Ka Hāpai Keiki a me ke Ola Kino o ka Makuahine27 Iune 2026🔄 Updated: 14 Iul. 2026⏱ 14 min

5 mau mea hiki iā ʻoe ke hana e pale aku i ka hānau mua ʻana! E kamaʻilio kākou e pili ana i kēia?

Creator: Dr. Priya Sammani
Published: 2026-06-27T11:13:53.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Aloha! Inā he makuahine ʻoe e hāpai ana i kahi pēpē i kēia mau lā, ʻo kekahi o nā manaʻolana nui loa i kou manaʻo, ʻo ia ka lawe ʻana mai i kahi pēpē olakino i kēia ao i ka manawa kūpono. ʻAʻole anei he moeʻuhane nani kēlā? Akā i kekahi manawa aia nā manawa e hoʻāʻo ai ka pēpē e hele koke mai, me ka manaʻo ʻole ʻia. Kāhea mākou i kēia 'hanau mua' a i ʻole e like me ke kāhea ʻana o nā kauka , `(Preterm Labor)` . He mea maʻamau loa iā ʻoe ke makaʻu iki a me ka hopohopo ke lohe ʻoe i kēia mau ʻōlelo. Akā, mai hopohopo, ʻae? No ka mea, inā ʻike mākou i kēia a lawe i nā hana e pono ai, hiki iā mākou ke pale aku i kēia kūlana i ka hapa nui o nā hihia. I kēia lā, e kamaʻilio kākou e pili ana i nā mea nui loa āu e hiki ai ke hana e pale aku i kēia kūlana i kapa ʻia ʻo `(Preterm Labor)`.

He aha ka `(Preterm Labour)`? No ke aha he mea ia e hopohopo ai kākou?

I ka ʻōlelo maʻalahi, ʻo ka hānau mua ʻana, ʻo ia ka hānau ʻana o kahi pēpē ma mua o nā pule he 40 i manaʻo ʻia, ʻo ia hoʻi, ma mua o 37 mau pule. ʻO ka maʻamau, ʻo ka manawa ma waena o 37 a me 40 mau pule he mea nui ia no ka pēpē e ulu piha i loko o ka ʻōpū o ka makuahine. No laila, inā hoʻāʻo ka pēpē e puka i waho ma mua o kēlā, ʻaʻole paha i ulu pono kekahi o nā ʻōpū o ka pēpē, ʻoiai nā māmā a me ka lolo.

E noʻonoʻo e like me ka hoʻomoʻa ʻana i kahi keke. He aha ka mea e hana ai inā lawe ʻoe mai loko mai o ka umu ma mua o ka manawa kūpono? ʻAʻole ia e piʻi pono a ʻono maikaʻi, ʻeā? ʻO ia ka mea e hana ai i ka pēpē. Inā hānau mua ʻia ka pēpē, hiki iā ia ke loaʻa nā pilikia he nui, e like me ka paʻakikī o ka hanu ʻana, ke kaumaha hānau haʻahaʻa, nā pilikia ʻōpū, a me ka maʻalahi i nā maʻi . I kekahi manawa, aia nā pilikia olakino lōʻihi. ʻO ia ke kumu e hopohopo nui ai mākou no kēia `(Preterm Labor)`. Akā e hoʻomanaʻo, ʻoiai inā hōʻike ʻoe i nā hōʻailona o ka hānau mua ʻana, ʻaʻole e hānau mua ʻia ka pēpē. Hiki i nā kauka ke kōkua i kekahi manawa e hoʻōki iā ia.

ʻO wai ka mea i ʻoi aku ka pilikia no ka "hanau mua"?

Mai hopohopo i kēia. ʻAʻole kēia manaʻo e hiki mai ana kēia i nā kānaka a pau. Akā, aia paha kekahi poʻe i kahi pilikia kiʻekiʻe iki ma mua o nā poʻe ʻē aʻe. He mea nui e ʻike i ko lākou ʻano, i hiki iā ʻoe ke mālama pono iā ʻoe iho.

