Ma ke ʻano he makuahine, he ʻike kūlohelohe a nani hoʻi ka hānai ʻana i kāu pēpē. Akā, ʻoiai inā he makuahine hou ʻoe, pono ia e hoʻomaʻamaʻa iki. I kekahi manawa, e ʻike paha ʻoe i kekahi ʻeha a me ka ʻoluʻolu ʻole i ka wā e hānai ana i ka waiū. "He mea maʻamau anei kēia? ʻO wau wale nō anei kēia?" Ua noʻonoʻo paha ʻoe. No laila, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau. ʻAʻole ʻoe hoʻokahi, ua loaʻa i nā makuahine he nui nā ʻike like.
He mea maʻamau anei ka ʻeha ʻana o ka ʻōpū i ka wā e hānai waiū ai?
ʻAe, e Māmā. Ma hope o ka hānau ʻana o kahi pēpē, no nā lā mua a i kekahi mau pule, hiki iā ʻoe ke ʻike i kahi ʻūlū iki a i ʻole ka manaʻo o ka paʻa ma kou ʻōpū lalo, e like me kou wā. ʻIke nui ʻia kēia i ka wā e omo ana kāu pēpē a hoʻomaka kou mau umauma e hoʻokuʻu i lalo ('milk let-down`).
Mai hopohopo! ʻO kēia no ka mea ke emi nei kou ʻōpū i kona nui mua. He mea maikaʻi kēia. He ʻāpana ia o ke kaʻina hana hoʻōla o ke kino ma hope o ka hānau ʻana.
He mea maʻamau anei ka piha ʻana o koʻu mau umauma i ka waiū?
He mea maʻamau no kou mau umauma ke manaʻo i ka nui iki, ka paʻa, a me ka piha i ka waiū (ʻEngorgement`) i nā lā ʻelua a ʻelima mua ma hope o ka hānau ʻana o kāu pēpē. ʻO kēia no ka mea ke hoʻonui nei kou kino i kāna hana waiū e hoʻokō i nā pono o ka pēpē. Eia nō naʻe, inā e hānai maikaʻi ana kāu pēpē i kēlā me kēia 2-3 hola, a inā ʻoe e hoʻopuka ana i ka waiū i kēlā manawa, ʻaʻole pono e piha a paʻa loa kou mau umauma.
ʻAʻole maikaʻi ka engorgement. Hiki iā ia ke hōʻeha, ka ʻeha, a i kekahi manawa he maʻi umauma (ʻO ka maʻi umauma`). No laila, pono ʻoe e hoʻāʻo e pale i kēia ʻano i ka hiki. ʻO ka lōʻihi o kou kali ʻana e hānai a hoʻopuka paha, ʻoi aku ka ʻoluʻolu ʻole a me ka paʻa o kou mau umauma. No ka laʻana, inā ʻaʻole hiki iā ʻoe ke hānai koke i kāu pēpē, e kau i
nā ʻūlū mahana (e kau ana i kahi lole mahana ma kou umauma). A laila, e hoʻāʻo e hoʻopuka i ka waiū a i ʻole e hoʻopuka me kou mau lima. ʻO kahi ala e hoʻopuka ai i ka waiū, ʻo ia ke kau ʻana i kou manamana nui ma ka areola a me kou manamana lima ʻē aʻe ma lalo,
a kaomi mālie akā paʻa i kou mau manamana lima i ka umauma, a laila e lawe mai i kou mau manamana lima e ʻomi i ka waiū i waho. He mea maʻamau anei ke ʻeha i ka wā a ma hope paha o ka hānai ʻana? Ke
hoʻopaʻa pono ʻia kāu pēpē, ʻo ia hoʻi, ua maikaʻi kā lākou hoʻopaʻa ʻana , hiki i kekahi mau makuahine ke manaʻo iki i ka ʻoluʻolu ʻole no kekahi mau kekona ke hoʻomaka mua lākou e hānai i ka waiū. He mea maʻamau kēia. Akā pono e nalo ma hope o kekahi manawa. ʻOiai ke manaʻo nei paha e huki mālie ana kāu pēpē mai kou umauma, ʻaʻole pono e ʻeha. ʻO ka mea nui loa, ʻo ia ka hōʻoia ʻana e hoʻopaʻa pono ana kāu pēpē.
Inā ʻoe e manaʻo i kekahi ʻeha a ʻeha paha i ka wā e hānai waiū ana,
e hoʻōki koke i ka hānai waiū a hoʻāʻo e hoʻopili hou i kāu pēpē i ka umauma. ʻO kou nipple a me ka ʻāpana ʻeleʻele a puni ia (ka `areola`) ka ʻāpana i ʻike nui ʻia o ka waha o kāu pēpē. Inā ua hoʻopaʻa pono ʻole ʻia kāu pēpē, hiki iā ʻoe ke ʻeha a i ʻole ke ʻano o ka ʻū ʻana i kēlā me kēia manawa āna e omo ai. Inā hoʻomau kēia no ka manawa lōʻihi, hiki i kou mau nipples ke ʻeha, ʻeha, a nahā paha. Inā ʻoe e ʻeha ana i ka wā e hānai waiū ana,
e ʻike pono i kāu kauka a i ʻole ke kākāʻōlelo lactation. E kōkua kēia i ka hoʻoholo ʻana inā e hoʻopaʻa pono ana kāu pēpē a inā he mea ʻē aʻe i hewa.
