He mea maʻamau iā ʻoe ke loaʻa kahi makaʻu iki i loko o kou manaʻo e pili ana i kekahi mea a i ʻole kekahi mea ʻē aʻe i kou kakali ʻana e lilo i makuahine . 'He mea maikaʻi anei ke ʻai ʻana i kēlā meaʻai?', 'E hoʻopilikia anei ka lawe ʻana i kēia lāʻau i ka pēpē?', 'Pono anei au e makaʻala inā e pīpī au i ka lāʻau make pepeke ma koʻu hale?' He mau nīnau paha kāu e like me kēia i loko o kou manaʻo. Ke lohe ʻoe i nā moʻolelo mai nā wahi a pau, he mea paʻakikī ke ʻike i ka mea ʻoiaʻiʻo a me ka mea wahaheʻe. No laila e kamaʻilio kākou e pili ana i kēia i kēia lā, e hoʻopau i kou mau makaʻu a me kou kānalua.
I ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai mai nā mea a mākou e lohe ai. Eia nō naʻe, aia kekahi mau mea e pono ai mākou e makaʻala i ka wā hāpai. E nānā kākou i kēia mau mea a pehea e hiki ai iā mākou ke pale iā mākou iho.
He aha nā mea e hiki ke hōʻeha i ka pēpē (Teratogens)?
I ka ʻōlelo maʻalahi, ma ka lāʻau lapaʻau, kapa mākou i nā mea a i ʻole nā maʻi e hiki ke hoʻoulu i nā kīnā hānau i loko o kahi pēpē i loko o ka ʻōpū 'teratogens'. Akā ʻo ka hōʻike ʻana i kahi mea e like me kēia, ʻaʻole ia he manaʻo e hōʻeha ʻia ka pēpē. Aia kekahi mau mea e hoʻopilikia ai i kēia. No ka laʻana, pehea ka lōʻihi, pehea ka nui o ka hōʻike ʻana, a i ka pae o ka hāpai ʻana i hōʻike ʻia ai he mea nui ia.
Ma nā papa ʻelua ma lalo nei, e nānā kākou i nā lāʻau lapaʻau, nā kemika , a me nā maʻi i hōʻoia ʻia e ka ʻepekema e hoʻoulu i nā kīnā hānau i kahi keiki.
| Nā lāʻau lapaʻau a me nā kemika e hiki ke pilikia i ka wā hāpai | |
|---|---|
| Mea Hana | Nā mea nui |
| ʻAila | Hiki iā ia ke hōʻeha nui i ka ulu ʻana o ke keiki a me ka lolo. |
| ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe | E.g.: Nā mea hoʻopaʻa ACE (Enalapril), nā mea i loaʻa mai Coumarin (Warfarin). |
| ʻO kekahi mau lāʻau lapaʻau epilepsy | Eia kekahi laʻana: Carbamazepine, Valproic acid, Phenytoin. |
| Nā nui o ka huaora A a me kāna mau pūhui | He mea weliweli loa nā lāʻau lapaʻau e like me Isotretinoin (Accutane) no ka ʻākena. |
| Kekahi mau lāʻau antibiotic | ʻO kahi laʻana: Tetracycline, Streptomycin. |
| Nā lāʻau lapaʻau | Nā lāʻau lapaʻau e like me ka cocaine. |
| Ke alakaʻi, Mercury | Nā metala kaumaha e hiki ke omo ʻia mai ke kaiapuni. |
| Nā maʻi e hiki ke pilikia i ka wā hāpai | |
|---|---|
| ʻO ka maʻi Cytomegalovirus | He maʻi maʻamau i hōʻike pinepine ʻole i nā hōʻailona. |
| ʻO Rubella | ʻIke ʻia hoʻi ʻo ka measles German, hiki ke pale ʻia kēia me ka lāʻau pale MMR. |
| ʻO ka maʻi syphilis | He maʻi i laha ma ke moekolohe. |
| ʻO ka Toxoplasmosis | Hiki ke laha ma o ka ʻiʻo i moʻa pono ʻole ʻia a me nā ʻōpala pōpoki. |
| ʻO ka maʻi puʻupuʻu (Varicella) | ʻOi aku ke kiʻekiʻe o ka pilikia inā hana ia i ka wā mua o ka hāpai ʻana. |
He ʻōlelo aʻo kūikawā e pili ana i ka lāʻau lapaʻau ʻākena
Ua lohe paha ʻoe i ka lāʻau lapaʻau ʻo 'Thalidomide'. Ua hāʻawi ʻia i nā makuahine hāpai i nā makahiki he ʻumi i hala aku nei a ua hoʻoulu i nā kīnā hānau koʻikoʻi i kā lākou mau keiki. Akā, ʻo kahi lāʻau lapaʻau ʻoi aku ka weliweli a me ka pilikia ʻo ' Isotretinoin' , kahi lāʻau i hoʻohana ʻia e mālama i ka ʻeha cystic koʻikoʻi. ʻOi aku ka ʻike ʻia ma ka inoa inoa ʻo 'Accutane'.
