Aloha e ka makuahine! Eia ʻoe, he pule kūikawā ʻē aʻe o kāu huakaʻi hāpai, he pule 23. Holo ka manawa, ʻeā? Pono ʻoe e hauʻoli nui i kou noʻonoʻo ʻana i ke ʻano o ka ulu ʻana o ke keiki liʻiliʻi i loko o kou ʻōpū i kēlā me kēia lā. I loko o kēia pule, nui nā mea aloha a koʻikoʻi e hana nei i kou ola a me kāu pēpē. No laila, e nānā kākou i ke ʻano o ka pule 23 no ʻolua ʻelua?
Pehea kāu pēpē i kēia pule? (Ka ulu ʻana o ka pēpē i ka pule 23)
I kēia pule, ua ulu iki kāu pēpē a ke ulu nui nei. E nānā kākou i kekahi o nā mea kupaianaha e hana nei i kona honua liʻiliʻi.
Pehea ke ʻano a me ka manaʻo o ke pēpē?
Ua ʻike anei ʻoe mai kēia pule aku, e hoʻomaka mālie ke kino o ka pēpē e hōʻiliʻili i ka momona . Eia naʻe, ʻoi aku ka nui o kona ʻili ma mua o kona kino. ʻO ia ke kumu e ʻike ʻia ai ka ʻili o ka pēpē me kahi ʻano ʻūlū iki. ʻOiai ke ʻano like me ka ʻelemakule, he mea maʻamau loa ia a ʻaʻohe mea e hopohopo ai. I loko o kekahi mau lā, i ka wā e piha ai ka momona, e lilo ka ʻili i ʻano momona nani.
He lahilahi loa a ʻulaʻula nō ka ʻili o ka pēpē. ʻO kēia no ka mea ua ʻike ʻia nā kīʻaha koko ma lalo o ka ʻili. Eia kekahi, no ka pale ʻana i ka pēpē, ua hana ʻia kahi mea palupalu maikaʻi i kapa ʻia ʻo 'lanugo' ma luna o kona ʻili. Loaʻa paha i kekahi mau pēpē kekahi 'lanugo' i ka wā e hānau ʻia ai, akā e nalowale ia ma hope o kekahi mau lā. Eia kekahi, ua uhi ʻia ka ʻili o ka pēpē me kahi uhi keʻokeʻo, mānoanoa, a me ka waxy i kapa ʻia ʻo 'vernix caseosa' . Mālama kēia i ka ʻili o ka pēpē i kona wā i loko o ka wai amniotic.
ʻAʻohe hemahema o ka hana kolohe!
Ke hoʻoikaika kino nei kāu keiki liʻiliʻi ma ka neʻe ʻana, ka hoʻolōʻihi ʻana, a me ke kūlou ʻana i kona mau lima, nā wāwae, a me nā manamana lima i ka lā a pau. ʻO ia hoʻi, ke hoʻoikaika nei ʻo ia i kona mau ʻiʻo . No laila, ʻo nā neʻe āu e ʻike ai, nā kīkē a me nā lele ʻana i loko o kou ʻōpū, ua ʻike nui ʻia a ʻoi aku ka maopopo ma mua o ka wā ma mua . I kekahi manawa, ʻo ia ka mea e hakakā nui nei i kou hoʻāʻo ʻana e hiamoe! Me he mea lā e pāʻani ana ke pēpē me ʻoe. Ke hamo ʻoe i kona ʻōpū, hiki paha iā ia ke pane mai.
Pehea ke kaumaha a me ka nui?
I kēia pule, pono ke kaumaha o kāu pēpē ma luna iki o 500 grams (ʻoi iki aʻe ma mua o hoʻokahi paona). He 11-12 ʻīniha kona lōʻihi. E noʻonoʻo e pili ana i ia mea, ʻo ka nui o kahi ʻalani nui! Hiki ke ʻokoʻa iki kēia mau helu, no ka mea, ʻaʻole like nā pēpē a pau.
Hana nui o nā ʻōkana liʻiliʻi!
- ʻIke: Ua piha nā maka o kāu pēpē i kēia manawa, akā ua pani ʻia ko lākou mau lihilihi maka. Akā hiki iā lākou ke hoʻokaʻawale ma waena o ka mālamalama a me ka pouli . Inā ʻoe e hoʻomālamalama i kahi kukui ʻālohilohi ma kou ʻōpū, hiki i kāu pēpē ke pane pū i ia mea.
- Hoʻolohe: I kēia manawa, ua ulu maikaʻi ka lohe o kāu pēpē.Hiki iā ia ke lohe i kou puʻuwai, ke kani o kāu kamaʻilio ʻana, nā leo e puka mai ana mai kou ʻōpū. Ke hoʻomaka nei hoʻi ʻo ia e lohe i nā leo ma waho, ʻoiai nā leo kamaʻāina (nāu, nā makuakāne). No laila, he mea nui loa ke kamaʻilio ʻana me kāu pēpē a me ke mele ʻana i nā mele i kēia manawa.
