Ke ʻike nei hoʻi ʻoe i ka hana nui ʻana o ka waiū? He mea paʻakikī anei ia no ka pēpē? E aʻo kākou e pili ana i ka (Hyperlactation Syndrome)!

Inā he makuahine hānai ʻoe, ua manaʻo paha ʻoe, "Auē, nui loa kaʻu waiū." Ke piha mau nei anei kou mau umauma ma hope o ka pau ʻana o ka hānai ʻana o kāu pēpē? A i ʻole e piha hou ana lākou ma hope koke iho o kou pau ʻana o ka hānai ʻana? Ke manaʻo nei ʻoe e omo koke ana kāu pēpē? Eia kekahi o nā hōʻailona o kahi maʻi i kapa ʻia ʻo hyperlactation syndrome a mākou e kamaʻilio nei i kēia lā. I ka ʻōlelo maʻalahi, ʻo ia hoʻi ke hana nei kou kino i ka waiū ma mua o ka mea e pono ai kāu pēpē. Hiki ke lilo i mea ʻoluʻolu ʻole nou a me kāu keiki liʻiliʻi. Akā, mai hopohopo, aia kekahi mau mea hiki iā ʻoe ke hana e pili ana i ia mea. E kamaʻilio kākou e pili ana i nā kikoʻī.

No ke aha e hana ʻia ai kēia? E nānā kākou i ke ʻano o ka hana ʻana o ka waiū.

ʻO kēia ka mea maʻamau e hana ʻia. Hoʻomaka kou kino e hana i ka waiū i kou wā hāpai. Ma hope o ka hānau ʻana o kāu pēpē, hoʻonui hou ʻia kāu waiū. Ke hoʻomaka kāu pēpē e hānai waiū i ka waiū maʻamau, hana mana kou kino i ka waiū lawa e hoʻokō ai i nā pono o kāu pēpē. Me he mea lā e hālāwai ana ka lako me ke koi.

Eia nō naʻe, i kekahi manawa aia kahi kūlike ʻole ma waena o ka nui o ka waiū i hana ʻia a me ka nui o ka waiū a ka pēpē e inu ai. ʻO kēia ka manawa e kū mai ai kēia ʻano i kapa ʻia ʻo hyperlactation syndrome . ʻAʻole kēia he mea maʻamau. He nui nā makuahine i loaʻa i kēia ʻike, ʻoiai i nā wā mua o ka hānai waiū.

Pehea e ʻike ai inā nui loa kaʻu waiū? He aha nā hōʻailona e hiki ai i kahi makuahine ke ʻike?

Inā loaʻa iā ʻoe kēia maʻi (Hyperlactation Syndrome) , e ʻike paha ʻoe i nā hōʻailona ma kou mau umauma:

• Ka ʻū ʻana o ka umauma: Hiki i nā umauma ke paʻakikī a ʻeha hoʻi, e like me nā pōhaku ʻelua.
• ʻEha umauma (Mastalgia): Manaʻo paha ia e like me ka ʻeha o kou mau umauma.
• ʻAʻole i hakahaka loa nā umauma ma hope o ka hānai ʻana: Nā umauma e piha mau ana ʻoiai ma hope o ka pau ʻana o ka hānai ʻana o ka pēpē. A i ʻole, nā umauma e piha hou koke ana ma hope o ka hānai pōkole ʻana.
• Nā ʻAuwai Waiū i Paʻa ʻia: Hiki paha iā ʻoe ke manaʻo i kahi ʻūlū e like me ka puʻupuʻu ma kekahi wahi o ka umauma, me ka ʻeha.
• Ka liki pinepine ʻana o ka waiū umauma: Inā e liki ana kāu waiū a hiki i kahi e hoʻomaʻū mau ai i kou mau lole.
• Nā Māwae o ka Nipple: Hiki i nā nipples ke maloʻo, māwae, a ʻeha.
• Nā Puʻupuʻu Nipple: Hiki ke ʻike ʻia nā pehu liʻiliʻi a keʻokeʻo ma ka nipple.
• I kekahi manawa, ʻūmiʻi nā kīʻaha koko i loko o ka nipple (vasospasm): Ma hope o ka hānai ʻana i ka waiū, e mae paha ka nipple, ʻeha, a i ʻole e mae.

E noʻonoʻo, he makuahine ʻo Nilanthi. Ua hānau ʻo ia i kāna pēpē mua no hoʻokahi mahina. Manaʻo mau ʻo ia ua piha kona mau umauma. ʻOiai ma hope o ka pau ʻana o ka hānai ʻana o ke pēpē, aia nō ka waiū i koe. I kekahi mau lā, ʻaʻole hiki iā ia ke hiamoe i ka pō no ka mea ua ʻeha kona mau umauma. Ua lilo kēia i pilikia nui nona. Loaʻa paha i kēia makuahine Nilanthi (Hyperlactation Syndrome) .

