Ke makaʻu nei ʻoe e hānau mua ʻia kāu pēpē? E aʻo kākou e pili ana i nā ala e pale aku ai!

ʻO ka mea maikaʻi loa nou, ka makuahine e hiki mai ana, a me kāu keiki liʻiliʻi i loko o kou ʻōpū, ʻo ia ka hānau ʻana o kāu pēpē i ka manawa kūpono, ʻo ia hoʻi ma kahi o 40 mau pule. I kēlā manawa, ua ulu maikaʻi nā ʻōpū āpau o ka pēpē. Eia naʻe, i kekahi manawa ua wikiwiki iki kā mākou mau pēpē a hoʻāʻo e hele mai i ka honua ma mua o 37 mau pule. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia 'hānau mua' . ʻO ka hānau mua ʻana i kēia manawa hiki ke hoʻopilikia i ke olakino no ka pēpē e hiki ke hoʻopilikia iā lākou no ke koena o ko lākou ola, no laila he mea nui iā kākou āpau e makaʻala i kēia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau hānau mua, pehea e pale aku ai iā lākou, a me ka mea e hana ai inā hana ʻia kekahi mea e like me ia.

Hiki ke pale ʻia ka hānau mua ʻana? A i ʻole he aha ka mea e hiki ke hana ʻia e hōʻemi ai i ka pilikia?

ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o ka pilikia o kekahi mau makuahine i ka hānau mua ʻana ma mua o nā poʻe ʻē aʻe. No ka laʻana, ʻoi aku ka pōkole a nāwaliwali paha o ka cervix o kekahi mau makuahine - ʻo ia ka ʻaoʻao haʻahaʻa o ka uterus e pili ana i ka vagina. No kēia mau wahine, a i ʻole no nā makuahine i hānau mua ʻia ma mua, ʻoi aku ka nui o ka pilikia i kēia manawa.

Akā, mai hopohopo, aia nā lāʻau lapaʻau e hiki i nā kauka ke hāʻawi i nā hihia e like me kēia.

Lapaʻau no ka poʻe me ka cervix pōkole a me ka poʻe i hānau mua ʻole

• Lapaʻau Progesterone: He hormone maoli kēia. Inā ua hānau mua ʻoe ma mua o ka manawa, a inā ua ʻike kāu kauka ua pōkole loa kou cervix, hiki ke hāʻawi ʻia iā ʻoe kahi hormone i kapa ʻia ʻo progesterone, ma ke ʻano he injection a i ʻole he suppository vaginal. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hānau mua ʻana.

• Cerclage: He ʻoki liʻiliʻi ka Cerclage . Pili ia i ka pani ʻana i kou cervix, a i ʻole ka wehe ʻana o kou uterus, me kekahi mau humuhumu. Ua like ia me ke nakinaki ʻana iā ia. Hoʻemi kēia i ka manawa e wehe mua ai ka cervix a puka mai ka pēpē. Manaʻo pinepine nā kauka i ka cerclage no nā wahine i loaʻa nā hāʻule mua, nā hāʻule, a i ʻole he cervix pōkole, a i ʻole no nā wahine i hoʻomaka ka cervix e wehe mua.

He mea nui: ʻAʻole pono kekahi o kēia mau lāʻau lapaʻau no nā kānaka a pau. ʻO kāu kauka wale nō ke hoʻoholo inā kūpono kekahi o kēia mau mea iā ʻoe.

Pehea kēia lāʻau lapaʻau no nā makuahine me nā māhoe?

Inā he makuahine ʻoe e hāpai ana i nā māhoe a i ʻole nā ​​māhoe ʻekolu, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi pēpē hānau mua. ʻO ka mea pōʻino, ua hōʻike ʻia e ka noiʻi ʻaʻole i kūpono loa ka lāʻau progesterone a mākou i kamaʻilio ai ma mua a me ke ʻoki cerclage i ka pale ʻana i ka hānau mua ʻana i ka wā e hāpai ana ʻoe i nā māhoe.

He aha kāu e hana ai inā ʻike koke ʻia nā hōʻailona ma mua o ka hiki ʻana mai o ka pēpē?

E noʻonoʻo, loaʻa koke iā ʻoe kahi ʻeha ʻōpū, kahi ʻeha ikaika e like me ka ʻeha o ka wā (Contractions). A i ʻole hoʻomaka ʻoe e loaʻa ke koko a wai paha mai loko mai o kou ʻōpū. Hiki ke kahe mālie kēia wai, hiki ke hoʻomau ʻia, a i ʻole e puka koke mai me ka nui. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka a kahu hānai paha me ka hoʻokaʻulua ʻole.

ʻOi loa aku inā e kahe ana ke koko mai ka ʻōpū, a inā manaʻo ʻoe ua haki kou wai, pono ʻoe e hele koke i ka haukapila kokoke loa.

