Pehea e hana ai kou kino i ka waiū no kāu pēpē? (Lactation) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ke kokoke nei ʻoe e lilo i makuahine? A i ʻole he makuahine mua ʻoe no kahi pēpē aloha? Eia naʻe, he nui paha kāu mau nīnau e pili ana i ka hānai waiū, ʻo ia hoʻi, ke kaʻina hana o ka hana waiū (Lactation). E kamaʻilio kākou e pili ana i kēia mau mea a pau i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo, ʻae?

Pehea e hana ʻia ai ka waiū umauma? He aha ka mea e hana ʻia ana i loko o ka umauma?

ʻAe, e nānā kākou i kēia mīkini hana waiū kupaianaha, ʻo ia hoʻi, nā mea e hana nei i loko o kou mau umauma. E noʻonoʻo i nā kelepa mammary i loko o kou mau umauma e like me kahi hale hana waiū liʻiliʻi. He mau ʻāpana nui ko lākou:

• ʻAlveoli: ʻO kēia nā ʻeke liʻiliʻi e like me ka hua waina. Maanei e hana ʻia ai ka waiū a mālama ʻia no kekahi manawa. Hoʻohui ʻia ka nui o kēia mau alveoli e hana i nā hui o nā glands i kapa ʻia ʻo lobules. Hoʻopili ʻia kahi lobule i kahi lobe.
• Nā ʻauwai waiū: Loaʻa i kēlā me kēia lobe hoʻokahi ʻauwai waiū. Aia paha a hiki i 20 mau lobes i loko o kou umauma. Lawe kēia mau ʻauwai i ka waiū mai ka alveoli a i ka nipple.
• ʻAreola: ʻO ka ʻāpana ʻeleʻele a puni ka nipple i kapa ʻia ʻo ka areola. He nui nā hopena aʻalolo koʻikoʻi loa. Ke omo ka pēpē, haʻi aku kēia mau aʻalolo i ka lolo, "ʻAe, e hoʻokuʻu i ka waiū i waho i kēia manawa." Hiki mai ka waiū ke hoʻoulu ʻia ka areola holoʻokoʻa.
• Nipple: Aia ma kahi o 20 mau lua liʻiliʻi ma ka nipple, a puka mai ka waiū mai loko mai o kēia mau lua. Ke omo ka pēpē i ka waiū (a i ʻole ke kaomi ʻoe iā ia ma ka lima, a i ʻole ke pamu ʻoe iā ia me ka pamu umauma), hoʻoulu ʻia nā aʻalolo i loko o kēia nipple. Hoʻouna kēia hoʻoulu ʻana i kahi hōʻailona i ka lolo e hoʻokuʻu i ka waiū mai nā alveoli e iho i lalo i nā ala waiū a puka i waho o ka nipple.

I ka ʻōlelo maʻalahi, e noʻonoʻo i kēia ʻōnaehana hana waiū e like me kahi lāʻau nui. ʻO kou nipple ke kumu o ka lāʻau. ʻO nā ducts waiū nā lālā. ʻO nā alveoli nā lau.

No ke aha mākou e loaʻa ai ka waiū?

No laila, ʻo ke kumu nui, ʻo ia ka hānai ʻana i kā mākou pēpē. He mea kūlohelohe kēia, i kāohi ʻia e ka hormonal. Hana ʻia ka waiū ma kēia ʻano i ka wā a ma hope o ka hānau ʻana o kahi pēpē e hāʻawi i ka meaʻai e pono ai no ke keiki hānau hou. ʻO nā hormones kūikawā i loko o ko mākou kino ka mea e hoʻomaka ai kēia hana waiū a me ka waiū e puka mai ana. Hānai nā mammals āpau i kā lākou keiki ma kēia ʻano. ʻO ka mea kupaianaha, inā ʻoe e hoʻohana i nā lāʻau hormonal kūpono, hiki iā ʻoe ke hana i kahi mea hāpai ʻole e hana i ka waiū.

Pehea e hoʻomaka ai ka hana ʻana o ka waiū? He aha nā pae o kēia?

Hoʻomaka ke kaʻina hana o ka hana ʻana i ka waiū me kahi moʻo o nā loli hormonal e hana ʻia ma hope o kou hāpai ʻana. Kāhea mākou i kēia kaʻina hana "Lactogenesis." ʻEkolu mau pae nui o kēia.

ʻO ka pae hoʻokahi lactogenesis - hoʻomaka i ka wā hāpai!

