He nūhou hauʻoli ka manaʻolana ʻana i kahi pēpē no kekahi ʻohana. ʻO ka maʻamau, no ka hapa nui o nā makuahine, hala kēia wā me ke kūlohelohe a me ka hauʻoli. Ke pau ka lā hānau, hānau ʻia kahi pēpē olakino a nani i kēia ao. I hoʻokahi a ʻelua paha lā, hoʻi ʻoe i ka home mai ka haukapila a hoʻomaka i ke ola me kahi lālā hou o ka ʻohana. Akā, ʻaʻole holo mālie nā hāpai āpau e like me kēia. Pono kekahi mau makuahine e kū i kahi kūlana i kapa ʻia e nā kauka he " hāpai pilikia kiʻekiʻe."
I ka ʻōlelo maʻalahi, he aha ka hāpai ʻana me ka pilikia kiʻekiʻe?
Mai makaʻu ke lohe ʻoe i kēia inoa. ʻAʻole manaʻo ʻo "High-risk" e hiki mai ana kekahi mea ʻino. ʻO ke ʻano maʻalahi, aia kahi manawa kūpono o nā pilikia i ka wā hāpai e hiki ke hoʻopilikia i ka makuahine, ka pēpē, a i ʻole nā mea ʻelua. E noʻonoʻo e like me kahi haumāna e pono ai ka nānā kūikawā. ʻO ka makuahine me kēia ʻano hāpai ʻana e mālama ʻia ma lalo o ka nānā ʻana a ke kauka loea. Hana ʻia kēia e hōʻoia i ka palekana olakino kiʻekiʻe loa o ka makuahine a me ka pēpē a e hoʻokō i ka hopena maikaʻi loa.
ʻO ka mea nui, me ka nānā pono ʻana a me ka hoʻokele lapaʻau, hiki i ka hapa nui o nā makuahine me nā hāpai pilikia kiʻekiʻe ke hānau i nā pēpē olakino.
He aha nā kumu e hiki ai ke hoʻolilo i ka hāpai ʻana i mea pilikia?
Aia kekahi mau kumu e hiki ai ke hoʻokaʻawale ʻia ka hāpai ʻana he mea pilikia . E nānā kākou iā lākou pākahi.
| ʻAno kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Makahiki o ka makuahine | Inā ma lalo o 17 a ʻoi aku paha ma mua o 35 mau makahiki o ka makuahine i ka wā e hānau ai ʻo ia, ʻoi aku ka nui o nā pilikia. Piʻi ka pilikia o ka hāʻule ʻana o ka hāpai keiki a me nā kīnā genetic, ʻoi aku hoʻi ma hope o 40 mau makahiki. |
| Nā kūlana olakino mua ma mua o ka hāpai ʻana | Inā ua loaʻa iā ʻoe kēia mau kūlana ma mua o kou hāpai ʻana, he mea pilikia nō hoʻi kēlā. Eia kekahi laʻana:
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| Nā maʻi e kū mai ana i ka wā hāpai | ʻOiai inā ua olakino ʻoe i kou wā hāpai, hiki iā ʻoe ke loaʻa i nā kūlana olakino hou i ka wā hāpai. ʻEkolu o nā mea nui: 1. Preeclampsia: He hui pū ʻana kēia o nā hōʻailona e kū mai ana i ka wā hāpai, e like me ke koko kiʻekiʻe, ka protein i loko o ka mimi , a me ka pehu ʻana o ke kino. Inā ʻaʻole i mālama pono ʻia, hiki ke lilo i mea weliweli no ka makuahine a me ke pēpē. 2. Ka Maʻi Diabetes Gestational: He ʻano maʻi diabetes e loaʻa wale ana i ka wā hāpai. Inā ʻoe e hahai pono i ka hoʻolālā lapaʻau i hāʻawi ʻia e kāu kauka, ʻaʻohe mea keakea i ka loaʻa ʻana o kahi pēpē olakino. 3. Kaumaha: Hiki ke loaʻa ke kaumaha i ka wā hāpai ma muli o nā loli hormonal, ka luhi, a me ke kaumaha. He mea nui e ʻimi i ke aʻo lapaʻau no ka mea hiki i kēia ke hoʻopilikia i ka ulu ʻana o ka pēpē. |
| Nā pilikia ʻē aʻe e pili ana i ka hāpai ʻana | I kekahi manawa, ʻoiai ke olakino o ka makuahine maikaʻi, aia nō nā pilikia e kū mai ana ma muli o ka hāpai ʻana ponoʻī.
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Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, he mea nui e kamaʻilio me kāu kauka ma mua o kou hoʻoholo ʻana e hāpai . Hiki iā ia ke hana i nā hoʻokolohua, hoʻoponopono i kāu mau lāʻau lapaʻau, a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pale i kou olakino a me ke olakino o kāu pēpē.
Pehea e nānā ai i ke olakino o ke pēpē i ka wā hāpai kiʻekiʻe?