Nā makuahine i loaʻa i ka hānau mua ʻana: Inā ua loaʻa iā ʻoe kahi pēpē ma mua o ka wā ʻōpiopio, aia kahi manawa liʻiliʻi e hana hou ʻia.
Nā makuahine e hāpai ana i nā māhoe a i ʻole nā mākolu (`(Multiple Pregnancy)`): ʻOi aku ke kaomi o ka ʻōpū i ka wā e hāpai ana ma mua o hoʻokahi pēpē, no laila ʻoi aku ka nui o ka manawa e hānau mua ai.
ʻO ka poʻe i loaʻa kekahi mau pilikia me ka ʻōpū (`(Uterus)`) a i ʻole ka cervix (`(Cervix)`): No ka laʻana, inā nāwaliwali ka cervix (`(Incompetent Cervix)`), hiki ke hana ʻia kēia.
Nā makuahine me kekahi mau maʻi mau loa: e like me ka maʻi diabetes i kāohi ʻole ʻia, ke koko kiʻekiʻe, a me nā maʻi thyroid.
ʻAʻole mālama pono i nā maʻi ʻōpū mimi (UTIs) a me nā maʻi vaginal.
Nā makuahine e puhipaka ana, hoʻohana ana i ka waiʻona a i ʻole nā lāʻau lapaʻau.
Nā makuahine ma lalo o 17 a ʻoi aku paha ma mua o 35 mau makahiki.
Ke kaumaha nui nei, e like me ka lawa ʻole o ka hoʻomaha.
ʻAʻole lawa ke kaumaha a i ʻole ke kaumaha nui loa i ka wā hāpai.
Inā he mau pilikia me ka placenta (e.g., Placenta Previa).

Inā manaʻo ʻoe e pili ana kekahi o kēia mau mea iā ʻoe, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo kikoʻī.

No laila, he aha kā mākou e hana ai e pale aku i ka hānau mua ʻana o ka pēpē? Eia nā ala 5!

ʻAe, eia ka mea nui. E nānā kākou i ka mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia kūlana i kapa ʻia ʻo `(Preterm Labor)`. He mau mea maʻalahi loa kēia, akā he mea pono loa.

1. E hoʻomau i ka launa pū ʻana me kāu kauka (e loaʻa i ka mālama maikaʻi ma mua o ka hāpai ʻana!)

ʻO kēia ka mea nui loa. Mai ka lā āu e ʻike ai e loaʻa ana kāu pēpē, pono ʻoe e ʻike i ke kauka i ka manawa kūpono. E hele i ka "Antenatal Clinic" i ka manawa kūpono.

Mai hōʻalo i kekahi `(Kipa ʻana i ke Keʻena Lapaʻau)`: E hōʻoia e hele i kēlā me kēia lā a ke kauka e hāʻawi ai iā ʻoe. ʻO ia ka manawa e hiki ai iā lākou ke nānā pono i kou olakino a me ke olakino o kāu pēpē.
E haʻi i kāu kauka e pili ana i nā loli liʻiliʻi āu e ʻike ai: ʻeha o ka ʻōpū, ke kahe ʻana o ka ʻōpū, ka poniuniu, a pēlā aku. I kekahi manawa, ʻoiai inā he mea liʻiliʻi ia iā ʻoe, hiki ke lilo i hōʻailona koʻikoʻi.
E nīnau i nā nīnau: Mai hūnā i kekahi mea. E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai.
E hana i nā nānā a me nā hoʻokolohua e pono ai: E hana i nā hoʻokolohua a kāu kauka e ʻōlelo ai, e like me ka ultrasound scan, i ka manawa kūpono. Hiki i kēia ke kōkua iā ʻoe e ʻike i nā mea he nui e pili ana i ka ulu ʻana o ka pēpē a me ke kūlana o ka ʻōpū.

E noʻonoʻo, he hoaaloha kou, e ʻōlelo kākou ʻo Nimali. Ua manaʻo ʻo Nimali i kahi ʻūpā iki i loko o kona ʻōpū. ʻAʻole ʻo ia i hoʻowahāwahā iā ia. Ua kāhea ʻo ia i ke kauka i kēlā lā hoʻokahi. Ua nānā ke kauka iā ia a hāʻawi iā ia i nā ʻōlelo aʻoaʻo e pono ai. Malia paha ua hiki i kēlā mea liʻiliʻi ke pale aku i kahi pilikia nui, ʻeā? Pēlā ʻoe e pono ai.

2. E makaʻala i kāu mea e ʻai ai a inu ai a me kou nohona.

Loaʻa i kāu pēpē kāna meaʻai mai ka mea āu e ʻai ai a inu ai, no laila pono ʻoe e makaʻala loa i kāu mea e ʻai ai a inu ai i kēia manawa.

