Ke moeʻuhane nei ʻoe i ka loaʻa ʻana o kahi pēpē? He manaʻolana nani loa ia i ke ola. Akā ma mua o ka hiki ʻana mai o kēlā manaʻolana nani, pono mākou e hana i kahi hoʻomākaukau liʻiliʻi e lawe mai i kāu keiki liʻiliʻi i kēia ao me ke olakino a palekana. Inā paha ʻo kāu pēpē mua kēia a i ʻole kāu pēpē ʻelua, he mea ia e pono ai ʻoe e hana. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kēia nānā olakino koʻikoʻi i hana ʻia ma mua o ka hāpai ʻana (Pre-pregnancy Checkup).
No ke aha he mea nui ka nānā ʻana ma mua o ka hāpai ʻana?
E noʻonoʻo ʻoe e hele ana ʻoe e ʻike i kāu kauka ma kahi o hoʻokahi makahiki ma mua o kou hāpai ʻana i kahi pēpē. Manaʻo paha kekahi poʻe, "Ua maikaʻi wau, no laila no ke aha e ʻike ai i ke kauka?"
I ka ʻōlelo maʻalahi, kōkua kēia i ka hōʻoia ʻana i kou olakino maikaʻi loa no ka hāpai ʻana. A laila loaʻa iā ʻoe kahi manawa kūpono e loaʻa ai kahi hāpai palekana me kahi pēpē olakino . ʻAʻole like kēia me ka lawe ʻana i ka lāʻau lapaʻau no kahi maʻi maʻamau. He kamaʻilio aloha loa kēia me kāu kauka a me kahi nānā olakino piha.
He aha ka mea a ke kauka e kamaʻilio nei me ʻoe?
I loko o kēia kūkākūkā ʻana , e nīnau ke kauka iā ʻoe i kekahi mau nīnau. Ua like kēia me ka loaʻa ʻana o kahi kiʻi piha o kou olakino.
| Kumuhana kamaʻilio | No ke aha he mea nui kēlā? |
|---|---|
| ʻO kāu moʻolelo lapaʻau a me kou ʻohana | He mea nui e ʻike inā loaʻa i kekahi o kou ʻohana nā maʻi hoʻoilina e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka thalassemia. Ma kēia ala, hiki iā ʻoe ke ʻike i nā pilikia e kū mai ana i kāu pēpē i ka wā mua. |
| Kou mōʻaukala lāʻau pale | Hiki i kekahi mau maʻi (e like me ka rubella, ka moa) ke lilo i mea weliweli loa no ka pēpē i ka wā hāpai. No laila, he mea nui e hōʻoia ua loaʻa iā ʻoe nā lāʻau pale āpau e pono ai ma mua. He manaʻo maikaʻi e ʻimi a mālama i kāu kāleka lāʻau pale. |
| Kou nohona | Hoʻokomo pū ʻia kēia me nā mea e like me kāu ʻai, inā ʻoe e hoʻoikaika kino, puhi paka, inu waiʻona, a pēlā aku. ʻO ke ʻano ola olakino ka makana maikaʻi loa no kahi pēpē olakino. |
| Nā lāʻau lapaʻau āu e hoʻohana ai | Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau no nā maʻi ʻē aʻe, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou. Hiki i kekahi mau lāʻau lapaʻau ke hana i nā kīnā hānau i kāu pēpē. E hiki i kāu kauka ke kuhikuhi i nā koho palekana. |
| Pehea e hoʻonui ai i kou manawa kūpono e hāpai ai | E hāʻawi ʻia iā ʻoe nā ʻōlelo aʻoaʻo e pono ai e maʻalahi ai ka hāpai ʻana a e ʻike i ka manawa kūpono loa no ia. |
ʻO ka mea aʻe, he aha ke ʻano o nā hoʻokolohua lapaʻau e hana ʻia?
Ma hope o ke kamaʻilio ʻana, e nānā pono ke kauka iā ʻoe. E hāʻawi kēia iā ʻoe i kahi ʻike maopopo i ke kūlana olakino o kou kino.
- Hoʻokolohua Kino: E ana ʻia kou mau kūlana olakino maʻamau e like me ke kiʻekiʻe, ke kaumaha, a me ke koko.
- Hoʻokolokolo Umauma: Nānā i nā pilikia me nā umauma.
- Hoʻokolohua Pelvic a me ka Pap Test: Nānā i nā maʻi a i ʻole nā pilikia ʻē aʻe i loko o ka ʻōpū a me ka ʻōnaehana hānau. Hiki i ka hoʻokolohua Pap ke ʻike mua i ka maʻi ʻaʻai cervical.
