Auē, he pilikia nui anei koʻu hāpai ʻana? He aha ka hāpai ʻana me ka pilikia nui? E kamaʻilio kākou!

I ka lohe pinepine ʻana i ka huaʻōlelo 'high-risk pregnancy' a i ʻole 'high-risk pregnancy', makaʻu iki mākou, ʻeā? ʻO ka makaʻu o ka loaʻa ʻana o kahi mea ʻino iaʻu a me ke pēpē e noʻonoʻo ai. Akā he aha ke ʻano maoli o kēia? E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo? A laila hiki iā ʻoe ke hoʻopau i ka makaʻu pono ʻole āu e pili ana i kēia.

He aha maoli ke ʻano o ka "Hapai Keiki Kiʻekiʻe"?

I ka ʻōlelo maʻalahi, ʻo ka 'hāpai ʻana me ka pilikia kiʻekiʻe' ʻo ia hoʻi he kiʻekiʻe iki ka manawa kūpono o kahi pilikia olakino no ka makuahine, ka pēpē, a i ʻole nā ​​mea ʻelua, a i ʻole e hānau mua ʻia ka pēpē. ʻAʻole kēia manaʻo e hiki mai ana kekahi mea ʻino, ʻeā? ʻO ia hoʻi, pono mākou e akahele iki aʻe a hahai pololei i nā ʻōlelo aʻoaʻo lapaʻau. I kēlā mau hihia, e nānā pono nā kauka a me nā hui mālama ola iā ʻoe a me kāu pēpē, a e hāʻawi i nā hoʻokolohua a me nā ʻōlelo aʻoaʻo e pono ai.

ʻO wai ka hāpai ʻana e hiki ke "pilikia"? E nānā kākou i nā kumu.

I kēia manawa, e nānā kākou i nā kūlana e hiki ai i ka hāpai ʻana ke hāʻule i loko o ka māhele 'pilikia'. ʻAʻole pili kēia mau mea a pau i nā kānaka a pau, akā inā loaʻa kekahi a ʻoi aku paha o kēia mau mea, e nānā pono nā kauka i kēlā hāpai ʻana.

Hoʻopilikia anei ka makahiki? ​​(Age Factor)

• "Inā he 17 ou makahiki a ʻoi aku paha , ʻo ia hoʻi, he ʻōpiopio loa ʻoe, ʻaʻole paha i mākaukau piha kou kino no kēia. Eia kekahi, ma muli o kou nele i ka ʻike ola, ʻaʻole paha ʻoe e hiki ke hahai i ka meaʻai a me nā ʻōlelo aʻoaʻo lapaʻau. No laila, mālama pono ʻia me nā hāpai ʻana i kēia makahiki. I kēia makahiki, ʻoi aku ka nui o ka pilikia o nā mea e like me ke koko kiʻekiʻe i hoʻokomo ʻia e ka hāpai ʻana a me ke kaumaha hānau haʻahaʻa."
• "Pēlā nō hoʻi inā he 35 ou mau makahiki a ʻoi paha . Kāhea mākou i kēia ʻo 'makahiki makuahine holomua'. Me ka ʻelemakule, piʻi aʻe ka manawa kūpono e loaʻa ai kekahi mau pilikia olakino (no ka laʻana, ke koko kiʻekiʻe, ka maʻi diabetes). Eia kekahi, ʻo ka manawa kūpono o ka pēpē e loaʻa ai kekahi mau pilikia genetic , no ka laʻana, Down syndrome, e piʻi iki paha me ka ʻelemakule. Akā, ʻaʻole kēia manaʻo ʻaʻole maikaʻi ka loaʻa ʻana o nā pēpē ma hope o 35. Me ka nānā pono ʻana o ke kauka a me nā hoʻokolohua nānā kūpono, hiki nō hoʻi ke holomua."

He aha ke kaumaha o kou kino ma mua o ka hāpai ʻana? (Kaumaha ma mua o ka hāpai ʻana)

• "Inā ua kaumaha ʻoe ma mua o kou hāpai ʻana, ʻo ia hoʻi, ʻaʻole paha e lawa nā meaʻai i kou kino. Inā hana ʻia kēlā, hiki ke hoʻopilikia i ka ulu ʻana o ka pēpē, a hiki ke hānau ʻia ke pēpē me ke kaumaha haʻahaʻa i ka wā hānau a i ʻole e hānau mua ʻia."
• "ʻO ia ke ala like, inā ua kaumaha a momona paha ʻoe ma mua o kou hāpai ʻana."Inā he mau mea, hiki nō hoʻi ke lilo i kumu o kekahi mau pilikia. No ka laʻana, ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi e like me ka maʻi diabetes gestational, ke koko kiʻekiʻe (gestational hypertension / preeclampsia), a me nā ʻōpū koko. Aia kekahi manawa kiʻekiʻe o ka pono e hana i kahi ʻoki cesarean.

