Ka Hoʻoikaika Koko Kālā a me ka Panakō
Anter
- He aha ka hoʻāʻo ʻana o ke koko kaula a me ka hoʻopili ʻana i ke koko?
- No ke aha ke ʻano o ka hoʻāʻo ʻana i ke koko kaula?
- He aha ka mea e hoʻohana ai i ke panakō koko?
- Pehea e hōʻiliʻili ai i ke koko kaula?
- Pehea ke banka pili kālā?
- Aia kekahi hoʻomākaukau e pono ai no ka hoʻāʻo ʻana i ke koko a me ka panakō?
- Aia kekahi mau pilikia i ke kākā ʻana i ke koko a me ka panakō?
- He aha ka manaʻo o nā hopena hoʻokolohua koko?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hoʻāʻo ʻana i ke koko a me ka panakō?
- Nā kūmole
He aha ka hoʻāʻo ʻana o ke koko kaula a me ka hoʻopili ʻana i ke koko?
ʻO ke koko kaula ke koko i waiho ʻia i ka umbilical cord ma hope o ka hānau ʻana o kahi pēpē. ʻO ka umbilical cord ke kaula e like me ke kaula e hoʻopili i ka makuahine i kāna pēpē i hānau ʻole ʻia i ka wā hāpai. Loaʻa iā ia nā kīʻaha koko e lawe i ka meaʻai i ka pēpē a hemo i nā huahana neoneo. Ma hope o ka hānau ʻana o kahi pēpē, ʻokiʻoki ʻia ke kaula me kahi ʻāpana liʻiliʻi i koe. E hoʻōla kēia ʻāpana a hana i ka pihi o ka ʻōpū o ka pēpē.
Ke hoʻāʻo ʻana i ke koko
Ke ʻoki ʻia ka kaula umbilical, hiki i kahi mea mālama ola ke lawe i kahi laʻana o ke koko mai ke kaula no ka hoʻāʻo ʻana. E ana paha kēia mau hoʻāʻo i nā ʻano mea like ʻole a nānā i nā maʻi a i ʻole nā maʻi ʻē aʻe.
Kānāwai koko panalāʻau
Makemake kekahi poʻe i ka panakō (mālama a mālama) i ke koko mai ka piko o kā lākou pēpē no ka hana e hiki mai ana i ka mālama ʻana i nā maʻi. Piha ka umbilical cord i nā hunaola kūikawā i kapa ʻia he cell cells. ʻAʻole like me nā pūnaewele ʻē aʻe, hiki i nā hunaola ke ulu i loko o nā ʻano ʻāpana like ʻole. Hoʻopili kēia i ka iwi iwi, nā huna koko, a me nā hunaola o ka lolo. Hiki ke hoʻohana ʻia nā hunaola i ke koko kaula e mālama ai i kekahi mau maʻi koko, e like me leukemia, maʻi Hodgkin, a me kekahi ʻano anemia. Ke aʻo nei nā kānaka noiʻi inā hiki i nā hunaola kūmole ke mālama i nā ʻano maʻi ʻē aʻe.
No ke aha ke ʻano o ka hoʻāʻo ʻana i ke koko kaula?
Hiki ke hoʻohana ʻia ka hoʻāʻo ʻana i ke koko i:
- E ana i nā kinoea koko. Kōkua kēia e ʻike inā loaʻa i ke koko o ka pēpē kahi pae olakino o ka oxygen a me nā mea ʻē aʻe.
- E ana i nā pae bilirubin. ʻO Bilirubin kahi huahana neoneo i hana ʻia e ke ake. Hiki i nā pae bilirubin kiʻekiʻe ke hōʻailona o kahi maʻi ate.
- Hana i kahi moʻomeheu koko. Hana ʻia paha kēia hōʻike inā manaʻo ka mea hāʻawi i ka maʻi he maʻi maʻi kā pēpē.
- E ana i nā ʻāpana like ʻole o ke koko me ka helu piha o ke koko. Hana pinepine ʻia kēia ma nā pēpē pēpē.
