Ināʻoe e hoʻolālā i ka loaʻaʻana o kahi keiki, mai hoʻopoinaʻoe i ka hāpaiʻana o ka'ōpū i ke kino o ka wahine. ʻO ka mumuma o ka mua e hiki ke hōʻeha i nā maʻi kūlohelohe, e hoʻoemi i ka maʻiʻole a me ka wahine e lilo i meaʻeleʻele i nā maʻi maʻi'ē aʻe, a he nui ka hapa nui i ka olakino o ka pēpē i hānauʻia.
E paʻi ma nā maʻi TORCH
ʻOiai ma ke kahua o ka hoʻomākaukauʻana no ka'ōpū, hiki i ke kauka ke hāʻawi aku iāʻoe e lawe i ka hōʻoia koko no nā mea hōʻeuʻeu i nā maʻi TORCH-iʻole (rubella, herpes, toxoplasmosis, cytomegalovirus). ʻO kēia mau maʻi ka mea e weliweli i ke keiki. Loaʻa ka hopena o ka'ōnaehana a me nā'ōpiopio o ka'ōpū, ma keʻano, ma luna o ka pūpū pūpū, hoʻonui i ka pilikia o ka hāʻuleʻoleʻana, ka hānauʻana o kahi keiki make a me nā hewa i loko o ka pēpē. ʻO ka maʻi mua o kēia mau maʻi e ka wahine hāpai e hoʻoneʻe i ka pono o ka hāpaiʻana. Akā inā loaʻa nā maʻi'epikū i ka maʻi o ke koko ma mua o ka hāpaiʻana, a laila hiki i ka wahine ke lilo i makuahine,ʻaʻole lākou e hoʻoweliweli i kahi keiki.
He mea nui loa i loko o ke koko o ka wahine hāpai ke loaʻa nā maʻiʻeleʻele i ka huapalapa, a laila ināʻaʻole heʻaʻaʻole i kēia maʻi a inā he haʻahaʻa ka'āpana antibody titua i ka wā o ke kōpū, e hoʻolaha i ka lapaʻana a hiki i ka manawa e hāpai ai ka wahine.
Hāʻawiʻia ke koko no nā meaʻeʻe i nā maʻi TORCH-i ka 8 o ka hebedoma o ka hāpaiʻana. Ma ke alo o ka IgM antibodies, hiki iā mākou ke kamaʻilio e pili ana i ka maʻi e hele mau nei. Inā loaʻa nā pūkuniane IgG i loko o ke koko,ʻo ia ka mea e hōʻike ana ua maʻiʻia ka wahine ma mua o ka hānauʻana, aʻaʻohe pilikia ka maʻi i ke keiki.
ʻO Rhesus-kaua a me nā meaʻeha
Hiki ke loaʻa ka hopena Rh-inā hanaʻole ka helu Rh o ka makuahine a me ke keiki hānai. Inā loaʻa ka pēpē maikaʻi o ka pēpē, hiki ke kaha o kahi rhesus-conflict ma mua o kaʻaoʻao'ē aʻe a uaʻoi aku kaʻoi aku o nā hopena.
Me ka hopena maikaʻiʻole o ke koko o ka makuahine i ka wā e hiki mai ana, a he mea maikaʻi ma ka makua, ka hopena o Rh-conflict me ka'ōpiopio, 75% o nā mea iʻikeʻia. I loko o ke koko o kahi wahine, e hoʻomaka ana nā huapili palekana e hoʻohuaʻia, a komo i loko o ke koko o kahi keiki, e luku i nā kele kokoʻulaʻula. Hoʻomaka ka neleʻana o ka'ōpū i ka oxygen a hiki ke hoʻomohala i nā maʻi āpau. ʻO ka hānauʻana i kēia hihia, e hoʻomau pinepine i ka hōʻoloʻana i nā toto no nā mea pale. Inā piʻi ka helu o nā'elepelu, hōʻike kēia i ka hoʻomaka o Rhesus-conflict a pono e laweʻia nā mea hoʻolālā. Hāʻawiʻia nā wāhine wahine i ka antirezus immunoglobulin i nā mahina 7 o ka'ōpū a me nā lā 3 ma hope o ka hānauʻana.
I ka wā o ka'ōpū,ʻaʻole wale i ka Rhesus-ke kū'ē'ē me ka hui koko kūponoʻole, akā me ka hoʻokahi rhesus, akā i nā hui koko likeʻole o nā mākua, hiki i ka Rh-conflict paha.
He aha nā mea'ē aʻe e hoʻopili ai i ke koko ma ka hāpaiʻana?
I loko o ka'ōpūʻana, hiki iāʻoe ke hōʻoia i nā ho'āʻo no nā meaʻeleʻele i nā maʻi kūikawā - syphilis, HIV, hepatitis, maʻi chlamydia, ureaplasmosis. Hōʻikeʻia kēia mau hoʻokolohua iʻelua manawa - ma ka pae mua o ka hānauʻana a me ka lā hānau.
I nā kūikawā kūikawā i ka wā e hoʻolālāʻana i ka'ōpū, e hāʻawi ana ke kauka iāʻoe e hana i kahi hōʻailona no nā mea hōʻeuʻeu i ka sperm o ke kāne, keʻole inā ua pau nā'ōpū mua i ka hapaʻole. Ma keʻano maʻamau,ʻaʻohe o nā pūʻali antisperm.
ʻO kēia kumuʻaʻole kēia he hana maikaʻi loa - hāʻawi i ke koko no nā ho'āʻo, akā he mea nui e loaʻa ka manawa e pale ai i nā maʻiʻino a me nā hopena no kāu keiki i hānauʻoleʻia. No kēia mea, he mea liʻiliʻi ka mea hoʻomanawanui a mālie no ke ola o kāu keiki.