Hāʻawi ʻia ʻoe i nā ʻano hoʻokolohua like ʻole i kou wā hāpai. Loaʻa i kēlā me kēia trimester kekahi mau hoʻokolohua maʻamau i hana ʻia. Hana ʻia kēia i mea e hoʻoholo ai i kou olakino a me ke olakino o kāu pēpē. E aʻo e pili ana i nā hoʻāʻo i hana maʻamau no ka mākaukau ʻoi aku ka mākaukau.
na Patricia Hughes
Hāʻawi ʻia ʻoe i nā ʻano hoʻokolohua like ʻole i kou wā hāpai. Loaʻa i kēlā me kēia trimester kekahi mau hoʻokolohua maʻamau i hana ʻia. Hana ʻia kēia i mea e hoʻoholo ai i kou olakino a me ke olakino o kāu pēpē. E aʻo e pili ana i nā hoʻāʻo i hana maʻamau no ka mākaukau ʻoi aku ka mākaukau. Mai makaʻu e nīnau i nā nīnau e pili ana i nā hoʻokolohua a kāu kauka.
Nā hoʻāʻo ʻana i ka Trimester Mua
Ma kāu kipa mua ʻana o ke kauka, e loaʻa iā ʻoe kahi hoʻokolohua kūloko. Inā pono ʻoe no kāu Pap smear, hiki ke hana ʻia i kēia manawa. E lawe ʻia kahi swab mai loko mai o kou ʻōpū e nānā i kekahi mau STD e like me Chlamydia.
Pono ʻoe e huki i ke koko i ka trimester mua. E hana ʻia kahi hōʻike koko kumu i kēia manawa a e nānā ʻia kou pae hemoglobin. Inā haʻahaʻa kou hemoglobin, hiki ke ʻōlelo ʻia e lawe i nā mea hoʻohui hao. Hiki ke hana ʻia kahi titer Rubella e nānā i ka pale ʻana i kēia maʻi. Inā ʻaʻole ʻoe palekana, e pākuʻi ʻia ʻoe ma hope o ka pēpē hānau ʻia, no ka mea ʻaʻole palekana ke kano i ka wā hāpai. E ho'āʻo ʻia paha ʻoe no ka maʻi HIV.
Nā ho'āʻo i ka lua o ka trimester
E hāʻawi ʻia ʻoe i kahi hoʻāʻo koko i ʻike ʻia ʻo ka pale triple a i ʻole quad screen. He hōʻike hōʻike kēia no nā pilikia e like me Down's Syndrome, Edwards Syndrome a me nā defects neural tube. Hōʻike nā hopena o ka hoʻāʻo i hui pū ʻia me kou mau makahiki inā ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kahi pēpē me kekahi o kēia mau maʻi. Inā pololei kāu mau lā, e ʻoi aku ka pololei o nā hopena hōʻike. Hana ʻia kēia hoʻāʻo ma waena o ʻumikumamāhā a me iwakāluakūmālua pule.
Hōʻole kekahi mau wahine i kēia hoʻokolohua no ka mea he kiʻekiʻe ka nui o nā hopena maikaʻi ʻole. Ma muli wale nō o kou hopena maikaʻi, ʻaʻole ia he pilikia me ka pēpē. ʻO ia wale nō ka pilikia a pono e hoʻāʻo hou. Ua loaʻa iaʻu kahi hopena maikaʻi ʻole me kaʻu pēpē lua. Ua lilo ʻo ia i ola kino loa. He pae 2 ke kaha a i ʻole amniocentesis e hana pinepine ʻia e hōʻoia i nā hopena.
Hana ʻia ka amniocentesis inā pilikia nui ʻoe no ka loaʻa ʻana o kahi pēpē me ke kīnā hānau. Ma muli paha o ka makahiki makua makua a i ʻole ka moʻolelo ʻohana o kahi kīnā. Hoʻohana ʻia ia i kekahi manawa ma hope o ka hoʻāʻo koko ʻekolu pale maikaʻi e hōʻoia i ke kūlana o ka pēpē. Hiki i ka ho'āʻo ke hōʻike i nā mea ʻino chromosomal, nā maʻi genetic, nā hemahema neural tube a hiki ke hoʻohana ʻia no ka nānā ʻana i ka DNA e hoʻoholo ai i ka makua kāne.