- Nānā i nā hōʻailona o ka loaʻa ʻana o ka pēpē i nā lāʻau lapaʻau kū ʻole i hoʻohana hewa ʻia a hoʻohana hewa ʻia paha i lawe ʻia e kahi makuahine i ka wā o ka hāpai ʻana. Hiki i ke koko umbilical cord ke hōʻike i nā hōʻailona o nā lāʻau like ʻole, e like me nā opiates; e like me heroin a me fentanyl; kokainā; mariuana; a me nā mea hoʻohiehie. Inā loaʻa kekahi o kēia mau lāʻau i ke koko kaula, hiki i kahi mea mālama ola ke hana i nā hana e mālama ai i ka pēpē a kōkua i ka pale ʻana i nā pilikia e like me ka hoʻopaneʻe ʻana i ka ulu ʻana.
He aha ka mea e hoʻohana ai i ke panakō koko?
E makemake paha ʻoe e noʻonoʻo i ka panakō ʻana i ke koko o kāu pēpē inā ʻoe:
- Loaʻa i kahi moʻolelo ʻohana o kahi maʻi koko a i ʻole kekahi mau maʻi maʻi maʻi maʻi maʻi. E pili kokoke i nā genetics o kāu pēpē kahi moʻokūʻauhau pili i kāna kaikaina a i ʻole lālā ʻohana ʻē aʻe. Kōkua paha ke koko i ka mālama ʻana.
- Makemake e pale i kāu keiki mai kahi maʻi e hiki mai ana, ʻoiai ʻaʻole hiki ke mālama ʻia kahi keiki me kāna mau ʻāpana iho. ʻO ia no ka mea he pilikia like paha ko nā hunaola ʻōiwi a ke keiki i alakaʻi ai i ka maʻi i ka wā mua.
- Makemake e kōkua i nā poʻe ʻē aʻe. Hiki iā ʻoe ke hāʻawi i ke koko o kāu pēpē i kahi pono e hāʻawi i nā hunaola ola i nā mea maʻi e pono ai.
Pehea e hōʻiliʻili ai i ke koko kaula?
Ma hope koke o ka hānau ʻia ʻana o kāu pēpē, e ʻokiʻoki ʻia ka umbilical cord e hoʻokaʻawale ai i ka pēpē mai kou kino. Hoʻokiʻoki pinepine ke kaula ma hope pono o ka hānau ʻana, akā ʻāpono nā ʻoihana olakino i kēia manawa e kali ma kahi o hoʻokahi minute ma mua o ka ʻoki ʻana. Kōkua kēia i ka hoʻomaikaʻi ʻana i ke kahe o ke koko i ka pēpē, i loaʻa paha nā pōmaikaʻi olakino lōʻihi.
Ma hope o ka ʻoki ʻana o ke kaula, e hoʻohana kahi mea mālama ola i kahi mea hana i kapa ʻia he paʻa e hoʻokū i ke kaula mai ke kahe ʻana o ke kahe. E hoʻohana ka mea hāʻawi i kahi nila no ka hemo ʻana i ke koko mai ke kaula. E ʻūlū ʻia ke koko kaula a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana a i ʻole kahi panakō koko no ka mālama wā lōʻihi.
Pehea ke banka pili kālā?
Aia he ʻelua ʻano o nā ʻūlū koko ʻūhā.
- Banako kūʻokoʻa. Mālama kēia mau pono i ke koko o kāu pēpē no ka hoʻohana pilikino o kou ʻohana. Kau ʻia kēia mau pono i ka uku no ka hōʻiliʻili a me ka mālama ʻana. Eia nō naʻe, ʻaʻohe mea e hōʻoia ai e pono ke koko kaula e mālama i kāu pēpē a i ʻole i lālā o kou ʻohana i ka wā e hiki mai ana.
- Panakō lehulehu. Hoʻohana kēia mau mea i ke koko kaula e kōkua i nā poʻe ʻē aʻe a hana i ka noiʻi. Hiki ke hoʻohana ʻia ke koko kaula i nā panakō lehulehu e ka poʻe e pono ai.