- Nā Māmā: ʻAʻole i ulu piha nā māmā o kāu pēpē, akā ke ulu wikiwiki nei lākou. Ke hoʻomaka nei kahi mea kūikawā i kapa ʻia ʻo "Surfactant" e hana i loko o nā māmā. ʻO kēia "Surfactant" ka mea e pale ai i nā māmā o kāu pēpē mai ka pipili ʻana ma hope o ka hānau ʻana a kōkua iā lākou e hanu.
- Lolo: Ke ulu wikiwiki nei ka lolo o ka pēpē i kēia pule. Ke hana ʻia nei he miliona mau hunaola aʻalolo.
- Nā puʻupaʻa: Ke hoʻomaka nei nā puʻupaʻa e hana, a ke hana nei ke pēpē i ka mimi. Lilo kēlā mimi i "wai Amniotic".
Pehea ʻoe i kēia pule, e Māmā?
ʻAʻole wale ka pēpē, akā, ke loli nui nei kou kino i kēia pule. E nānā kākou i ka mea e hana ʻia iā ʻoe.
Nā loli i manaʻo ʻia ma ke kino
- Ke ulu nui nei ka ʻōpū: Ua ʻike maopopo ʻia kou ʻōpū i kēia manawa. Ua piʻi iki aʻe ia ma luna o kou ʻōpū a me kou pihi ʻōpū.
- Piʻi kaumaha: Ma ka awelika, ua piʻi paha ʻoe ma kahi o 5-7 paona i kēia manawa. ʻOkoʻa ia mai kēlā kanaka a kēia kanaka.
- ʻEha kua: I ka ulu ʻana o kou ʻōpū, loli ke kikowaena o ke kaumaha o kou kino, hiki ke alakaʻi i ka ʻeha kua. ʻO ka mālama ʻana i ke kūlana kūpono a me ka hana ʻana i nā hoʻoikaika kino māmā e kōkua i kēia.
- Pehu ʻana o nā wāwae: Hiki i kekahi mau makuahine ke ʻike i kahi pehu ma ko lākou mau wāwae a me nā kuʻekuʻe wāwae. Inā ʻoe e kū ana i ka lā a pau, e hoʻokiʻekiʻe iki i kou mau wāwae i kou noho ʻana. Inā koʻikoʻi ka pehu ʻana, pono ʻoe e haʻi i kāu kauka.
- ʻO nā ʻūmiʻi Braxton Hicks: I kekahi manawa e paʻa paha kou ʻōpū a laila nalowale ma hope o kekahi manawa. Ua kapa ʻia kēia mau ʻūmiʻi Braxton Hicks. He mau ʻūmiʻi "hoʻomaʻamaʻa" wale nō kēia, ʻaʻole nā ʻeha hānau maoli. Akā inā pinepine lākou a ʻeha paha, e haʻi i kāu kauka .
- Nā loli o ka ʻili: Hiki ke loaʻa nā māka kikoo i ka wā e kikoo ai ka ʻili ma ka ʻōpū. Hiki ke ʻike ʻia kahi laina ʻeleʻele (Linea nigra) ma waenakonu o ka ʻōpū. Hoʻokumu ʻia kēia e nā loli hormonal a e mae ma hope o ka hānau ʻana o ke pēpē.
- Paʻakikī ka hanu ʻana: Ke hoʻonui ʻia ka ʻōpū a kaomi i nā māmā, hiki iā ʻoe ke manaʻo i kahi manawa pōkole iki o ka hanu.
Pehea kou manaʻo?
He mea maʻamau ke manaʻo i ka hui pū ʻana o nā manaʻo i kēia manawa. Hiki iā ʻoe ke hauʻoli loa i kekahi manawa, a makaʻu iki a hopohopo paha i kekahi manawa. Hiki iā ʻoe ke manaʻo ua kaumaha iki ʻia e ke aloha āu i loaʻa ai no kāu pēpē, akā hiki paha iā ʻoe ke manaʻo iki i ke kaumaha e pili ana i nā kuleana e hiki mai ana. He mea maʻamau kēia a pau. E kamaʻilio me kāu kāne, ʻohana, a me nā hoaaloha e pili ana i kēia. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
"He mea maʻamau loa ka piʻi ʻana a me ka iho ʻana o kou mau manaʻo i kēia manawa. He mea nui loa e hoʻomanaʻo he ʻohana a me nā hoaaloha kou e kākoʻo iā ʻoe."
Nā Mea Koʻikoʻi no ka Pule 23
Aia kekahi mau mea hiki iā ʻoe ke hana i kēia pule no kou olakino a me ke olakino o kāu pēpē.
Mai poina e pili ana i ka meaʻai.
He mea nui loa ka ʻai ʻana i ka meaʻai kaulike a momona hoʻi i kēia manawa.
- E ʻai i nā meaʻai waiwai i ka hao, ka calcium, ka waikawa folic, a me ka protein (nā mea kanu, nā huaʻai, nā legumes, ka waiū, nā hua manu, ka ʻiʻo, a me ka iʻa).
- E inu i ka nui o ka wai. Pono ʻoe e inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā.
- E lawe i nā wikamina i kauoha ʻia e ke kauka i ka manawa kūpono.
