He mea maʻamau ke manaʻo iki i ka makaʻu me ka pīhoihoi ke ʻike ʻoe e loaʻa ana iā ʻoe nā māhoe. ʻAʻole paha ʻoe i noʻonoʻo pehea e loli koke ai kou ola. Akā, mai hopohopo, nui nā mea hiki iā ʻoe ke aʻo e pili ana i kēia huakaʻi ma mua o ka hiki ʻana mai o kāu mau pēpē. He hoʻomaikaʻi pālua nā māhoe, akā hiki iā lākou ke hele mai me kekahi mau pilikia hou aʻe ma mua o ka hāpai ʻana i hoʻokahi pēpē. E kamaʻilio kākou e pili ana i kēia mau mea a pau ma nā ʻōlelo maʻalahi.
ʻOiaʻiʻo 1: ʻOi aku ka nui o kou loaʻa ʻana o nā māhoe i kou mau makahiki 30 a me 40.
Ua lohe mākou a pau e emi ana ka hiki ke hāpai i ko mākou wā ʻelemakule. Akā ʻo ka ʻoiaʻiʻo, piʻi ka manawa kūpono e loaʻa ai nā māhoe i kēlā makahiki. Wahi a nā loea, ma hope o 25 mau makahiki, a ʻoi aku hoʻi i kou mau makahiki 30, ʻaʻole maʻamau kāu pōʻaiapuni menstrual a me ka ovulation. Ke ʻano ʻē ka ovulation, ʻoi aku ka nui o ka manawa e hoʻokuʻu ʻia ai ʻelua mau hua i ka manawa hoʻokahi. ʻO ia ka manawa hiki iā ʻoe ke hāpai i nā māhoe ma ke ʻano maoli me ka ʻole o ka lāʻau lapaʻau.
ʻoiaʻiʻo 2: Pono paha ʻoe i ka waikawa folic hou aʻe ke loaʻa iā ʻoe ʻelua mau pēpē.
I ka wā e hāpai ana ʻoe i nā māhoe, pono paha ʻoe i ka waikawa folic ma mua o ka maʻamau e pale aku ai i nā kīnā hānau i kāu mau pēpē.
I ka ʻōlelo maʻalahi, ʻoiai ʻo 0.4 milligrams o ka folic acid i kēlā me kēia lā e ʻōlelo ʻia no ka makuahine hāpai me hoʻokahi keiki, ma kahi o 1 milligram e ʻōlelo ʻia no ka makuahine me nā māhoe.
Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o nā kīnā neural tube, e like me ka spina bifida . Eia nō naʻe, pono ʻoe e kūkākūkā i kēia lāʻau me kāu kauka .
ʻOiaʻiʻo 3: Nui aʻe nā kipa kauka i ka wā hāpai māhoe
Pono ka hāpai māhoe i ka nānā ʻana ma mua o ka hāpai maʻamau. ʻAʻole kēia he mea hopohopo nou, akā no ka palekana o nā pēpē ʻelua. Pono ʻoe e loaʻa i nā scan ultrasound pinepine aʻe ma mua o kāu e hana ai me kahi pēpē hoʻokahi. E kōkua kēia i ka hōʻoia ʻana e ulu pono ana nā pēpē ʻelua.
Eia kekahi, i kou kokoke ʻana i ka hānau ʻana, pono paha ʻoe e nānā i ke olakino o kāu pēpē ma kahi o ʻelua manawa i ka pule. Hiki i kēia ke komo pū me ka hoʻopili ʻana iā ʻoe i kahi mea nānā i ka helu o ka puʻuwai o ka fetal . Hana ʻia kēia mau mea a pau no ka palekana loa o ʻoe a me kāu pēpē.
ʻOiaʻiʻo 4: Hiki ke ʻike ʻia ka maʻi kakahiaka a me nā ʻeha ʻē aʻe me ka ʻoi aku ka koʻikoʻi
Hoʻokumu ʻia ka maʻi kakahiaka e ka piʻi ʻana o ka hormone human chorionic gonadotropin (hCG) . Kiʻekiʻe loa kēia hormone i ka wā hāpai. ʻO ka hopena, hiki i nā makuahine o nā māhoe ke loaʻa i kekahi nausea a me ka luaʻi i nā mahina mua ʻekolu. ʻO ka nūhou maikaʻi, ʻo ka maʻamau e emi kēia ʻeha ma hope o 12-14 mau pule.