Inā ʻoe e kali ana i kahi pēpē hānau mua ʻole, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele i kahi haukapila me kahi Neonatal Intensive Care Unit (NICU), he keʻena kūikawā ia no ka mālama ʻana i nā pēpē hānau mua ʻole a he mau limahana i aʻo kūikawā ʻia. Ma ia wahi, e loaʻa i ka pēpē nā pono āpau e pono ai.

He aha nā lāʻau lapaʻau i loaʻa ma ka haukapila?

Ke hele ʻoe i ka haukapila me nā ʻeha hānau mua, hiki i nā kauka ke hoʻomaka i nā lāʻau lapaʻau e like me kēia e kōkua iā ʻoe a me kāu pēpē:

• Nā lāʻau antibiotic: Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale aku i nā maʻi like ʻole i ka pēpē a me ka makuahine, a i ʻole e mālama i kahi maʻi e kū nei.
• Nā Steroid: He ʻano lāʻau lapaʻau koʻikoʻi loa kēia. Kōkua kēia mau steroid i ka ulu wikiwiki ʻana o nā māmā o ka pēpē inā hānau mua ʻia lākou, e hōʻemi ana i ka pilikia o nā pilikia hanu. He 24-48 mau hola ka lōʻihi no ka hoʻomaka ʻana o nā pono piha o kēia lāʻau lapaʻau.
• Tocolytics: I kekahi manawa hoʻāʻo nā kauka e hoʻopaneʻe i ka hānau ʻana o ka pēpē i hoʻokahi a ʻelua paha lā. ʻO kēia ke hāʻawi i nā steroids i ʻōlelo ʻia ma mua i ka manawa no ka ulu ʻana o nā māmā o ka pēpē. Kūʻai pū ia i ka manawa inā pono ʻoe e hoʻoneʻe ʻia i kahi haukapila me kahi NICU.

ʻAʻole hoʻāʻo mau nā kauka e hoʻōki i nā ʻeha hānau!

Akā eia ka mea: Inā ʻoi aku ka pēpē ma mua o 34 mau pule, ʻo ia hoʻi ua ulu iki nā māmā o ka pēpē, a inā he pilikia olakino koʻikoʻi no ka makuahine a i ʻole ka pēpē (no ka laʻana, kahi maʻi koʻikoʻi i ka makuahine, ke kahe koko nui, a i ʻole ka puʻuwai puʻuwai kūpono ʻole i ka pēpē), ʻaʻole e hoʻāʻo nā kauka e pale i ka hānau ʻana o ka pēpē ma kēia ʻano. Hiki i kēia ke hoʻopilikia hou aku i ka makuahine a me ka pēpē.

He aha kaʻu e hana ai e pale aku ai i kēia hānau mua ʻana?

ʻAʻole hiki ke pale ʻia ka hānau mua ʻana. Aia kekahi mau kumu i hiki ʻole iā mākou ke kāohi. Eia nō naʻe, hiki iā ʻoe ke hana i kāu ʻāpana e hōʻemi i kēia pilikia i ka hiki. Eia kekahi mau ʻōlelo aʻoaʻo maikaʻi loa:

• E kiʻi i ka mālama kūpono no ka hāpai ʻana a me ke aʻo lapaʻau: Mai ka lā āu e ʻike ai ua hāpai ʻoe, e ʻike mau i kāu kauka a i ka manawa kūpono, a e hahai i kāna mau kuhikuhi. Mai poina i nā manawa i hele ai i ke keʻena lapaʻau. E hana i kāu mau hoʻokolohua a pau. ʻO kēia ke ala maikaʻi loa e loaʻa ai kahi pēpē olakino.

• E mālama i kāu mau pilikia olakino ʻē aʻe: Inā loaʻa iā ʻoe kekahi mau pilikia olakino, e like me ka "Diabetes Mellitus", "Kikokikona kiʻekiʻe", nā pilikia thyroid, a i ʻole "Kaumaha", he mea nui loa ia e mālama pono ʻia a kāohi ʻia ma mua o ka hāpai ʻana, a ma kou wā hāpai.

• E pale loa i nā ʻano maikaʻi ʻole: Pono e hoʻōki loa i ka puhi paka, ka inu ʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau kū ʻole i ke kānāwai. He mea ʻino loa kēia mau mea iā ʻoe a me kāu pēpē i hānau ʻole ʻia. ʻAʻole wale kēia e alakaʻi i ka hānau mua ʻana, akā ke kāohi nei hoʻi i ka ulu ʻana o ka pēpē.

