ʻO ka hānauʻana i loko o kaʻohana o kahi keiki me nā maʻi kūponoʻole,ʻaʻole ia he meaʻoiaʻiʻoʻaʻole e hiki i kahi'ōpio ke hānau i kahi keiki ola ola. No ka laweʻana i kāu keiki i loko o kaʻohana a iʻole e hāʻawi aku, he mea ia no ka lunamanaʻo a me ka hanohano o nā mea a pau. ʻAʻole nā mākua a pau e halihali ana i kāna pēpē ma lalo o kona puʻuwai noʻeiwa mau mahina, i kaʻikeʻana i kaʻeha o kaʻeha mau kūpuna, hiki iā ia ke haʻalele i ke keiki, no konaʻano hānau.
Mai ka maʻi malupali o ka pēpē, ala,ʻaʻohe mea e pale. ʻO nā ola maikaʻi o nā ola i hikiʻole i nā mākua i kēia wā ke alakaʻi, ua hāʻule pū lākou i loko o ka pūʻulu pilikia. Ma muli o nāʻikepili, pili i 5% o nā keiki me nā pōʻino a me nā hewaʻole i hānauʻia ma ka honua nei.
Ke hilinaʻi nei ia ma luna nei, ke ho'āʻo nei nā kauka e hoʻolako i ka'ōpiopio loa i nāʻike e pili ana i kā lākou keiki i manaʻoʻia. ʻO ka hana nui o nā kauka lapaʻau houʻo ia eʻike i nā maʻi kūlohelohe o ka'ōpiopio, e hoʻokumu i nā manaolana e ulu ai.
ʻO ka maikaʻiʻole o ka hānai he mea kūponoʻole a loaʻa ma ke kaʻina o ka uluʻana o intrauterine. He mea paʻakikī loa kaʻikeʻana i nā malformations o ka'ōpiopio, no ka mea,ʻaʻole i kūponoʻole i kā lākou mau hōʻike. Ke mālamaʻia nei kēia mau diagnostics e nā mea lapaʻau e pili nei: nā kikoloka, nā genetics, nā neonatologists.
ʻO ka maʻi. ʻO kēia maʻi chromosomal he meaʻole ia, no ka mea, ua hānauʻia ka Down synd syndrome i 1 keiki hou mai 800 mai.ʻO ka maʻi o Down ma muli o kahi anomaly i hoʻonohonohoʻia i ka chromosome. ʻO nā kumu o kēia meaʻaʻole i hoʻopiha pihaʻia - me ka uluʻana o ka hua manu i loko o ka 21 mau painaʻoi aʻe ma mua o 2 chromosomes - 3.ʻO nā kānaka me Down's Syndrome ka maʻi a me nā meaʻino. Aʻo kaʻelemakule i ka wahine,ʻo ka nui o ka pilikia o ka hānauʻana me Down's Syndrome.
Phenylketonuria. ʻO kēia ka maʻi olakino e hōʻikeʻia ana nāʻinoʻino o ka naʻau a me ka uhaki i ka uluʻana o ke kino. ʻO kēia maʻi maʻi e pili ana i ka hoʻololiʻana o ka amino acids o ka phenylalanine. Uaʻikeʻia kēia maʻi i nā keiki hou i ka lā 5 o ke ola. Ināʻikeʻia ka maʻi, ua hoʻonohonohoʻia ke keiki hānau i meaʻai kūikawāʻole eʻaeʻole i ka maʻi e ulu.
Hemophilia. Laweʻia kēia maʻi kūlohelohe mai ka makuahine i ke keiki. ʻO kona mau hōʻike he koko kūponoʻole, he koko nui.
ʻO nā kāula kūikawā o ka uluʻana o ka'ōpiopio ke ulu pinepine i ka hoʻomakaʻana o ka'ōpū, inā e hoʻopilikiaʻia ka pēpē e nāʻanoʻanoʻino, e like me ka hoʻouluulu (X-ray), hoʻohana i nā lāʻau lapaʻau me ka palapalaʻoleʻana i ke kauka (he pilikia paha e lawe i nā lāʻau i loko o nā malama mua o ka'ōpū), inu, , kūkā me nā meaʻona.
Eia kekahi, ponoʻole nā pilikia o ka pēpē i kēia mau mea: nā pōʻino o ke kino, nā manamana lima a me nā manamana wāwae, "lip lip, dislocation hip.
Nāʻohana e pili ana i ke loaʻaʻana o kahi keiki me nā maʻi kūponoʻole:
- nāʻohana me nā maʻi maʻi;
- nāʻohana me nā keiki e loaʻa ana i nā pilikia maluaʻole;
- nāʻohana i hānau keikiʻole aiʻole male hānauʻole paha;
- Nāʻohana ma hope o 40 mau makahiki.
Hoʻokomo nāʻano laulā i nāʻano no ka weheweheʻana i nā hewaʻole o ka'ōpiopio i ka wā mua. I ka wā o ka'ōpūʻana a hiki i ka hebedoma 13, ua hanaʻia nā ultrasound eʻike i ka Down's Syndrome in the fetus. Aia a hiki i ka hebedoma 24, ua hoʻoholoʻia ke koko o ka wahine hāpaiʻana no ka hewa o nā'ōpiopio. Ma waena o nā 20 a me 24 mau hebedoma o ka'ōpū e hoʻonui i ke kani o ka lolo, ke alo, ka naʻau, nā puʻupaʻa, ka ate, nā lālā o ka pēpi.