No ke aha i hānau mua ʻia ai kahi pēpē? (Premature Birth) E makaʻala kākou i kēia!

ʻO ka hapa nui o ka manawa, hiki mai nā pēpē i kēia ao i ka lā kūpono, a kokoke paha, olakino a maikaʻi, ʻeā? Akā i kekahi manawa, wikiwiki koke nā keiki liʻiliʻi i kēia ao. Ke hana ʻia kēlā, hiki iā lākou ke loaʻa nā pilikia olakino liʻiliʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia hana a me nā mea hiki iā kākou ke hana e pale aku ai.

No ke aha i hānau koke ʻia ai kekahi mau pēpē?

I ka ʻōlelo maʻalahi, inā hānau ʻia kahi pēpē ma mua o ka lā hānau, ʻo ia hoʻi, 37 mau pule , kapa mākou ia he "hānau mua." ʻO nā pēpē i hānau ʻia ma kēia ʻano ua kapa ʻia hoʻi he "nā pēpē mua." I ka pololei, ʻo ia ka manawa e puka mai ai kahi pēpē mai ka ʻōpū ma mua o ka pau ʻana o ka manawa piha o ka ulu ʻana.

E noʻonoʻo e pili ana i ia mea, ua like ia me kahi keke. Aia kahi manawa kikoʻī no ka keke e hoʻomoʻa pono ai. He aha ka mea e hana ai inā ʻoe e lawe mai loko mai o ka umu ma mua o kēlā manawa? ʻAʻole ia e moʻa pono ʻia, ʻeā? Pēlā nō ia me kahi pēpē. He manawa pōkole ia no nā ʻōpū koʻikoʻi o ka pēpē e like me nā māmā a me ka lolo e ulu pono ai. No laila, inā hānau mua ʻia ʻoe, ʻaʻole paha i ulu piha kēlā mau ʻōpū, hiki ke alakaʻi i nā pilikia olakino like ʻole .

No laila, he aha ke kumu o kēia?

I ka manawa pinepine, hiki ke hoʻopilikia ʻia kēia e kahi pilikia olakino o ka makuahine. No ka laʻana, inā loaʻa i ka makuahine kahi maʻi e like me ka Diabetes Mellitus , a inā paha he nui kona kaumaha i ka wā hāpai, ʻoi aku ka nui o ka hānau ʻia ʻana o ka pēpē me ka wā ʻole o ke olakino.

Pēlā nō, ʻo kekahi o nā mea ʻino a ka makuahine e hana ai i ka wā hāpai, e like me ka puhipaka a me ka inu ʻana i ka waiʻona, hiki ke lilo i kumu nui o kēia. Hiki i kēia mau mea ke hōʻeha ʻaʻole wale i ka pēpē, akā i ka makuahine pū kekahi.

ʻO kekahi o kēia mau kumu he mau mea hiki iā mākou ke kaohi. Eia nō naʻe, i kekahi manawa hiki ke hānau mua ʻia nā pēpē no nā kumu hiki ʻole iā mākou ke kaohi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia a hana i ka mea maikaʻi loa hiki iā mākou.

He aha kāu e hana ai e noho olakino i ka wā hāpai?

Nui nā mea hiki iā ʻoe ke hana e kōkua i kāu pēpē e ulu olakino a hauʻoli i loko o ka ʻōpū. E nānā kākou i ke ʻano o lākou.

1. E hoʻomaka e ʻimi i ke aʻo lapaʻau i ka hikiwawe loa.

ʻO kēia ka mea nui loa. I ka manawa koke e manaʻo ai ʻoe e loaʻa ana kahi pēpē, a i ʻole he kānalua iki paha no ia mea, pono ʻoe e ʻike koke i ke kauka a hoʻomaka i ka "mālama prenatal." Pili kēia i nā ʻōlelo aʻoaʻo lapaʻau, nā hoʻokolohua, a me ka mālama āu e loaʻa ai i kou wā hāpai. He mea nui i kēlā me kēia wahine hāpai ke loaʻa i kēia mālama. E haʻi aku ke kauka iā ʻoe i ka pinepine e ʻike ai iā ia a me nā hoʻokolohua e hana ai. Ma ka hahai pono ʻana i kēia mau ʻanuʻu, hiki iā ʻoe ke pale i ke olakino o ʻoe a me kāu pēpē.