No ka hana ʻana i ka hoʻāʻo, hana ʻia kahi ultrasound e ʻike i kahi ʻeke o ka wai amniotic ʻaʻole kokoke loa i ka pēpē. Hoʻokomo ʻia kahi nila lōʻihi i loko o kou ʻōpū a huki ʻia kahi laʻana o ka wai. Hoʻouna ʻia kēia i ka lab. He invasive ka ho'āʻo a loaʻa nā pilikia. ʻO ka pilikia nui loa ʻo ke kahe ʻana o ka wai, hiki ke alakaʻi i ke kuhihewa. ʻOkoʻa ka pilikia mai hoʻokahi i loko o ʻelua haneli a i hoʻokahi i loko o ʻehā haneli, ma muli o ka ʻike o ke kauka. E ʻimi i ke kauka ʻike me ka haʻahaʻa haʻahaʻa o ka hāʻule ʻana inā makemake ʻoe i kēia hoʻokolohua.
Hana ʻia ka amniocentesis inā ʻoi aku ka nui o ka pilikia ma mua o ka pilikia o ke kaʻina hana. Makemake kekahi mau wahine e ʻike i mea e hoʻoholo ai e pili ana i ka hāpai ʻana. Hoʻolālā kekahi e hoʻomau i ka hāpai ʻana, akā makemake lākou e mākaukau. E ʻōlelo ʻia ʻoe e hoʻomaha no kekahi mau lā ma hope o ke kaʻina hana. E kelepona i kāu kauka inā loaʻa ʻoe i ka ʻāʻī, ke kahe ʻana o ke koko a i ʻole ke kahe wai.
ʻO ka hapa nui o nā wahine he ultrasound i ka lua o ka trimester. He kūpono ka ultrasound no ka ʻike ʻana i nā pilikia he nui me ka pēpē. E nānā ʻia ka lolo o ka pēpē, ka puʻuwai, ka ʻōpū, nā puʻupaʻa a me nā mea nui ʻē aʻe. Eia kekahi, ʻike pinepine ʻia ke kāne o ke pēpē. Makemake kekahi mau mākua i kēia ʻike a makemake kekahi e kāhāhā. Inā ʻaʻole ʻoe makemake e ʻike, e ʻoluʻolu e haʻi i ke technician.
ʻO ka ultrasound level II kahi hohonu hohonu, diagnostic ultrasound. ʻO ka hapa nui o nā hemahema hānau nui i hiki ke ʻike ʻia me ka amniocentesis hiki ke ʻike ʻia me kahi ultrasound level II. ʻOi aku ka pololei o kēia hoʻāʻo ʻana ke hana ʻia e ke kauka lapaʻau maternal fetal. Hana ʻia ʻelua ultrasounds, hoʻokahi ma mua o ka lua o ka trimester a hoʻokahi ma hope e hōʻoia i ka maʻi.
Nā hoʻāʻo ʻana i ke kolu o ka trimester
Hāʻawi ʻia ʻoe i kahi hoʻāʻo hoʻomanawanui glucose i ke kolu o ka trimester. ʻO kēia ka inu ʻana i kahi solution glucose a me ka hoʻāʻo koko i hoʻokahi hola ma hope. ʻO ke kumu e hoʻoholo ai i ka hana ʻana o kou kino i ke kō a me ka hoʻopaʻa ʻana i ka Gestational Diabetes. Inā hāʻule ʻoe i kēia hoʻāʻo, pono ʻoe e hana i kahi hoʻokolohua ʻekolu hola. No kēia hoʻāʻo ʻana, e huki ʻia ke koko ma mua o kou inu ʻana i ka hopena a laila i kēlā me kēia hola no ʻekolu hola ma hope. Pono ka hoʻokē ʻai ʻana i ʻekolu hola. Hāʻawi kēia i kahi kiʻi ʻoi aku ka maikaʻi o ka hana ʻana o kou kino i ke kō i kahi manawa lōʻihi.
Ma waena o kanakolukumamālima a me kanakolukumamāhiku pule o ka hāpai ʻana, e hana ʻia kahi hoʻokolohua no ka hui B Strep. Ke lawe nei kekahi mau wahine i kēia mau bacteria. ʻAʻole ʻino ia, akā hiki ke hāʻawi ʻia i ka pēpē i ka wā hānau. I kekahi mau hihia, hiki i ka pēpē ke maʻi nui ma muli o ka hopena. Hana ʻia ka hoʻāʻo me kahi swab vaginal a rectal. Inā loaʻa iā ʻoe ka hopena maikaʻi, e hāʻawi ʻia ʻoe i nā lāʻau antibiotic i ka wā o ka hana ʻana e pale ai i ka hāʻawi ʻana i ka pēpē.
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.
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