Nā hoʻāʻo ma kāu Kipa Prenatal Mua

Anter

• Āhea wau e hoʻonohonoho ai i kaʻu kipa hānau mua?
• He aha nā hoʻokolohua e hiki iaʻu ke kali i ka kipa prenatal mua?
• Hōʻoia hōʻoia hāpai
• Palena pau
• Mōʻaukala olakino
• Hōʻike kino
• Nā hoʻāʻo koko
• He aha hou aʻe kaʻu e manaʻo ai i ka kipa prenatal mua?
• Pehea e pili ana i ka huakaʻi prenatal mua?

He aha ka huakaʻi prenatal?

ʻO ka mālama Prenatal ka mālama olakino āu e loaʻa ai i ka wā hāpai. Hoʻomaka ke kipa mālama Prenatal i kou hāpai ʻana a hoʻomau mau a hiki i ka wā e hānau ai ka pēpē. Hoʻokomo pinepine lākou i kahi hoʻokolohua kino, kahi loiloi kaumaha, a me nā hoʻokolohua like ʻole. Hoʻonohonoho ʻia ka kipa mua e hōʻoia i kou hāpai ʻana, hōʻoia i kou olakino laulā, a ʻike inā loaʻa iā ʻoe kekahi ʻano pilikia e hoʻopilikia i kou hāpai ʻana.

ʻOiai inā ua hāpai ʻoe ma mua, he mea nui ka kipa prenatal. ʻOkoʻa kēlā me kēia hāpai ʻana. ʻO ka mālama prenatal maʻamau e hōʻemi i ka manawa o nā pilikia i kou wā hāpai a hiki ke pale i kou olakino a me ke olakino o kāu pēpē. E heluhelu e aʻo hou e pili ana i ka hoʻonohonoho ʻana i kāu kipa mua a me ke ʻano o kēlā me kēia hoʻokolohua no ʻoe a me kāu pēpē.

Āhea wau e hoʻonohonoho ai i kaʻu kipa hānau mua?

Pono ʻoe e hoʻonohonoho i kāu huakaʻi mua ke ʻike ʻoe he hāpai ʻoe. ʻO ka maʻamau, e hoʻolālā ʻia ka huakaʻi prenatal mua ma hope o kāu hebedoma 8th o ka hāpai ʻana. Inā loaʻa iā ʻoe kahi ʻano olakino ʻē aʻe e hiki ke hoʻopili i kou hāpai ʻana a i ʻole loaʻa i nā hāpai hāpai paʻakikī i ka wā ma mua, makemake paha kāu mea hāʻawi e ʻike iā ʻoe ma mua o kēlā.

ʻO ka hana mua e koho i ke ʻano o ka mea hāʻawi āu e makemake ai e ʻike no kāu kipa mālama prenatal. ʻO kāu koho me kēia:

• Kahi mea hānau (OB): He kauka i loea i ka mālama ʻana i nā wahine hāpai a me ka hānau ʻana i nā pēpē. ʻO nā Obstetricians ke koho maikaʻi loa no nā hāpai hāpai kiʻekiʻe.
• He kauka hoʻomaʻamaʻa ʻohana: He kauka nāna e mālama i nā mea maʻi o nā makahiki āpau. Hiki i ke kauka hoʻomaʻamaʻa ʻohana ke mālama iā ʻoe ma mua, i ka wā, a ma hope o kou hāpai ʻana. Hiki iā lākou ke lilo i mea hāʻawi mau no kāu pēpē ma hope o ka hānau ʻana.
• ʻO kahi palekeona: ʻO kahi mea mālama ola i hoʻomaʻamaʻa e mālama i nā wahine, keu hoʻi i ka wā hāpai. Nui a hewahewa nā ʻano palekeona, e like me nā palekeiki wahine hōʻoia (CNM) a me nā palekeona ʻoihana hōʻoia (CPM). Inā makemake ʻoe e ʻike i ka palekeiki i kou hāpai ʻana, pono ʻoe e koho i kahi i hōʻoia ʻia e ka American Midwifery Certification Board (AMCB) a i ʻole ka North American Registry of Midwives (NARM).
• He kahu kahu maʻi: Kahu i hoʻomaʻamaʻa ʻia e mālama i nā mea maʻi o nā makahiki āpau, me nā wahine hāpai. Hiki i kēia ke lilo i kahu hānai ʻohana (FNP) a i ʻole mea lawelawe kahu hānai olakino wahine. I ka hapanui o nā mokuʻāina, pono i nā palekeiki a me nā kahu hānai e hoʻomaʻamaʻa ma lalo o ka nānā a ke kauka.

He mea ʻole ke ʻano o ka mea hāʻawi āu e koho ai, e kipa pinepine ʻoe i kāu mea mālama mālama prenatal ma loko o kou hāpai ʻana.

He aha nā hoʻokolohua e hiki iaʻu ke kali i ka kipa prenatal mua?

