He aha nā hemahema naʻau i hānau ʻia mai? Nā hōʻailona, nā kumu, a me ka mālama

ʻO nā hemahema naʻau i hānau ʻia mai he mau pilikia kumu ia o ka naʻau e ulu mai ma mua o ka hānau ʻana o ke pēpē. Hana kēia mau kūlana i ka wā ʻaʻole i ulu maʻamau ka naʻau i loko o nā ʻewalu pule mua o ka hāpai ʻana, e hoʻopilikia ana i ke kahe ʻana o ke koko ma o ka naʻau a i ke koena o ke kino.

Inā ʻoe he mākua e kū nei i kēia ʻike, ʻaʻole ʻoe wale nō. Ma kahi o 1 i kēlā me kēia 100 mau pēpē i hānau ʻia me kekahi ʻano o ka hemahema naʻau, ʻo ia kekahi o nā hemahema hānau maʻamau loa. ʻO ka ʻoiaʻiʻo maikaʻi, nui nā keiki me nā hemahema naʻau i hānau ʻia mai e ola ana i nā ola piha a hana nui me ka mālama lapaʻau kūpono.

He aha nā hemahema naʻau i hānau ʻia mai?

ʻO nā hemahema naʻau i hānau ʻia mai he mau pilikia ia i ke kumu o ka naʻau e loaʻa mai i ka hānau ʻana. ʻO ka huaʻōlelo “congenital” he mea wale nō ia i hānau ʻia mai ʻoe, a hana kēia mau hemahema i ka wā ʻaʻole i ulu pono ka naʻau i ka wā hāpai.

Hoʻomaka ka naʻau o kāu pēpē e ulu i ka hoʻomaka mua o ka hāpai ʻana, ma kahi o ka pule ʻekolu. I loko o kēia manawa koʻikoʻi, loli ka naʻau mai kahi pūpū maʻalahi i kahi kino paʻakikī me ʻehā keʻena, nā valve, a me nā kīʻaha koko nui. I kekahi manawa ʻaʻole hele kēia kaʻina hana e like me ka hoʻolālā.

Hiki i kēia mau hemahema ke hele mai nā pilikia maʻalahi e ʻaʻole paha e hana i nā hōʻailona i nā kūlana paʻakikī e pono ai ka nānā lapaʻau koke. Pono kekahi mau keiki i ka ʻoki kino koke, ʻoiai ʻaʻole pono kekahi i ka mālama a hiki i ko lākou wā ʻelemakule, a i ʻole kekahi manawa ʻaʻole loa.

He aha nā ʻano o nā hemahema naʻau i hānau ʻia mai?

ʻO nā hemahema naʻau ma ke ʻano he ʻekolu mau māhele nui ma muli o ke ʻano o ka hoʻopili ʻana i ke kahe ʻana o ke koko. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻano ke kōkua iā ʻoe e ʻike maikaʻi i ke kūlana kikoʻī o kāu keiki.

Nā puka ma ka naʻau ʻo ia ka ʻano maʻamau loa. Loaʻa kēia mau mea:

• Atrial septal defect (ASD) - ka puka ma waena o nā keʻena luna o ka naʻau
• Ventricular septal defect (VSD) - ka puka ma waena o nā keʻena lalo
• Patent ductus arteriosus (PDA) - ke waiho nei ka ipu koko e pono ai ke pani ma hope o ka hānau ʻana i wehe

Ka holo koko i ālai ʻia e hana ana i ka wā e pilikia ai nā valve naʻau, nā arteries, a i ʻole nā veins. ʻO nā hiʻohiʻona maʻamau e komo pū ana:

• Pulmonary stenosis - ka hoʻohaiki ʻana o ka valve e alakaʻi ana i nā māmā
• Aortic stenosis - ka hoʻohaiki ʻana o ka valve e alakaʻi ana i ke kino
• Coarctation of the aorta - ka hoʻohaiki ʻana o ka artery nui e lawe ana i ke koko i ke kino

Ka hoʻomohala ʻana o nā ipu koko kūpono ʻole e komo pū ana i nā kūlana paʻakikī aʻe kahi e hana ʻole ai nā ipu koko nui i ka pololei. Hiki i kēia mau mea ke komo pū me nā ipu koko i hoʻololi ʻia, nele, a i ʻole pili ʻole.

