Aia ʻoe i loko o kahi wā hāpai kupaianaha i kēia manawa! ʻO ka maʻi kakahiaka, ka luhi, a me ka nalowale o ka makemake i loaʻa iā ʻoe i nā mahina ʻekolu mua ua emi iki paha. ʻO ka ʻoiaʻiʻo, no nā makuahine he nui, ʻo ka lua o ka trimester ka manawa maikaʻi loa a ʻoluʻolu hoʻi o ka hāpai ʻana. ʻO kēia ka manawa āu e manaʻo ai i ka maluhia o ka noʻonoʻo, ua emi iho kou hopohopo no kāu pēpē, a hiki iā ʻoe ke hauʻoli hou aku i kēia huakaʻi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā mea āu e pono ai e ʻike e pili ana i kēia trimester ʻelua.
He aha ka trimester ʻelua?
I ka ʻōlelo maʻalahi, ʻo ka lua o ka trimester ka manawa mai ka pule 13 a hiki i ka hopena o ka pule 27 o kou hāpai ʻana. ʻO ke ʻano kēia ua hiki ʻoe i ka hapalua o kou hāpai ʻana.
No nā kānaka he nui, nalowale nā pilikia o ka trimester mua i kēia manawa. Manaʻo paha ʻoe e loaʻa ana i kou kino kahi ola hou. Eia kekahi, i ka hoʻomaka ʻana o kou ʻōpū e neʻe i mua, hoʻomaka ʻoe e manaʻo i ka manaʻo o "E lilo ana au i makuahine i kēia manawa." E hoʻomaka ʻoe e manaʻo i ka neʻe ʻana o ke pēpē i loko o kou ʻōpū ma kahi o 18 a 20 mau pule. No kēia kumu, makemake nui ka poʻe he nui i kēia manawa.
Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole like ka ʻike o kēlā me kēia kanaka. Hiki i kekahi poʻe ke hoʻomau i ka maʻi kakahiaka a i ʻole nā ʻeha hou i ka wā o ka trimester ʻelua. He mea maʻamau kēia, no laila mai hopohopo no ia mea.
ʻO ka mea nui loa, ʻo ia ka hōʻoia ʻana he mālama maʻamau kāu no ka wā hāpai i ka lua o ka trimester (a no kou hāpai ʻana a pau). He mea nui i kāu kauka a kahu hānai paha e nānā iā ʻoe a me kāu pēpē e hōʻoia i ko lāua olakino. ʻO ka maʻamau, mālama ʻia ka mālama no ka wā hāpai i kēlā me kēia ʻehā pule i kēia manawa, akā hiki ke loli kēia inā he pilikia nui kou hāpai ʻana a i ʻole ke aʻo ʻē aʻe a kāu kauka.
He aha ka mea e hana nei iā ʻoe a me kāu pēpē i kēia manawa?
ʻO ka lua o ka trimester he manawa wikiwiki loa ia a he manawa kilokilo o ka ulu ʻana o ka pēpē, a ke hana nei nā loli nui i kou kino.
Pehea ka ulu ʻana o kāu pēpē?
I kēia manawa, ke ulu nei ke keiki liʻiliʻi i loko o kou ʻōpū i kahi wikiwiki kupaianaha. E noʻonoʻo wale,
- Ke lilo mālie nei ke pēpē i ke ʻano o ke kanaka . Ke akaka nei nā hiʻohiʻona o kona helehelena, a ke kūkulu maikaʻi nei nā manamana lima a me nā manamana wāwae.
- I ka hā o ka mahina, hoʻomaka ka pēpē e ulu i nā kuʻemaka, nā maka maka, nā kui, a me ka lauoho .
- Hiki i ke pēpē ke kīkoʻo i lalo, hana i nā helehelena, a i kekahi manawa e omo i kona manamana nui !
- Hiki i kāu kauka ke hoʻoholo pinepine i ke kāne o kāu pēpē me kahi ultrasound i kēia manawa, ma kahi o 20 mau pule (ua hana mua paha ʻoe i kēia me kahi hoʻāʻo koko DNA cell-free).