2. E kiʻi i ka lāʻau kūpono no kou mau maʻi.

Loaʻa iā ʻoe kahi maʻi mua e like me ka Diabetes Mellitus , ke kaumaha , a i ʻole ke koko kiʻekiʻe.Inā loaʻa iā ʻoe kahi maʻi maʻi mau loa, e like me ka maʻi diabetes, ʻoi aku ka maikaʻi o ka hoʻomalu ʻana iā ia ma mua o kou hoʻolālā ʻana e hāpai. ʻO ia hoʻi ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka a me ka hana ʻana i nā hoʻololi ola e pono ai. Eia naʻe, inā ua hāpai mua ʻoe, mai hopohopo. E ʻike i kāu kauka i ka hikiwawe loa a hoʻomohala i kahi hoʻolālā lapaʻau no ke ʻano o ka mālama ʻana i kou kūlana i ka wā hāpai.

3. E ʻai i ka meaʻai momona a mai poina i nā huaora

ʻO ka meaʻai āu e ʻai ai i kēia manawa ka mea e hāʻawi ai i kāu pēpē i nā meaolaola e pono ai. No laila, he mea nui loa ka ʻai ʻana i kahi meaʻai ʻokoʻa a momona hoʻi ma mua a ma ka wā o ka hāpai ʻana. E hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, nā nati, nā huahana waiū, nā iʻa, a me nā hua manu i kāu papaʻai.

Eia kekahi, e lawe i ka huaora prenatal a kāu kauka i kuhikuhi ai. E hōʻoia kēia e loaʻa ana iā ʻoe ka nui kūpono o ka folic acid , ka hao, a me nā meaola ʻē aʻe e pono ai no ka ulu ʻana o kāu pēpē. ʻO ka folic acid, ma ke ʻano kūikawā, he mea nui ia no ka ulu ʻana o ka ʻōnaehana nerve o kāu pēpē.

4. E hoʻonui i ka nui o ke kaumaha i kuhikuhi ʻia

He mea maʻamau ka piʻi ʻana o ke kaumaha i ka wā hāpai. Eia nō naʻe, ʻo ka nui o ke kaumaha āu e piʻi ai e pili ana i kou kaumaha ma mua o ka hāpai ʻana. ʻO ka hapa nui o nā wahine i ke kaumaha olakino (me ka BMI ma ka pae maʻamau) pono e piʻi ma waena o 25 a me 35 paona (11 a me 16 kilokani) i ka wā hāpai. Inā he emi iki kou kaumaha, pono paha ʻoe e piʻi iki aʻe. Eia kekahi, inā he kaumaha nui a momona paha ʻoe i ka wā e hāpai ai ʻoe, e haʻi aku kāu kauka iā ʻoe i ka nui o ke kaumaha hiki iā ʻoe ke piʻi. ʻAʻole maikaʻi ka piʻi ʻana o ke kaumaha nui, a ʻaʻole maikaʻi ka piʻi ʻana o ke kaumaha liʻiliʻi.

5. E pale loa i ka puhipaka, ka waiʻona, a me nā lāʻau lapaʻau.

He mea kēia e pono loa iā ʻoe ke hana. ʻO ka hoʻohana ʻana i ka paka, ka waiʻona, a me nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai hiki ke hoʻopilikia i ke olakino koʻikoʻi no ʻoe a me kāu pēpē.

E noʻonoʻo wale, ke puhipaka ʻoe, e hoʻoili ʻia nā kemika ʻino a pau i loko o kēlā uahi i kāu pēpē. Hoʻonui kēia i ka manawa kūpono o ka ulu ʻana o kāu pēpē e palupalu, ke kaumaha haʻahaʻa i ka wā hānau, a i ʻole ka hānau mua ʻole ʻia.