Aia he ʻoi aku ma mua o hoʻokahi pēpē? (Hapai Nui)

• "Inā ʻoe e hāpai ana i nā māhoe, nā triplets , a i ʻole nā ​​​​pēpē he nui aʻe, ua manaʻo ʻia hoʻi he hāpai 'kiʻekiʻe-pilikia'. ʻO kēia no ka mea ʻo ka loaʻa ʻana o nā pēpē he nui ma mua o hoʻokahi e kau i ka nui o ke kaumaha ma ke kino o ka makuahine. ʻOi aku ka nui o ka makuahine e loaʻa i ka anemia, ke koko kiʻekiʻe, a me ka maʻi diabetes gestational. ʻOi aku ka nui o ka hānau ʻana o nā pēpē i ka wā ʻōpiopio, he haʻahaʻa ke kaumaha hānau, a loaʻa nā pilikia ʻē aʻe. ʻO ia ke kumu e pono ai nā hāpai he nui i nā nānā lapaʻau pinepine a me nā scan ultrasound."

Loaʻa iā ʻoe kekahi mau pilikia olakino? (Nā Kūlana Ola Kino i Loaʻa)

• "Inā loaʻa iā ʻoe kekahi mau pilikia olakino e like me ke koko kiʻekiʻe (High Blood Pressure / Hypertension) , ka maʻi diabetes (Diabetes Mellitus) , ke kaumaha (Depression) , nā maʻi puʻuwai, nā maʻi puʻupaʻa, nā maʻi thyroid, ka maʻi epilepsy, nā maʻi autoimmune, hiki i kēia mau maʻi ke ʻoi aku ka ʻino i ka wā hāpai a hoʻopilikia i ka pēpē. No laila, he mea nui loa i ka poʻe me ia mau maʻi e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka hāpai ʻana. Pono paha ʻoe e hoʻololi i kāu mau lāʻau lapaʻau inā ʻaʻole kūpono lākou no ka hāpai ʻana."
• "Eia kekahi laʻana, inā ʻaʻole ka makuahine me ka maʻi diabetes e kāohi i kona pae kō koko, hiki i ka pēpē ke lilo i mea nui loa (macrosomia), hiki i ka pēpē ke loaʻa nā pae kō koko haʻahaʻa ma hope o ka hānau ʻana (neonatal hypoglycemia), a i ʻole he mau kīnā hānau paha ka pēpē. No laila, he mea nui loa ka kāohi ʻana i nā pae kō koko i ka wā hāpai."

He mau pilikia anei i nā hāpai mua? (Nā pilikia i nā hāpai mua)

• "Inā loaʻa iā ʻoe kekahi mau pilikia me ka hāpai ʻana ma mua, no ka laʻana, ka hānau mua ʻana , nā hāʻule ʻana o ka ʻōpū, ka hāpai ʻana i ka ectopic, nā pilikia placental, a i ʻole kahi pēpē i hānau ʻia me kahi pilikia genetic a i ʻole ke kīnā hānau , hiki i kāu hāpai ʻana aʻe ke pilikia. No laila, pono e makaʻala nā kauka i kēia. Eia kekahi, inā ua loaʻa iā ʻoe kahi ʻoki cesarean ma mua, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēia."

Nā Kumu o ke Ola

• " Ka puhi paka ʻana , ka hoʻohana ʻana i nā lāʻau lapaʻau kū ʻole i ke kānāwai , a meHe mea ʻino loa ka inu ʻana i ka waiʻona i ka wā hāpai no ka makuahine a me ke pēpē. Hiki i kēia mau mea ke kumu i ka ulu ʻana o ka pēpē me ka palupalu, ke kaumaha haʻahaʻa i ka wā hānau, ka hānau mua ʻana, ka ulu ʻana o ka noʻonoʻo, nā kīnā hānau like ʻole, a i kekahi manawa nalowale ke pēpē. No laila, inā he mau ʻano maʻamau kāu, ʻoi aku ka maikaʻi o ka haʻalele loa iā lākou ma mua o ka hāpai ʻana. Pono hoʻi ʻoe e hoʻōki loa i kēia mau mea ma hope o kou ʻike ʻana ua hāpai ʻoe.

He aha kaʻu e hana ai inā hāʻule koʻu hāpai ʻana i loko o ka māhele "kiʻekiʻe pilikia"?

