Ke paʻa ʻoe i nā moeʻuhane a me nā manaʻolana he nui, ʻo ka poʻe i ʻeha i ka nalowale ʻana o lākou e hoʻomaopopo maoli i ka pōʻino o ia mea. I kekahi manawa, ma nā ʻano āu e manaʻo ʻole ai i nā pule mua o ka hāpai ʻana , hiki ke hana ʻia kēia. I kēia lā, ke kūkākūkā nei mākou i kahi kumuhana i paʻakikī i nā mea he nui ke kamaʻilio e pili ana, akā he mea nui loa ia: ka hoʻomaopopo ʻana i ke ʻano o ka hāʻule ʻana o ka hāpai keiki.
He aha maoli ka hāʻule ʻana o ka hāpai keiki?
I ka ʻōlelo maʻalahi, ʻo ka hāʻule ʻana o ka hāpai keiki — i kapa pinepine ʻia he ' hāʻule ʻana i ka wā hāpai ' — ʻo ia ka nalowale koke ʻana o ka hāpai ʻana i loko o nā pule he 20 mua, a i ʻole ma kahi o 5 mau mahina mua. ʻOiai ua kapa ʻia ʻo ia he ' hāʻule ʻana o ka hāpai keiki ' ma ke ʻano lapaʻau, ʻo ia ka mea mua a me ka mea nui loa iā ʻoe e hoʻomaopopo: ʻaʻole kēia kou hewa. I ka hapanui o nā hihia, ʻaʻole kēia mau hanana ma waho o kou mana a kū mai ma muli o ka pau kūlohelohe o ka ulu ʻana o ka pēpē .
He aha nā ʻano like ʻole o nā hāʻule ʻana o ka hāpai keiki?
Ke noʻonoʻo nei paha ʻoe inā like nā hana hāʻule āpau. ʻAʻole, hiki i kāu kauka ke hoʻokaʻawale iā lākou ma nā ʻano penei:
Ka Hāʻule ʻana o ka Hānau
I kēia hihia, ʻaʻole paha ʻoe e ʻike ua hāʻule ka hāpai ʻana no ka mea ʻaʻole ʻoe i ʻike i nā hōʻailona maʻamau. ʻO ka manawa pinepine i ka wā o ka ultrasound scan e hōʻoia ʻia ai ʻaʻohe puʻuwai o ka fetal . He mea kaumaha maoli ka loaʻa ʻana o ia ʻano lono.
Ka Hāʻule Piha ʻana o ka Hānau
Hana ʻia kēia ke hala loa aku nā ʻiʻo hāpai, a hakahaka kou ʻōpū . Hiki iā ʻoe ke ʻike i ke kahe ʻana o ke koko a me ka hala ʻana o nā ʻiʻo . Hiki i kāu kauka ke hōʻoia i kēia ma o kahi ultrasound .
Ka Hāʻule Hou ʻana o ka Hānau
ʻO kēia ke ʻano o ka loaʻa ʻana o ʻekolu mau pohō hāpai i ka lālani. Ua manaʻo ʻia e pili ana i kahi 1% o nā kāne a me nā wahine. He mea maʻamau loa ka manaʻo kaumaha e kēia.
Hoʻoweliweli ʻia ka hāʻule ʻana o ka hāpai keiki
I kēia kūlana, ʻoiai ke pani ʻia nei kou cervix , hiki iā ʻoe ke ʻike i ke kahe koko a me ka ʻeha o ka ʻōpū ma lalo, e like me nā ʻeha o ka menstruation. Eia nō naʻe, i nā manawa he nui, hoʻomau ka hāpai ʻana me ka ʻole o nā pilikia. E nānā pono kāu kauka iā ʻoe i ka wā hāpai. He mea nui ka noho mālie a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau ma aneʻi.
Ka Hāʻule ʻAna i hiki ʻole ke pale ʻia
Maanei, hiki iā ʻoe ke ʻike i ke kahe koko a me ka ʻeha o ka ʻōpū, ʻoiai e hoʻomaka ana kou cervix e wehe. I kekahi manawa, hiki ke kahe ka ' wai amniotic ' e hoʻopuni ana i ka pēpē. I kēia mau hihia, kiʻekiʻe ka likelika o ka hāʻule piha ʻana.