Hoʻomaka kēia kahua ma kahi o 16 mau pule o kou hāpai ʻana a mau a hiki i kekahi mau lā ma hope o ka hānau ʻana o ke pēpē.

• Ke piʻi nei ka nui o nā hormones estrogen a me progesterone.ʻO kēia ke kumu o ka hoʻonui ʻana o nā ʻauwai waiū i loko o kou mau umauma i ka nui a me ka nui. Hiki ke manaʻo ʻia kou mau umauma he nui iki a piha. Ke mākaukau nei nā ʻōpū mammary e hana i ka waiū.
• E ʻeleʻele kou mau nipples a e nui aʻe hoʻi kou areola.
• Hoʻopuka nā puʻupuʻu liʻiliʻi (ʻo ia hoʻi nā ʻōpū Montgomery) i loko o ka areola i kahi mea like me ka ʻaila e mālama i ka nipple i pulu.
• ʻO ka mea nui loa, e hoʻomaka ana kou kino e hana i ka colostrum, ʻo ia ka waiū mua a kāu pēpē e loaʻa ai, he mea momona loa ia.

Kahua ʻelua o ka lactogenesis - Pehea e hiki mai ai ka waiū ma hope o ka hānau ʻana o kahi pēpē!

Hoʻomaka kēia kahua ma kahi o ʻelua a ʻekolu mau lā ma hope o ka hānau ʻana o ke pēpē. ʻO kēia ka manawa e wikiwiki ai ka hana ʻana o ka waiū.

• Ma hope o ka hānau ʻana o kāu pēpē a me ka placenta, hāʻule koke nā pae estrogen a me progesterone. A laila hoʻomaka ka hana ʻana o kahi hormone i kapa ʻia ʻo prolactin.
• ʻO Prolactin ka hormone nui e hana ai i ka waiū.
• E ʻike ʻoe e piʻi koke ana ka hana ʻana o ka waiū i kēia manawa. Ke ʻōlelo nei mākou 'ke kahe nei ka waiū', ʻo ia nō ia.
• I kēia mau lā , ua piha nā umauma i ka waiū, a paʻakikī, a ʻeha paha a piha hoʻi.

Kahua ʻekolu (`Kahua ʻekolu lactogenesis`) - ka manawa no ka hoʻomau ʻana i ka hānai waiū!

ʻO kēia ka manawa holoʻokoʻa o kou hānai waiū ʻana.

• ʻO ka maʻamau, e hoʻomau ka hana ʻana o ka waiū inā e hoʻokahe ʻia kou mau umauma.
• I ka piʻi ʻana o ka nui o ka waiū i lawe ʻia, hana hou aku kou kino i ka waiū e hoʻopiha i ka hakahaka. Hiki iā ʻoe ke hana hou aku i ka waiū ma ka hānai pinepine ʻana i kāu pēpē a i ʻole ma ka pamu ʻana.

He aha nā hormones e kōkua i ka hana ʻana i ka waiū?

Ua maopopo paha iā ʻoe i kēia manawa ke koʻikoʻi o nā hormones i kēia kaʻina hana waiū. ʻO ka mea nui e kāohi ana i ka nui o ka waiū āu e hana ai, he hormone i kapa ʻia ʻo prolactin. Hoʻomaka kou kino e hana i kēia prolactin i nā wā mua o ka hāpai ʻana. Eia naʻe, i ka wā mua, ua kāohi iki ʻia ka hana o ka prolactin ma muli o ka piʻi ʻana o nā pae o nā hormones e like me ka estrogen a me ka progesterone i ka wā hāpai. Ma hope o ka puka ʻana o ka placenta, i ka emi ʻana o kēlā mau hormones hāpai, lawe ka prolactin i ka mana.

Ke omo ke pēpē i ka nipple, hoʻoulu ia i nā aʻalolo a haʻi aku i ka lolo e hoʻokuʻu i ʻelua mau hormones i kapa ʻia ʻo prolactin a me oxytocin . Hoʻoulu ʻo Prolactin i ka waiū i loko o nā alveoli. Hoʻoulu ʻo Oxytocin i nā ʻiʻo e ʻūlū a hoʻokuke i ka waiū i waho o nā alveoli a i loko o nā ducts waiū.

Kāhea mākou i ka waiū e puka mai ana ʻo 'letdown'.ʻO kēia "letdown" e hana ʻia ma kahi o 30 kekona ma hope o ka hoʻomaka ʻana o ka pēpē e omo. ʻAʻole i kaupalena ʻia kēia mau hormones i hoʻokahi umauma, no laila hiki i ka "letdown" ke hoʻokuʻu i ka waiū mai nā nipples ʻelua i ka manawa like.

