ʻAʻole hiki ke wehewehe ʻia ka hauʻoli āu e manaʻo ai ke lohe ʻoe i ka lono e lilo ana ʻoe i makuahine , ʻeā? I ka manawa like, i loko o kēia mau mahina mua ʻekolu, ua loli nui kou kino a me ka mea liʻiliʻi e ulu ana i loko ou i kahi wikiwiki kupaianaha. ʻO kēia wā ka mea a mākou e kapa nei ʻo ke kahua mua o ka hāpai ʻana, a i ʻole ka trimester mua. Hoʻomaka kēia wā mai ka lā mua o kou wā menstrual hope loa a mau a hiki i ka hopena o 13 mau pule. ʻO ka ʻike i ka mea e manaʻo ai i kēia manawa e kōkua iā ʻoe e hoʻomākaukau no nā mahina e hiki mai ana.
He aha ka mea e hana ʻia i kou kino i kēia mau mahina 3 mua?
He ʻike ʻokoʻa ka hāpai ʻana no kēlā me kēia kanaka. No kekahi poʻe, he olakino a leʻaleʻa hoʻi nā mahina mua ʻekolu. No kekahi poʻe, he paʻakikī loa kēia manawa. E nānā kākou i nā loli āu e ʻike ai i kēia manawa, ko lākou manaʻo, a me ka manawa e pono ai ʻoe e ʻike i ke kauka.
| Ka loli/hōʻailona o ke kino | Ka wehewehe a me nā mea hiki iā ʻoe ke hana |
|---|---|
| ʻEha umauma | ʻO kēia kekahi o nā hōʻailona mua a ka poʻe he nui e ʻike ai. Loaʻa kēia ʻeha i ka wā e hoʻomākaukau ana kāu mau kelepa mammary e hana i ka waiū no kāu pēpē ma muli o nā loli hormonal. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ke komo ʻana i kahi pale umauma nui iki a ʻoluʻolu hoʻi. |
| Ka paʻa ʻana o ka ʻōpū | ʻO ka hormone progesterone, ka mea i hoʻokuʻu nui ʻia i ka wā hāpai, hoʻolohi i ka neʻe ʻana o ka meaʻai. ʻO ka hao i loko o nā pila huaora āu e lawe ai kekahi kumu no kēia. E ʻai i nā meaʻai fibrous hou aʻe (nā huaʻai, nā mea kanu), inu nui i ka wai, a hoʻoikaika kino iki. Mai lawe i ka lāʻau lapaʻau no ka paʻa ʻana me ka ʻole o ke kūkākūkā ʻana me kāu kauka. |
| Mimi pinepine | ʻOiai he liʻiliʻi nō ke pēpē, ke kau nei kou ʻōpū e ulu ana i ke kaomi ma luna o kou ʻōpū mimi. ʻO ia ke kumu e manaʻo ai ʻoe e pono ʻoe e mimi pinepine. Mai hōʻemi i ka inu wai, akā e hōʻemi i nā mea e like me ke kofe ma mua o ka hiamoe ʻana. Mai hoʻopaʻa iā ia i loko ke pono ʻoe e mimi. |
| Manaʻo luhi loa (Fatigue) | Ke hana nui nei kou kino e ulu i kahi pēpē, no laila he mea maʻamau ke manaʻo ʻoi aku ka luhi ma mua o ka maʻamau. E hoʻomaha iki i ke ao. Hiki i ka hemahema o ka hao (anemia) ke hana i ka luhi, no laila e lawe i nā papa hao a kāu kauka i kuhikuhi ai. |
| Maʻi kakahiaka | Hoʻopilikia kēia maʻi i kahi 85% o nā wahine hāpai. ʻO nā loli hormonal ke kumu. ʻOiai ʻoi aku ka ʻino i ke kakahiaka, hiki ke loaʻa kēia ʻoluʻolu ʻole i kēlā me kēia manawa o ka lā. ʻO ka ʻai ʻana i kahi mea liʻiliʻi e like me nā kuki a i ʻole ka tīhi ma mua o ke ala ʻana mai kahi moe, a i ʻole ka inu ʻana i ke kī kinikini ma mua o ka moe ʻana hiki ke kōkua. Eia nō naʻe, inā ʻoe e luaʻi nui ana a ʻaʻole hiki ke ʻai a inu paha i kekahi mea, e ʻike koke i ke kauka. |
