Pehea ke kakahiaka e hiki ai iā ʻoe ke hānau palekana?

Anter

• I ka manawa hea ka maluhia e hānau ai?
• He aha ka wiki mua loa e hiki iā ʻoe ke hāʻawi palekana?
• I ka manawa hea ka nui o nā pēpē e hānau ai?
• He aha nā kumu a me nā pilikia o ka lawe mua ʻana?
• Nā mea e ʻike ai e pili ana i ka NICU
• Pehea ʻoe e pale aku ai i kahi hānau hānau mua?
• Ma mua o ka hāpai ʻana
• I ka wā hāpai
• Ma hope o ka lawe ʻana
• Lawe aku

ʻO ka hopena o ke kolu o ka trimester o ka hāpai keiki piha i ka pīhoihoi a me ka hopohopo no ka hiki ʻana o pēpē. Hiki iā ia ke hōʻoluʻolu kino a me ka ninini ʻana i ka naʻau.

Inā ʻoe i kēia wā o ka hāpai keiki i kēia manawa, ke ʻike nei paha ʻoe i nā kuʻekuʻe wāwae, hoʻonui i ke kaomi i kou ʻōpū o lalo a me kou pelvis, a me nā manaʻo pōʻai, e like me, Āhea wau e hele ai i ka hana?

I kou hiki ʻana i 37 mau hebedoma, makemake paha ka hoʻokomo ʻana i ka hana i kahi makana nani mai ke ao holoʻokoʻa, akā paipai nā kānaka noiʻi e kali a hiki i ka piha ʻana o kāu pēpē, ke ʻole nā ​​hopohopo olakino nui nāu a me kāu pēpē.

I ka manawa hea ka maluhia e hānau ai?

ʻO 40 hāpai ka lōʻihi o kahi hāpai hāpai piha. ʻOiai ʻo nā loea olakino i manaʻo ʻia he "kau" mai ka hebedoma 37 a hiki i ka pule 42, he mea koʻikoʻi loa kēlā mau pule i hala aku nei e nānā ʻole.

Aia i loko o kēia manawa crunch hope loa e hoʻomākaukau ai kou kino i ka hānau keiki, ʻoiai e hoʻopau ana kāu pēpē i ka hoʻomohala ʻana o nā mea pono (e like me ka lolo a me nā akemāmā) a hōʻea i kahi kaumaha hānau maikaʻi.

ʻO ka makaʻu no nā pilikia neonatal ka mea haʻahaʻa i nā hāpai hāpai ʻole i hāʻawi ʻia ma waena o 39 a 41 mau pule.

E hāʻawi i kāu pēpē i ka hoʻomaka olakino loa, he mea nui ia e hoʻomanawanui. ʻO nā hoʻokomo hana i koho ʻia ma mua o ka pule 39 hiki ke hoʻokau i nā pōʻino olakino pōkole a me ka wā lōʻihi no ka pēpē. Nā Deliveries e hana nei i ka pule 41 a i ʻole hiki ke hoʻonui i nā pilikia pū kekahi.

ʻAʻohe wahine ʻelua - ʻaʻohe lua hāpai - like. E hōʻea nō kekahi mau pēpē i kakahiaka nui, a ʻo kekahi poʻe e lohi ana, me ka ʻole o nā pilikia nui.

Hoʻonohonoho ka American College of Obstetricians a me Gynecologists i nā hāʻawi mai ka hebedoma 37 a 42 e like me kēia:

• Manawa mua: 37 mau pule ma o 38 mau pule, 6 mau lā
• Wā piha: 39 mau pule ma o 40 mau pule, 6 mau lā
• Kau hope: 41 mau pule ma o 41 mau pule, 6 mau lā
• Hope-manawa: 42 mau pule a ʻoi aku

He aha ka wiki mua loa e hiki iā ʻoe ke hāʻawi palekana?

ʻO ka hānau mua o kāu pēpē, ʻoi aku ka nui o nā pilikia i ko lākou olakino a me ko lākou ola.

