Syndrome wai ʻino Fetal

ʻO ka maʻi ʻalekole Fetal (FAS) ke ulu nei, ka noʻonoʻo, a me nā pilikia o ke kino i hiki i kahi pēpē ke inu ka makuahine i ka waiʻona i ka wā hāpai.

Ke hoʻohana nei i ka waiʻona i ka wā o ka hāpai ʻana hiki ke hana i nā pilikia like me ka hoʻohana ʻana i ka ʻalekohola i ka nui. Akā hāʻawi ʻia i kahi pōʻino hou aʻe i ka pēpē i hānau ʻole ʻia. Ke inu ka wahine hāpai i ka ʻalekohola, hele maʻalahi ia i ka placenta i ka fetus. Ma muli o kēia, hiki i ka inu lama ʻana ke hōʻeha i ka pēpē i hānau ʻole ʻia.

ʻAʻohe pae "palekana" o ka hoʻohana ʻana o ka waiʻona i ka wā hāpai. Hōʻike ka nui o ka waiʻona e hoʻonui i nā pilikia. ʻOi aku ka maikaʻi o ka inu ʻana o ka Binge ma mua o ka inu liʻiliʻi ʻana i ka wai ʻona.

ʻO ka manawa o ka hoʻohana ʻana i ka waiʻona i ka wā hāpai ka mea nui. ʻO ka inu ʻana i ka waiʻona ka mea ʻino loa i loko o nā mahina 3 mua o ka hāpai ʻana. Akā ʻo ka inu lama ʻana i kēlā me kēia manawa i ka wā hāpai hiki ke hōʻeha.

Loaʻa i kahi pēpē me FAS nā hōʻailona aʻe:

• Ke ulu maikaʻi ʻole ʻoiai ʻo ka pēpē i loko o ka ʻōpū a ma hope o ka hānau ʻana
• Hoʻoemi i ke kani o ka mākala a me ke kūlike ʻole maikaʻi ʻole
• ʻO nā milestones hoʻolālā lohi
• Pilikia pilikia, e like me nearsightedness (myopia)
• Hyperactivity
• Hopohopo
• Weliweli nui loa
• Kahi nānā pōkole

Hōʻike kahi hoʻokolohua kino o ka pēpē i kahi ʻōhumu o ka naʻau a i ʻole nā ​​pilikia puʻuwai ʻē aʻe. ʻO kahi kīnā maʻamau he puka i ka paia e hoʻokaʻawale i nā keʻena ʻākau a hema o ka puʻuwai.

Aia paha he mau pilikia me ka maka a me nā iwi. Pākuʻi ʻia kēia mau mea:

• Nā maka hāiki a liʻiliʻi hoʻi
• ʻO ke poʻo liʻiliʻi a me ka iwi ā luna
• ʻO ke kaha o ka lewa i ka lehelehe luna, ka lehelehe lahilahi a lahilahi o luna
• Pepeiao deformed
• Ihu pālahalaha, pōkole, a upturned
• Ptosis (hāʻule ʻana o nā lihilihi luna)

ʻO nā hoʻokolohua i hana ʻia e komo pū paha:

• ʻO ka pae ʻalekoke koko i nā wahine hāpai e hōʻike i nā hōʻailona o ka ʻona (ʻona)
• Ke aʻo ʻana i ka lolo (CT a i ʻole MRI) ma hope o ka hānau ʻana o ke keiki
• ʻO ke ultrasound hāpai keiki

ʻAʻole pono nā wahine hāpai a i ʻole e hoʻāʻo nei e hāpai. ʻO nā wahine hāpai me ka maʻi ʻona e pono e hui pū i kahi papahana rehabilitation a nānā pono ʻia e kahi mea mālama ola i ka wā hāpai.

ʻOkoʻa ka hopena no nā pēpē me FAS. ʻAneʻane ʻole o kēia mau pēpē e ulu maʻamau i ka lolo.

Nui nā pilikia like ʻole o nā pēpē a me nā keiki me FAS, a he paʻakikī e hoʻokele. Hana maikaʻi nā kamaliʻi inā ʻike koke ʻia lākou a kuhikuhi ʻia i kahi kime o nā mea hoʻolako i hiki ke hana ma nā hoʻolālā aʻo a me nā hana e kūpono i nā pono o ke keiki.

Kāhea i kahi manawa me kāu mea lawelawe inā inu ʻoe i ka waiʻona i ka manawa pinepine a nui paha, a ke paʻakikī nei ʻoe e ʻoki a kū hoʻi. Eia kekahi, e kāhea inā inu ʻoe i ka waiʻona i kēlā me kēia nui ke hāpai ʻoe a i ʻole ke hoʻāʻo nei e hāpai.

ʻO ka pale ʻana i ka waiʻona i ka wā hāpai e pale iā FAS. Hiki i ke ʻōlelo aʻoaʻo ke kōkua i nā wahine i hānau mua i kahi keiki me FAS.

ʻO nā wahine hana kolohe e inu nui pono e hoʻohana i ka kaohi hānau a kāohi i kā lākou ʻano inu inu, a i ʻole hoʻopau i ka hoʻohana ʻana i ka waiʻona ma mua o ka hoʻāʻo ʻana e hāpai.

ʻAlekohola i ka hāpai keiki; Nā hānau hānau pili i ka ʻalekohola; Nā hopena ʻalalā Fetal; FAS; Nā maʻi laulā ʻalalā fetal; ʻIno ʻino - ʻalalā fetal; ʻAlekohola - waiʻona fetal

• ʻAlau palmar paʻa
• Syndrome wai ʻino Fetal

Hoyme HE, Kalberg WO, Elliott AJ, et al. Hoʻohou i nā alakaʻi olakino no ka hōʻoia ʻana i nā maʻi spectr alkohol fetal. Pediatrics. 2016; 138 (2). pii: e20154256 PMID: 27464676 pubmed.ncbi.nlm.nih.gov/27464676/.

Weber RJ, Jauniaux ERM. Nā lāʻau a me nā ʻenekema kaiāulu i ka hāpai hāpai a me ka lactation: teratology, epidemiology, a me ka hoʻokele hoʻomanawanui. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 7.

Wozniak JR, Riley EP, Charness ME. Hōʻikeʻike Clinical, diagnose, a me ka hoʻokele ʻana o ka maʻi ʻōpū fetal. Lancet Neurol. 2019; 18 (8): 760-770. PMID: 31160204 pubmed.ncbi.nlm.nih.gov/31160204/.