ʻEhia pinepine ʻoe e ʻike ai i ke kauka i ka wā hāpai? (Nā Kipa Prenatal)

Ke ʻike ʻoe e lilo ana ʻoe i makuahine, me ka hauʻoli āu e manaʻo nei, aia kekahi hopohopo iki i loko o kou manaʻo, ʻeā? I kēia manawa, ua hoʻohui ʻia kahi hana maʻamau hou i kou ola. ʻO ia hoʻi, ke hele ʻana e ʻike i ke kauka i nā manawa i koho ʻia, ʻo ia hoʻi, ke hele ʻana i nā kipa prenatal. He ʻike hoihoi loa kēlā me kēia o kēia mau kipa. I ia mau manawa e ʻike ai ʻoe i ka lā e hiki mai ana a e lohe ʻoe i ka puʻuwai liʻiliʻi o ka pēpē no ka manawa mua. Ma kēia mau keʻena lapaʻau, e nānā mau kāu kauka i ke olakino o ʻoe a me kāu pēpē. E haʻi pū ʻo ia iā ʻoe e pili ana i ka meaʻai āu e pono ai, ka hoʻoikaika kino āu e hana ai, nā mea e manaʻo ai i ka wā hānau, a pehea e mālama ai a hānai i kāu keiki hānau hou.

Papa hana i manaʻo ʻia no ka hāpai olakino

Inā he hāpai olakino kou me ka ʻole o nā pilikia olakino, makemake paha kāu kauka e ʻike iā ʻoe e like me ka papa kuhikuhi ma lalo nei. ʻO kēia ka papa kuhikuhi lapaʻau i ʻōlelo nui ʻia.

He mea nui loa kēia mālama ma mua o ka hāpai ʻana nou a me kāu pēpē. ʻOiaʻiʻo, inā ʻaʻole i loaʻa i ka makuahine ka mālama kūpono ma mua o ka hāpai ʻana, ʻekolu manawa ka nui o ka hānau ʻia ʻana o ka pēpē me ke kaumaha hānau haʻahaʻa . Ke nānā pinepine kāu kauka iā ʻoe, hiki iā ia ke ʻike a mālama i nā pilikia i ka wā mua.ʻAe. A laila hiki iā ʻoe ke loaʻa ka hāpai olakino loa.

Nā mea pilikia e pono ai ke kipa hou aku i ke keʻena lapaʻau

ʻAʻole pili ka papa hana a mākou i kūkākūkā ai ma luna i nā kānaka a pau. ʻAʻole ia he kānāwai paʻa. Na kāu kauka e hoʻoholo i ka pinepine o kou pono e ʻike iā ʻoe ma muli o kou olakino pilikino. Inā he mau pilikia olakino kou ma mua o kou hāpai ʻana, a inā paha e loaʻa iā ʻoe nā pilikia i kou wā hāpai, pono paha kāu kauka e ʻike pinepine iā ʻoe. Pono paha ʻo ia e hana i nā hoʻokolohua hou aʻe e hōʻoia i ke olakino o ʻoe a me kāu pēpē.

Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia, hiki i kāu kauka ke hoʻonui i kāu mau kipa ʻana i ke keʻena lapaʻau:

