ʻO ka nalowale ʻana o kāu pēpē aloha i ka wā hāpai he ʻike ʻeha a paʻakikī loa ia no ka makuahine a makua paha e hāpai. ʻAʻole hiki i nā huaʻōlelo ke wehewehe i nā nīnau, ke kaumaha, ka huhū, a me ka hewa e kū mai ana i loko o ka noʻonoʻo i ka wā e kū ai i kahi hanana kaumaha. Ma kēia ʻatikala, e ho'āʻo mākou e wehewehe i kēia kumuhana koʻikoʻi, ʻo ia hoʻi, ke kūlana i kapa ʻia ʻo 'Stillbirth', ma ke ʻano maʻalahi a lokomaikaʻi.
He aha maoli ka hānau make?
I ka ʻōlelo maʻalahi, ʻo ka hānau keiki make ka make ʻana o kahi pēpē i loko o ka ʻōpū ma hope o 20 mau pule o ka hāpai ʻana . ʻO ka nalowale ʻana o kahi pēpē ma mua o 20 mau pule o ka hāpai ʻana ua kapa ʻia he hāʻule ʻana.
He mea kākaʻikahi loa kēia ʻano. Loaʻa ia ma kahi o hoʻokahi i loko o 200 mau hāpai ʻana. Hiki ke lilo i mea hoʻohoka nui i nā mākua, no ka mea, hiki ke hana ʻia i loko o kahi hāpai olakino, i ka wā ʻaʻohe pilikia i ka hapa nui o ka manawa.
Akā ma ʻaneʻi, pono mākou e ʻōlelo i kahi mea nui loa a hōʻoluʻolu hoʻi. ʻO ka hapa nui o nā makuahine i loaʻa i ka hānau make ʻana o ka pēpē hiki ke loaʻa kahi hāpai holomua ma hope a hānau i kahi pēpē olakino. Ma ke ʻano laulā, ʻoi aku ka nui o ka manawa kūpono ma mua o 90% e holomua ka hāpai ʻana ma hope. Inā hana ʻia kēia ma muli o kekahi mau pilikia chromosomal a i ʻole kahi pilikia me ke kaula umbilical, haʻahaʻa ka pilikia o ka hana hou ʻana. Eia nō naʻe, inā hana ʻia kēia ma muli o kahi maʻi mau i ka makuahine a i ʻole kahi maʻi genetic i nā mākua, hiki ke kiʻekiʻe iki aʻe ka pilikia.
He aha ka mea e hiki ai ke hānau keiki make?
ʻO kaʻoiaʻiʻo, ma kahi o ka hapalua o nā hānau make i hōʻike ʻia ʻaʻohe kumu i ʻike ʻia. ʻO ia ka ʻāpana kaumaha loa o ia mea. Eia nō naʻe, i nā hihia i ʻike ʻia ai ke kumu, aia kekahi mau kumu koʻikoʻi e kōkua ana i ia mea.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā kīnā hānau | Nā ʻano ʻē o ka chromosomal i ke kino o ke keiki a i ʻole nā chromosomes. |
| Nā pilikia o ke kaula umbilical | Ua ʻoki ʻia ka lako oxygen o ka pēpē ma muli o nā puʻupuʻu ma ke kaula umbilical, ka ʻōwili paʻa a puni ka ʻāʻī a i ʻole ka lima o ka pēpē, a i ʻole ke kaula umbilical e puka mai ana mai ka vagina ma mua o ka hānau ʻana o ka pēpē (prolapsed cord) . |
| Nā pilikia o ka placenta | ʻO nā kūlana e like me ka placental abruption, kahi e hoʻokaʻawale ai ka placenta, ka mea e hānai ai i ka pēpē, mai ka paia uterine ma mua o ka lā hānau. |
| Nā kūlana olakino o ka makuahine | Loaʻa i ka makuahine nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, ʻoi aku hoʻi ke koko kiʻekiʻe i ka wā hāpai (preeclampsia) . |
| Ka palena o ka ulu ʻana o ka ʻōpū (IUGR) | ʻO ka Intrauterine Growth Restriction (IGR) kahi kūlana i kaupalena ʻia ai ka ulu ʻana o ke pēpē i loko o ka ʻōpū ma muli o ka lawa ʻole o ka meaʻai. |
| Nā kumu ʻē aʻe | ʻO nā maʻi i ka wā hāpai, nā hemahema meaʻai i ka makuahine, ka ʻike ʻia ʻana i nā mea ʻawahia e like me nā pesticides a i ʻole carbon monoxide, a me ka mōʻaukala o nā maʻi clotting koko (thrombosis) i ka makuahine a i ʻole kekahi o ka ʻohana. |
Aia anei au i ka pilikia o ka hānau keiki make?