Aia kekahi hoʻomākaukau e pono ai no ka hoʻāʻo ʻana i ke koko a me ka panakō?
ʻAʻole pono kahi hoʻomākaukau kūikawā no ka hoʻāʻo ʻana i ke koko. Inā makemake ʻoe e panakō i ke koko o kāu pēpē, e kamaʻilio me kāu kauka olakino i ka wanaʻao. E hāʻawi kēia iā ʻoe i ka manawa e kiʻi i ka ʻike hou aʻe a loiloi i kāu mau koho.
Aia kekahi mau pilikia i ke kākā ʻana i ke koko a me ka panakō?
ʻAʻohe mea makaʻu e hoʻopaʻa i ke koko. Hiki ke uku nui ʻia ke panakō ʻana o ke kaula o ke kūka ma kahi ʻoihana pilikino. ʻAʻole uhi pinepine ʻia ke kumukūʻai e ka ʻinikua.
He aha ka manaʻo o nā hopena hoʻokolohua koko?
Ma muli o nā hopena i ana ʻia nā hopena hōʻike i ke koko. Inā ʻaʻole maʻamau nā hopena, e kamaʻilio me kāu kauka mālama ola e ʻike inā makemake kāu pēpē i ka lāʻau.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hoʻāʻo ʻana i ke koko a me ka panakō?
Inā ʻaʻole ʻoe i ka mōʻaukala ʻohana o kekahi mau maʻi maʻi koko a i ʻole nā maʻi ʻaʻai, ʻaʻole paha e kōkua ke koko kaula o kāu pēpē i kāu pēpē a i ʻole kou ʻohana. Akā ke hoʻomau nei ka noiʻi a me ka wā e hiki mai ana i ka hoʻohana ʻana i nā hunaola no ka mālama ʻana ke hoʻohiki ʻia. Eia kekahi, inā mālama ʻoe i ke koko kaula o kāu pēpē ma ka panakō kaula lehulehu, hiki paha iā ʻoe ke kōkua i nā mea maʻi i kēia manawa.
No ka ʻike hou aku e pili ana i ke koko a me / a i ʻole nā koʻokoʻo koʻokoʻo, e kamaʻilio me kāu kauka olakino.
Nā kūmole
- ACOG: ʻO ka ʻAmelika Hui Pū ʻIa o nā Obstetricians a me nā Gynecologists [Pūnaewele]. Wakinekona D.C .: ʻAmelike ʻAmelika o nā Obstetricians a me nā Gynecologists; c2020. Paipai ʻo ACOG i ka Clamping Umbilical Cord Clay for all Healthy Infants; 2016 Dec 21 [i helu ʻia 2020 Aug10]; [ma kahi o 3 pale]. Loaʻa maihttps://www.acog.org/news/news-releases/2016/12/acog-recommends-delayed-umbilical-cord-clamping-for-all-healthy-infants
- ACOG: ʻO ka ʻAmelika Hui Pū ʻIa o nā Obstetricians a me nā Gynecologists [Pūnaewele]. Wakinekona D.C .: ʻAmelike ʻAmelika o nā Obstetricians a me nā Gynecologists; c2019. Manaʻo ACOG Kōmike: Banking Blood Cord Umbilical; 2015 Dec [helu ʻia 2019 ʻAuk 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.acog.org/Clinical-Guidance-and-Publications/Commite-Opinions/Commite-on-Genetics/Umbilical-Cord-Blood-Banking
- ʻO Armstrong L, Stenson BJ. Hoʻohana o ka ʻiliʻili umbilical cord gas analysis i ka loiloi o ka hānau hou. ʻO Arch Dis Child Fetal Neonatal Ed. [Pūnaewele]. 2007 Nov [helu ʻia 2019 ʻAuk 21]; 92 (6): F430-4. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2675384
- ʻO Calkins K, Roy D, Molchan L, Bradley L, Grogan T, Elashoff D, Walker V. Ka waiwai wānana o ka cordir bilirubin no hyperbilirubinemia i neonates i ka makaʻu no ka hui koko ʻole fetal a me nā maʻi hemolytic o ka hānau hou. ʻO J Neonatal Perinatal Med. [Pūnaewele]. 2015 ʻOkakopa 24 [i ʻōlelo ʻia 2019 Aug 21]; 8 (3): 243-250. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699805
- Carroll PD, Nankervis CA, Iams J, Kelleher K. Umbilical cord blood ma ke ʻano he kumu pani no ke komo ʻana i ka helu piha o ke koko i nā pēpē āpau. J Perinatol. [Pūnaewele]. 2012 Pepeluali; [helu ʻia 2019 ʻAukake 21]; 32 (2): 97-102. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3891501
