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Makemake i pēpē? E noʻonoʻo e pili ana i ke kūkākūkā preconception
Mai kali a hāpai ʻoe e ʻike i kāu kauka maʻi. Manaʻo nui ʻia kahi kūkākūkā preconception i ka wā e hoʻolālā ai ʻoe e hānau keiki. ʻO ka pahuhopu o kēia nīnauele no ʻoe e hoʻomaka i kou hāpai ʻana i nā kūlana maikaʻi loa. Hoʻomaka ke kūkākūkā me ka ʻike nui o kou kūlana olakino. Inā ʻoe e lawe nei i kahi lāʻau lapaʻau, ʻo ka manawa kēia e ʻōlelo ai. Ua pāpā ʻia nā lāʻau he nui i ka wā hāpai. Inā ʻoe ma nā antidepressants, ʻaʻohe nīnau e hoʻōki i ka mālama ʻana. E koho kāu kauka, ma ke kūkākūkā ʻana me kāu kauka psychiatrist, kahi antidepressant kūpono me ka hāpai ʻana. I nā hihia liʻiliʻi, aia kahi hōʻaiʻē lapaʻau i ka hāpai ʻana (e laʻana: ke kiʻekiʻe o ka pulmonary arterial hypertension, a i ʻole Marfan syndrome i kekahi mau hihia).
I loko o kēia nīnauele, nānā ke kauka i nā moʻolelo olakino, nā maʻi o kou ʻohana, ʻoi aku ka genetic. ʻO ka helu hope: kou ʻano koko. Inā ʻaʻole ʻoe i ʻike, e kuhikuhi ʻia ʻoe i kahi hoʻāʻo koko. He mea nui kēia ʻike. No ka mea, inā he rh maikaʻi ʻoe a he rh maikaʻi kāu hoa pili, aia paha ka rh incompatibility, ʻoi aku ka nui inā he hāpai mua ia. I kēia hihia, e mālama nui ʻia ʻoe i kou wā hāpai.
Un hoʻāʻo gynecological hiki ke alakaʻi ʻia, ʻoiai inā ʻaʻole ʻoe i loaʻa i ka hahai mau. E ʻike ke kauka inā he maʻamau kāu kōpū a me kāu mau ovaries, a i ʻole ke hōʻike nā mea ʻokoʻa e hiki ke hoʻololi a paʻakikī paha i ka hāpai ʻana (nā laʻana: ʻōpū bicornuate, polycystic ovaries, etc.). ʻO ia hoʻi ka manawa e hana ai i kahi hamo o ka ʻōpū, ma ke ʻano he ʻāpana o ka nānā ʻana no ka maʻi maʻi ʻāʻī o ka ʻōpū, a e hana i ka palpation o nā umauma e ʻike ai inā maikaʻi nā mea a pau ma kēlā ʻaoʻao.
Pāhana pēpē: ke koʻikoʻi o ka waikawa folic, a i ʻole ka huaora B9
E like me nā ʻōlelo aʻoaʻo a ka High Authority for Health, ʻo ka folic acid (i kapa ʻia ʻo vitamin B9 a i ʻole folate) pono e kuhikuhi ʻia i nā wahine e manaʻo nei e hāpai. Pono kēia vitamina no ka hoʻohui ʻana i nā iwi o ke pēpē.. Hoʻemi ia i ka hiki ʻole ke pani ʻia o ka paipu neural a pale i kekahi mau hemahema hānau, me ka spina bifida. Akā i mea e pono ai, pono ia lawe ʻia ma kahi o ʻehā pule ma mua o ka hāpai ʻana a hiki i ʻekolu mahina o ka hāpai ʻana.
