"I ka wā hāpai, pani i ka pahu hau"? He aha ka pilikia o ka momona i ka wā hāpai?

I kekahi mau lā i hala aku nei, ua paʻi ke kauka me kahi ʻaoʻao Instagram o kekahi o nā haukapila i kahi hoʻopaʻapaʻa. I loko o ia mea, ua hoʻopiʻi ʻo ia i nā wahine hāpai e pani i ka friji a "e like me Ewa" - he neonatologist i ka 30 wiki o ka hāpai ʻana. Ua ʻike ʻia ka hoʻokē ʻai ʻana ma ke ʻano he hoʻouka ʻana i nā wahine hāpai momona. He hui ino anei ka hapai ana a me ke kaumaha? Ke kamaʻilio nei mākou me ka gynecologist Rafał Baran mai ka Superior Medical Center ma Krakow e pili ana i ka momona i ka wā hāpai.

1. «E pani i ka pahu hau a ʻai no ʻelua, ʻaʻole no ʻelua. E hoʻomāmā ʻoe i ke ola no mākou a no ʻoe iho »- ua hoʻonāukiuki kēia ʻōlelo i loko o ka pāpaho. Ua manaʻo ʻia he hoʻouka kaua i nā wahine e hakakā nei me ka momona
2. ʻO ka hāpai ʻana, inā ʻoi aku ka BMI o ka makuahine ma luna o 30, ʻoi aku ka pilikia. He pilikia paha ka hapai ana o ke keiki
3. Hiki ke pilikia i ka wā hāpai, hānau keiki, a me ka puerperium.
4. Hiki ke loaʻa ka ʻike hou aku ma ka ʻaoʻao home Onet.

Agnieszka Mazur-Puchała, Medonet: ʻO ka wahine hāpai "pani i ka pahu hau a ʻai no ʻelua, ʻaʻole no ʻelua. E maʻalahi ke ola no mākou a no ʻoe iho "- heluhelu mākou i ka pou hoʻopaʻapaʻa ma ka ʻaoʻao o ka Hale Hōʻikeʻike o County ma Oleśnica. He mea kaumaha maoli anei ka wahine momona no nā limahana lapaʻau?

Kakaka. ʻO Rafał Baran, ka maʻi maʻi: Ua pōʻino iki kēia pou. Ke lana nei koʻu manaʻo ʻaʻole i manaʻo ʻia ke kauka nāna i hoʻopuka ia mea e hoʻokae i nā maʻi obese. Ma ia mau hihia, piʻi maoli ka pilikia o ka pilikia i ka wā hāpai, hānau a me ka puerperium. Hiki i ka momona ke paʻakikī i ka hāpai ʻana. Eia naʻe, ʻo kā mākou hana, ma ke ʻano he kauka, ʻo ia ka mea ma mua o nā mea a pau, e hoʻolohe i kēia pilikia a mālama i ka mea maʻi obese i ke ala maikaʻi loa, a ʻaʻole hoʻi e stigmatize iā ia.

E hoʻokaʻawale kākou i nā kumu nui. Pehea ka paʻakikī a me ka momona i ka hāpai ʻana?

ʻO ka mea mua, pono mākou e hoʻomaopopo i ke ʻano o ka momona a me ka momona. Hoʻokumu ʻia kēia haʻihaʻi ma ka BMI, ʻo ia ka ratio o ke kaumaha i ke kiʻekiʻe. I ka hihia o kahi BMI ma luna o 25, ke kamaʻilio nei mākou e pili ana i ke kaumaha. ʻO ka BMI ma ka pae o 30 - 35 ka momona o ka 35st degere, ma waena o 40 a me 40 obesity o ka 35nd degere, a ma luna o XNUMX ka momona o ka XNUMXrd degere. Inā loaʻa kahi maʻi e hoʻolālā i ka hāpai ʻana i ka maʻi e like me ka momona, pono mākou e mālama pono iā ia a wehewehe i nā pilikia me ka hāpai ʻana. Hiki iā lākou ke ʻano like ʻole. ʻO ka momona ponoʻī me ka BMI ma luna o XNUMX he mea pilikia, akā ʻo nā maʻi hoʻi e hele pū me ia, e like me ka polycystic ovary syndrome a i ʻole hypothyroidism, hiki ke hōʻeha i nā maʻi ovulation, a ma ia ʻano he paʻakikī ke hāpai. Ma ka ʻaoʻao ʻē aʻe, ʻaʻole pili nui ka momona i ka momona.

He aha ke ʻano o nā pilikia o ka hāpai ʻana e hiki mai ana i ka maʻi obese?

ʻO ka mea mua, ʻoi aku ka nui o ka maʻi diabetes gestational a i ʻole ke koko kiʻekiʻe, me ka pre-eclampsia. ʻO ka lua, hiki ke loaʻa nā pilikia thromboembolic, a ʻo ka mea pōʻino ka pilikia koʻikoʻi loa, ʻo ia hoʻi ka make intrauterine koke o ka pēpē.