Nā hoʻokolohua lapaʻau a me nā ʻōlelo aʻoaʻo
Mai poina i kāu mau lā "keʻena lapaʻau". I loko o kēia mau pule, e noi ʻia paha ʻoe e hana i kahi "Hoʻāʻo Hoʻomanawanui Glucose" e nānā no ka "maʻi diabetes Gestational" . Pono paha ʻoe e hana i kahi "scan Ultrasound". E hahai pono i nā ʻōlelo a ke kauka.
E akahele hoʻi i kēia mau mea.
- ʻO nā hōʻailona o ka hānau mua ʻana: ke kahe ʻana o ke koko ma ka ʻōpū a i ʻole ka wai kahe, nā ʻeha pinepine o ka ʻōpū (ʻoi aku ma mua o 4-5 mau manawa i ka hola), ʻeha hope ʻē, a me ke ʻano o ke kaomi ma ka ʻōpū lalo. E ʻike koke i ke kauka .
- Nā Hōʻailona o ka "Preeclampsia": Inā ʻike ʻoe i nā hōʻailona e like me ka pehu koke ʻana o nā lima a me nā wāwae, ka maka, ke poʻo ʻeha nui, a me ka ʻike pohihihi, e haʻi koke aku i kāu kauka .
- E hoʻomaha maikaʻi a e hiamoe pono.
- E pale loa i ka puhipaka a me ka inu ʻana i ka waiʻona.
Hoʻoikaika kino liʻiliʻi
E noi i kāu kauka no ka ʻōlelo aʻo no nā hoʻoikaika kino māmā e kūpono iā ʻoe. He maikaʻi ka hele wāwae a me ka ʻauʻau no kēia manawa. ʻO nā hoʻoikaika kino e hoʻoikaika ai i nā ʻiʻo papahele pelvic e kōkua pū i ka hānau ʻana.
He moʻolelo pōkole e pili ana i ka hānau mua ʻana
E like me ka mea i ʻōlelo ʻia ma mua, inā hānau mua ʻia ka pēpē i kēia pule 23, hiki ke mālama ola i ke pēpē ma lalo o ka mālama lapaʻau kūikawā. ʻO ia hoʻi, me ke kōkua o ka Neonatal Intensive Care Unit (NICU) .
Eia nō naʻe, hiki i nā pēpē i hānau ʻia i ka wā ʻōpiopio ke kū i kekahi mau pilikia olakino. Loaʻa paha iā lākou nā pilikia hanu, nā pilikia ulu lolo, a ʻoi aku ka maʻalahi o ka maʻi ʻana no ka mea ʻaʻole i ulu piha ko lākou mau māmā. Hoʻokomo kēia iā lākou i ka pilikia o ka loaʻa ʻana o kekahi mau maʻi olakino lōʻihi.
"Akā, mai hopohopo! I kēia lā, ʻo ka lāʻau lapaʻau fetal a me ka mālama ʻana i nā keiki hānau houUa holomua loa ke kahua o ka ʻepekema lapaʻau (Neonatology). No laila, ke holomua nei ke kūlana olakino lōʻihi a me ke ola ʻana o nā pēpē hānau mua ʻole (preemies) i kēlā me kēia makahiki.
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hana i nā mea āpau e hiki ai iā ʻoe ke pale aku i ka hānau mua ʻana. ʻO ia hoʻi ke hele ʻana i ke keʻena lapaʻau, e hahai ana i nā ʻōlelo a kāu kauka, e ʻai i ka meaʻai kaulike, e loaʻa ka hoʻomaha lawa, a me ka pale ʻana i nā hana hoʻoweliweli.
ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)
No laila, ua kamaʻilio mākou e pili ana i nā kikoʻī he nui e pili ana i ka pule 23. Me kēia mau mea a pau, pono wau e haʻi iā ʻoe, he huakaʻi nani kēia.
- Ke ikaika a maikaʻi aʻe nei kāu pēpē i kēlā me kēia lā. Pono kāna mau neʻe ʻana e lawe mai iā ʻoe i ka hauʻoli nui.
- He mea maʻamau nā loli i kou kino. Mai hopohopo nui no ia mea. Akā inā ʻike ʻoe i kekahi mea ʻē, mai poina e haʻi i kāu kauka .
- E loaʻa i ka meaʻai maikaʻi a me ka hoʻomaha lawa. ʻO kou olakino ke olakino o kāu pēpē.
- E hauʻoli. He mea nui loa hoʻi kou olakino noʻonoʻo i kēia manawa. E kamaʻilio me kāu pēpē, e oli iā ia.
Me kēia mau mea a pau, ke makemake nei mākou iā ʻoe i kahi hāpai hauʻoli a olakino hoʻi! Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
ʻO ka Pule Hāpai 23, Ka Ulu ʻana o ka Pēpē, Ke Ola Kino o ka Makuahine, Ka Hānau Mua ʻOle, Ka Mālama ʻana i ka Hāpai ʻana, Ka Pule Hāpai 23, Ka Ulu ʻana o ka ʻŌpū











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