Ua lawe mai ʻoe i kāu keiki liʻiliʻi a i ʻole kāu pēpē i kēia ao ma o ka ʻoki ʻoki cesarean ? A i ʻole ke hoʻolālā nei ʻoe e hana pēlā? ʻO ka mea mua, makemake mākou e hoʻomaikaʻi iā ʻoe a me kāu keiki liʻiliʻi ! He ʻano ʻokoʻa iki ka ʻoki ʻoki cesarean ma mua o ka hānau keiki maʻamau. ʻOiai he ʻoki nui ia, pono ʻoe e hāʻawi i kou kino i kahi kōkua iki e hoʻōla koke ma hope o ke ʻoki ʻana. E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi a ʻike i nā mea āu e pono ai e ʻike a me nā mea āu e pono ʻole ai e hopohopo.
He aha ka mea e hana ʻia ma ka haukapila ma hope o ke ʻoki kino?
ʻO ka hapa nui o ka manawa, aia ʻoe ma lalo o ka anesthesia i ka wā o ka ʻoki cesarean, akā ua ʻike mau ʻoe. No laila hiki iā ʻoe ke paʻa i kāu pēpē i kou wā hānau. Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. Ma laila, e nānā nā kahu maʻi i kou koko, ka helu o ka puʻuwai, a me ka hanu ʻana .
Hiki paha iā ʻoe ke manaʻo iki i ka luaʻi, ka poniuniu, a i ʻole ke poʻo māmā ma hope o ke ʻoki ʻana. He mea maʻamau kēia. E hāʻawi ʻia ka lāʻau ʻeha ma o kahi ʻōmole lahilahi i kau ʻia i loko o kou aʻa e kāohi i ka ʻeha. I kekahi manawa e hāʻawi ʻia paha ʻoe i kahi pamu liʻiliʻi e hiki ai iā ʻoe ke kāohi i ka nui o ka lāʻau ʻeha āu e loaʻa ai. Mai makaʻu e nīnau i kāu kauka a kahu maʻi paha e pili ana i kēia.
Nā loli i ke kino ma hope o ka hoʻi ʻana i ka home
Ma hope o kou hānau ʻana i kāu pēpē, e ʻike ʻoe i nā loli he nui i kou kino . He mea maʻamau ka hapa nui o kēia mau mea. E nānā kākou i ke ʻano o ia mau mea.
| Hoʻololi kino | I ka ʻōlelo maʻalahi... |
|---|---|
| Hoʻokuʻu ʻia ʻana o ka wahine | Ma hope o ka hānau ʻana, hiki iā ʻoe ke ʻike i kahi kahe koko e like me ke kahe mai kou ʻōpū no kekahi mau pule. ʻO kēia ka wehe ʻana i nā ʻiʻo keu a me ke koko mai ka ʻōpū i hānai i ka pēpē i ka wā hāpai. He ʻulaʻula ʻeleʻele ia i nā lā mua, a laila e lilo mālie i poni, ʻeleʻele, a laila melemele a keʻokeʻo paha a pau. |
| ʻEha ʻōpū haʻahaʻa (Afterpains) | No kekahi mau lā ma hope o ka hānau ʻana, hiki iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū lalo e like me ka mea i ʻike ʻia i ka wā o ka menstruation. ʻO kēia no ka mea ke ʻūlū nei nā kīʻaha koko i loko o ka ʻōpū, e pale ana i ke kahe nui ʻana o ke koko. E nīnau i kāu kauka e pili ana i nā lāʻau hōʻeha hiki iā ʻoe ke lawe no kēia ʻeha. |
| ʻO ka pehu ʻana o ka umauma a me ka ʻeha | I loko o nā lā 3-4 mua, ma mua o ka hiki ʻana mai o kāu waiū, hoʻopuka kou mau umauma i kahi wai momona i kapa ʻia ʻo "colostrum" e kūkulu ana i ka pale ʻana o kāu pēpē. A laila piha kou mau umauma i ka waiū a hoʻomaka e pehu. Hiki iā ʻoe ke hōʻemi i kēia ʻeha ma ka hānai ʻana i ka waiū a i ʻole ka pumping ʻana i kou mau umauma a ma ke kau ʻana i nā lole anuanu ma waena o ka hānai ʻana. Inā ʻaʻole ʻoe e hānai waiū ana, e ʻaʻahu i kahi bra paʻa a kākoʻo. |
