Ua hopohopo iki anei ʻoe i ka wā i haʻi aku ai kāu kauka lapaʻau wahine (OBGYN) iā ʻoe he 'kiʻekiʻe-pilikia' kou hāpai ʻana? A i ʻole ua noʻonoʻo paha ʻoe, "ʻO wai kēlā?" i ka wā i ʻōlelo ʻia ai ʻoe e ʻike i kahi Perinatologist? Nui ka poʻe e hopohopo i ka lohe ʻana i kēia inoa. Akā, ʻaʻohe mea e makaʻu ai. He kauka kēia e hāʻawi ana i ka mālama hou aku, ka ʻike loea, a me ka palekana no ʻoe a me kāu pēpē i hānau ʻole ʻia. No laila, i kēia lā, e kamaʻilio kākou ma nā ʻōlelo maʻalahi e pili ana i ka mea he Perinatologist, kā lākou hana, a me ka wā e pono ai kā lākou kōkua.
I ka ʻōlelo maʻalahi, ʻo wai kēia Perinatologist?
He kauka ʻōpū-gynecologist (OBGYN) ka perinatologist nāna i loaʻa ke aʻo kūikawā i nā hāpai keiki kiʻekiʻe . Ma ke ʻano kikoʻī, me ke aʻo ʻana i loaʻa e kahi kauka ʻōpū-gynecologist maʻamau, ua loaʻa iā lākou ʻelua a ʻekolu mau makahiki o ke aʻo kūikawā hou (Fellowship) i nā pilikia olakino paʻakikī e hiki ke kū i ka makuahine a i ʻole ke pēpē i ka wā hāpai.
Hiki iā ʻoe ke lohe i kēia poʻe me nā inoa ʻē aʻe.
- Kauka Lapaʻau Maternal-Fetal (MFM): ʻO ke ʻano kēia "he kauka loea i ka makuahine a me ke pēpē i loko o ka ʻōpū."
- Kauka Hoʻoponopono ʻŌpio Kino Kiʻekiʻe: "Kauka Hoʻoponopono ʻŌpio Kino e loea ana i nā kūlana hāpai pilikia kiʻekiʻe."
Pili nā inoa ʻekolu i ka loea hoʻokahi. ʻO kā lākou hana nui ka mālama ʻana i ke kūlana olakino mau o ka makuahine i ka wā hāpai a i ʻole e hōʻoia i ka hānau ʻia ʻana o ka pēpē me kahi maʻi hānau, a e hānau palekana i ka makuahine a me ka pēpē.
He aha nā lawelawe āu e loaʻa ai mai kahi perinatologist?
He loea ka perinatologist nāna e kākoʻo iā ʻoe i ka wā hāpai pilikia kiʻekiʻe. He ākea loa kā lākou kuleana. E nānā kākou i nā mea nui a lākou e hana ai.
| lawelawe | ʻO ia hoʻi... |
|---|---|
| Ke Aʻo ʻana ma mua o ka Hānau ʻana | Inā loaʻa iā ʻoe kahi maʻi mau e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, hiki iā ʻoe ke ʻike i kēia kauka ma mua o kou hāpai ʻana a loaʻa ka ʻōlelo aʻoaʻo no ka mālama ʻana i kēlā maʻi i ka wā hāpai. |
| Mālama kūikawā no nā kūlana hāpai pilikia kiʻekiʻe | Inā ua hoʻoholo ʻia kou hāpai ʻana he pilikia, e hana ʻia nā hoʻokolohua maʻamau a me ka nānā ʻana ma lalo o kēia kauka loea, ma waho aʻe o nā keʻena lapaʻau maʻamau. |
| Hoʻokele Kūlana Maʻi | Hāʻawi ʻia ka lāʻau lapaʻau e kāohi i kahi maʻi mua a i ʻole kahi maʻi hou e ulu ana i ka wā hāpai (e.g., ka maʻi diabetes gestational). |
| Ka hōʻoia ʻana o ka pēpē i loko o ka ʻōpū | Kōkua nā scan ultrasound kūikawā a me nā hoʻokolohua ʻē aʻe (e laʻa, amniocentesis) e ʻike koke inā he maʻi hoʻoilina a kīnā hānau paha ka pēpē. |
| Kōkua i ka wā hānau keiki | I kekahi mau hihia paʻakikī, hiki i kēia loea ke hele pū i loko o ka lumi hana e kōkua i kāu kauka hānau keiki i ka wā hānau. |
| Ka mālama ʻana i nā pilikia ma hope o ka hānau ʻana | Kōkua pū lākou i ka mālama ʻana i nā pilikia e like me ke kahe koko nui a ka makuahine e ʻike ai ma hope o ka hānau ʻana. |
He aha ka 'Hapai Keiki Kiʻekiʻe'?