Pehea e ʻike ai inā he hāʻule kaʻu keiki? (Nā hōʻailona)
I kekahi manawa hiki ke hāʻule ka hāpai ʻana me ka ʻike ʻole ʻoe. Eia nō naʻe, inā loaʻa nā hōʻailona, eia nā hōʻailona maʻamau:
- Ke piʻi mālie nei ke kahe ʻana o ke koko ma ka ʻōpū. I kekahi manawa, ʻike paha ʻoe i nā ʻiʻo hina a i ʻole nā ʻūpā koko.
- ʻEha a me ke kuʻi ʻana o ka ʻōpū ma lalo. ʻOi aku ka ikaika o kēia ma mua o nā ʻeha kuʻi maʻamau.
- ʻEha kua. Hiki i kēia ke hoʻomaka mālie a hoʻonui a noho paha i kahi pae kaulike no kekahi.
- Ka emi ʻana o nā hōʻailona hāpai. Eia kekahi laʻana, e ʻike paha ʻoe i ka emi koke ʻana o ka poniuniu a i ʻole ka maʻi kakahiaka.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻoluʻolu e kelepona koke aku i kāu mea mālama ola.E alakaʻi lākou iā ʻoe inā e kipa aku i ke keʻena lapaʻau a i ʻole e hele i ka ʻoihana pilikia. ʻOiai he paʻakikī ke pale aku i ka hopohopo, he mea nui ka hana wikiwiki.
He aha ke kumu o ka hāʻule ʻana o ka hāpai keiki?
He nui ka poʻe e noʻonoʻo nei, 'No ke aha i hana ʻia ai kēia iaʻu?' a i ʻole 'Ua hana hewa anei au?' ʻO ka ʻoiaʻiʻo, ʻaʻole i hana ʻia ka hapa nui o nā hāʻule ʻana e kekahi mea āu i hana ai. E nānā kākou i nā kumu nui.
Nā ʻano ʻē o ka Chromosomal
I ka trimester mua—a hiki i kahi o 13 mau pule o ka hāpai ʻana —ma kahi o 50% o nā hāʻule ʻana i ka wā hāpai i hana ʻia e nā ʻano chromosomal. Loaʻa i nā chromosomes ko mākou mau genes, ka mea e hoʻoholo ai i nā ʻano e like me ke kala o ka lauoho, ke kala o ka maka, a me ke ʻano koko. Ke hui pū ka hua manu a me ka sperm, hui pū lākou i kā lākou mea genetic. Inā he nui a liʻiliʻi paha nā chromosomes, ʻaʻole paha e ulu pono ka embryo. ʻO ka maʻamau, hiki mai kēia mau pilikia chromosomal ma ka hanana , a ʻaʻole ʻike pinepine ʻia ke kumu pololei.
Nā kumu kōkua ʻē aʻe
Ma waho aʻe o nā pilikia chromosomal, hiki i kekahi mau kumu ʻē aʻe ke kōkua i ka hāʻule ʻana.
- Nā maʻi.
- ka hoʻopilikia ʻana i nā maʻi TORCH (toxoplasmosis, rubella, cytomegalovirus, herpes simplex).
- Nā hemahema o ka hormonal.
- Ke hoʻokomo pono ʻole ʻia ʻana o ka hua manu i hoʻomoʻa ʻia i loko o ka paia o ka uterine.
- ʻO ka makahiki makuahine kiʻekiʻe. Piʻi iki ka pilikia me ka makahiki.
- Nā ʻano ʻē o ka ʻōpū (e laʻa, nā ʻano like ʻole o ke kūkulu ʻana, nā fibroids).
- ʻO ka cervix kūpono ʻole (kahi e wehe koke ai ka cervix).
- Nā mea pili i ke ʻano o ka nohona e like me ka puhipaka, ka inu ʻana i ka waiʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau ʻole.