- ʻO ClinLab Navigator [Pūnaewele]. ʻO ClinLabNavigator; c2019. Nā Kino Kino Kālā [cited 2019 Aug 21]; [ma kahi o 2 pale]. Loaʻa mai: http://www.clinlabnavigator.com/cord-blood-gases.html
- ʻO KJ mamao loa, Valentine JL, Hall RW. ʻO ka hoʻāʻo ʻana i ka lāʻau no ke kū ʻana i ka wā hānau hou i nā mea kūpono ʻole i ka hāpai ʻana: nā ʻūpē a me nā momi. Int J Pediatr. [Pūnaewele]. 2011 Jul 17 [helu ʻia 2019 ʻAuk 21]; 2011: 956161. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139193
- Ka hoʻopuka olakino Harvard: Kula Lapaʻau ʻo Harvard [Pūnaewele]. ʻO Bosetona: Ke Kulanui ʻo Harvard; 2010–2019. No ke aha e mālama ai nā mākua i ke kaula o kā lākou pēpē-a hāʻawi aku; 2017 ʻOkakopa 31 [i ʻōlelo ʻia 2019 Aug 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.health.harvard.edu/blog/mother-save-babys-cord-blood-give-away-2017103112654
- HealthyCh Children's.org [Pūnaewele]. Itasca (IL): ʻAmelika Hui Pū ʻIa o Pediatrics; c2019. Paipai ʻo AAP i ka hoʻohana ʻana i nā Waihona Kālā Lehulehu; 2017 ʻOkakopa 30 [i ʻōlelo ʻia 2019 Aug 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.healthy Children.org/English/news/Pages/AAP-Encourages-Use-of-Public-Cord-Blood-Banks.aspx
- ʻO ke olakino kamaliʻi mai Nemours [Pūnaewele]. Jacksonville (FL): Ke Kulanui Nemours; c1995–2019. Ka Waihona Kālā Kaʻala [cited 2019 Aug 21]; [ma kahi o 2 pale]. Loaʻa mai: https://kidshealth.org/en/mother/cord-blood.html
- Malaki o nā Dime [Pūnaewele]. Arlington (VA): Malaki o nā Dime; c2019. Nā Kūlana Umbilical Cord [i helu ʻia 2019 Aug 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.marchofdimes.org/complications/umbilical-cord-conditions.aspx
- Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. He aha ke panakō e pili ana i ke koko-a ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kahi lehulehu a i ʻole kahi pilikino ?; 2017 Apr 11 [helu ʻia 2019 ʻAuk 21]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/expert-answers/cord-blood-banking/faq-20058321
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Hōʻike koko Bilirubin: Hōʻike Hou [hōʻano ʻia 2019 Aug 21; i helu ʻia ʻo 2019 Aug 21]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/bilirubin-blood-test
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Ke ho'āʻo nei i ke koko Cord: Overview [hoʻohou ʻia 2019 Aug 21; i helu ʻia ʻo ʻAukake 21]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/cord-blood-testing
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Ka Waihona Kālā Kaʻala [cited 2019 Aug 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=160&contentid=48
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili olakino: hāpai keiki: Pono wau e panakō i ke koko o kuʻu pēpē umbilical cord? [hōʻano hou ʻia 2018 Sep 5; i helu ʻia ʻo ʻAukake 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/decisionpoint/pregnancy-should-i-bank-my-baby-s-umbilical-cord-blood/zx1634.html
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.