• Makahiki 35 a ʻoi paha: ʻO ka ʻoiaʻiʻo, he nui nā wahine ma ko lākou mau makahiki 30 a me nā makahiki 40 mua e hānau i nā pēpē olakino a ikaika. ʻAʻohe mea e hopohopo ai. Eia nō naʻe, ma hope o 35 mau makahiki, piʻi iki ka pilikia o ka loaʻa ʻana o kahi pēpē me nā kīnā hānau a me nā pilikia i ka wā hāpai. No laila, pono ka nānā hou aku.
• Nā kūlana olakino mua: Inā loaʻa iā ʻoe nā kūlana mua, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, pono kāu kauka e ʻike pinepine iā ʻoe. E hana pū kāu kauka me ʻoe e hōʻoia i ka mālama ʻia ʻana o kēlā mau kūlana ma ke ʻano ʻaʻole e hoʻopilikia i kou hāpai ʻana a i ke olakino o kāu pēpē. ʻO nā kūlana olakino ʻē aʻe, e like me ka hānō, lupus, anemia, a i ʻole ka momona, pono paha e kipa hou aku.
• Nā pilikia olakino i ka wā hāpai: Ma ke keʻena antenatal, e makaʻala kāu kauka i nā pilikia e kū mai ana ma hope o ka hāpai ʻana. No ka laʻana, nā kūlana e like me ka preeclampsia, ʻo ia hoʻi ke koko kiʻekiʻe i ka wā hāpai, a me ka maʻi diabetes gestational. Inā loaʻa iā ʻoe kēia mau kūlana olakino, pono kāu kauka e ʻike pinepine iā ʻoe, no ka mea, hopohopo nui lākou i kou olakino.
• Ka pilikia o ka hānau mua ʻana: Inā ua hānau mua ʻoe, a inā paha ʻoe e hōʻike ana i nā hōʻailona like i kēia wā hāpai, e nānā pono aku kāu kauka iā ʻoe.

Ka nānā kūikawā no ʻoukou e hāpai ana i nā māhoe

He nui nā wāhine e hānau i nā māhoe olakino. Akā, ʻo ka hāpai ʻana o nā māhoe e pono ai ka nānā a me ka mālama hou aku . E nānā pono kāu kauka i kēia mau mea i kou wā mālama prenatal:

ʻO ka meaʻai kūpono a me ka piʻi ʻana o ke kaumaha

No ka mea, ʻelua mau pēpē āu e hāpai nei, pono ʻoe e hoʻonui i kou kaumaha ma mua o ka pēpē hoʻokahi. He mea maʻamau no ka makuahine o nā māhoe ke loaʻa ma waena o 35 a me 45 paona (16 a me 20 kilokani). E wehewehe kāu kauka iā ʻoe i ka nui o kou kaumaha, nā meaʻai āu e ʻai ai, a me nā mea hoʻohui āu e lawe ai.

Ka hānau mua ʻana

ʻO ka hānau ʻana i kahi pēpē ma mua o 37 mau pule ka pilikia olakino nui loa i nā hāpai māhoe. ʻOi aku ka nui o ka pilikia o nā pēpē hānau mua ma mua o nā pēpē hānau piha. Ma kahi o ka hapalua o nā māhoe a pau i hānau mua ʻia. No laila, e aʻo aku kāu kauka iā ʻoe e pili ana i nā hōʻailona o ka hānau mua ʻana a e makaʻala iā ia i kāu mau kipa ʻana i ke keʻena lapaʻau.

Nā pilikia olakino i ka makuahine

Ke hoʻohālikelike ʻia me kahi makuahine hoʻokahi, ʻoi aku ka nui o ka pilikia o ka makuahine e hāpai ana i nā māhoe i ke koko kiʻekiʻe, ka anemia, ka maʻi diabetes gestational, a me ka pono no ka ʻoki cesarean (C-section). E nānā kāu kauka iā ʻoe no kēia mau kūlana ma kāu keʻena lapaʻau.

Nā pilikia olakino o nā māhoe

ʻOi aku ka nui o ka hānau ʻana o nā māhoe i ka liʻiliʻi ma mua o ka maʻamau. Hiki ke loaʻa nā pilikia me ka placenta. Eia kekahi, ʻo nā māhoe e kaʻana like ana i kahi placenta e pilikia ana i kahi maʻi i kapa ʻia ʻo twin-to-twin transfusion syndrome (TTTS) . ʻO kēia ka manawa e loaʻa ai i kekahi pēpē ka nui o ke koko a me ka wai amniotic, aʻo ka pēpē ʻē aʻe e loaʻa ana i ka liʻiliʻi. Inā kaʻana like kāu mau pēpē i kahi placenta, pono paha ʻoe e loaʻa i nā scan ultrasound i kēlā me kēia ʻelua pule e hoʻomaka ana ma kahi o ka pule 16 o ka hāpai ʻana e nānā no TTTS.