Inā hāpai ʻoe, ʻo kou manaʻolana nui ka hānau ʻana i kahi pēpē olakino a piha i kou lā hānau. Akā i kekahi manawa, ua wikiwiki loa kāu pēpē a mākaukau e hānau i kekahi mau pule ma mua o kou lā hānau. ʻO kēia ka mea a mākou e kapa nei he hānau mua (hānau mua) , i ka wā e hoʻomākaukau ai kou kino no ka hānau ʻana ma mua o 3 mau pule ma mua o kou lā hānau.
He mea weliweli iki paha kēia. Akā, ʻo ka nūhou maikaʻi, me nā holomua o kēia lā i ka ʻepekema lapaʻau, hiki i nā kauka ke hana i nā mea he nui e hoʻopaneʻe ai i kēia ʻano hānau mua. E hoʻomanaʻo, ʻo kēlā me kēia lā e ulu ana kāu pēpē i loko o kou ʻōpū he mea nui loa ia no kona olakino maikaʻi i ka wā e hiki mai ana.
He aha nā kumu e hoʻonui ai i ka pilikia o kēia maʻi?
Aia kekahi mau kumu e hiki ke kōkua i ka hānau mua ʻana. E nānā kākou i ke ʻano o lākou. ʻO kekahi mau mea hiki iā mākou ke kāohi, a ʻo kekahi he mau mea ma waho o ko mākou mana.
| ʻAno kumu pilikia | Wehewehena |
|---|---|
| Nā mea e pili ana i ke ʻano o ka nohona |
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| Nā mea pili i ka lāʻau lapaʻau a me ka hāpai ʻana | |
| Makahiki |
Nā hōʻailona hōʻailona e pono ai ʻoe e ʻike!
I mea e pale ai i ka hānau mua ʻana, pono ʻoe e makaʻala i nā hōʻailona hōʻike. Hiki i ka hana wikiwiki ke hana i kahi ʻokoʻa nui. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke i kāu kauka.
| Hōʻailona | ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ia mea |
|---|---|
| ʻEha hope | He ʻeha pinepine ia ma ke kua haʻahaʻa. Hiki ke mau a hele mai a hele aku. ʻAʻole e nalowale kēia ʻeha ʻoiai inā ʻoe e hoʻololi i kou kūlana a hana paha i kahi mea ʻoluʻolu. |
| Nā ʻūmiʻi | Nā manaʻo o ka ʻūmiʻi a me ka wehe ʻana i loko o ka ʻōpū e lilo ana i mea wikiwiki a koʻikoʻi, i kēlā me kēia 10 mau minuke a i ʻole ka emi mai. |
| ʻEha ʻōpū | ʻO nā ʻeha o ka maʻi kōkō. Manaʻo paha ʻoe ua piha kou ʻōpū i ke kinoea, a hele pū paha me ka maʻi pākī. |
| Hoʻokuʻu ʻana o ka vaginal | Ke kahe ʻana o kahi wai wai (he ʻeke wai paha i haki). |
| Nā hōʻailona kuni | Nā hōʻailona e like me ka luaʻi ʻana, ka nausea, ka maʻi kahe. E haʻi i kāu kauka ʻoiai inā he mea liʻiliʻi ia. Inā ʻaʻole hiki iā ʻoe ke mālama i kekahi wai no nā hola he 8 a ʻoi, e ʻike pono i ke kauka. |
| Hoʻonui ʻia ke kaomi i loko o ka vagina a i ʻole pelvis | Manaʻo e like me ke kaomi ʻia nei e kekahi mea. |
| Hoʻonui ʻia ke kahe ʻana o ka vaginal a i ʻole ke kahe koko | ʻO kahi loli i ke kahe ʻana o ka ʻōpū (wai, mucousy, a koko paha) a i ʻole ke kahe koko iki. |
Hiki ke paʻakikī ke hoʻokaʻawale i kekahi o kēia mau mea mai nā mea e like me nā ʻeha kua maʻamau o ka hāpai ʻana. Akā inā he kānalua iki kou, mai kānalua e kamaʻilio me kāu kauka. ʻO ia ka mea palekana loa e hana ai.
