Hānau make: ʻO ka mea e pono ai ʻoe e ʻike

ʻO ka moeʻuhane o kēlā me kēia makuahine a makua kāne paha e hāpai ana, ʻo ia ke hoʻokipa i kahi pēpē olakino i ka honua. Eia naʻe, i kekahi manawa i ka wā hāpai, ʻoiai ma hope o 20 mau pule, hiki ke nalowale ke pēpē i loko o ka ʻōpū. ʻO kēia kūlana kaumaha loa ka mea a mākou e kapa nei ma ke ʻano lapaʻau he `(Stillbirth)`. Ma Sinhala, kapa pū mākou i kēia he ``stillbirth''. He ʻike puʻuwai maoli kēia a he ʻeha hiki ʻole ke wehewehe ʻia.

He aha maoli ka manaʻo o ka `(Stillbirth)`?

I ka ʻōlelo maʻalahi, ʻo ka "Stillbirth" ka make ʻana o kahi pēpē i loko o ka ʻōpū ma hope o 20 mau pule o ka hāpai ʻana. Manaʻo ka poʻe he nui e hana wale kēia inā e pau ka puʻuwai o ka pēpē i ka wā hānau. Akā ʻo ka ʻoiaʻiʻo, make ka hapa nui o nā pēpē i loko o ka ʻōpū. He mea kākaʻikahi loa kēia e hana i ka wā hānau, i ka wā e kokoke ana ka pēpē i ka hānau ʻana. I ka hapanui o nā hihia, hiki i nā kauka ke ʻike mua i kēia maʻi a lawe i nā hana e pono ai ma mua o ka lā hānau.

Ua like ka paʻakikī o ka hānau ʻana me ka hānau ʻana o ka pēpē make. Eia nō naʻe, i ka hānau ʻana o ka pēpē make, ua nalowale ke pēpē ma mua o 20 pule o ka hāpai ʻana. I ka hānau ʻana o ka pēpē make, hana ʻia ma hope o 20 pule. Eia nō naʻe, i ka wā e hana ʻia ai kekahi mea e like me kēia, pono paha ʻoe i ka manawa nui e hoʻomanawanui ai i ke kaumaha a hoʻōla mai ia mea, a he mea nui ke kākoʻo ikaika o kāu poʻe aloha.

He aha nā ʻano nui o ka `(Stillbirth)`?

Hoʻokaʻawale nā ​​​​kauka i nā hānau make ma muli o ka helu o nā pule o ka hāpai ʻana i hala i ka wā i make ai ke pēpē i loko o ka ʻōpū.

• Hānau make koke: Make ka pēpē ma waena o 20 a me 27 mau pule.
• Ka hānau make ʻana ma hope o ka manawa: Make ka pēpē ma waena o 28 a me 36 mau pule.
• Hānau make manawa: Make ke pēpē ma hope o 37 mau pule.

Pehea ka maʻamau o kēia ʻano?

ʻOkoʻa loa ka nui o ka hānau keiki make ma nā wahi like ʻole o ka honua. Ma nā ʻāina e ulu ana, i kekahi manawa he 22 mau hānau keiki make no 1,000 hānau. Eia nō naʻe, ma nā ʻāina i hoʻomohala ʻia, ʻoi aku ka haʻahaʻa o kēia helu. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, aia wale nō ma kahi o 6 mau hānau keiki make no 1,000 hānau, a ma United Kingdom, aia wale nō ma kahi o 3.5 mau hānau keiki make no 1,000 hānau.

Ua emi iho nā helu hānau make ma ka honua holoʻokoʻa i ka holomua ʻana o ka mālama ʻana i ka wā ma mua o ka hāpai ʻana. Eia nō naʻe, nui nā mea e pono e hana ʻia e hōʻemi i nā ʻokoʻa ma ka mālama ola e ʻoi aku ai ka pilikia o kekahi poʻe i ka hānau make ma mua o nā poʻe ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kahi `(Stillbirth)`?