Ma muli o kēia mau kumu pilikia, paipai mākou i nā wahine momona e manaʻo nei e hāpai e hoʻopili mua i kahi loea. Pono e loaʻa i ka mea maʻi kahi kikoʻī lipid i wehewehe ʻia, ka hōʻoia piha no ka maʻi diabetes a me ka pale ʻana o ka insulin, ka loiloi ʻana i ka thyroid a me ka ʻōnaehana circulatory functioning, ana ʻia ke koko arterial a me kahi ECG. Hoʻomaopopo pū ʻia kahi meaʻai kūpono ma lalo o ka nānā ʻana o ka meaʻai a me ka hana kino.

He aha inā ua hāpai ka wahine momona? He koho anei ka hoemi kaumaha?

ʻAe, akā ma lalo o ka mākaʻikaʻi o kahi meaʻai meaʻai. ʻAʻole hiki ke lilo i meaʻai kaohi a hoʻopau paha. Pono ke kaulike. ʻO ka manaʻo e kaupalena i ka waiwai o ka ikehu o nā meaʻai i ʻai ʻia i 2. kcal i kēlā me kēia lā. Eia naʻe, inā kiʻekiʻe loa kēia ʻai ʻana ma mua o ka hāpai ʻana, pono e hoʻemi mālie ʻia - ʻaʻole ʻoi aku ma mua o 30%. ʻO ka ʻai o ka wahine hāpai momona ʻekolu mau meaʻai nui a me ʻekolu mau mea liʻiliʻi, me nā haʻahaʻa me ka haʻahaʻa haʻahaʻa glycemic index e pale ai i nā spike insulin. Eia kekahi, paipai mākou i ka hoʻoikaika kino - ma ka liʻiliʻi ʻekolu manawa i ka pule no 15 mau minuke, e hoʻoulu ai i kāu metabolism a hoʻomaʻamaʻa i ka hoʻemi kaumaha.

He aha nā pilikia o ka hānau ʻana i ka wahine momona?

ʻO ka hānau ʻana ma kahi maʻi paʻakikī he koi nui a pili i kahi pilikia kiʻekiʻe. Pono ʻoe e hoʻomākaukau pono. ʻO ke kī, ʻo ka mea mua, ʻo ka loiloi kūpono o ke kaumaha o ke keiki i mea e hoʻokuʻu ai i ka macrosomia, ʻo ia ka mea paʻakikī ma muli o ka ʻike ʻole ʻana o ka adipose tissue no ka hawewe ultrasound. Eia kekahi, ʻoi aku ka paʻakikī o ka nānā ʻana i ka maikaʻi o ka pēpē ma o ka CTG a loaʻa i kahi kiʻekiʻe o ka hewa. I nā poʻe maʻi me ka momona, ʻike pinepine ʻia ka macrosomia fetal - a laila ua nui ka pēpē no kona mau makahiki hāpai. A inā ʻoi aku ka nui, hiki ke hoʻopili ʻia ka hānau ʻana me nā pilikia e like me ka dystocia poʻohiwi, nā ʻano ʻeha perinatal i loko o ke keiki a me ka makuahine, a i ʻole ka holomua ʻole o ka hana ʻana, he hōʻailona ia no ka ʻāpana caesarean wikiwiki a pilikia paha.

No laila ʻaʻole ʻo ka momona o ka makuahine he hōʻailona pololei no ka hānau ʻana o Caesarean?

ʻAʻole. A ʻoi aku ka maikaʻi o ka hānau ʻana o ka wahine hāpai me ka momona. He hana koʻikoʻi ka ʻāpana caesarean iā ia iho, a i loko o kahi maʻi obese e pilikia pū mākou i nā pilikia thromboembolic. Eia kekahi, paʻakikī ke ala ma ka paia o ka ʻōpū a hiki i ka ʻōpū. Ma hope mai, ʻoi aku ka maikaʻi o ka ʻeha i ʻoki ʻia.

Aia kekahi mau maʻi ʻē aʻe, ma waho o ka macrosomia, o ka wahine momona?

Hoʻonui ka momona o ka hāpai ʻana i ka pilikia o ka meconium aspiration syndrome. Hiki nō hoʻi ka hypoglycaemia, hyperbilirubinemia a i ʻole ka hanu ʻana i ke keiki hānau hou. ʻOi loa inā pono ka ʻāpana caesarean. He mea pono e hoʻomaopopo i ka hihia o nā wahine hāpai momona, ʻaʻole like me ka macrosomia, hiki ke hoʻomohala ʻia ka hypotrophy fetal, ʻoi aku ka paʻakikī o ka hāpai ʻana e ka hypertension.

E heluhelu pū nō hoʻi:

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