ʻAe, i kēia manawa ua maopopo iā ʻoe ke ʻano o ka 'hāpai ʻana me ka pilikia kiʻekiʻe' a me ke kumu o ia mea. Ke noʻonoʻo nei paha ʻoe, 'ʻĀ, loaʻa iaʻu kekahi a ʻelua paha o kēia mau mea, he aha kaʻu e hana ai i kēia manawa?' Mai hopohopo. ʻO ka mea nui loa, ʻo ia ke hana pū me kāu kauka a i ʻole ka hui mālama ola e hoʻokele i nā pilikia olakino hiki iā ʻoe ke kaohi.

E hoʻomanaʻo: ʻaʻole manaʻo ka 'pilikia' e hiki mai ana kekahi mea ʻino. ʻO ia hoʻi, pono kākou e akahele iki aʻe.

E noi aku kāu kauka iā ʻoe e hana i nā hoʻokolohua kūikawā (e like me nā scan anomaly kikoʻī, echocardiography fetal) a e hele pinepine i ke keʻena lapaʻau ma mua o ka wahine hāpai maʻamau. Pono paha ʻoe e ʻike i nā loea (e like me nā perinatologists). ʻO kēia mau mea a pau no ka pale ʻana iā ʻoe a me kāu pēpē. No laila he mea nui loa ia e hahai pololei i nā kuhikuhi a kāu kauka. Inā ʻaʻole ʻoe e maopopo i kekahi mea a hopohopo paha, e kamaʻilio me kāu kauka e pili ana i ia mea.

ʻO kekahi mau ʻōlelo aʻoaʻo hou aʻe he mea nui no ka hāpai olakino (a ʻoi aku hoʻi ka hāpai ʻana me ka pilikia kiʻekiʻe)

Inā paha he hāpai pilikia kiʻekiʻe a i ʻole he hāpai maʻamau, manaʻolana nā makuahine a pau i kahi pēpē olakino. No laila, e hoʻomanaʻo kākou iā kākou iho i kekahi mau mea nui ʻē aʻe e kōkua i kēlā. ʻOi aku ka nui o kēia mau mea i ke kūlana 'pilikia kiʻekiʻe'.

• E ʻimi i ke aʻo lapaʻau mai ka hoʻomaka ʻana (Mālama Prenatal Mua a me ka Maʻamau)
• "I ka wā e ʻike ai ʻoe ua hāpai ʻoe, e ʻike koke i ke kauka a hoʻomaka i ka mālama prenatal . E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e like me ka ʻōlelo a kāu kauka iā ʻoe. A laila hiki ke nānā ʻia ke olakino o kāu pēpē a me kāu pēpē a hāʻawi ʻia nā ʻōlelo aʻoaʻo a me nā lāʻau lapaʻau e pono ai. E kōkua kēia iā ʻoe e ʻike a mālama koke i nā pilikia."

• ʻAi maikaʻi, ʻai olakino
• "Pono ʻoe e makaʻala loa i ka meaʻai āu e ʻai ai i kēia manawa. E hoʻomaʻamaʻa i ka ʻai momona e like me nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, nā ʻiʻo momona, ka iʻa, ka waiū, ka yogurt, a me nā hua manu . E hōʻemi i nā mea ʻono, nā mea ʻaila, nā meaʻai i hana ʻia, a me nā meaʻai wikiwiki e like me ka hiki. Inā ua hāʻawi kāu kauka iā ʻoe i nā mea hoʻohui e like me ka hao, ka calcium, a me ka folic acid, e lawe pono iā lākou e like me ke kauoha. Mai poina e inu i ka wai nui (ma ka liʻiliʻi he 8-10 mau aniani i ka lā)."
• "E noʻonoʻo, ulu kāu pēpē i loko o ka ʻōpū mai ka meaʻai āu e hāʻawi ai iā ia. No laila, inā ʻoe e ʻai i nā meaʻai maikaʻi, e loaʻa nō hoʻi i ka pēpē ka meaʻai maikaʻi."

• Hoʻoikaika kino, akā e like me ke kuhikuhi a ke kauka (Hoʻoikaika kino inā ʻae ʻia)
• "Inā ʻōlelo ke kauka 'ua maikaʻi', he mea maikaʻi loa ka hana ʻana i nā hoʻoikaika kino māmā e kūpono iā ʻoe. Hiki iā ʻoe ke hana i nā mea e like me ka hele wāwae, nā hoʻoikaika kino yoga e kūpono i nā wahine hāpai, a me ka ʻauʻau ʻana. Akā, e nīnau i kāu kauka i ke ʻano o ka hoʻoikaika kino e kūpono iā ʻoe a me ka lōʻihi o kāu hana ʻana. Mai hoʻoikaika kino a hiki i kou luhi, luhi, a ʻeha paha. "

• Piʻi Kaumaha Ola Kino
• "He mea maʻamau ka piʻi ʻana o ke kaumaha i ka wā hāpai. Eia naʻe, ʻaʻole maikaʻi ka piʻi ʻana o ke kaumaha nui a i ʻole ke kaumaha haʻahaʻa. E haʻi aku kāu kauka iā ʻoe i ka nui o ke kaumaha āu e piʻi ai ma muli o kāu helu helu kino ma mua o ka hāpai ʻana (BMI). E hoʻāʻo e mālama i kēlā nui."