E ʻai i ka ʻai kaulike: E ʻai i nā meaʻai momona e like me nā greens, nā mea kanu, nā huaʻai, nā ʻiʻo momona ʻole, nā iʻa, a me nā huahana waiū. E lawe i nā huaora a kāu kauka i hāʻawi ai iā ʻoe, ʻoiai ka folic acid a me ka hao. He mea nui loa ka folic acid no ka ulu ʻana o ka ʻōnaehana nerve o kāu pēpē.
E inu i ka wai nui:E ho'āʻo e inu ma ka liʻiliʻi he 8-10 mau kīʻaha wai i ka lā. Inā emi ka nui o ka wai i loko o ke kino, hiki i ka ʻōpū ke ʻūlū koke (`(Uterine Irritability)`). Hiki i kēlā ke kumu o `(Preterm Labor)`.
E noho mamao loa mai nā mea ʻino: ʻAʻole maikaʻi iki ka puhipaka, ka inu ʻana i ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau ʻē aʻe i kēia manawa. ʻAʻole wale kēia mau mea e hōʻino i ka ulu ʻana o ka pēpē, akā e hoʻonui pū i nā manawa kūpono e loaʻa ai kahi pēpē hānau mua. Inā puhipaka ka poʻe a puni ʻoe, e noho mamao aku mai kēlā uahi pū kekahi.
E hoʻonui i ke kaumaha me ke olakino: He mea maʻamau ka hoʻonui ʻana i ke kaumaha i ka wā hāpai. Akā, ʻaʻole maikaʻi ka hoʻonui ʻana i ke kaumaha nui a i ʻole ka hoʻonui ʻole ʻana i ke kaumaha. E kamaʻilio me kāu kauka e pili ana i ka nui o ke kaumaha kūpono nou.
E noʻonoʻo i ke olakino o nā niho a me nā ʻāʻī: Ua hōʻike kekahi mau noiʻi aia paha kahi pilina ma waena o nā maʻi ʻāʻī a me ka hānau mua ʻana. No laila, he manaʻo maikaʻi e palaki i kou mau niho i kēlā me kēia ʻelua lā a hele no nā nānā niho.

3. E mālama i kāu mau maʻi maʻi ʻē aʻe

Inā loaʻa iā ʻoe kekahi mau maʻi mau loa e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā pilikia thyroid, a i ʻole ka maʻi puʻupaʻa, he mea nui e kaohi pono i kēlā mau kūlana i ka wā hāpai.

E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka i ka manawa kūpono.
Inā ʻoe e kaohi ana i kāu ʻai, e hana pēlā.
E hana i nā hoʻokolohua kino maʻamau a e nānā pinepine i kou kūlana olakino.

Inā ʻaʻole i kāohi pono ʻia kēia mau kūlana, hiki iā lākou ke hoʻopilikia i ka placenta, e hōʻemi ana i ka oxygen a me ka meaʻai e loaʻa ana i ka pēpē. Inā hana ʻia kēia, ʻoi aku ka nui o ka pilikia o ka hānau mua ʻana o ka pēpē. No laila, pono e mālama pono ʻia ma kēia ʻano.

4. E hoʻomaha i kou manaʻo a hoʻomaha maikaʻi!

He manawa o nā loli he nui ka hāpai ʻana, ma ke kino a me ka noʻonoʻo. He mea nui loa ia e hoʻomaha i kou noʻonoʻo i ka hiki i kēia manawa. ʻO ke kaumaha nui kekahi kumu e hiki ke hoʻopilikia i ka hānau mua ʻana.

E hana i nā mea e hauʻoli ai ʻoe: e heluhelu i kahi puke, e hoʻolohe i ke mele, e hana i kahi hana āu e makemake ai.
E noʻonoʻo a hana i nā hoʻomaʻamaʻa hanu: Hāʻawi kēia i ka hōʻoluʻolu nui i ka noʻonoʻo.
Inā he pilikia kou, e kamaʻilio me kahi mea āu e hilinaʻi ai: kāu kāne, kou makuahine, he hoaaloha. Mai hūnā iā ia i loko.
E hiamoe pono: E hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka lā. Inā hiki iā ʻoe ke hiamoe pōkole i ke ao, ua maikaʻi nō hoʻi.
E noho mamao aku mai ka hana nui loa:ʻOiai inā ʻoe e hana ana i nā hana o ka hale, e hana iā lākou i nā ʻāpana liʻiliʻi, me ka ʻole o ka hoʻoluhi ʻana iā ʻoe iho i ka manawa hoʻokahi. E hōʻemi i nā mea e like me ka hāpai ʻana i nā mea kaumaha a me ke kū ʻana no ka manawa lōʻihi, ʻoiai inā pilikia ʻoe i ka hānau mua ʻana. E hoʻolohe i kou kino. Inā manaʻo ʻoe ua luhi, e hoʻomaha.

5. E hoʻomaopopo i nā hōʻailona hōʻike a hana koke!

He mea nui loa nō hoʻi kēia. Aia kekahi mau hōʻailona mua o ka "Preterm Labour". Inā ʻike ʻoe i kēia mau mea, hiki iā ʻoe ke hoʻomaopopo koke i kāu kauka a loaʻa i ka lāʻau lapaʻau e pono ai.

