Ke ʻike ʻoe ua hāpai ʻoe, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi me ka hauʻoli āu e manaʻo ai. "He aha ka mea e hana ʻia i kēia manawa?", "He aha kaʻu e hana ai?", "Ua maikaʻi anei ke pēpē?", a pēlā aku. He nui nā nīnau e hiki mai ana i ka noʻonoʻo. ʻO ka pae koʻikoʻi a mua o kēia huakaʻi, kahi e nui ai nā loli, ʻo ia ka trimester mua, ʻo ia hoʻi, nā mahina mua ʻekolu. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka wā hāpai?
I ka ʻōlelo maʻalahi, he huakaʻi kupaianaha ka hāpai ʻana e mau ana ma kahi o 9 mau mahina. Ua māhele ʻia kēia wā i ʻekolu mau ʻāpana nui, a i ʻole nā trimesters. ʻO ka lōʻihi o hoʻokahi trimester he 13 pule, a i ʻole ma kahi o ʻekolu mahina. ʻO ka lōʻihi o ka hāpai ʻana ma kahi o 40 mau pule. Ke kamaʻilio kāu kauka iā ʻoe e pili ana i ka ulu ʻana o kāu pēpē, e kamaʻilio ʻo ia e pili ana i ia mea i nā pule. No laila, ʻo kāu trimester mua ka manawa a hiki i ka pule 13 o ka hāpai ʻana.
Pehea e hoʻomaka ai ka trimester mua?
He mea kupanaha paha kēia, akā hoʻomaka kou hāpai ʻana mai ka lā mua o kou wā hope loa. Ua kapa ʻia kēia he makahiki hāpai ma nā ʻōlelo lapaʻau. E helu kāu kauka i kou lā hānau ma ka hoʻohui ʻana i 40 mau pule i ka lā mua o kou wā hope loa.
ʻO ia hoʻi, ʻoiai inā ʻoe e lawe i kahi hoʻāʻo ma ka home a ʻike ʻoe ua hāpai ʻoe, he 4 mau pule wale nō ʻoe! He mea huikau iki ia i ka wā mua, akā ʻo ke ala kūpono ia e hana ai.
E hoʻomaopopo kākou pehea e helu ai i nā pule.
- Pule ʻEkahi: ʻO kēia ka pule o kou wā maʻamau.
- Pule 2: I loko o kēia pule, hoʻokuʻu ʻia kahi hua manu mai kāu mau ovaries. Ua kapa ʻia kēia he "ovulation".
- Pule 3: I ka hele ʻana o ka hua manu i lalo o ka ʻōpū fallopian i ka ʻōpū, hana ʻia ka hoʻoulu ʻana inā hālāwai ia me kahi sperm. Māhele kēia hua manu i hoʻoulu ʻia i loko o kahi puʻu o nā cell, hele i ka ʻōpū, a hoʻokomo iā ia iho i loko o ka paia o ka ʻōpū.
- Pule 4: Ke hoʻokomo ʻia ka hua manu i loko o ka ʻōpū, ʻike kou kino ua hāpai ʻoe a hoʻomaka e loli i nā hormonal. Hoʻōki ka hapa nui o ka poʻe i ka loaʻa ʻana o ka wā i kēia manawa. ʻO kēia ka manawa e lawe ai ka hapa nui o ka poʻe i kahi hoʻāʻo hāpai.
Pehea e ulu ai ke keiki i nā mahina mua ʻekolu?
ʻOiai ʻaʻole hiki iā ʻoe ke ʻike mai waho mai, ke hana nei kahi hana mana i loko o kou kino i kēia manawa. Hoʻomaka kahi pōpō liʻiliʻi o nā ʻāpana e ulu a lilo i pēpē piha i loko o kēia manawa.