ʻO ka ʻoiaʻiʻo, hiki ke hānau keiki make i ka wā o kēlā me kēia hāpai ʻana. Eia nō naʻe, hiki i nā mea e like me kou olakino, kou nohona, a me ke kaiapuni āu e noho nei ke hoʻonui a hoʻemi paha i kēia pilikia.

• Makahiki: ʻOi aku ka kiʻekiʻe o kēia pilikia no nā makuahine ʻōpio ma lalo o 20 mau makahiki a no nā makuahine ma luna o 35 mau makahiki.
• Nā kūlana olakino:Hiki paha iā ʻoe ke kiʻekiʻe aʻe ka pilikia inā loaʻa iā ʻoe kekahi mau kūlana olakino, e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā maʻi ʻaʻa koko, nā maʻi thyroid, lupus, a me ka momona (kahi helu helu kino (BMI) ʻoi aku ma mua o 30).
• ʻAno o ka hāpai ʻana: ʻOi aku ke kiʻekiʻe o ka pilikia inā ʻoe e kali ana i nā māhoe a ʻoi aku paha.
• Nā pilikia mai nā hāpai keiki ma mua: Inā ua loaʻa iā ʻoe kahi hānau make ma mua, a i ʻole nā ​​​​pilikia ʻē aʻe e like me ka hānau mua ʻana, ʻoi aku ka nui o ka loaʻa hou ʻana o kahi hānau make.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau, ka puhipaka, a me ka hoʻohana ʻana i ka waiʻona hiki ke kumu i ka hānau keiki make. Hoʻonui ʻia ka pilikia ke hoʻohana pū ʻia kēia mau mea.
• Kaumaha: Hiki ke hoʻonui ʻia ka pilikia i ka wā e hana ai me nā mea hoʻokaumaha nui o ke ola, e like me nā pilikia kālā koʻikoʻi a i ʻole nā ​​​​hakakā ʻohana.
• Kaiapuni a me ka mālama ola kino: Inā ʻoe e noho ana ma kahi ʻāina a i ʻole kahi e loaʻa ʻole ai ka mālama maʻalahi i ka wā hāpai, ʻoi aku ka nui o ka pilikia o ka hānau keiki make. He kuleana ko nā mea pili i ka nohona waiwai. Ma kekahi mau wahi o ka honua, ʻike kekahi mau heluna kanaka i nā hānau keiki make i ka pālua o ka nui ma mua o nā poʻe ʻē aʻe. ʻO kēia ma muli o nā pale a me nā ʻokoʻa i ke komo ʻana i ka mālama ola kino.

He aha nā kumu o ka `(Stillbirth)`?

ʻO ka mea kaumaha, i hoʻokahi o kēlā me kēia ʻekolu hānau make, ʻaʻole hiki i nā kauka ke ʻike pono i ke kumu i nalowale ai ke pēpē. Hiki ke paʻakikī loa nā kumu. Hiki ke hana ʻia e nā pilikia e pili ana i ka makuahine, nā pilikia e pili ana i ka pēpē, a i ʻole nā ​​​​pilikia me nā ʻiʻo a me nā ʻōpū e mālama ana i ka pilina ma waena o ka makuahine a me ka pēpē.

Nā maʻi

ʻO nā maʻi i hoʻokumu ʻia e nā virus, nā parasites, nā bacteria, a i ʻole nā ​​​​​​huakino ʻē aʻe (pathogens) e helu ana no kahi 50% o nā hānau make ma nā ʻāina e ulu ana a ma kahi o 25% ma nā ʻāina i hoʻomohala ʻia. I kekahi manawa, ʻaʻole kēia mau maʻi e hōʻike i kekahi mau hōʻailona, ​​​​no laila ʻaʻole paha ʻoe e ʻike he pilikia a hiki i ka lilo ʻana i mea paʻakikī i ka wā hāpai.

Hiki ke hoʻemi pinepine ʻia ka pilikia o ka hānau keiki make ma muli o ka maʻi ma ka loaʻa ʻana o ka mālama maikaʻi ma ka wā hāpai.

