He nui ka poʻe e mare nei i kēia manawa a ke noʻonoʻo nei e loaʻa kahi keiki i ko lākou wā ʻelemakule iki. Malia paha ua paʻahana pū ʻoe me ka hana, ka hoʻonaʻauao, a me nā mea ʻē aʻe, a ke noʻonoʻo nei e hoʻomaka i kahi ʻohana. Inā he 35 ou makahiki, aia paha kahi makaʻu ma ke kihi o kou manaʻo, "Auē, ua ʻelemakule wau i kēia manawa, he pilikia anei ka loaʻa ʻana o kahi pēpē ?" He mea maʻamau loa ia. Akā ʻo ka mea maikaʻi loa, he nui nā makuahine i loko o ke kaiāulu i kēia lā e hānau ana i nā keiki olakino ma hope o 35 mau makahiki, a hiki i ko lākou mau makahiki kanahā. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia a hana i nā hana e pono ai. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha ke ʻano o ka 'Mākua Makuahine Kiʻekiʻe'?
I ka ʻōlelo maʻalahi, inā he 35 ou mau makahiki a ʻoi paha i ka wā e hāpai ana ʻoe i kahi pēpē, kapa mākou i kēia ʻano ma ke ʻano lapaʻau ʻo ' advanced maternal age '. ʻOiai ua hoʻohana ʻia nā huaʻōlelo e like me "geriatric pregnancy" no kēia i ka wā ma mua, ʻaʻole hoʻohana nui ʻia kēlā mau huaʻōlelo i kēia manawa.
ʻAʻole kēia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē olakino. ʻO ia hoʻi, hiki ke piʻi aʻe kekahi mau pilikia olakino me ka makahiki, a pono ʻoe a me kāu kauka e makaʻala kūikawā iā lākou.
He aha nā pilikia o ka hāpai ʻana ma hope o 35 mau makahiki?
Hiki ke loaʻa nā pilikia hāpai i kēlā me kēia makahiki. Eia nō naʻe, ma hope o 35 mau makahiki, piʻi iki ka pilikia o nā kūlana ma lalo nei. Akā e hoʻomanaʻo, ma ka hana pū ʻana me kāu kauka, hiki iā ʻoe ke hoʻokele i kēia mau pilikia āpau.
| Pōpilikia | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe | Hiki i kēia ke alakaʻi i kekahi manawa i kahi kūlana weliweli i kapa ʻia ʻo preeclampsia (ke koko kiʻekiʻe a me ka hōʻino ʻana i nā ʻōpū o loko). |
| Maʻi diabetes hāpai | ʻO ka maʻi diabetes i kaupalena ʻia i ka hāpai ʻana. |
| Ka hāʻule ʻana o ka hāpai keiki a i ʻole ka hānau make ʻana | Piʻi iki kēia pilikia me ka makahiki. |
| Pono ka ʻoki ʻana i ka ʻāpana caesarean (C-section) | Aia kahi manawa kūpono e pono ai ke hoʻohana i kahi ʻāpana caesarean ma muli o nā pilikia i ka wā hānau. |
| Ka hānau mua ʻana | ʻO ka hānau ʻana o ke keiki ma mua o ka lā palena pau. |
| Kaumaha hānau haʻahaʻa | ʻOi aku ke kaumaha o ke pēpē i ka wā hānau ma mua o ka maʻamau. |
| Nā maʻi Chromosomal i loko o ke keiki | ʻO ka pilikia o ka hoʻomohala ʻana i nā maʻi e like me Down syndrome e hoʻonui me ka makahiki. |
No ke aha e piʻi ai kēia mau pilikia me ka makahiki?
ʻElua kumu nui no kēia. E noʻonoʻo i ka wā e hānau ʻia ai ka wahine, loaʻa i kona kino kahi helu o nā hua e pono ai no ke koena o kona ola. I kona wā ʻelemakule, emi iho ka helu o nā hua, a emi mālie hoʻi ke ʻano o nā hua i koe. Hoʻonui kēia i ka pilikia o nā ʻano chromosomal i loko o nā hua.