| Manawa | Ka ulu ʻana o ka pēpē |
|---|---|
| 1 a 4 mau pule | I kēia manawa, he pōpō liʻiliʻi wale nō o nā keena ke pēpē. Akā, ke hoʻomaka nei ke kūkulu ʻia ʻana o ka ʻeke amniotic, ka placenta, a me ke kaula umbilical, nona ka wai amniotic e pono ai ke pēpē. Ke hoʻomaka nei hoʻi ke kūkulu ʻia ʻana o ka ʻōmole e hana i ka lolo a me ke kaula spinal, a me ka ʻōnaehana hoʻokele koko. Ke hoʻomaka nei ke ʻano o ka helehelena o ke pēpē, me nā pōʻai a puni nā maka a me ka waha. I kēia manawa, ua liʻiliʻi ka pēpē ma mua o kahi hua laiki. |
| 5 a 8 mau pule | Ke hoʻomaka nei ke kūkulu ʻia ʻana o nā ʻōpū nui o ka pēpē, me nā māmā, ka puʻuwai, nā pepeiao, nā lima, a me nā wāwae. Ke kūkulu ʻia nei nā iwi. ʻIke ʻia ke poʻo he ʻoi aku ka nui ma mua o ke kino ʻē aʻe. Ua ʻike maopopo ʻia ka waha, ka ihu, a me ke alo. E hana kekahi mau kauka i kahi scan i kēia manawa e nānā i ka puʻuwai. I ka hopena o 8 mau pule, ua lilo ka pēpē i fetus i kēia manawa. Ua like kona nui me ka raspberry. |
| 9 a 12 mau pule | I ka hopena o ka trimester mua, ua hoʻokumu piha ʻia nā manamana lima a me nā kui o ka pēpē. Ke hoʻomaka nei nā neʻe ʻana e like me ka wehe ʻana a me ka pani ʻana i nā lima a me ka waha. Ke hana piha nei ka ʻōnaehana mimi a me ka ʻōnaehana ʻai. Ma kahi o 12 mau pule, hiki i ke kauka ke lohe i ka puʻuwai o ka pēpē me kahi ultrasound Doppler. I kēia manawa, ua hoʻokumu ʻia nā ʻōpū o ka pēpē, akā ʻaʻole ʻike maopopo ʻia ma kahi scan. I kēia manawa ua like ka nui o ka pēpē me ka plum. |
No ke aha he mea nui nā mahina mua ʻekolu?
He mea koʻikoʻi loa kēia wā. No ka mea, ua hoʻokumu ʻia nā ʻōkana nui a me nā ʻōnaehana kino o ka pēpē i loko o kēia mau mahina mua ʻekolu. No laila, inā pili ka makuahine i nā mea ʻawahia, nā mea ʻino, a i ʻole nā maʻi i loko o kēia wā, hiki ke hōʻeha nui i ka ulu ʻana o ka pēpē. Hiki ke piʻi aʻe ka pilikia o kekahi mau maʻi hānau. No laila, he mea nui e mālama pono i kou olakino i loko o kēia wā.
Nā loli āu e manaʻo ai i kou kino i ka wā o ka trimester mua
He ʻokoʻa kēlā me kēia hāpai ʻana. A he ʻokoʻa paha nā manaʻo o kēlā me kēia wahine. Akā, aia kekahi mau hōʻailona like i ʻike ʻia e ka hapa nui o ka poʻe. ʻO ke kumu nui o kēia, ʻo ia ka piʻi koke ʻana o nā pae hormone i loko o ke kino.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha a me ka hoʻonui ʻana o ka umauma | Hiki i nā hormones ke hoʻolilo i kou mau umauma i mea ʻeha a palupalu. Pono paha ʻoe i kahi pale umauma nui aʻe ma mua o ka pau ʻana o ka trimester mua. Hiki ke ʻike nui ʻia nā aa koko i loko o kou mau umauma. Hiki ke ʻeleʻele pū ka ʻāpana a puni kou mau nipples (areola). |
