He ʻike nani a kuleana hoʻi ka lilo ʻana i makuahine i ke ola, ʻeā? No laila, i loko o kēia manawa makamae, ʻo ka mea nui loa no ʻoe a me ke pēpē liʻiliʻi e ulu ana i loko o kou ʻōpū e olakino a hauʻoli. ʻO ke kōkua lapaʻau āu e loaʻa ai i ka wā hāpai, a i ʻole 'Prenatal Care' wale nō, he kōkua nui ia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kekahi mau mea nui e pono ai ʻoe e makaʻala.
No ke aha he mea nui ka mālama ʻana i ka wā hāpai?
E noʻonoʻo, i ka wā e komo mai ai kahi lālā hou i kou ola, makemake ʻoe e hana i nā mea āpau me ka pololei.
ʻO ka mālama ma mua o ka hānau ʻana ka mālama olakino āu e loaʻa ai mai ka manawa āu e hāpai ai a hiki i ka hānau ʻana o ka pēpē. Ua like ia me ke kanu ʻana i kahi mea kanu a me ka hoʻoinu ʻana a me ka hoʻoulu ʻana a hiki i kona ulu ʻana. Ma ka hele ʻana i kēia mau manawa lapaʻau
i ka wā hikiwawe a me ka manawa mau , e loaʻa iā ʻoe kahi hoʻoikaika nui i ka mālama ʻana iā ʻoe a me kāu pēpē i ke olakino. No ka mea, inā he pilikia, hiki i nā kauka ke
ʻike mua iā ia a hoʻomaka i ka lāʻau e pono ai . I kekahi manawa, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau ma mua o kou hāpai ʻana. A laila hiki iā ʻoe ke hoʻomaka i kāu huakaʻi hou i ke olakino.
E hoʻomanaʻo: ʻO ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau i ka wā mua a me ka hoʻomau ʻana ke kaʻina mua i kahi hānau olakino!
Pehea e hiki ai iaʻu ke komo i kēia mau lawelawe mālama hānau mua?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻO wai ka mea hiki ke kōkua iaʻu i kēia manawa?" ʻO ka maʻamau, hiki i kahi makuahine e hāpai ana i kahi hāpai olakino a maʻalahi hoʻi ke loaʻa nā lawelawe mai:
- Nā Kauka Hānau Keiki : ʻO kēia mau kauka ka poʻe loea i ka hāpai ʻana a me ka hānau keiki ʻana .
- Nā Kauka Hānau Wahine/Wāhine (OB/GYN): He mau kauka kēia e loea ana i ka hāpai ʻana, ka hānau keiki ʻana, a me ke olakino o nā wahine . I ka manawa pinepine, ua like kēia mau mea ʻelua.
- Nā Kauka ʻOhana: Hāʻawi pū kekahi mau kauka ʻohana i ka mālama ma mua o ka hāpai ʻana a me nā lawelawe hānau keiki. Hiki iā ʻoe ke nīnau i kāu kauka ʻohana e pili ana i kēia.
- Nā kahu hānai: He mea nui loa kēia lawelawe ma ko mākou ʻāina. Kōkua nui nā kahu hānai iā ʻoe i ka wā hāpai, ka hānau keiki ʻana a ma hope o ka hānau ʻana o ke pēpē, ʻoiai i nā hāpai me nā pilikia haʻahaʻa. Ma kekahi mau ʻāina, aia nā poʻe me nā pae hoʻomaʻamaʻa like ʻole, e like me `(Certified Nurse-Midwives)`.
Akā, i kekahi manawa, ʻo ʻoe
Pono paha ka nānā kūikawā. Inā pēlā, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea Maternal-Fetal Medicine (MFM) a i ʻole he Perinatologist . Eia nā hihia:- Inā loaʻa iā ʻoe kahi maʻi mau e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai .
- Inā kiʻekiʻe ka pilikia o ka hānau ʻana o ka pēpē ma mua o ka lā hānau (hanau mua).
- Inā ʻoe ma luna o 35 mau makahiki.
- Inā he ʻoi aku ma mua o hoʻokahi pēpē i loko o kou ʻōpū (e like me nā māhoe).
