Kū aʻe ka hoihoi i nā hānau home i ka wā o ka maʻi maʻi COVID-19

Anter

• ʻO nā hāpai hānau haʻahaʻa ka moho no nā hānau home
• Hoʻomaopopo i kāu mau pilikia a loaʻa i kahi hoʻolālā papaʻa
• He aha e ʻike ai inā pili ʻoe i nā haukapila i kēia manawa
• E kamaʻilio i kāu mea hāʻawi e pili ana i kāu koho

Ma ʻō a ʻō o ka ʻāina, he ʻohana hāpai ʻo COVID-19 e hōʻoia hou ana i kā lākou hānau hānau a me ka nīnau ʻana inā he koho ʻoi aku ka palekana o ka hānau home.

Ke hoʻomau nei ʻo COVID-19 i ka hāmau a me ka hōʻeuʻeu e hoʻolaha ʻana mai kēlā me kēia kanaka, ua lilo nā hānau home ʻana i mea koho nui i nā poʻe hāpai he nui i hoʻolālā mua e hānau i kahi haukapila.

E like me ka mea i hōʻike ʻia i nā nūhou e like me The New York Times a me Chicago Tribune, ke ʻike nei nā palekeiki i ka nui o ka hoihoi i nā hānau home. Ke noʻonoʻo nei nā wahine hāpai i kā lākou hoʻolālā hānau, ʻoiai ke kū aʻe nā hihia COVID-19 kūloko a hana nā haukapila i nā kulekele hou e pili ana i ka hānau hānau a me ka hānau hānau hou.

I kekahi mau hihia, ke kaupalena nei nā haukapila i ke kākoʻo no ka poʻe hānau keiki, e kauoha ana i nā hoʻokomo o ka hana a i ʻole nā ​​ʻāpana C, a i ʻole ka hoʻokaʻawale ʻana i nā pēpē mai nā makuahine i manaʻo ʻia he COVID-19.

Hiki i kekahi o kēia mau hoʻololi ke alakaʻi i ka hoʻonui ʻana i nā hopena maikaʻi ʻole, e hōʻike ana i kahi anamanaʻo 2017 e hōʻike ana i ka palena ʻana o ke kākoʻo hānau hiki ke hoʻonui i ka manawa kūpono o nā hana lapaʻau.

Pēlā nō, ka hoʻokaʻawale ʻana i nā makuahine a me nā pēpē i ka wā hānau hiki ke hopena maikaʻi ʻole. ʻO ka mālama ʻana i ka ʻili i ka ʻili a me ka hānai ʻana i ka waiū i loaʻa ke olakino olakino nui, no ke olakino pōkole a lōʻihi hoʻi o nā pēpē.

Pili pono kēia mau pōmaikaʻi i ka wā o ke ahulau, no ka mea, hoʻomaikaʻi pū ka pale pale ʻana o ka pēpē. Paipai pono ka ʻohana i ka mālama ʻana i ka ʻili i ka ʻili a me ka hānai ʻana, ʻoiai inā hōʻoia ka makua hānau no COVID-19.

Ma ke ʻano he hopena o nā kulekele e like me kēia, ke kaupaona nei nā ʻohana i kā lākou koho. Ua ʻōlelo ʻo Cassandra Shuck, kahi doula ma Charlotte, North Carolina, ua ʻike ʻo ia i ka nui o ka hoihoi i nā hānau home ma waena o kāna kaiāulu. I kēlā me kēia lā, hāpai nā wahine hāpai hou e nīnau e pili ana i kahi e hiki ai iā lākou ke hoʻopaʻa i kahi ʻoihana hānau home ma ka home i ka wā o ke ahulau.

"Ma ke kamaʻilio kūkaʻi ʻana, me nā mea āpau e hana nei, e ʻoluʻolu paha ka mama-i-kahi i kahi ʻano kahi e loaʻa ai ka kaohi," wahi a Shuck.

Ma muli o ka hoʻonui ʻana o ka hoihoi i ka hānau home ʻana, ʻo ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG) a me ka American Academy of Pediatrics (AAP) i hoʻopuka i nā ʻōlelo e ʻōlelo ana ʻo nā haukapila a me nā kikowaena hānau hānau ka wahi palekana loa e loaʻa ai kahi pēpē.