ʻO kekahi mau hemahema maʻamau akā koʻikoʻi e komo pū ana i ka hypoplastic left heart syndrome, kahi i hoʻomohala ʻole ʻia ai ka ʻaoʻao hema o ka naʻau, a me ka tetralogy of Fallot, kahi e komo pū ana i ʻehā mau pilikia naʻau kaʻawale e hana pū ana.

He aha nā hōʻailona o nā hemahema naʻau i hānau ʻia?

Hiki i nā hōʻailona ke ʻokoʻa nui ma muli o ke ʻano a me ka nui o ka hemahema naʻau. Hōʻike kekahi mau keiki i nā hōʻailona ma hope koke o ka hānau ʻana, ʻoiai ʻaʻole hiki i nā mea ʻē aʻe ke loaʻa nā hōʻailona no nā mahina a i ʻole nā makahiki.

I nā pēpē hou a me nā pēpē, hiki iā ʻoe ke ʻike i kēia mau hōʻailona e hōʻike ana i kahi pilikia naʻau:

• ʻIli uliuli a hina hina paha, nā lehelehe, a i ʻole nā kui (i kapa ʻia ʻo cyanosis)
• Hanu wikiwiki a paʻakikī paha, ʻoi aku hoʻi i ka wā e hānai ana
• Hānai maikaʻi ʻole a i ʻole ka lōʻihi e hoʻopau ai i nā ʻōmole
• Loaʻa ʻole ke kaupaona maikaʻi ʻoiai ka hānai lawa
• Luhi maʻalahi i ka wā e hānai ai a pāʻani paha
• Ka luhi nui, ʻoi aku hoʻi i ka wā e hānai ana

I ka ulu ʻana o nā keiki, hiki i nā hōʻailona ke komo pū me ka hāʻule koke o ka hanu i ka wā pāʻani, ka emi ʻana o ka ikaika ma mua o nā keiki ʻē aʻe o ko lākou makahiki, a i ʻole ka ulu ʻana o ka pehu ma ko lākou mau wāwae, kapuaʻi, a i ʻole a puni ko lākou mau maka.

ʻAʻohe hōʻailona o kekahi mau keiki me nā hemahema naʻau māmā. Hiki ke ʻike wale ʻia ko lākou kūlana i ka wā o ka nānā maʻamau ke lohe ke kauka i ka leo naʻau maʻamau i kapa ʻia ʻo ka murmur.

He mea nui e hoʻomanaʻo he nui nā kumu ʻē aʻe o kēia mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he mea pono ke kūkākūkā me ke kauka o kāu keiki, akā e ho'āʻo mai e hopohopo nui ma mua o ka loaʻa ʻana o ka loiloi kūpono.

He aha ka mea e hoʻokumu ai i nā hemahema naʻau i hānau ʻia?

ʻAʻohe kumu maopopo o ka hapa nui o nā hemahema naʻau i hānau ʻia, a ʻaʻohe hewa o kekahi. He mea paʻakikī loa ka ulu ʻana o ka naʻau, a i kekahi manawa, alakaʻi nā loli liʻiliʻi i kēia kaʻina hana i nā ʻokoʻa kūkulu.

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke loaʻa ka hemahema naʻau, ʻoiai ʻaʻole ia he manaʻo e loaʻa maoli ka hemahema inā loaʻa kēia mau pilikia:

• Nā kumu genetic - holo kekahi mau hemahema naʻau i nā ʻohana a i ʻole e kū pū me nā kūlana genetic e like me ka Down syndrome
• Nā maʻi makuahine i ka wā hapai, e like me ka rubella a i ʻole ka maʻi flu
• Ka maʻi diabetes makuahine i kaohi ʻole ʻia i ka wā hapai
• Kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hapai
• Ka makahiki makuahine ma luna o 35
• Ka puhipaka a i ʻole ka inu waiʻona i ka wā hapai

Hiki i nā kumu kūlohelohe e like me ka hōʻike ʻia ʻana i kekahi mau kemika a i ʻole ka radiation ke pāʻani pū, ʻoiai he mea liʻiliʻi kēia. Hoʻopili ʻia kekahi mau syndromes genetic kānalua me nā ʻano hemahema naʻau kikoʻī.

