He mea maikaʻi ke ana ʻana o nā hōʻailona koʻikoʻi hou no nā hoʻonohonoho haʻahaʻa haʻahaʻa no ka hoʻokō ʻana i nā maʻi i ka wā hāpai
ʻO ka mana hoʻokele nui ma hope o ka hoʻomohala ʻana i kahi kūʻokoʻa mea kapa ʻia ʻo Cradle Hoailona Vital Makaʻala (VSA)1 ʻO ka nānā ʻana i nā hopena lapaʻau like ʻole i ka mālama makuahine no nā wahine hāpai ma nā ʻāina like ʻole a puni ka honua - kiʻekiʻe, waena a me ka loaʻa haʻahaʻa. Aneane 99 pakeneka o makuahine hiki mai ka make ma nā ʻāina haʻahaʻa a me waena ma muli o ka loaʻa ʻole o ka manawa kūpono no nā maʻi ma muli o ka nele i ke komo ʻana a me ka ʻole o ka hoʻomaʻamaʻa ʻana i nā wahi mālama ola olakino. ʻO ke ana ʻana i nā hōʻailona koʻikoʻi - ʻoi aku ka nui o ke koko a me ka puʻuwai puʻuwai - ʻo ia ka loiloi koʻikoʻi e pono ai e hana i nā wahine hāpai a me nā wahine postpartum e ʻike i nā hōʻailona mua o kekahi maʻi. Hiki i kēia loiloi ke ʻae i ka manawa kūpono a me ka pale ʻana i kekahi hopena koʻikoʻi koʻikoʻi a no laila e hōʻemi i ka make a me ka maʻi maʻi ma muli o hāpai keiki. ʻO ka hemorrhage obstetric kahi maʻi e piʻi ai ke koko a hoʻoulu i ke koko nui a me nā maʻi. ʻO kēia maʻi wale nō he 60 pakeneka hāpai keiki make ma ka honua holoʻokoʻa. ʻO ke kiʻekiʻe kiʻekiʻe, sepsis a me nā hoʻopiʻi mai ka hoʻohua ʻana he mau hopena koʻikoʻi ʻē aʻe a hiki ke pale ʻia kēia mau maʻi āpau a pili pono i nā hōʻailona koʻikoʻi.
ʻO Microlife Cradle Vital Sign Alert device
Papahana Cradle o Microlife2 ka manaʻo e hoʻomohala i kahi mea hiki ke ʻike pololei i nā mea ʻino i nā hōʻailona koʻikoʻi o nā wahine hāpai e like me ke koko a me ka puʻuwai puʻuwai a hiki ke hoʻohana ʻia i nā ʻāina haʻahaʻa a me waena ma nā hale hānai liʻiliʻi, nā keʻena olakino a me nā haukapila. E loiloi ʻia kēia hāmeʻa no kona hiki ke hāʻawi i kahi kuhikuhi wikiwiki a me ka hana. Hiki i ka Cradle VSA ke ana pono i ke koko a me ka puuwai puuwai a me ka hoohana ana i keia mau mea hiki ke helu i ka pilikia o ka wahine e hooulu i ka haalulu ma o ka hoolako ana i ka makaala i hoonuiia ma o kona papa hana hoolaha mua. Hoʻokumu ʻia kēia ʻōnaehana hoʻolaha ʻike maʻalahi ma luna o kahi ʻōnaehana waihoʻoluʻu māmā kahi ʻōmaʻomaʻo ʻaʻohe pilikia, ʻo ka amber ke nānā pono ʻia a ʻo ka ʻulaʻula ke ʻano o ka mālama pilikia. Kōkua nā ʻōlelo aʻoaʻo i ka ʻike ʻana i nā kūlana e loaʻa ai nā lāʻau lapaʻau haʻahaʻa a maʻalahi. ʻO ka algorithm maʻamau i hoʻohana ʻia no nā pākeke ʻaʻole hāpai ʻia i hoʻoponopono ʻia no nā wahine hāpai ma kahi o ʻeono makahiki.