Inā ʻaʻole ʻoe hāpai, ʻo ka hoʻoulu ʻana i ka lactation e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻohālike i nā hormones a kou kino e hana ai i ka wā hāpai. ʻO ka hoʻoulu ʻana i kou mau umauma - me ka pamu umauma a i ʻole ka hānai ʻana - hiki ke kōkua i ka hoʻomaka ʻana o kāu hana waiū. He hana paʻakikī kēia, no laila he mea nui e hana pū me ke kauka i maopopo i kāu mau pono a he ʻike ma kēia ʻāpana.

Ke hoʻomaka nei ka waiū e komo mai i ka wā hāpai?

ʻAe, he mea kupanaha paha ia, akā hiki iā ʻoe ke hoʻomaka e hana i ka waiū i kekahi mau pule ma hope o kou hāpai ʻana a komo i ka trimester ʻelua. Ke piʻi aʻe nei ka nui o ka estrogen a me ka progesterone, hoʻomākaukau kou kino e hana i ka waiū. Hoʻonui ʻia ka nui o nā ducts waiū i loko o kou mau umauma. Lawe kēia mau ducts i ka waiū mai nā alveoli a i nā nipples. Ma kahi o ka waena o ka hāpai ʻana, hoʻomaka kou kino e hana i ka colostrum . ʻO kēia ka waiū mua e loaʻa i kāu pēpē.

Hiki iā ʻoe ke hānai i ka waiū me ka ʻole o ka hāpai ʻana?

ʻAe, hiki iā ʻoe ke hana i ka waiū me ka ʻole o ka hāpai ʻana. Ua kapa ʻia kēia ʻo ka hoʻoulu ʻana i ka lactation. He hana paʻakikī iki ia. ʻO ka maʻamau, he mau mahina o nā lāʻau lapaʻau e hoʻohālike ana i ka hormone e hana ai i ka waiū. ʻO ka lua o ka hana ʻana i ka waiū, ʻo ia ka hoʻopuka ʻana i ka waiū mai ka nipple. Ke omo kahi pēpē, hoʻohana i ka pamu umauma, a i ʻole ka hoʻopuka ʻana i ka waiū ma ka lima, hoʻouna ka lolo i nā hōʻailona i ka umauma e hoʻokuʻu i ka waiū i waho. Hiki i ke kauka ke kōkua iā ʻoe me kēia kaʻina hana.

Pehea e pale aku ai i ka komo ʻana mai o ka waiū?

Nui nā kumu e makemake ai ʻoe e hoʻōki i ka hana ʻana i ka waiū. Hiki iā ʻoe ke hoʻōki i ka hana ʻana i ka waiū ma ke ʻano kūlohelohe, a i ʻole hiki iā ʻoe ke hana i kēia me ka hoʻohana ʻana i nā lāʻau hormonal.

Pehea e hōʻemi ai i ka lako waiū ma ke ʻano kūlohelohe:

He hana lako-koi ka hana waiū. ʻO ke ʻano kēia, i ka emi ʻana o ka hilinaʻi o kāu pēpē i ka waiū umauma, a i ʻole i kou hoʻēmi ʻana i ke alapine o ka hānai ʻana i ka waiū a i ʻole ka pamu ʻana, e emi mālie ana kāu lako waiū. I ka ʻōlelo maʻalahi, inā ʻoe e hoʻēmi i ka nui o ka waiū āu e wehe ai mai kou mau umauma, e emi mālie ana kou kino i kāna hana ʻana.

Ke pau ka puka ʻana mai o kāu waiū, e ʻoluʻolu iki paha ʻoe. Nui ka poʻe e ʻike i ka pehu ʻana. Hiki ke hana ʻia kēia ma muli o ka waiū e kahe ana a i ʻole ka paʻa ʻana o ka ʻauwai waiū. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kēia ʻeha ma ka hoʻohana ʻana i kahi lāʻau hoʻomaha ʻeha ma luna o ke kauka, ke komo ʻana i kahi pale umauma kākoʻo, a i ʻole ke kau ʻana i kahi ʻeke hau ma kou umauma.

Pehea e ho'ōki ai i ka lactation me nā lā'au lapa'au:

Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻōki i ka hana ʻana o ka waiū. Hiki i kāu kauka ke haʻi iā ʻoe i nā mea hou aʻe e pili ana i kēia mau lāʻau lapaʻau, ko lākou mau pono, a me nā hopena ʻaoʻao.