Hiki i kekahi mau kumu ke hoʻonui iki i ka pilikia o ka hānau keiki make. Ua kapa ʻia kēia mau mea he mau kumu pilikia.
- Inā ua loaʻa iā ʻoe kahi STI i hāʻule i ka hāpai ʻana ma mua.
- Ka hoʻohana ʻana i ka waiʻona a i ʻole ka lāʻau lapaʻau.
- Puhi paka.
- Ka momona nui .
- Ma lalo o 15 a ʻoi aku paha ma mua o 35 mau makahiki.
ʻO ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe kahi keiki hānau make. Eia nō naʻe, he mea nui e makaʻala i kēia mau mea, e kamaʻilio me kāu kauka, a e mālama pono i kou wā hāpai.
He aha nā hōʻailona o ka hānau make?
ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona hōʻike ma mua o ka hānau ʻana o ka pēpē make. Eia nō naʻe, i kekahi manawa aia kekahi mau hōʻailona e hōʻike ana he pilikia. Pono ʻoe e makaʻala pono i kēia mau mea.
1. Ke kahe koko ʻana o ka wahine: ʻO ke kahe koko ʻana, ʻoiai i ka hapa lua o ka hāpai ʻana, hiki ke lilo i hōʻailona he hewa kekahi mea me ka pēpē. Akā e hoʻomanaʻo, ʻaʻole nā mea a pau e kahe ana ke koko i ka wā hāpai e hoʻopilikia i ka pēpē. Eia nō naʻe, inā he liʻiliʻi wale nō ke kahe koko, e kamaʻilio koke me kāu kauka.
2. Kū a emi paha nā neʻe ʻana o kāu pēpē i loko o ka ʻōpū, ʻo ia hoʻi, inā emi koke ka hana maʻamau a i ʻole e pau loa ana, he hōʻailona koʻikoʻi paha ia.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻokaʻulua. E kāhea koke aku i kāu kauka , a i ʻole e hele pololei i ka haukapila.
Ma hope o ka nalowale ʻana o ke keiki, pehea ʻoe e ʻike ai i ke kumu?
Ma hope o kahi hanana kaumaha e like me kēia, e noi paha kāu kauka iā ʻoe e nānā i ke kino o kāu keiki e ʻike i ke kumu o ia mea. Ua kapa ʻia kēia he autopsy. Hana ʻia kēia e ke kauka i hoʻomaʻamaʻa kūikawā ʻia no kēia kumu (he pathologist). Hiki i kēia ke komo pū me nā mea e like me ka hoʻāʻo genetic.
Hiki i nā hopena o kēia mau hoʻokolohua ke hāʻawi i kahi hōʻoluʻolu ma ka pane ʻana i ka nīnau, "No ke aha i hana ai kēia i kaʻu pēpē?" a hiki ke kōkua inā ʻoe e hoʻolālā ana i kāu hāpai ʻana aʻe.
He hoʻoholo pilikino loa ia ma waena ou a me kāu hoa inā e hana ʻia kēia mau hoʻokolohua. E kamaʻilio me kāu kauka a me kou ʻohana e pili ana i ia mea a hoʻoholo. Eia kekahi, ʻo ke kamaʻilio ʻana me kahi kākāʻōlelo kaumaha e hiki ke kōkua iā ʻoe e hoʻomanawanui i kēia ʻano kaumaha he mea kōkua nui ia.
Pehea ʻoe e ho'ōla ai i ke kino a me ka noʻonoʻo?
Ma hope o ka ʻike ʻia ʻana ua make ka pēpē i loko o ka ʻōpū, pono e hānau ʻia ke pēpē. I ka hapanui o nā hihia, ke ʻole he pilikia olakino koʻikoʻi ko ka makuahine, ʻaʻole pono e hana koke ʻia kēia. E koho ke kauka i kahi manawa kūpono. I ka manawa pinepine, hiki ke hānau ʻia ke pēpē ma ke ʻano vaginal ma ka hoʻoulu ʻana i ka hānau ʻana. I kekahi mau hihia kūikawā, pono paha ka ʻoki cesarean.
He manawa paʻakikī loa kēia. ʻAʻole maʻalahi ke hoʻomanawanui i ka ʻeha nui o ka noʻonoʻo i ka wā e ho'ōla kino ai.