He mea nui e hoʻomaopopo ʻaʻole nā mākua e hoʻokumu i nā hemahema naʻau i hānau ʻia. ʻOiai inā loaʻa nā pilikia, nui nā pēpē i hānau ʻia me nā naʻau olakino loa. Ua ulu kēia mau kūlana i nā hebedoma mua loa o ka hapai, pinepine ma mua o ka ʻike ʻana o nā wahine he nui ua hapai lākou.

I ka wā e ʻimi ai i ke kauka no nā hemahema o ka naʻau i hānau ʻia mai?

E kelepona koke aku ʻoe i ke kauka o kāu keiki inā ʻike ʻoe i kekahi mau hōʻailona e hopohopo nei ʻoe. E hilinaʻi i kou manaʻo ma ke ʻano he mākua - ʻo ʻoe ka mea ʻike nui loa i kāu keiki.

E ʻimi koke i ka mālama lapaʻau inā he lehelehe uliuli, ʻili, a i ʻole nā ​​manikī kāu keiki, pilikia nui i ka hanu, a i ʻole e nāwaliwali a pane ʻole paha. Hiki i kēia mau mea ke hōʻailona ʻaʻole e pūʻiwa pono ana ka naʻau o kāu keiki i ke koko.

E hoʻonohonoho i kahi hālāwai maʻamau inā ʻike ʻoe e luhi koke kāu keiki ma mua o nā keiki ʻē aʻe, pilikia i ka hānai ʻana, ʻaʻole e loaʻa ka kaupaona kūpono, a i ʻole e hou nui i ka wā o nā hana maʻamau. Hiki i kāu pediatrician ke hoʻolohe i ka naʻau o kāu keiki a hoʻoholo inā pono ke loiloi hou aku.

Ua ʻike mua ʻia nā hemahema naʻau he nui i ka wā o nā ultrasound prenatal maʻamau a i ʻole nā ​​hoʻokolokolo hou. Inā haʻi mai kāu kauka e lohe ana i kahi murmur naʻau, ʻaʻole kēia manaʻo koke he pilikia nui - he nui nā murmurs he ʻinoʻino a ʻaʻole hōʻike i ka maʻi naʻau.

He aha nā kumu pilikia no nā hemahema naʻau i hānau ʻia mai?

Hiki i ka hoʻomaopopo ʻana i nā kumu pilikia ke kōkua iā ʻoe e hana i nā hoʻoholo akamai, akā e hoʻomanaʻo he nui nā pēpē me nā kumu pilikia i hānau ʻia me nā naʻau olakino. ʻO nā kumu pilikia wale nō ka manaʻo he nui iki ka manawa, ʻaʻole he ʻoiaʻiʻo.

He kuleana ko ka mōʻaukala ʻohana i kekahi mau hihia. Inā hānau ʻia ʻoe a i ʻole kāu hoa me kahi hemahema naʻau, he nui iki ka pilikia o kāu keiki. Pēlā nō, inā loaʻa iā ʻoe ke keiki me kahi hemahema naʻau i hānau ʻia mai, ʻoi aku ka liʻiliʻi o ka pilikia o nā hāpai ʻana ma hope.

ʻO nā kūlana olakino makuahine e hoʻonui paha i ka pilikia e komo pū ana:

• Ka maʻi diabetes, ʻoi aku inā ʻaʻole i kaohi maikaʻi ʻia ke kō koko
• Phenylketonuria (PKU) ʻaʻole i mālama pono ʻia
• Lupus a i ʻole nā ​​kūlana autoimmune ʻē aʻe
• Nā maʻi i ka wā hāpai e like me ka rubella, cytomegalovirus, a i ʻole ka maʻi flu

Hiki nō hoʻi ke hoʻonui i ka pilikia o nā mea hana ola e like me ka puhipaka, ka inu waiʻona, a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau i ka wā hāpai. Hiki paha i kekahi mau lāʻau lapaʻau, me kekahi mau lāʻau lapaʻau ʻili ʻili a me nā lāʻau lapaʻau hoʻopaʻa ʻana, ke pili pū me nā hemahema o ka naʻau.

