Nā hoʻāʻo o ka 1st trimester o ka hāpai keiki

Anter

• 1. Ninaninau kino
• 2. Nā hoʻāʻo maʻamau
• 3. Kīwī
• 4. Hōʻike mimi
• 4. Nā ho'āʻo koko

Pono e hana i nā hoʻokolohua ʻana o ka trimester mua o ka hāpai ʻana a hiki i ka hebedoma 13 o ka hāpai ʻana a me ka pahuhopu e loiloi i ke olakino o ka wahine a, no laila, e nānā inā aia ka pilikia o ka hele ʻana o ka makuahine i nā maʻi i ka pēpē. Eia hou, kōkua pū kēia mau hoʻāʻo e ʻike i nā malformations a hōʻoia i ka makaʻu o ka hānau hānau ʻole.

He mea nui e hoʻokō ʻia kēia mau hoʻāʻo e like me ka ʻōlelo a ka gynecologist, ʻoiai kēia ala e hiki ai ke hōʻoia i ka hāpai ʻana o ka hāpai ʻana e like me ka mea i manaʻo ʻia a pale ʻia nā pilikia.

1. Ninaninau kino

Lawe ʻia ka hoʻokolohua wahine ma ka nīnau mua prenatal a hana ʻia me ka pahuhopu o ka loiloi i ka wahi pili o ka wahine a, no laila, e ʻike ana i nā hōʻailona o ka maʻi a me ka mumū ma ka ʻāpana genital, no laila ke kumu o kekahi mau hanana e like me ka candidiasis, nā mumū a me nā ʻo ka maʻi ʻaʻai cervical, ʻo kahi laʻana, ke ʻike ʻole ʻia a mālama ʻia hiki ke hoʻohuli i ka ulu ʻana o ka pēpē.

2. Nā hoʻāʻo maʻamau

I nā kipa ukali a pau, hana paha ke gynecologist i kekahi mau hoʻokolohua laulaha e loiloi i ke olakino o ka wahine. No laila, he mea maʻamau ke ana ʻana i ke kahe o ke koko i mea e loiloi ai i ka makaʻu o ka eclampsia, i hiki ke alakaʻi i ke kali ʻana o ka hānau keiki, a he mea helu pū kekahi i ka kaumaha o ka wahine.

ʻO kekahi hoʻokolohua maʻamau e hana maʻamau ʻia e nānā i ke kiʻekiʻe o ka uterine, kahi e ana ʻia ai ka ʻaoʻao o ka ʻōpū i mea e nānā ai i ka ulu ʻana o ka pēpē.

3. Kīwī

ʻO ka hoʻokolohua ultrasound i hana ʻia i ka trimester mua o ka hāpai hāpai transvaginal, i hana mau ʻia ma waena o ka pule 8th a me ka 10 o ka hāpai ʻana a lawelawe e hōʻoia i ka pēpē maoli i loko o ka ʻōpū akā ʻaʻole i nā paipu, e nānā i ka manawa o ka hāpai keiki a helu ka lā i manaʻo ʻia e hoʻouna ai.

Hiki ke hana ʻia kēia ultrasound e nānā i ka helu o ka puʻuwai o ka pēpē a ʻike inā he māhoe lāua, e laʻa. I loko o ka ultrasound i hana ʻia ma 11 mau pule hiki ke ana i ka translucency nuchal, he mea nui ia e loiloi i ka hopena o ka pēpē e pili ana i ka hoʻololi ʻana i ka genetic e like me Down's Syndrome, no ka laʻana.

4. Hōʻike mimi

ʻO ka hoʻāʻo mimi ʻano 1, i kapa ʻia ʻo EAS, a hōʻike pinepine ʻia ka hōʻike moʻomeheu mimi i ka ʻekahi mua o ka hāpai ʻana, no ka mea, ʻae kēia mau hoʻokolohua e nānā inā aia kekahi hōʻailona e hōʻike ana i kahi maʻi urinary e hoʻopilikia paha i ka ulu ʻana o ka pēpē No laila, inā ua ʻike ʻia kahi maʻi, hiki i ka gynecologist ke kuhikuhi i ka lāʻau antibiotic. E ʻike pehea ka mālama ʻana i ka maʻi urinary tract i ka hāpai ʻana.