- Nā maʻi autoimmune e like me Lupus.
- Maʻi puʻupaʻa koʻikoʻi.
- Maʻi puʻuwai hānau.
- ʻO ka maʻi diabetes i mālama ʻole ʻia.
- Ka maʻi thyroid.
- Ka hōʻike ʻia ʻana i ka radiation.
- ʻO kekahi mau lāʻau lapaʻau , e like me Isotretinoin (Accutane®) i hoʻohana ʻia no ka ʻākena.
- Ka ʻai ʻole nui.
ʻO ka mea nui loa, ʻaʻohe hōʻike ʻepekema e hōʻike ana i ke kaumaha, ka hoʻoikaika kino, ka moekolohe, a i ʻole ka hoʻohana lōʻihi ʻana i nā lāʻau hoʻomalu hānau ke kumu o ka hāʻule ʻana o ka naʻau. ʻOiai kou kūlana, mai hoʻāhewa iā ʻoe iho. ʻO ka hapa nui o nā hāʻule ʻana o ka naʻau e hana ʻia no nā kumu ma waho o kou mana. ʻO ka hoʻomaopopo ʻana i kēia hiki ke lilo i kahi ʻanuʻu koʻikoʻi i kāu kaʻina hana ho'ōla.
Pehea ka ʻeha o ka hāʻule ʻana o ka pēpē?
He mea kūikawā kēia ʻike i kēlā me kēia kanaka. Hiki i kekahi ke ʻike i ka ʻeha nui o ka ʻōpū haʻahaʻa a me ka ʻūmiʻi , aʻo kekahi poʻe e ʻike paha i ka ʻoluʻolu ʻole e like me nā ʻūmiʻi maʻamau o ka menstrual. Pili pinepine ka ikaika i ke ʻano o ka hāʻule ʻana āu e ʻike nei. No ka laʻana, inā ʻoe e loaʻa ana i kahi 'hāʻule piha' ma ka home, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole ma mua o kekahi e hana ana i kahi hana ʻoki e wehe i nā ʻiʻo fetal i ka wā o kahi 'hāʻule hala'.
He aha ka mea e hana mua ai i ka wā hāʻule ʻana, a pehea ka lōʻihi o ia mea?
He mea paʻakikī ke wānana pololei pehea e hoʻomaka ai ka hāʻule ʻana o ka ʻōpū no ka mea he ʻokoʻa nā hōʻailona. I kekahi mau hihia, ʻaʻohe hōʻailona o waho, a ʻike wale ʻia ka hāʻule ʻana i ka wā o ka hoʻokolokolo ultrasound . Eia nō naʻe, no nā wahine he nui, ʻo kekahi pae o ka ʻeha o ka ʻōpū haʻahaʻa a me ke kahe ʻana o ke koko he mau hōʻailona mua maʻamau. Akā naʻe, ʻokoʻa ka holomua no kēlā me kēia kanaka.
Pēlā nō, ʻokoʻa loa ka lōʻihi o ke kaʻina hana. Hiki i kekahi mau wahine ke ʻike i ka ʻeha nui a me ke kahe koko nui no ka manawa lōʻihi ma mua o nā poʻe ʻē aʻe. ʻO kāu kauka ke kanaka maikaʻi loa e alakaʻi iā ʻoe i ka mea e manaʻo ai a hiki ke hāʻawi i nā ʻōlelo aʻoaʻo kikoʻī no ka hoʻokele ʻana i ka ʻeha a me ka ʻūlū.
He aha nā kumu pilikia no ka hāʻule ʻana o ka hāpai keiki?
ʻO kahi mea pilikia he ʻano a i ʻole hana e hoʻonui ai i ka likelika o kahi maʻi kūikawā. Eia nā mea pilikia nui e pili ana i ka hāʻule ʻana o ka hāpai keiki:
- Kou Makahiki: Ua hōʻike ʻia ma ka noiʻi ʻoiai ʻo ka pilikia o ka hāʻule ʻana o ka pēpē no nā wahine i ko lākou mau makahiki 20 ma waena o 12% a me 15%, piʻi ia a hiki i kahi 25% i ka makahiki 40. ʻO ka nui o nā hāʻule ʻana e pili ana i ka makahiki ma muli o nā ʻano chromosomal , kahi i loaʻa ai i ka embryo kahi helu hewa o nā chromosomes.
