ʻO ka hauʻoli āu e ʻike ai ke loaʻa iā ʻoe nā māhoe, ʻaʻole hiki ke ʻōlelo ʻia. He hoʻomaikaʻi kūikawā maoli nō ia. Akā, me kēlā hauʻoli nui, pono mākou e hoʻomanaʻo e pono mākou e akahele iki ma mua o ka wā hāpai maʻamau. Akā me kēlā ʻōlelo, mai makaʻu, ʻae? Ua like kēia me ke aʻo nui ʻana ma mua o kahi hoʻokolohua nui. Inā ʻike maikaʻi ʻia mākou e pili ana i kēia a hana pū me kā mākou kauka , hiki iā mākou ke hoʻopau i kēia huakaʻi me ka holomua loa. No laila, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku?
He aha nā pilikia i ka wā o ka hāpai māhoe?
Aia nā pilikia i ka wā o ka hāpai ʻana. Akā i ka wā e loaʻa ai iā ʻoe ʻelua mau pēpē, e hoʻonui iki ʻia kēlā mau pilikia. E kamaʻilio kākou e pili ana i kekahi o nā mea nui loa.
1. Hānau mua ʻia
ʻO kēia ke ʻano maʻamau i ʻike ʻia i waena o nā makuahine hāpai me nā māhoe. ʻOi aku ma mua o ka hapalua o nā māhoe āpau i hānau ʻia ma mua o 36 mau pule. I ka ʻōlelo maʻalahi, hānau ʻia ka pēpē ma mua o kona ulu piha ʻana. Hiki i nā pēpē i hānau ʻia ma kēia ʻano ke loaʻa nā pilikia olakino i ka wā mua. ʻO kēia no ka mea ʻo nā ʻōpū e like me nā māmā a me ka lolo e oʻo piha wale i ka hopena o ka hāpai ʻana. No laila, i kekahi manawa hiki i kēia mau pēpē ke loaʻa nā hopena lōʻihi.
2. Kaumaha Hānau Haʻahaʻa (LBW)
Pili kēia i ka manaʻo ma mua. No ka mea, ua hānau mua ʻia lākou, ʻoi aku ka haʻahaʻa o ke kaumaha hānau o ka hapa nui o nā māhoe ma mua o ka maʻamau. ʻŌlelo pinepine mākou he emi ko lākou kaumaha ma mua o 2.5 kilokani (5.5 paona) . No nā pēpē me kēia kaumaha hānau haʻahaʻa,
- Nā hemahema o ka ʻike a me ka lohe
- ʻO kekahi mau pilikia i ka ulu ʻana o ka noʻonoʻo
- A kiʻekiʻe ka pilikia o nā maʻi e like me ka cerebral palsy.
Akā e hoʻomanaʻo, ʻo kēia mau kūlana koʻikoʻi ka mea e hiki mai ana ma mua o 32 mau pule, a inā paha ua hānau ʻia ke pēpē me ke kaumaha ma lalo o 1.5 kilokani (3.3 paona). No laila, mai hopohopo pono ʻole.
3. Māhoe a i ka Māhoe Hoʻoili Maʻi (TTTS)
He ʻano paʻakikī iki kēia. Loaʻa wale ia i nā māhoe like , ʻo ia hoʻi nā māhoe e kaʻana like ana i ka placenta like.
E noʻonoʻo e kaʻana like ana kēia mau pēpē ʻelua i ka "pā ʻaina" hoʻokahi (ka placenta). I kekahi manawa pili nā kīʻaha koko i loko o kēia placenta ma ke ʻano ʻē, e hoʻonui ana i ke koko e kahe mai kekahi pēpē a i kekahi.ʻO kēia ke kumu o ka liʻiliʻi o ke koko o kekahi pēpē a lilo i ke keʻokeʻo, aʻo kekahi pēpē he nui ke koko a lilo i ʻulaʻula. ʻO kēia ka mea a mākou e kapa nei he "TTTS". Hiki ke loaʻa kēia ʻano ma 10% - 15% o nā māhoe like. Akā, mai hopohopo, aia kahi lāʻau lapaʻau no kēia. Hiki i nā kauka ke hoʻohana i ke ʻoki laser e hoʻokaʻawale i ka pilina kīʻaha koko kūpono ʻole, a i ʻole hiki iā lākou ke hoʻohana i ka amniocentesis e wehe i ka wai amniotic keu.
