Nā pōmaikaʻi o ka ʻōlelo aʻo mua

 

Inā hoʻolālā ʻoe i ka hāpai ʻana i ka wā e hiki mai ana, makemake paha ʻoe e noʻonoʻo i ka ʻōlelo aʻo mua. Ma kahi mākaʻikaʻi preconception, nānā ʻia nā wahine no ke olakino a me nā kumu pilikia ma mua o ka hāpai ʻana. He mea waiwai kēia mau kipa ʻana no nā wahine ʻelua me nā kūlana olakino. Nui nā kauka i kēia manawa i ka ʻōlelo aʻoaʻo preconception i kā lākou mau maʻi āpau.

 

 

ʻO ka pōmaikaʻi nui paha o ka ʻōlelo aʻoaʻo preconception ʻo ka ʻike. Hiki i ka pilikia olakino a i ʻole ke kumu pilikia i loaʻa ma mua o ka hāpai ʻana ke pale i nā pilikia koʻikoʻi ma hope. Hiki ke hoʻololi i nā koho ola kino ʻole ma mua o ka hāpai ʻana i mea e hoʻonui ai i ka hiki ke loaʻa ka pēpē olakino a me ka makuahine.

 

Inā loaʻa kahi maʻi olakino, ʻoi aku ka maikaʻi o ka mālama ʻana iā ia ma mua o ka hāpai ʻana. No ka laʻana, inā ʻike ke kauka ua loaʻa ʻole ke koko kiʻekiʻe o ka wahine, hiki ke mālama ʻia kēia ma o ka hoʻololi ʻana i ka nohona a i ʻole ka lāʻau lapaʻau. E loiloi ke kauka i nā kūlana olakino a manaʻo i nā ala e hoʻomalu ʻia ai ke ʻano ma mua o ka hāpai ʻana.

 

ʻO ka ʻōlelo aʻoaʻo preconception e hoʻomaikaʻi nui i ka hopena no nā wahine me ka maʻi diabetes ma mua o ka hāpai ʻana. Ua hoʻohālikelike kahi noiʻi a ka Maine Department of Human Services i ka hopena o ka hāpai ʻana i nā wahine i komo i ka papahana Diabetes in Pregnancy Program me nā wahine i komo ʻole i ka papahana.

 

ʻO nā wāhine i komo i ka papahana, ua hānau ʻia hoʻokahi pēpē me ke kīnā ʻole a ʻehā i nalowale i ka make ʻana o ka pēpē a i ʻole ka make neonatal. ʻO nā wāhine i komo ʻole i ka papahana, he ʻewalu mau pēpē i hānau ʻia me nā maʻi ʻino ʻole a he iwakāluakūmāono make fetal a neonatal paha. ʻOi aku ka maikaʻi o ka hopena o nā wahine i loaʻa i ka ʻōlelo aʻoaʻo preconception. No ka ʻike hou aku e nānā: http://care.diabetesjournals.org/cgi/content/abstract/16/2/450

 

E noi ʻia ʻoe e hoʻopiha i kahi nīnau ma kāu kipa. E noi ana kēia nīnau nīnau no ka ʻike e pili ana i kou olakino a me ka mōʻaukala ʻohana. Loaʻa iā ʻoe kekahi maʻi olakino maʻi? E nīnau ʻia ʻoe e pili ana i nā kīnā hānau a i ʻole nā ​​​​maʻi genetic a inā loaʻa kēia mau lālā o kou ʻohana a i loaʻa paha nā keiki me lākou. E haʻi ana kēia ʻike i kāu kauka inā makemake ʻoe i ka hoʻāʻo hou ʻana i kēia manawa a i ka wā hāpai a e hoʻomaopopo i kāu mea mālama ola i nā kūlana olakino e pono ai ka mālama ʻana a i ʻole ka nānā ʻana.

 

He mau nīnau e pili ana i ka nohona. E pili ana kēia i nā nīnau e pili ana i ka meaʻai, ka hoʻohana ʻana i ka paka, ka ʻona a me ka hoʻohana lāʻau. ʻO nā nīnau e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau e loaʻa nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻole. ʻAʻole palekana kekahi mau lāʻau lapaʻau i ka wā hāpai a hiki ke hoʻololi i kēia manawa. ʻO ka manawa maikaʻi loa e haʻalele ai i ka puhi paka a i ʻole ka inu ʻana ma mua o kou hāpai ʻana e hāʻawi i kāu pēpē i ka hoʻomaka maikaʻi loa i ke ola.

 

E lawe ʻia nā laʻana koko a me ka mimi i ka wā o ke kipa mua ʻana. E hana ʻia nā hoʻāʻo ʻana no nā maʻi i hoʻouna ʻia i ka moekolohe a hiki ke hana ʻia kahi hōʻike rubella titer no ka nānā ʻana i ka pale ʻana. ʻO Rubella (German Measles) hiki ke pilikia loa, ʻoi aku ka nui o ka makahiki mua o ka hāpai ʻana. Inā ʻaʻohe ou palekana, hiki i ke kauka ke ʻōlelo aku i kahi kano. Pono e hana ʻia kēia i ʻekolu mahina a ʻoi aʻe paha ma mua o ka hāpai ʻana no ka mea ʻaʻole palekana ke kano i ka wā hāpai.

Kawaihae
He mea kākau kūʻokoʻa ʻo Patricia Hughes a he makuahine o ʻehā. Loaʻa iā Patricia kahi kēkelē laepua ma ke kula haʻahaʻa mai Florida Atlantic University. Ua kākau nui ʻo ia e pili ana i ka hāpai ʻana, ka hānau ʻana, ka hānai ʻana a me ka hānai ʻana. Eia kekahi, ua kākau ʻo ia e pili ana i ka hoʻonaninani home a me ka huakaʻi.