- Ka Hāʻule ʻana o ka Hāʻule Ma mua: Inā ua loaʻa iā ʻoe hoʻokahi hāʻule ma mua, ʻo kou pilikia o kekahi ma kahi o 25% (he ʻoi iki aʻe kēia ma mua o ka mea i hāʻule ʻole i ka hāʻule).
- Nā Kūlana Ola: ʻO ka maʻi diabetes i mālama ʻole ʻia, kekahi mau maʻi, a i ʻole nā pilikia kūkulu kikoʻī me kou ʻōpū a i ʻole ka cervix hiki ke hoʻonui i kou pilikia.
E kūkākūkā i kēia mau mea pilikia me kāu mea mālama ola kino. E nānā lākou i kāu mōʻaukala olakino e hāʻawi i kahi loiloi pilikino o kāu pilikia.
Pehea ka maʻamau o nā hāʻule ʻana, a pehea e loli ai ka pilikia i ka hala ʻana o ka manawa?
Ua manaʻo ʻia he 10% a 20% o nā hāpai ʻana i ʻike ʻia e pau ana i ka hāʻule ʻana o ka pēpē . ʻO ka hapa nui (ma kahi o 80%) e hana ʻia i loko o ka trimester mua (nā pule 13 mua). He mea kākaʻikahi nā hāʻule ʻana ma hope o 20 mau pule, ʻaʻole i loaʻa ma mua o 5% o nā hihia.
I kekahi manawa, inā mākou e helu i nā pohō mua loa e kū mai ana ma hope koke iho o ke kanu ʻana, hiki ke kiʻekiʻe aʻe ka pakeneka. I ia mau hihia, no ka mea, ʻo ke kahe ʻana o ke koko e kūlike pinepine me kahi pōʻaiapuni menstrual maʻamau, ʻaʻole paha e ʻike kekahi kanaka ua hāpai lākou. Ua kapa ʻia kēia he 'chemical pregnancy' .
ʻO ka nūhou maikaʻi, e emi ana kou pilikia o ka hāʻule ʻana i ka wā hāpai me kēlā me kēia pule o kou hāpai ʻana . ʻOiai ʻo ka pilikia holoʻokoʻa ma kahi o 15%, ʻo ka pilikia i ka wā o ka trimester ʻelua (nā pule 13 a hiki i ka 19) e hāʻule ana i waena o 1% a me 5%. ʻOiai ʻo kou mau makahiki a me kou olakino holoʻokoʻa he kuleana koʻikoʻi, inā ʻaʻohe ou hopohopo olakino, e hoʻomau ka emi ʻana o ka pilikia o ka hāʻule ʻana i ka wā e holomua ai kou hāpai ʻana.
Pehea e ʻike ʻia ai kahi hāʻule keiki?
No ka hōʻoia ʻana i kahi hāʻule ʻana, hiki i kāu kauka ke hana i nā hoʻokolohua aʻe:
- Hoʻokolohua Ultrasound: Nānā kēia i ka puʻuwai o ka ʻōpū a i ʻole ke alo o nā ʻano e like me ka 'yolk sac' , i ʻike pinepine ʻia i ka wā mua o ka hāpai ʻana.
- Nā Hoʻāʻo Koko: Ke ana nei kēia i nā pae o ka human chorionic gonadotropin (hCG) , kahi hormone i hana ʻia e ka placenta. ʻO ka haʻahaʻa mau a i ʻole ka hāʻule ʻana o nā pae hCG hiki ke hōʻoia i kahi hāʻule ʻana.
- Hoʻokolohua Pelvic: Hoʻohana ʻia kēia e nānā inā ua hoʻomaka kou cervix e hoʻonui (wehe).
Pehea e mālama ʻia ai nā hāʻule keiki?