4. Preeclampsia
ʻO ke koko kiʻekiʻe kēia i ka wā hāpai a me kona mau pilikia. ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i ka makuahine me nā māhoe ma mua o ka makuahine me kahi pēpē hoʻokahi. ʻO nā hōʻailona nui e pili ana i kēia :
- Ke koko kiʻekiʻe
- Ka pehu ʻana o nā lima, nā wāwae, a me ka maka
- ʻEha poʻo nui
- ʻIke pōwehiwehi a loli paha
Inā ʻaʻole e mālama koke ʻia kēia ʻano, hiki iā ia ke hōʻemi i ka oxygen a me ka meaʻai e loaʻa ana i ka pēpē i loko o ka ʻōpū. Hiki iā ia ke hōʻino i nā ʻōpū o ka makuahine, e like me nā puʻupaʻa a me ke akepaʻa. No laila, he mea nui loa e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
5. Ka maʻi diabetes i ka wā hāpai
ʻO kēia ka hopena o ke kiʻekiʻe o ke kō koko i ka wā hāpai. ʻOi aku ka kiʻekiʻe o kēia pilikia ke hāpai ʻoe i nā māhoe. Inā hana ʻia kēia, hiki i ka nui o ke kino o nā pēpē ke lilo i mea nui ʻole. Hiki i kēia ke paʻakikī i ka hānau maʻamau a koi ʻia kahi ʻoki cesarean. Eia kekahi, hiki i ka pēpē ke loaʻa nā pilikia hanu a me nā pae kō koko haʻahaʻa ma hope o ka hānau ʻana. Eia nō naʻe, hiki ke hoʻomalu maikaʻi ʻia kēia me ka kaohi ʻana i ka ʻai kūpono a, inā pono, ka mālama ʻana ma lalo o ke aʻo ʻana a ke kauka.
| Kūlana pilikia | Ma nā huaʻōlelo maʻalahi ... | Nā mea āu e makaʻala ai |
|---|---|---|
| Ka hānau mua ʻana | Ka hānau ʻana o nā keiki ma mua o 36 mau pule. | Hoʻopau pinepine ʻana o ka ʻōpū, ka hoʻokahe ʻana o ka ʻōpū. |
| Kaumaha Hānau Haʻahaʻa | ʻO nā keiki i hānau ʻia me ke kaumaha ma lalo o 2.5 kilokani. | E nānā ke kauka i ke kaumaha ma o nā scan. |
| ʻO ka preeclampsia | Ke koko kiʻekiʻe i ka wā hāpai. | ʻEha nui ke poʻo, ʻike pōwehiwehi, pehu o nā lālā. |
| Maʻi diabetes hāpai | Hoʻonui ʻia ke kō koko i ka wā hāpai. | E hāʻawi ke kauka iā ʻoe i kahi hoʻāʻo koko i ka manawa kūpono. |
| Anemia nele hao | ʻO ka anemia deficiency hao e kū mai ana ma muli o ka nele o ka hao i loko o ke kino. | Luhi nui, keʻokeʻo, paʻakikī ka hanu ʻana. |
No laila he aha kā kākou e hana ai? Pono anei kākou e makaʻu?
ʻAuē! ʻAʻole wau e kamaʻilio e pili ana i kēia mau pilikia e hoʻoweliweli iā ʻoe, akā e hoʻonaʻauao iā ʻoe. Me kēia mau mea a pau, aia nā tausani o nā makuahine i hānau i nā māhoe olakino a nani. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka mālama maikaʻi ma ka wā hāpai .
ʻO ia hoʻi,
- E hele i kou keʻena lapaʻau i ka manawa kūpono . Mai poina i kekahi.
- E lawe i nā papa hao a me nā wikamina e like me ke kauoha a ke kauka.
- E haʻi i kāu kauka e pili ana i nā loli a i ʻole ka ʻoluʻolu ʻole āu e manaʻo ai, ʻoiai nā mea liʻiliʻi loa . Mai hūnā i kekahi mea. Mai manaʻo, "He mea liʻiliʻi wale nō kēia."
- E ʻai i ka meaʻai kaulike a momona hoʻi .
Inā hana pū ʻoe me kāu kauka ma ke ʻano he hui, hiki iā ʻoe ke ʻike i nā pilikia ma mua o ko lākou kū ʻana mai a hana i nā hana e pono ai e hoʻoponopono iā lākou. A laila hiki iā ʻoe ke hauʻoli i kēia huakaʻi nani me ka makaʻu ʻole a kānalua ʻole.
Leka Lawe-Home
- He mea maʻamau ka loaʻa ʻana o kekahi mau pilikia i ka wā hāpai māhoe. ʻO ka hana mua koʻikoʻi loa, ʻo ia ka makaʻala iā lākou, ʻaʻole ka hopohopo.
- Mai poina i nā ʻōlelo aʻoaʻo a me nā kipa ʻana i ke keʻena lapaʻau o kāu kauka. ʻO ia ka palekana maikaʻi loa nou a me kāu pēpē.
- Inā ʻike ʻoe i nā hōʻailona o ka preeclampsia (ʻeha poʻo nui, loli ka ʻike, pehu ʻana o ke kino) a i ʻole kekahi mau hōʻailona ʻē aʻe, e hele koke i kāu kauka a i ʻole ka lumi pilikia haukapila kokoke loa (ETU).
- E lawe i ka hao a me nā mea hoʻopihapiha meaʻai ʻē aʻe e like me ke kauoha a kāu kauka. He mea nui loa ka hahai ʻana i kahi papaʻai kaulike.
- Ma kahi o ka makaʻu, e hoʻolako me ka ʻike. ʻO kāu kauka kou hoaaloha maikaʻi loa a me ke alakaʻi ma kēia huakaʻi.
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