• E pale mai nā maʻi
• "He mea nui loa ia e pale iā ʻoe iho mai nā maʻi like ʻole i kēia manawa. No ka mea, hiki i kekahi mau maʻi ke hoʻopilikia i ka pēpē."
• " E holoi pono i kou mau lima me ke kopa. ʻOi loa aku ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua."
• " Mai ʻai i nā mea e like me ka ʻiʻo maka, ka iʻa maka, nā hua maka, ka tīhi i hoʻomaʻemaʻe ʻole ʻia, a me ka waiū. E ʻai wale i nā meaʻai i moʻa maikaʻi ʻia."
• "E kiʻi i nā pale ʻana i ʻōlelo ʻia e kāu kauka. Eia kekahi laʻana, ka lāʻau pale tetanus, ka lāʻau pale influenza."
• "E makaʻala i nā maʻi i lawe ʻia e nā makika e like me ka maʻi Zika a me ka dengue. E pale iā ʻoe iho mai nā makika."
• "I mea e pale aku ai i nā maʻi e like me ka toxoplasmosis, e pale i ka hoʻopā ʻana i nā ʻōpala pōpoki, a e komo i nā mīkina lima i ka wā e hana ana i ka hana pā hale."

• Moe kolohe palekana
• "Inā ʻaʻole ʻoe i ʻike i ka mōʻaukala moekolohe o kāu hoa, a inā paha ʻoe e manaʻo he maʻi i laha ma ke ʻano moekolohe (STD) e like me ka HIV, herpes, a syphilis paha, mai moe kolohe me ka pale ʻole a hoʻohana i ka condom. No ka mea, inā loaʻa iā ʻoe kahi maʻi, hiki ke laha i ka pēpē, hiki ke loaʻa nā hopena weliweli. E kamaʻilio me kāu kauka e pili ana i kēia me ka wehe."

• E hōʻemi i ke kaumaha
• "He mea maʻamau ke manaʻo iki i ka hopohopo a me ke kaumaha i ka wā hāpai ma muli o nā loli hormonal. Eia naʻe, e ho'āʻo e pale i ke kaumaha i ka hiki.""E ho'āʻo e hoʻolohi a hoʻomaha. E hoʻolohe i kahi mele āu e makemake ai, e heluhelu i kahi puke, e hana i kekahi mau noʻonoʻo māmā, e hana i nā hoʻomaʻamaʻa hanu hohonu, e kamaʻilio me kekahi mea āu e hilinaʻi ai. Inā pono, e ʻimi i ka ʻōlelo aʻo mai kahi loea olakino noʻonoʻo. He mea nui loa kou olakino noʻonoʻo no ka ulu olakino o kāu pēpē."

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

ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ke ʻano o ka 'High-Risk Pregnancy'. ʻO ka mea nui e hoʻomanaʻo ai, mai makaʻu i ka huaʻōlelo 'high-risk'. ʻO ia hoʻi, pono ʻoe a me kāu pēpē i ka mālama kūikawā a me ka nānā ʻana.

• ʻO kāu kauka kou hoaaloha maikaʻi loa. E hoʻolohe i kāna ʻōlelo a hahai. Inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau. E hele pinepine i kēlā me kēia keʻena lapaʻau.
• E hoʻohana i kahi nohona olakino. ʻO ka meaʻai maikaʻi, ka hoʻoikaika kino me ka ʻae ʻia e ke kauka inā pono, ka hiamoe kūpono, a me ka hauʻoli noʻonoʻo he mea nui loa ia mau mea.
• E hoʻokaʻawale loa i nā ʻano ʻino. E noho mamao mai ka puhi paka, ka waiʻona, a me nā lāʻau lapaʻau.
• ʻAʻole ʻoe hoʻokahi. Aia kou ʻohana, kāu kāne, kou mau hoaaloha, a me nā limahana mālama ola e kōkua a kākoʻo iā ʻoe.

E like me nā makuahine a pau, ke makemake nui nei mākou iā ʻoe i kahi pēpē olakino a hauʻoli hoʻi!

Hāpai , Hāpai Kiʻekiʻe-Pilikia, Mālama Ma mua o ka Hānau ʻana, Hāpai Ola Kino, Ola o ka Pēpē, Ola o ka Makuahine