| Ka luaʻi a me ka luaʻi (Ka maʻi kakahiaka) | He hōʻailona maʻamau kēia. ʻOiai ua kapa ʻia ʻo "Morning Sickness", hiki ke loaʻa i kēlā me kēia manawa o ke ao, ʻoiai i ka pō. Hiki i ka ʻai ʻana i nā meaʻai liʻiliʻi a me ka ʻai ʻana i nā meaʻai ʻaila ʻole ke kōkua. Loaʻa i kekahi poʻe ka hōʻoluʻolu ke ʻai/inu lākou i kahi mea i loaʻa ka ginger. |
| Nā loli o ke ʻano | Hiki i kou mau manaʻo ke piʻi a iho i lalo ma muli o ka piʻi koke ʻana o nā hormones. Hiki iā ʻoe ke ʻike i ka hui pū ʻana o ka makaʻu, ka hopohopo, ka hauʻoli, a me ke kaumaha i loko o 30 mau minuke like. ʻO ke kamaʻilio ʻana e pili ana i kēia me kāu hoa a i ʻole he hoaaloha hilinaʻi e hiki ke kōkua iā ʻoe e ʻoluʻolu. |
| Luhi a me ka hiamoe | Ma muli o ka nui o ka hana a kou kino, e luhi paha ʻoe. E hoʻomaha nui. No ka hapa nui o ka poʻe, e emi ana kēia luhi a loaʻa hou iā lākou ko lākou ikaika i ka lua o ka trimester. |
| Pono pinepine e mimi | I ka hoʻomaka ʻana o kou ʻōpū e ulu, hiki iā ia ke kaomi ma luna o kou ʻōpū mimi, e pono ai ʻoe e mimi pinepine. |
| Nā loli o ka ʻili a i ʻole ka ʻāʻī | Hiki i nā hormones ke hoʻonui i ka hana ʻaila i loko o ka ʻili, hiki ke hoʻoulu i ka ʻākena i kekahi poʻe. |
ʻO kāu nānā mua ʻana o ke kauka (Prenatal Visit)
He mea nui e ʻike koke i ke kauka ke ʻike ʻoe ua hāpai ʻoe. Ua kapa ʻia kēia he mālama maʻi hāpai. I loko o kēia mau nānā ʻana, ua mālama ʻia nā mea āpau āu e pono ai a me kāu pēpē.
I kāu nānā mua ʻana, e nīnau ʻia ʻoe i nā nīnau he nui, me kou mōʻaukala olakino a me kou ʻohana a me nā kikoʻī e pili ana i nā hāpai mua. ʻO kēia ke hōʻoia i kou olakino maikaʻi loa a me kāu pēpē.
ʻO ka maʻamau, hana ʻia nā mea aʻe i ka nānā mua ʻana:
- E ana i kou kaumaha, ke kiʻekiʻe, a me ke koko.
- Ka hoʻokolokolo ʻana o ka pelvis.
- Inā pono, e hana i kahi hoʻāʻo Pap.
- Nā hoʻāʻo no nā maʻi i laha ma ke moekolohe (STI).
- Nānā ʻia ka mimi no ka bacteria, ka protein, a me ke kō.
- Nā hoʻāʻo koko no nā pae hormone, ke ʻano koko (Rh factor), nā pae hao, a me nā maʻi ʻē aʻe.
- Ke hoʻolohe nei i ka puʻuwai o ka pēpē.
- I kekahi manawa, hana ʻia kahi ultrasound transvaginal e hōʻoia i ka hāpai ʻana a ana i ka nui o ka pēpē a me ka puʻuwai o ka naʻau.
He aha nā mea pono ʻole e hana i kēia wā?
Pono ʻoe e hana i kekahi mau hoʻololi i kou nohona no ka palekana a me ka ulu olakino o kāu pēpē. He mea nui loa ia e pale loa i kēia mau mea.