Eia kekahi mau hiʻohiʻona:

Nā ʻūmiʻi: He manaʻo o ka ʻūmiʻi a me ka wehe ʻana i loko o ka ʻōpū . Inā hana ʻia kēia mau mea ma mua o ʻehā manawa i ka hola, ma nā manawa maʻamau (e laʻa me kēlā me kēia 10-15 mau minuke), he hōʻailona paha ia o ka hānau mua ʻana. I kekahi manawa ʻaʻohe ʻeha. (Pono e hoʻokaʻawale ʻia kēia mau mea mai nā ʻūmiʻi Braxton Hicks. ʻO ka maʻamau, ʻaʻole ʻeha nā ʻūmiʻi Braxton Hicks, a nalowale me ka hoʻololi ʻana i nā kūlana.)
Ke kahe ʻana o ka ʻōpū maʻamau ʻole: Inā he kahe wai, koko (Hoʻoponopono ʻia: koko), ʻeleʻele, a mānoanoa paha e like me ka mucus (`(Mucus Plug)`).
ʻEha o ka ʻōpū haʻahaʻa a i ʻole ke kuʻi ʻana: ʻEha like me ka menstruation, a i ʻole ka manaʻo e like me ke pēpē e kaomi ana i lalo.
ʻEha kua: He ʻeha ʻē i loaʻa ʻole ma mua, mau a hele mai a hele (Hoʻoponopono ʻia: hele mai a hele) i kēlā me kēia manawa.
Nā hōʻailona e like me ka maʻi pākī, i kekahi manawa hele pū me ka nausea.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai noho wale i ka home a kali. Mai noʻonoʻo, "E kali kākou a ʻike inā e nalowale ana." Mai lāʻau ponoʻī a hana paha i nā mea a ka poʻe e ʻōlelo aku ai iā ʻoe e hana. E kelepona koke i kāu kauka, a i ʻole e hele i ka haukapila kokoke loa. ʻO ka hana wikiwiki ʻana i kekahi manawa hiki ke kōkua i ka pale ʻana i ka hānau mua ʻana.

He aha inā loaʻa koke iā ʻoe kahi pēpē hānau mua? (He aha inā loaʻa iā ʻoe kahi "Preterm Labour"?)

ʻOiai inā ʻoe e hana pono i kēia mau mea a pau, i kekahi manawa hiki iā ʻoe ke hoʻomaka koke i kahi "hanau mua". ʻOiai i kēlā manawa, mai hopohopo. Ua holomua loa ka ʻepekema lapaʻau i kēia lā.

E nānā mua ke kauka i ka makahiki hāpai o ke pēpē a me kou olakino a me ke olakino o kāu pēpē. Inā hiki, e hoʻāʻo lākou e hāʻawi iā ʻoe i ka lāʻau lapaʻau (Tocolytics) e hoʻōki i nā ʻūlū ʻana i loko o kou ʻōpū. Hiki iā lākou ke hāʻawi iā ʻoe i ka lāʻau lapaʻau i kapa ʻia ʻo Corticosteroids e kōkua i ka ulu wikiwiki ʻana o nā māmā o kāu pēpē. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā pilikia hanu inā hānau mua ʻia kāu pēpē. Inā pono, e mālama ʻia ʻoe i ka haukapila no ka mālama kūikawā.

He mea nui hoʻi kēia no ka hoʻomaha ʻana ma ka home (Leka Lawe-Home)

I kēia manawa ua maopopo paha iā ʻoe he nui nā mea hiki iā ʻoe ke hana e pale aku i ka hānau mua ʻana.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka pilina maikaʻi me kāu kauka a hahai i kāna ʻōlelo aʻo.
E hoʻomau i kahi nohona olakino. E ʻai pono, e inu pono, a e hoʻomaha pono.
E makaʻala i nā hōʻailona hōʻike, a inā kānalua, e haʻi koke aku i kāu kauka .
E hoʻomanaʻo, ua hānau ʻia ka hapa nui o nā pēpē i ka manawa kūpono a olakino hoʻi. Akā, ʻo ka ʻike ʻana i kēia mau mea hiki ke hāʻawi iā ʻoe i ka ikaika nui.
ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia pū kāu kauka, kahu hānai, ʻohana, a me nā hoaaloha me ʻoe. E kiʻi i kā lākou kōkua.

Ke makemake nui nei au iā ʻoe i kahi hānau olakino a nani hoʻi! Mai poina e hahai i kēia mau mea no kou palekana a me kāu pēpē.

ʻO ka hānau mua ʻana, ka mālama ʻana i ka wā hāpai, ke olakino o ka pēpē, ka makuahine hāpai, ka hāpai olakino