ʻAʻole wale ia, ʻoi aku ka nui o ka ʻeha o ke kua, ka hiamoe ʻole, a me ka ʻāʻī o ka naʻau ma mua o ka makuahine hāpai maʻamau. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka makuahine i ka anemia a me ke kahe koko postpartum.
ʻoiaʻiʻo 5: Hiki ke maʻamau ka ʻike ʻana i nā kiko i nā pae mua.
ʻO ke ʻano o ka ʻōhū ʻana i ka wā o ka trimester mua o ka hāpai ʻana he hōʻailona ia o ka hāʻule ʻana o ka ʻōpū. ʻOi aku ka maʻamau o kēia ʻano o ka ʻōhū ʻana i nā hāpai māhoe, no ka mea, ʻoi aku ka nui o ka pilikia o ka hāʻule ʻana o ka ʻōpū .
Akā, mai hopohopo ke ʻike ʻoe i kahi mea e like me kēia. Inā he koko iki kou me ka ʻole o nā ʻeha, ʻaʻole ia he mea ʻino loa. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, nā ʻūpā koko, a me ke kahe mau ʻana o ke koko, he hōʻailona paha ia o kahi mea koʻikoʻi. Inā hana ʻia kēlā, pono ʻoe e hoʻomaopopo koke i kāu kauka .
ʻoiaʻiʻo 6: ʻAʻole ʻike nā pēpē i nā neʻe ʻana i ka wā mua.
Manaʻo ka poʻe he nui ʻo ka loaʻa ʻana o nā māhoe ʻo ia hoʻi e ʻike lākou i ka neʻe ʻana o nā pēpē ma mua, akā ʻaʻole ia ka hihia. ʻO ka maʻamau, hoʻomaka ʻoe e ʻike i ka neʻe ʻana o kāu pēpē ma waena o 18 a me 20 mau pule. ʻAʻole loli kēlā manawa ʻoiai ke loaʻa iā ʻoe nā māhoe.
Akā, pili ia i kou hāpai mua ʻana a i ʻole. Inā ua loaʻa iā ʻoe kahi pēpē ma mua, ua ʻike ʻoe i ke ʻano o ka neʻe ʻana o ka pēpē . Akā no ka manawa mua, hiki ke paʻakikī iki ke ʻike i ka ʻokoʻa mai kahi mea e like me ke kinoea.
ʻOiaʻiʻo 7: ʻOi aku ka nui o ke kaumaha ma mua o ka hāpai ʻana maʻamau
He mea maopopo kēia. Me nā pēpē ʻelua, nā placentas ʻelua, a me ka wai amniotic keu, e loaʻa iā ʻoe ke kaumaha ma mua o ka maʻamau. Eia kekahi, pono ʻoe i nā calorie hou aʻe ke hāpai ʻoe i nā māhoe.
Ma ka awelika, loaʻa i kahi makuahine me hoʻokahi pēpē ma kahi o 11-12 kg (25 lbs) ʻoiai ʻo ka makuahine me nā māhoe e loaʻa ana ma kahi o 13-16 kg (30-35 lbs). Eia nō naʻe, aia nā ʻōlelo aʻoaʻo maopopo ma ka papa ma lalo nei.
| Kou kaumaha kino (ma mua o ka hāpai ʻana) | Ka piʻi ʻana o ke kaumaha i manaʻo ʻia |
|---|---|
| Kaumaha maʻamau | 17 - 24.5 kilokani (37-54 paona) |
| Kaumaha loa | 14 - 22.5 paona (31-50 paona) |
| Momona | 11 - 19 kilokani (25-42 paona) |
Akā he mau ʻōlelo aʻoaʻo maʻamau wale nō kēia . E kamaʻilio me kāu kauka e pili ana i ka nui o ke kaumaha āu e pono ai e hoʻonui e kūpono i kou kino.
