Ua kamaʻāina anei ʻoe i ka manaʻo o ka wela i loko o kou umauma a me ka ʻono ʻawaʻawa i loko o kou puʻu ma hope o ka ʻai ʻana i kou wā e hāpai ana i kahi pēpē? I kekahi manawa hiki i kēia ke hoʻonāukiuki loa a hoʻāla iā ʻoe i ka pō. He mea maʻamau kēia no nā makuahine he nui. ʻOiai ua kapa ʻia ʻo 'heartburn', ʻaʻohe ona pili i ka puʻuwai . No laila, mai hopohopo. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo i kēia lā.
He aha maoli ka ʻōpū puʻuwai?
I ka ʻōlelo maʻalahi, hana ʻia kēia ke kahe nā waikawa i loko o ko kākou ʻōpū i loko o ka paipu meaʻai ( esophagus ) i loko o ko kākou puʻu. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo 'acid reflux '. ʻO ia ka wā e paʻi ai kēia mau waikawa i ka esophagus e ʻike ai kākou i kēia ʻano wela.
Hiki ke loaʻa kēia ʻano maʻi i nā wahine hāpai ʻole. Eia nō naʻe, ʻoi aku ka nui o ka hiki ke loaʻa i ka wā hāpai ma muli o nā loli hormonal i loko o ko mākou kino a me ke kaomi ma ka ʻōpū i ka wā e ulu ana ka pēpē. Wahi a kekahi mau noiʻi ma waena o 30% a me 80% o nā wahine hāpai e ʻike i kēia ʻano maʻi. ʻO ke ʻano kēia he mea maʻamau loa ia. Inā loaʻa iā ʻoe kēia ʻano maʻi i ka wā hāpai mua, a inā paha he mau pilikia like kāu ma mua o ka hāpai ʻana, ʻoi aku ka nui o kou loaʻa ʻana iā ia i kēia manawa. Eia naʻe, no kekahi poʻe, ʻo ia ka manawa mua a lākou e ʻike ai i ko lākou ola.
I ka pae hea o ka hāpai ʻana i ʻike nui ʻia ai kēia?
Hiki iā ʻoe ke ʻike i kēia ʻano wela i loko o kou umauma i kēlā me kēia manawa o kou hāpai ʻana. Eia nō naʻe, ʻoi aku ka maʻamau i ke kolu o ka trimester , ʻo ia hoʻi nā mahina ʻekolu i hala. ʻO kēia no ka mea ʻo kou uterus ka nui loa i kēlā manawa, e kau ana i ke kaomi ma kou ʻōpū . I ka holomua ʻana o kou hāpai ʻana , hiki ke hoʻonui ʻia ka pinepine a me ke koʻikoʻi o kēia ʻeha.
He aha nā hōʻailona o ka mumū o ka umauma?
ʻIke pinepine ʻia kēia mau hōʻailona i loko o 30 mau minuke a i hoʻokahi hola ma hope o ka ʻai ʻana. Akā i kekahi manawa hiki iā lākou ke hele mai ma hope. Hiki ke loli kēia mau hōʻailona me kāu neʻe ʻana. ʻIke nui ʻia kēia ʻeha inā kūlou ʻoe a moe paha ma hope o ka ʻai ʻana.
E nānā i ka papa ma lalo no nā hiʻohiʻona nui.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| ʻO ka mumū o ka umauma | He ʻano wela e hoʻomaka ana ma waenakonu o ka umauma a piʻi i luna i ka puʻu. |
| ʻOno ʻawaʻawa | Ke ʻono ʻawaʻawa a ʻawaʻawa paha ma ke kua o ka puʻu. |
| Hoʻopiha i ka ʻōpū | Ke manaʻo o ke kaomi a i ʻole ka pehu ʻana i loko o ka ʻōpū. |
| Ke luaʻi ʻana | Me he mea lā e hoʻi hou mai ana ka meaʻai i moni ʻia i loko o ka puʻu. |
| Mimi pinepine | Ka hele pinepine ʻana i ka lua ma mua o ka maʻamau. |
| Ka luaʻi ʻana | Manaʻo e like me kou makemake e luaʻi. |
ʻOiai he ʻeha kēia mumū, ʻaʻole ia he koʻikoʻi.
No ke aha e hana ai kēia i ka wā hāpai? He aha nā kumu?
ʻO ke kumu nui o kēia, ʻo ia nā loli e kū mai ana i loko o ko mākou kino i ka wā hāpai e kōkua ai i ka ulu ʻana o ka pēpē.