Aia i hea nā ʻāpana mammary?

ʻO nā ʻōpū mammary ka mea a mākou e kapa pinepine ai he mau umauma. Loaʻa iā kēlā me kēia kanaka. Aia lākou ma ka umauma. Hana ʻia lākou me nā ʻiʻo hoʻohui, ka momona, a me nā ʻiʻo glandular kūikawā e hana ana i ka waiū. He ʻokoʻa iki ka ʻiʻo glandular o nā wahine, no ka mea, he mau alveoli a me nā lobules ko lākou e hana ai i ka waiū. He nui aku nā ʻiʻo glandular o nā wahine.

He aha nā kūlana maʻamau e hoʻopilikia ai i ka hiki ke hānai i ka waiū?

ʻOkoʻa ka hiki ke hānai waiū a me ka lōʻihi o ka manawa e hiki ai iā ʻoe ke hana i ka waiū mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke hana i ka waiū no nā makahiki, aʻo kekahi poʻe e pilikia paha i ka hana ʻana i ka waiū no kā lākou pēpē.

Eia kekahi mau kumu maʻamau e hiki ke hoʻopilikia i ka lactation a i ʻole ka hānai ʻana i ka waiū:

• Nā pae hormone a me nā kūlana e pili ana i ka hormone.
• ʻO ka lāʻau lapaʻau āu e lawe ai.
• Inā ua loaʻa iā ʻoe ka radiation therapy ma mua.
• Ka ʻeha i nā umauma a i ʻole nā ​​​​nipples.
• Inā ua loaʻa iā ʻoe ka hoʻonui ʻana i ka umauma, ke kūkulu hou ʻana, a i ʻole kekahi ʻoki umauma ʻē aʻe.
• Nā pilikia olakino ʻē aʻe, e like me ka maʻi HIV.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona.

Inā ʻoe e hānai waiū ana a hānai ʻōmole paha i kāu pēpē, pono ʻoe e kamaʻilio mau me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou a lāʻau lapaʻau paha. Hiki i nā lāʻau lapaʻau he nui ke komo i loko o ka waiū umauma a hiki ke loaʻa nā hopena maikaʻi ʻole i kāu pēpē.

He aha ka hopena o ka nele o ka menstruation i ka wā e hānai ai i ka waiū (lactational amenorrhea)?

ʻO ka amenorrhea lactational ka wā e pau ai kou wā ma muli o kou hānai ʻana i ka waiū. Ke hānai ʻoe i ka waiū, hana kou kino i kahi hormone i kapa ʻia ʻo prolactin, ʻo ia ka hormone e hana ai i ka waiū. Hoʻemi kēia prolactin i ka nui o ka hormone luteinizing (LH) i loko o kou kino. Kōkua kēia LH i kou kino e hoʻokuʻu i kahi hua manu i ka wā o ka ovulation. Inā ʻaʻole hana kou kino i ka LH, ʻaʻole ʻoe e ovulate a ʻaʻole ʻoe e loaʻa i kou wā. Hiki i kēia nalowale o ke kahe o ka menstrual ma muli o ka hānai ʻana i ka waiū ke mau no kekahi mau mahina, a hiki i kou hoʻōki loa ʻana i ka hānai ʻana i ka waiū.

Ke hōʻemi nei anei ka hānai waiū i koʻu pilikia o ka loaʻa ʻana o nā maʻi?

ʻAe, he ʻoiaʻiʻo kēlā. Ua hōʻike ʻia nā haʻawina e hōʻemi ana ka hānai waiū i kou pilikia o ka loaʻa ʻana o ke kanesa ovarian a me ke kanesa umauma . Kōkua pū ia i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes type 2 a me ke koko kiʻekiʻe.

Pehea e mālama ai i ka hana ʻana o ka waiū?

ʻO ka mālama ʻana i ka hana waiū e pili nui ana i ka lako a me ke koi.ʻO ka nui o ka omo ʻana o kāu pēpē, a i ʻole ka nui o kāu hoʻopuka ʻana me ka pamu umauma, ʻo ka nui o ka waiū e hana ʻia e kou kino. Aia kekahi mau ala e hōʻemi ai i kāu lako waiū, inā paha ma o nā hormones a i ʻole nā ​​​​​​lāʻau hoʻomalu hānau. Inā makemake ʻoe e hoʻomau i ka hānai waiū, eia kekahi mau mea hiki iā ʻoe ke hana:

• E hānai i kāu pēpē i kēlā me kēia manawa āna e noi ai, a i ʻole e pamu pinepine (ma kahi o kēlā me kēia ʻehā hola).
• E ʻai i ka meaʻai olakino me nā calorie lawa. Hiki i nā meaʻai haʻahaʻa calorie ke hōʻemi i ka lako waiū.
• E inu i ka wai he nui a e noho i ka wai. ʻO ka wai ka hapa nui o ka waiū umauma.
• E hōʻalo i ka puhipaka, nā lāʻau lapaʻau, a i ʻole ka waiʻona. Hiki i kēia ke hōʻemi i kāu lako waiū a hiki ke hoʻohui ʻia i kāu waiū.