Kūpono no nā ʻāina haʻahaʻa a me waena
ʻO ka Cradle VSA ka mea mua loa e hoʻokō i nā kūlana WHO no ka hoʻohana ʻana ma nā ʻāina haʻahaʻa haʻahaʻa no ka mea he 15 GBP wale nō ke kumu kūʻai. Hoʻopau ia i ka mana liʻiliʻi a hiki ke hoʻopiʻi ʻia e kekahi kelepona kelepona USB e hiki ai i ka 250 heluhelu me hoʻokahi pōʻai o ka uku. He mea paʻa, ʻaneʻane hiki ʻole ke haki a hoʻopaʻa ʻia i hiki ke kū i ka wela, ka haʻahaʻa a me ke kaomi. Ke hoʻomau nei nā hoʻokolohua lapaʻau ma nā ʻāina haʻahaʻa a me waena1.
ʻO kahi papahana i paʻiʻia ma Nā Mea Hou BMJ loiloi i ka hoʻohana ʻana a me ka loaʻa ʻana o kēia hāmeʻa i nā hoʻonohonoho haʻahaʻa haʻahaʻa maʻamau3,4. Ua mālama ʻia kekahi noiʻi ma nā wahi mālama mua ma nā ʻāina haʻahaʻa a waena paha o India, Mozambique a me Nigeria a me kekahi mau halemai ma ʻApelika Hema. He 155 mau nīnauele i loko o ʻeono mau pūʻulu manaʻo i mālama ʻia ma nā ʻōlelo kūloko me nā leo leo o nā wahine hāpai a me nā lālā o ko lākou ʻohana. Ua ukali ʻia kēia e ka loiloi kumuhana ma hope o ka unuhi ʻia ʻana o nā leo i ka ʻōlelo Pelekania. Ua hōʻike nā hopena i ka hapa nui o nā limahana mālama ola i ʻike pololei a maʻalahi hoʻi ka hoʻohana. Ua hoʻomaopopo maʻalahi ʻia a hoʻokipa maikaʻi ʻia ka hoʻopili ʻana i ka hōʻailona traffic-light i ka wā e hāʻawi ana i ka hilinaʻi i nā limahana mālama olakino liʻiliʻi. Ua kōkua kēia iā lākou i ka lawe ʻana i nā hoʻoholo pololei a wikiwiki hoʻi i lawe ʻia i mua ma ke ʻano he kuhikuhi a i ʻole he ʻano lapaʻau. He liʻiliʻi wale nō nā limahana i hōʻike ʻaʻole lākou ʻoluʻolu i ka hoʻohana ʻana i ka hāmeʻa i ke ana ʻana i nā hōʻailona koʻikoʻi i nā wahine momona a me nā mea maʻi me ka hypertension.
ʻO ka Cradle VSA kahi mea hana hou a maʻalahi hoʻi e hoʻohana i hiki ke hana i kahi hopena ikaika i ka hōʻemi ʻana i ka make hānau hānau makahiki ma nā ʻāina haʻahaʻa a me waena ma kahi kokoke i 25 pakeneka. Ma ka ʻike mua ʻana a me ka manawa kūpono, hiki i nā wahine hāpai ke loaʻa ka mālama olakino me ka hāʻawi ʻana i kahi hopena maikaʻi aʻe i ka wā e hiki mai ana i nā makuahine a me kā lākou pēpē i hānau ʻole ʻia.
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Puna (s)
1. Hoʻohālua ʻo Cradle. http://cradletrial.com [Loaʻa iā Pepeluali 5 2019]
2. Microlife. 2019. Hui Microlife. https://www.microlife.com [Loaʻa iā Pepeluali 5 2019]
3. ʻO Vousden N et al. 2018. Ka loiloi ʻana i kahi mea hana hōʻailona koʻikoʻi no ka hoʻohaʻahaʻa ʻana i ka make o ka makuahine a me ka maʻi maʻi ma nā wahi haʻahaʻa haʻahaʻa: kahi haʻawina hiki ke hana ʻia no ka hoʻāʻo CRADLE-3. ʻO ka BMC Pregnancy Babybirth. 18(1). http://doi.org/10.1186/s12884-018-1737-x
4. Natana HL et al. 2018. The CRADLE vital signs alert: qualitative evaluation of a novel device for use in pregnancy by healthcare workers in low-source settings. Ola Hanau.
https://doi.org/10.1186/s12978-017-0450-y
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