Ka hānai waiū: Nā hopena lapaʻau no ka pehu ʻana o ka ʻōpū, ka pehu ʻana o ka umauma, a me ka nele o ka waiū Ka hānai waiū 🤱🍼

Ua hele mai ʻo Nirupama (25 makahiki) i koʻu keʻena lapaʻau i ka Pōʻalua i hala, he makuahine hou i hānau i kāna keiki mua i 4 mau lā ma mua. Ua luhi loa ʻo ia a ua uē nui.

"E Kauka Priya, ua paʻakikī koʻu mau umauma ʻelua e like me nā pōhaku a ʻeha loa. Ke uē nei ke pēpē no ka mea ʻaʻole hiki iā ia ke hoʻopaʻa i ka nipple. Ke noʻonoʻo nei au inā ʻaʻole lawa ka waiū e hāʻawi ai i ke pēpē," wahi a Nirupama i kona makaʻu a me ka ʻeha.

Ua hōʻoluʻolu au iā ia a wehewehe aku: "E Nirupama, ke kū nei ʻoe i kahi kūlana maʻamau i ʻike ʻia ʻo ka breast engorgement ma ke ʻano lapaʻau. I ka pule mua ma hope o ka hānau ʻana, pehu nā umauma a paʻakikī ma muli o ke kahe like ʻana o ke koko a me ka wai lymph i loko o nā umauma a me ka hana ʻana o ka waiū. A laila, palahalaha a kīkoʻo ka nipple a me ka ʻāpana ʻeleʻele a puni (areola), e paʻakikī ai i ka pēpē ke latch pono. Manaʻo ka poʻe he nui kēia he 'nele o ka waiū' (nele o ka waiū). Akā ʻo ka ʻoiaʻiʻo, i mea e kahe ai ka waiū , pono e hoʻāla ʻia ka let-down reflex . Hoʻomalu ʻia ke kahe o ka waiū e ka hormone oxytocin, ka mea i hoʻokuʻu ʻia mai ka pituitary gland ma ka lolo o ka makuahine. I kēia lā, e nānā kākou pehea e kāohi ai i ka breast engorgement a me ka hānai pono ʻana i ka waiū."

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

E nalo aku ana ka ʻeha maʻamau o ka hānai waiū i loko o kekahi mau lā, akā pono ʻoe e ʻike koke i ke kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• ʻEha nui, palupalu, ʻulaʻula, a me ke kuni ma ka umauma hoʻokahi wale nō (he hōʻailona paha kēia o ka mastitis, kahi maʻi umauma).
• He kahe nui a i ʻole ke kahe koko ʻana o ka nipple, nā nipples māwae, a i ʻole ka ʻeha.
• Ke hōʻike nei ke keiki i nā hōʻailona o ka make wai - e like me ka mimi ʻana ma lalo o 6 mau manawa i loko o 24 mau hola, ka mimi melemele ʻeleʻele, ka hiamoe nui, a i ʻole ka pohō kaumaha.
• ʻAʻole e piʻi mau ke kaumaha o ka pēpē i ka wā hānau ʻana ʻoiai ma hope o 10 mau lā ma hope o ka hānau ʻana.

ʻO nā kumu nui o ka lawa ʻole o ka waiū

He nui nā makuahine, ʻoiai ʻaʻole lākou i nele i ka waiū, hōʻemi lākou i kā lākou hana waiū ma muli o nā ʻano hana kūpono ʻole:

• Ka Latch maikaʻi ʻole: ʻAʻole ka pēpē e pipili pono ana i ka umauma, ʻo ia ka hopena ʻaʻole i wehe pono ʻia ka waiū.
• Ka emi ʻana o ka hānai ʻana i ka waiū umauma: ʻAʻole e hānai waiū no nā hola ʻoi aku ma mua o 3.
• Ka hoʻohana ʻana i ka waiū hana a me nā sopa: ʻO ka hānai ʻana i ka pēpē i ka waiū waiū e hōʻemi ana i ka nui o ka waiū umauma āna e inu ai.
• Ke kaumaha a me ka makaʻu: Ke kaumaha nui nei ka makuahine, ua kāohi ʻia ka hoʻokuʻu ʻana o ka hormone oxytocin mai ka pituitary gland a ua hoʻopau ʻia ka "let-down reflex".

Pehea e kāohi ai i ka pehu ʻana o ka umauma?

E hahai i kēia mau hana ke paʻa kou mau umauma, e like me ke ʻano o ka lāʻau lapaʻau kino a me nā ʻōlelo aʻoaʻo lapaʻau:

1. ʻUmiʻumi mehana ma mua o ka hānai ʻana i ka waiū: ʻO ke kau ʻana i kahi kāwele mehana ma kou mau umauma no kekahi mau minuke ma mua o ka hānai ʻana i ka waiū a i ʻole ka ʻauʻau ʻana i ka waiū e hiki ke kōkua i ka hoʻomaha ʻana i nā ʻauwai waiū a e maʻalahi ai ke kahe ʻana o ka waiū.
2. Ka Hoʻopuka Lima ʻana: Inā ua piha loa ka umauma, e hoʻopuka lima i kahi waiū liʻiliʻi a hiki i ka palupalu ʻana o ka ʻāpana a puni ka nipple no ka pēpē e ʻū ai.
3. E hānai pinepine a mau: E hānai i ka wā e noi ai ke pēpē (Responsive feeding) a i ʻole ma ka liʻiliʻi i kēlā me kēia 2-3 hola. He mea nui nō hoʻi ka hānai ʻana i ka pō.
4. ʻUmi Anu Ma hope o ka Hānai ʻAna i ka Umu: Ma hope o ka hānai ʻana i ka waiū, e kau i kahi ʻeke hau ma luna o nā umauma e hōʻemi i ka pehu a me ka ʻeha. ʻO ke kau ʻana i nā lau kāpeti i holoi ʻia, hoʻomaʻemaʻe ʻia, a hoʻokomo ʻia i loko o ka pahu hau ma luna o nā umauma he ʻano hana i ʻōlelo ʻia e ka lāʻau lapaʻau kūloko a me ke Komohana.

Ke kūlana kūpono o ka hānai waiū a me ka hoʻopaʻa ʻana

• Umauma-i-ka-umauma: E hoʻohuli i ke kino holoʻokoʻa o ka pēpē i ka makuahine, e hoʻopaʻa ana i ka umauma o ke pēpē kokoke i ka umauma o ka makuahine.
• ʻAuwae ma ka Umauma: Pono e kaomi ʻia ka ʻauwae o ke pēpē i ka umauma.
• Ke wehe ʻana i ka waha a ākea: Pono ke pēpē e wehe ākea i kona waha a lawe i loko ʻaʻole wale i ka nipple, akā, i ka hapa nui hoʻi o ka wahi pouli a puni ia.

Nā mea e pono ai a me nā mea ʻaʻole e pono ai

Nā kumu ʻepekema (Nā Kuhikuhi)

• 📚 ʻEha umauma a me ka hānai waiū - NHS
• 📚 Kaʻina Hana Lapaʻau ABM #20: Hoʻonui ʻia ka ʻōpū, Hoʻoponopono Hou ʻia 2016 - PMC