Hiki i ka hoʻohana ʻana i ka waiʻona ke hana i nā kūlana koʻikoʻi i loko o ka pēpē, e like me ka fetal alcohol syndrome . Eia kekahi, hiki i nā pēpē i hānau ʻia e nā makuahine e hoʻohana ana i nā lāʻau lapaʻau ke loaʻa i kahi kūlana i kapa ʻia ʻo neonatal abstinence syndrome (NAS) . I loko o kēia, hōʻike ka pēpē i nā hōʻailona withdrawal ma hope o ka hānau ʻana.

No laila, inā ʻoe e hoʻohana nei i kahi mea e like me kēia, e ʻoluʻolu e ʻimi i ke kōkua e hoʻopau iā ia. E haʻi i kāu kauka a i ʻole limahana olakino ʻohana e pili ana i kēia. Na lākou e kōkua iā ʻoe.

6. Ma hope o hoʻokahi hānau ʻana, e hāʻawi iā ʻoe iho i kekahi manawa ma mua o ka hāpai hou ʻana.

Manaʻo nā kauka e kali ʻoe ma ka liʻiliʻi he 12 a 18 mau mahina ma waena o ka loaʻa ʻana o hoʻokahi pēpē a me ka hoʻolālā ʻana i kāu pēpē aʻe. ʻO ka hoʻonui ʻana i kēia manawa hiki ke hōʻemi i ka pilikia o ka hānau mua ʻana o kāu pēpē aʻe. He mea nui loa kēia inā ua loaʻa iā ʻoe kahi pēpē mua i hānau mua ʻia, ʻo ia hoʻi ua hānau mua ʻia.

Aia nā mea hiki ʻole iā ʻoe ke kaohi i ka wā hāpai.

ʻAʻole e like me nā mea a mākou i kamaʻilio ai ma mua, aia kekahi mau mea paʻakikī iā mākou ke kāohi. Hiki i kēia mau mea ke hoʻonui i ka pilikia o ka hānau mua ʻana o kahi pēpē i kekahi ʻano. Eia naʻe, ʻaʻole kēia manaʻo e maʻi ana kāu pēpē a hānau mua ʻia paha. E hoʻomanaʻo, hele mai ka hapa nui o nā pēpē i kēia ao me ke olakino.

• Kou makahiki: Hiki i ka makahiki o ka makuahine ke hoʻopilikia i kēia. ʻOi aku ka nui o ka loaʻa ʻana o kahi pēpē hānau mua i nā makuahine ʻōpio , ma lalo o 17 mau makahiki, a me nā makuahine ma luna o 35 mau makahiki. Ke hāpai lākou i ka wā ʻōpiopio, ʻaʻole paha i mākaukau piha ko lākou kino no kēia. ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi e like me ke koko kiʻekiʻe i ka wā hāpai, a i kekahi manawa ʻaʻole paha lākou e loaʻa i nā lawelawe olakino e pono ai. Ke hāpai lākou ma hope o 35 mau makahiki, ʻoi aku ka nui o ka loaʻa ʻana o kekahi mau pilikia olakino (e laʻa, ka maʻi diabetes, ke koko kiʻekiʻe).

• Nā keiki he nui: Inā ʻoe e hāpai ana ma mua o hoʻokahi pēpē, e like me nā māhoe a i ʻole nā ​​​​​​māhoe ʻekolu, ʻoi aku ka nui o kou loaʻa ʻana o nā keiki he nui . E hoʻomanaʻo, aia kahi palena o ka mea hiki i kou ʻōpū ke lawelawe. I ka piʻi ʻana o ka nui o nā pēpē, kau ka ʻōpū i ke kaomi nui ma luna ona, hiki ke alakaʻi i ka hānau mua ʻana. ʻOi aku ma mua o ka hapalua o nā māhoe i hānau mua ʻia.

• Kou olakino: I kekahi manawa, hiki ke hānau mua ʻia kāu pēpē ma muli o kekahi mau pilikia olakino āu i loaʻa mua ai, a i ʻole e ulu ana i ka wā hāpai. No ka laʻana, hiki ke hoʻopilikia ʻia nā kūlana e like me ka Diabetes Mellitus a me ke Koko Kiʻekiʻe , a mākou i kūkākūkā ai ma mua, inā ʻaʻole lākou i kāohi pono ʻia. Eia kekahi, inā he mau maʻi i loko o ka ʻōpū a i ʻole ka vagina, hiki iā lākou ke hana i ka hānau mua ʻana. No laila ke ʻōlelo ʻia nei e ʻike i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē.