E nānā i ka wikiō aʻe no kekahi mau ʻōlelo aʻoaʻo hānai e kōkua ai i ke kaua ʻana i ka maʻi maʻi urinary i ka hāpai ʻana:

4. Nā ho'āʻo koko

Koi ʻia kekahi mau hoʻokolohua koko e ke kauka i ka trimester mua o ka hāpai ʻana, ʻo ia:

• Helu piha koko: Hoʻohana ʻia ia e nānā inā loaʻa ka maʻi a anemia paha.
• ʻAno koko a me ka helu Rh: He mea nui ke ʻokoʻa ke kumu Rh o nā mākua, ke maikaʻi kekahi a maikaʻi ʻole kekahi.
• VDRL: Lawelawe ia e nānā no ka syphilis, kahi maʻi i lawe ʻia i ka moekolohe, a inā ʻaʻole i mālama pono ʻia, hiki ke alakaʻi i ka malformation a i ʻole ka hānau keiki ʻole.
• HIV: Kuhi ia e ʻike i ka maʻi HIV e kumu ai i ka maʻi SIDA. Inā mālama pono ʻia ka makuahine, haʻahaʻa nā manawa o ka pēpē e loaʻa ai i ka maʻi.
• Hepatitis B a me C: Lawelawe ia e kuhikuhi pono i ka maʻi hepitis B a me C. Inā loaʻa ka lapaʻau kūpono i ka makuahine, pale ia i ka maʻi o nā pēpē i kēia pēpē.
• ʻOhana: Hoʻohana ʻia ia e loiloi i kāu hana thyroid, TSH, T3 a me nā pae T4, ʻoiai hiki i ka hyperthyroidism ke alakaʻi i ka hāpai ʻōpua.
• Glucose: Kuhi ia e nānā a nānā paha i ka mālama ʻana i ka maʻi diabetes.
• Toxoplasmosis: Kuhi ia inā ua pili mua ka makuahine me ka protozoan Toxoplasma gondi, ka mea e hiki ai ke hōʻino i ka pēpē. Inā ʻaʻole pale ʻia ʻo ia, pono iā ia ke loaʻa nā alakaʻi e pale ai i ka haumia.
• ʻO Rubella: Kuhi ia inā loaʻa ka rubella i ka makuahine, ʻoiai hiki i kēia maʻi ke hana i nā malformations i nā maka o ka pēpē, ka puʻuwai a i ʻole ka lolo a hoʻonui pū i ka pilikia o ka hānau hānau ʻole a me ka hānau mua ʻole.
• Cytomegalovirus a i ʻole CMV: Lawelawe ia e kuhikuhi i ka maʻi cytomegalovirus, ka mea, ke mālama pono ʻole ʻia, hiki ke hōʻemi i ka ulu ʻana, microcephaly, jaundice a i ʻole ke kuli kūlohelohe i ka pēpē.

Hoʻohui ʻia, hiki ke hana ʻia i nā hoʻokolohua prenatal e ʻike ai i nā maʻi i loaʻa i ka moekolohe e like me gonorrhea a me chlamydia, i hiki ke ʻike ʻia e ke ninaninau ʻana i nā huna kolohe a me ka mimi ʻana i ka mimi. Inā loaʻa kekahi loli i kekahi o kēia mau hoʻāʻo, hiki i ke kauka ke noi e hana hou i ka hoʻokolohua i ka lua o ka trimester o ka hāpai ʻana. E ʻike i nā hoʻāʻo e hōʻike ʻia i ka trimester ʻelua o ka hāpai keiki.