| Nā loli o ka lauoho a me ka ʻili | Hiki paha iā ʻoe ke ʻike i ka piʻi ʻana o ka hāʻule ʻana o ka lauoho i nā mahina 3-4 mua. He mea maʻamau kēia ma muli o nā loli hormonal. E ʻike paha ʻoe i nā māka ʻulaʻula a poni paha ma kou ʻōpū a me kou umauma. ʻAʻole lākou e nalo loa, akā e mae wale i ke kala keʻokeʻo/kālā i ka hala ʻana o ka manawa. |
| Nā manaʻo o ke kaumaha a me ka hopohopo ("Baby Blues") | Ma hope o ka lawe ʻana mai i kāu pēpē i ka home, hiki iā ʻoe ke ʻike i nā ʻano manaʻo like ʻole. I kekahi manawa hiki iā ʻoe ke kaumaha, huhū, a luhi paha. Ua kapa ʻia kēia ʻo "baby blues." Hoʻokumu ʻia kēia e nā loli hormonal. Akā inā mau kēia maʻi no ʻelua pule a ʻoi aku, pono ʻoe e kamaʻilio me kāu kauka. Hiki ke lilo i maʻi koʻikoʻi i kapa ʻia ʻo ke kaumaha postpartum. Aia kekahi lāʻau lapaʻau no ia. |
Pehea e mālama ai i ka ʻoki ʻia?
ʻO ka mea nui loa āu e pono ai e makaʻala ma hope o ka ʻoki ʻana i ka cesarean ʻo ia ka ʻeha i humuhumu ʻia. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo e pili ana i kēia ke hoʻi ʻoe i ka home mai ka haukapila. Akā e hoʻomanaʻo pū i kēia mau mea.
- Maʻemaʻe: Inā ua pani ʻia kou ʻeha me nā humuhumu, nā staples, a i ʻole ke kāpili, e nīnau i kāu kauka inā hiki iā ʻoe ke wehe i ke kāʻei a ʻauʻau. ʻOi aku ka maikaʻi o ka ʻae ʻana i ka wai e holo ma luna o ka ʻeha i kou ʻauʻau ʻana.
- Pehea e holoi ai: E hoʻomaʻemaʻe pono i ka ʻeha me ka hoʻohana ʻana i ke kopa akahai a me ka wai. Mai ʻānai a hamo paha i ka ʻeha me ka ikaika, ʻoiai me nā steri-strips.Inā he mau steristrips a i ʻole ka gum, a laila e holoi me ka lole maʻemaʻe.
- Nā mea e pale aku ai: Mai komo i loko o ka ʻauʻau a i ʻole nā wai ʻauʻau a hiki i ka ʻae ʻana o kāu kauka.
- He aha e hana ai no ka ʻeha: Hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol a i ʻole Ibuprofen no ka ʻeha a puni ka ʻoki. Akā e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau. Eia kekahi, ʻo ke kau ʻana i kahi pā hoʻomehana a i ʻole kahi lole mahana ma kou ʻōpū e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha.
ʻO ka mea nui loa, ʻo ia ka nānā ʻana i nā hōʻailona o ka maʻi ma ka ʻeha. Inā ʻike ʻoe i kekahi, e hoʻomaopopo koke i kāu kauka.
Nā hōʻailona o ka maʻi ʻeha
E makaʻala loa e pili ana i kēia mau hiʻohiʻona:
- Inā ʻulaʻula ka ʻāpana a puni ka ʻeha, pehu, a i ʻole mehana ke pā aku .
- Inā e kahe ana kahi wai e like me ka pehu mai ka ʻeha mai.
- Inā loaʻa iā ʻoe ke kuni .
- Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana .
- Inā he nui ke kahe koko .