Nā pilikia o ka placenta a i ʻole ke kaula umbilical

ʻO ka placenta kahi ʻōkana e kōkua i ka hoʻokaʻawale ʻana i nā meaʻai mai ou aku i kāu pēpē ma o ke kaula umbilical. Inā he pilikia me kēia mau laina ola, e pau paha ka loaʻa ʻana o ka oxygen, ke koko, a me nā meaʻai e pono ai kāu pēpē e ola.

• Ka hemo ʻana o ka placenta: ʻO kēia ka hemo ʻana o ka placenta mai ka ʻōpū . ʻO ia ke kumu ma waena o 10% a me 20% o nā hānau make āpau.
• Ke nakinaki ʻana i ke kaula umbilical:Inā wili ʻia ke kaula umbilical a ʻaʻole loaʻa i ka pēpē ka oxygen e pono ai, hiki iā ia ke hopena i ka "Hanau Make". ʻO kēia ka helu ʻana ma kahi o 10% o ka "Hanau Make".

Nā kūlana e pili ana i ka pēpē

I kekahi manawa, loaʻa paha i kahi pēpē kahi pilikia ulu a i ʻole ke kīnā hānau / kīnā hānau. Loaʻa paha i kahi pēpē kahi maʻi genetic. ʻO nā genes nā kuhikuhi e haʻi i ke kino o kahi pēpē pehea e ulu ai a hana. Inā he mau hewa i loko o kēia mau kuhikuhi, ʻaʻole paha e ulu a hana pono nā ʻōpū o ka pēpē. No ka laʻana, nā kūlana e like me Down syndrome.

ʻAʻole paha e loaʻa i ka pēpē nā meaʻai e pono ai no ka ulu olakino. Ua kapa ʻia kēia ʻo ka intrauterine growth restriction . He kumu maʻamau nō hoʻi kēia o ka hānau keiki ʻana.

Nā pilikia o ka hāpai ʻana

Inā loaʻa iā ʻoe kahi maʻi olakino mau loa e like me ka maʻi diabetes, lupus, ke koko kiʻekiʻe, ka momona, a i ʻole nā ​​​​maʻi ʻaʻa koko, ʻoi aku ka nui o ka loaʻa ʻana o nā pilikia i ka wā hāpai.

Eia nō naʻe, ʻoiai he maʻi mau kou, ʻaʻole ia he manaʻo e loaʻa maoli ana iā ʻoe nā pilikia. Hiki i ke kauka ke kōkua iā ʻoe e hoʻokele i kou mau maʻi mau a hōʻemi i kou pilikia ma ka nānā mau ʻana i kou olakino.

ʻO kekahi mau pilikia o ka hāpai ʻana e hiki ai ke hoʻoulu i ka hānau keiki make:

• Preeclampsia: ʻO ke ʻano o ke koko kiʻekiʻe e hoʻomaka ana i ka hapa lua o ka hāpai ʻana.
• ʻO Cholestasis o ka hāpai keiki: He maʻi akepaʻa e kū mai ana i ka wā hāpai hope.
• Hānau mua ʻole: Hānau ʻia kahi pēpē me ka wā ʻole o ka hānau ʻana (ma mua o 37 mau pule).
• ʻO ka haki mua ʻana o nā membrane ma mua o ka wā ma mua (PPROM): ʻO ka haki ʻana o ka ʻeke pale piha i ka wai e hoʻopuni ana i ka pēpē i ka wā ma mua.

He aha nā hōʻailona o ka `(Stillbirth)`?

ʻO ka pinepine, ʻo ka hōʻailona wale nō o ka hānau make ʻana, ʻo ia kou manaʻo ʻaʻole i hana nui ka pēpē e like me ma mua, a i ʻole ke emi nei kona hakakā ʻana. Hiki i kekahi poʻe ke ʻeha i ka ʻōpū a me ke kahe ʻana o ke koko ma ka ʻōpū.

He mea nui: ʻAʻole kēia mau hōʻailona e hōʻike mau i ka hānau make ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau loli, pono ʻoe e ʻike koke i ke kauka.

Pehea e hana ʻia ai ka hōʻailona?