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ka Hāpai Keiki a me ke Ola Kino o ka Makuahine27 Iune 2026
5 mau mea hiki iā ʻoe ke hana e pale aku i ka hānau mua ʻana! E kamaʻilio kākou e pili ana i kēia?
Dr. Priya SammaniMedical Verification
⏱ 14 min read
📋Table of Contents
1. He aha ka `(Preterm Labour)`? No ke aha he mea ia e hopohopo ai kākou?
2. ʻO wai ka mea i ʻoi aku ka pilikia no ka "hanau mua"?
3. No laila, he aha kā mākou e hana ai e pale aku i ka hānau mua ʻana o ka pēpē? Eia nā ala 5!
4. 1. E hoʻomau i ka launa pū ʻana me kāu kauka (e loaʻa i ka mālama maikaʻi ma mua o ka hāpai ʻana!)
5. 2. E makaʻala i kāu mea e ʻai ai a inu ai a me kou nohona.
6. 3. E mālama i kāu mau maʻi maʻi ʻē aʻe
7. 4. E hoʻomaha i kou manaʻo a hoʻomaha maikaʻi!
8. 5. E hoʻomaopopo i nā hōʻailona hōʻike a hana koke!
9. He aha inā loaʻa koke iā ʻoe kahi pēpē hānau mua? (He aha inā loaʻa iā ʻoe kahi "Preterm Labour"?)
10. He mea nui hoʻi kēia no ka hoʻomaha ʻana ma ka home (Leka Lawe-Home)
Aloha! Inā he makuahine ʻoe e hāpai ana i kahi pēpē i kēia mau lā, ʻo kekahi o nā manaʻolana nui loa i kou manaʻo, ʻo ia ka lawe ʻana mai i kahi pēpē olakino i kēia ao i ka manawa kūpono. ʻAʻole anei he moeʻuhane nani kēlā? Akā i kekahi manawa aia nā manawa e hoʻāʻo ai ka pēpē e hele koke mai, me ka manaʻo ʻole ʻia. Kāhea mākou i kēia 'hanau mua' a i ʻole e like me ke kāhea ʻana o nā kauka , `(Preterm Labor)` . He mea maʻamau loa iā ʻoe ke makaʻu iki a me ka hopohopo ke lohe ʻoe i kēia mau ʻōlelo. Akā, mai hopohopo, ʻae? No ka mea, inā ʻike mākou i kēia a lawe i nā hana e pono ai, hiki iā mākou ke pale aku i kēia kūlana i ka hapa nui o nā hihia. I kēia lā, e kamaʻilio kākou e pili ana i nā mea nui loa āu e hiki ai ke hana e pale aku i kēia kūlana i kapa ʻia ʻo `(Preterm Labor)`.
He aha ka `(Preterm Labour)`? No ke aha he mea ia e hopohopo ai kākou?
I ka ʻōlelo maʻalahi, ʻo ka hānau mua ʻana, ʻo ia ka hānau ʻana o kahi pēpē ma mua o nā pule he 40 i manaʻo ʻia, ʻo ia hoʻi, ma mua o 37 mau pule. ʻO ka maʻamau, ʻo ka manawa ma waena o 37 a me 40 mau pule he mea nui ia no ka pēpē e ulu piha i loko o ka ʻōpū o ka makuahine. No laila, inā hoʻāʻo ka pēpē e puka i waho ma mua o kēlā, ʻaʻole paha i ulu pono kekahi o nā ʻōpū o ka pēpē, ʻoiai nā māmā a me ka lolo.
E noʻonoʻo e like me ka hoʻomoʻa ʻana i kahi keke. He aha ka mea e hana ai inā lawe ʻoe mai loko mai o ka umu ma mua o ka manawa kūpono? ʻAʻole ia e piʻi pono a ʻono maikaʻi, ʻeā? ʻO ia ka mea e hana ai i ka pēpē. Inā hānau mua ʻia ka pēpē, hiki iā ia ke loaʻa nā pilikia he nui, e like me ka paʻakikī o ka hanu ʻana, ke kaumaha hānau haʻahaʻa, nā pilikia ʻōpū, a me ka maʻalahi i nā maʻi . I kekahi manawa, aia nā pilikia olakino lōʻihi. ʻO ia ke kumu e hopohopo nui ai mākou no kēia `(Preterm Labor)`. Akā e hoʻomanaʻo, ʻoiai inā hōʻike ʻoe i nā hōʻailona o ka hānau mua ʻana, ʻaʻole e hānau mua ʻia ka pēpē. Hiki i nā kauka ke kōkua i kekahi manawa e hoʻōki iā ia.
ʻO wai ka mea i ʻoi aku ka pilikia no ka "hanau mua"?
Mai hopohopo i kēia. ʻAʻole kēia manaʻo e hiki mai ana kēia i nā kānaka a pau. Akā, aia paha kekahi poʻe i kahi pilikia kiʻekiʻe iki ma mua o nā poʻe ʻē aʻe. He mea nui e ʻike i ko lākou ʻano, i hiki iā ʻoe ke mālama pono iā ʻoe iho.