Ua hoʻolaha pū ka AAP i nā kulekele palekana no kēlā poʻe e hoʻolālā nei e hānau i ka home, me nā mea i manaʻo ʻia he moho maikaʻi no ka hānau home.

Eia ka mea e ʻike ai e pili ana i nā hānau home inā ʻoe e noʻonoʻo ana.

ʻO nā hāpai hānau haʻahaʻa ka moho no nā hānau home

ʻO ka hapa nui o ka poʻe loea olakino e ʻae i ka poʻe makemake e hānau ma ka home e loaʻa i kahi hāpai haʻahaʻa haʻahaʻa.

Ua hōʻike ʻia kahi noiʻi ʻana ʻaʻole hiki i nā wahine hāpai liʻiliʻi ke hoʻomohala i nā pilikia ma ka home ma mua o ka loaʻa ʻana i ka haukapila. ʻO ka ʻoiaʻiʻo, pili like nā hānau home me nā helu haʻahaʻa o nā hana makuahine, e like me ka hoʻokomo ʻana i ka hana, nā ʻāpana cesarean, a me nā waimaka perineal nui.

Wahi a Dr. Jessica Illuzzi, ke poʻo o nā limahana a me nā palekeiki ma Yale Medicine, kokoke 80 a 90 paha pākēneka o nā hānau hānau haʻahaʻa hiki ke hana ʻia me ka ʻole o nā pilikia.

"ʻO ka hapa nui o nā wahine i piha i ka wā, he pēpē hoʻokahi ke poʻo i lalo me ka ʻole o nā pilikia olakino a i ʻole nā ​​pilikia koʻikoʻi e lilo i moho no ka hānau home," wahi a Illuzzi.

ʻO ka 10 a 20 paha ka pākēneka o nā hihia, eia nō naʻe, he pilikia kohana paha a pono e lawe ʻia i ka haukapila no ke kōkua hou ʻana i ka lāʻau.

Paipai pū ka AAP i nā wahine hāpai e hānau ana ma ka home ma kahi o 37 mau wiki e hāpai ana (ʻoi aku ka liʻiliʻi ma mua o 37 mau pule ma mua o ka hana ʻana) a he hui kime mālama ola ko kēlā me kēia wahine ma kahi o ʻelua mau kānaka - ʻo kekahi o lākou ke kuleana. no ke olakino o ka hānau hou.

Hoʻohui ʻia, ʻo nā wahine i manaʻo ʻia he ʻoi aku ka nui o ka hāpai ʻana - e like me ka poʻe me ka maʻi diabetes, preeclampsia, kahi ʻāpana Cesarean i hala, a i ʻole ka hāpai ʻana i nā fetus he nui - pono e noʻonoʻo i ka hānau ʻana i kahi kahua mālama ola, no ka mea e hoʻomohala lākou i nā pilikia hoʻoweliweli ola.

"No nā wahine i loko o kēia kūlana kūlana kiʻekiʻe, manaʻo nui wau e noʻonoʻo ana i kahi haukapila a i kahi kikowaena hānau," wahi a Shuck.

Hoʻomaopopo i kāu mau pilikia a loaʻa i kahi hoʻolālā papaʻa

Inā ʻoe e noʻonoʻo ana i ka hānau home, ua ʻōlelo ʻo Illuzi he mea nui e hoʻomaopopo i nā hiki āpau, nā palena, nā pilikia, a me nā pōmaikaʻi o ka hānau hānau ʻana ma ka home.

E kamaʻilio me kāu poʻe loea hānau a hoʻomaopopo i nā lāʻau a me nā pono e loaʻa iā lākou, me kā lākou kumu a me nā mākau.

Inā hoʻoholo ʻoe e neʻe i mua me kahi hānau home, paipai nā loea olakino i kahi hoʻolālā i kahi e pono ai e lawe ʻia i ka haukapila.

ʻO ka hapa nui o nā hāpai hāpai haʻahaʻa haʻahaʻa e loaʻa nā hopena maikaʻi ma ka home, e like me kahi i kālailai ʻia ma mua o 800,000 hānau.

ʻO ka mea i ʻōlelo ʻia, ʻike paha kekahi mau wahine i nā pilikia i manaʻo ʻole ʻia - e like me ka hemorrhage postpartum a i ʻole ka hāʻule koke ʻana o ka puʻuwai puʻuwai o ka pēpē a i ʻole nā ​​pae oxygen - e pono ai ke lawe i kahi haukapila.