Hana ʻia ka hapa nui o nā hānau make ma mua o ka hānau ʻana. E hana kāu kauka i kahi ultrasound e nānā i ka puʻuwai o ka pēpē.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ke kumu o ka `(Stillbirth)`?

No kekahi mau mākua, ʻo ka ʻike ʻana i ke kumu o ka hānau make ʻana e hiki ke kōkua iā lākou e hoʻomanawanui i ka ʻeha a hoʻoholo i ko lākou manaʻo. Eia kekahi, ʻo ka hoʻomaopopo ʻana pehea i hana ʻia ai kekahi mea e like me kēia e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia i nā hāpai ʻana e hiki mai ana.

E nānā pono kāu kauka i kāu mau moʻolelo lapaʻau a me nā kūlana e pili ana i ka hanana. Hiki iā lākou ke nānā i ka pēpē, ke kaula umbilical, a i ʻole ka placenta e hoʻoholo ai i ke kumu.

Hiki i kēia mau hoʻokolohua ke komo pū me:

• Nā hoʻāʻo no nā maʻi: E lawe nā kauka i nā laʻana o kāu mimi, koko, a i ʻole nā ​​​​​​pūnaewele mai kou vagina a i ʻole cervix e nānā i nā maʻi.
• Nā hoʻāʻo koko: Hiki i nā hoʻāʻo koko ke hōʻike inā he maʻi kou e pili ana i ka pilikia o ka hāpai ʻana.
• Nā hoʻokolohua genetic: E nānā ke kauka i kahi hāpana mai ke kaula umbilical e ʻike inā he mau pilikia genetic ko ka pēpē, e like me Down syndrome, hiki ke hoʻoulu i ka hānau keiki make.
• ʻO ka Autopsy: He hana ʻoki kino ka autopsy. Hiki i ke kauka ke nānā pono i ka pēpē e hoʻoholo i ke kumu o ka make. Hiki i kēia ke pili i ka hana ʻana i nā ʻoki liʻiliʻi e nānā i nā ʻōpū o ke pēpē. I ka hapanui o nā hihia, loaʻa iā ʻoe ke kuleana e hoʻoholo inā e hana ʻia kēia hoʻokolokolo a i ʻole. Hiki iā ʻoe ke ʻōlelo i ka nui o ka autopsy i hana ʻia.

Āhea wau e hoʻoholo ai e hana i kahi autopsy ma kaʻu pēpē?

He hoʻoholo paʻakikī loa kēia. No kekahi mau mākua, ʻo ka manaʻo o kahi autopsy ma hope o ia hanana kaumaha he mea hiki ʻole ke hoʻomanawanui. ʻAʻole uhi nā hoʻolālā ʻinikua āpau i ka autopsy o kahi pēpē, no laila he kumu hoʻi ke kumukūʻai.

ʻO ka pōmaikaʻi nui o ka hana ʻana i kahi autopsy, ʻo ia ka hoʻonui ʻana i ka hiki ke loaʻa ke kumu o ka hānau make. Ua hōʻike ʻia nā noiʻi hou e hiki i kahi autopsy ke hoʻonui i ka manawa e loaʻa ai ke kumu mai ka haʻahaʻa o 20% a ʻoi aku ma mua o 90%. Hiki i kēia ʻike ke kōkua i kāu kauka e pale i nā pilikia i nā hāpai ʻana e hiki mai ana.

Eia nō naʻe, ʻokoʻa kēlā me kēia hihia, a he hoʻoholo pilikino loa kēia. E kamaʻilio me kāu kauka e hoʻoholo i ka mea maikaʻi loa iā ʻoe.

He aha ka mea e hana ʻia ma hope o ka make ʻana o ke pēpē?

E paipai kāu kauka i ke koho palekana loa no ka hānau ʻana i kāu pēpē. E like kēia me ka hānau ʻana i kahi pēpē ola. E alakaʻi kāu hui mālama hāpai iā ʻoe a hāʻawi iā ʻoe i nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.