Inā lawe ʻia kēia lāʻau i ka wā hāpai, aia kahi pilikia kiʻekiʻe loa o 30% - 35% o nā kīnā hānau koʻikoʻi i ka pēpē. Hiki i kēia ke hana i nā hōʻino koʻikoʻi, a hiki ke hoʻoweliweli i ke ola i nā ʻōpū nui o ka pēpē, e like me ka puʻuwai, nā pepeiao, a me ka lolo.
No laila, inā ʻoe e hāpai ana a i ʻole e hoʻolālā ana e hāpai, mai hoʻohana i kēia lāʻau lapaʻau no kekahi kumu. Inā ʻoe e hoʻohana ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā mea e noʻonoʻo ai e pili ana i ka ʻai
Pono kākou e makaʻala iki i ka meaʻai a kākou e ʻai ai i ka wā hāpai . ʻO ka mea nui, ʻo ka pale ʻana i kekahi mau mea he mea nui loa ia no ka palekana o ka pēpē.
E hoʻomanaʻo i kēia mau mea i ka wā e ʻai ana i ka iʻa
Hiki i kekahi mau iʻa kai nui ke loaʻa i nā pae kiʻekiʻe o ka mercury, kahi metala kaumaha. Hiki i kēia ke hoʻopilikia maikaʻi ʻole i ka ulu ʻana o ka lolo o ke keiki. No laila,
- Nā iʻa maikaʻi ʻole ke ʻai: E pale i ka ʻai ʻana i nā iʻa nui e like me ka mano, ka iʻa pahi kaua, a me ka mackerel aliʻi.
- Hiki iā ʻoe ke ʻai ia mea ma kahi o ʻelua manawa i ka pule: He mea maikaʻi ke ʻai i nā iʻa liʻiliʻi e like me ka ʻōpae, ka iʻa sālemona, ka mackerel, ka herring, a me ka sprat. Loaʻa i kēia mau mea nā meaola e like me ka ' omega -3' e pono ai ka pēpē.
- Iʻa i loko o ka pā: He koho maikaʻi ka tuna māmā.
Nā ʻoiaʻiʻo hou aʻe e pili ana i ka palekana o ka meaʻai
E hoʻolohe pū i nā kiko ma ka papa ma lalo nei. E kōkua kēia i ka pale ʻana iā ʻoe a me kāu pēpē mai nā maʻi bacteria.
