Inā he makuahine hāpai ʻoe, ʻo kekahi o nā manaʻolana nui loa i loko o kou puʻuwai, ʻo ia ka lawe ʻana mai i kahi pēpē olakino a makua piha i kēia ao i ka lā hānau. Akā i kekahi manawa, ʻaʻole holo nā mea e like me kā mākou e manaʻo ai. Hānau mua ʻia kekahi mau pēpē, ʻo ia hoʻi, ma mua o ka lā hānau. Kāhea mākou i kēia 'hānau mua' a i ʻole ka hānau mua ʻana . He mea maʻamau loa ke manaʻo i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia mau ʻōlelo. Akā, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau me ka maopopo, maʻalahi, a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka hānau mua ʻana?
I ka ʻōlelo maʻalahi, ʻo ka hānau mua ʻana, ʻo ia hoʻi ka hānau ʻana o kahi pēpē ma mua o ka lā hānau, ʻo ia hoʻi ma mua o ka hebedoma 37 o ka hāpai ʻana. ʻO ka hāpai olakino ka maʻamau ma kahi o 40 mau pule. I loko o kēia manawa, ua ulu piha nā ʻōpū āpau o ka pēpē a ua mākaukau e komo i ka honua waho.
E noʻonoʻo i ke koʻikoʻi o nā pule hope loa o ka hāpai ʻana no kāu pēpē. ʻO kēia ka manawa e ulu hope ai nā ʻōpū koʻikoʻi o ka pēpē, e like me ka lolo, nā māmā, a me ke akepaʻa. No laila, i ka wā e hānau mua ʻia ai kahi pēpē, ʻaʻole paha i ulu piha kēlā mau ʻōpū, hiki ke alakaʻi i nā pilikia olakino liʻiliʻi. No ka laʻana, he paʻakikī paha ke hoʻoponopono i ka mahana o ke kino a i ʻole ka paʻakikī i ka omo ʻana a me ka inu ʻana i ka waiū.
Akā ʻo ka mea nui loa āu e pono ai e hoʻomanaʻo ma ʻaneʻi, me ka ʻenehana lapaʻau holomua o kēia wā, ʻoi aku ka nui o ka manawa kūpono o nā pēpē i hānau mua ʻia e lanakila ai i nā pilikia o kēlā mau lā mua a ulu aʻe e like me nā keiki olakino inā hāʻawi ʻia iā lākou ka mālama kūikawā a lākou e pono ai. No laila, mai nalowale ka manaʻolana.
Aia kekahi mau pae like ʻole o ka hānau mua ʻana?
ʻAe, hoʻokaʻawale mākou i kēia i ʻehā mau māhele nui e pili ana i ka helu o nā pule i hānau ʻia ai ka pēpē. ʻO kahi pēpē i hānau ʻia ma 39 mau pule a ma hope paha ua manaʻo ʻia he pēpē 'manawa piha'. ʻO nā pēpē i hānau ʻia i kēia makahiki, ʻaʻole lākou e loaʻa i nā pilikia. ʻO kahi pēpē i hānau ʻia ma mua o 37 mau pule ʻo ia ka mea a mākou e kapa nei he preterm.
No ka hoʻomaopopo pono ʻana i nā pae, e nānā i kēia papa .
| Pae o ka Hānau Mua ʻana | Nā Pule Hāpai | He wehewehe maʻalahi |
|---|---|---|
| Ka hānau mua ʻana ma hope o ka hānau ʻana | Ma waena o 34 a me 36 mau pule | Hāʻule ka hapa nui o nā pēpē hānau mua i loko o kēia māhele. He haʻahaʻa iki ka pilikia. |
| hānau mua iki | Ma waena o 32 a me 34 mau pule | Pono paha kēia pēpē i ka mālama olakino kūikawā. |
| hānau mua loa | Ma mua o 32 mau pule | Pono maoli kēia pēpē i ka mālama ʻia ma kahi keʻena mālama koʻikoʻi neonatal (NICU). |
| hānau mua loa | Ma mua o 25 mau pule | ʻO kēia ka pae pilikia kiʻekiʻe loa. Pono ke ola ʻana i ka mālama olakino holomua loa. |
Ma keʻano laulā, pili ka pilikia o nā pilikia olakino i ka wā mua o ka hānau ʻana o kahi pēpē. ʻO ka lōʻihi o ke pēpē i loko o ka ʻōpū, ʻo ka haʻahaʻa o ka pilikia.
No ke aha i hānau mua ʻia ai kekahi mau pēpē? He aha nā kumu nui?