• Nā pilikia i nā hāpai mua: Inā he pēpē hānau mua kāu i ka hāpai mua ʻana, a i ʻole he mau pilikia olakino ko kahi pēpē ma mua, he "kīnā hānau"Inā ua hānau ʻia ʻoe me ka hāʻule ʻana o ka pēpē, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o nā pilikia like i nā hāpai ʻana ma hope. Eia kekahi, inā ua loaʻa iā ʻoe kekahi mau hāʻule ʻana o ka pēpē i ka wā ma mua, he mea nui e kamaʻilio pū me kāu kauka e pili ana i kēlā.

• I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu: Aia kekahi mau hihia kahi i hānau mua ʻia ai ka pēpē, ʻoiai ʻaʻohe kumu pilikia o ka makuahine hiki iā ia ke kaohi a hana pololei i nā mea āpau. I ia mau hihia, he paʻakikī ke loaʻa ke kumu. Eia nō naʻe, me ka holomua o ka lāʻau lapaʻau hou, hiki pinepine ke hāʻawi i ka mālama maikaʻi i nā pēpē hānau mua a hoʻouna iā lākou i ka home me ke olakino.

No laila, inā ʻoe e hāpai ana i kēia manawa, a i ʻole e kali ana i kahi pēpē, e hoʻomanaʻo i kēia mau mea a pau a e ʻike pono i kāu kauka e kūkākūkā i kēia. E hāʻawi lākou iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa. E hoʻomanaʻo, ʻo nā makuahine e loaʻa ana ka mālama kūpono ma ka wā hāpai e ʻoi aku ka nui o ka loaʻa ʻana o kahi hāpai olakino a me kahi pēpē olakino.

No laila, he aha kā mākou e pono ai e hoʻomanaʻo mai kēia mau mea a pau?

ʻAe, ua nui kā mākou i kamaʻilio ai i kēia manawa. Mai kēia mau mea a pau, ʻo nā mea nui e hoʻomanaʻo ai penei:

• I ka hapa nui o ka manawa, hānau ʻia nā pēpē i ka manawa kūpono a olakino hoʻi. Mai hopohopo no kēlā.
• I kekahi manawa hiki ke hānau mua ʻia nā pēpē. Hiki ke hoʻopili ʻia kēia e nā kumu he nui, e like me ke olakino o ka makuahine, ke ʻano o ka nohona, a me ka makahiki .
• He mea nui loa ke noho olakino i ka wā hāpai, e ʻai i ka meaʻai momona maikaʻi, a e pale loa i ka puhipaka a me ka waiʻona . ʻO kēia nā mea hiki iā ʻoe ke kaohi.
• He mea nui e hoʻomaka e loaʻa ka mālama prenatal mai ka lā āu e ʻike ai ua hāpai ʻoe. Mai poina i ka manawa i hālāwai ai me kāu kauka.
• ʻOiai ʻaʻole hiki iā mākou ke kāohi i kekahi mau kumu (e like me ka makahiki a me nā hānau keiki he nui), hiki iā mākou ke hōʻemi i ka pilikia ma ka ʻike ʻana iā lākou a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau e pono ai .

ʻO ka mea nui loa, ʻaʻole ʻoe e hele hoʻokahi ana ma kēia huakaʻi. Aia nā kauka, nā kahu hānai, a me kou ʻohana ma laila e kōkua a aʻo iā ʻoe. No laila, mai hoʻopaʻa i kekahi mea kaumaha ma kou manaʻo, a e kamaʻilio me lākou e pili ana i nā pilikia āu e loaʻa ai.

Ke makemake nei iā ʻoe a me kāu keiki liʻiliʻi i ke olakino maikaʻi!

Hānau mua ʻole, hānau mua ʻole, olakino hāpai, mālama ma mua o ka hāpai ʻana, 37 pule, ulu ʻana o ka pēpē, hāpai olakino