Inā loaʻa iā ʻoe kahi hāʻule keiki, he mea nui e hōʻoia i ka hoʻokaʻawale loa ʻia o ka ʻōpū. Inā koe kekahi ʻiʻo e pili ana i ka hāpai ʻana, hiki iā ʻoe ke pilikia i ka maʻi, ke kahe koko nui, a i ʻole nā pilikia ʻē aʻe .
Inā ua "piha" ka hāʻule ʻana o ka ʻōpū—ʻo ia hoʻi, ua hala maoli nā ʻiʻo fetal āpau—ʻaʻohe lāʻau hou e pono ai. E hōʻoia kāu kauka i kēia me kahi ultrasound .
Eia nō naʻe, inā ʻaʻole i hala loa ke kino, a inā ʻaʻole i hoʻomaka ke kahe ʻana o ke koko, hiki i kāu kauka ke ʻōlelo i ka lāʻau lapaʻau a i ʻole ke kaʻina hana ʻoki e hoʻomaʻemaʻe i ke kino.
Lapaʻau ʻoki ʻole
E ʻōlelo paha kāu kauka e kali i kou kino e hele ma ke ʻano kūlohelohe, ʻoiai i nā hihia o kahi 'haʻalele ʻana i ka hāpai keiki'. Eia nō naʻe, hiki i kēia kaʻina hana ke hala i kekahi mau lā. Inā ʻaʻole palekana ke kali ʻana i ke kauka, a inā makemake ʻoe e wikiwiki i ke kaʻina hana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e kōkua i ka hoʻokahe ʻana o ka ʻōpū. Loaʻa pinepine kēia mau koho inā ʻaʻole ʻoe ma mua o 10 mau pule hāpai.
ʻOiai inā ʻaʻole i hōʻoia ʻia kahi hāʻule ʻana akā hōʻike ʻoe i nā hōʻailona, hiki i kāu kauka ke ʻōlelo i ka hoʻomaha moeno kekahi mau lā, a i ʻole kahi noho haukapila i ka pō no ka nānā ʻana. Ke pau ke kahe ʻana o ke koko, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau. Inā ʻike ʻia kou cervix e wehe mua ana, hiki ke ʻike ʻia kēia he 'cervix incompetent,' a hiki ke hana ʻia kahi hana ʻoki i ʻike ʻia ʻo 'cervical cerclage' e pani ʻia.
Lapaʻau ʻoki kino
Inā noho ka ʻiʻo i loko o ka ʻōpū a inā paha e kahe nui ana ke koko, hiki i kāu kauka ke hana i kahi D&C (Dilation and Curettage) a i ʻole kahi D&E (Dilation and Evacuation) . Inā ua hala ʻoe i 10 mau pule o ka hāpai ʻana, ʻo ke ʻoki kino ka koho makemake pinepine ʻia. I loko o kēia mau kaʻina hana, hoʻonui ʻia ka cervix, a wehe ʻia ke koena o nā ʻiʻo ma o ka omo ʻana a i ʻole ke kahakaha mālie ʻana. Hana ʻia kēia mau kaʻina hana ma kahi haukapila ma lalo o ka anesthesia.
He aha nā hōʻailona ma hope o ka hāʻule ʻana o ka hāpai keiki, a i ka manawa hea ʻoe e ʻimi ai i ke kōkua?
Ma hope o ka hāʻule ʻana o ka ʻōpū, he mea maʻamau ka ʻike ʻana i nā kiko a me ka ʻeha iki .
Eia nō naʻe, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea, no ka mea, he mau hōʻailona paha ia o kahi maʻi:
- Ke kahe koko nui nei e hoʻonui a i ʻole e pau ʻole ana.
- Kuni.
- Nā anu.
- ʻEha nui a ʻoi aku paha ka ʻeha.
Ma hope o ka hāʻule ʻana o ka ʻōpū, mai hoʻokomo i kekahi mea i loko o ka ʻōpū no ʻelua pule ma ka liʻiliʻi . ʻO kēia ka pale ʻana i ka hoʻohana ʻana i nā tampons, ka moekolohe, a i ʻole ka hoʻohana ʻana i nā mea pāʻani moekolohe. E hoʻonohonoho kāu kauka i kahi manawa hoʻokolokolo e hōʻoia i kou ho'ōla maikaʻi ʻana a e kāpae i nā pilikia.
