He mea maʻamau ke hopohopo iki ma hope o kou pau ʻana i ka hānai ʻana i kāu pēpē a i ʻole ka hoʻoinu ʻana i ka waiū a ʻike koke ʻoe he poni ka waiū. Ke noʻonoʻo nei paha ʻoe, 'Auē kuʻu Akua, he aha kēia?' Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai kēia. Akā i kekahi manawa, hiki ke lilo i hōʻailona o kahi mea e pono ai ke kōkua lapaʻau. No laila e ʻike pono kākou i ke ʻano o kēia 'waiū umauma poni'.
No ke aha i poni ai ka waiū umauma?
I ka ʻōlelo maʻalahi, ʻo ke kumu nui e lilo ai ka waiū umauma i poni no ka mea ua hui pū ʻia kekahi koko liʻiliʻi me ka waiū. Ke hui pū ʻia kekahi kulu a ʻelua paha o ke koko ʻulaʻula i loko o ka waiū keʻokeʻo, ʻike ʻia he poni. Aia kekahi mau kumu e hiki ai ke hui pū ʻia ke koko ma kēia ʻano. ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau kumu e hōʻino iā ʻoe a i kāu pēpē paha.
Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi mea ʻē aʻe, e like me ka maʻi bacteria a i ʻole kahi puʻupuʻu e pono ai ka mālama ʻana. No laila e maopopo kākou i ke kumu o kēia.
| Kumu | I ka ʻōlelo maʻalahi... (Wehewehe) |
|---|---|
| ʻEha Nipple | ʻO kēia ke kumu maʻamau . Ke omo ka pēpē, i kekahi manawa ʻaʻole pololei ka latch, a hiki i nā nipples ke māwae a ʻeha paha. Ke hui pū ʻia kahi kulu koko mai kēia mau ʻeha liʻiliʻi me ka waiū, ʻike ʻia ka waiū he poni. |
| Ka ʻū ʻana o ka umauma | I nā lā mua ma hope o ka hānau ʻana o kahi pēpē, e pehu loa kou mau umauma a piha i ka waiū. I loko o kēia manawa, hiki i nā kīʻaha koko palupalu i loko o kou mau umauma ke kīkoʻo a pohā paha, e kahe iki ana ke koko. ʻAʻole kēia he mea ʻino a e nalo wale nō ia i ka wā e emi iho ai ka pehu. |
| Ka maʻi bacteria (Bacterial Mastitis) | Hiki i ka mumū o nā umauma ke lilo i maʻi bacteria i kekahi manawa. Ua kapa ʻia kēia he mastitis. Hiki i kēia maʻi ke hoʻoulu i ke kahe koko mai nā nipples. |
| Nā lehulehu maikaʻi | Aia kekahi ʻano ulu ʻole, ʻaʻole maʻi kanesa i kapa ʻia ʻo 'Intraductal Papillomas' e hana ʻia ana i loko o nā ala waiū. Hiki i kēia ke hoʻoulu i ke kahe koko mai nā nipples. |
| Ka maʻi ʻaʻai umauma | He kumu kākaʻikahi loa kēia, akā hiki i ke kahe koko mai ka nipple ke lilo i hōʻailona o ka maʻi ʻaʻai umauma. No laila, inā he kānalua kāu, he mea nui e ʻike i ke kauka. |
| ʻO ka bacteria Serratia marcescens | He ʻano bacteria kūikawā kēia. Inā komo kēia bacteria ma o kahi ʻeha ma nā nipples a ulu, hana lākou i kahi pigment poni. Hiki i kēia ke hoʻolilo i ka waiū i poni. Hiki paha iā ʻoe ke ʻike i nā ʻila poni ma kou bra a me nā pads. |
He aha inā e lilo ka waiū i ʻulaʻula i ka wā e pamu ai ʻoe?
Inā ʻoe e hoʻohana i ka pamu umauma, e ʻike paha ʻoe he poni kou waiū ke pamu ʻoe. Hiki ke hana ʻia kēia e ka bacteria *Serratia marcescens* i ʻōlelo ʻia ma mua.
E noʻonoʻo, inā ʻaʻole ʻoe e hoʻomaʻemaʻe pono i nā ʻāpana pamu, a inā waiho ʻia ka waiū i pamu ʻia ma ka mahana o ka lumi no ka manawa lōʻihi, hiki i kēia bacteria ke ulu ma nā ʻāpana pamu. A laila e ʻike ʻoe i kahi kala poni ma nā ʻāpana pamu a me ka waiū i loko.
No laila, inā ʻoe e hoʻohana i ka pamu umauma, e hahai pono i nā ʻōlelo kuhikuhi hoʻomaʻemaʻe e hele pū me ia. Ma hope o kēlā me kēia hoʻohana, e holoi pono me ke kopa a me ka wai, e hoʻomaʻemaʻe iā ia, a hoʻomaloʻo pono. Eia kekahi, e kau koke i ka waiū i hoʻopaʻa ʻia i loko o ka pahu hau a i ʻole ka pahu hau.
He aha ka mea hiki ke hana ʻia e mālama ai i kēia?
ʻO ka lāʻau lapaʻau e pili ana i ke kumu o ka lilo ʻana o kou waiū umauma i ʻulaʻula.