Ke kipa ma mua o ka hānau ʻana: ka nohona a me ka ʻai
I loko o kēia kipa ʻana, nānā ʻia kou nohona a me kou hoa, ʻo ka pahuhopu e ʻike i nā kumu pilikia no ka ulu ʻana o ka male a no ka wā hāpai e hiki mai ana. Ua ʻike ʻoe i nā pilikia e pili ana i ka paka, ka waiʻona a me ka inu lāʻau i ka wā hāpai. Inā puhi ʻoe, e hāʻawi kāu kauka i ke kōkua e haʻalele.. Ma keʻano laulā, e weheweheʻo ia iāʻoe i ka makemake o ke keiki e hele pū me ka nohona olakino, no ka mea, hoʻonui kēia i ka uluʻana, i nā kāne a me nā wāhine. A he mea nui, e like me kēia lā, e ʻae i ka ʻai kaulike i hui pū ʻia me ka hoʻoikaika kino maʻamau. E nīnau aku ka loio iā ʻoe i nā nīnau kūpono e pili ana i kāu kūlana hana, ka manawa huakaʻi, etc. e hoʻohana i ka huakaʻi preconception e nīnau i kāu mau nīnau āpau.
ʻO ke kipa mua ʻana i ka gynecologist: ʻoi loa ka hāpai ʻana
ʻO ke kūkākūkā preconception kekahi manawa kūpono e ʻike ai i ke ʻano o ka hahai ʻana e pōmaikaʻi ai ʻoe i kou wā hāpai. ʻO kekahi mau makuahine e hiki mai ana i ʻōlelo ʻia he "pilikia" e nānā pono ʻia. Ke hopohopo nei ʻoe, inā no ka laʻana he maʻi maʻi ʻoe, kahi maʻi maʻi maʻi (pilikia puʻuwai), hypertension, lupus, etc. Pēlā nō, pono e uku ʻia ka manaʻo kūikawā i nā wahine i ke kaumaha i ka hoʻomaka ʻana o ka hāpai ʻana. Hoʻopili ʻia ka momona me ka piʻi nui ʻana o nā pilikia no ka pēpē a me ka makuahine (gestational diabetes, hypertension, etc.). He mea maʻamau, i kēia hihia, e lilo i mau paona ma mua o ka hāpai ʻana.
Ke kipa mua ʻana: ka nānā ʻana i ka lāʻau lapaʻau
E hoʻomanaʻo i ka lawe ʻana i kāu moʻolelo olakino i ka wā o ka kipa mua ʻana. E nānā kāu kauka lapaʻau (palekana a maʻi maʻi maʻi) i kāu mau lāʻau lapaʻau a hāʻawi iā ʻoe, inā pono, i nā mea hoʻomanaʻo a i ʻole nā ʻau lapaʻau. ʻO ia hoʻi, e nānā ʻo ia ua pale ʻia ʻoe i ka rubella a toxoplasmosis. He mea weliweli kēia mau maʻi ʻelua i ka wā hāpai a hiki ke alakaʻi i nā hemahema o ka pēpē.
About ka ʻōpala, inā ʻaʻole ʻoe i hoʻopaʻa ʻia, ʻo ia ka manawa! E hōʻoia ma mua o kou hāpai ʻana a pale i ka hāpai ʻana i loko o 2 mau mahina ma hope o ka hoʻopaʻa ʻana. Ma ka lima 'ē aʻe, ʻaʻohe lāʻau lapaʻau e pale aku i ka toxoplasmosis. Inā ʻaʻole ʻoe i loaʻa i kēia parasite, e hōʻoia ka hoʻāʻo koko i kēlā me kēia mahina ʻaʻole ʻoe i loaʻa iā ia. No ka ma'i moa, hiki ke hana mua i ka serological check in case of doubt.
'Ōlelo Aʻo: ma Palani, ua pāpā ʻia kekahi lāʻau lapaʻau no nā wahine hāpai, koe wale no ka ma'i ma'i. I mea e palekana ai, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ke kano i ka wā e hoʻohana mau ana ʻoe i ka pale ʻana. Helu hope: whooping cough. Hiki ke koʻikoʻi loa kēia maʻi maʻalahi i nā poʻe ʻōpio. He mea nui e hōʻoia ʻoe a me kāu hoa pili i ka lāʻau lapaʻau.
ʻO ka pōkole, ʻo ka makemake o kahi pēpē, pono e hoʻomākaukau mua ʻia i hiki ke hoʻokō koke ʻia kēia papahana kupanaha a i nā kūlana maikaʻi loa e pili ana i ke olakino.