ʻAʻole hiki ke wehewehe ʻia ka hauʻoli āu e ʻike ai ke ʻike ʻoe e lilo ana ʻoe i makuahine , ʻeā? Akā i ka manawa like, manaʻo iki ʻoe i ka hoihoi a me ka makaʻu iki. "He aha ka mea e hana ʻia i kēia manawa?", "He aha nā loli e ʻike ʻia e koʻu kino?", "Ua maikaʻi anei ke pēpē?" He nui paha kēia mau nīnau ma kou manaʻo. ʻO ia ke kumu e kamaʻilio nei mākou i kēia lā e pili ana i ka ʻāpana koʻikoʻi loa o ka hāpai ʻana, ʻo ia hoʻi nā mahina ʻekolu mua, a i ʻole ka trimester mua. Hoʻomaka kēia wā mai ka lā mua o kou wā hope loa a mau a hiki i ka hopena o 13 pule. ʻO ka loaʻa ʻana o ka hoʻomaopopo maikaʻi i nā mea e hana ʻia i loko o kēia manawa e kōkua iā ʻoe e hoʻomākaukau no nā mahina e hiki mai ana.
ʻO nā loli āu e manaʻo ai i loko o kou kino i kēia manawa
ʻAʻole like ka ʻike hāpai no kēlā me kēia wahine. Manaʻo kekahi poʻe he olakino a leʻaleʻa nā mahina mua ʻekolu. No kekahi poʻe, hiki ke paʻakikī iki kēia manawa. E nānā kākou i kekahi o nā loli maʻamau āu e ʻike ai i kēia manawa, ko lākou manaʻo, a me nā hōʻailona e pono ai ʻoe e ʻike i ke kauka.
| Ka loli/hōʻailona o ke kino | Ka wehewehe maʻalahi a me nā kuhikuhi |
|---|---|
| Kahe koko liʻiliʻi o ka ʻōpū | Hana ʻia kēia ma kahi o 25% o nā wahine hāpai. Hiki ke hana ʻia kēia ke hoʻokomo ʻia ka embryo i loko o ka ʻōpū. Eia nō naʻe, inā he kahe koko nui, ʻeha nui o ka ʻōpū, a ʻeha paha , he hōʻailona paha ia o ka hāʻule ʻana o ka ʻōpū a i ʻole ka hāpai ʻana o ka ectopic. E ʻike koke i kāu kauka. |
| ʻEha a me ka palupalu o ka umauma | ʻO kēia kekahi o nā hōʻailona mua o ka hāpai ʻana. Hana ʻia kēia i ka wā e hoʻomākaukau ana nā umauma e hana i ka waiū no ka pēpē ma muli o nā loli hormonal. ʻO ke komo ʻana i kahi pale umauma nui iki a kākoʻo paha e kōkua paha. |
| Ka paʻa ʻana o ka ʻōpū | Hoʻolohi nā pae kiʻekiʻe o ka hormone progesterone i ka neʻe ʻana o ka meaʻai. Hiki i nā mea hoʻohui hao ke hana i kēia. E ʻai i nā meaʻai momona i ka fiber (nā legumes, nā mea kanu, a me nā huaʻai) a inu i ka wai nui i ka lā a pau. He manaʻo maikaʻi nō hoʻi e hoʻoikaika kino. Inā he pilikia nui kēia, e kamaʻilio me kāu kauka e pili ana i kahi laxative akahai e palekana no ka hāpai ʻana. |
| Hoʻokuʻu ʻana o ka vaginal | He mea maʻamau ka loaʻa ʻana o kahi kahe waiū lahilahi (Leukorrhea). Akā inā he ʻala maikaʻi ʻole, he ʻōmaʻomaʻo a melemele paha, a he nui paha ka wai moakaka, e haʻi i kāu kauka . |
| Luhi a me ka hiamoe | Ke hana nui nei kou kino e kūkulu i kahi ola hou i kēia manawa. No laila, he mea maʻamau ka luhi koke. E hiamoe i ke ao a hoʻomaha. Inā loaʻa iā ʻoe ka anemia ma muli o ka nele i ka hao, e hoʻonui paha kou luhi. No laila e lawe i nā papa hao i kuhikuhi ʻia e kāu kauka. |
| Ka ʻai a me ka makemake e ʻai | I loko o kēia manawa, hiki iā ʻoe ke ʻike i ka makemake no kekahi mau meaʻai, a he mea ʻoluʻolu ʻole paha kekahi mau meaʻai. Inā ʻoe e ʻai i ka meaʻai momona, ua maikaʻi ke ʻai i kahi meaʻai punahele i kēlā me kēia manawa. Eia nō naʻe, inā loaʻa iā ʻoe ka makemake no nā mea ʻai ʻole ʻia (pica), e like me ka lepo, ka pōhaku lepo, a i ʻole ke kopa holoi lole , hiki ke lilo i mea weliweli. E haʻi koke aku i kāu kauka. |
