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I nā makahiki i hala iho nei, ua hoʻonui ʻia ka nui o nā hihia o ka lāʻau lapaʻau, ʻoi aku ka nui o nā mea e pili ana i ka hānau ʻana ma Polani. No nā hewa perinatal, hiki iā mākou ke koi i ka uku kūpono a i ʻole ka uku. E nānā pehea e hakakā ai no kāu mau pono.
He aha ka hewa lapaʻau?
ʻO ka mea pōʻino, ʻaʻohe wehewehe wehewehe o ka lāʻau lapaʻau (ma nā huaʻōlelo ʻē aʻe i ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau) ma ke kānāwai Polani. I kēlā me kēia lā, akā naʻe, hoʻohana ʻia ka ʻōlelo hoʻoholo a ka ʻAha Kiekie o ʻApelila 1, 1955 (helu helu IV CR 39/54) ma ke ʻano he kānāwai, e ʻōlelo ana he hana (omission) o ke kauka ma ke kula. o ka maʻi maʻi a me ka lāʻau lapaʻau, kū ʻole me ka lāʻau lapaʻau ʻepekema i loko o ka laulā i loaʻa i ke kauka.
Ehia mau hihia lapaʻau e kali nei ma Polani?
Wahi a ka ʻikepili i hōʻike ʻia e ka Association of Patients Primum Non Nocere, ma kahi o 20 mau hewa lapaʻau e kū nei ma Polani i kēlā me kēia makahiki. ʻOi aku ma mua o ka hapakolu (37%) nā hewa perinatal (ʻikepili no 2011). ʻO nā hewa lapaʻau e pili ana i ka hānau ʻana a me nā kaʻina hana perinatal ka pinepine: ʻaʻole i hana i nā hoʻokolokolo kūpono, ʻaʻole i hoʻoholo i ka manawa kūpono e pili ana i ka ʻāpana caesarean a ma muli o ka hopena, ka maʻi lolo i ke keiki, ka ʻeha brachial plexus, ka hiki ʻole i ka curettage o ka ʻōpū a hāʻawi ʻole i ka hāpai ʻana. ʻO ka mea pōʻino, i ka ʻoiaʻiʻo, hiki i nā hewa he nui hou aku, no ka mea, e like me ka poʻe loea, ʻaʻole i hōʻike ʻia ka hapa nui o lākou. ʻO ka mea pōmaikaʻi naʻe, ʻoiai nā helu weliweli, ʻoi aku ka nui o ka poʻe i makemake e hakakā no ko lākou mau pono, a no laila ke piʻi nei ka nui o nā hihia i waiho ʻia ma nā ʻaha. Loaʻa paha kēia ma muli o ka loaʻa ʻana o ka ʻike ma mua o, no ka laʻana, i kekahi mau makahiki i hala aku nei, a me ka loaʻa ʻana o ke kōkua o nā loea i ke kahua o ka uku no ka maʻi lapaʻau.
ʻO wai ke kuleana kīwila no ka lāʻau lapaʻau?
Nui ka poʻe i ka hoʻomaka ʻana e haʻalele i ka hakakā ʻana no ka uku a i ʻole ka uku ʻana no ka hewa o ka lāʻau lapaʻau no ka mea ʻaʻohe mea e paʻa i ke kuleana no ka pōʻino i hana ʻia. I kēia manawa, ʻo ke kauka a me ka haukapila kahi e hana ai ʻo ia ke kuleana. Ke hoʻopiʻi ʻia nei nā kahu hānai a me nā palekeiki ma ka hihia o nā hewa hānau. E hoʻomanaʻo i ka waiho ʻana i kahi koi no ka maʻi lapaʻau, pono mākou e nānā a hōʻoia i nā kūlana āpau. ʻO ia hoʻi, inā he lāʻau lapaʻau a me ka pōʻino, a me kekahi pilina kumu ma waena o ka hewa a me ka pōʻino. ʻO ka mea e mahalo ai, ʻo ka ʻAha Kiʻekiʻe i kāna hoʻoholo ʻana o Malaki 26, 2015 (helu helu V CSK 357/14) i kuhikuhi ʻia i ka manaʻo i loaʻa i loko o ka jurisprudence i kapa ʻia ʻo In medical malpractice hoʻokolokolo, ʻaʻole pono e hōʻoia i ke ola o kahi ka pilina kumu ma waena o ka hana a i ʻole ka haʻalele ʻana o nā limahana o ka hale lapaʻau a me ka pōʻino o ka mea maʻi i kekahi decisive decisive, akā ua lawa ka noho ʻana o kahi pilina me kahi degere kūpono o ka probability.
Pehea wau e waiho ai i kahi hoʻopiʻi hoʻopiʻi kino?
Inā ua pilikia ke keiki ma muli o ka hana ʻino ʻana i ka lāʻau lapaʻau, waiho ʻia ke koi e nā mākua a i ʻole nā kahu mālama kānāwai (nā luna kānāwai) no lākou. ʻO ka hihia ʻino loa, ke make ke keiki ma muli o ke kuhi hewa, ʻo nā mākua ka mea i hoʻopilikia ʻia. A laila waiho lākou i kahi hoʻokolokolo no lākou iho. I nā hihia ʻelua, akā naʻe, pono ke hoʻohana ʻana i ke kōkua o nā loea i loaʻa i nā makahiki he nui o ka ʻike i ka hakakā ʻana no ka uku a me ka uku no nā hewa lapaʻau. ʻO ka mea pōʻino, pale pinepine ʻia nā ʻoihana lapaʻau e nā loio loea i ia mau hihia a hoʻāʻo e hoʻopiʻi i nā mākua, ʻaʻole ka haukapila. No laila maikaʻi ka loaʻa ʻana o ke kākoʻo ʻoihana like ʻole. E ʻike hou aʻe e pili ana i ka hakakā ʻana no ka uku olakino