He huaʻōlelo kēia a ka poʻe he nui e makaʻu nei. Akā, e hoʻomaopopo kākou i kona manaʻo maoli.
ʻO ke kapa ʻia ʻana he 'at risk' ʻaʻole ia he manaʻo he mea weliweli kou hāpai ʻana a i ʻole he pilikia me kāu pēpē. ʻO ia hoʻi, pono ʻoe a me kāu pēpē i ka nānā hou aku a me ka nānā ʻana. ʻO ia hoʻi, ke nānā nui aku nei nā kauka iā ʻoe.
Ma keʻano laulā, aia kekahi mau kumu e hāʻule ai ka hāpai ʻana i loko o ka māhele 'pilikia'.
| Ke kumu o ka pilikia | Wehewehena |
|---|---|
| Makahiki o ka makuahine | ʻOiai inā ʻoi aku ka nui o ka makuahine ma mua o 40 mau makahiki, ʻoi aku ka nui o ka loaʻa ʻana o kekahi mau pilikia, no laila e uku ʻia ka nānā nui ʻana. |
| Nā Hāpai Nui | Inā he nui kāu mau pēpē, e like me nā māhoe a i ʻole nā māhoe ʻekolu, pono ʻoe e mālama pono i ka wā o ka hāpai ʻana. |
| Nā ʻike hāpai mua | Inā ua loaʻa iā ʻoe nā pilikia ma mua e like me nā hāʻule ʻana, nā hānau keiki make, a i ʻole ka preeclampsia. |
| Moʻolelo ʻohana o ka maʻi | Inā he maʻi genetic ko kekahi o ka ʻohana, pono e nānā ʻia lākou. |
| Nā maʻi mau o ka makuahine | Nā kūlana e like me ka maʻi puʻuwai, ka maʻi diabetes, ke koko kiʻekiʻe, nā maʻi puʻupaʻa, a i ʻole nā maʻi autoimmune. |
No ke aha ʻoe e kuhikuhi ʻia ai i kahi Perinatologist?
Hiki i kāu kauka lapaʻau wahine (OBGYN) ke hoʻokele i ka hapa nui o nā pilikia liʻiliʻi i ka wā hāpai (e laʻa, ke koko kiʻekiʻe i kāohi maikaʻi ʻia). Eia nō naʻe, inā manaʻo ʻo ia he ʻoi aku ka paʻakikī o ke kūlana, a inā makemake ʻoe i ka manaʻo ʻelua, e kuhikuhi ʻo ia iā ʻoe i kahi perinatologist.
I kekahi manawa ua ʻike ʻoe ma mua o kou hāpai ʻana e pilikia ana kou hāpai ʻana (no ka laʻana, inā he maʻi puʻuwai koʻikoʻi kou). I ia mau hihia, makemake paha ʻoe e ʻike i kahi perinatologist i ka wā mua.
Eia kekahi mau kumu maʻamau e hiki ai ke kuhikuhi ʻia ʻoe i kahi Perinatologist:
- Loaʻa iā ʻoe nā maʻi i koe ma mua e like me ka maʻi puʻuwai, lupus, a i ʻole ka maʻi diabetes.
- Ke koko kiʻekiʻe loa a i ʻole ka preeclampsia.
- Inā he pilikia o ka hānau mua ʻana.
- Inā he moʻolelo kou o nā hopu ʻana a i ʻole nā maʻi puʻupaʻa.
- Inā ua loaʻa iā ʻoe nā hapa he nui a i ʻole nā hānau make i ka wā ma mua.
- Inā hāʻawi kekahi mau hoʻokolohua i hana ʻia i ka wā hāpai (Prenatal Screening) i nā hopena ʻē.
- Inā ʻoe e kali ana i nā māhoe, nā triplets, a i ʻole nā keiki hou aʻe.
He aha ka ʻokoʻa ma waena o kahi Obstetrician a me kahi Perinatologist?
He pilikia kēia i loaʻa i nā kānaka he nui. E hoʻomaopopo maʻalahi kākou.