ʻO ka makahiki makua wahine holomua (ma luna o 35) a me kekahi mau kūlana genetic e like me ka maʻi Down syndrome e pili pū ana me nā helu kiʻekiʻe o nā hemahema naʻau i hānau ʻia. Eia naʻe, hānau ʻia nā pēpē me nā hemahema naʻau i nā mākua o nā makahiki a pau a me nā kūlana olakino.

He aha nā pilikia hiki ke loaʻa i nā hemahema naʻau i hānau ʻia?

Hoʻololi nui nā pilikia ma muli o ke ʻano a me ka nui o ka hemahema naʻau. Nui nā keiki me nā hemahema māmā e ola ana i nā ola maʻamau loa me ka ʻole o nā pilikia.

Hiki i nā hemahema koʻikoʻi ke alakaʻi i nā pilikia e ulu ana i ka manawa inā waiho ʻia me ka mālama ʻole:

• Ka hāʻule ʻana o ka naʻau, kahi hiki ʻole i ka naʻau ke pūpū i ke koko me ka maikaʻi e hoʻokō i nā pono o ke kino
• Nā hoʻolōʻihi ulu, ʻoiai ʻaʻole paha e loaʻa i ke kino ka nui o ke koko momona oxygen no ka ulu maʻamau
• Nā hahau naʻau kūpono ʻole (arrhythmias) e pono ai paha ka nānā ʻana a i ʻole ka mālama ʻana
• Hoʻonui i ka pilikia o nā maʻi i loko o ka naʻau (endocarditis)
• Ke koko kiʻekiʻe i loko o nā māmā (pulmonary hypertension)

ʻO kekahi mau pilikia maʻamau ʻole e komo pū ana me ka hahau ʻana, ʻoi aku ka nui i loko o kekahi mau hemahema paʻakikī, a me nā hoʻolōʻihi ulu inā ʻaʻole loaʻa i ka lolo ka oxygen lawa i ka manawa.

ʻO ka lono hoʻoikaika ka mea, me ka mālama lapaʻau kūpono, hiki ke pale ʻia a i ʻole ke hoʻokele pono ʻia nā pilikia he nui. Ke kōkua nei ka hahai mau ʻana me kahi cardiologist pediatric e hopu i nā pilikia hiki ke loaʻa i ka wā mua i ka wā maʻalahi loa ke mālama.

Pehea e ʻike ʻia ai nā hemahema naʻau i hānau ʻia?

Ua ʻike ʻia nā hemahema naʻau he nui ma mua o ka hānau ʻana i ka wā o nā ultrasound prenatal maʻamau, maʻamau ma waena o 18 a me 22 mau pule o ka hāpai ʻana. ʻAe kēia ʻike mua i nā ʻohana i ka manawa e hoʻomākaukau ai a me nā kauka e hoʻolālā i ka mālama maikaʻi loa.

Ma hope o ka hānau ʻana, e hoʻolohe ke kauka o kāu pēpē i ka naʻau me kahi stethoscope i nā manawa nānā maʻamau. Hiki i kahi leo naʻau ʻano ʻē, i kapa ʻia ʻo murmur, ke lilo i hōʻailona mua e alakaʻi i nā hoʻokolohua hou aku.

Inā kuhi ʻia kahi hemahema naʻau, e ʻōlelo paha kāu kauka i nā hoʻokolohua hou aku:

• Echocardiogram - kahi ultrasound o ka naʻau e hōʻike ana i kona ʻano a me kāna hana
• Electrocardiogram (EKG) - ke ana i ka hana uila o ka naʻau
• X-ray umauma - hōʻike i ka nui a me ke ʻano o ka naʻau
• Pulse oximetry - ke ana i nā pae oxygen i loko o ke koko

Hiki i nā hoʻokolohua paʻakikī ke komo pū i ka cardiac catheterization, kahi e hoʻokomo ʻia ai kahi tube lahilahi i nā kīʻaha koko e kiʻi i nā kiʻi kikoʻī o loko o ka naʻau. ʻO kēia wale nō ka mea e pono ai no nā hemahema paʻakikī a i ʻole ke hoʻolālā ʻana i ka ʻoki kino.