Inā manaʻo ʻia kou hāpai ʻana he pilikia kiʻekiʻe, e nānā mau kāu kauka i ke olakino o ka pēpē. ʻO ka hoʻāʻo nui i hoʻohana ʻia no kēia ʻo ia ka Biophysical Profile (BPP) .
I ka ʻōlelo maʻalahi, ʻo ka BPP kahi kāleka hōʻike e hāʻawi ana i kahi helu ma ke olakino o ka pēpē. Hoʻohana nui ia i kahi hoʻāʻo i kapa ʻia ʻo Nonstress Test (NST) a me kahi scan ultrasound. Hana pinepine ʻia ma hope o 28 mau pule o ka hāpai ʻana.
- Hoʻāʻo Kokoke ʻole (NST): Ma kēia, ua hoʻopili ʻia kahi mea nānā i ka ʻōpū o ka makuahine a ua nānā ʻia ka puʻuwai o ka pēpē i ka neʻe ʻana o ka pēpē. Hiki i kēia ke hāʻawi i kahi manaʻo inā loaʻa i ka pēpē ka oxygen lawa.
- ʻO ke scan Ultrasound: ʻO ke scan i hana ʻia i ka wā o ka hoʻāʻo BPP e kālele ana i 4 mau kumu nui.
| He aha ka mea e nānā ai ka hoʻāʻo BPP | Pehea e helu ai |
|---|---|
| Leo o ka pēpē | Ua helu ʻia kēlā me kēia o kēia mau ʻāpana a me ka hoʻāʻo NST ma ke ʻano he 0, 1, a i ʻole 2. ʻO ka huina helu he 10. Ma keʻano laulā, inā he 8 a 10 paha ka helu , ua manaʻo ʻia ke olakino maikaʻi o ka pēpē. Inā emi ka helu ma mua o 8, hiki i ke kauka ke hoʻoholo e hana i nā hoʻokolohua hou aʻe a hānau paha i ka pēpē. |
| Ka hanu ʻana o ka pēpē | |
| Nā Neʻe ʻana o ka Fetal | |
| Ka nui o ka wai Amniotic | |
| Hopena Hoʻāʻo ʻAʻole Hoʻoluhi (NST) |
Na kāu kauka e hoʻoholo i ka hoʻokolohua kūpono loa iā ʻoe ma muli o kou kūlana.
He aha nā mea e hiki ke hana ʻia e pale aku a mālama i nā pilikia?
ʻOiai inā ʻaʻohe ou pilikia olakino, he manaʻo maikaʻi e kipa aku i kāu kauka ma mua o kou hāpai ʻana (preconception appointment) i hiki iā ʻoe ke aʻo e pili ana i nā hana e hiki ai iā ʻoe ke hana e hōʻemi i kou pilikia o kekahi mau pilikia.
Nā mea hiki iā ʻoe ke hana:
- ʻAkika Folic: E lawe ma ka liʻiliʻi he 400 micrograms o ka waikawa folic i kēlā me kēia lā ma mua o ka hāpai ʻana.
- E kiʻi i nā lāʻau pale i ʻōlelo ʻia: E kiʻi i nā lāʻau pale a pau a kāu kauka e ʻōlelo ai.
- ʻAi olakino a me ke kaohi kaumaha: E ʻai i nā meaʻai momona. E mālama i ke kaumaha o ke kino olakino.
- Hoʻoikaika kino maʻamau: Inā ʻaʻole ʻōlelo kāu kauka ʻaʻole, e hana i ka hoʻoikaika kino māmā e kūpono iā ʻoe.
- E pale i ka puhipaka, ka waiʻona, a me nā lāʻau lapaʻau: He mea ʻino loa kēia i ka pēpē.
- E hahai i nā ʻōlelo aʻoaʻo lapaʻau: E lawe wale i nā lāʻau lapaʻau i ʻāpono ʻia e kāu kauka. E hele i ke keʻena lapaʻau i ka manawa kūpono.
- E ʻike i kahi loea: Inā he pilikia kiʻekiʻe kou hāpai ʻana, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi perinatologist a i ʻole ka loea lāʻau lapaʻau makuahine-fetal. E hana pū ʻo ia me kāu mau kauka ʻē aʻe e hāʻawi i ka hopena maikaʻi loa nou a me kāu pēpē.
Leka Lawe-Home
- ʻAʻole manaʻo ka "Hapai Keiki Kiʻekiʻe" e hiki mai ana kekahi mea ʻino. ʻO ia hoʻi, pono ʻoe a me kāu pēpē i ka mālama kūikawā a me ka nānā ʻana .
- Inā he mau pilikia olakino kou, e kamaʻilio me kāu kauka ma mua o ka hoʻolālā ʻana e hāpai.
- E hahai pono i nā kuhikuhi a kāu kauka, nā lāʻau lapaʻau, a me nā hoʻolālā ʻai. Mai poina i nā lā o ke keʻena lapaʻau.
- Mai makaʻu. E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai. He mea nui loa ka mālama ʻana i ke kamaʻilio maikaʻi.
- Me ka mālama pono ʻana i ke olakino, hiki iā ʻoe ke lawe mai i kahi pēpē olakino a nani hoʻi i kēia ao.
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