- Nā Hoʻāʻo Koko: He mea nui loa kēia. Ma o kēia, ʻo kāu:
- Ka pae kō koko (Glucose) - e nānā i ka pilikia maʻi diabetes.
- Kolesterol a me Triglycerides - E aʻo e pili ana i ke olakino o ka puʻuwai.
- Hana o ke akepaʻa
- ʻO ke ʻano koko a me ka kumu Rh - He mea nui loa kēia i ka wā hāpai.
Inā hōʻike kēia mau hoʻokolohua he maʻi kou, mai hopohopo. Na kāu kauka e alakaʻi iā ʻoe e hoʻokele pono i ke kūlana ma mua o kou hāpai ʻana.
Nā kūlana e hiki ke hoʻopilikia i ka hāpai ʻana
Hiki i kekahi mau kūlana olakino ke paʻakikī i ka hāpai ʻana a i ʻole ke kumu o nā pilikia i ka wā hāpai. Eia kekahi laʻana:
- Ke koko kiʻekiʻe
- ʻO ka maʻi diabetes a i ʻole ka prediabetes
- Kaumaha loa a momona paha
- Nā pilikia thyroid
- Nā pilikia olakino noʻonoʻo e like me ke kaumaha
Hiki iā ʻoe ke hoʻāʻo ʻia no nā maʻi i laha ma ke ʻano moekolohe (STD) inā makemake ʻoe. Hana ʻia kēia mau mea a pau e hōʻoia i ka palekana loa no ʻoe a me kāu pēpē.
Pehea e hoʻomākaukau ai i ke kino no ka hāpai ʻana?
Ma hope o nā hoʻokolohua, e hāʻawi ke kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e hoʻomākaukau i kou kino no kēia huakaʻi nani.
1. Folic Acid: He mea pono kēia. Pono ʻoe e hoʻomaka e lawe i ka folic acid (400mcg) i kēlā me kēia lā ma ka liʻiliʻi he mahina ma mua o ka hoʻāʻo ʻana e hāpai. He kōkua nui kēia i ka pale ʻana i nā kīnā neural tube i loko o ka lolo a me ke kaula spinal o ka pēpē.
2. Omega-3: He mea nui loa nā Omega-3, ʻoiai ka waikawa momona DHA, no ka ulu ʻana o ka lolo a me ka ʻōnaehana nerve o kāu pēpē. E nānā inā loaʻa kēia mau mea i kāu huaora prenatal.
3. Nā lāʻau pale: E like me ka mea i ʻōlelo ʻia ma mua, e kiʻi i kāu mau lāʻau pale ma mua. He mea nui ka pana flū i kēia manawa, no ka mea, e nāwaliwali iki paha kou ʻōnaehana pale i ka wā hāpai.
E aʻo pū kākou e pili ana i nā hoʻokolohua genetic.
I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i nā hoʻokolohua genetic. ʻAʻole kēia he mau hoʻokolohua koi ʻia , akā i kekahi manawa he mea nui loa ia.
Ke nānā nei kēia mau hoʻokolohua i nā genes e hiki ai iā ʻoe a i ʻole kāu hoa ke loaʻa i kekahi mau kūlana, ʻo ia hoʻi:
- Inā loaʻa i kekahi o ka ʻohana nā maʻi genetic
- Inā pilikia ʻoe i ka hāpai ʻana
- Inā ua loaʻa iā ʻoe kekahi mau hāʻule mua
I kēia hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kākā'ōlelo genetic nāna e wehewehe i nā pono a me nā pōʻino o nā hoʻokolohua iā ʻoe.
Hana ʻia kēia mau mea a pau e kōkua iā ʻoe e lawe mai i kāu pēpē moeʻuhane i kēia ao, he pēpē olakino a hauʻoli hoʻi. No laila, mai makaʻu, a e kamaʻilio ākea me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- Inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē, e ʻike i ke kauka ma ka liʻiliʻi he 3 mahina ma mua, a ʻoi aku ka maikaʻi o hoʻokahi makahiki ma mua, no ka ʻōlelo aʻo.
- ʻAʻole kēia he hoʻokolohua maʻamau wale nō, akā he kamaʻilio koʻikoʻi me ke kauka e pili ana i kou nohona a me kou mōʻaukala olakino.
- ʻO ka hoʻomaka ʻana e lawe i ka waikawa folic ma mua o ka hāpai ʻana he mea nui ia no ke olakino o ke keiki.
- Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, he mea nui loa ia e kaohi pono iā lākou ma mua o ka hāpai ʻana.
- Mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i nā pilikia olakino a hopohopo paha āu e loaʻa ai. E alakaʻi ʻo ia iā ʻoe ma ke ala kūpono.
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