Wahi a kahi noiʻi 2014 i paʻi ʻia e The Midwives Alliance o ʻAmelika Hema i nānā i nā hopena o ka hānau home ʻana he 17,000, ma kahi o 11 pākēneka o nā makuahine hana i lawe ʻia i ka haukapila. ʻO ka hapa nui o kēia mau hihia ʻaʻole i lawe ʻia no ka pilikia pōpilikia, akā no ka mea ʻaʻole holomua ka hana.

ʻOi aku ka palekana o ka hānau home ʻana no ka poʻe i hānau mua. Wahi a ACOG, ma kahi o 4 a 9 pakeneka o nā wahine hāpai i hānau mua e pono e neʻe i ka haukapila. He hōʻemi kēia helu mai ka 23 a i ka 37 pākēneka o nā makuahine mua e pono ai e hoʻoneʻe intrapartum i kahi haukapila.

Eia nō naʻe, ma nā wahi "hotspot" coronavirus, lohi paha nā lawelawe pilikia. Eia kekahi, hōʻike ka AAP i ka hānau ʻana kokoke i kahi haukapila ke kī i ka hanana ʻana o kahi pilikia. ʻo ka hele ʻana ma mua o 15 a 20 mau minuke i kahi keʻena lapaʻau e pili ana me nā hopena maikaʻi ʻole no ka pēpē, me ka make pū kekahi.

He aha e ʻike ai inā pili ʻoe i nā haukapila i kēia manawa

ʻO kekahi o nā kumu nui e noʻonoʻo nei nā wahine hāpai i ka hānau home ma muli o ka makaʻu i ka ʻaelike COVID-19 ma kahi haukapila.

Ua hoʻokūpaʻa ʻo Illuzzi i nā haukapila, e like me nā mea i hoʻopili ʻia me Yale Medicine, ma New Haven, Connecticut, e hana ikaika nei e "hana i nā wahi palekana no ka hānau ʻana o nā wahine." Ua hoʻonui nā halemai i nā hana palekana no nā wahine hāpai a me nā keiki hānau hou e kaupalena ai i nā manawa āpau o ka hōʻike ʻana.

"Ua hana nui nā haukapila i nā wahi no nā makuahine COVID-maikaʻi a me nā limahana i hāʻawi ʻia e hana me kēia mau makuahine ʻaʻole mālama i nā mea maʻi ʻē aʻe," wahi a Illuzzi.

Hoʻohui ʻia, ʻo ka hapa nui o nā limahana e ʻaahu i nā masks N95, pale pale maka, ʻaukā, a me nā mīkina lima inā a i ka wā a lākou e manaʻo ai e loaʻa ka coronavirus i ka mea maʻi, ua ʻōlelo ʻo Illuzzi, me ka hoʻohui ʻana e hoʻomaʻemaʻe pinepine ʻia nā ʻilikai a pale pinepine ʻia e pale aku i ka maʻi.

E kamaʻilio i kāu mea hāʻawi e pili ana i kāu koho

Inā hoihoi ʻoe i ka hānau ʻana ma ka home, e kamaʻilio me kāu kauka a i ʻole ka palekeiki a kaʻana like i kou mau manaʻo a me nā mea e pili ana iā lākou.

Hiki iā lākou ke loiloi i ke olakino makuahine a me ka fetal o kou hāpai ʻana, a ʻike i nā pilikia āu e makaʻala ai.

Kūkā ʻo Shuck e kūʻē i ka hānau home ʻole i kōkua ʻia. Inā koho ʻoe e hānau ma ka home, e ʻike pono i kahi kime hānau hānau i hōʻoia ʻia e kou ʻaoʻao me nā pono hana a me nā pono hana pono.

E hana i kāu noiʻi, kaupaona i kāu mau pono a me nā pilikia, a hoʻomākaukau.

"He koho pilikino loa kēia a hoʻokahi a lākou e kamaʻilio pū ai me kā lākou hoa a me ka hui hānau," i ʻōlelo ʻo Shuck.

ʻO Julia Ries kahi mea kākau ma LA i uhi i ke olakino a me ke olakino no HuffPost, PBS, Girlboss, a me ka Philadelphia Inquirer, a me nā mea ʻē aʻe. Hiki iā ʻoe ke ʻike i kāna hana ma kāna pūnaewele www.juliaries.com.