ʻO ke kolu o ka trimester: nā mea e pono ai ʻoe e ʻike i kēia manawa!

I kēia manawa, ua hiki ʻoe i ke kahua hope loa a koʻikoʻi loa o kou hāpai ʻana. ʻEkolu mahina wale nō i koe a hiki i ka hānau ʻana o ka pēpē. ʻAʻole hiki ke hōʻike ʻia ka hauʻoli a me ka manaʻolana āu e manaʻo nei i kēia manawa ma nā huaʻōlelo. I ka manawa like, he mea maʻamau loa ka luhi, ka ʻoluʻolu ʻole, a me ka makaʻu iki i kēlā me kēia manaʻo e hiki mai ana i ka noʻonoʻo. I kēia lā, e kamaʻilio kikoʻī mākou e pili ana i ke kahua hope loa o kēia huakaʻi, nā mea e hana nei i kou kino a me kou noʻonoʻo, a me ka ulu ʻana o ka pēpē i loko o ka ʻōpū.

He aha maoli ka trimester ʻekolu?

I ka ʻōlelo maʻalahi, ʻo nā mahina ʻekolu hope loa o ka hāpai ʻana ka mea a mākou e kapa nei ʻo ke kolu o ka trimester. ʻO ia hoʻi, ʻo ka manawa mai ka pule 28 a hiki i ka hānau ʻana o ka pēpē, ʻo ia hoʻi ma kahi o ka pule 40. He mea nui loa kēia manawa nou a me kāu pēpē.

E noʻonoʻo, e like ka nui o kou ʻōpū me ka wai meli i ka hopena o kēia wā. Ke piʻi wikiwiki nei ke kaumaha o ka pēpē, ua ulu piha kona mau ʻōpū a ua mākaukau e hele mai i ka honua waho. Pono nō hoʻi ʻoe e kū i nā ʻike hou he nui. Hiki ke manaʻo ʻia nā mea e like me ka pilikia o ka hanu ʻana, nā ʻūlū wahaheʻe (Braxton Hicks contractions) i loko o kēia wā. ʻO kēia nō hoʻi ka manawa kūpono loa e hele ai i nā papa ma ka hānau ʻana, ka hānai waiū, a hoʻomākaukau i nā lole o ka pēpē, nā diapers, a me ka moena.

Pehea kāu mālama ʻana i ka wā hāpai i kēia manawa?

I kēia pae hope loa, pono kāu kauka e ʻike pinepine iā ʻoe a me kāu pēpē. No laila e hoʻonui iki ʻia ka nui o nā kipa ʻana i ke keʻena lapaʻau. Inā ʻaʻole pilikia nui kou hāpai ʻana, e noi pinepine ʻia ʻoe e hele mai i ke keʻena lapaʻau i kēlā me kēia ʻelua pule a hiki i 36 mau pule a i kēlā me kēia pule i ka mahina i hala .

I kēlā me kēia o kēia mau nānā ʻana, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā hōʻailona hou a i ʻole ka ʻoluʻolu ʻole āu e ʻike nei. E nīnau i nā nīnau āu e loaʻa ai. E nānā pono kāu kauka i kēia mau mea:

• Kou koko kiʻekiʻe .
• Kou kaumaha .
• Ke kūlana a me ka nui o ke pēpē.
• Ke kiʻekiʻe o ka waihona.
• Ka helu o ka puʻuwai o ka pēpē .
• He laʻana o kou mimi .
• E hoʻomaopopo ʻia nō hoʻi ʻoe e pili ana i nā lāʻau pale e pono ai ʻoe e loaʻa.

I kou kokoke ʻana i ka hopena o kou hāpai ʻana, e nānā kekahi mau kauka e ʻike inā ua hoʻonui ʻia a ua holoi ʻia kou cervix. A ma kahi o 36 mau pule, e hoʻāʻo lākou iā ʻoe no kahi bacteria i kapa ʻia ʻo Group B strep (GBS).