Hiki ke kuhikuhi ʻia kāu keiki i kahi pediatric cardiologist, kahi kauka e kūikawā ana i nā kūlana naʻau o nā keiki. Loaʻa i kēia mau loea ka hoʻomaʻamaʻa holomua i ka ʻike a me ka mālama ʻana i nā hemahema naʻau i hānau ʻia.

He aha ka lāʻau lapaʻau no nā hemahema naʻau i hānau ʻia?

Aia ka lāʻau lapaʻau ma ke ʻano a me ka nui o ka hemahema naʻau o kāu keiki. ʻO ka nūhou maikaʻi, ʻaʻohe pono o ka lāʻau lapaʻau no nā keiki he nui no ka mea he māmā ko lākou mau hemahema a ʻaʻole ia e hoʻopilikia i ka hana maʻamau o ka naʻau.

No nā hemahema e pono ai ka hoʻoponopono ʻana, ʻo nā koho lāʻau lapaʻau e komo pū me:

Ke kali mālama pinepine ka hana mua no nā hemahema māmā. E nānā ke cardiologist o kāu keiki i ke kūlana me nā nānā maʻamau e ʻike inā pani ʻia ka hemahema ma kona iho a i ʻole e mau.

Nā lāʻau lapaʻau hiki ke kōkua i ka hoʻokele ʻana i nā hōʻailona a kākoʻo i ka hana naʻau. Hiki i kēia ke komo pū me nā lāʻau lapaʻau e kōkua i ka puʻuwai e pelu hou aku, e kaohi i ka rhythm naʻau, a i ʻole e pale aku i nā clots koko.

Nā kaʻina hana catheter ke hāʻawi nei i kahi koho emi invasive no kekahi mau hemahema. I loko o kēia mau kaʻina hana, hoʻokomo nā kauka i nā paipu lahilahi ma o nā moku koko e hoʻoponopono i nā puka a wehe paha i nā wahi hāiki me ka ʻole o ka ʻoki nui.

ʻO ka ʻoki kino paha e pono ai no nā hemahema paʻakikī aʻe. Ua holomua nui ka ʻoki kino naʻau kamaliʻi, a he nui nā kaʻina hana i manaʻo ʻia he hiki ʻole i kēia manawa he mea maʻamau. Pono kekahi mau keiki i hoʻokahi ʻoki kino, ʻoiai kekahi poʻe e pono paha i nā hana ʻoki he nui i ko lākou ulu ʻana.

E hana pū ana kāu hui mālama keiki me ʻoe e hoʻoholo i ke ala maikaʻi loa. E noʻonoʻo lākou i ka hemahema kikoʻī o kāu keiki, ke olakino holoʻokoʻa, ka makahiki, a me ka maikaʻi o ke ola i ka wā e hana ana i nā ʻōlelo aʻo.

Pehea e hāʻawi ai i ka mālama home no nā keiki me nā hemahema naʻau i hānau ʻia?

ʻO ka mālama ʻana i kahi keiki me kahi hemahema naʻau ma ka home ke kau nei ma ke kākoʻo ʻana i ko lākou olakino holoʻokoʻa a hahai ana i nā ʻōlelo aʻo a kāu hui lapaʻau. Hiki i ka hapa nui o nā keiki ke komo i nā hana kamaliʻi maʻamau me kekahi mau hoʻololi.

He kuleana nui ka meaʻai i ke olakino o kāu keiki. Pono kekahi mau keiki me nā hemahema naʻau i nā calorie hou aku e kākoʻo i ka ulu ʻana, ʻoiai kekahi poʻe e pono paha e kaupalena i ka ʻai paʻakai. Hiki i kāu kauka a i ʻole ka mea ʻai meaʻai ke hāʻawi i nā ʻōlelo aʻo kikoʻī no nā pono o kāu keiki.

Pono e kūkākūkā ʻia nā pae hana me kāu cardiologist. Hiki i nā keiki he nui ke komo i nā pāʻani maʻamau a me nā haʻuki, ʻoiai kekahi poʻe e pono paha e pale aku i nā hana ikaika loa. E kaupalena pinepine kāu keiki iā lākou iho i ka mea ʻoluʻolu.