E hoʻomanaʻo, ʻaʻole i hana ʻia ka hānau make ʻana e kekahi mea āu i hana ai a i ʻole i hana ʻole ai. He mea maʻamau ka manaʻo hewa no ia mea, akā pono ʻoe e hoʻomaopopo ʻaʻole ia.
He mea maʻamau ka loaʻa ʻana o nā manaʻo kaumaha, huhū, a me ka huikau. Hiki i kēia pohō ke hoʻopilikia i kāu male ʻana. No laila, mai kānalua e ʻimi i ke kōkua mai kahi loea olakino noʻonoʻo kūpono, e like me ke kauka noʻonoʻo a i ʻole ke kauka lapaʻau. Hiki paha iā ʻoe ke ʻike he mea kōkua ke hui pū me kahi hui kākoʻo me nā mākua ʻē aʻe i loaʻa i nā ʻike like.
Hiki ke pale ʻia ka hānau make ʻana?
ʻO ka mea pōʻino, hiki ke hānau keiki make me ka ʻole o ka hōʻike ʻana i nā wahine ʻaʻohe kumu pilikia. Eia nō naʻe, nānā pono ʻia nā wahine hāpai me nā kumu pilikia e like me ka maʻi diabetes a me ke koko kiʻekiʻe e nā kauka. Nānā ʻia ke kūlana o ka pēpē i kēlā me kēia manawa e ʻike ai ke kauka iā lākou. Hana pinepine ʻia kēia mau hoʻokolohua i ka wā hope o ka hāpai ʻana, a hoʻohana ʻia nā hoʻokolohua kūikawā e like me ka 'non-stress testing' a me nā scan 'ultrasound' maʻamau.
ʻO ka mea nui loa a kēlā me kēia makuahine hāpai e hana ai!
ʻOiai inā ʻaʻohe ou kumu pilikia, ma hope o 26 mau pule, e makaʻala pono i nā neʻe ʻana o kāu pēpē (kicks) i nā manawa he nui i ka lā. Ua kapa ʻia kēia ʻo "kick counting". Inā ʻike ʻoe i kahi loli i ke ʻano neʻe ʻana o kāu pēpē, e like me ka emi ʻana o ka helu o nā kicks, e ʻike koke i ke kauka a i ʻole e hele i ka ʻoihana pilikia o ka haukapila (ETU). Hiki i kēia ke lilo i mea e hoʻopakele ai i ke ola.
Pono ʻoe i ka manawa e hoʻōla ai i ke kino a me ka noʻonoʻo ma mua o ka hoʻāʻo hou ʻana. E kamaʻilio me kāu kauka a e hana i nā hana e pono ai e loaʻa kahi hāpai olakino.
- E ʻimi i ke kōkua lapaʻau ma mua o ka hāpai hou ʻana. E lawe i nā huaora e pono ai e like me ka waikawa folic.
- E hōʻalo loa i ka waiʻona a me ka puhipaka.
- E ʻai i ka meaʻai olakino. E ʻai wale i ka meaʻai i moʻa maikaʻi ʻia.
- E lawe wale i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai.
- E hoʻokomo i kahi mea ʻike kalapona monoxide i loko o kou home. No ka ʻike hou aku e pili ana i kēia, e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau ma ka Halemai Lahui ʻo Colombo .
Leka Lawe-Home
- He ʻike ʻeha loa ka hānau make ʻana. He mea maʻamau ke kaumaha, ka huhū, a me ka hewa. E ʻae iā ʻoe iho e manaʻo i kēlā mau manaʻo.
- ʻAʻole kēia kou hewa. I ka manawa pinepine, ʻaʻohe kumu kikoʻī no kēia. Mai hoʻāhewa iā ʻoe iho.
- I ka wā hāpai, ʻoi aku hoʻi ma hope o 26 mau pule, e makaʻala mau i nā neʻe ʻana o kāu pēpē. Inā ʻike ʻoe i kekahi mau loli, e ʻimi koke i ke kōkua lapaʻau.
- Ma hope o kēia ʻike, kiʻekiʻe loa ka manawa e hāpai hou ai i kahi keiki olakino. Mai hoʻokuʻu i ka manaʻolana.
- He mea nui loa kou olakino noʻonoʻo. Mai ho'āʻo e hoʻomanawanui i kēia kaumaha wale nō. E ʻimi i ke kōkua loea (kākāʻōlelo) a i ʻole kahi hui kākoʻo.
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