Aia kekahi mau hoʻokolohua like ʻole e hāʻawi maʻamau ʻia i ka kipa prenatal mua. No ka mea ʻo kēia paha ka manawa mua āu e hui ai me kāu mea hāʻawi prenatal, ʻo ka koho mua kahi o ka lōʻihi loa. ʻO kekahi mau hoʻokolohua a me nā nīnau nīnau hiki iā ʻoe ke manaʻo e hoʻopili i kēia mau mea:

Hōʻoia hōʻoia hāpai

ʻOiai inā ua lawe mua ʻoe i kahi hōʻike hāpai hapai ma ka home, e noi paha kāu mea hāʻawi i kahi mimi no ka holo ʻana i kahi hōʻike e hōʻoia ai ua hāpai ʻoe.

Palena pau

E hoʻāʻo kāu mea hāʻawi e hoʻoholo i kāu lā i koho ʻia (a i ʻole ka hānau hānau fetal). Hoʻolālā ʻia ka lā kūpono ma muli o ka lā o kou wā i hala. ʻOiai ka hapanui o nā wahine ʻaʻole pau ka hānau pololei ʻana i kā lākou lā palena, he ala nui nō ia e hoʻolālā a nānā i ka holomua.

Mōʻaukala olakino

E kūkākūkā ʻoe a me kāu mea hāʻawi i nā pilikia olakino a i ʻole psychological i loaʻa iā ʻoe ma mua. E hoihoi paha kāu mea lawelawe i:

• inā ua loaʻa iā ʻoe kekahi mau hāpai ma mua
• he aha nā lāʻau āu e lawe nei (kuhikuhi a ma luna o ka pā.)
• kāu moʻolelo olakino ʻohana
• nā abortions a i ʻole hāʻule hāʻule
• kou pōʻai menstrual

Hōʻike kino

E hana pū kāu mea hāʻawi i kahi hoʻokolohua kino ākea. Hoʻopili kēia i ka lawe ʻana i nā hōʻailona koʻikoʻi, e like me ke kiʻekiʻe, ke kaupaona, a me ke kahe o ke koko, a me ka nānā ʻana i kou mau māmā, nā umauma, a me kou puʻuwai Ke kaukaʻi nei i kou lōʻihi i kou hāpai ʻana, ʻaʻole paha e hana kahi mea hāʻawi i kahi ultrasound.

E alakaʻi paha kāu mea hāʻawi i kahi hoʻokolohua pelvic i kāu kipa prenatal mua inā ʻaʻole i loaʻa iā ʻoe i kēia manawa. Hana ʻia ka hōʻike pelvic no nā kumu he nui a pili pinepine i kēia:

• ʻO kahi Pap smear maʻamau: E hoʻāʻo kēia no ka maʻi ʻaʻai cervier a no kekahi mau maʻi i loaʻa i ka moekolohe (STI). I ka wā o Pap smear, hoʻokomo mālie kahi kauka i kahi mea kani i ʻike ʻia he speculum i loko o kāu ʻōpala e hoʻopaʻa i nā paia liʻiliʻi. Hoʻohana lākou i kahi palaki liʻiliʻi e hōʻiliʻili i nā hunaola mai ka cervix. ʻAʻole pono ʻeha kahi Pap smear a lawe i mau minuke ʻelua.
• ʻO kahi hoʻokolohua kūloko bimanual: E hoʻokomo kāu kauka i ʻelua mau manamana i loko o ka ʻōpala a hoʻokahi lima ma ka ʻōpū e nānā no nā mea kūpono ʻole o kou kōpū, nā ovaries, a me nā paipu fallopian.

Nā hoʻāʻo koko

Lawe kāu kauka i kahi laʻana o ke koko mai kahi aa i loko o kou kuʻe lima a hoʻouna iā ia i kahi hale hana no ka hoʻāʻo ʻana. ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike. E ʻeha wale ʻoe i ka ʻehaʻeha ke hoʻokomo ʻia a kuʻi ʻia ka nila.

E hoʻohana ke keʻena hoʻokolohua i ka laʻana koko i:

• E hoʻoholo i kāu ʻano koko: pono i kāu mea e ʻike e ʻike i ke ʻano kikoʻī o kou koko. He mea nui ka ʻoki koko ʻana i ka wā hāpai ma muli o ka mea Rhesus (Rh), kahi protein i ka ʻili o nā hunaola ʻulaʻula i kekahi poʻe. Inā Rh-maikaʻi ʻole ʻoe a ʻo Rh-maikaʻi kāu pēpē, hiki iā ia ke kumu i kahi pilikia i kapa ʻia ʻo Rh (rhesus) sensitization. ʻOiai ke ʻike nei kāu mea lawelawe i kēia, hiki iā lākou ke hana i ka palekana e pale ai i nā pilikia.
• Ka pale no nā maʻi: Hiki ke hoʻohana ʻia i kahi laʻana koko e nānā inā loaʻa paha iā ʻoe nā maʻi, e like me STI. Pākuʻi ʻia paha kēia i ka maʻi HIV, chlamydia, gonorrhea, syphilis, a me ka hepatitis B. He mea nui e ʻike inā he maʻi paha kāu, no ka mea hiki i kekahi ke lawe i kāu pēpē i ka wā hāpai a hānau paha.
  • Kākoʻo ka U.S. Force Preventive Services Task Force i ka nānā ʻana o nā mea hoʻolako āpau no kahi STI i ʻike ʻia ʻo syphilis e hoʻohana ana i ka hōʻike plasma reagin (RPR) wikiwiki i ka kipa mua. ʻO ka RPR kahi hōʻike koko e nānā i nā mea ʻino i loko o ke koko. Inā mālama ʻole ʻia, hiki i ka syphilis i ka wā hāpai ke kumu o ka hānau hou ʻana, nā deformities o ka iwi, a me ka hōʻino neurologic.
• E hōʻoia no ka pale ʻana i kekahi mau maʻi: Inā ʻaʻole ʻoe i hōʻike maikaʻi i ka pale ʻana i kekahi maʻi (e like me rubella a me ka moa), hoʻohana ʻia kāu laʻana koko e ʻike inā pale aku ʻoe. ʻO kēia no ka mea ʻo kekahi mau maʻi, e like me ka moa, hiki ke lilo i mea weliweli loa i kāu pēpē inā ʻaelike ʻoe iā lākou i ka wā hāpai.
• E ana i kou hemoglobin a me ka hematocrit e nānā ai no ka anemia: He protein ʻo Hemoglobin i loko o kou mau ʻulaʻula e hiki ai iā lākou ke lawe i ka oxygen ma loko o kou kino. ʻO ke ana o Hematocrit o ka helu o nā hunaola ʻulaʻula i kou koko. Inā haʻahaʻa kou hemoglobin a i ʻole hematocrit, he hōʻailona ia e hiki ai ke lilo i anemia, ʻo ia hoʻi ʻaʻole lawa kāu mau pūnaewele koko olakino. ʻO ka Anemia ka mea maʻamau i waena o nā wahine hāpai.

He aha hou aʻe kaʻu e manaʻo ai i ka kipa prenatal mua?

ʻOiai ʻo kēia kāu kipa mua, e kūkākūkā ʻoe a me kāu mea lawelawe i ka mea e kali ai i ka manawa o kāu trimester mua, e pane i kāu mau nīnau, a e paipai iā ʻoe e hoʻololi i kahi nohona i mea e hoʻonui ai i kou manawa o ka hāpai maikaʻi ʻana.

He mea nui ka meaʻai kūpono kūpono no ka ulu ʻana o ka fetal. E paipai kāu mea hāʻawi iā ʻoe e hoʻomaka i ka lawe ʻana i nā wikamina prenatal, a kūkākūkā paha i ka hoʻoikaika kino, ka moekolohe, a me nā toxins puni honua e hōʻalo ai. E hoʻouna paha kāu mea hāʻawi iā ʻoe i ka home me nā puke liʻiliʻi a me kahi ʻeke o nā mea aʻo.

Hele pū paha kāu mea hāʻawi i ka kānana kūlohelohe. Hoʻohana ʻia nā hōʻike loiloi e ʻike pono i nā maʻi kūlohelohe, e like me Down Syndrome, maʻi Tay-Sachs, a me trisomy 18. E hana maʻamau ʻia kēia mau hoʻāʻo ma hope i kou hāpai ʻana - ma waena o nā pule 15 a 18.

Pehea e pili ana i ka huakaʻi prenatal mua?

ʻO nā mahina eiwa e hiki mai ana e hoʻopiha ʻia me nā kipa hou aku i kāu mea hāʻawi. Inā i kāu huakaʻi prenatal mua, hoʻoholo ka mea hāʻawi i ka nui o ka pilikia o kou hāpai ʻana, e kuhikuhi paha lākou iā ʻoe i kahi loea no ka nānā hohonu ʻana. Manaʻo ʻia kahi hāpai ʻana inā kiʻekiʻe:

• aia ʻoe ma luna o 35 mau makahiki a i ʻole ma lalo o 20 mau makahiki
• he maʻi maʻi kou e like me ka maʻi kō a i ʻole ke koko kiʻekiʻe
• momona ʻoe a underweight paha
• ke loaʻa nei ʻoe i mau nunui (māhoe, ʻekolu, a me nā mea ʻē aʻe).
• Loaʻa iā ʻoe kahi moʻolelo o ka nalo ʻana o ka hāpai ʻana, hānau cesarean, a i ʻole hānau mua
• hoʻi hou kāu hana koko no ka maʻi, anemia, a i ʻole Rh (rhesus) sensitization

Inā ʻaʻole i manaʻo ʻia kou hāpai ʻana he makaʻu nui, pono ʻoe e ʻike i kāu mea hoʻolako no nā kipa prenatal e hiki mai ana i kēlā me kēia manawa e like me ke kaʻina manawa e hiki mai ana.

• trimester mua (hāpai i 12 mau pule): i kēlā me kēia ʻehā pule
• ʻoki ʻelua (13 a 27 mau pule): i kēlā me kēia ʻehā pule
• ʻekolu trimester (28 mau pule i ka lawe ʻana): i kēlā me kēia ʻehā pule a hiki i ka pule 32 a laila i kēlā me kēia pule ʻelua a hiki i ka pule 36, a laila hoʻokahi pule a hiki i ka lawe ʻana