Ke moe nei nā makuahine i ka wā e pili ana i ka hānauʻana o kahi pēpē maikaʻi, a i ka manawa likeʻole,ʻaʻoleʻo ia e hauʻoli i ka hele pinepineʻana i nā kūkākūkā a nā wāhine a me ka hāʻawiʻana i nāʻano kānalua. Akā, he mea pono kēia mau mea a pau no ka paleʻana i ka keiki i hānauʻoleʻia mai ka hoʻokae o ka maʻi o ka maʻi. A iʻole e kūkā e pili ana i nā hopena hopena maikaʻi,ʻoi aku ka maikaʻi e hana i nā mea a pau no kona paleʻana.
ʻO ka maʻi Intrauterine (VUI) e pili ana i nā kaʻina hana a iʻole nā maʻi o ka'ōpū a me ke keiki hou, nā mea nāna e hoʻopiʻiʻia he bacteria (streptococci, chlamydia, E. coli, etc.), mau maʻi (rubella, herps, influenza, hepatitis B, cytomegaly, etc.), fungi ʻo iaʻo Candida, protozoa (toxoplasm). ʻO ka mea pōʻino loa no ke pēpē,ʻo ia ka mea i hālāwai muaʻia e kona makuahine i ka wā o ke kōpūʻana,ʻo ia hoʻi, inā ua kūpaʻaʻo ia i ka weluwelu,ʻo ia hoʻi ma hope o ka hō'āʻana,ʻaʻole e hoʻololi ka maʻi i ka'ōpū.
Hiki ke ulu ka maʻi i waena o ka'ōpū ma mua o ka hoʻomaka o ka hana ma o ka placenta (ala hematogenous, ma o ke koko) a iʻole ka emi pinepine ma muli o ka wai o ka amniotic,ʻo ka maʻi o ia mea e hiki ai i nā maʻi o ka pilikino, nā pulopiano tubes a me nā membniotic. I kēia hihia, ke kamaʻilio nei mākou e pili ana i ka maʻi antenatal o ka hānai. A inā loaʻaʻo ia i ka maʻi i ka wā e hele ai i ke alapuni hānau - e pili ana i ka pilikino.
Nā maʻiʻeha o intrauterine - nā hōʻailona
ʻO nā hōʻailona o kahi maʻi e pili ana i ka'ōpiopio e pili ana i ka makahiki hopena i loaʻa ai ka maʻi a me nā ala o ka maʻi:
- he mau pule ma hope o ka hoʻohāpaiʻana - hiki i ka hāʻuleʻana, aʻaʻole paha iʻike ka wahine no kona'ōpū;
- 2 mau wiki - ke hoʻopiliʻia nā mea nui a me nā pūnaewele ma ko lākou hoʻokumuʻana, hiki i kēia ke hopena i ka hāʻuleʻoleʻana a iʻole ka hānauʻana o kahi keiki me nā hewa e piliʻole i ke ola;
- Nā wiki he 10-28 - ka maʻi e loaʻa ai nā maʻi kūponoʻole a lōʻihi paha o nā pōʻino pūnaewele;
- 28-40 mau wiki - hiki ke hoʻololi i nā meaʻino likeʻole me ka ola, akā e pono ke kau i ka lāʻau;
- ka hopena - ka hopena i ka maʻi pneumonia i ka hānau hou.
ʻO ka'ōpū intrauterine o nā keiki hou a me nā keiki'ōpio - nā hopena
E like me ka hōʻikeʻana o nā haʻawina, nā hopena o ka maʻi intrauterine i nā keiki hou, iʻikeʻia i nā hebedoma 36-38, he hypoxia, hypotrophy, maʻi hauhā, edema. A i ka hapanui o nā keiki hou, hōʻailona nā hōʻailona maikaʻi o ka maʻi i pilikia i kā lākouʻike.
I kekahi mau mahina ma hope mai, hiki i nā keiki me VUI ke loaʻa i ka maʻi lahilahi, conjunctivitis, maʻi maʻi urinary, encephalitis, maningitis, a me ka maʻi hepatitis. ʻO nā maʻi o nā puʻupaʻa, nā ate a me nā'ōpū hanu i nā keiki o ka makahiki mua o ke ola, hiki ke mālamaʻia. Akā i kēia wā i ka makahiki 2 ua lōʻihi
Ma muli o ka pilikino o ka hihiʻo, ka loheʻana, ka makani a me nā maʻi o ka naʻau, epilepsy, ua nele lākou i ke kīnā, aʻo ka uluʻana o ka uluʻana i ka hikiʻole ke loaʻa ka hoʻonaʻauaoʻana. Hiki ke hoʻoholo i kēia pilikia me kaʻike pono a me ka hoʻoponoponoʻana i nā kuhiʻana i ka hoʻomohalaʻana o nā keiki i loaʻa i nā maʻi pili kino.