Inā hānau ʻia ma mua o ka hebedoma 37, manaʻo ʻia kāu pēpē he pēpē "preterm" a i ʻole "premature". Inā hānau ʻia ma mua o ka hebedoma 28, manaʻo ʻia kāu pēpē he "premature loa."

Hānau ʻia nā pēpē ma waena o nā hebedoma 20 a 25 a hiki i kahi manawa haʻahaʻa loa e ola ai me ka ʻole o ka neurodevelopmental. Hāʻawi ʻia nā pēpē ma mua o ka hebedoma 23 he 5 a 6 paha pākēneka wale nō ke ola.

I kēia mau lā, loaʻa i nā pēpē preterm a preterm loa ka pōmaikaʻi o ka holomua olakino e kōkua i ke kākoʻo ʻana i ka hoʻomau ʻana o nā meaola a hiki i ko lākou pae olakino ke kūlike me kahi pēpē kau.

Inā maopopo iā ʻoe he lawe mua loa ʻoe, hiki iā ʻoe ke hana pū me kāu kauka olakino e hana i kahi hoʻolālā no ka mālama e loaʻa iā ʻoe a me kāu pēpē. He mea nui e kamaʻilio ākea me kāu kauka a i ʻole ka palekeiki e aʻo i nā pilikia āpau a me nā pilikia e ala aʻe.

ʻO kekahi o nā kumu nui āu e makemake ai e kiʻi i ka wā piha i ka hāpai ʻana e hōʻoia i ka hoʻomohala piha ʻana o nā māmā o ka pēpē.

Eia nō naʻe, nui nā kumu e pili ana i ka makuahine, pēpē, a me ka placenta e koi ai i ke kauka, kauka, a i ʻole ka palekeiki e kaulike i nā pilikia e pili ana i ke kū ʻana i ka wā piha e kūʻē i ka pono o ke oʻo piha piha.

ʻO kekahi o kēia mau kumuhana e komo pū me placenta previa, a cesarean ma mua a myomectomy, preeclampsia, māhoe a i ʻole triplets, hypertension mau, diabetes, a me HIV.

I kekahi mau hihia, pono ka lawe ma mua o 39 mau pule. Inā ʻoe e hele i ka hana i ka wanaʻao a i ʻole inā paipai kāu kahu mālama ola i ka hoʻokomo hana, hiki nō ke loaʻa kahi ʻike olakino maikaʻi.

I ka manawa hea ka nui o nā pēpē e hānau ai?

Wahi a ka, ka hapanui o nā pēpē i hānau hānau piha. E kikoʻī:

• 57.5 pakeneka o nā hānau hānau i hoʻopaʻa ʻia ma waena o 39 a 41 mau pule.
• 26 pakeneka o nā hānau hānau ma 37 a 38 mau pule.
• Ma kahi o 7 pākēneka o nā hānau hānau i nā hebedoma 34 a 36
• Ma kahi o 6.5 ka pākēneka o nā hānau hānau ma ka pule 41 a i ʻole
• Ma kahi o 3 pākēneka o nā hānau hānau ma mua o 34 mau pule o ka hāpai ʻana.

ʻIke kekahi mau wahine i nā hāʻawi preterm recurrent (loaʻa ʻelua a ʻoi paha mau hānau ma mua o 37 mau pule).

E like me ka loaʻa ʻana o kahi pēpē preterm ma mua no ka loaʻa ʻana o kahi pēpē preterm, ʻo nā wahine me ka hānau mua ma hope o ka manawa e loaʻa hou kahi hānau hope.

Hoʻonui ka makaʻala o ka hānau hānau hope inā ʻoe he makuahine mua, loaʻa i kahi keikikāne pēpē, a i ʻole obese (BMI ʻoi aku ma mua o 30).

He aha nā kumu a me nā pilikia o ka lawe mua ʻana?

