ʻO ke ʻoki kino ʻana i ka ʻōpū? E aʻo kākou i nā mea āpau e pili ana i ia mea!

Inā he makuahine hāpai ʻoe, e noʻonoʻo mau paha ʻoe inā maikaʻi nā mea a pau me kāu pēpē. I kēlā me kēia manawa āu e nānā ai, hopohopo iki ʻoe. I kekahi manawa, me ka manaʻo ʻole ʻia, hōʻike ka nānā ʻana he kīnā hānau kāu pēpē. He mea paʻakikī ke hōʻike i ke kaumaha a me ka makaʻu āu e manaʻo ai i ia manawa. Eia nō naʻe, ua holomua loa ka lāʻau lapaʻau i kēia lā. Ua ʻike anei ʻoe hiki iā ʻoe ke hoʻoponopono i ka pilikia ma ka hana ʻana i ke ʻoki ʻana i ka wā e noho ana ke pēpē i loko o ka ʻōpū, me ka kali ʻole i ka hānau ʻana o ke pēpē? ʻO ia ka mea a mākou e kapa nei ʻo 'Fetal Surgery'.

I ka ʻōlelo maʻalahi, he aha ke ʻoki kino o ka pēpē?

ʻO ke ʻoki ʻana o ka pēpē, i ka ʻōlelo maʻalahi, he ʻoki ʻana i hana ʻia ma luna o kahi pēpē i ka wā e ulu ana i loko o kou ʻōpū. Ua kapa pū kekahi mau kauka iā ia he ʻoki prenatal. Pili ia i ke komo ʻana a me ka mālama ʻana i kahi pilikia e hiki ke hoʻoweliweli i ke ola a i ʻole ke kumu o ke kīnā koʻikoʻi i ka pēpē ma hope o ka hānau ʻana. ʻO ka manaʻolana e hoʻopakele i ke ola o ka pēpē a hoʻonui paha i nā manawa kūpono o ka pēpē e ola i kahi ola olakino a huahua ma hope o ka hānau ʻana.

I nā hihia hea e pono ai kēia ʻano hana ʻoki kino?

ʻAʻole hana ʻia kēia ʻano ʻoki kino no kēlā me kēia kīnā hānau. Hana ʻia ia i nā hihia koʻikoʻi a kūikawā wale nō. E noʻonoʻo i kēia ʻano.

• Inā he hoʻoweliweli koke i ke ola o ka pēpē: No ka laʻana, e noʻonoʻo ua hana ʻia kahi puʻupuʻu nui (mama o ka māmā) i loko o nā māmā o ka pēpē, ka mea e kaomi ana i ka puʻuwai liʻiliʻi o ka pēpē. Inā hana ʻia kēlā, hiki i ka pēpē ke komo i ka hāʻule ʻana o ka puʻuwai ʻoiai ʻo ia i loko o ka ʻōpū, kahi mea e hoʻoweliweli ai i ke ola. I kēlā hihia, hiki i nā kauka ke hana i ke ʻoki ʻana e wehe i ka puʻupuʻu ʻoiai ʻo ia i loko o ka ʻōpū.
• E hōʻemi i nā kīnā postnatal: Aia kekahi mau kūlana ʻaʻole i hoʻoweliweli koke i ke ola o ka pēpē, akā hiki ke hana i nā kīnā koʻikoʻi ma hope o ka hānau ʻana. ʻO kahi laʻana maikaʻi ʻo ka spina bifida, kahi kūlana iwi kuamoʻo kahi i pani pono ʻole ai ke kaula iwi kuamoʻo o ka pēpē. Hiki i kēia ke hōʻino i nā aʻalolo, e paʻakikī ai i ka pēpē ke hele a i ʻole ka hoʻomalu ʻana i ko lākou ʻōpū a me ka mimi ma hope o ka hānau ʻana. Inā hana ʻia kēia ʻoki ʻana i ka wā e noho ana ka pēpē i loko o ka ʻōpū, hiki iā ia ke hōʻemi i ka hōʻino ʻana i nā aʻalolo a hāʻawi i ka pēpē i kahi ola maikaʻi aʻe ma hope o ka hānau ʻana.

ʻO wai ka mea e hana i kēia ʻano hana ʻoki kino?