He mea nui loa ka pale ʻana i nā maʻi ʻoiai ke hoʻonui nei kekahi mau hemahema naʻau i ka pilikia o nā maʻi koʻikoʻi. ʻO ia hoʻi ke mālama ʻana i nā lāʻau pale, ka hana ʻana i ka hoʻomaʻemaʻe lima maikaʻi, a me ka pale ʻana i ka pilina pili loa me nā poʻe maʻi i ka hiki.

E makaʻala i nā loli i ke kūlana o kāu keiki a mālama i ka papa inoa o nā hōʻailona e kūkā me kāu kauka. ʻO kēia paha e komo pū me nā loli i ka pae ikehu, ka makemakeʻai, nā ʻano hanu, a i ʻole ke kala o ka ʻili.

Mai poina e mālama pono iā ʻoe iho pū kekahi. ʻO ka loaʻa ʻana o kahi keiki me kahi kūlana olakino hiki ke pilikia, a he mea nui ke ʻimi i ke kākoʻo ke pono ʻoe.

Pehea ʻoe e hoʻomākaukau ai no kāu kauka?

ʻO ka hoʻomākaukau ʻana no nā hālāwai me ka cardiologist o kāu keiki e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa. E kākau i lalo i kāu mau nīnau ma mua, i ʻole ʻoe e poina e nīnau e pili ana i kekahi mea e hopohopo nei iā ʻoe.

E mālama i ka moʻolelo o nā hōʻailona o kāu keiki, me ka wā e loaʻa ai, pehea ka lōʻihi o ko lākou mau, a me ka mea e hoʻonāukiuki ai iā lākou. E hoʻomaopopo i nā loli i ka ʻai ʻana, ka hiamoe ʻana, ka pae hana, a i ʻole ke ʻano e pili ana paha i ko lākou kūlana naʻau.

E lawe mai i ka papa inoa o nā lāʻau āpau a kāu keiki e lawe ai, me nā dosages a me ka pinepine o ka hāʻawi ʻana. E lawe mai pū i nā hopena hoʻokolohua mua a i ʻole nā ​​hōʻike mai nā kauka ʻē aʻe inā ʻo kēia kāu kipa mua me kahi loea hou.

E noʻonoʻo e lawe mai i kahi pākeke ʻē aʻe me ʻoe i nā hālāwai, ʻoi aku ka nui ke kūkākūkā ʻana i nā koho mālama a i ʻole nā ​​kaʻina hana ʻoki. ʻO ka loaʻa ʻana o ʻelua poʻe e hoʻolohe ana e kōkua i ka hōʻoia ʻana e hoʻomanaʻo ʻoe i nā ʻike koʻikoʻi a pau.

E hoʻomākaukau i nā wehewehe kūpono i ka makahiki no kāu keiki e pili ana i ke kipa. Makemake paha nā keiki kahiko e nīnau i kā lākou mau nīnau ponoʻī, a he mea nui lākou e manaʻo ʻia e komo i ko lākou mālama.

He aha ka mea nui e pili ana i nā hemahema naʻau i hānau ʻia?

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka hiki ke mālama ʻia loa nā hemahema naʻau i hānau ʻia, a ʻo ka hapa nui o nā keiki me nā hemahema naʻau e ulu a ola i nā ola piha a hana. Ua hoʻololi nā holomua lapaʻau i ka manaʻo no nā keiki me kēia mau kūlana.

Kūikawā ka noho ʻana o kēlā me kēia keiki, a ua hoʻopilikino ʻia nā papahana lapaʻau i ko lākou mau pono. Pono kekahi mau keiki i ka hoʻoponopono iki, ʻoiai ʻo nā mea ʻē aʻe e pono ai ka mālama nui loa, akā ʻo ka pahuhopu mau loa, ʻo ia ke kōkua i kāu keiki e ola i kona ola maikaʻi loa.

He mea nui ka kūkulu ʻana i ka pilina ikaika me ka hui lapaʻau o kāu keiki. Mai kānalua e nīnau i nā nīnau, e hōʻike i nā hopohopo, a i ʻole e ʻimi i ka wehewehe ʻana i nā mea āu e ʻike ʻole ai. He ʻāpana nui ʻoe o ka hui mālama o kāu keiki.