ʻO ka hapa nui o ka manawa, ʻike ʻole ʻia ke kumu o kahi hānau hānau. Eia nō naʻe, ʻo ka wahine me ka moʻaukala o ka maʻi kō, nā maʻi puʻuwai, nā maʻi puʻuwai, a i ʻole ke kiʻekiʻe o ke koko e ʻike paha i nā hānau mua. ʻO nā kumu pilikia ʻē aʻe a me nā kumu i loaʻa:

• hapai me nā pēpē he nui
• kahe ana ke kō i ka wā hāpai
• hoʻohana pono ʻole ʻana i nā lāʻau
• ke kiʻi nei i kahi maʻi maʻi urinary
• puhipaka
• inu lama i ka wā hāpai
• hānau hānau ma kahi hāpai mua
• loaʻa i kahi kōpū ʻole
• ke hoʻomohala nei i kahi maʻi maʻi amniotic membrane
• ʻaʻole ʻai i ke olakino ma mua a i ka wā hāpai
• he cervix nāwaliwali
• kahi moʻolelo o kahi maʻi ʻai
• ʻo ka kaupaona a kaona kaumaha paha
• ke kaumaha nui loa

Nui nā pilikia olakino no nā pēpē premerm. ʻO nā pilikia e hoʻoweliweli i ke ola, e like me ke kahe ʻana o ka lolo a i ʻole nā ​​mumū, patent ductus arteriosus, a me neonatal respiratory respiratory syndrome, hiki i kekahi manawa ke mālama maikaʻi ʻia i ka neonatal intensive care unit (NICU) akā koi pinepine i ka mālama wā lōʻihi.

ʻO nā pilikia ʻē aʻe e pili ana i nā hāpai preterm me:

• pilikia hanu
• nā pilikia o ka ʻike a me ka hoʻolohe ʻana
• kaumaha hānau haʻahaʻa
• nā pilikia e paʻa ana i ka umauma a me ka hānai ʻana
• ʻōmaʻomaʻo ʻōiwi
• paʻakikī e kaohi ana i ka mahana o ke kino

ʻO ka hapa nui o kēia mau kūlana e koi i ka mālama loea i kahi NICU. ʻO kēia kahi e hana ai nā kauka olakino i nā hoʻokolohua, hāʻawi i nā mālama ʻana, kōkua i ka hanu ʻana, a kōkua i ka hānai ʻana i nā pēpē ʻōpio. Na ka mālama i hānau ʻia i ka NICU e kōkua i ka mālama ʻana i ke ola ʻoi loa no kāu pēpē.

Nā mea e ʻike ai e pili ana i ka NICU

No nā ʻohana e pau me kahi pēpē i ka NICU, aia kekahi mau mea maʻalahi hiki ke hoʻololi i ka olakino olakino a me ka hoʻōla hou ʻana.

ʻO ka mea mua, ʻo ka mālama ʻana i ka kangaroo, a i ʻole ke hoʻopaʻa pololei ʻana i ka ʻili i ka ʻili he helu o ka make, maʻi, maʻi, a me ka lōʻihi o ka noho ma ka haukapila. Hiki iā ia ke kōkua i nā mākua a me nā pēpē hoʻopaʻa.

ʻO ka lua, ʻo ka loaʻa ʻana o ka waiū umauma kanaka i ka NICU i ʻike ʻia e hoʻomaikaʻi ai i nā helu ola a hoʻoliʻiliʻi nui i nā helu o kahi maʻi gastrointestinal koʻikoʻi i kapa ʻia ʻo ka necrotizing entercolitis i hoʻohālikelike ʻia me nā pēpē i loaʻa ka haʻilula.

ʻO nā makuahine nāna e hānau kahi pēpē maikaʻi e hoʻomaka i ka paipū ʻana i ka waiū o ka umauma i ka wā e hiki ai ma hope o ka hānau ʻana, a pauma iā 8 a 12 mau manawa i kēlā me kēia lā. ʻO ka waiū hāʻawi mai kahi waihona waiū kahi koho.

E nānā nā kauka a me nā kahu hānai i kāu pēpē i ko lākou ulu ʻana e hōʻoia i ka mālama pono ʻana a me ka mālama ʻana, inā pono. He mea nui e noho ʻike, e ʻike i ka mālama loea kūpono, a noho kūlike ʻole me nā mālama e hiki mai ana.