Inā pilikia kou hāpai ʻana a ua hala paha kou lā hānau, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua kūikawā, e like me ka hoʻāʻo nonstress a i ʻole kahi ʻikepili biophysical, e nānā i ke olakino o ka pēpē.

He aha nā hōʻailona maʻamau i ka trimester ʻekolu?

Manaʻo paha ʻoe e like me ka pōpō e pohā ana i kēia manawa. ʻAʻole like ka ʻike ʻana o nā kānaka a pau i ia mea, akā hoʻomaka ka nui o ka poʻe e ʻeha iki aʻe i kēia manawa. Ke ulu pū nei kou kino me ka pēpē, a ke hoʻomākaukau nei hoʻi no ka hānau ʻana. ʻOiai ke hana nei kēia mau mea a pau i ka manawa hoʻokahi, he mea maʻamau ka loaʻa ʻana o kekahi ʻoluʻolu ʻole.

Hiki iā ʻoe ke ʻike i kekahi a i ʻole nā ​​​​hōʻailona āpau ma lalo nei.

Pehea lā wau e mālama ai iaʻu iho i kēia manawa?

He mea maʻamau ka luhi a me ka makemake e hoʻomaha i nā mahina hope loa o ka hāpai ʻana. Mai manaʻo ʻino no ka loaʻa ʻole o ka ikaika āu i loaʻa ai ma mua. E hoʻāʻo e noho ikaika e like me kou hiki. Ua ʻike ka poʻe he nui he mea maikaʻi ka hoʻoikaika kino māmā, e like me ka hele wāwae, yoga, a me ka ʻauʻau ʻana, i kēia manawa.

Eia kekahi, e makaʻala i kēia mau mea:

• E ʻai i ka meaʻai momona a kaulike hoʻi .
• E inu i ka wai he nui .
• Inā makemake ʻoe i ke kōkua, mai makaʻu e noi aku . E lilo kāu kāne, ʻohana, a me nā hoaaloha i kākoʻo nui iā ʻoe i kēia manawa.

Eia kekahi, pono e hōʻole ʻia kēia mau mea i ka trimester ʻekolu:

• ʻO ka waiʻona, nā cigarette, a me nā lāʻau lapaʻau i kauoha ʻole ʻia e ke kauka.
• ʻO ka ʻiʻo maka a i ʻole ka ʻiʻo i moʻa pono ʻole ʻia, ka iʻa me ka mercury kiʻekiʻ
• Waiū a me ka tīhi i hoʻomaʻemaʻe ʻole ʻia.
• Nā ʻauʻau wela, nā sauna.
• Nā haʻuki a me nā hana e lawe mai ana i ka nui o ka pilikia o ka hāʻule ʻana.

Pehea e ulu ai ke pēpē i ka trimester ʻekolu?

ʻO kēia ka manawa e hoʻomākaukau hope ai ke pēpē no ke ao waho. Piʻi koke kona lōʻihi a me kona kaumaha. ʻO kaʻoiaʻiʻo, ua loaʻa ma mua o ka hapalua o kona kaumaha holoʻokoʻa i kēia mau mahina ʻekolu i hala. Ke oʻo piha nei kona mau ʻōpū nui, ʻoiai kona mau māmā a me ka lolo.

ʻO ka mea nui loa, ʻo ia ke huli ʻana o ke pēpē i ke poʻo i lalo, ʻo ia ke kūlana maʻalahi loa no ka hānau ʻana i kēia manawa.

He aha nā pilikia e hiki ke loaʻa i kēia manawa?

Hiki ke kū mai kekahi mau pilikia i kēia manawa. ʻO ia ke kumu e nānā mau ai kāu kauka iā ʻoe. Inā ʻike mua ʻia kēia mau mea, hiki iā ʻoe ke pale iā ʻoe iho a me kāu pēpē me ka mālama kūpono.