He aha nā kumu ʻē aʻe o ka ʻeha o ka umauma?
Aia kekahi mau kumu nui o ka ʻeha o ka umauma:
ʻAuwaha Waiū i hoʻopaʻa ʻia
I kekahi manawa hiki ke ālai ʻia ka ʻōmole liʻiliʻi e lawe ana i ka waiū mai ka umauma mai (ka `Milk Duct`). Hiki iā ʻoe ke ʻeha ma kekahi wahi o kou umauma, a i ʻole hiki iā ʻoe ke ʻike i kahi puʻupuʻu ma lalo o ka ʻili. No ke kōkua ʻana i ka wehe ʻana i ka ʻōmole i ālai ʻia
a hōʻemi i ka ʻeha, e hoʻāʻo i kēia mau mea:
- E ʻauʻau mehana a i ʻole e kau i nā ʻūpā mehana ma kahi. E lomilomi mālie i ka wahi i nā manawa he nui i ka lā. A laila, e hānai i kāu pēpē i ka waiū i ka hikiwawe loa.
- I ka wā e hānai waiū ai, e hoʻonoho i kāu pēpē i kahi e kū pono ai kona ʻauwae i ka ʻaoʻao o ka nipple i paʻa . E kōkua kēia i ka waiū ma ia wahi e kahe wikiwiki.
- ʻOiai e hānai waiū ana kāu pēpē, e lomilomi mālie i kahi i loaʻa ai ka puʻupuʻu. Hiki ke nalowale ka puʻupuʻu ma hope o ʻelua a ʻekolu paha hānai ʻana.
- Hiki iā ʻoe ke hoʻohana i ka pamu umauma manual a uila paha a lomilomi mālie i ka wahi no kekahi mau minuke e wehe i kekahi o ka waiū i paʻa.
- E hoʻopili i nā ʻūpā anu (ka hau i wahī ʻia i kahi lole lahilahi) i ka wā e hānai waiū ai.
- Inā ʻaʻole e emi ka puʻupuʻu i loko o ʻelua a ʻekolu paha lā, a inā he kuni kou, he anu, he ʻeha kino , a i ʻole he mea e like me nā kaha ʻulaʻula ma kou umauma ʻākau, e ʻike koke i ke kauka.
ʻO ka maʻi ʻōpū
He mumū kēia o ka umauma. Inā ʻeha kou mau umauma, ʻike ʻoe i nā kaha ʻulaʻula, a i ʻole he puʻupuʻu a puʻupuʻu paha ma kekahi wahi o kou umauma, loaʻa paha iā ʻoe ka mastitis. Loaʻa i kekahi poʻe ke kuni a me ke anu. Inā manaʻo ʻoe he mastitis kou,
e ʻike koke i ke kauka. I kēia manawa, hiki iā ʻoe ke hoʻomau i ka hānai ʻana i kāu pēpē a i ʻole ka hoʻopuka ʻana i kāu waiū. E kōkua kēia i kou mau umauma e hoʻokuʻu i ka waiū. E kau i nā ʻūpī mahana ma mua o ka hānai ʻana.
E lomilomi mālie a kau i nā ʻūpā anu ma hope o ka waiū ʻana. Inā loaʻa ka mastitis i hoʻokumu ʻia e kahi maʻi, pono paha nā lāʻau antibiotic. ʻO ka maʻi fungal i loko o ka waha o ke pēpē (Oral Thrush)
I kekahi manawa, hiki ke ulu kahi maʻi hū i kapa ʻia ʻo "Oral Thrush" i loko o ka waha o kāu pēpē. Ke hana ʻia kēia, e māwae ka ʻili ma nā ʻaoʻao ʻelua o ka waha o kāu pēpē a ʻike paha ʻoe i nā ʻāpana keʻokeʻo a melemele māmā paha ma nā lehelehe, ke alelo, a i loko paha o kou mau papālina. Hiki i kēia maʻi ke laha i kou mau umauma. Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:- ʻO ka ʻeha o ka umauma , i ka wā e hānai waiū ai a ma hope paha o ka hānai ʻana, hiki ke ʻō a wela paha.
- He ʻeha nui e puka mai ana mai loko mai o ka umauma.
- ʻEha nui o ka umauma a i ʻole ka ʻeha o ka nipple ʻaʻole e emi iho ʻoiai inā e hoʻopaʻa pono ke pēpē a hoʻololi paha i ke kūlana.
- Ua māwae nā ʻūpā, maneʻo, pehu, ʻulaʻula, ʻālohilohi, hemo, a he ʻano ʻulaʻula ke ʻano o ka ʻūlū me nā pehu liʻiliʻi loa.