E hoʻomanaʻo ʻaʻole e hoʻoholo ka loaʻa ʻana o kahi keiki me ka hemahema naʻau i hānau ʻia i ka wā e hiki mai ana o kou ʻohana. Me ka mālama lapaʻau kūpono a me ke kākoʻo, hiki i kāu keiki ke komo i ke kula, nā haʻuki, nā hoaaloha, a me nā mea leʻaleʻa a pau o ke kamaliʻi.

Nā nīnau pinepine e pili ana i nā hemahema naʻau i hānau ʻia

Hiki i kaʻu keiki ke pāʻani haʻuki me kahi hemahema naʻau i hānau ʻia?

Hiki i nā keiki he nui me nā hemahema naʻau ke komo i nā haʻuki a me nā hana kino. E loiloi kāu cardiologist i ko lākou kūlana kūikawā a e hāʻawi i ke alakaʻi e pili ana i nā pae hana palekana. ʻAʻohe palena o kekahi mau keiki, ʻoiai ʻo nā mea ʻē aʻe e pono paha ke pale aku i nā haʻuki hoʻokūkū ikaika loa. ʻO ke kī, ʻo ia ka loaʻa ʻana o ke kaulike kūpono e mālama i kāu keiki i ka hana a me ke olakino ʻoiai e palekana ana i ko lākou naʻau.

Hiki ke pale ʻia nā hemahema naʻau i hānau ʻia?

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hemahema naʻau i hānau ʻia no ka mea e hana lākou i ka wā hāpai mua, pinepine ma mua o ka ʻike ʻana o nā wāhine ua hāpai lākou. Eia naʻe, hiki iā ʻoe ke hoʻemi i kekahi mau kumu pilikia ma o ka lawe ʻana i ka waikawa folic ma mua a i ka wā hāpai, ka mālama pono ʻana i ka maʻi diabetes, ka pale ʻana i ka waiʻona a me ka puhipaka, a me ka mālama ʻana i nā lāʻau. He mea nui mau ka loaʻa ʻana o ka mālama hāpai maikaʻi no ka hāpai olakino.

Pono anei kaʻu keiki i ka ʻoki naʻau?

ʻAʻole pono nā keiki a pau me nā hemahema naʻau i hānau ʻia e pono ai ka ʻoki kino. He nui nā hemahema māmā e pono wale nō ka nānā ʻana, a ua pani kekahi iā lākou iho i ka ulu ʻana o nā keiki. No nā hemahema e pono ai ka hoʻoponopono ʻana, nui nā koho i nā kauka i kēia manawa, me nā kaʻina hana catheter liʻiliʻi. Inā manaʻo ʻia ka ʻoki kino, loaʻa i ka ʻoki kino naʻau pediatric nā kūleʻa maikaʻi loa a ke hoʻomau nei i ka hoʻomaikaʻi ʻana i nā hopena.

Pehea ka hopena o kēia i ka ulu ʻana a me ka hoʻomohala ʻana o kaʻu keiki?

ʻO ka hapa nui o nā keiki me nā hemahema naʻau i hānau ʻia e ulu maʻamau, ʻoi aku hoʻi me ka mālama kūpono. Hiki i kekahi mau keiki ke ulu mālie i ka hoʻomaka ʻana, akā e hopu pinepine lākou i ka wā i hoʻoponopono ʻia ai kā lākou hemahema naʻau a i ʻole i mālama maikaʻi ʻia. E nānā pono ka hui mālama o kāu keiki i ka ulu ʻana a e hāʻawi i ke kākoʻo inā pono. Nui nā mākua i hānau ʻia me nā hemahema naʻau e alakaʻi ana i nā ola maʻamau loa.

Pono anei iaʻu ke haʻi aku i ke kula o kaʻu keiki e pili ana i ko lākou kūlana naʻau?

ʻAe, he manaʻo maikaʻi ia e haʻi aku i ke kula o kāu keiki e pili ana i ko lākou kūlana naʻau. Kūleʻa kēia i nā kumu a me nā nēnē kula e hoʻomaopopo i nā pono kūikawā o kāu keiki a ʻike i nā mea e nānā ai. E hana pū me ke kauka o kāu keiki e hāʻawi i ke kula i ka ʻike maopopo e pili ana i nā palena hana, nā lāʻau lapaʻau, a me nā kaʻina hana pilikia inā pono.