- Ke hoʻololi nei i nā kūlana hānai waiū: Inā ʻeha kou mau nipples, hiki ke hōʻike he pilikia me ka latch o kāu pēpē. He manaʻo maikaʻi e ʻike i kahi loea lactation i kēia manawa. Hiki iā lākou ke nānā i nā mea e like me ka latch o kāu pēpē a me ke kūlana āu e hānai nei i kāu pēpē, a hana i nā hoʻololi liʻiliʻi e kōkua i ka hoʻōki ʻana i ka ʻeha o ka nipple a me ke kahe ʻana o ke koko.
- Nā lāʻau lapaʻau: Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi bacteria (mastitis) a i ʻole ka maʻi Serratia marcescens, e kuhikuhi kāu kauka i nā lāʻau lapaʻau. Eia nō naʻe, inā aia wale nō ka bacteria i loko o ka pamu, ʻaʻole pono ʻoe i ka lāʻau lapaʻau.
- Nā lāʻau lapaʻau ʻē aʻe: Inā he koʻikoʻi ke kumu, e like me ka puʻupuʻu, pono paha nā hoʻokolohua hou aʻe, ka lāʻau lapaʻau, a i ʻole ke ʻoki kino liʻiliʻi. E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia a alakaʻi iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.
He palekana anei ka hāʻawi ʻana i ka waiū poni i nā pēpē?
He nīnau nui kēia no nā makuahine he nui. ʻAʻohe pane pololei "ʻae" a "ʻaʻole" paha i kēia. Aia ia i ke kumu he poni ka waiū a me ke olakino o kāu pēpē.
Eia kekahi laʻana, ʻaʻole paha e hōʻeha nui ka bacteria *Serratia marcescens* i kahi pēpē olakino a hānau piha. Eia nō naʻe, hiki iā ia ke hōʻeha i kahi pēpē hānau mua a i ʻole kahi pēpē me ka ʻōnaehana pale nāwaliwali.
ʻO ka mea nui loa, inā ʻike ʻoe he ʻulaʻula kou waiū umauma, mai hāʻawi aku i kāu pēpē a hiki i kou ʻike ʻana i ke kumu pololei a ʻōlelo mai kāu kauka he mea maikaʻi ke hāʻawi aku. I kēia manawa, hiki iā ʻoe ke pamu i ka waiū, e lepili iā ia, a mālama i loko o ka pahu hau a i ʻole ka pahu hau. Ma hope o ke kamaʻilio ʻana me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo, e hoʻoholo inā e hoʻohana i ka waiū a ʻaʻole paha.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
I kou ʻike ʻana he ʻulaʻula kou waiū umauma, ʻoi aku ka maikaʻi o ke ʻole e hopohopo a kāhea aku i kāu kauka no ka ʻōlelo aʻo.
E ʻike koke i ke kauka, ʻoiai ma kēia mau hihia:
- Inā he waiū koko wale nō kāu e puka mai ana mai hoʻokahi umauma: Inā hana kēia ma kekahi ʻaoʻao wale nō, ʻaʻole ma nā umauma ʻelua, he mea ia e hopohopo iki ai. No ka mea, he hōʻailona paha ia o kahi mea e like me ka puʻupuʻu i hana ʻia ma kahi hoʻokahi. E hana kāu kauka i nā hoʻokolohua e pono ai a hāʻawi iā ʻoe i ka lāʻau lapaʻau e pono ai.
- Inā ʻoe e hahai i ka ʻōlelo aʻo a kāu kauka a hoʻomau ke ʻano: No ka laʻana, inā ua mālama ʻia kou mau ʻeha nipple akā ke hoʻomau nei kou waiū i ka ʻulaʻula, pono ʻoe e ʻike hou i kāu kauka e ʻike inā he kumu ʻē aʻe.
Me ke kaumaha o ka loaʻa ʻana o kahi pēpē, e noʻonoʻo paha ʻoe inā he hoʻopunipuni wale nō kēia. Akā, ʻo ka ʻike ʻana i ka waiū umauma poni hiki ke lilo i mea hoʻonāukiuki loa. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, aia kahi kumu maʻalahi a ʻino ʻole no kēia. ʻOiai inā he kumu koʻikoʻi koʻikoʻi, ua mākaukau kā mākou mau kauka e mālama iā ia.
Leka Lawe-Home
- He mea maʻamau ke hopohopo ke ʻike ʻoe i kou waiū umauma e ʻulaʻula ana, akā i ka hapanui o ka manawa, ʻaʻohe mea koʻikoʻi.
- ʻO ke kumu pinepine he ʻōpala liʻiliʻi a i ʻole he ʻeha i ka nipple (Nipple Trauma).
- Mai hāʻawi i ka waiū i ka pēpē a hiki i kou ʻike ʻana i ke kumu pololei a nīnau aku i ke kauka. Akā, e pamu i ka waiū a waiho ʻia ma kahi ʻē.
- Inā ʻoe e hoʻohana i ka pamu umauma, e mālama mau i kona mau ʻāpana i ka maʻemaʻe loa.
- I kou ʻike ʻana he ʻulaʻula kou waiū, e kamaʻilio me kāu kauka. He mea nui loa ia e nānā ʻia inā aia ma kekahi ʻaoʻao wale nō.
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