| He aha e pale aku ai | Kumu |
|---|---|
| ʻAila | Hiki iā ia ke hōʻeha nui i ka ulu ʻana o ka lolo o kahi pēpē a me kona ulu kino. |
| Nā Cigarette a me ka Paka | Hoʻemi ia i ka nui o ka oxygen i loaʻa i ka pēpē, hiki ke alakaʻi i ka hānau mua ʻana a me nā pēpē kaumaha hānau haʻahaʻa. |
| Nā lāʻau lapaʻau leʻaleʻa | He mea ʻino loa kēia mau mea no ka ulu ʻana o ke keiki. |
| Meaʻai maka a meaʻai i moʻa ʻole ʻia | ʻO nā mea e like me ka iʻa maka (sushi), ka ʻiʻo i moʻa ʻole ʻia, nā hua maka, ka waiū i hoʻomaʻemaʻe ʻole ʻia a me ka tīhi hiki ke loaʻa nā bacteria ʻino. |
| ʻO kekahi mau pāʻani a me nā hana | E hōʻalo i nā haʻuki e kau ai i ke kaomi ma ka ʻōpū a hiki ke hāʻule (e like me ka pôpeku). |
| Nā ʻauʻau wela a me nā sauna | ʻAʻole maikaʻi ka wela o ke kino no ke pēpē. |
Nā mea hiki iā ʻoe ke hana no kou olakino a me ke olakino o kāu pēpē
- E lawe i kahi huaora prenatal: ʻO ka lawe ʻana i kahi huaora i loaʻa ka waikawa folic he mea nui loa ia no ka ulu ʻana o ka ʻōnaehana nerve o kāu pēpē. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka huaora i kūpono iā ʻoe.
- E ʻai i ka meaʻai olakino: E ʻai i nā meaʻai momona e like me nā huaʻai, nā mea kanu, nā palaoa, ka ʻiʻo, ka iʻa, a me nā hua manu.
- E inu i ka wai nui: He mea maikaʻi ka inu ʻana i ka wai lawa i ka lā a pau no ʻoe a me kāu pēpē.
- E hoʻomaha nui: Ke hele nei kou kino i nā loli he nui, no laila e hoʻomaha ke luhi ʻoe.
- E noho ikaika e like me ka hiki: E kamaʻilio me kāu kauka a e hana i nā hoʻoikaika kino māmā e kūpono iā ʻoe. ʻOiai kekahi mea maʻalahi e like me ka hele wāwae he mea maikaʻi ia.
- E hele i kēlā me kēia nānā ʻana a kāu kauka e hāʻawi ai iā ʻoe: Mai poina i nā manawa hoʻonohonoho keʻena lapaʻau. Mai makaʻu e nīnau inā he mau nīnau kāu.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei,E kāhea koke aku i kāu kauka a i ʻole e hele i ka Halemai Pilikia (ETU) kokoke loa.
- He kuni ma luna o 100.4 Fahrenheit (38 Celsius).
- Ke kahe nui ʻana o ke koko a i ʻole ke kahe ʻana o ka ʻōpū ma ke ʻano ʻē.
- ʻEha nui a ʻeha paha ma ka ʻōpū, nā lima, a i ʻole nā wāwae .
- Loaʻa ka luaʻi mau ʻana a i ʻole ka maʻi pākī.
- Manaʻo nāwaliwali a poniuniu paha .
- Ka pehu ʻana o nā lima, nā manamana lima, a i ʻole ka maka.
- Ka ʻike maka pōwehiwehi a i ʻole ka ʻike ʻana i nā kiko ma mua o nā maka.
Leka Lawe-Home
- ʻO nā mahina mua ʻekolu o ka hāpai ʻana, a i ʻole ka trimester mua, he manawa koʻikoʻi loa ia no ka mea ke kūkulu ʻia nei nā ʻōkana nui o ka pēpē.
- ʻO nā hōʻailona e like me ka nausea, ka luhi, a me ka ʻeha o ka umauma he mea maʻamau ia i kēia manawa. Hoʻokumu ʻia kēia e nā loli hormonal i ke kino.
- He mea nui e ʻike i ke kauka a hele i ka mālama prenatal i ka wā e ʻike ai ʻoe ua hāpai ʻoe.
- E hōʻalo loa i ka waiʻona, ka puhi paka, a me nā meaʻai maikaʻi ʻole. E lawe i nā huaora like me kāu kauka i ʻōlelo ai.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻia nā hōʻailona hōʻailona, e like me ke kahe koko nui, ka ʻeha nui, a i ʻole ke kuni nui.
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