ʻO kekahi mea ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi maʻi e like me ke koko kiʻekiʻe i kahi kanaka 35 makahiki ma mua o kahi kanaka 25 makahiki. No laila, hiki ke paʻakikī hou aku kēia mau kūlana e ka hāpai ʻana.
Aia kekahi mau pono i kēia?
ʻAe, mai kāhāhā! Ua hōʻike ʻia nā noiʻi he mau pono ke lilo i makuahine i ka wā ʻelemakule.
- ʻOi aku ka hoʻonaʻauao ʻana o nā makuahine makua a loaʻa iā lākou kahi loaʻa kālā paʻa , no laila hiki iā lākou ke hoʻolako i nā kumuwaiwai e pono ai no kā lākou keiki.
- Ma muli o kou kūpaʻa noʻonoʻo a me kou ʻike ola, ʻoi aku ka maʻalahi o ke alo ʻana i nā pilikia o ka makuahine.
- Wahi a kekahi mau noiʻi, ʻoi aku ka lōʻihi o ke ola o nā makuahine i loaʻa nā keiki i ka wā ʻelemakule.
- ʻOi aku ka maikaʻi o ke olakino, ka hoʻonaʻauao ʻana, a me ka hānai maikaʻi ʻana no kāu keiki.Ua ʻōlelo ʻia hoʻi aia kahi manawa kūpono e loaʻa ai.
Pehea e hoʻonui ai i ka manawa kūpono o ka loaʻa ʻana o kahi pēpē olakino?
Inā ʻoe e mālama i kēia mau mea, hiki iā ʻoe ke loaʻa kahi hāpai olakino a nani hoʻi.
E hoʻomākaukau kākou ma mua o ka hāpai ʻana.
Inā ʻoe e noʻonoʻo ana e loaʻa kahi pēpē, e ʻike i kāu kauka ma mua o kou hoʻāʻo ʻana e hāpai. Ua kapa ʻia kēia he 'preconception checkup'. Maanei hiki iā ʻoe ke nānā inā ua mākaukau kou kino a me kou noʻonoʻo no ka hāpai ʻana.
E kiʻi i ka mālama kūpono ma ka wā hāpai mai ka wā ʻōpiopio.
He mea nui e loaʻa nā nānā lapaʻau maʻamau mai ka manawa āu e ʻike ai ua hāpai ʻoe. He mea nui loa nā pule 8 mua no ka ulu ʻana o ka pēpē. E nānā mau kāu kauka i kou koko, ka protein mimi a me nā pae kō, a me nā pae glucose koko. ʻAe kēia i ka ʻike mua a me ka mālama ʻana i nā kūlana e like me ka preeclampsia a me ka maʻi diabetes gestational.
E lawe i nā huaora koʻikoʻi (Nā Vitamina Prenatal)
He mea nui i kēlā me kēia wahine e hāpai ana i kahi pēpē e lawe i kahi pila huaora i kēlā me kēia lā i loaʻa ka waikawa folic . He mea nui loa kēia inā ʻoi aku ʻoe ma mua o 35 mau makahiki. Kōkua ka waikawa folic i ka pale ʻana i nā kīnā hānau ma ka lolo a me ke kaula kuamoʻo o ka pēpē. ʻO ka nui o kēlā me kēia lā i ʻōlelo ʻia he 400 micrograms. Eia naʻe, mai lawe ʻoe ma mua o 1,000 micrograms (1 milligram) me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
E aʻo e pili ana i ka hoʻāʻo ʻana i ka genetics
I ka piʻi ʻana o ka pilikia o kāu pēpē i ka loaʻa ʻana o nā ʻano chromosomal me ka makahiki, aia kekahi mau hoʻokolohua e hiki ke kōkua iā ʻoe e ʻike. ʻAʻole koi ʻia kēia mau mea, akā he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i kēia a hana i ka hoʻoholo kūpono loa iā ʻoe.
