He mea hikiʻole ke'ōlelo me ke kānalua loa i ka nui o nā manawa e hopu i ka mīkini ulu i ka manawa o ka hānauʻana. Akā naʻe, hiki hiki ke hana i kekahi mau māʻike. No ka meaʻeiwa o nā maʻi heʻumi i ka mīkiniʻona, he mau keiki lākou, ua piʻi nui ka maʻi o kēia maʻi, he kūlohelohe, me ka launa mau me nā keiki.
No kaʻikepili i hōʻiliʻiliʻia e nā statisticians, i loko o nā wāhine maʻamau i mālamaʻia ma 2-3 mau helu no nā wahine heʻehā. ʻAʻole ia he mea no ka loaʻa o ka moa ma mua aʻaʻoleʻole - i ka hapanui o nā hihia, hiki i ka makuahine hope aku ka palekana i ka maʻi,ʻaʻole ia e hōʻoiaʻiʻo i ka hoʻi houʻana o ka moa. I kēia manawa, uaʻike muaʻia e like me keʻano o ka maʻi o ka maʻi a me nā'enepile i loaʻa ma hope o ka loaʻaʻana o ka moa mīkini i hoʻokahi manawa,ʻaʻole paha e hana - uaʻike mua nā lāʻau i nā maʻi kū i ka maʻi moa. No laila, he mea nuiʻole keʻano liʻiliʻi iki.
Nāʻano o ka moa i ka manawa o ka hāpaiʻana
Ke hana nei kēia maʻi maʻi i nā wāhine hāpai e like me kekahi mea'ē aʻe. ʻO ke kumu o ka'ōpūʻana,ʻaʻole ia e hoʻololi i ka papa o ka moa moa. Akā,ʻo ka mea nāna e hoʻopuka i ka maʻi e hiki ke hana i ka hōʻeha maoli i ke keiki, akāʻaʻole naʻe ma keʻano o ka manaʻoʻana o nā wāhine hāpai. ʻO keʻano o ka hopena e pili ana i keʻano o ka maʻi a me ka manawa i maʻi ai ka mea maʻi.
ʻO ka pōʻino loa nā hebedoma mua no ka hāpaiʻana, a me ka hope hope loa. No nā'ōlelo mua o ka'ōpū, maopopo loa nā mea a pau maʻaneʻi - i kēia manawa e hanaʻia ana nā pūpū o ke pēpē, no laila, hiki i kekahi maʻi a me nā hoʻomākaukauʻana ke hoʻololi i ka hana. No ka pili pono i ka mea pepehi huakino i ka moa liʻiliʻi, hiki iā ia ke hoʻopili i ka huʻi kalapila, waiho i nā hōʻino ma kaʻili o ka pēpē, ke kumu o ka hypoplasia, ka microphthalmia, ka palapala kākau, a me ka hoʻoikaika i ka uluʻana o ka maʻi maʻi. Eia nō naʻe,ʻo kaʻoiaʻiʻo,ʻo ka hikiʻole o ka hoʻomohalaʻana i nā maʻi a me nāʻino i loko o ka pox chickenʻaʻole iʻoi aku kiʻekiʻe loa - ma ka awelika,ʻaʻoleʻoi aku ma mua o hoʻokahi pakeneka. Hoʻonui pinepine pinepineʻia nā male me nā keiki hānal. Inā loaʻa i ka maʻi i loko o ka manawa o nā hebedoma heʻumikumamāhā,ʻo ka proba o kēia he 0.4%, a hiki i nā hebedoma he iwakālua - 2%, a ma hope iho ua emi iho i ka zero. Eia nō naʻe, i nā lā hope loa ma mua o ka hānauʻana, piʻi nui ka hopena, hiki i ka maximum i loko oʻekolu lā ma mua o ka hānauʻana a me hoʻokahi pule ma hope o ka hānauʻana.
Ma keʻano o ka maʻi, me keʻano o ka pilikia ma ka makuahine a me ka hoʻomaluʻana o kahi maʻi lua, hiki ke piʻi ka mea e loaʻa ai ka hānai. Eia naʻe, e like me ka mea i'ōleloʻia ma luna nei,ʻaʻole i manaʻoʻia ka hāpaiʻana he mea hōʻeha.
He aha kāu e hana ai inā maʻiʻoe me ka moa moa
ʻO ka mea mua loa, no ka lōʻihi o iaʻano, mai makaʻu! ʻO nā pilikia i ke kūʻana o ka maʻi maʻi mīkini maʻi i ka wā o ka hāpaiʻana,ʻaʻole ia e like me ka hopena o kekahi mea'ē aʻe. ʻO ka heleʻana o ka maʻiʻaʻole ia he kumu no ka hāpaiʻana. Ponoʻoe e hoʻonui i nā hoʻokolohua'ē aʻe, a me nā haʻawina he nui e hāʻawiʻia iāʻoe e kāu kauka. Hiki iā ia ke hoʻokepeka a me ka noiʻiʻana e like me nā HGH-markers o keʻano maʻi pilikino, ke kāleʻaleʻa, ka biopsy choo, amnocentesis.
No ka hōʻemi loaʻana i ka pilikia nui o ka'ōpū, ua mālamaʻia ka wahine hāpai i kahi immunoglobulin kūikawā. No ka mālamaʻana, hoʻohana mauʻiaʻo aciclovir, a no ka weheʻana i ka momona, hoʻohanaʻia nā lola calamine.
Ināʻikeʻia ka maʻi i loko o ka manawaʻoi loa (ʻekolu lā ma mua o ka hānauʻana a iʻole he hebedoma ma hope iho), eʻoi aku kaʻoi o kaʻoihana a nā kauka, no ka hiki i ka pēpē ke hānau me kahi maʻi kūlohelohe, i ka nui o nā mea i loaʻa nui loa, me ka nui o nā pilikia. I kēia mau kumu, hiki i nā kauka ke hoʻopaneʻe i ka laweʻana no kekahi manawa, i nā lā he nui. Ināʻole, ua hoʻopiʻiʻia ke keiki hānau me ka immunoglobulin, a laila ua lawelaweʻia kekahi papa hana lāʻau antiviral.
Hiki i ka huakōpika ke hele i ka pale o ka placenta, no laila e loaʻa ai i nā keiki hānai kekahi mau'elepelu.