ʻO kēia nō hoʻi ka manawa e hoʻomaka ai ʻoe e ʻike i ka neʻe ʻana o kāu pēpē. Ua wehewehe ka poʻe he nui i kēia me heUa like ia me nā pulelehua e lele ana i loko o kou ʻōpū, a i ʻole e like me nā pehu liʻiliʻi. Ua kapa ʻia kēia he "Quickening". I ka wā mua, ʻaʻole paha ʻoe e ʻike mau i kēia mau neʻe ʻana. Akā ma kahi o 28 mau pule, e hoʻomohala kāu pēpē i kahi ʻano o nā neʻe ʻana a hiki iā ʻoe ke hoʻomaopopo maikaʻi iā lākou.
I nā pule hope loa o ka trimester ʻelua, e hoʻomaka ana kāu pēpē e lohe i kāu mea e ʻōlelo nei! Inā ʻoe e kamaʻilio me kou ʻōpū, e manaʻo paha ʻoe i kāu pēpē e neʻe ana i ka pane. E noʻonoʻo i ka hauʻoli!
ʻO ka mea pōʻino, inā hānau ʻia ka pēpē ma ka hopena o ka lua o ka trimester (hānau mua), aia kahi manawa e hoʻōla ʻia ai ka pēpē ma ke kau ʻia ʻana i loko o kahi NICU ( Neonatal Intensive Care Unit) no ka mālama kūikawā.
He aha nā loli āu e manaʻo ai i kou kino?
ʻAʻole wale ke pēpē, akā, ke loli nui nei kou kino i kēia manawa.
- Ke hoʻomau nei kou ʻōpū - kahi e ulu ai kāu pēpē - i ka ulu ʻana. Hoʻonui ia i kou wā hāpai, e like me ka nui o ka wai meli. Ma hope o kou hānau ʻana i kāu pēpē, hoʻi hou ia i kona nui mua (e like me ka pea i hoʻohuli ʻia).
- E hoʻomaka ana kou kaumaha e piʻi aʻe , a e piʻi mālie kou ʻōpū i mua. Akā, mai hopohopo inā ʻaʻole e nui koke kou ʻōpū. He manawa ka lōʻihi. He ʻokoʻa ke kino o kēlā me kēia kanaka, no laila e ʻokoʻa kou helehelena i ka wā hāpai.
He aha nā pilikia maʻamau i kēia manawa?
ʻOiai paha ua ʻoi aku kou maikaʻi ma mua o ka trimester mua, hiki nō ke kū mai kekahi mau ʻoluʻolu hou i kēia manawa.
- Hoʻonui i ka makemake: ʻO ka poʻe i nalowale i ka makemake ma mua, hiki ke ʻoi aku ka maikaʻi o ka ʻai ʻana.
- Nā ʻāʻī koko: Hiki ke loaʻa ma muli o nā mana hormonal.
- Ke kahe koko o ka ihu a i ʻole ka ihu paʻa: Ma muli nō hoʻi kēia o nā hormones.
- Hemorrhoids: Hiki i kekahi poʻe ke loaʻa i kēia maʻi.
- Nā loli o ka ʻili:
- ʻO ke ʻano o kahi laina ʻeleʻele (Linea nigra) e holo ana i waenakonu o ka ʻōpū.
- Lilo ka ʻili a puni nā nipples (areolas) i ʻeleʻele ma mua o ka wā ma mua.
- ʻEha ligament poepoe: Hiki ke loaʻa kēia ʻeha ma muli o ke kīkoʻo ʻana o nā ligaments a puni ka ʻōpū i kona ulu ʻana.
- Ka pehu ʻana o nā lima, nā wāwae, a me nā kuʻekuʻe wāwae: He mea maʻamau ka pehu iki ʻana.
- ʻO nā aʻa Varicose ma nā wāwae .
- Nā māka kīkoʻo: ʻOi loa aku ma ka ʻōpū, nā umauma, nā puʻupuʻu, a me nā ʻūhā.
I loko o kēia manawa, ʻoi aku kou pilikia no nā maʻi e like me nā maʻi ʻaʻai mimi (UTIs) a me nā maʻi hū. E makaʻala i nā hōʻailona e like me ka maneʻo o ka ʻōpū, nā loli o ke kahe ʻana o ka ʻōpū, a me ka wela i ka wā e mimi ai.