I kekahi manawa, ʻaʻohe kumu maopopo no ka hānau mua ʻana. Hiki ke hana koke ʻia. Akā i kekahi manawa, ma muli o kekahi kumu olakino, no ka makuahine a i ʻole ke pēpē, pono nā kauka e hānau koke i ka pēpē. Eia kekahi, aia kekahi mau kumu nui e hiki ai ke hana i ka hānau mua ʻana.
- Nā kūlana olakino mau loa i ka makuahine: Inā loaʻa iā ʻoe nā kūlana mua e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai, hiki i kēia ke lilo i mea pilikia. ʻO ia ke kumu he mea nui e hana pū me kāu kauka e hoʻokele pono i kēia mau kūlana i kou wā hāpai.
- Nā pilikia placental: ʻO nā kūlana e like me ka placental abruption a i ʻole placenta previa hiki ke hoʻoulu i ke kahe koko a me ka hānau mua ʻana.
- Preeclampsia: He kūlana koʻikoʻi kēia e kū mai ana i ka wā hāpai me ke koko kiʻekiʻe.
- Loaʻa nā keiki he nui: Ke kali nei i nā māhoe a i ʻole nā māhoe ʻekolu (mau keiki he nui), ʻike ka ʻōpū i ke kaomi keu, kahi e hoʻonui ai i ka hiki ke hānau mua ʻia.
- Nā pilikia me ka ʻōpū a i ʻole ka cervix: Hiki i nā mea e like me nā ʻano ʻē i ke ʻano o ka ʻōpū a i ʻole ka nāwaliwali o ka cervix ke hoʻopilikia i kēia.
- Nā maʻi i ka wā hāpai: Hiki i nā maʻi vaginal a i ʻole nā maʻi ʻē aʻe ke hana i nā ʻeha hānau mua.
- Nā ʻano nohona maikaʻi ʻole: ʻO ka puhipaka, ka inu ʻana i ka waiʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe i ka wā hāpai e hoʻopilikia pololei i ka pēpē a me ka hānau ʻana.
He aha nā hopena olakino e hiki ke loaʻa i kahi pēpē i hānau mua ʻia?
ʻAʻole i lawa ka manawa o ka pēpē i hānau mua ʻia e ulu piha ai i loko o ka ʻōpū o ka makuahine. ʻO ka hopena, ʻaʻole paha i mākaukau kekahi mau ʻōkana a me nā ʻōnaehana kino e noho i waho o ke ao. ʻO ia ke kumu e pono ai kēia mau pēpē i ka mālama lapaʻau kūikawā. Mālama ʻia kēia mau pēpē i loko o kahi keʻena mālama koʻikoʻi neonatal kūikawā (NICU) .
Nā pilikia e hiki ke kū mai i ka wā hānau
- Anemia: Ka emi ʻana o ka helu o nā hunaola koko ʻulaʻula olakino i loko o ke kino.
- Apnea o ka hānau mua ʻana: Nā hoʻomaha pōkole i ka hanu ʻana.
- ʻO ka ulu ʻana o ka māmā i piha ʻole: Hiki i kēia ke hana i ka maʻi pilikia hanu.
- Ke kahe koko intraventricular: Ke kahe ʻana o ke koko i loko o nā ventricles o ka lolo.
- ʻO ka jaundice hānau hou: Melemele o ka ʻili a me nā maka ma muli o ke kiʻekiʻe o nā pae bilirubin i loko o ke koko.
- ʻO ka enterocolitis necrotizing: Ka hōʻino ʻana i nā ʻiʻo ʻōpū.
- Sepsis pēpē hānau hou: He maʻi koko e laha ana ma ke kino holoʻokoʻa.
- Nā pilikia o ka puʻuwai (Patent ductus arteriosus - PDA): He ʻano maʻamau ʻole e pili ana i kahi kīʻaha koko i loko o ka puʻuwai.
- Retinopathy o ka hānau mua ʻana: ʻO ka hiki ʻole o nā kīʻaha koko i loko o ka retina ke ulu pono.
Nā hopena lōʻihi e hiki mai ana
Hiki i nā pēpē i hānau ʻia me ke kū ʻole o ka manawa ke kū i kekahi mau pilikia ulu i ko lākou wā e ulu ana.
- lolo lolo
- Nā pilikia lohe a me ka ʻike
- Nā kīnā aʻo
- Ka nāwaliwali o ka ulu ʻana o ke kino
- Nā pilikia me ke kamaʻilio ʻana a i ʻole nā pilina pilikanaka
He mea maʻamau ka makaʻu ke lohe ʻoe i kēia mau mea. Akā e hoʻomanaʻo, ʻaʻole hiki kēia mau mea āpau i nā pēpē āpau. Ma ka ʻike mua ʻana i kēia mau pilikia a me ka hāʻawi ʻana i nā lāʻau lapaʻau a me nā therapies e pono ai, hiki ke hoʻēmi nui ʻia kēia mau hopena.