ʻAʻole kēia he ʻoki kino wale nō. Pono ia i kahi hui nui o nā kauka loea loa. Ua like ia me kahi hui o nā superhero. ʻO ka maʻamau, aia i loko o kēia hui:

• Nā Kauka Lapaʻau Keiki: ʻO kēia nā mea nui. Ua loaʻa iā lākou ke aʻo kūikawā e hana i nā ʻoki kino ma nā pēpē ma hope o ko lākou hānau ʻana, ʻoiai i loko o ka ʻōpū.
• Nā loea lapaʻau makuahine-kōpū: He poʻe loea kēia e loea i nā pilikia e kū mai ana i ka wā hāpai. Mālama lākou i ke olakino o ka makuahine a me ke pēpē.
• Nā Anesthesiologists: ʻO ka poʻe i loaʻa i ke aʻo kūikawā i ka hāʻawi ʻana i ka anesthesia (ka hoʻopau ʻana i ka ʻike) i ka makuahine a me ke pēpē.
• Nā Kauka Puʻuwai o ka Pēpē: ʻO ka poʻe e nānā pono ana i ka hana o ka puʻuwai o ke pēpē.
• Nā Loea Kiʻi ʻana o ka Hānai Keiki: ʻO ka poʻe e hoʻohana ana i ka ʻenehana ultrasound a me MRI o kēia au loa e hāʻawi i nā kauka i kahi kiʻi maopopo o ke kūlana o ka pēpē.

Ke hana pū nei nā kānaka a pau e hoʻoholo i ka holomua o kēia ʻoki kino paʻakikī.

He aha nā ʻano hana nui o ke ʻoki ʻana i ka fetal?

He nui nā ʻano hana a nā kauka no ka hana ʻana i kēia ʻoki kino. Hoʻoholo ʻia ke ʻano hana e hoʻohana ʻia ma muli o nā mea e like me ke kūlana o ka pēpē a me ke olakino o ka makuahine. E nānā kākou i nā ʻano hana nui.

He aha nā kūlana i mālama ʻia me kēia mau ʻoki kino?

• Spina Bifida/Myelomeningocele: He kīnā hānau ʻole o ke kaula kuamoʻo.
• Nā ʻano ʻino o ka māmā hānau ʻia: Nā puʻupuʻu a i ʻole nā ​​​​ulu ʻano ʻē i loko o nā māmā.
• ʻO ka Hernia Diaphragmatic Congenital (CDH): Hoʻopuka nā ʻōpū o ka ʻōpū i loko o ka lua o ka umauma.
• Nā pilikia o nā māhoe Monochorionic: Nā kūlana e like me ka Twin-to-Twin Transfusion Syndrome e kū nei i nā māhoe e kaʻana like ana i ka placenta like.
• ʻO Sacrococcygeal Teratoma (SCT): He puʻupuʻu nui e ulu ana ma ke kumu o ka iwi kuamoʻo o kahi pēpē.
• ʻO ka Congenital High Airway Obstruction Syndrome (CHAOS): He kūlana i ālai ʻia ai ke ala ea o ke pēpē mai ka wā hānau mai.
• Ka Pale ʻana o ke Ala Mimi o Lalo (LUTO): Ka pale ʻana o ke ala mimi o ka pēpē.

He aha ka mea e hana ʻia ma mua a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino

Inā ua ʻike ʻia kāu pēpē me kekahi o kēia mau pilikia, e nānā pono kāu hui lapaʻau iā ʻoe a me kāu pēpē. E wehewehe pono lākou iā ʻoe e pili ana i ke kūlana o kāu pēpē, kona koʻikoʻi, a me nā koho lapaʻau i loaʻa. He manawa paʻakikī loa kēia nou a me kou ʻohana. No laila, e hana pū kāu hui lapaʻau me ʻoe e kōkua iā ʻoe e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no nā mea āpau.

Ma hope o ke ʻoki kino

Ma hope o ke ʻoki ʻana, pono ʻoe e noho i ka haukapila no kekahi mau lā, ma muli o ke ʻano o ke ʻoki ʻana. I loko o ia manawa, e hoʻomau ka hui lapaʻau i ka nānā ʻana iā ʻoe a me kāu pēpē. I kekahi manawa, pono paha ka hānau mua ʻana. Eia kekahi, inā hana ʻia kēia ʻano ʻoki ʻana, e hānau ʻia paha ka pēpē ma o kahi ʻoki C i hoʻolālā ʻia. Ma hope o ka hānau ʻana o ka pēpē, pono paha ka pēpē i ka mālama hou ʻana ma ka Intensive Care Unit.

He aha nā pono a me nā pilikia?

E like me nā ʻoki kino āpau, loaʻa i kēia nā pono a me nā pilikia. He mea nui e ʻike pono e pili ana i nā mea ʻelua ma mua o ka hoʻoholo ʻana.

Ke ʻike ʻoe he kīnā hānau ko kāu pēpē, he mea maʻamau ke kaumaha, ke kaumaha, a me ka makaʻu. Hiki ke paʻakikī ka hoʻoholo ʻana i kekahi manawa. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia kāu kauka a me ka hui lapaʻau e kōkua iā ʻoe. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike āpau āu e pono ai a alakaʻi iā ʻoe e hana i nā koho maikaʻi loa nāu a me kāu pēpē.