Nā ʻōlelo aʻoaʻo hou aʻe e wikiwiki ai ka ho'ōla ʻana
- He mea nui ka hoʻomaha: He hana nui ka ʻoki ʻoki cesarean. No laila e hoʻomaha nui. Mai hāpai i kekahi mea kaumaha ma mua o ke kaumaha o kāu pēpē no nā pule ʻelua mua. E mālama i nā mea āpau āu e pono ai a me kāu pēpē ma kahi kokoke.
- E kākoʻo i kou ʻōpū: E paʻa i kou ʻōpū me nā lima ʻelua ma nā ʻaoʻao ʻelua i ka wā e ʻū ana, e ʻū ana, a e ʻakaʻaka ana paha. E hōʻemi kēia i ke kaomi ma luna o nā humuhumu.
- E inu i ka wai nui: Pono ʻoe i ka wai he nui e hoʻopiha i nā wai i nalowale i ka wā hānau keiki a e hānai waiū i kāu pēpē.
- E makaʻala i kāu papaʻai: E ʻai i nā meaʻai me ka fiber (nā huaʻai, nā mea kanu, nā legumes). Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū, mai ʻai i kahi pāʻina nui i ka manawa hoʻokahi, akā e ʻai i kekahi mau pāʻina liʻiliʻi. Inā pono, e nīnau i kāu kauka a lawe i kahi mea hoʻohui fiber.
Ka hānai ʻana i kahi pēpē ma hope o ka ʻoki cesarean
Hiki iā ʻoe ke hoʻomaka e hānai i kāu pēpē ma hope koke iho o ke ʻoki ʻana.
Nā lāʻau hoʻopau ʻeha a me ka hānai waiū
ʻAʻole nui ka hopena o ka anesthesia i hāʻawi ʻia i ka wā o ke ʻoki ʻana (e.g., epidural) i ka pēpē. Hiki i ka pēpē ke hiamoe iki, akā e nalowale kēia ma hope o kekahi manawa. Mai ho'ōki i ka hānai waiū ma muli o ka ʻeha. ʻO ka ʻoiaʻiʻo, ke manaʻo ʻoe i ka ʻeha, hiki ke emi nā hormones e kōkua iā ʻoe e hana i ka waiū.No laila, e hoʻohana pono i nā lāʻau hoʻomaha ʻeha i kuhikuhi ʻia e kāu kauka e kāohi i kou ʻeha. Inā he pilikia kāu me kāu lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
Nā kūlana hānai maʻalahi
Hiki ke paʻakikī iki ka loaʻa ʻana o kahi kūlana ʻoluʻolu e hānai ai i kāu pēpē ma muli o nā humuhumu. ʻO ke kau ʻana i kahi uluna ma luna o kou ʻōpū e hiki ke kōkua i ka hōʻemi ʻana i ke kaomi mai kāu pēpē ma nā humuhumu. E hoʻāʻo i kēia mau kūlana ʻelua.
- Paʻa Pōpeku: E paʻa i ka ʻāʻī o kāu pēpē me kou lima, e kau i kou lima ma kona kua. E kau i nā wāwae o ke pēpē ma lalo o kou mau ʻāʻī a hāpai i ke pēpē i kou umauma.
- E paʻa ana ma ka ʻaoʻao: E moe ma kou ʻaoʻao me kāu pēpē e kū pono ana iā ʻoe. E hoʻohana i kou lima e lawe mai i kou umauma i ka waha o kāu pēpē. E kau i kahi uluna ma hope o kou kua e pale aku i kāu pēpē mai ka ʻōwili ʻana.
Hoʻomaka hou i ka hoʻoikaika kino a me nā hana ʻē aʻe
He mea nui loa ke ala aʻe mai kahi moe a hele wāwae iki i loko o 24 mau hola o ke ʻoki ʻana. E hōʻemi kēia i ka ʻeha o ka ʻōpū i hoʻokumu ʻia e ke kinoea, e maʻalahi ai ka hele ʻana o ka ʻōpala, a hiki nō hoʻi ke kōkua i ka pale ʻana i nā ʻūpē koko.