- Inā he mau pilikia ʻē aʻe kāu e hiki ai ke hoʻokomo iā ʻoe i kahi māhele pilikia kiʻekiʻe.
He aha nā manawa hoʻopaʻa a me nā hoʻokolohua lapaʻau maʻamau i ka wā hāpai?
I ka manawa koke e ʻike ai ʻoe ua hāpai ʻoe, pono ʻoe e hoʻonohonoho i kāu kipa mua ʻana i ka wā hāpai. ʻO kēia ma waena o 6 a me 8 mau pule o kou hāpai ʻana , a i ʻole i ka wā e lohi ai kou wā ma hope o 2 a 4 mau pule. I kekahi manawa, hiki ke hana ʻia ka hālāwai mua ma hope o 8 mau pule inā ʻaʻohe pilikia ma mua o ia manawa. Inā olakino ʻoe a ʻaʻohe ou kumu pilikia kūikawā, ʻo ka nui o nā manawa e pono ai ʻoe e ʻike i kāu kauka penei:- I kēlā me kēia 4 pule a hiki i ka 28 o ka pule hāpai.
- A laila, i kēlā me kēia 2 pule a hiki i ka pule 36 .
- Ma hope o kēlā, hoʻokahi manawa i ka pule a hiki i ka hānau ʻana o ke pēpē .
Ma aneane kēlā me kēia kipa ʻana, e hoʻopaʻa ʻia kou kaumaha a me ke koko . Eia kekahi, e hoʻomaka ana ma kahi o ka pule 22, e ana ʻia kou ʻōpū no ka nui a me ke ʻano e ʻike ai inā e ulu pono ana kāu pēpē a e ulu ana. I kekahi mau kipa ʻana, e lawe ʻia kahi hāpana mimi mai ou aku a hoʻāʻo ʻia no ka glucose a me ka protein. He mau hoʻokolohua koʻikoʻi loa kēia. He aha nā hoʻokolohua kūikawā i hana ʻia i ka wā hāpai (Nā hoʻokolohua Prenatal)?
Hiki i nā hoʻokolohua prenatal ke kōkua i nā kauka e ʻike inā he kīnā hānau a pilikia chromosomal paha ka pēpē. Hiki iā lākou ke ʻike i nā kūlana i loaʻa i ka makuahine e hiki ke hoʻopilikia i ka pēpē, e like me ka maʻi diabetes gestational, anemia, a i ʻole nā maʻi. Hana ʻia kēia mau hoʻokolohua i ka wā mua, ka lua, a me ke kolu o ka trimesters o ka hāpai ʻana. Hōʻike wale kekahi mau hoʻokolohua i ka hiki ke loaʻa kahi pilikia (Nā Hoʻokolohua Screening) . Hiki i nā hoʻokolohua ʻē aʻe ke haʻi maopopo iā ʻoe (Nā Hoʻokolohua Diagnostic) .Inā paha he pilikia a ʻaʻole paha. I kekahi manawa, ma hope o kahi Hoʻāʻo Nānā, hana ʻia kahi Hoʻāʻo Diagnostic. Hoʻokomo pū kēia i nā hoʻāʻo koko, `(Amniocentesis)`, `(CVS - Chorionic Villus Sampling)` a me nā scan `(Ultrasound)`. Hana ʻia kēia mau mea a pau no ka palekana o ʻoe a me kāu pēpē. He aha nā pilikia olakino maʻamau e hiki ke kū mai i ka wā hāpai?