Pehea e ʻike ai inā e hele mai ana nā contractions?
ʻO ka nānā ʻana i ka cervix kekahi o nā ala nui e ʻike ai i ka hānau mua.
1. E kau i kou mau manamana lima ma kou ʻōpū.
2. Inā manaʻo ka ʻōpū e like me ka ʻūmiʻi ʻana a laila wehe hou ʻia, he ʻūmiʻi kēlā.
3. E hoʻopaʻa i ka manawa. E kākau i lalo i ka manawa e hoʻomaka ai kekahi ʻūmiʻi a me ka manawa e hoʻomaka ai ka mea aʻe.
4. E ho'āʻo e hoʻōki i nā ʻūmiʻi. Inā ʻoe e kū ana, e noho i lalo a moe paha. E hoʻololi i nā kūlana. E hoʻomaha maikaʻi. E inu i ʻelua a ʻekolu mau kīʻaha wai.
5. E kāhea koke aku i kāu kauka ! Inā e hele mai ana nā ʻūlū i kēlā me kēia 10 mau minuke a ʻoi aku paha, inā e ʻoi aku ka ʻino o nā hōʻailona, a inā he ʻeha nui a mau kou, e kāhea koke aku i kāu kauka.
E hoʻomanaʻo, he nui nā wāhine e ʻike nei i nā ʻūmiʻi wahaheʻe ʻole i kapa ʻia ʻo Braxton Hicks contractions . He mau ʻano maʻamau kēia, hoʻokaʻawale ʻia, a pau ke hoʻololi ʻoe i ke kūlana a hoʻomaha paha. Inā ʻaʻole ʻoe maopopo i ke ʻano o ka ʻūmiʻi āu e manaʻo nei, e ʻimi pono i ka ʻōlelo aʻoaʻo lapaʻau.
He aha ka mea e hana ʻia inā pono wau e hele i ka haukapila?
Inā manaʻo kāu kauka ua hānau mua ʻoe, pono paha ʻoe e lawe ʻia i ka haukapila. Ke hele ʻoe i ka haukapila, e hana ke kauka, kahu maʻi, a i ʻole ka limahana olakino ʻohana i kēia mau mea:
- E nīnau e pili ana i kou mōʻaukala olakino.
- E nānā lākou i kou pulse, ke koko, a me ka mahana.
- E kau ʻia kahi mea nānā ma kou ʻōpū e nānā i ka puʻuwai o ke pēpē a me kou mau ʻūlū ʻana.
- Nānā e ʻike inā ua wehe ʻia ka cervix.
- Hiki ke lawe ʻia kahi swab no kahi hoʻāʻo i kapa ʻia ʻo Fetal Fibronectin, hiki iā ia ke haʻi iā ʻoe e pili ana i ka pilikia o ka hānau keiki ʻana ma mua o ka manawa.
- Hoʻāʻo ʻia nā hāpana mai ka mimi a i ʻole ka cervix e ʻike inā he mau maʻi.
Inā ua ʻike ʻia ʻoe me ka hānau mua ʻana, hiki ke hāʻawi ʻia iā ʻoe kēia mau lāʻau lapaʻau:
- Ke hāʻawi ʻana i nā wai IV (saline)
- Ke hāʻawi nei i ka lāʻau lapaʻau e hoʻomaha ai i ka ʻōpū a hoʻōki i ka hana
- Ke hāʻawi ʻana i ka lāʻau lapaʻau e kōkua i ka ulu wikiwiki ʻana o nā māmā o ka pēpē (he mea nui loa kēia)
- Ke hāʻawi ʻana i nā lāʻau antibiotic
- Ka hoʻokipa ʻana a me ka mālama ʻana
Inā ʻaʻole hiki ke hoʻōki i nā ʻūmiʻi, e hoʻomākaukau ke kauka e hānau i ka pēpē. Eia kekahi, i nā hihia e like me ka maʻi i loko o ka ʻōpū a i ʻole ka wai amniotic, preeclampsia koʻikoʻi, ke kahe koko nui ma muli o ka placenta previa, a i ʻole ka placental abruption, hiki ke hoʻoholo ʻia e hānau koke i ka pēpē.