He aha nā hoʻokolohua nui i hana ʻia i ka trimester ʻelua?
E kauoha nā kauka i nā hoʻokolohua like ʻole i kēia manawa e nānā i ke olakino o ʻoe a me kāu pēpē.
- Hoʻokolokolo ʻana o ka ultrasound:ʻO kēia ka hoʻāʻo a ka poʻe he nui e kali nui nei. ʻOiai hiki iā ia ke hoʻoholo i ke kāne o ka pēpē, ʻo ke kumu nui o kēia, ʻo ia ke nānā inā ua ulu pono nā ʻāpana kino a pau o ke pēpē (nā lālā, ka lolo, ka puʻuwai, a me nā ʻōpū ʻē aʻe).
- Nānā ʻana no ka maʻi diabetes gestational: Hiki i kekahi mau makuahine ke loaʻa i ka maʻi diabetes no ka manawa pōkole i kēia manawa. He mea nui kēia hoʻāʻo e ʻike mua iā ia.
- Hoʻāʻo kumu Rh: He mea nui kēia no ka launa ʻana o ke koko ma waena o ka makuahine a me ke pēpē.
- Helu Koko Piha (CBC): Nānā no ka anemia.
- Ke ho'āʻo hou ʻana no ka syphilis.
He aha kāu e pono ai e hoʻomākaukau no kēia manawa?
He manawa kūpono kēia e hoʻomākaukau ai e hoʻokipa i kāu lālā hou o ka ʻohana.
- E kamaʻilio e pili ana i ke ʻano o ka hānau ʻana o ke pēpē: He aha ke ʻano hānau āu e makemake ai?
- Ka hānau ʻana maʻamau ma ka ʻōpū (me ka lāʻau ʻeha a i ʻole me ka ʻole).
- Ke kōkua ʻana i ka hānau ʻana o ka ʻōpū (e pono ai paha nā mea hana e like me ka forceps a i ʻole ka vacuum).
- ʻOki ʻoki lāʻau (hānau ʻana ma ke ʻoki C).
Hiki iā ʻoe ke nīnau i kāu kauka a i ʻole limahana olakino ʻohana e pili ana i kēia. Hiki iā ʻoe ke hele i nā papa ma kēia kumuhana.
- Nā papa hoʻomaopopo: ʻO kēia ka manawa kūpono loa e hele ai i nā papa e pili ana i ka hānau keiki ʻana, ka hānai waiū ʻana, a pehea e mālama ai i kahi keiki hānau hou. He kōkua nui kēia iā ʻoe ma ke ʻano he makuahine.
- Ke koho ʻana i kahi kauka keiki: Ma hope o kou loaʻa ʻana o kāu pēpē, e hoʻomaka e ʻimi i kahi kauka keiki maikaʻi e lawe i kāu pēpē.
- Ka huakaʻi haukapila: E kipa aku i ka haukapila kahi āu e hānau ai i kāu pēpē. E hāʻawi kēia iā ʻoe i kahi manaʻo no kahi e hele ai a me nā mea e manaʻo ai i ka wā hānau.
He aha kāu e hana ai i kēia manawa e noho ai i ke olakino?
He mea nui loa ka mālama ʻana i kahi nohona olakino i ka trimester ʻelua o ka hāpai ʻana.
Nā mea maikaʻi e hana ai
- Hoʻoikaika Kino: He mea maikaʻi ke hoʻoikaika kino no kahi o 20 mau minuke i ka lā. He kūpono loa nā mea e like me ka hele wāwae a me ka ʻauʻau ʻana i ka wā hāpai. Akā e kamaʻilio mua me kāu kauka e pili ana i kekahi hoʻoikaika kino āu e makemake ai e hana a loaʻa ka ʻae. Pono ʻoe e pale i nā haʻuki e hiki ai ke hāʻule a me nā puʻupuʻu.
- ʻAi momona: E ʻai i ka ʻai kaulike a momona hoʻi.
- Nā huaora prenatal: E lawe i nā huaora e like me ke kauoha a kāu kauka.
- E hele i nā keʻena lapaʻau a pau: Mai poina i hoʻokahi keʻena lapaʻau.
Nā mea e pale aku ai i kēia manawa
He nui nā mea āu e pono ai ke pale aku i ka trimester mua e pili mau ana i kēia manawa.