• Preeclampsia: ʻO kahi kūlana e hoʻoulu ai i nā hōʻailona e like me ke koko kiʻekiʻe a me ka protein i loko o ka mimi.
• ʻO ka maʻi diabetes gestational: He ʻano e piʻi ai ke kiʻekiʻe o ke kō koko i ka wā hāpai .
• Ka hānau mua ʻana: Ka hoʻomaka ʻana o ka hānau ʻana ma mua o 37 mau pule.
• Ka haki mua ʻana o nā membrane (PROM): Holo ka wai ma mua o ka hoʻomaka ʻana o ka hana.
• Ka palena o ka ulu ʻana o ka pēpē i loko o ka ʻōpū: ʻAʻole i like ka ulu ʻana o ka pēpē me ka mea i manaʻo ʻia.
• ʻŌpū: Ke kū nei nā puʻupuʻu a i ʻole nā ​​wāwae o ka pēpē i lalo no ka hānau ʻana, ma kahi o ke poʻo o ka pēpē.

He mea nui loa e hele i kāu mau hoʻokolohua lapaʻau a pau e ʻike i nā kūlana e like me kēia i ka wā mua.

Pehea e ʻike ai au i ka wā e hoʻomaka ai ka hānau ʻana?

ʻO kēia ka pilikia nui loa no nā kānaka he nui, ʻoiai me kā lākou pēpē mua. Hiki ke paʻakikī ke ʻike inā e hoʻomaka ana ka hānau maoli a inā he mau ʻōʻō wahaheʻe kēia. Eia kekahi o nā hōʻailona nui o ka hoʻomaka ʻana o ka hānau.

• Nā ʻūmiʻi: I nā ʻūmiʻi maoli, kokoke mai nā ʻūmiʻi (e.g., ʻo ka mea i hele mai i kēlā me kēia 10 mau minuke e hoʻomaka ana e hele mai i kēlā me kēia 5 mau minuke), a piʻi aʻe ka lōʻihi o ka manawa o kēlā me kēia ʻūmiʻi.(Eia kekahi laʻana, ʻo ka mea ma mua o 30 kekona i kēia manawa he 60 kekona ka lōʻihi) a piʻi aʻe ka ikaika o ka ʻeha .
• Ka haki ʻana o ka wai: Manaʻo paha ia e like me ka nui o ka wai e kahe koke ana mai loko mai o ka vagina a i ʻole e kahe liʻiliʻi ana ka wai i waho.
• "Hōʻike koko": I ka hoʻomaka ʻana o ka cervix e ākea, e puka mai paha kahi kahe e like me ka mucus i hui pū ʻia me ke koko. ʻAʻole ʻike nā kānaka a pau i kēia.
• Ka hemo ʻana o ka mucus plug: Hiki i ka mucus plug, ka mea e pale ai i ka ʻōpū mai ka maʻi, ke hemo a puka i waho o ka vagina i ka wā e hoʻokokoke mai ai ka hānau ʻana. Hiki ke hana koke kēia, a i ʻole ʻaʻole paha ʻoe e ʻike. ʻAʻole kēia manaʻo e loaʻa iā ʻoe kahi pēpē i kēlā lā, akā he hōʻailona ia e mākaukau ana kou kino.

Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?

He mea nui loa ia e hoʻomau i ka launa pū me kāu kauka i ke kolu o ka trimester. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Nā hōʻailona o ka hānau keiki ʻana ma mua o ka wā hānau (ʻeha, nā ʻūmiʻi mau , ka haki ʻana o ka ʻeke wai).
• Ke kahe koko ʻana o ka ʻōpū.
• ʻOi aku ka emi o ka neʻe ʻana o ka pēpē ma mua o ka maʻamau. (Hiki ke loli ka nui o nā manawa e neʻe ai ka pēpē i kēlā me kēia lā, akā inā ʻaʻole neʻe ka pēpē no ka lōʻihi ma mua o ka maʻamau, e haʻi koke i kāu kauka .)
• ʻEha nui ka ʻōpū.
• Ka luaʻi a me ka luaʻi.
• ʻEha nui a me ka poniuniu.

E hoʻomanaʻo, he mea naʻauao ke palekana ma mua o ka hiki ʻana mai. Inā he kānalua kou, e kamaʻilio me kāu kauka.