Ke hoʻāʻo ʻana i ke koko

Pili ke koko kaula i kahi laʻana o ke koko i hōʻiliʻili ʻia mai ka umbilical cord ke hānau ʻia kahi pēpē. ʻO ka umbilical cord ke kaula e hoʻopili ana i ka pēpē i ka ʻōpū o ka makuahine.

Hiki ke hana i ka hoʻāʻo ʻana i ke koko e loiloi ai i ke olakino o kahi keiki hānau hou.

Ma hope pono o ka hānau ʻana o kāu pēpē, hoʻopaʻa ʻia ka ʻili umbilical a ʻoki ʻia. Inā huki ʻia ke koko kaula, hoʻonoho ʻia ka mea hoʻopaʻa ʻē aʻe i 8 a 10 paha ʻīniha (20 a 25 kenimika) mai ka mua. ʻOkiʻoki ʻia ka ʻāpana ma waena o nā mea paʻa a ʻohiʻohi ʻia kahi hāpana koko i loko o kahi paipu hōʻike.

ʻAʻole pono nā kapuaʻi kūikawā e hoʻomākaukau ai no kēia hōʻike.

ʻAʻole ʻoe e ʻike i kekahi mea ma ʻō aku o ke kaʻina hanau maʻamau.

Hana ʻia ke kolo koko e ana i ka mea aʻe i loko o ke koko o kāu pēpē.

• Pae Bilirubin
• ʻO ka moʻomeheu koko (inā kuhi ʻia kahi maʻi)
• ʻO nā kinoea koko (me ka oxygen, carbon dioxide, a me nā pae pH)
• Pae kō kō
• ʻAno koko a me Rh
• Helu piha koko (CBC)
• Heluna pāluna

ʻO ka manaʻo o nā kumukūʻai maʻamau aia nā mea āpau i nānā ʻia ma waena o ka pae maʻamau.

ʻO kahi pH haʻahaʻa (ma lalo o 7.04 a 7.10) ʻo ia hoʻi aia nā pae kiʻekiʻe o nā waikawa i ke koko o ka pēpē. Kūpono paha kēia inā ʻaʻole lawa ka oxygen o ka pēpē i ka wā o ka hana. ʻO kekahi kumu o kēia hiki ke hoʻopili ʻia ka umbilical cord i ka hana a hāʻawi paha.

ʻO kahi moʻomeheu koko e maikaʻi no ka bacteria ʻo ia hoʻi he maʻi koko ko kāu pēpē.

Hiki ke loaʻa ke kiʻekiʻe o ke kō kō (glucose) i ke kaula o ke kaula inā he maʻi kō ka makuahine. E nānā ʻia ka hānau hānau hou no ka hypoglycemia (kō kō kō haʻahaʻa) ma hope o ka hānau ʻana.

ʻO ke kiʻekiʻe o ka bilirubin i ka hānau hou he nui nā kumu, a ma muli o nā maʻi i loaʻa i ka pēpē.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO ka hapa nui o nā haukapila e hōʻiliʻili maʻamau i ke koko kaula no ka hoʻāʻo ʻana ma ka wā hānau. Maʻalahi maʻalahi ke kaʻina hana a ʻo kēia wale nō ka manawa ke hiki ke hōʻiliʻili ʻia kēia ʻano koko.

Hiki iā ʻoe ke hoʻoholo i ka panakō a i ʻole hāʻawi i ke koko kaula i ka manawa o kāu hānau. Hiki ke hoʻohana i ke koko kaula e mālama ai i kekahi ʻano o nā maʻi ʻaʻaʻa pili iwi. Koho paha kekahi mau mākua i ka mālama ʻana (panakō) i ke koko kaula o kā lākou keiki no kēia a me nā hana lapaʻau e hiki mai ana.

Hana ʻia ke kōkō koko no ka hoʻohana pilikino e nā kaola koko ʻelua a me nā ʻoihana pilikino. Aia kahi uku no ka lawelawe inā hoʻohana ʻoe i kahi lawelawe pilikino. Inā koho ʻoe i panakō i ke koko kaula o kāu pēpē, pono ʻoe e kamaʻilio me kāu kauka olakino e pili ana i nā pōmaikaʻi a me nā maikaʻi ʻole o nā koho like ʻole.

Ke KulanuiʻAmelika o nā Obstetricians a me nā Gynecologists. Manaʻo ke komite ACOG no. 771: hui panakō koko. ʻO Obstet Gynecol. 2019; 133 (3): e249-e253. PMID: 30801478 pubmed.ncbi.nlm.nih.gov/30801478/.

Greco NJ, Elkins M. Kāpena lawaiʻa a me nā pūnaewele progenitor. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 38.

Waldorf KMA. ʻO ka maʻi pale umauma makuahine. 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 4.