Ma hope o kekahi mau lā, hiki iā ʻoe ke hoʻāʻo i nā hana maʻalahi e like me kēia:
- E hanu maikaʻi: E lawe i 2 a 3 mau hanu hohonu i kēlā me kēia hapalua hola. Hiki i kēia ke kōkua i ka pale ʻana i ka hōʻiliʻili ʻana o ka mucus i loko o nā māmā.
- Nā hoʻohuli poʻohiwi: E noho pololei a hoʻohuli i kou mau poʻohiwi ma kahi o 20 mau manawa ma nā ʻaoʻao ʻelua.
- Hoʻolōʻihi Mālie: E hilinaʻi i ka paia a hāpai i kou mau lima i luna a hiki i kou manaʻo ʻana i ka hoʻolōʻihi ʻana i nā ʻiʻo o kou ʻōpū. E paʻa no 5 kekona a laila hoʻomaha.
Akā e hoʻomanaʻo, pono ʻoe e loaʻa ka ʻae mai kāu kauka ma mua o ka hoʻomaka ʻana i nā hana e like me ka hana kaumaha, ka hoʻoikaika kino, a me ka hoʻokele kaʻa.
ʻO ka maʻamau, pono ʻoe e kali i kekahi manawa no kēia mau mea:
- Pule 4-6: Nā hoʻoikaika kino kaumaha e hoʻopilikia ai i nā ʻiʻo o ka ʻōpū a me ka hāpai ʻana i nā mea i kaumaha ma mua o ka pēpē.
- Pule 2: Hoʻokele Kaʻa.
- Pule 3 (ma hope o ka ho'ōla piha ʻana o ka ʻeha): ʻAuʻau ʻana a ʻauʻau paha.
- E ʻimi mau i ka ʻōlelo aʻo a kāu kauka ma mua o ka hoʻomaka hou ʻana i ka moekolohe.
I ka manawa e ʻike koke ai i ke kauka
Inā loaʻa iā ʻoe kekahi o nā hōʻailona hōʻike ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
| Hōʻailona hoʻomaopopo |
|---|
| ʻUlaʻula ka ʻeha, pehu, mehana ke pā aku, a i ʻole he hū mai ka pehu. |
| Kuni ma luna o 100.4 F (38 C). |
| Ke kahe nui ʻana o ke koko ma ka ʻōpū, kahi ʻala pilau, a i ʻole ke hele ʻana o nā ʻūpā koko nui loa. |
| Ke ʻoi aku nei ka ʻeha. |
| Pehu, puʻupuʻu, ʻeha, a mehana paha ma kahi i ʻōwili ʻia ai ka lauoho (he mau hōʻailona paha kēia o kahi ʻūpā koko). |
| ʻEha poʻo koʻikoʻi mau loa. |
| Ka pehu ʻana o nā lima, nā wāwae, a i ʻole ka maka. |
| Nā loli o ka ʻike a i ʻole ka ʻike pōwehiwehi. |
| ʻUmiʻumi, paʻakikī ka hanu ʻana, a ʻeha paha ka umauma (hiki i kēia ke hōʻailona o kahi ʻūpā koko). |
Leka Lawe-Home
- He hana nui ka ʻoki ʻoki cesarean, no laila he mea nui ka hoʻomaha. Mai makaʻu e noi i ka ʻohana a i ʻole nā hoaaloha e kōkua iā ʻoe.
- E mālama i kou ʻoki maʻemaʻe a maloʻo . E makaʻala mau i nā hōʻailona o ka maʻi.
- He mea maʻamau ka ʻeha. Akā, mai hoʻomanawanui. E nīnau i kāu kauka e pili ana i nā lāʻau hoʻomaha ʻeha e palekana nou a me kāu pēpē.
- E mālama iā ʻoe iho, ma ke kino a me ka noʻonoʻo. Inā hoʻomau ka "baby blues" no nā pule ʻelua a ʻoi, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻike ʻoe i kekahi o nā hōʻailona hōʻike i ʻōlelo ʻia ma kēia ʻatikala, mai hoʻowahāwahā iā lākou. E kāhea koke aku i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo