Nā hoʻāʻo loiloi hou

Nānā nā hōʻike loiloi hou no nā maʻi ulu, nā genetical, a me nā metabolic i ka pēpē hānau hou. ʻAe kēia i nā ʻanuʻu e lawe ʻia ma mua o ka hoʻomohala ʻana o nā ʻōuli. ʻO ka hapa nui o kēia mau maʻi he kākaʻikahi loa, akā hiki ke mālama ʻia inā hopu ʻia i ka wanaʻao.

ʻO nā ʻano o nā hoʻāʻo loiloi hou i hana ʻia he ʻokoʻa ia mai kahi mokuʻāina a kahi mokuʻāina. Ma ʻApelila 2011, ua hōʻike nā mokuʻāina āpau i ka loiloi ʻana no 26 mau maʻi ma ka panalāʻau āpau i hoʻonui ʻia a maʻamau. ʻO nā loiloi kānana kānana ʻoi loa ma kahi o 40 mau maʻi. Eia nō naʻe, no ka mea ʻo phenylketonuria (PKU) ka maʻi mua i ulu ai kahi hōʻike loiloi, ke kapa nei kekahi poʻe i ka pale hānau hou "ka hōʻike PKU".

Ma waho o nā hoʻokolohua koko, nānā ʻia no ka nalo ʻana o ka lohe a me nā maʻi puʻuwai congenital koʻikoʻi (CCHD) no nā keiki hānau hou a pau. Pono nā mokuʻāina he nui i kēia kānana e ke kānāwai.

Hana ʻia nā kānana ʻana me ka hoʻohana ʻana i nā ʻano hana penei:

• Nā hoʻāʻo koko. Lawe ʻia kekahi mau kulu koko mai ka kuʻekuʻe wāwae o ka pēpē. Hoʻouna ʻia ke koko i kahi lab no ka loiloi.
• Hōʻike hoʻolohe. E hoʻokau kahi mea mālama ola i kahi pepeiao pepeiao a i ʻole microphone i loko o ka pepeiao o ka pēpē. Hoʻohana kekahi hana i nā uila i kau ʻia ma ke poʻo o ke pēpē ʻoiai e noho mālie a hiamoe ana paha ka pēpē.
• Pale CCHD. E hoʻonoho kahi mea hāʻawi i kahi mea leʻaleʻa palupalu ma ka ʻili o ka pēpē a hoʻopili iā ia i kahi mīkini i kapa ʻia he oximeter no kekahi mau minuke. E ana ana ka oximeter i nā pae oxygen o ka pēpē i ka lima a me ka wāwae.

ʻAʻole pono kahi hoʻomākaukau no nā hoʻokolohua loiloi hānau hou. Hana pinepine ʻia nā hoʻokolohua ma mua o ka haʻalele ʻana i ka haukapila ke waiho ka pēpē ma waena o 24 mau hola a me 7 mau lā.

E uē paha ka pēpē ke kui ʻia ka kuʻekuʻe e kiʻi i ka hāpana koko. Ua hōʻike ʻia nā noiʻi i nā pēpē nāna nā makuahine e hoʻopaʻa iā lākou i ka ʻili i ka ʻili a hānai paha iā lākou i ka wā o ke kaʻina hana e hōʻike ana i ka liʻiliʻi o ke kaumaha. ʻO ka wahī ʻana i ka pēpē i loko o ka kapa moe, a i ʻole ka hāʻawi ʻana i kahi pacifier i hoʻū ʻia i loko o ka wai kō, hiki ke kōkua ʻia e hōʻoluʻolu i ka ʻeha a hoʻomaha i ka pēpē

ʻAʻole pono ka hoʻokolohua hoʻolohe a me ka pale CCHD i ʻeha ke pēpē, uē, a pane paha.

ʻAʻole hōʻike nā hōʻike loiloi i nā maʻi. Hōʻike lākou i nā pēpē e pono ai ka hoʻāʻo hou ʻana e hōʻoia a hōʻalo ai i nā maʻi.

Inā hōʻoia ka hōʻoiaʻiʻo ʻana i ka maʻi o ke keiki, hiki ke hoʻomaka i ka mālama ʻana, ma mua o ka hōʻike ʻia ʻana o nā ʻōuli.

Hoʻohana ʻia nā hōʻike loiloi koko e ʻike i nā ʻano maʻi he nui. Pili pū kekahi o kēia mau mea:

• Nā maʻi maʻi amino acid
• Ka nele o Biotinidase
• ʻO hyperplasia adrenal congenital
• ʻO hypothyroidism kūpuna
• ʻO Cystic fibrosis
• Nā maʻi kūlohelohe waikawa momona
• Galactosemia
• Ka nele o Glucose-6-phosphate dehydrogenase (G6PD)
• Kanaka maʻi pale maʻi (HIV)
• Nā maʻi kūlohelohe waikawaola
• Phenylketonuria (PKU)
• ʻO nā maʻi maʻi maʻi a me nā maʻi hemoglobin ʻē aʻe a me nā ʻano
• Toxoplasmosis

Hiki ke hoʻololi i nā kumukūʻai maʻamau no kēlā me kēia hoʻokolohua loiloi e pili ana i ka hopena o ka hōʻike.

Kaha: Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi hopena maʻamau ka manaʻo o ke keiki e loaʻa i nā hoʻokolohua hou aku e hōʻoia a hōʻalo paha i ke ʻano.

ʻO nā pilikia no ke kuʻekuʻe wāwae heʻe koko hānau hou:

• ʻEha
• Hiki i ka palapū ma ka pūnaewele kahi i loaʻa ai ke koko

He mea koʻikoʻi ka hoʻāʻo ʻana hānau hou no ka loaʻa ʻana o ka lāʻau i ka pēpē. Hoʻopakele paha ka mālama ʻana. Eia naʻe, ʻaʻole hiki ke mālama ʻia nā maʻi āpau i hiki ke ʻike ʻia.

ʻOiai ʻaʻole e hana nā haukapila i nā hoʻokolohua loiloi āpau, hiki i nā mākua ke hana i nā hoʻokolohua ʻē aʻe i nā kikowaena lapaʻau nui. Hāʻawi pū kahi hale hana pilikino i ka loiloi hou hānau. Hiki i nā mākua ke ʻike e pili ana i nā hōʻike loiloi hou o ke keiki hānau hou mai kā lākou mea lawelawe a i ʻole ka haukapila kahi i hānau ai ka pēpē. Hāʻawi pū nā pūʻulu e like me ka March of Dimes - www.marchofdimes.org i nā kumuwaiwai hōʻike loiloi.

Nā hoʻāʻo loiloi ʻana o nā pēpē; Nā hoʻāʻo loiloi neonatal; ʻO ka hoʻāʻo PKU

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Puka hōʻike loiloi hou. www.cdc.gov/newbornscreening. Hoʻohou i Pepeluali 7, 2019. Loaʻa iā Iune 26, 2019.

Sahai I, Levy HL. Nānā hou ʻia. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 27.