Puka koke mai ka waiū? Ua kapa ʻia kēia he (OMER)?

ʻAe, inā he nui kou waiū, hiki i kāu waiū ke puka koke mai me ka wikiwiki loa. Ua kapa ʻia kēia ʻo Overactive Milk Ejection Reflex (OMER) a i ʻole "fast letdown." Ke hana ʻia kēia, hiki ke paʻakikī i kāu pēpē ke omo i kēlā wikiwiki. Hiki i kāu pēpē ke ʻū, ka ʻū ʻana, a i ʻole ka paʻakikī ke ale i ka wā e omo ana.

E hoʻopilikia anei kaʻu waiū nui i kaʻu pēpē? He aha nā hōʻailona e hōʻike ʻia e kaʻu pēpē?

ʻAe, ʻoiaʻiʻo nō. Inā loaʻa iā ʻoe ka hyperlactation , hiki i kāu pēpē ke ʻike i kēia mau mea:

• Ka hoʻokaʻulua ʻole e hānai waiū a i ʻole ka huki ʻana mai ka nipple i ka wā e hānai waiū ai: Ke hana nei paha ka pēpē i kēia no ka mea ke komo koke mai nei ka waiū a ʻaʻohe mea hiki iā ia ke hana e pili ana.
• Ke hoʻopaʻakikī ʻana i ke kino a me ke kūlou ʻana i hope i ka wā e hānai waiū ana: Hana paha ka pēpē i kēia no ka mea he mea ʻoluʻolu ʻole.
• ʻUmiʻumi, ʻūʻū, a moni koke paha i ka wā e hoʻokuʻu ʻia ana ka waiū: Paʻakikī i ka kaohi ʻana i ke kahe wikiwiki o ka waiū.
• Uē a hoʻomaha ʻole paha i ka wā e hānai waiū ana: Hiki ke hana kēia ma muli o ka ʻoluʻolu ʻole, ʻoiai inā ua piha ka pēpē.
• Ke piʻi ʻana o ke kaumaha a i ʻole ka emi ʻana o ke kaumaha i kekahi manawa: ʻO kēia no ka hiki ʻole i ka pēpē ke omo i ka waiū.
• Lilo koke ka ʻōpala o kāu pēpē i wai, ʻōmaʻomaʻo a huʻa paha, a he koko iki paha i loko: ʻO kēia ma muli o ka loli o ke ʻano o ka waiū. E kamaʻilio mākou e pili ana i kēlā ma hope iki.
• Kuʻu pinepine: Hiki ke hana kēia ke loaʻa ka waiū nui loa i ka ʻōpū a i ʻole wikiwiki loa.

No ke aha e ʻeha ai ka ʻōpū o kahi pēpē? ʻO ka pilina ma waena o ka foremilk a me ka hindmilk

Eia kekahi mea e hoʻomaopopo ai. Ke hānai waiū mākou i kā mākou pēpē, aia kahi ʻokoʻa iki ma waena o ka waiū mua a me ka waiū hope.

• Foremilk: He ʻano waiū wai iki kēia, waiwai i ka carbohydrate (ʻoi aku ka lactose) a haʻahaʻa ka momona. ʻO ia ka waiū mua e puka mai i ka wā e hoʻomaka ai ka hānai ʻana i ka waiū.
• Waiū Hind: ʻO kēia ka ʻāpana momona a ʻoi aku ka momona o ka waiū. Hiki mai ia ma ka hopena o ka wā hānai waiū.

I kēia manawa, inā loaʻa iā ʻoe ka nui o ka waiū a me ka nui o ka hoʻokuʻu ʻana o ka waiū (OMER), e piha koke ka pēpē i ka foremilk . A laila e emi iho ka waiū hope o ka pēpē, he nui ka momona. Ua ʻōlelo ʻia he kiʻekiʻe ka lactose o ka foremilk . Ke komo kēia lactose i loko o ka ʻōpū, e piha ka ʻōpū o ka pēpē i ka ea, e uē ʻo ia i ka wā e māʻona ai, e wai kona mau ʻōpala, a e hoʻomaka ʻo ia e ʻōmaʻomaʻo. Hiki i ka pēpē ke manaʻo i ka ʻoluʻolu ʻole, e like me ka ʻeha o ka ʻōpū.