Inā loaʻa iā ʻoe a i ʻole kāu pēpē kekahi o kēia mau hōʻailona, e ʻike i ke kauka. Nā nipples i hoʻohuli ʻia a pālahalaha paha
Loaʻa paha i kekahi mau wahine nā nipples i hoʻohuli ʻia, ʻaʻole i puka i waho, akā ua hoʻohuli ʻia. A i ʻole he mau nipples pālahalaha ko lākou, ʻaʻole i puka pono i waho ke omo ka pēpē. Hiki i kēia mau wahine ke paʻakikī i ka hānai waiū a loaʻa paha ka ʻeha o ka nipple. Inā ʻo kēia ke ʻano no ʻoe, e kamaʻilio me kāu kauka a i ʻole kekahi loea lactation e pili ana i nā ala e maʻalahi ai ka hānai waiū a hōʻemi i ka ʻeha. Pehea e hōʻemi ai i ka ʻeha o ka umauma a i ʻole ka ʻeha o ka nipple?
ʻAe, e nānā kākou i ka mea hiki iā kākou ke hana e hōʻemi ai i kēia ʻeha. Nā mea hiki iā ʻoe ke hana i ka wā e hānai ai:
- E hoʻomaka i ka hānai ʻana i ka waiū ma ka ʻaoʻao i ʻoi aku ka ʻeha ma mua. E hoʻololi pinepine i nā kūlana hānai.
- E nānā e ʻike inā e pipili pono ana ke pēpē i ka umauma .
- Inā ʻeha loa ka hānai waiū ʻana, e maʻalahi paha ka hoʻopuka ʻana i ka waiū me ka pamu umauma.
- Inā ʻeha kou mau nipples, e nīnau i kāu kākā'ōlelo lactation a i ʻole ke kauka lapaʻau inā he manaʻo maikaʻi ke hoʻohana ʻana i kahi pale nipple . ʻO ka pale nipple kahi uhi āu e kau ai ma luna o kou nipple a me ka areola (ka wahi a puni kou nipple) i ka wā e hānai waiū ana. Kōkua ia i ka pale ʻana i nā nipples ʻeha a māwae. Akā, pono ʻoe e hoʻohana i kēia mau mea inā ʻōlelo ʻia e kāu hui mālama ola , no ka mea, hiki iā lākou ke hoʻopilikia i kāu lako waiū i kekahi manawa.
- Ke wehe ʻoe i kāu pēpē mai ka umauma, e hoʻokuʻu mālie i ka omo (`Suction`). Hiki iā ʻoe ke hana i kēia ma ke kau ʻana i kou manamana lima ma ka ʻaoʻao o ka waha o kāu pēpē, ma waena o nā ʻāʻī, a hoʻohuli i kou manamana lima no kekahi manawa.
- Ma hope o ka hānai ʻana, e ʻomi i kekahi o kou waiū umauma i loko o kou mau nipples a e hoʻomaloʻo iā lākou i ka ea.
Nā mea e hana ai ma hope a i ka wā o ka hānai ʻana:
- Lomilomi mālie i ka ʻāpana ʻeha ma mua o ka hānai ʻana.
- E kau i ka wela pulu a maloʻo paha (kahi ʻauʻau wela, kahi ʻōmole wai wela, kahi `Heating Pad`, a i ʻole kahi lole mahana) i kou mau umauma ma mua o ka hānai ʻana. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi hū i loko o kou mau umauma, pono ʻoe e mālama i kou mau nipples maloʻo, no ka mea makemake ka hū i ka makū.
- E hoʻomaha nui a inu i nā wai.
- E kau i nā ʻeke hau a i ʻole nā mea hoʻoluʻu anuanu i nā umauma i piha ma hope o ka hānai ʻana.
- E hoʻoluʻolu i kou wahi hānai. E noho ma kahi noho me nā lima, kahi glider, a i ʻole kahi noho ʻoluʻolu. ʻO ka hoʻohana ʻana i kahi noho wāwae a uluna paha e hāʻawi i ke kākoʻo hou aku. Makemake kekahi mau makuahine e hoʻohana i nā uluna hānai wraparound a i ʻole nā uluna kua kāne me nā lima ma kēlā ʻaoʻao kēia ʻaoʻao e maʻalahi ai ka hānai ʻana.
ʻO ka mea hope loa, e ʻae mai iaʻu e haʻi aku iā ʻoe ...
E Māmā, ʻaʻole pono ka hānai ʻana i ka waiū he ʻike ʻeha a hoʻoluhi. Inā ʻoe e ʻeha mau ana a ʻoluʻolu ʻole paha i ka wā e hānai ana i ka waiū, mai ʻeha wale a e ʻimi i ke kōkua mai kāu kauka a i ʻole kekahi loea lactation. E hāʻawi lākou iā ʻoe i ka ʻōlelo aʻoaʻo a me ke kākoʻo āu e pono ai e hoʻomanawanui i kēia. E hoʻomanaʻo, ʻo kou olakino ka mea nui e like me kāu pēpē. Ka hānai ʻana i ka waiū, ʻeha umauma, ʻeha nipple, hānai ʻana i ka waiū, hoʻokuʻu ʻana, mastitis, nā pilikia hānai waiū
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