| Nā ʻono o ka meaʻai (nā ʻono) | He mea maʻamau ka loli ʻana o kou makemake i kēia manawa. Hiki iā ʻoe ke makemake i kekahi mau meaʻai, a hiki paha iā ʻoe ke ʻike i ke ʻala o kekahi mau meaʻai he mea hiki ʻole ke hoʻomanawanui. He mea maikaʻi ke ʻai i kahi meaʻai punahele i kēlā me kēia manawa inā ʻoe e ʻai ana i ka meaʻai momona. Eia nō naʻe, inā loaʻa iā ʻoe kahi makemake (pica) no nā mea āu e ʻai ʻole ai, e like me ka lepo, ka pōhaku lepo, a i ʻole ka mea holoi lole, hiki ke lilo i mea weliweli no ʻoe a me kāu pēpē. Inā hana ʻia kēia, e haʻi koke i kāu kauka. |
| ʻEha o ka ʻōpū haʻahaʻa a me ke kahe ʻana o ke koko | Ma kahi o 25% o nā wahine hāpai e ʻike i nā kiko māmā i nā wā mua. Hiki ke hana kēia i ka wā e hoʻokomo ʻia ai ka hua i hoʻoulu ʻia i loko o ka ʻōpū. Eia nō naʻe, inā nui ke kahe ʻana o ke koko, me ka ʻeha nui a i ʻole ka ʻeha ʻoi i loko o ka ʻōpū, he hōʻailona paha ia o ka hāʻule ʻana o ka hāpai keiki a i ʻole ka hāpai ʻana o ka ectopic. E ʻike koke i ke kauka. |
Nā hoʻololi ʻē aʻe...
- Hoʻokuʻu ʻana o ka wahine:He mea maʻamau ka loaʻa ʻana o kahi kahe waiū lahilahi (leukorrhea) i kēia manawa. Hiki iā ʻoe ke hoʻohana i kahi panty liner no kēia. Akā, mai hoʻohana i nā tampons, no ka mea hiki iā lākou ke hoʻoulu i nā maʻi. E haʻi i kāu kauka inā he ʻala maikaʻi ʻole ka kahe ʻana, he ʻōmaʻomaʻo/melemele ke kala, a he wai nui paha.
- ʻĀʻī: Hiki ke loaʻa ka ʻāʻī ma muli o ka hormone progesterone e hoʻoulu ai i ka waikawa o ka ʻōpū e piʻi i luna i loko o ka puʻu. E ʻai i nā meaʻai liʻiliʻi ma mua o nā meaʻai nui, e hōʻemi i nā meaʻai ʻala, ʻaila, a me nā meaʻawaʻawa (e like me nā lemona a me nā ʻalani), a hiamoe me ka liʻiliʻi o ʻelua mau uluna.
- Nā loli o ke ʻano: Hiki i nā loli hormonal a me ka luhi ke hoʻohauʻoli iā ʻoe i kekahi manawa, a laila kaumaha a makaʻu paha i kekahi manawa. He mea maʻamau kēia. Inā ʻoe e kaumaha ana, e kamaʻilio me kāu kāne, he hoaaloha, a i ʻole he lālā o ka ʻohana e pili ana i ia mea.
Pehea ka ulu ʻana o kāu pēpē i kēia manawa?
I loko o kēia mau pule kupaianaha he 13, ulu kāu pēpē mai kahi ʻōpū liʻiliʻi i hoʻoulu ʻia a hiki i kahi ʻōpū i hoʻokumu piha ʻia. E noʻonoʻo wale, hoʻomaka nā ʻōkana nui a me nā ʻōnaehana o kāu pēpē e hana i kēia manawa. No laila he manawa koʻikoʻi loa kēia. ʻO ka ʻike ʻana i nā mea e like me nā lāʻau lapaʻau, kekahi mau maʻi, a me ka radiation hiki ke hōʻeha i kāu pēpē.
I loko o kēia mau mahina mua ʻekolu, hoʻomaka nā mea āpau e ulu, me ka ʻōnaehana nerve o ka pēpē, ka puʻuwai, nā lālā, nā maka, nā pepeiao, a me ka ihu. He hana mana maoli nō ia!
Eia kekahi o nā mea nui e hana nei i kēia manawa:
- 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.
- Hoʻomohala ʻia ka ʻōnaehana nerve o ke pēpē mai kahi ʻōmole neural hāmama i loko o ka lolo a me ke kaula spinal .
- Hoʻomaka ka puʻuwai e hana a kuʻi. Ma kahi o 6 mau pule, hiki ke lohe ʻia kēia puʻuwai ma kahi scan ultrasound. Kuʻi ia ma kahi o 120-160 mau manawa i kēlā me kēia minuke.
- Hoʻomaka ke kūkulu ʻia ʻana o nā ʻōkana nui e like me ka ʻōnaehana hoʻoheheʻe, nā puʻupaʻa, a me nā māmā.