| ʻoiaʻiʻo | He aha e hana ai |
|---|---|
| Nā mea e ʻai maka ai | E hōʻalo i nā ʻōpuʻu maka, ka waiū i hoʻomaʻemaʻe ʻole ʻia, ka tīhi, a me ka wai hua. |
| ʻIʻo, iʻa, hua manu | Mai ʻai i kekahi mea i moʻa pono ʻole ʻia a maka ʻia paha. E ʻai i nā hua manu i hoʻolapalapa maikaʻi ʻia a moʻa paha. |
| ʻIʻo i hoʻomākaukau ʻia | Mai ʻai i nā ʻiʻo deli e like me nā sausage, meatballs, a me ka ham ke ʻole lākou i hoʻomehana maikaʻi ʻia. |
| Ka maʻemaʻe | E holoi pono i kou mau lima ma mua a ma hope o ka hoʻomākaukau ʻana i ka meaʻai. E holoi pono i nā mea kanu a me nā huaʻai. Mai mālama pū i ka ʻiʻo maka a me ka meaʻai i moʻa ʻia. |
ʻO ka 'Gray Area' kahi i maopopo ʻole ai ka pilikia
Aia kekahi mau mea i hiki ʻole iā mākou ke ʻōlelo maopopo e hōʻeha i ka makuahine hāpai a i ʻole kāna pēpē. ʻO ke kumu o kēia, he mea kūpono ʻole ke hana i kahi noiʻi ma luna o nā wahine hāpai. No laila, ua kaupalena ʻia ka ʻike e pili ana i kēia mau mea.
ʻAspirin a me nā lāʻau ʻeha ʻeha
ʻAʻole ʻōlelo ʻia nā lāʻau hoʻopau ʻeha e like me ka aspirin a me nā NSAID (e.g. ibuprofen) i ka wā hāpai. Hiki iā lākou ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. Inā pono ʻoe e lawe i ka lāʻau no ke kuni a i ʻole ke poʻo ʻeha, e nīnau i kāu kauka a lawe i ka paracetamol.
Kafeina
Hopohopo ka poʻe he nui e pili ana i ka caffeine i loko o ke kī a me ke kofe, akā ua hōʻike nā noiʻi ʻaʻole pilikia nui ka inu ʻana i ka nui o ke kī a kofe paha, e like me hoʻokahi a ʻelua paha kīʻaha kī a kofe paha i ka lā.
Nā kemika o ka hale
ʻAʻole paha e hōʻeha ka hoʻohana mau ʻana i nā mea e like me ka pena kui, ka hoʻomaʻemaʻe keʻokeʻo, a me nā māka mau loa. Eia kekahi, i ka wā e pīpī ai i nā pesticides i loko o kou home, ua lawa ia e noho mamao aku mai kahi a hōʻoia i ka ea maikaʻi. Eia nō naʻe, inā ʻoe e hana ana ma ka mahiʻai a i ʻole kahi hale hana a ua pili ʻoe i nā kemika, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia.
ʻO ka mea nui loa, inā he kānalua a makaʻu paha kou e pili ana i kekahi mea, mai makaʻu e nīnau i kāu kauka e pili ana i ia mea. He mea waiwai nui kēlā ma mua o ka manaʻoʻiʻo i ka mea a ka poʻe e ʻōlelo nei.
E kiʻi i ka pana flu
ʻOi aku ka nui o ka pilikia o nā wahine hāpai i nā pilikia mai ka maʻi palū. No laila, palekana loa ia a ʻōlelo ʻia e kiʻi i ka lāʻau pale palū i kēlā me kēia manawa i ka wā hāpai. Mālama kēia iā ʻoe a me kāu pēpē i hānau ʻole ʻia. He mea nui hoʻi e hōʻoia i ka loaʻa ʻana o kāu mau lāʻau pale ʻē aʻe (e laʻa me MMR no Rubella) ma mua o kou hāpai ʻana.
Leka Lawe-Home
- E makaʻala loa me nā lāʻau lapaʻau a i ʻole nā kemika i ka wā hāpai, ʻoiai hoʻi i ka trimester mua .
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā huaora, nā lāʻau Ayurvedic, a i ʻole nā lāʻau lapaʻau kūloko).
- Inā ʻoe e hoʻolālā ana e hāpai, ʻoi aku ka maikaʻi o ke ʻike mua ʻana i ke kauka a kamaʻilio e pili ana i kāu mau lāʻau lapaʻau a me kou nohona.
- Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau i kuhikuhi ʻia e ke kauka me ka ʻole o ke kūkākūkā ʻana me ia. ʻOi aku hoʻi nā lāʻau lapaʻau no nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā maʻi noʻonoʻo.
- Inā kānalua ʻoe e pili ana i kahi mea a meaʻai paha, e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau. Inā pono, hiki iā ʻoe ke hoʻokaʻaʻike aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
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