- Nā loli hormonal: I ka wā hāpai, loli nui ko mākou pae hormone. Hoʻololi kēia i ke ʻano o kā mākou ʻeli ʻana i ka meaʻai. ʻOi aku hoʻi, hoʻolohi ka hormone progesterone i ka ʻōnaehana ʻai. Ke lōʻihi ka ʻeli ʻana o ka meaʻai, hiki iā ia ke hana i nā maʻi e like me ka pehu ʻana , ka ʻeha puʻuwai, a me ka paʻa ʻana o ka ʻōpū.
- Hoʻomaha ʻana o ka sphincter esophageal haʻahaʻa (LES):E noʻonoʻo ʻoe aia kekahi ʻiʻo e like me ka puka ma waena o ko kākou ʻōpū a me ko kākou paipu meaʻai (esophagus). Ua kapa ʻia kēia ʻo ka Lower Esophageal Sphincter (LES) . ʻO ka maʻamau, ke ale kākou, wehe kēia e ʻae i ka meaʻai e hele i loko o ka ʻōpū, a laila pani hou ia a paʻa e pale i nā waikawa o ka ʻōpū mai ka piʻi ʻana. Akā ma muli o ka hormone progesterone i ʻōlelo ʻia ma mua, ua hoʻomaha loa kēia ʻiʻo. A laila, hiki ke piʻi maʻalahi nā waikawa o ka ʻōpū.
- ʻUterus i hoʻonui ʻia: I ka ulu ʻana o ke pēpē, ulu pū ka ʻōpū. Hoʻokau kēia i ke kaomi ma luna o nā ʻōpū ʻē aʻe i loko o ka ʻōpū, ʻoiai ka ʻōpū. Hiki i kēia kaomi ke hoʻokiʻekiʻe i nā waikawa o ka ʻōpū. ʻO kēia ke kumu nui e ʻoi aku ai ka ʻino o kēia maʻi i ka trimester ʻekolu.
He aha ka mea e hiki ke hana ʻia e hōʻoluʻolu ai i kēia ʻano pilikia?
Inā makemake ʻoe i ka hoʻomaha koke mai ka ʻūpā o ka umauma, hiki iā ʻoe ke hoʻāʻo i kekahi o kēia mau lāʻau lapaʻau kūlohelohe:
- E ʻai i ka yogurt a inu paha i ka waiū.
- E hoʻohui i hoʻokahi teaspoon o ka meli i loko o ke aniani o ka waiū mehana, e hoʻowali, a inu.
- Hiki i ka nau ʻana i ka gum ke hoʻopau i ka waikawa.
Hiki iaʻu ke lawe i nā antacids i hiki iaʻu ke kūʻai ma ka hale kūʻai lāʻau lapaʻau?
He mea nui loa kēia: ʻOiai ʻo ka hoʻohana ʻana i nā antacids wai a papa paha e like me Tums® lāua ʻo Maalox® e hāʻawi i ka hōʻoluʻolu, he mea nui e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau i ka wā hāpai.
No ka mea, ʻaʻole pili nā haʻawina he nui e pili ana i ka palekana o nā lāʻau lapaʻau i nā wahine hāpai, aia nō nā mea a mākou i ʻike ʻole ai he 100% e pili ana i ka palekana o nā lāʻau lapaʻau i ka wā hāpai. Kiʻekiʻe loa ka hiki ke hōʻeha i ka pēpē i ka trimester mua. ʻOiai he palekana kekahi mau lāʻau lapaʻau e lawe i nā liʻiliʻi liʻiliʻi, ʻo kekahi he mea ʻino loa. No laila e haʻi pololei kāu kauka iā ʻoe i ka lāʻau lapaʻau palekana loa no ʻoe a me kāu pēpē.
He aha kaʻu e hana ai e pale aku ai i kēia ʻeha o ka umauma?
Hiki iā ʻoe ke kaohi i kēia maʻi i kahi nui ma ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i kāu mau ʻano ʻai a me kou nohona.