- Hoʻomohala ʻia kahi iwi palupalu.
- Ke lilo nei ke pēpē i ke ʻano o kahi pēpē piha, me nā lima, nā wāwae, a me nā manamana lima. Ke hana nei ka maka i nā maka, nā pepeiao, ka ihu, a me ka waha. Ke hana nei ke alelo a me ke aʻa o nā niho.
- I ka hopena o ka trimester mua, ʻo ke pēpē ma kahi o 2.5-3 ʻīniha (6 - 7.5 kenimika) ka lōʻihi.
Nā mea e pono ai ʻoe e hana i kēia mau mahina ʻekolu mua
ʻOiai he manawa hauʻoli loa kēia, aia kekahi mau mea pono e pono ai ʻoe e hana.
- E koho i ke kauka:E koho i kahi kauka hānau keiki a me ke kauka wahine e ʻoluʻolu me ʻoe a āu e hilinaʻi ai.
- E ʻike i ke kauka: E ʻike i ke kauka ke ʻike koke ʻoe ua hāpai ʻoe. I kāu hālāwai mua ʻana, e kūkākūkā kāu kauka i kou mōʻaukala olakino a me kou nohona, e hana i nā hoʻokolohua koko a me ka mimi e pono ai, a hoʻoholo i kou lā hānau.
- E hele i nā keʻena lapaʻau: E kipa aku i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka mahina, maʻamau. E nānā lākou i kou kaumaha, e nānā i kou koko, a e hoʻolohe i ka puʻuwai o kāu pēpē e hōʻoia i ka maikaʻi o nā mea āpau.
- E lawe i nā wikamina: E kuhikuhi kāu kauka i kahi wikamina i loaʻa ka waikawa folic, he mea nui ia no ka ulu pono ʻana o ka lolo a me ke kaula iwi o kāu pēpē. E lawe pono e like me ke kuhikuhi ʻana.
- E makaʻala i kāu lāʻau lapaʻau: Inā ʻoe e lawe ana i ka lāʻau lapaʻau no nā maʻi ʻē aʻe, e nīnau pono i kāu kauka e pili ana i ia mea, a me nā lāʻau lapaʻau no nā ʻeha poʻo a me nā anu maʻamau, a e hoʻohana wale i ka lāʻau lapaʻau āna e ʻōlelo ai.
- E hōʻalo i nā ʻano maikaʻi ʻole: E hoʻōki loa i ka puhipaka, ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau. E hōʻemi i nā mea inu caffeine e like me ke kofe.
- ʻAi i ka meaʻai momona: E ʻai i nā mea kanu, nā huaʻai, ka waiū, nā legume, ka ʻiʻo maʻemaʻe a me ka iʻa e hōʻoia i ka meaʻai maikaʻi no ʻoe a me kāu pēpē. E inu i ka wai he nui.
- Hoʻoikaika Kino: E hoʻomau i kāu hana hoʻoikaika kino. Akā, e hoʻolohe i kou kino. Pono paha ʻoe e hoʻololi i ke ʻano a i ʻole ka nui o kāu hoʻoikaika kino. E kamaʻilio pū me kāu kauka e pili ana i kēlā.
Nā kūlana i ka wā e pono ai ʻoe e ʻimi i ke aʻo lapaʻau wikiwiki
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he hōʻailona paha ia o kahi mea koʻikoʻi. Mai kali e hele i ke keʻena lapaʻau aʻe, e ʻike koke i ke kauka a i ʻole e hele i ka ʻOihana Pilikia o ka haukapila (ETU).
- ʻEha nui o ka ʻōpū lalo.
- Ke kahe koko nui ʻana.
- Pōʻino nui.
- Ka luaʻi ʻana a hiki i kahi e hiki ʻole ai ke ʻai a inu paha i kekahi mea.
- Kuni kiʻekiʻe.
Leka Lawe-Home
- ʻO ka trimester mua o ka hāpai ʻana he manawa koʻikoʻi loa ia i ka wā e loaʻa ai nā loli nui no ʻoe a me kāu pēpē.
- He mea maʻamau ka maʻi kakahiaka, ka luhi, a me ka mimi pinepine i kēia manawa. Akā e makaʻala i nā hōʻailona hōʻike e like me ka ʻeha nui a me ke kahe koko nui.
- E lawe i nā wikamina, ʻoiai ka waikawa folic, e like me ke kauoha a kāu kauka.
- E pale loa i ka puhipaka, ka waiʻona, a me ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā he mau hopohopo, nīnau, a makaʻu paha kāu, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
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