Pehea ʻoe e pale aku ai i kahi hānau hānau mua?

ʻOiai ʻaʻohe mea hoʻokalakupua e hōʻoia i nā hāpai wā piha, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hoʻohaʻahaʻa i kou makaʻu o ka hana mua a hānau.

Ma mua o ka hāpai ʻana

E loaʻa ke olakino! Aia ʻoe i kahi kaupaona olakino? Ke lawe nei ʻoe i nā wikamina prenatal? Makemake pū ʻoe e ʻokiʻoki i ka ʻalekohola, e hoʻāʻo e hōʻoki i ka puhi ʻana, a mai hoʻohana hewa ʻole i nā lāʻau.

Hoʻomaʻamaʻa pinepine a hoʻāʻo e hoʻopau i nā kumu kūpono ʻole o ke koʻikoʻi mai kou ola. Inā loaʻa iā ʻoe kekahi olakino olakino, e mālama ʻia a noho kūlike me nā mālama.

I ka wā hāpai

E hāhai i nā lula. ʻAi maikaʻi a loaʻa ka hiamoe kūpono. Hoʻomaʻamaʻa mau (e nānā pono me kāu kauka olakino ma mua o ka hoʻomaka ʻana i kahi papa hana hoʻoikaika kino hou i ka wā hāpai).

E hele i kēlā me kēia manawa i hoʻonohonoho ʻia, hāʻawi i kahi mōʻaukala olakino a me ka maikaʻi i kāu kauka olakino, a hāhai i kā lākou ʻōlelo aʻo. Palekana iā ʻoe iho i nā maʻi a me nā maʻi hiki. E hoʻāʻo e loaʻa ka nui kūpono o ke kaupaona (hou, e kamaʻilio me kāu OB e pili ana i nā mea kūpono iā ʻoe).

E ʻimi i ka lāʻau lapaʻau no nā hōʻailona hōʻailona o ka hana mua, e like me ka hōʻemi ʻana, ka ʻehaʻeha mau o ke kua, ka haki ʻana o ka wai, nā ʻōpū o ka ʻōpū, a me nā hoʻololi i ka hoʻokuʻu ʻana i ka maʻi.

Ma hope o ka lawe ʻana

E kali ma kahi o 18 mau mahina ma mua o ka hoʻāʻo ʻana e hāpai hou. ʻOi aku ka pōkole o ka manawa ma waena o nā hāpai keiki, ʻo ka nui o ka makaʻu no ka hānau mua ʻana, e like me ka Malaki o Dimes.

Inā ʻelemakule ʻoe ma mua o 35, e kamaʻilio me kāu kauka no ka manawa kūpono e kali ai ma mua o ka hoʻāʻo hou ʻana.

Lawe aku

ʻO ka hānau ʻana me ka manaʻo ʻole i kahi pēpē a i ʻole post-term pēpē hiki ke kaumaha a paʻakikī hoʻi, keu hoʻi inā ʻaʻole hiki ke pale ʻia. E kamaʻilio me kāu kauka a i ʻole ka palekeiki a noho ʻike.

ʻO ke aʻo ʻana e like me ka hiki iā ʻoe e pili ana i nā kaʻina hana a me nā hana i loaʻa iā ʻoe a me kāu pēpē e kōkua i ka hoʻohaʻahaʻa i nā hopohopo a hāʻawi iā ʻoe i kahi ʻano o ka kaohi.

E hoʻomanaʻo i ka hoʻomaikaʻi ʻana o nā koho a me ke kākoʻo no nā pēpē ma mua i nā makahiki, a ʻoi aku ka kiʻekiʻe o ka haʻalele ʻana i ka haukapila me kahi pēpē olakino ma mua o ka wā ma mua. ʻO ka nui o kou ʻike, ʻo ka mākaukau ʻoi loa o kāu mākaukau e hoʻolako i kāu mea liʻiliʻi me ke aloha a me ka mālama pono iā lākou.