Nā makuahine i loaʻa i ka hānau mua ʻana: Inā ua loaʻa iā ʻoe kahi pēpē ma mua o ka wā ʻōpiopio, aia kahi manawa liʻiliʻi e hana hou ʻia.
Nā makuahine e hāpai ana i nā māhoe a i ʻole nā mākolu (`(Multiple Pregnancy)`): ʻOi aku ke kaomi o ka ʻōpū i ka wā e hāpai ana ma mua o hoʻokahi pēpē, no laila ʻoi aku ka nui o ka manawa e hānau mua ai.
ʻO ka poʻe i loaʻa kekahi mau pilikia me ka ʻōpū (`(Uterus)`) a i ʻole ka cervix (`(Cervix)`): No ka laʻana, inā nāwaliwali ka cervix (`(Incompetent Cervix)`), hiki ke hana ʻia kēia.
Nā makuahine me kekahi mau maʻi mau loa: e like me ka maʻi diabetes i kāohi ʻole ʻia, ke koko kiʻekiʻe, a me nā maʻi thyroid.
ʻAʻole mālama pono i nā maʻi ʻōpū mimi (UTIs) a me nā maʻi vaginal.
Nā makuahine e puhipaka ana, hoʻohana ana i ka waiʻona a i ʻole nā lāʻau lapaʻau.
Nā makuahine ma lalo o 17 a ʻoi aku paha ma mua o 35 mau makahiki.
Ke kaumaha nui nei, e like me ka lawa ʻole o ka hoʻomaha.
ʻAʻole lawa ke kaumaha a i ʻole ke kaumaha nui loa i ka wā hāpai.
Inā he mau pilikia me ka placenta (e.g., Placenta Previa).
Inā manaʻo ʻoe e pili ana kekahi o kēia mau mea iā ʻoe, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo kikoʻī.
No laila, he aha kā mākou e hana ai e pale aku i ka hānau mua ʻana o ka pēpē? Eia nā ala 5!
ʻAe, eia ka mea nui. E nānā kākou i ka mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia kūlana i kapa ʻia ʻo `(Preterm Labor)`. He mau mea maʻalahi loa kēia, akā he mea pono loa.
1. E hoʻomau i ka launa pū ʻana me kāu kauka (e loaʻa i ka mālama maikaʻi ma mua o ka hāpai ʻana!)
ʻO kēia ka mea nui loa. Mai ka lā āu e ʻike ai e loaʻa ana kāu pēpē, pono ʻoe e ʻike i ke kauka i ka manawa kūpono. E hele i ka "Antenatal Clinic" i ka manawa kūpono.
Mai hōʻalo i kekahi `(Kipa ʻana i ke Keʻena Lapaʻau)`: E hōʻoia e hele i kēlā me kēia lā a ke kauka e hāʻawi ai iā ʻoe. ʻO ia ka manawa e hiki ai iā lākou ke nānā pono i kou olakino a me ke olakino o kāu pēpē.
E haʻi i kāu kauka e pili ana i nā loli liʻiliʻi āu e ʻike ai: ʻeha o ka ʻōpū, ke kahe ʻana o ka ʻōpū, ka poniuniu, a pēlā aku. I kekahi manawa, ʻoiai inā he mea liʻiliʻi ia iā ʻoe, hiki ke lilo i hōʻailona koʻikoʻi.
E nīnau i nā nīnau: Mai hūnā i kekahi mea. E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai.
E hana i nā nānā a me nā hoʻokolohua e pono ai: E hana i nā hoʻokolohua a kāu kauka e ʻōlelo ai, e like me ka ultrasound scan, i ka manawa kūpono. Hiki i kēia ke kōkua iā ʻoe e ʻike i nā mea he nui e pili ana i ka ulu ʻana o ka pēpē a me ke kūlana o ka ʻōpū.
E noʻonoʻo, he hoaaloha kou, e ʻōlelo kākou ʻo Nimali. Ua manaʻo ʻo Nimali i kahi ʻūpā iki i loko o kona ʻōpū. ʻAʻole ʻo ia i hoʻowahāwahā iā ia. Ua kāhea ʻo ia i ke kauka i kēlā lā hoʻokahi. Ua nānā ke kauka iā ia a hāʻawi iā ia i nā ʻōlelo aʻoaʻo e pono ai. Malia paha ua hiki i kēlā mea liʻiliʻi ke pale aku i kahi pilikia nui, ʻeā? Pēlā ʻoe e pono ai.
2. E makaʻala i kāu mea e ʻai ai a inu ai a me kou nohona.
Loaʻa i kāu pēpē kāna meaʻai mai ka mea āu e ʻai ai a inu ai, no laila pono ʻoe e makaʻala loa i kāu mea e ʻai ai a inu ai i kēia manawa.
E ʻai i ka ʻai kaulike: E ʻai i nā meaʻai momona e like me nā greens, nā mea kanu, nā huaʻai, nā ʻiʻo momona ʻole, nā iʻa, a me nā huahana waiū. E lawe i nā huaora a kāu kauka i hāʻawi ai iā ʻoe, ʻoiai ka folic acid a me ka hao. He mea nui loa ka folic acid no ka ulu ʻana o ka ʻōnaehana nerve o kāu pēpē.