E noʻonoʻo i kāu OBGYN ma ke ʻano he kauka ʻohana/GP i ka wā hāpai. Mālama ʻo ia i kou olakino holoʻokoʻa. Akā inā loaʻa iā ʻoe kahi maʻi puʻuwai kikoʻī, e kuhikuhi ʻia ʻoe i kahi kauka cardiologist, ʻeā? Pēlā nō, inā loaʻa iā ʻoe kahi pilikia kikoʻī a paʻakikī i ka wā hāpai, e kuhikuhi kāu OBGYN iā ʻoe i kahi perinatologist.
ʻO ke ʻike ʻana i kahi perinatologist ʻaʻole ia he manaʻo ʻo ia kāu kauka mālama mua. ʻO ia hoʻi, aia kekahi loea ʻē aʻe e hui pū ana me kāu hui mālama hāpai. Hana pū kāu kauka mālama mua (OBGYN) a me ka perinatologist ma ke ʻano he hui e hoʻoholo i kou olakino. Hiki paha iā ʻoe ke ʻike i ka perinatologist i kekahi mau manawa i kou wā hāpai. Hiki paha iā ia ke komo nui i kāu mālama.
He aha nā hoʻokolohua kūikawā a ka perinatologist e hana ai?
Hoʻohana lākou i kekahi mau hoʻokolohua kūikawā e ʻike a mālama i nā kūlana pilikia.
- ʻO ke Ultrasound kikoʻī: Hana ʻia kahi hoʻokolokolo hohonu o nā ʻōpū o ke pēpē, ka ulu ʻana, a me nā mea ʻē aʻe ma mua o kahi scan maʻamau.
- Nā hoʻāʻo koko: E aʻo i nā ʻike like ʻole e pili ana i ke olakino o ka makuahine a me ke pēpē.
- Nānā ʻana i ka wā hāpai: Ke nānā nei i ka pilikia o ka loaʻa ʻana o nā maʻi genetic e like me Down Syndrome i ka pēpē.
- ʻAmniocentesis: He hoʻāʻo e wehe i kahi liʻiliʻi o ka wai amniotic mai ka ʻeke amniotic o ke pēpē e nānā i nā kīnā genetic.
- Chorionic Villus Sampling (CVS): He kaʻina hana e pili ana i ka lawe ʻana i kahi hāpana liʻiliʻi o ka placenta a hana i nā hoʻāʻo genetic.
Hana anei nā perinatologists i ke ʻoki kino?
ʻAe, i kekahi mau hihia. E hana pinepine kāu kauka hānau mua i ka hānau ʻana a i ʻole ka ʻoki C. Eia nō naʻe, i kekahi mau hihia paʻakikī loa, hiki ke komo pū kekahi perinatologist. No ka laʻana, hiki iā lākou ke hana i nā ʻoki kūikawā e like me ka cerclage cervical, ʻo ia ke kaʻina hana e pale ai i ka wehe ʻana o ka cervix ma mua o ka hānau ʻana o ka pēpē no ka mea ua nāwaliwali loa.
He mea maʻamau ke hopohopo i ka wā e kuhikuhi ʻia ai ʻoe i kahi perinatologist. Akā e hoʻomanaʻo, ʻo ia hoʻi ke hoʻāʻo nei kāu kauka i kā lākou mea maikaʻi loa e hāʻawi i ka mālama maikaʻi loa a palekana hoʻi no ʻoe a me kāu pēpē. No laila, mai makaʻu, a e wehe e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai me kāu kauka a me ka perinatologist.
Leka Lawe-Home
- He kauka perinatologist ka mea i loaʻa ka hoʻomaʻamaʻa kūikawā i nā hāpai keiki pilikia kiʻekiʻe. Hāʻawi lākou i ka mālama kūikawā hou aku nou a me kāu pēpē.
- ʻO ka hoʻouna ʻia ʻana i kahi perinatologist ʻaʻole ia he manaʻo he hewa nui kāu hāpai ʻana. ʻO ia hoʻi, e loaʻa iā ʻoe a me kāu pēpē ka nānā hou aku a me ka palekana.
- Hana pū ke kauka perinatologist me kāu kauka hānau mua a me ke kauka wahine (OBGYN). Hoʻoholo pū lākou i ka lāʻau lapaʻau maikaʻi loa nāu.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. ʻO ka ʻike maopopo ʻana i nā mea e kōkua nui i ka hōʻoluʻolu ʻana i nā makaʻu pono ʻole āu e loaʻa ai.
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