He aha ka mea e hana inā hānau mua ʻia ke pēpē a pehea e mālama ai iā ia ma ka home?
ʻO ka hapa nui o nā pēpē i hānau mua ʻia e like me nā pēpē ʻē aʻe i ka hala ʻana o ka manawa, akā pono lākou i ka mālama kūikawā.
ʻO ka maʻamau, noho nā pēpē hānau mua ʻole ma ka NICU (Neonatal Intensive Care Unit) o ka haukapila ma lalo o ka mālama kūikawā no kekahi mau lā a i ʻole pule. Pono ʻoe e makaʻala loa i kēia mau mea ma hope o kou hoʻi ʻana i ka home.
| Wahi e hopohopo nei | Ka mea e pono ai ʻoe e hana |
|---|---|
| Ka hānai ʻana | Inu waiū nā pēpē hānau mua. No laila e hānai pinepine iā lākou (i kēlā me kēia 3-4 hola). Inā hōʻole kāu pēpē e inu waiū, e haʻi i kāu kauka . |
| Moe | Hiamoe nui kēia pēpē. Hiki iā ia ke hiamoe i ka wā e hānai ana. No laila e hoʻāla iā ia i ka manawa kūpono no ka hānai ʻana. E kau mau iā ia ma kona kua i kona wā e hiamoe ana. |
| Ka hanu ʻana | Inā pilikia ʻoe i ka hanu ʻana, e kāhea koke aku i kāu kauka a lawe paha iā ʻoe i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa. |
| Mahana kino | No ka mea, he liʻiliʻi ka momona o ke kino o kēia mau pēpē, he paʻakikī ke hoʻoponopono i ka mahana o ko lākou kino. E pale iā lākou mai ke anu. E hoʻomehana i ka lumi. E ʻaʻahu iā lākou i nā papa no ka hoʻoilo. |
| ʻĀʻī | Inā melemele ka ʻili a i ʻole nā maka o kāu pēpē, he hōʻailona paha ia o ka jaundice. E nānā ʻia no kēia ma mua o kou haʻalele ʻana i ka haukapila. E haʻi i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona ma ka home. |
| Nā maʻi | He nāwaliwali nā ʻōnaehana pale o nā pēpē hānau mua, e lilo ai lākou i mea maʻalahi i nā maʻi. E makaʻala i nā hōʻailona e like me ke kuni a me ka paʻakikī o ka hanu ʻana. |
Leka Lawe-Home
- ʻO ka hānau mua ʻana ka hoʻomaka ʻana o ka hānau ʻana ma mua o 3 mau pule ma mua o ka lā hānau.
- E makaʻala mau i nā hōʻailona e like me ka ʻeha o ke kua, nā ʻūmiʻi e kū mai ana i kēlā me kēia 10 mau minuke, ke kahe ʻana o ka ʻōpū a i ʻole ke kahe ʻana o ke koko. Inā kānalua, e kāhea koke i kāu kauka.
- ʻO ka loaʻa ʻana o ka mālama maikaʻi ma ka wā hāpai, ka pale ʻana i ka puhipaka, a me ka mālama ʻana i kahi nohona olakino e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia.
- Inā ʻaʻole ʻoe maopopo inā he ʻoiaʻiʻo a he hoʻopunipuni paha nā ʻūlū āu e manaʻo nei (Braxton Hicks), he mea naʻauao mau ke ʻimi i ka ʻōlelo aʻo lapaʻau.
- ʻOiai inā hānau mua ʻia kahi pēpē, me nā pono lapaʻau hou o kēia wā (ʻoi aku ka NICU), loaʻa iā lākou kahi manawa kūpono loa e ulu olakino a hauʻoli. Mai makaʻu, e hahai wale i ka ʻōlelo aʻo a kāu kauka.
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