Hiki i kekahi mau makuahine ke hopohopo iki e pili ana i nā maʻi i loaʻa mua e like me ka maʻi diabetes, me ka noʻonoʻo ʻana, "E pili anei kēia i kaʻu pēpē?" Inā loaʻa iā ʻoe kekahi, e kamaʻilio me kāu kauka. Hiki paha iā ia ke hoʻololi i kāu mau lāʻau lapaʻau a hāʻawi paha iā ʻoe i ka ʻōlelo aʻoaʻo e hōʻoluʻolu i kou hopohopo. Aia kekahi mau maʻi hou e hiki ke kū mai i ka wā hāpai. E nānā kākou i ko lākou ʻano:- ʻO Preeclampsia: Ua kapa ʻia hoʻi ʻo `(Toxemia of Pregnancy). ʻO kēia ka manawa e piʻi ai kou koko , ma ka hapa lua o ka hāpai ʻana a i ʻole ma hope koke iho o ka hānau ʻana o ka pēpē. Hiki i kēia kūlana ke hana i nā pilikia me nā puʻupaʻa (protein i loko o ka mimi), ke akepaʻa, nā maka, a me nā māmā. Loaʻa paha i kekahi poʻe nā hōʻailona like ʻole, aʻo kekahi poʻe ʻaʻohe hōʻailona iki. Inā pili ia i ka lolo, hiki ke loaʻa nā hopu a nalowale paha ka ʻike. Ua kapa ʻia kēia he eclampsia. I kekahi manawa hiki ke ulu ka `(Eclampsia )` me ka ʻole o nā hōʻailona `(Preeclampsia)`. Inā ʻaʻole mālama pono ʻia kēia, hiki ke hoʻoweliweli i ke ola no ka makuahine a me ka pēpē, akā he mea kakaikahi loa kēia.
- ʻO ka makuahine Rh-negative a me ka fetus Rh-positive (Rh Incompatibility): Loaʻa i ka hapa nui o ka poʻe ka Rh factor i loko o ko lākou mau hunaola koko ʻulaʻula (he Rh maikaʻi lākou). ʻO ka poʻe i loaʻa ʻole ia mea he Rh maikaʻi ʻole. Hiki i kahi hoʻāʻo koko maʻalahi ke haʻi iā ʻoe i kāu Rh factor. E noʻonoʻo ʻoe he Rh maikaʻi ʻole ʻoe, akā he Rh maikaʻi kāu pēpē. A laila, inā komo nā hunaola koko o ka pēpē i kou koko, hiki ke kū mai nā pilikia. Hoʻomaka kou kino e hana i nā antibodies e kūʻē i nā hunaola koko o ka pēpē. Hiki i kēia mau antibodies ke komo i loko o ke koko o ka pēpē a luku i kāna mau hunaola koko ʻulaʻula.
ʻOiai he koʻikoʻi kēia mau kūlana, hiki ke mālama ʻia . No laila he mea nui e makaʻala iā lākou a kamaʻilio me kāu kauka. Pehea e kāohi ai i ka ʻai a me ka loaʻa ʻana o ke kaumaha i ka wā hāpai?
He mea maʻamau ka piʻi ʻana o ke kaumaha i ka wā hāpai, akā pono ia ma ke ʻano olakino.- I ka awelika, ʻo kahi makuahine me ke kaumaha maʻamau e hāpai ana i hoʻokahi pēpē e loaʻa i waena o 25-35 paona (ma kahi o 11-16 kilokani) i ka wā hāpai.
- Inā he makuahine ʻoe i kaumaha nui i ka wā hāpai, pono ʻoe e loaʻa ma waena o 15-25 paona (ma kahi o 7-11 kilokani) .
- Inā emi kou kaumaha, pono ʻoe e hoʻonui ma kahi o 28-40 paona (ma kahi o 13-18 kilokani) .
- Inā he ʻoi aku kāu pēpē ma mua o hoʻokahi (e like me nā māhoe), pono ʻoe e hoʻonui i kou kaumaha.
Hiki ke paʻakikī ke kāohi i kou kaumaha i nā pae hope o ka hāpai ʻana. No laila, mai hoʻonui nui i ke kaumaha i ka manawa hoʻokahi i nā mahina mua . Eia nō naʻe, inā ʻaʻole lawa kou kaumaha, hiki ke kū mai nā pilikia ; e like me ka ulu ʻole a i ʻole ka hānau mua ʻana. ʻAʻole ka hāpai ʻana he manawa kūpono e hoʻomākaukau ai no ka ʻai ʻana i ka meaʻai, akā he manawa kūpono ia e hoʻohana ai i kahi ʻano ʻai olakino!