Pehea ka hopena o kēia kūlana i ka noʻonoʻo o ka makuahine?
Hiki i ka hānau mua ʻana o kahi pēpē ke lilo i mea hopohopo no ka ʻohana holoʻokoʻa, ʻoi aku hoʻi ka makuahine. ʻO nā mea i hele ʻole e like me ka mea i manaʻo ʻia, nā hopohopo e pili ana i ke olakino o ka pēpē, a me ka waiho ʻana i ka pēpē i loko o ka NICU a hoʻi mai i ka home hiki ke hoʻoulu i ka makuahine e ʻike i kēia mau manaʻo:
- Hopohopo
- Kaumaha ma hope o ka hānau ʻana
- Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
- Nā pilikia e pili ana me ka pēpē
He mea maʻamau ke manaʻo i kēia ʻano manaʻo. ʻAʻole pono ʻoe e lawelawe wale i kēia mau mea. He mea nui e kamaʻilio ākea e pili ana i kēia me kāu kauka, ʻohana, a me kāu kāne. Hiki iā ʻoe ke ʻimi i ke kōkua mai kahi kākāʻōlelo olakino noʻonoʻo inā pono.
He aha kā mākou e hana ai e pale aku i ka hānau ʻana ma mua o ka manawa?
ʻOiai ʻaʻohe ala e pale aku ai i kahi pēpē mai ka hānau mua ʻana, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- Nohona olakino: E pale loa i ka puhipaka, ka waiʻona, a me nā lāʻau ʻē aʻe i ka wā hāpai.
- ʻAi maikaʻi: E ʻai i ka ʻai kaulike a momona hoʻi.
- E hele mua i nā keʻena lapaʻau: E kāinoa no ka mālama maʻi hāpai ke ʻike ʻoe ua hāpai ʻoe a hele i kāu mau manawa i hoʻonohonoho ʻia. E kōkua kēia i kāu kauka e ʻike i nā mea pilikia i ka wā mua a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
- E kāohi i nā maʻi e kū nei: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kāohi pono iā lākou e like me nā kuhikuhi a kāu kauka.
- E hōʻemi i ke kaumaha: E hana i nā mea e hauʻoli ai ʻoe, a e hoʻāʻo e noho mālie.
- E hoʻokaʻawale i kāu mau keiki: Inā hiki, ʻo ka hoʻokaʻawale ʻana i kāu mau keiki ma ka liʻiliʻi he 18 mau mahina ke kōkua i ka hōʻemi ʻana i ka pilikia.
He aha nā hōʻailona āu e nānā ai i ka wā e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he hōʻailona paha ia o ka hānau mua ʻana. No laila he mea nui e hana koke me ka hoʻonele ʻole i ka manawa.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka lumi pilikia haukapila kokoke loa (ETU).
- Ke kahe ʻana o ka ʻōpū ma ke ʻano kūpono ʻole (e like me ka wai) a i ʻole ke kahe ʻana o ke koko.
- ʻEha a ʻūmiʻi paha ka ʻōpū (nā ʻūmiʻi a i ʻole ka ʻūmiʻi). Hiki paha i kēia ke hele pū me ka maʻi pākī a ʻaʻole paha.
- ʻEha mau ma ke kua haʻahaʻa.
- He manaʻo o ke kaomi ma ka ʻōpū lalo a i ʻole ka vagina.
- "Ua haki kou wai."
I kekahi manawa hiki i nā kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻōki a hoʻopaneʻe paha i ka hānau ʻana no kekahi manawa. Hāʻawi kēia iā ʻoe i ka manawa e hāʻawi ai i nā steroids e pono ai kāu pēpē e hoʻomohala i ko lākou mau māmā. No laila he mea nui e hele koke i ka haukapila.
Leka Lawe-Home
- ʻO ka hānau mua ʻana ka hānau ʻana o kahi pēpē ma mua o ka pau ʻana o 37 mau pule o ka hāpai ʻana.
- Hiki ke hoʻemi nui ʻia kēia pilikia ma ka loaʻa ʻana o ka mālama maikaʻi ma ka wā hāpai a me ka hahai ʻana i kahi nohona olakino.
- Inā ʻike ʻia nā hōʻailona o ka hānau keiki ʻana i ka wā ʻōpiopio, he mea nui e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
- ʻOiai ʻo ka pēpē i hānau mua ʻia e pono ai ka mālama olakino kūikawā, me nā lāʻau lapaʻau holomua o kēia wā, ulu ka hapa nui o nā pēpē i ke olakino a me ka hauʻoli.
- Inā he mau hopohopo a hopohopo paha kāu e pili ana i kou hāpai ʻana a i ʻole ka hānau mua ʻana, e kūkākūkā ākea me kāu kauka.
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