| Inoa Hoʻāʻo | He aha ka hana a kēia? |
|---|---|
| ʻO ka DNA fetal ʻole-kelepona (cffDNA) | Hiki iā ʻoe ke loaʻa kahi ʻike maʻalahi o nā kūlana e like me Down syndrome ma ka lawe ʻana i kahi hāpana o kou koko a me ka hoʻāʻo ʻana i ka DNA o ke pēpē. |
| ʻAmniocentesis | He hoʻāʻo e lawe ana i kahi liʻiliʻi o ka wai amniotic mai ka ʻōpū. Hiki i kēia ke ʻike pololei i nā kūlana genetic. Eia nō naʻe, he liʻiliʻi loa ka pilikia o ka hāʻule ʻana o ka hāpai keiki. |
| Ka Laʻana ʻana o nā Villus Chorionic (CVS) | He hoʻāʻo e lawe ana i kahi hāpana o nā pūnaewele mai ka placenta. E like me ka amniocentesis, he liʻiliʻi loa ka pilikia o kēia. |
| Pale ʻEhā | He hoʻāʻo koko i hana ʻia i ka lua o ka trimester. Ke ana kēia i nā pae o ʻehā mau mea i loko o kou koko (AFP, HCG, Estriol, Inhibin-A) e hāʻawi i kahi manaʻo o kāu mau kumu pilikia. |
He mea nui like ka mālama ʻana iā ʻoe iho.
E like me kou noʻonoʻo ʻana i kāu pēpē, he mea nui hoʻi e noʻonoʻo iā ʻoe iho. Inā olakino ʻoe, e olakino pū kāu pēpē.
- ʻAi olakino: E ʻai i ka nui o nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, a me nā huahana waiū momona haʻahaʻa. E ʻai i nā meaʻai waiwai i ka calcium .
- E hoʻonui pono i ke kaumaha: E hoʻonui wale i ke kaumaha e like me ka ʻōlelo a kāu kauka. ʻAʻole maikaʻi ka hoʻonui nui ʻana i ke kaumaha.
- Hoʻoikaika Kino: E nīnau i kāu kauka a hana i nā hoʻoikaika kino maʻalahi e kūpono iā ʻoe. ʻOiai kekahi mea e like me ka hele wāwae he mea maikaʻi ia.
- E hoʻōki loa i ka puhipaka a me ka waiʻona: He mea ʻino loa kēia i ka pēpē.
- Kaohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou ma mua o ka hāpai ʻana.
- E makaʻala me nā lāʻau lapaʻau: Mai lawe i kekahi lāʻau lapaʻau, nā mea hōʻeha ʻeha, a i ʻole nā wikamina me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
Hoʻōla hou ʻana ma hope o ka hānau ʻana
He manawa koʻikoʻi loa nā pule 12 mua ma hope o ka hānau ʻana no kou olakino. ʻOi loa aku inā ʻoi aku ʻoe ma mua o 35, he mea nui e loaʻa ka nui o ka hoʻomaha a mālama i kou olakino i kēia manawa. He manaʻo maikaʻi e ʻike i kāu kauka no ka nānā ʻana i loko o 2-3 mau pule ma hope o ka hānau ʻana.
E ʻimi koke i ke kōkua lapaʻau!
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni nui a me ke anu, ka paʻakikī o ka hanu ʻana, ka poniuniu, a i ʻole ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana, e hele koke i ka Emergency Department (ETU) o ka haukapila a i ʻole e hoʻomaopopo i kāu kauka.
Leka Lawe-Home
- ʻAʻole keakea ka ʻoi ʻana o 35 mau makahiki i ka loaʻa ʻana o kahi pēpē olakino, akā pono ʻoe a me kāu kauka e makaʻala pono iā ia.
- He mea nui loa e hana pū me kāu kauka ma mua a ma ka wā o ka hāpai ʻana.
- Hiki ke hoʻēmi ʻia nā kumu pilikia he nui ma ka ʻai ʻana i ka meaʻai olakino, ka hoʻoikaika kino mau, a me ka pale ʻana i ka puhipaka a me ka waiʻona.
- Mai makaʻu i ka hoʻāʻo ʻana i ka genetic, e kamaʻilio me kāu kauka e pili ana i ia mea, a e hoʻoholo i kahi hoʻoholo naʻauao.
- Mai kānalua e nīnau i kāu kauka i nā nīnau, hopohopo, a kānalua paha e hiki mai ana i kou manaʻo. ʻO kou hauʻoli a me kou olakino ka mea nui.
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