• Ke hoʻoulu ʻana i ka hānau keiki: Paipai nā kauka i ka hoʻoulu ʻana i ka hānau keiki i ka wā hikiwawe ma hope o ka hānau make ʻana. Inā loaʻa iā ʻoe kahi maʻi, ʻoi aku ka maikaʻi o ka hoʻoulu ʻana i ka hānau keiki no kou olakino. E hāʻawi pinepine ʻia ʻoe i ka lāʻau lapaʻau e hoʻoulu ai i ka hānau keiki i loko o ʻelua lā o ka hānau ʻana.
• Hānau kūlohelohe: Inā makemake ʻoe e kali i kekahi manawa ma mua o ka hānau ʻana, hiki nō hoʻi kēlā. Hoʻomaka maoli ka hānau ʻana i loko o ʻelua pule o ka nalowale ʻana o ke pēpē. Eia nō naʻe, inā koho ʻoe e hānau kūlohelohe, hiki ke paʻakikī iki ka hana ʻana i kahi autopsy.
• ʻOki ʻoki lāʻau / ʻoki C:Inā pilikia kou kūlana olakino, pono paha ʻoe e hana i kahi ʻoki C-section ulia pōpilikia. Eia nō naʻe, he mea kakaikahi loa nā ʻoki C-sections i nā hihia o ka hānau make ʻana.

He aha ka mea e hana ma hope o ka hānau ʻana?

Loaʻa iā ʻoe nā koho e pili ana i ka nui o kāu launa pū ʻana me kāu pēpē. ʻAʻohe manaʻo a pane kūpono a hewa paha i kēia manawa.

Eia kekahi laʻana, hiki iā ʻoe ke hoʻopaʻa i ka pēpē ma kou mau lima inā makemake ʻoe. Hiki iā ʻoe ke noi no nā mea hoʻomanaʻo, e like me ka lauoho o ka pēpē a i ʻole kahi lepili ID haukapila. Hoʻopuka ka nui o nā haukapila i kahi palapala hānau. Hiki iā ʻoe ke noi e hoʻokomo ʻia ka lima a me nā kapuaʻi o ka pēpē ma luna.

E hoʻokaʻawale i ka manawa e like me kou makemake a mai kānalua e noi i ke kōkua mai nā poʻe ʻē aʻe. ʻO ka loaʻa ʻana o kāu poʻe aloha ma kou ʻaoʻao he mea kōkua nui ia i ke kū ʻana i kēia kaumaha a me ka hoʻihoʻi ʻana i kou noʻonoʻo i ke ala kūpono.

E loaʻa anei iaʻu ka waiū ma hope o ka hānau keiki make?

ʻO ka maʻamau, hiki mai ka waiū i loko o kekahi mau lā ma hope o ka hānau ʻana. Inā ʻaʻole ʻoe he preeclampsia, hiki iā ʻoe ke lawe i nā lāʻau lapaʻau i kapa ʻia ʻo dopamine agonists e hoʻōki i kou mau umauma mai ka hana ʻana i ka waiū. A i ʻole, inā makemake ʻoe, hiki iā ʻoe ke kali a hiki i ke kaʻina hana ke pau maoli. E kamaʻilio me kāu kauka e pili ana i ka mea āu e manaʻo ai he kūpono iā ʻoe.

Hiki ke hāpai hou ma hope o ka hānau keiki make?

ʻAe, hiki nō. Ua hoʻomau ka nui o ka poʻe i ka hāpai ʻana maʻamau a me nā pēpē olakino. Inā ua hana ʻia ka hānau make ʻana e kahi kīnā hānau a i ʻole ka pilikia o ke kaula umbilical, aia kahi manawa liʻiliʻi o kekahi. Inā he maʻi a he maʻi genetic paha ke kumu, aia wale nō 3% ka manawa o ka hānau make ʻana i kāu hāpai ʻana aʻe.

Pehea ka lōʻihi ma hope o ka hānau make ʻana e pono ai ʻoe e hāpai hou?

