Hoʻomākaukau no nā lehulehu

No laila ua ʻike ʻoe i kāu hele ʻana i nā mea he nui! Ano, pehea? E manaʻoʻiʻo a ʻaʻole paha, he ʻokoʻa loa ka hāpai ʻana me nā mea he nui ma mua o ka hāpai ʻana me hoʻokahi keiki. ʻOi aku ka paʻakikī o kou hāpai ʻana, pono ʻoe e mālama pono iā ʻoe iho a ʻai ʻē aʻe, a hoʻonui ʻoe i kou pilikia no kekahi mau pilikia e hiki mai ana. ʻOiai he mea weliweli paha, ʻo ka hāpai ʻana me nā mea he nui hiki ke lilo i mea hoihoi a maikaʻi loa.

 

Ua ʻike ka hapa nui o nā wahine hāpai e ʻai liʻiliʻi lākou i mea e hoʻolako ai i kā lākou pēpē me ka meaʻai, akā ʻo nā wahine hāpai me nā mea he nui, pono lākou e ʻai a nui aʻe ke kaumaha. ʻO ka loaʻa ʻana o ke kaumaha kūpono i ka wā o kou hāpai ʻana he mea nui ia no ka hoʻolako ʻana i kāu pēpē i nā mea āpau a lākou e pono ai i loko o ka ʻōpū, no laila e hoʻolālā i ka loaʻa ʻana o ka 25 a 35 paona hou aʻe ma muli o kou kaumaha ma mua o ka hāpai ʻana. ʻOiai paha he mea nui ka loaʻa ʻana i loko o ʻeiwa mahina wale nō, aia ma kahi o 300 mau calorie ʻē aʻe i ka lā a pono e hoʻokahe maʻalahi ma hope o ka lawe ʻana.

He mea koʻikoʻi ka nānā ʻana i ka mea āu e ʻai ai no kēlā me kēia hāpai ʻana, akā i ka wā hāpai me ka nui, he mea nui loa ia. ʻOiai e koi ʻia ana ʻoe e loaʻa i ke kaumaha me ka nui, pono e loaʻa ke kaumaha ma o nā meaʻai olakino e hāʻawi ai i kāu pēpē i nā huaora a me nā meaʻai. ʻOiai kokoke i kēlā me kēia wahine hāpai i ka makemake pupule e like me nā pīni kope kope a i ʻole nā ​​Oreo i palai ʻia, makemake ʻoe e kaupalena i nā calorie ʻole no ka mea ʻaʻole lākou e hāʻawi i ka pono meaʻai. Pono ʻoe i ʻoi aku ka nui o ka folic acid, calcium, iron, a me ka protein i kāu meaʻai, a pono ʻoe e lawe i ka huaʻai prenatal inā aʻo ʻia e kāu kauka.

Hiki i ka lawe ʻana i nā mea he nui ke hoʻoikaika i nā hopena ʻaoʻao i hiki mai me ka hāpai ʻana, e like me ka maʻi kakahiaka, constipation, puʻuwai wela, a me ka hiamoe. Ua ʻike paha ʻoe i ka nui o nā hōʻailona ma mua o ka ʻike ʻana e halihali ana ʻoe i nā mea he nui, akā e hoʻomākaukau no kekahi o lākou e ʻoi aku ka ʻino i ka wā e holomua ai kou hāpai ʻana. Hiki i nā wāhine hāpai lehulehu ke loa'a ka hanu, ka 'eha o ka 'ōpū, a me ka 'eha ma ka iwi iwi mai ka ho'okomo 'ana o nā pēpē i loko o ka 'ōpū. ʻOiai e manaʻo paha nā hopena ʻaoʻao i kekahi manawa ʻaʻole e pau, e nalowale koke lākou ma hope o kou hoʻopuka ʻana.

No ka mea, ʻoi aku ka nui o ka pilikia o nā wahine e lawe ana i ka nui o ka hāpai ʻana, he mea nui ia e mālama i ka mālama ʻana i ka holomua ʻana o kou hāpai ʻana. Pono paha ʻoe e kaupalena i ka hoʻoikaika kino, ka hana, a me ka huakaʻi, e like me ke kuhikuhi ʻana a kāu kauka. ʻOiai ua hānau ʻia nā mea olakino olakino i kēlā me kēia lā, aia kekahi mau pilikia e pono ai ʻoe e ʻike e pili ana, i mea e hoʻomākaukau ai iā ʻoe iho no nā mea e hiki mai ana.