| Maʻa e loli | Ka wehewehe a me nā kuhikuhi |
|---|---|
| Nā ʻano ʻai a me ka inu ʻana | |
| Ka nui o ka pepeiao | Ma kahi o ka ʻai nui ʻana i hoʻokahi pāʻina, e ʻai i kekahi mau pāʻina liʻiliʻi (5-6) i ka lā holoʻokoʻa. |
| Ka wikiwiki o ka ʻai ʻana | E nau maikaʻi i kāu meaʻai a e ʻai mālie. |
| Inu wai | E pale i ka inu nui ʻana i ka wai i ka wā e ʻai ana. E inu nui i ka wai i ka wā ʻai. |
| Nā meaʻai e pale aku ai | E hōʻemi i ka ʻaila, nā meaʻai ʻala me ka nui o ka chili, nā hua citrus a me nā wai e like me nā ʻalani, nā mea inu kalapona (soda), a me ka caffeine (kofe, tī). |
| Nā loli o ke ʻano o ka nohona | |
| Kūlana ma hope o ka ʻai ʻana | E noho pololei i ka wā e ʻai ana. Mai moe koke ma hope o ka ʻai ʻana. E kali ma ka liʻiliʻi he 2-3 hola. |
| Kūlana hiamoe | E hoʻokiʻekiʻe i ke poʻo o ka moena ma kahi o hoʻokahi kapuaʻi. A i ʻole e hiamoe me kekahi mau uluna a hoʻokiʻekiʻe iki ʻia kou kino o luna. |
| Nā ʻano maikaʻi ʻole | E hoʻōki loa i ka puhipaka a me ka inu ʻona. Ma waho aʻe o ka hoʻoulu ʻana i ka mumū o ka umauma, hiki i kēia mau mea ke hoʻoulu i nā pilikia olakino koʻikoʻi no ka pēpē i loko o ka ʻōpū. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā hoʻomau ʻoe i ka ʻeha o ka umauma ʻoiai ke hana nei i kēia mau hoʻololi i ke ʻano o ka nohona, e kamaʻilio me kāu kauka. Hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau e palekana e lawe i ka wā hāpai.
Eia kekahi, ʻo kēia mau mea aʻeInā loaʻa iā ʻoe kekahi o nā hōʻailona hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻeha nui ka ʻeha o ka umauma a hiki ke hoʻāla iā ʻoe i ka pō.
- Inā pilikia ʻoe i ka ale ʻana i ka meaʻai.
- Inā puka mai ke koko me ka lawai.
- Inā ʻeleʻele ka noho.
- Inā e emi ana ke kaumaha o kou kino.
ʻO kekahi mea nui: ʻO ka ʻeha āu e ʻike ai i ka wā o ka hōʻeha puʻuwai hiki ke like me nā hōʻailona o ka hōʻeha puʻuwai. Inā ʻaʻole ʻoe i loaʻa i ka hōʻeha puʻuwai ma mua a ke ʻeha nei ʻoe i ka umauma, mai kānalua e kāhea koke i kāu kauka, a i ʻole e hele i ka lumi pilikia (ETU) o ka haukapila kokoke loa iā ʻoe.
Aia kekahi pilina ma waena o ka heartburn a me ka preeclampsia?
He pilikia weliweli paha ka preeclampsia e hiki ke kū aʻe ma waena o ka hāpai ʻana. Hōʻike ʻia ia e ke koko kiʻekiʻe, ka ʻeha poʻo, ka ʻike pohihihi, a me ka ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū. I kekahi manawa, he hōʻailona paha ka ʻeha o ka umauma.
Eia nō naʻe, inā loaʻa wale iā ʻoe ka ʻeha umauma, ʻo ia paha ka ʻeha umauma maʻamau. Eia kekahi, ʻoiai ʻo ka ʻeha umauma e loaʻa ana i ka hapa nui o nā wahine hāpai, ʻo ka preeclampsia e loaʻa wale ana i kahi pakeneka liʻiliʻi, ma kahi o 8%.
Eia nō naʻe, inā he kānalua kou e pili ana i kēia, mai lawe i kekahi pilikia. E kamaʻilio me kāu kauka.
ʻOiai ke ʻano hoʻonāukiuki o kēia ʻoluʻolu ʻole, ʻo ka nūhou maikaʻi, hoʻi nā mea āpau i ka maʻamau ma hope o kou hānau ʻana i ke pēpē. No laila, inā ʻaʻole i loaʻa iā ʻoe kēia pilikia ma mua o kou hāpai ʻana, aia kahi manawa kūpono e nalo loa ia ma hope o kou hānau ʻana i ke pēpē.
Leka Lawe-Home
- He mea maʻamau a maʻamau ka ʻeha o ka umauma i ka wā hāpai. ʻAʻohe pono e hopohopo no ia mea.
- ʻO ka hana ʻana i kekahi mau hoʻololi maʻalahi i kāu mau ʻano ʻai a me kou nohona e hiki ke hōʻemi nui i kēia ʻeha.
- E kūkākūkā mau me kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau i loaʻa mai kahi hale kūʻai lāʻau a i ʻole ma kahi ʻē aʻe.
- He mea nui loa e makaʻala i nā hōʻailona koʻikoʻi e like me ka paʻakikī i ke ale ʻana, nā ʻōpala ʻeleʻele, a i ʻole ka pohō kaumaha a e ʻimi koke i ke kōkua lapaʻau.
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