E inu i ka wai nui:E ho'āʻo e inu ma ka liʻiliʻi he 8-10 mau kīʻaha wai i ka lā. Inā emi ka nui o ka wai i loko o ke kino, hiki i ka ʻōpū ke ʻūlū koke (`(Uterine Irritability)`). Hiki i kēlā ke kumu o `(Preterm Labor)`.
E noho mamao loa mai nā mea ʻino: ʻAʻole maikaʻi iki ka puhipaka, ka inu ʻana i ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau ʻē aʻe i kēia manawa. ʻAʻole wale kēia mau mea e hōʻino i ka ulu ʻana o ka pēpē, akā e hoʻonui pū i nā manawa kūpono e loaʻa ai kahi pēpē hānau mua. Inā puhipaka ka poʻe a puni ʻoe, e noho mamao aku mai kēlā uahi pū kekahi.
E hoʻonui i ke kaumaha me ke olakino: He mea maʻamau ka hoʻonui ʻana i ke kaumaha i ka wā hāpai. Akā, ʻaʻole maikaʻi ka hoʻonui ʻana i ke kaumaha nui a i ʻole ka hoʻonui ʻole ʻana i ke kaumaha. E kamaʻilio me kāu kauka e pili ana i ka nui o ke kaumaha kūpono nou.
E noʻonoʻo i ke olakino o nā niho a me nā ʻāʻī: Ua hōʻike kekahi mau noiʻi aia paha kahi pilina ma waena o nā maʻi ʻāʻī a me ka hānau mua ʻana. No laila, he manaʻo maikaʻi e palaki i kou mau niho i kēlā me kēia ʻelua lā a hele no nā nānā niho.
3. E mālama i kāu mau maʻi maʻi ʻē aʻe
Inā loaʻa iā ʻoe kekahi mau maʻi mau loa e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā pilikia thyroid, a i ʻole ka maʻi puʻupaʻa, he mea nui e kaohi pono i kēlā mau kūlana i ka wā hāpai.
E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka i ka manawa kūpono.
Inā ʻoe e kaohi ana i kāu ʻai, e hana pēlā.
E hana i nā hoʻokolohua kino maʻamau a e nānā pinepine i kou kūlana olakino.
Inā ʻaʻole i kāohi pono ʻia kēia mau kūlana, hiki iā lākou ke hoʻopilikia i ka placenta, e hōʻemi ana i ka oxygen a me ka meaʻai e loaʻa ana i ka pēpē. Inā hana ʻia kēia, ʻoi aku ka nui o ka pilikia o ka hānau mua ʻana o ka pēpē. No laila, pono e mālama pono ʻia ma kēia ʻano.
4. E hoʻomaha i kou manaʻo a hoʻomaha maikaʻi!
He manawa o nā loli he nui ka hāpai ʻana, ma ke kino a me ka noʻonoʻo. He mea nui loa ia e hoʻomaha i kou noʻonoʻo i ka hiki i kēia manawa. ʻO ke kaumaha nui kekahi kumu e hiki ke hoʻopilikia i ka hānau mua ʻana.
E hana i nā mea e hauʻoli ai ʻoe: e heluhelu i kahi puke, e hoʻolohe i ke mele, e hana i kahi hana āu e makemake ai.
E noʻonoʻo a hana i nā hoʻomaʻamaʻa hanu: Hāʻawi kēia i ka hōʻoluʻolu nui i ka noʻonoʻo.
Inā he pilikia kou, e kamaʻilio me kahi mea āu e hilinaʻi ai: kāu kāne, kou makuahine, he hoaaloha. Mai hūnā iā ia i loko.
E hiamoe pono: E hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka lā. Inā hiki iā ʻoe ke hiamoe pōkole i ke ao, ua maikaʻi nō hoʻi.
E noho mamao aku mai ka hana nui loa:ʻOiai inā ʻoe e hana ana i nā hana o ka hale, e hana iā lākou i nā ʻāpana liʻiliʻi, me ka ʻole o ka hoʻoluhi ʻana iā ʻoe iho i ka manawa hoʻokahi. E hōʻemi i nā mea e like me ka hāpai ʻana i nā mea kaumaha a me ke kū ʻana no ka manawa lōʻihi, ʻoiai inā pilikia ʻoe i ka hānau mua ʻana. E hoʻolohe i kou kino. Inā manaʻo ʻoe ua luhi, e hoʻomaha.
5. E hoʻomaopopo i nā hōʻailona hōʻike a hana koke!
He mea nui loa nō hoʻi kēia. Aia kekahi mau hōʻailona mua o ka "Preterm Labour". Inā ʻike ʻoe i kēia mau mea, hiki iā ʻoe ke hoʻomaopopo koke i kāu kauka a loaʻa i ka lāʻau lapaʻau e pono ai.
Eia kekahi mau hiʻohiʻona:
Nā ʻūmiʻi: He manaʻo o ka ʻūmiʻi a me ka wehe ʻana i loko o ka ʻōpū . Inā hana ʻia kēia mau mea ma mua o ʻehā manawa i ka hola, ma nā manawa maʻamau (e laʻa me kēlā me kēia 10-15 mau minuke), he hōʻailona paha ia o ka hānau mua ʻana. I kekahi manawa ʻaʻohe ʻeha. (Pono e hoʻokaʻawale ʻia kēia mau mea mai nā ʻūmiʻi Braxton Hicks. ʻO ka maʻamau, ʻaʻole ʻeha nā ʻūmiʻi Braxton Hicks, a nalowale me ka hoʻololi ʻana i nā kūlana.)
Ke kahe ʻana o ka ʻōpū maʻamau ʻole: Inā he kahe wai, koko (Hoʻoponopono ʻia: koko), ʻeleʻele, a mānoanoa paha e like me ka mucus (`(Mucus Plug)`).
ʻEha o ka ʻōpū haʻahaʻa a i ʻole ke kuʻi ʻana: ʻEha like me ka menstruation, a i ʻole ka manaʻo e like me ke pēpē e kaomi ana i lalo.
ʻEha kua: He ʻeha ʻē i loaʻa ʻole ma mua, mau a hele mai a hele (Hoʻoponopono ʻia: hele mai a hele) i kēlā me kēia manawa.
Nā hōʻailona e like me ka maʻi pākī, i kekahi manawa hele pū me ka nausea.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai noho wale i ka home a kali. Mai noʻonoʻo, "E kali kākou a ʻike inā e nalowale ana." Mai lāʻau ponoʻī a hana paha i nā mea a ka poʻe e ʻōlelo aku ai iā ʻoe e hana. E kelepona koke i kāu kauka, a i ʻole e hele i ka haukapila kokoke loa. ʻO ka hana wikiwiki ʻana i kekahi manawa hiki ke kōkua i ka pale ʻana i ka hānau mua ʻana.
He aha inā loaʻa koke iā ʻoe kahi pēpē hānau mua? (He aha inā loaʻa iā ʻoe kahi "Preterm Labour"?)
ʻOiai inā ʻoe e hana pono i kēia mau mea a pau, i kekahi manawa hiki iā ʻoe ke hoʻomaka koke i kahi "hanau mua". ʻOiai i kēlā manawa, mai hopohopo. Ua holomua loa ka ʻepekema lapaʻau i kēia lā.
E nānā mua ke kauka i ka makahiki hāpai o ke pēpē a me kou olakino a me ke olakino o kāu pēpē. Inā hiki, e hoʻāʻo lākou e hāʻawi iā ʻoe i ka lāʻau lapaʻau (Tocolytics) e hoʻōki i nā ʻūlū ʻana i loko o kou ʻōpū. Hiki iā lākou ke hāʻawi iā ʻoe i ka lāʻau lapaʻau i kapa ʻia ʻo Corticosteroids e kōkua i ka ulu wikiwiki ʻana o nā māmā o kāu pēpē. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā pilikia hanu inā hānau mua ʻia kāu pēpē. Inā pono, e mālama ʻia ʻoe i ka haukapila no ka mālama kūikawā.
He mea nui hoʻi kēia no ka hoʻomaha ʻana ma ka home (Leka Lawe-Home)
I kēia manawa ua maopopo paha iā ʻoe he nui nā mea hiki iā ʻoe ke hana e pale aku i ka hānau mua ʻana.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka pilina maikaʻi me kāu kauka a hahai i kāna ʻōlelo aʻo.
E hoʻomau i kahi nohona olakino. E ʻai pono, e inu pono, a e hoʻomaha pono.
E makaʻala i nā hōʻailona hōʻike, a inā kānalua, e haʻi koke aku i kāu kauka .
E hoʻomanaʻo, ua hānau ʻia ka hapa nui o nā pēpē i ka manawa kūpono a olakino hoʻi. Akā, ʻo ka ʻike ʻana i kēia mau mea hiki ke hāʻawi iā ʻoe i ka ikaika nui.
ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia pū kāu kauka, kahu hānai, ʻohana, a me nā hoaaloha me ʻoe. E kiʻi i kā lākou kōkua.
Ke makemake nui nei au iā ʻoe i kahi hānau olakino a nani hoʻi! Mai poina e hahai i kēia mau mea no kou palekana a me kāu pēpē.
ʻO ka hānau mua ʻana, ka mālama ʻana i ka wā hāpai, ke olakino o ka pēpē, ka makuahine hāpai, ka hāpai olakino
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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