 

ʻO ka hana hana mua e pili ana i ka hana e hoʻomaka ana ma mua o 37 mau pule, ʻo ia hoʻi he 3 mau pule ma mua o ka wā hāpai maʻamau. Hānau ʻia nā mea he nui ma waena o 37 a me 39 mau pule, akā ʻo nā mea ma mua o ia mea i manaʻo ʻia he preterm. Hiki ke ho'ōki i ka hana hānau mua i kekahi manawa me ka hoʻomaha ʻana i kahi moe a me ka wai, akā inā ʻaʻole hiki ke hoʻōki, hiki ke hānau ʻia kāu pēpē i ke kakahiaka nui. ʻO ka hānau mua ʻana ka pilikia koʻikoʻi loa no nā pēpē he nui, ʻoiai ʻo ka nui o nā pēpē i hānau liʻiliʻi ʻoiai ke hānau ʻia i ka wā piha. Inā hele ʻoe i ka hana preterm hiki ʻole ke hoʻōki, hiki i kāu kauka ke hāʻawi iā ʻoe i nā steroid i mea e wikiwiki ai ka ulu ʻana o kāu pēpē. ʻO kekahi mau pilikia o ka hānau mua ʻana, ʻo ia hoʻi ke kaumaha haʻahaʻa o ka hānau ʻana, nā ʻōpū i kūkulu ʻole ʻia, a me ke aʻo ʻana a me ka hoʻomohala ʻana ma hope o ke ola.

 

ʻO ke koko kiʻekiʻe ka mea maʻamau i waena o nā wahine hāpai, akā ʻoi aku ka maʻamau i waena o ka poʻe e lawe ana i nā mea he nui. ʻOiai ʻaʻole hiki i ke koko kiʻekiʻe ke pilikia i nā pēpē, ke hui pū ʻia me ka protein i loko o ka mimi, hiki ke loaʻa ka preeclampsia. Hiki i kēia ke hoʻoikaika i nā pēpē ke mālama ʻole ʻia, akā e nalowale i ka wā e hānau ai nā pēpē.

 

ʻO ka maʻi diabetes gestational kahi ʻano o ka maʻi maʻi maʻi i loaʻa i nā wahine hāpai wale nō, a ʻoi aku ka nui o ka pilikia i ka poʻe e hāpai ana i nā pēpē he nui. Hiki iā ia ke hōʻino i ka placenta inā ʻaʻole mālama ʻia e ka ʻai, a hiki ke hoʻopilikia i ka wā hānau inā kiʻekiʻe loa ke kiʻekiʻe o ke kō koko o nā pēpē. Hiki ke mālama maʻalahi ʻia ma o ka ʻai ʻana a me ke kipa maʻamau o ke kauka, a i kekahi manawa e koi aku i ka lāʻau inā he koʻikoʻi ka maʻi diabetes.

Hiki ke hāʻawi i nā māhoe ma o ka hānau maʻamau maʻamau, akā koi ʻia nā wahine hāpai me ka nui o ka hānau ʻana ma o ka pauku cesarean. Pono nā pēpē ʻelua e hoʻomoe i lalo no ka hānau ʻana ma ka waha, a i ʻole i kekahi manawa hiki ke hānau ʻia ka pēpē mua ma ka waha me ke koena ma o ka c-section. Manaʻo pinepine ʻia ka ʻāpana c ʻo ke ala palekana loa o ka lawe ʻana no nā mea he ʻekolu a ʻoi aku paha.

 

ʻO ka hāpai ʻana me ʻelua a ʻoi aʻe paha nā pēpē hiki ke lilo i mea kupaianaha, ʻoiai e loaʻa iā ʻoe ma mua o hoʻokahi pēpē liʻiliʻi e kīkī ana i loko ou. ʻOiai ʻoi aku ka kiʻekiʻe o kāu mau hopena ʻaoʻao a me nā pilikia ma mua o ka poʻe me hoʻokahi pēpē wale nō, hiki iā ʻoe ke hoʻohaʻahaʻa i kou mau pilikia ma ka mālama ʻana iā ʻoe iho ma o ka ʻai ʻana a me ka hoʻopaʻa ʻana i nā ʻano nohona. ʻOiai he mea weliweli paha ka hāpai ʻana me ka lehulehu, he mea kupanaha ke kakali ʻana i nā pēpē liʻiliʻi nani e hiki koke mai ana.