He aha nā hoʻokolohua e hana ʻia no nā hāʻule pinepine ʻana?
Inā ua loaʻa iā ʻoe ʻekolu a ʻoi aku paha ka nalowale o ka hāpai ʻana (kahi kūlana i ʻike ʻia ʻo 'recurrent miscarriage'), hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua koko a i ʻole ka hoʻāʻo ʻana i ka genetic. ʻO kekahi o kēia mau mea:
- Nā Hoʻāʻo Hoʻoilina: Hiki iā ʻoe a me kāu hoa ke hana i nā hoʻāʻo koko, e like me Karyotyping , e ʻike i nā ʻano chromosomal. Inā loaʻa nā ʻiʻo mai ka hāpai ʻana, hiki ke hoʻāʻo ʻia no kēia mau ʻano ʻē.
- Nā hoʻāʻo koko: Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko e nānā i nā kūlana autoimmune ma lalo a i ʻole nā hōmona hormonal e hiki ai ke alakaʻi i ka nalowale o ka hāpai ʻana.
Hiki paha i kāu kauka ke ʻōlelo i kekahi o nā kaʻina hana diagnostic e nānā ai i kāu uterus:
- Hysterosalpingogram: He kaʻina hana X-ray kūikawā e hoʻohana ana i ka dye hoʻohālikelike e nānā i kāu uterus a me nā ʻōpū fallopian.
- Hysteroscopy: He kaʻina hana kahi e hoʻohana ai kāu kauka i kahi mea lahilahi, e like me ke kelepona e nānā i loko o kou ʻōpū.
- Laparoscopy: He kaʻina hana kahi e hoʻohana ai kāu kauka i kahi mea i hoʻomālamalama ʻia e nānā i kāu mau kino pelvic.
Hiki iā ʻoe ke hāpai hou ma hope o ka hāʻule ʻana o kahi keiki? Pehea koke?
ʻAe, ʻoiaʻiʻo nō. He nui nā wāhine (ma kahi o 87%) e hoʻomau i ka hāpai olakino a me kahi pēpē ma hope o ka hāʻule ʻana o ka pēpē. ʻO ka loaʻa ʻana o ka hāʻule ʻana o ka pēpē, ʻaʻole ia he manaʻo he pilikia kou no ka hānau ʻana. E hoʻomanaʻo, ʻo ka hapa nui o nā hāʻule ʻana o ka pēpē e kū mai ana ma muli o nā ʻano chromosomal maʻamau - ʻaʻole ma muli o kekahi mea āu i hana ai a i ʻole i hana ʻole ai.
ʻO ke koho ʻana i ka wā e hoʻāʻo ai no ka hāpai ʻana he koho ia āu e hana ai me ke kūkākūkā ʻana me kāu kauka. Hiki i nā wahine he nui ke hāpai hou ma hope o hoʻokahi pōʻaiapuni menstrual 'maʻamau'.
ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻana iā ʻoe iho i ka manawa e ho'ōla ai, ma ke kino a me ka naʻau.Loaʻa nā lawelawe aʻoaʻo e kōkua iā ʻoe e hoʻoponopono i kēia pohō. ʻO nā hui kākoʻo, kahi e hiki ai iā ʻoe ke kamaʻilio me nā poʻe ʻē aʻe i loaʻa i kahi pohō like, hiki ke lilo i kumuwaiwai koʻikoʻi no ʻoe a me kāu hoa. E nīnau i kāu mea mālama ola e pili ana i ke aʻoaʻo ʻana a me nā koho hui kākoʻo. Ma luna o nā mea a pau, mai hoʻāhewa iā ʻoe iho. E hāʻawi iā ʻoe iho i ka manawa e pono ai ʻoe e kanikau.