- ʻO ka ʻiʻo, ka iʻa, a me nā hua manu maka a i ʻole i moʻa pono ʻole ʻia.
- Waiū i hoʻomaʻemaʻe ʻole ʻia a me nā huahana waiū.
- ʻIʻo Deli.
- Nā iʻa kiʻekiʻe i ka mercury (e like me nā iʻa nui e like me ka mano).
- Nā ʻauʻau wela a me nā sauna.
- Ka puhipaka, ka waiʻona a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
Ma waho aʻe o kēia, aia kekahi mau mea ʻē aʻe e kahaha ai ʻoe.
- Mai wehe i nā ʻōpala pōpoki. Aia kahi pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo "Toxoplasmosis".
- Mai hiamoe ma kou ʻaoʻao no ka manawa lōʻihi. E huli i kou ʻaoʻao ke hiamoe ʻoe i ka pō. He mea maikaʻi ia no ke kahe ʻana o ke koko. Akā inā ala ʻoe i ke kakahiaka a ʻike ʻoe iā ʻoe iho ma kou ʻaoʻao, mai hopohopo nui e pili ana i ia mea. ʻO ka hapa nui o ka manawa, e huli koke ʻoe i kou ʻaoʻao ke manaʻo ʻoe he ʻoluʻolu ʻole.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻAʻohe mea i ʻike maikaʻi i kou kino ma mua o ʻoe. Inā manaʻo ʻoe i kekahi mea hewa a ʻano ʻē paha, mai kānalua e kamaʻilio koke me kāu kauka.
E ʻimi koke i ke kōkua lapaʻau, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻEha ʻeha koʻikoʻi a ʻeha paha o ka ʻōpū lalo a i ʻole ke kua.
- Ke kahe koko ʻana o ka ʻōpū.
- Ka paʻakikī o ka hanu ʻana a i ʻole ka piʻi mālie ʻana o ke kuʻi.
Eia kekahi, inā hoʻomaka nā hōʻailona o ka hana mua , ua komo pū lākou:
- ʻO ka ʻūmiʻi mau ʻana a i ʻole ka ʻeha ma ka ʻōpū lalo a i ʻole ke kua ma mua o ʻehā manawa i ka hola (ua kapa ʻia kēia he "Contractions").
- Hiki ke kahe mai kahi wai wai mai ka ʻōpū (`(Amniotic fluid)`). (He mea maʻamau ka hoʻonui ʻia ʻana o ka wai o ka ʻōpū ma muli o nā loli hormonal i ka wā hāpai, akā inā he wai, he hōʻailona paha ia o ka hānau ʻana.)
Inā loaʻa kekahi mea e like me kēia, e hele i ka haukapila a i ʻole e hoʻomaopopo koke i kāu kauka.
No laila, e hoʻomanaʻo kākou i kēia!
Hoʻomaikaʻi! Ua komo pono ʻoe i ka trimester ʻelua o kou hāpai ʻana. Luhi loa ka trimester mua. Akā i kēia manawa ua poina pinepine ʻia kēlā mau hōʻailona maikaʻi ʻole (aloha ka nausea!). Ke ulu nui nei kou ʻōpū, akā ʻaʻole i ʻoi aku ka ʻeha a me ka ʻoluʻolu ʻole e like me ka trimester ʻekolu. Ua hoʻomaka paha ʻoe e ʻike i nā neʻe mua o kāu pēpē. ʻOiai inā ʻaʻole ʻoe i ʻike i kēia mau mea maikaʻi a pau, he mea maʻamau ia. ʻAʻole like ka ʻike hāpai o kēlā me kēia kanaka. ʻAʻohe mea pehea kou manaʻo, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu mau hōʻailona hāpai. E hele i nā keʻena lapaʻau a pau i hiki i ke kauka ke hōʻoia i ke olakino o kou hāpai ʻana a me ka ulu pono ʻana. E hoʻohana pono i kēia manawa!
Hāpai keiki, trimester ʻelua, ulu ʻana o ka pēpē, olakino o ka makuahine, mālama ma mua o ka hāpai ʻana, nā hoʻāʻo hāpai keiki, hāpai keiki olakino











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