Ua hōʻike kekahi mau noiʻi ʻo nā wahine e kali ana ma ka liʻiliʻi he hoʻokahi makahiki ma hope o ka hānau make ʻana e hāpai hou, ua emi iho ko lākou kaumaha a me ka hopohopo i ko lākou hāpai ʻana aʻe. Eia nō naʻe, ʻokoʻa ke ʻano kino a me ka noʻonoʻo e hoʻāʻo hou mai kēlā kanaka a i kēia kanaka.

E kamaʻilio me kāu kauka e pili ana i kou hāpai ʻana aʻe.

Hiki ke pale ʻia ka hānau make ʻana?

I ka hapa nui o ka manawa, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka hānau keiki make. Hoʻokumu pinepine ʻia ia e kahi maʻi a i ʻole kahi pilikia i waho o kou mana. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau hana e hoʻonui i kou manawa e hānau ai i kahi pēpē olakino:

• E pale i nā lāʻau lapaʻau, ka paka, a me ka waiʻona: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau ʻaʻole wale e hoʻonui i ka pilikia o ka hānau keiki make, akā, ʻo nā pilikia ʻē aʻe e like me ka fetal alcohol syndrome a me ka sudden infant death syndrome.
• E hoʻololi i kāu ʻai: E hoʻololi i kāu ʻai i ka wā hāpai. E hoʻonui i kāu ʻai calorie e hāʻawi i ka meaʻai e pono ai ʻoe a me kāu pēpē, a e ʻai i nā meaʻai momona. Pono ʻoe e pale i kekahi mau meaʻai e lawe mai i ka pilikia o nā maʻi i lawe ʻia e ka meaʻai.
• E mālama i ke kaumaha olakino: Ma mua o ka hāpai ʻana, e hoʻāʻo e hōʻea i kahi kaumaha olakino e kūpono iā ʻoe.
• Kāohi i nā maʻi: Hoʻokomo pū kēia me ka hahai ʻana i nā hana hoʻomaʻemaʻe maikaʻi (e like me ka holoi ʻana i nā lima, ka kuke pono ʻana i ka meaʻai), a me ka loaʻa ʻana o nā lāʻau pale i ʻōlelo ʻia ma mua, i ka wā, a ma hope o ka hāpai ʻana.
• "Helu kiki" i kēlā me kēia lā: Ma kahi o 26-28 mau pule, e kamaʻāina i nā neʻe ʻana o kāu pēpē. E aʻo i ka mea maʻamau no kāu pēpē. Inā ʻaʻole hana maʻamau kāu pēpē, e kelepona i kāu kauka.
• Mai hiamoe ma kou kua, e hiamoe ma kou ʻaoʻao: Inā he 28 pule kou hāpai ʻana a ʻoi aku paha, hiki i ka hiamoe ʻana ma kou kua ke hoʻonui i kou pilikia o ka hānau keiki make. ʻOiai ʻaʻole maopopo ke kumu pololei no kēia, manaʻo nā loea he pili ia i ke kahe o ke koko a me ka oxygen i ka pēpē.
• E hana i nā hoʻokolohua maʻamau, nā ultrasound, a/a i ʻole ka nānā ʻana i ka puʻuwai o ka fetal inā pono: Hiki i nā hoʻokolohua lapaʻau maʻamau ke kōkua i kāu kauka e ʻike i kekahi mau kūlana e hoʻopilikia paha i kāu hāpai ʻana. He mea nui loa kēia inā ʻoe i ka pilikia kiʻekiʻe no nā pilikia hāpai.
• E hōʻike koke i nā hōʻailona: Inā loaʻa iā ʻoe nā hōʻailona i ka wā hāpai, e like me ka ʻeha o ka ʻōpū a i ʻole ke kahe ʻana o ke koko, e ʻike koke i ke kauka.

Pehea e mālama ai iaʻu iho ma hope o ka hānau keiki ʻana?

E hoʻokaʻawale i ka manawa e pono ai ʻoe e kanikau a hana ma hope o ka hānau make ʻana. E kanikau ma ke ʻano e ʻoluʻolu loa ai iā ʻoe. Hiki i kēia ke komo pū me ka mālama ʻana i kahi hoʻolewa me nā hoaaloha a me ka ʻohana e makemake e kōkua iā ʻoe i kēia manawa. A i ʻole ia he manaʻo paha e hoʻokaʻawale i ka manawa e hana ai i kou mau manaʻo ma kāu iho, a i ʻole e noi ana i ke kōkua me ka mālama keiki.