Inā ua loaʻa iā ʻoe ʻekolu a ʻoi aku paha mau hāʻule ʻana o ka hāpai ʻana, e nīnau i kāu kauka e pili ana i nā hoʻāʻo hou aʻe e ʻike i nā kumu kumu. He mea kūpono ke hoʻohana i ka pale ʻana i ka hāpai ʻana a hiki i ka loaʻa ʻana o nā hopena o kēia mau hoʻokolohua, a laila e alakaʻi kāu kauka iā ʻoe i ka wā kūpono e hoʻōki i ka pale ʻana i ka hāpai ʻana a hoʻāʻo hou e hāpai.
Hiki ke pale ʻia kekahi hāʻule keiki ʻē aʻe?
ʻO ka ʻoiaʻiʻo, ʻaʻole hiki ke pale ʻia ka hapa nui o nā hāʻule ʻana o ka pēpē. Inā ua hāʻule ʻoe i ka pēpē, ʻaʻole ia ma muli o kahi mea āu i hana ai e hoʻokumu ai. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke kau i kou manaʻo ma kou olakino. Eia kekahi mau ala e mālama ai iā ʻoe iho:
- E hele pono i kāu mau hālāwai mālama hāpai a pau.
- E mālama i ke kaumaha olakino i kūpono iā ʻoe.
- E hōʻalo i nā mea pilikia i ʻike ʻia, e like me ka inu ʻana i ka waiʻona a me ka puhipaka.
- E lawe i kāu mau huaora prenatal i ʻōlelo ʻia.
- E hoʻoikaika kino maʻamau a kaulike hoʻi, a mālama i ka ʻai kaulike a olakino hoʻi.
Pehea e hoʻoponopono ai i ke kaumaha o ka hāʻule ʻana o ka hāpai keiki? ( ʻO ka hope, e hoʻomanaʻo i kēia mau manaʻo )
ʻO ka nalowale ʻana o ka hāpai ʻana he ʻike hoʻopōʻino a paʻakikī hoʻi ia e hiki ai ke hoʻoulu i nā ʻano manaʻo paʻakikī. ʻOi aku ka lōʻihi o ke kaʻina hana hoʻōla naʻau a ʻoi aku ka paʻakikī ma mua o ka ho'ōla kino. E hāʻawi iā ʻoe iho i ka ʻae e kanikau i kou nalowale. E kaʻana like i kou mau manaʻo me kāu hoa, nā hoaaloha, a i ʻole ka ʻohana. Hiki paha iā ʻoe ke loaʻa ka hōʻoluʻolu i loko o kahi hui kākoʻo no ka nalowale o ka hāpai ʻana ma ka pūnaewele. E hoʻopuni iā ʻoe iho me kahi ʻōnaehana kākoʻo ikaika, a i ʻole e ʻimi i ke kōkua o kahi kākāʻōlelo loea e kōkua iā ʻoe e hoʻokele i kēia manawa paʻakikī.
He manawa koʻikoʻi loa ka hāʻule ʻana o ka pēpē no nā mākua e hiki mai ana, a he kūpono loa kou kaumaha. E hoʻomanaʻo, ʻaʻole hiki ke pale ʻia ka hāʻule ʻana o ka pēpē, a ʻaʻole ia he hewa nou. ʻAʻole ia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa nā keiki i ka wā e hiki mai ana, ʻaʻole hoʻi ia manaʻo he mea hiki ʻole ke pale ʻia kekahi hāʻule ʻana o ka pēpē. He mea maʻamau ke kaumaha. E kelepona aku i kāu poʻe aloha, nā hui kākoʻo, a i ʻole kekahi kākāʻōlelo laikini no ke kākoʻo. Ke mākaukau ʻoe e hoʻolālā i kāu hāpai ʻana aʻe, e hoʻonohonoho i kahi manawa me kāu kauka e kūkākūkā i kāu mau hana aʻe, ka manawa, a me nā nīnau āu e loaʻa ai.
Nirogi Lanka | Hāʻule ka Hānau, Hāpai Keiki, Ola Kino o nā Wahine, Nā Hōʻailona, Nā Kumu, Lāʻau Lapaʻau, Poho Hānau