| Mimi pinepine | ʻOiai he liʻiliʻi nō ke pēpē, ke nui nei kou ʻōpū, kahi e kau ai i ke kaomi ma luna o kou ʻōpū mimi. ʻO ia ke kumu e pono ai ʻoe e hele pinepine i ka lua. Mai hōʻemi i ka inu wai, akā e hōʻemi i ka inu ʻana i nā mea e like me ke kofe a me ke kī ma mua o ka hiamoe ʻana i ka pō. |
| ʻĀʻī puʻuwai | I loko o kēia manawa, hiki i ka hormone progesterone ke hoʻonui i ka pilikia o ka reflux acid. Ma kahi o ka ʻai ʻana i kahi ʻai nui i ka manawa hoʻokahi, e ʻai i nā ʻai liʻiliʻi i nā manawa he nui i ka lā. Mai moe i lalo ma hope o ka ʻai ʻana. E hōʻemi i nā meaʻai ʻaila, ʻala, a me ka ʻawaʻawa. E hoʻokiʻekiʻe iki i kou poʻo me ʻelua a ʻekolu mau uluna i ka wā e hiamoe ana. |
| Nā loli o ke ʻano | Hiki i nā loli hormonal a me ke kaumaha ke hoʻohauʻoli iā ʻoe i kekahi manawa a kaumaha a makaʻu paha i kekahi manawa. He mea maʻamau kēia. E kamaʻilio me kāu hoa, he hoaaloha, a he lālā paha o ka ʻohana e pili ana i kēia. Inā ʻoe e kaumaha nui nei, he manaʻo maikaʻi nō hoʻi e ʻimi i ka ʻōlelo aʻoaʻo loea. |
| Maʻi kakahiaka | He hōʻailona maʻamau kēia. ʻO ke kumu, ʻo ia nā loli hormonal. ʻIke nui ʻia i ke kakahiaka. Hiki ke kōkua ka ʻai ʻana i kahi mea maloʻo (rusks, crackers) ma mua o ke ala ʻana mai kahi moe, ka inu ʻana i ka wai kinikini, a me ka inu ʻana i kahi wai liʻiliʻi i ka lā a pau. Inā nui loa ka luaʻi ʻana a hiki ʻole iā ʻoe ke ʻai a inu paha i kekahi mea , ʻaʻole paha e lawa ka meaʻai a kāu pēpē. Inā hana ʻia kēia, e ʻike i ke kauka. |
He ʻōlelo e pili ana i ka piʻi ʻana o ke kaumaha
He mea maikaʻi ke piʻi ʻana o ke kaumaha i ka wā hāpai, akā ʻaʻole maikaʻi ke piʻi nui ʻana. Ma ka awelika, pono ʻoe e piʻi ma kahi o 1.5 a 2.5 kilokani i nā mahina 3 mua. ʻAʻole pono ʻoe e "ʻai no ʻelua." Pono ʻoe i kahi liʻiliʻi o nā calorie keu i kēia manawa, ma kahi o 150 calories i ka lā. E kiʻi i kēlā mai nā huaʻai, nā mea kanu, ka waiū, a me nā meaʻai momona.
Ka huakaʻi kupaianaha a kahi pēpē e ulu ana i loko o ka ʻōpū
I loko o kēia mau pule mua he 13, lilo kahi hua liʻiliʻi i mea hānau piha. Hoʻomaka nā ʻōkana nui a me nā ʻōnaehana a pau o ka pēpē e hana ʻia i loko o kēia manawa. ʻO ke ʻano kēia he manawa koʻikoʻi loa kēia no ka pēpē . Pono ʻoe e makaʻala loa no ka mea hiki i nā mea e like me nā lāʻau lapaʻau , kekahi mau maʻi, a me ka radiation ke hōʻeha i ka pēpē.
E noʻonoʻo i ka nui o nā mea e hiki ke hana ma ke ao o kahi pēpē i kēia manawa pōkole!
- Lilo ka hua i hoʻoulu ʻia i puʻu o nā pūnaewele māhele wikiwiki a hoʻokomo ʻia i loko o ka ʻōpū. Hoʻomaka ke kūkulu ʻia ʻana o ka placenta, ke kaula umbilical, a me ka ʻeke amniotic.
- ʻŌnaehana nerve o ka pēpē, ke ulu nei ka lolo a me ke kaula kuamoʻo. Ke hoʻomaka nei nā aʻalolo a me nā ʻiʻo e hana pū. ʻOiai hiki i ka pēpē ke neʻe ma kāna iho, he wā kamaliʻi loa ia no ʻoe e ʻike ai.
- Ke hoʻokumu ʻia nei ka puʻuwai liʻiliʻi a ke hoʻomaka nei e kuʻi. Hiki ke lohe ʻia kēia puʻuwai ma kahi scan ultrasound i ka wā mua o 6 pule. Kuʻi ka puʻuwai ma kahi o 120-160 mau manawa i kēlā me kēia minuke.