No ke aha i nui ai ka waiū e komo mai ana? He aha nā kumu?

He mea paʻakikī ke kuhikuhi i hoʻokahi kumu no kēia. I kekahi manawa, hiki i kou kino ke hana i ka waiū hou aku me ke kumu ʻole, ʻoiai i nā wā mua. Eia nō naʻe, inā ʻoe e hānai wale i kāu pēpē i kāna mea e pono ai, a inā ʻoe e pamu, e nalo pinepine kēia i loko o kekahi mau lā.

ʻO kahi mea nui e hoʻomaopopo ai, ʻo ka pamu pinepine ʻana ma mua o ka mea e pono ai kāu pēpē hiki ke lilo i kumu nui o ka nui o ka waiū. ʻO kēia no ka mea ʻo ka nui o kāu pamu ʻana, ʻo ka nui o ka hoʻouna ʻana o kou lolo i kahi leka "pono ​​ʻoe i ka waiū hou aku." A laila e hana kēia i kou kino i ka waiū hou aku.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka Hyperlactation Syndrome?

• Loaʻa paha i kekahi mau makuahine ka hiki ke hoʻohua i ka waiū hou aku.
• Inā loaʻa iā ʻoe kahi kūlana kahi āu e hana ai i ka nui o ka hormone prolactin (hyperprolactinemia) , hiki i kēlā ke hoʻonui i ka lako o ka waiū.
• Hiki i kekahi mau mea hoʻopihapiha lāʻau ke hoʻopilikia i ka lako waiū, no laila he manaʻo maikaʻi e kamaʻilio me kāu kauka inā ʻoe e lawe ana i kekahi mau mea hoʻopihapiha.

Pehea e ʻike pololei ai ke kauka i kēia (Hyperlactation Syndrome)?

ʻO ka hapa nui, e hoʻoholo kāu kauka a i ʻole kekahi loea lactation i kēia kūlana ma muli o ka ʻike mai iā ʻoe a me kāu pēpē. E nīnau lākou iā ʻoe i nā nīnau e like me:

• Pehea nā ʻano hana a ka pēpē i ka hānai waiū?
• Pehea ke olakino o ke pēpē? (ka piʻi ʻana o ke kaumaha, ke ʻano o ka ʻōpala, a pēlā aku)
• He aha nā ʻano ʻehaʻeha āu e ʻike ai me kou mau umauma?

Hiki ke ʻike pinepine ʻia kēia ma muli o nā hōʻailona āu e wehewehe nei. ʻAʻole pono pinepine nā hoʻokolohua kūikawā.

He aha nā mea e hiki ke hana ʻia e hōʻemi ai i ka hana ʻana o ka waiū? He aha nā lāʻau lapaʻau?

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka a i ʻole kekahi loea lactation e ʻimi i kahi ʻano hana e kūpono iā ʻoe. Hiki iā lākou ke kuhikuhi i nā mea e like me:

• E hānai waiū wale nō ke noi mai kāu pēpē: Ma kahi o ka hānai ʻana ma kahi papa hana i hoʻonohonoho ʻia, e hānai wale nō i ka wā e pōloli ana kāu pēpē, e uē ana, a i ʻole e hōʻike ana i nā hōʻailona o ka makemake i ka waiū. E kōkua kēia i kāu lako waiū e hoʻololi mālie i nā pono o kāu pēpē.
• Ke hoʻololi nei i ke kūlana hānai waiū: I ka wā e hānai waiū ai i ka waiū ma ke ʻaoʻao a i ʻole ke kūlou iki ʻana, hiki iā ʻoe ke kāohi i ka wikiwiki o ke kahe ʻana o ka waiū. E maʻalahi kēia i ka pēpē ke omo, a e emi iho ke kūlana OMER .

