaʻa kūikawā i nā hāpai ʻana pilikia kiʻekiʻe. E hana pū kēia loea me kāu mau kauka ʻē aʻe, nā kahu maʻi, a me nā loea mālama ola kino ʻē aʻe e hōʻoia i ka hopena maikaʻi loa no ʻoe a me kāu pēpē.