• ʻAi i ka ʻai maikaʻi a momona hoʻi: E ʻai i ka ʻai kaulike e komo pū ana me nā ʻano meaʻai momona like ʻole, e like me nā greens, nā mea kanu, nā huaʻai, nā nati, nā huahana waiū, nā iʻa, a me nā hua manu, i kēlā me kēia lā. ʻOi aku ka maikaʻi o nā meaʻai maʻemaʻe a kuke ʻia ma ka home. E pale i nā meaʻai i kiʻekiʻe i ka ʻaila, ke kō, ka paʻakai, a me nā mea ʻono hana i ka hiki. E lawe i nā huaora a kāu kauka i kauoha mai ai.

• E loaʻa i ka nui kūpono o ke kaumaha: He mea maʻamau ka loaʻa ʻana o kekahi kaumaha i ka wā hāpai. Eia nō naʻe, ʻaʻole maikaʻi ka loaʻa ʻana o ke kaumaha nui loa, a ʻaʻole hoʻi ka loaʻa ʻana o ka liʻiliʻi. E kamaʻilio me kāu kauka a hoʻokele i kou kaumaha ma ke ʻano kūpono iā ʻoe.

• E pale iā ʻoe iho mai nā maʻi: Hiki i kekahi mau maʻi ke hoʻopilikia i kāu pēpē i ka wā hāpai. No laila, e holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. ʻOi aku ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua. Mai ʻai i ka ʻiʻo maka, ka iʻa, a i ʻole nā ​​hua manu. E kuke pono iā lākou. Mai ʻai i ka waiū a i ʻole ka tīhi i hoʻomaʻemaʻe ʻole ʻia. E hoʻohana i ka condom i ka wā moe e pale iā ʻoe iho mai nā maʻi i laha ma ke ʻano moekolohe. Inā he mau pōpoki kāu i loko o kou hale, e pale i ka lawelawe ʻana i kā lākou mau ʻōpala i kēia manawa. (Hiki i ka Toxoplasmosis ke lilo i mea pilikia no ka maʻi).

• E hōʻemi i ke kaumaha: ʻIke wau he mea maʻalahi kēia e ʻōlelo ma mua o ka hana ʻana. Akā e hoʻāʻo e hōʻemi i ke kaumaha i kou ola i ka hiki.E hoʻomaha a hana i nā mea e hauʻoli ai ʻoe. ʻO nā mea e like me ka noʻonoʻo ʻana, ka hoʻolohe ʻana i ke mele, a i ʻole ka heluhelu ʻana i kahi puke e hiki ke kōkua iā ʻoe e mālie. Inā makemake ʻoe i ke kōkua, e kamaʻilio me kou ʻohana, nā hoaaloha, a i ʻole kāu kauka e pili ana i ia mea.

ʻO nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

No laila, ke lana nei koʻu manaʻo ua hāʻawi nā mea a kākou i kūkākūkā ai i kēia lā iā ʻoe i kekahi manaʻo e pili ana i ka hānau mua ʻana.

E hoʻomanaʻo, ʻokoʻa kēlā me kēia hāpai ʻana. He ʻokoʻa nā kumu pilikia o kēlā me kēia makuahine a me kēlā me kēia pēpē.

ʻO ka mea nui loa:

• He mea maikaʻi loa no ke olakino o kāu pēpē ke hānau ʻia i ka manawa piha.
• Inā ʻoe i ka pilikia o ka hānau mua ʻana (e.g., inā ua loaʻa iā ʻoe ma mua, inā pōkole kou cervix), e kamaʻilio me kāu kauka e pili ana i ia mea a e ʻike e pili ana i nā lāʻau lapaʻau e pono ai (Progesterone, Cerclage).
• E makaʻala i nā hōʻailona o ka hānau keiki ʻana i ka wā ʻōpiopio (ʻeha o ka ʻōpū, ke kahe ʻana o ke koko, ka wai o ka ʻōpū). Inā loaʻa kekahi o kēia mau mea , e ʻimi koke i ke kōkua lapaʻau.
• I nā manawa hiki, e hoʻāʻo e hele i kahi haukapila me nā pono "NICU".
• A, he nui nā mea hiki iā ʻoe ke hana e hōʻemi i kēia pilikia. ʻO kēia mau mea e pili ana i ka loaʻa ʻana o ka mālama kūpono no ka wā hāpai, ka hahai ʻana i kahi nohona olakino, a me ka pale ʻana iā ʻoe iho mai nā maʻi.

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e ʻike pono i kāu kauka a kūkākūkā i kēia mau mea āpau. ʻOi aku ka nui o ka hiki i nā makuahine e loaʻa ana ka mālama maʻamau i ka wā hāpai ke loaʻa kahi hāpai olakino a hānau i kahi pēpē olakino. Ke makemake nei iā ʻoe a me kāu pēpē i nā mea maikaʻi loa!

Hānau mua ʻana, mālama hāpai, cerclage, progesterone, NICU, olakino pēpē, hānau mua ʻana