He mau kumuwaiwai waiwai nui nō hoʻi nā hui aʻoaʻo a me nā hui kākoʻo no ka hāʻule ʻana o ka hāpai ʻana i kēia manawa. ʻOiai ke ʻano o ka hāpai ʻana āu, he makuahine a he makuakāne nō ʻoe. He ʻoiaʻiʻo ka pilina āu i hānai ai. He mea maʻamau ka ʻike ʻana i ke kaumaha a me ka maʻi kaumaha ma hope o ka trauma (PTSD), kahi e pono ai ke kōkua loea e hoʻoponopono ai i ia pohō nui.

He pohō weliweli ka hānau make ʻana. Hiki ke lōʻihi ka manawa e hoʻōla ai mai ia mea. E hoʻomanaʻo he mea maʻamau ka manaʻo kaumaha i nā manawa e like me kēia. ʻAʻohe hewa i ka ʻimi ʻana i ke kōkua mai nā hui kākoʻo a me nā loea olakino noʻonoʻo e kōkua iā ʻoe ma o kēia.

Inā ʻoe e hopohopo nei e pili ana i ka pilikia o ka hānau make ʻana o ka pēpē i ka wā e hiki mai ana ma hope o ka nalowale ʻana o ka pēpē, e ʻimi i ka ʻōlelo aʻo mai kāu mea mālama maʻi prenatal a i ʻole kahi loea lāʻau lapaʻau maternal-fetal (MFM). Hiki iā lākou ke paipai i ka hoʻāʻo ʻana a i ʻole ke aʻo ʻana i ka genetic e loiloi i kou pilikia. He mea nui ka hoʻoholo e hoʻāʻo e hāpai hou. Aia nā loea e hiki ke aʻo a kākoʻo iā ʻoe.

ʻO ka mea hope loa, leka lawe i ka home:

He ʻike kaumaha a paʻakikī maoli ka hānau make ʻana. He mea nui e ʻike i kēia, e hoʻomaopopo i nā kumu pilikia, a e ʻimi i ke kōkua i ka wā e pono ai.

• ʻAʻole ʻoe hoʻokahi: ʻAʻole ʻoe wale nō ka mea e ʻike nei i kēia ʻano kaumaha. Aia nā wahi e hiki ai iā ʻoe ke loaʻa ke kākoʻo a me ka hoʻomaopopo ʻana.
• He ʻokoʻa nā kumu a i kekahi manawa maopopo ʻole: ʻAʻole maopopo ke kumu o kēlā me kēia hānau make. Mai hoʻāhewa iā ʻoe iho no ia mea.
• E ʻimi i ke kōkua lapaʻau: E makaʻala i nā neʻe ʻana o kāu pēpē i ka wā hāpai, a e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē.
• E hāʻawi iā ʻoe iho i ka manawa e kanikau ai: E lōʻihi ka manawa e lanakila ai i kēia. E ʻae iā ʻoe iho e ʻike i kou mau manaʻo, a e ʻimi i ke kōkua loea inā pono.
• E lana ka manaʻolana no ka wā e hiki mai ana: He nui ka poʻe e loaʻa nā pēpē olakino ma hope o ka hānau make ʻana. E kamaʻilio me kāu kauka e pili ana i kāu mau hoʻolālā no ka wā e hiki mai ana.

Lana ko mākou manaʻo ua kōkua kēia ʻike iā ʻoe e loaʻa kahi ʻike i kēia kumuhana paʻakikī. Inā ua loaʻa iā ʻoe kahi ʻike like, ke pule nei mākou e loaʻa iā ʻoe ka ikaika.

Hānau make, Hānau make, Hāpai keiki, Nalowale o ka pēpē, Make i loko o ka ʻōpū, Nā pilikia o ka hāpai keiki, Ola kino o ka makuahine