- Ke hana ʻia nei ka ʻōnaehana hoʻoheheʻe ʻana, nā ʻōpū, a me nā puʻupaʻa. ʻOiai ke hana ʻia nei nā ʻōkana nui e like me nā māmā, ʻaʻole lākou i hoʻomohala piha ʻia.
- Hoʻomaka ke kūkulu ʻia ʻana o kahi iwi palupalu.
- Ke puka mai nei ke ʻano o kahi pēpē liʻiliʻi, me nā lima, nā wāwae, a me nā manamana lima. Ke kūkulu ʻia nei ka helehelena me nā maka, nā pepeiao, ka ihu, a me ka waha. Ke pani ʻia nei nā lihilihi maka, a ke kūkulu ʻia nei hoʻi nā kui .
- ʻOiai ke hoʻomaka nei nā ʻōpū o ke kino e ulu, ʻaʻole hikiwawe loa ke ʻike inā he keikikāne a he kaikamahine paha mai kahi scan.
I ka hopena o kēia trimester mua, he mea liʻiliʻi loa kāu pēpē, ma kahi o 2.5 - 3 ʻīniha ka lōʻihi.
Nā mea e pono ai ʻoe e hana i kēia mau mahina 3 mua
ʻOiai e hauʻoli ana i kēia manawa, aia kekahi mau mea pono e hana ai.
- E koho i kāu kauka: E koho i kahi kauka hānau keiki kūpono iā ʻoe a āu e hilinaʻi ai.
- E hele i ke keʻena antenatal: Ke ʻike koke ʻoe ua hāpai ʻoe, e ʻike i ke kauka a hoʻopaʻa inoa. I ka hālāwai mua ʻana, e kūkākūkā lākou i kou mōʻaukala olakino, e hana i nā hoʻokolohua koko a me ka mimi e pono ai, a e helu i kou lā hānau.
- E lawe i ka waikawa folic: He mea nui ka waikawa folic no ka ulu pono ʻana o ka lolo a me ke kaula kuamoʻo o ka pēpē. E lawe i ka huaora e like me ke kauoha a kāu kauka.
- E mālama i kāu papaʻai : E ʻai i ka papaʻai momona a kaulike. E inu i ka wai he nui.
- E hoʻopau i nā ʻano maikaʻi ʻole: E hoʻōki loa i ka puhi paka, ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau. E hōʻemi i nā mea inu caffeine e like me ke kofe a me ke kī.
- Hoʻoikaika Kino: E hoʻomau i kāu hana hoʻoikaika kino maʻamau. Akā e hoʻolohe i kou kino. Inā pono, e hoʻololi i ke ʻano o ka hoʻoikaika kino a i ʻole e hoʻomaha iki, a kūkākūkā me kāu kauka.
- E noʻonoʻo pehea ʻoe e kaʻana like ai i ka nūhou: E hoʻolālā i ka manawa a pehea ʻoe e kaʻana like ai i kēia nūhou hauʻoli me nā poʻe ʻē aʻe. Makemake kekahi poʻe e kali a lohe lākou i ka puʻuwai o ka pēpē a i ʻole a hala palekana lākou i ka trimester mua.
He pilikia anei kēia? E makaʻala i kēia mau hōʻailona!
ʻO kekahi o nā hōʻailona ma lalo nei he hōʻailona paha ia o kahi pilikia koʻikoʻi i kou hāpai ʻana. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kelepona koke aku i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe, me ka kali ʻole i kāu lā maʻamau o ke keʻena lapaʻau.
| Nā hōʻailona pilikia e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| ʻEha nui o ka ʻōpū | ʻOi aku ma mua o ka ʻeha ʻōpū maʻamau, he ʻeha hiki ʻole ke hoʻomanawanui. |
| Ke kahe koko nui | ʻAʻole wale he mau kulu koko, akā, he kahe koko nui. |
| ʻO ka poniuniu nui | Ka manaʻo o ka poniuniu a i ʻole ka māʻule ʻana e hiki ʻole ai iā ʻoe ke kū. |
| Nā loli maʻamau ʻole o ke kaumaha | Ke piʻi wikiwiki nei ke kaumaha a i ʻole ke piʻi ʻole nei ke kaumaha. |
Leka Lawe-Home
- ʻO nā mahina ʻekolu mua o ka hāpai ʻana he manawa ia o nā loli nui no ʻoe a me kāu pēpē.
- He mea maʻamau ka luhi, ka luaʻi, a me nā loli o ke ʻano i kēia manawa. Mai hopohopo no ia mea.
- Eia nō naʻe, e makaʻala i nā hōʻailona hōʻike e like me ke kahe koko nui a me ka ʻeha nui o ka ʻōpū. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike koke i ke kauka.
- E hahai pono i nā ʻōlelo a kāu kauka, e hele i nā keʻena lapaʻau i ka manawa kūpono, a e lawe i nā huaora i kuhikuhi ʻia (ʻoi aku ka waikawa folic).
- ʻO ka meaʻai momona, ka hoʻomaha kūpono, a me ka hauʻoli e kōkua nui iā ʻoe e ola olakino i kēia manawa.
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