ʻoiaʻiʻo 8: ʻOi aku ke kiʻekiʻe o ka pilikia o ka loaʻa ʻana o ka maʻi diabetes gestational i ka wā hāpai.
Aia kahi pilikia kiʻekiʻe o ka maʻi diabetes gestational i ka wā hāpai ke hāpai ʻoe i nā māhoe. Hiki i kēia ʻano ke hoʻoulu i nā pēpē i ke kaumaha nui a koi ʻia kahi ʻoki C. Eia nō naʻe, ʻaʻole nui loa nā māhoe. Eia nō naʻe, he mea nui ka kaohi ʻana i kēia ʻano no kou olakino i ka wā e hiki mai ana, no ka mea hiki ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka Type 2 Diabetes ma hope o ke ola.
ʻOiaʻiʻo 9: Hoʻonui ʻia ka pilikia o ka preeclampsia
ʻAʻole ʻike ʻia ke kumu kikoʻī o ka preeclampsia, akā ua ʻike ʻia he mea maʻamau ia i nā wahine hāpai e hāpai ana i nā māhoe. ʻO nā hōʻailona nui ke koko kiʻekiʻe, ka protein i loko o ka mimi, a i kekahi manawa ka pehu ʻana o nā lima a me nā wāwae . He mea ia e hōʻike ai i ke ʻano ʻoi aku ka weliweli ʻo eclampsia . ʻO ia ke kumu e nānā ai kāu kauka i kou koko a lawe i kahi laʻana mimi i kēlā me kēia kipa.
ʻoiaʻiʻo 10: Hiki ke hānau keiki ʻana ma mua o ka manawa.
Hānau ka hapa nui o nā makuahine me nā māhoe ma waena o 36-37 mau pule. ʻO ka hāpai ʻana maʻamau e mau a hiki i 40 mau pule. I kekahi manawa hiki ke hiki ma mua.
Wahi a nā loea, ʻaʻohe pilikia nui inā hānau ʻia nā pēpē ma hope o 34 mau pule. Eia nō naʻe, he pēpē hānau mua ʻole ka pēpē.
ʻOi aku ka nui o ka pilikia o nā pēpē māhoe i ka hānau mua ʻana. Ma muli o kēia, loaʻa paha iā lākou nā pilikia hanu. ʻOi aku ka nui o ko lākou hānau ʻia me ke kaumaha haʻahaʻa i ka wā hānau. Akā, he mau pono maikaʻi loa ko kā mākou mau haukapila e hoʻokele i kēia mau mea.
ʻOiaʻiʻo 11: Aia kahi manawa kūpono kiʻekiʻe o ka loaʻa ʻana o ka ʻoki cesarean (C-section).
I ka hāpai ʻana o nā māhoe, ʻoi aku ka kiʻekiʻe o ka manawa e pono ai ke hana ʻia kahi ʻāpana Cesarean (C-section). ʻO ke kumu nui o kēia, ʻo ia ke kūlana o nā pēpē. ʻOi aku ka nui o ka manawa e noho ai kekahi o nā māhoe ma ke kūlana breech . I ia hihia, ʻoi aku ka maikaʻi o ka hana ʻana i kahi ʻāpana cesarean no ka palekana o ʻoe a me kāu pēpē.
Leka Lawe-Home
- Ua manaʻo ʻia ka hāpai māhoe he hāpai "kiʻekiʻe ka pilikia". No laila, he mea nui loa e ʻike pinepine i kāu kauka no nā nānā ʻana. No kou palekana a no kāu mau pēpē.
- Mai makaʻu a hilahila paha i kekahi mea ʻē āu e manaʻo ai (e like me ka ʻōhū ʻana, ka ʻeha o ka ʻōpū), a e kamaʻilio me kāu kauka.
- E hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka folic acid, ka meaʻai, a me ka loaʻa ʻana o ke kaumaha.
- E makaʻala i nā hōʻailona hōʻailona o nā maʻi e like me ka maʻi diabetes gestational a me ka preeclampsia.
- E hoʻomanaʻo he hiki ke hānau mua ʻia nā pēpē a he mea pono paha ke ʻoki ʻoki cesarean, a e hoʻomākaukau i kou noʻonoʻo no kēlā.
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