Wahi a nā kauka, pono i ka makuahine me hoʻokahi pēpē ke ʻai i 300-400 mau calorie hou i ka lā i ka lua o ka trimester . Pono ʻoe i kahi mea hou aʻe i ke kolu o ka trimester . ʻO ka hapa nui o kēia mau calorie keu e hele mai mai ka protein . Pono nō hoʻi ʻoe e ʻai i ka nui o nā huaʻai hou, nā palaoa, a me nā mea kanu . ʻO kahi meaʻai māmā maikaʻi paha he aniani waiū momona ʻole, hapalua sanwika, a i ʻole ke kīʻaha yogurt me kekahi mau walnuts a me kahi ʻāpana hua. Pono paha kekahi poʻe, e like me nā makuahine ʻōpio a i ʻole nā makuahine o nā māhoe, i nā calorie hou aʻe. Hiki i kāu kauka ke kuhikuhi i kahi huaora prenatal . E kōkua kēia e hōʻoia i ka loaʻa ʻana o ka hao, calcium, a me ka folic acid . Eia kekahi, he mea maikaʻi loa ka hana ʻana i ka hoʻoikaika kino maʻamau, haʻahaʻa i kēia manawa. He aha hou aʻe kaʻu e pono ai e ʻike?
No ka pono o ʻoe a me kāu pēpē, pono ʻoe e mālama pono iā ʻoe iho i ka wā hāpai. E hōʻoia e hahai i kēia mau mea maʻamau:- Mai puhi paka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau.
- E hoʻomaha pono.
- E ʻai i ka meaʻai olakino.
Eia kekahi, he mea nui loa ka hoʻomaopopo ʻana a me ka makaʻala i kēia mau mea:- Palekana Lapaʻau
- Palekana Meaʻai
- Nā lāʻau pale
- Palekana Hoʻoikaika Kino
E kūkākūkā i kēia mau mea a pau me kāu kauka a hahai i kā lākou ʻōlelo aʻo. Ke koʻikoʻi o ke kamaʻilio ʻana me kāu kauka
I loko o kēia manawa o nā loli i kou kino, he mea hou paha kekahi mau mea iā ʻoe. No laila, hiki ke paʻakikī iki ke kamaʻilio e pili ana i nā mea āpau me kāu kauka. Malia paha ke noʻonoʻo nei ʻoe, "Hiki iaʻu ke moe i loko o kēia manawa?", "He aha kaʻu e hana ai e pili ana i nā hemorrhoids a i ʻole ka constipation?", a i ʻole ke manaʻo nei ʻoe e hopohopo no ka loaʻa ʻana o kahi pēpē. Hilahila paha ʻoe e nīnau i kēia mau nīnau. Akā, mai manaʻo pēlā. Ua nīnau paha kāu kauka i kēia mau nīnau a pau ma mua.No laila, e kākau i kāu mau nīnau ma kahi ʻāpana pepa a nīnau iā lākou i kēlā me kēia manawa o ke kauka. E kōkua nui ia iā ʻoe. Eia kekahi, inā loaʻa kekahi mea e like me kēia, e kāhea koke i kāu kauka:- Inā he kahe koko nui .
- Ka nalowale koke ʻana o ka wai .
- Inā manaʻo ʻoe ua emi iki ka neʻe ʻana o kāu pēpē.
- Inā he ʻoi aku ma mua o ʻekolu mau ʻūmiʻi ʻōpū i loko o hoʻokahi hola.
He mau pilikia kēia, no laila pono ʻoe e makaʻala pū kekahi. ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
Inā ʻoe e lilo i makuahine, a laila he mea nui loa ka mālama ʻana i ka wā hāpai e hoʻolilo i kēia huakaʻi i mea kupaianaha. E hoʻomau i ka ʻike ʻana i kāu kauka, e hahai pololei i kā lākou mau kuhikuhi, a e kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. A laila hiki iā ʻoe ke hoʻokipa i kāu keiki liʻiliʻi i kēia ao ma ke ʻano he makuahine olakino a hauʻoli. Makemake wau iā ʻoe i ka pōmaikaʻi maikaʻi loa! Mālama Hāpai, Mālama Ma mua o ka Hānau ʻana, ʻŌlelo Aʻo Lapaʻau i ka wā Hāpai, Mālama Ma mua o ka Hānau ʻana, Nā Hoʻāʻo Hāpai, Hāpai Ola Kino, Hānau Keiki
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