He aha ka ʻokoʻa ma waena o ka Lactation a me Colostrum?

ʻO ka lactation ke kaʻina holoʻokoʻa o ka hana ʻana a me ka hoʻokuʻu ʻana i ka waiū mai kou mau umauma. ʻO Colostrum ka waiū mua i hana ʻia e kou mau umauma i ka wā e hānai ai i ka waiū, a ʻo ka waiū mua a kāu pēpē e inu ai. He mānoanoa, melemele, a kapa pinepine ʻia ʻo 'liquid gold'. Waiwai ʻo Colostrum i ka protein, nā minelala, nā huaora, a me nā antibodies.

He aha ka manaʻo o ka hormone therapy e hoʻoulu ai i ka hana ʻana o ka waiū?

ʻO nā kāne a wahine paha a ʻohana paha e makemake ana e hoʻoulu i ka lactation no nā kumu e like me ka hānai ʻana a i ʻole ka surrogacy e makemake paha e hoʻāʻo i ka lāʻau lapaʻau hormone. ʻO ka lactation i hoʻoulu ʻia ke kaʻina hana o ka hoʻomohala ʻana i ka lako waiū me ka ʻole o ka hāpai ʻana. Pili kēia i ka lawe ʻana i nā hormones e like me ka estrogen a me ka progesterone no kekahi mau mahina e hoʻopunipuni i kou kino e manaʻo ua hāpai ʻoe. Hoʻomākaukau kēia i kou mau umauma e hana i ka waiū. Manaʻo ʻia kekahi mau lāʻau lapaʻau a me nā mea kanu e kōkua i ka hoʻomohala ʻana i ka lako waiū.

I kekahi mau pule ma mua o ka hiki ʻana mai o kāu pēpē, pono ʻoe e hoʻomaka e pamu i kou mau umauma me ka pamu umauma. Hoʻoulu kēia i kou kino e hoʻokuʻu i ka prolactin, ʻo ia ka mea e hana ai i ka waiū. I nā huaʻōlelo ʻē aʻe, pono ʻoe e hoʻopuka i kāu waiū i nā manawa he nui i ka lā, e like me kāu e hana ai me kahi pēpē. E kōkua kēia i ke kūkulu ʻana i kāu lako waiū. Hiki iā ʻoe ke hoʻopaʻahau i ka waiū āu e hana ai e hāʻawi i kāu pēpē ma hope o kona hiki ʻana mai.

Inā ʻoe e noʻonoʻo ana i kēia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i kou makemake e hānai i kāu pēpē i ka waiū umauma. He kūleʻa ka lactation i hoʻoulu ʻia no nā poʻe he nui, akā ʻaʻole ia he kūleʻa no nā mea āpau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Inā makemake ʻoe e hānai i kāu pēpē i ka waiū, he mea nui e hoʻomaopopo i ke kaʻina hana o ka lactation i ʻike ʻoe i ka mea e manaʻo ai. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hoʻomākaukau maikaʻi ʻana no ka hānai ʻana i ka waiū a i ʻole ka hōʻike ʻana i ka waiū.E hoʻomanaʻo, hiki ke ʻokoʻa ka hānai waiū mai kēlā kanaka a kēia kanaka, ma muli o kou kūlana a me kou mōʻaukala olakino.

Inā he pilikia kou me ka hānai waiū ʻana, hilahila paha ʻoe a kaumaha paha. Akā, he mea maʻamau loa ka loaʻa ʻana o nā pilikia me ka hānai waiū ʻana. Hiki i nā loea hānai waiū a me nā mea lawelawe olakino ʻē aʻe ke kōkua iā ʻoe e lanakila ma luna o kēia mau pilikia.

ʻO ka hānai waiū, ka hānai ʻana i ka waiū, ke olakino o ka umauma, nā hormones, ka hāpai ʻana, ka colostrum