Nā ala ʻē aʻe e hōʻemi ai i ka lako waiū

• Ka Hānai Poloka: He mea kēia e pono e hana ʻia me ke akahele. E kūkākūkā me ke kauka a i ʻole ke kākāʻōlelo ma mua o ka hana ʻana i kēia. I ka ʻōlelo maʻalahi, i ka wā e hānai waiū ai i kāu pēpē i ka lā a pau, hoʻokahi wale nō umauma āu e hānai ai no kahi manawa i hoʻonohonoho ʻia (no ka laʻana, ʻekolu hola). A laila hānai ʻoe i kekahi umauma no nā hola ʻekolu e hiki mai ana. Ke hoʻololi ʻoe i ka hānai ʻana i nā "poloka" e like me kēia, e emi ana ka hoʻoulu ʻana i loaʻa i kou mau umauma. A laila, e emi mālie ana ka nui o ka waiū i hana ʻia i loko o kēlā me kēia umauma. I kekahi manawa, hiki ke ʻike ʻia nā hopena ma hope o hoʻokahi a me ka hapa a ʻelua paha lā (36 hola).
• E hoʻemi mālie i ka nui o ka waiū i hoʻopili ʻia:Inā ʻoe e pamu pinepine, mai hoʻōki koke i ka pamu ʻana. ʻO ka hana ʻana pēlā e alakaʻi ai i nā ducts paʻa a i ʻole nā ​​​​maʻi e like me ka mastitis . No laila, e kamaʻilio me kāu kauka a hoʻēmi mālie i ke alapine a me ka nui o ka waiū āu e pamu ai i kekahi mau lā a i ʻole nā ​​​​pule.

Aia kekahi lāʻau lapaʻau e hōʻemi ai i ka nui o ka waiū?

I kekahi manawa, kuhikuhi paha nā kauka i nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ka lako waiū. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a koho i ke koho palekana loa no ʻoe a me kāu pēpē.

Inā loaʻa iaʻu (Hyperlactation Syndrome), he aha kaʻu e manaʻo ai?

E ʻeha iki paha kou mau umauma a hiki i ka wā e hoʻokō ai kāu waiū i nā pono o kāu pēpē. E kamaʻilio me kāu kauka e pili ana i nā ala e hōʻoluʻolu ai i ka ʻeha a mālama iā ia no ʻoe a me kāu pēpē. ʻO ke ahonui ke kī ma ʻaneʻi.

Pehea ka lōʻihi o kēia maʻi (Hyperlactation Syndrome)?

He ʻokoʻa kēia no kēlā me kēia kanaka. Akā me ke ahonui a me ka hoʻokele pono ʻana, e hoʻomaka ana kāu lako waiū e hoʻokō i nā pono o kāu pēpē. Hiki i kahi loea lactation ke kōkua iā ʻoe e hoʻokele i kēia huakaʻi, e aʻo iā ʻoe pehea e hoʻokele ai i ka lako waiū o kāu pēpē, a kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona.

Hiki ke pale ʻia ka Hyperlactation Syndrome?

ʻAʻole paha e hiki mau kēia. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i ka pilikia ma ka hahai ʻana i ke alakaʻi a ka pēpē. E pale i ka pamu nui ʻana. E hoʻomanaʻo, ʻo ka nui o kāu pamu ʻana, ʻo ka nui o ka waiū āu e hana ai.

Pehea wau e mālama ai iaʻu iho?

Hiki i kēia waiū keu ke lilo i mea hoʻoluhi no ʻoe a me kāu pēpē. No laila, e hiamoe nui e like me kou hiki a inu i ka wai nui (mai maloʻo loa). Hiki iā ʻoe ke mālama pono i kāu pēpē inā olakino ʻoe.

Āhea wau e ʻike ai i ke kauka?

• Inā ʻeha loa kou mau umauma a i ʻole he mau hōʻailona like me ka maʻi flū kou, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo mastitis . Inā pēlā, e ʻike koke i ke kauka. Hiki i ke kauka ke mālama iā ia me nā antibiotics .
• Inā pilikia kāu pēpē i ka hānai waiū ʻana , a inā paʻakikī koke iā ia ke hele i ka ʻōpala , he mea maikaʻi e lawe iā ia i ke kauka.

ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)

ʻO ka hana nui ʻana o ka waiū, kahi maʻi i kapa ʻia ʻo Hyperlactation Syndrome , hiki ke hoʻolilo i ka hānai waiū i mea paʻakikī iki no ʻoe a me kāu pēpē. Hiki ke ʻeha kou mau umauma, a hiki iā ʻoe ke hopohopo a kaumaha ke hōʻole kāu pēpē e hānai waiū a uē paha. Akā , mai hopohopo, aia kekahi mau mea hiki iā ʻoe ke hana e pili ana i ia mea.Hiki iā ʻoe ke hana i nā hana e hōʻemi ai i kāu lako waiū. E kamaʻilio me kāu kauka a i ʻole kekahi loea lactation e aʻo e pili ana i nā ala e ʻoi aku ai ka ʻoluʻolu o ka hānai ʻana iā ʻoe a me kāu pēpē. ʻAʻole ʻoe hoʻokahi, a loaʻa ke kōkua.

ʻO ka hānai waiū, ka nui o ka waiū, ka hyperlactation, ke olakino o ka pēpē, ke olakino o ka makuahine, nā pilikia lactation, ka mālama ʻana i ka waiū