Aia ʻoe i kēia manawa i nā pae hope o kou hāpai ʻana. I loko o kekahi mau pule wale nō, e paʻa ana ʻoe i kāu pēpē i loko o kou mau lima. Hiki i kēia ke lilo i manawa piha i ka manaʻolana nui, akā hiki nō hoʻi ke lilo i mea paʻakikī iki. Me ka ʻoluʻolu ʻole o ke kino āu e manaʻo ai, ua piha kou manaʻo i ka manaʻolana no ka hiki ʻana mai o kāu pēpē. No laila e nānā kākou i ke ʻano o kēia trimester ʻekolu a me nā mea e hana ʻia i loko o kēia manawa.
He aha ka trimester ʻekolu?
I ka ʻōlelo maʻalahi, ʻo kēia ka pae hope loa o kou hāpai ʻana. Mai ka pule 29 a i ka pule 40, ʻo ia hoʻi nā mahina 7, 8, a me 9. I loko o kēia manawa, ua ulu nui kāu pēpē, ua piʻi ke kaumaha, a ua hoʻololi i ke kūlana no ka hoʻomākaukau ʻana no ka hānau ʻana. I kēia manawa aia ʻoe i ka hopena o ka huakaʻi. He mau pule wale nō i koe, akā hiki i kēia ke lilo i ka manawa paʻakikī loa o kou hāpai ʻana.
He aha ka mea e hana nei i kāu pēpē i kēia manawa?
E noʻonoʻo wale, ke ulu wikiwiki nei kāu pēpē i kēia manawa. I ka hopena o kēia pae, ʻo ka pēpē piha manawa he 19-21 ʻīniha (48-53 cm) ka lōʻihi a ʻo ke kaumaha ma kahi o 6-9 paona (2.7-4 kg).
I loko o kēia manawa, ke hoʻohuli nei ke pēpē i kona poʻo i lalo e hoʻomākaukau no ka hānau ʻana. Ma kahi o 36 mau pule, hoʻomaka ke poʻo o ke pēpē e iho i loko o kou wahi pelvic. Kāhea pū mākou i kēia he "māmā". Aia ke pēpē ma kēia kūlana poʻo i lalo i nā pule ʻelua hope loa o ka hāpai ʻana.
ʻAʻole wale ia, ulu ka pēpē ma nā ʻano koʻikoʻi ʻē aʻe i kēia manawa.
- Hiki i ke pēpē ke wehe i kona mau maka a ʻike.
- Hiki iā ʻoe ke lohe i ke kani.
- Hiki iā ʻoe ke omo i kou manamana lima .
- Hiki iā ʻoe ke uē a ʻakaʻaka.
Ke hoʻomau nei ka ulu ʻana o ka lolo o ka pēpē. Ke oʻo maikaʻi nei nā māmā a me nā puʻupaʻa. Ke loaʻa nei ke kino i ka nui o nā ʻiʻo, a ke piʻi nei ka momona o ke kino i kahi o 16%. Hoʻomālielie ʻia nā iwi ma luna o ke poʻo i mea e maʻalahi ai ka hānau ʻana. He uliuli nā maka o ka hapa nui o nā pēpē i kēia manawa, akā hiki ke loli kēlā kala i loko o kekahi mau lā a i ʻole mau pule ma hope o ka hānau ʻana. Ua ulu maikaʻi ʻia hoʻi nā kui lima a me nā kui wāwae. I ke ʻano o kahi pēpē keikikāne, ua iho nā testicles i loko o ka scrotum.
I loko o kēia manawa, ua uhi ʻia ka ʻili o ka pēpē i kahi uhi pale i kapa ʻia ʻo `( vernix caseosa )`. Eia kekahi, ʻo ka huluhulu maikaʻi i kapa ʻia ʻo `(lanugo)` ua hemo nui ʻia i loko o 40 mau pule.
He aha nā loli āu e manaʻo nei i loko o kou kino a pehea ʻoe e hoʻoponopono ai iā lākou?
Nui paha kou ʻoluʻolu ʻole i kēia manawa. I ka ulu ʻana o kāu pēpē, e ʻike pū ana kou kino. E nānā kākou i ke ʻano o lākou a me kāu mea e hiki ai ke hana e pili ana iā lākou.
| Hoʻololi / hōʻailona | Ka wehewehe a me nā mea hiki iā ʻoe ke hana |
|---|---|
| ʻO ka ʻeha o ka ʻōpū | I ka ulu ʻana o kāu pēpē, hiki iā ʻoe ke manaʻo i ka ʻoluʻolu ʻole a me ka ʻeha ma muli o ka nele o kahi ākea i loko o kou ʻōpū. Hiki iā ʻoe ke paʻakikī i ka hiamoe i ka pō a paʻakikī paha ke hanu hohonu. |
| ʻEha hope | Hiki i ke kaumaha i hoʻonui ʻia ke kau i ke kaomi ma kou kua a hōʻeha i ke kua. E mālama pono i kou kua. E noho ma kahi noho me ke kākoʻo hope. E mālama i kahi uluna ma waena o kou mau wāwae ke hiamoe ʻoe i ka pō. E ʻaʻahu i nā kāmaʻa ʻoluʻolu me nā kuʻekuʻe wāwae haʻahaʻa. Hiki ke kōkua ke kau ʻana i kahi ʻōmole wai wela. E nīnau mau i kāu kauka ma mua o ka lawe ʻana i nā mea hōʻeha. |
| Ke kahe koko iki | ʻO nā kiko māmā i ka hopena o ka hāpai ʻana i kekahi manawa he hōʻailona ia e hoʻomaka ana ka hānau ʻana. Eia nō naʻe, hiki iā ia ke hōʻailona o kahi pilikia koʻikoʻi , e like me ka placenta previa a i ʻole ka placental abruption. Inā ʻike ʻoe i kekahi kahe koko, e kāhea koke i kāu kauka . |
| Nā ʻūmiʻi ʻōpū (Braxton-Hicks) | ʻAʻole kēia he mau ʻūmiʻi maoli, akā, he mau ʻūmiʻi palupalu e like me ka hoʻomaʻamaʻa ʻana. ʻAʻole ikaika kēia mau "ʻūmiʻi Braxton-Hicks" e like me nā ʻūmiʻi maoli. Hoʻokokoke mai nā ʻūmiʻi maoli a ikaika aʻe. Inā loaʻa iā ʻoe nā ʻūmiʻi mau a paʻakikī paha ke hanu, e kelepona i kāu kauka . |
| Ka hoʻonui ʻana o ka umauma a me ka liki ʻana o ka waiū | Ua ulu paha kou mau umauma ma kahi o 2 paona i kēia manawa. E ʻaʻahu i kahi pale umauma me ke kākoʻo maikaʻi. Ke kokoke aku ʻoe i ka hānau ʻana, e ʻike paha ʻoe i kahi wai melemele e puka mai ana mai kou mau nipples. Ua kapa ʻia kēia he colostrum. Hāʻawi kēia waiū i ka pēpē me nā meaʻai e pono ai i nā lā mua ma hope o ka hānau ʻana. |
| Pono pinepine e mimi | I ka ulu ʻana o kāu pēpē a kaomi i kona poʻo ma luna o kou ʻōpū mimi, pono paha ʻoe e hele pinepine i ka lua, ʻoi aku hoʻi i ka pō. Hiki paha iā ʻoe ke hoʻokahe i kahi mimi ke ʻū ʻoe a ʻakaʻaka paha. E hele koke i ka wā e pono ai. E hōʻemi i kāu lawe ʻana i ka wai ma mua o ka hiamoe ʻana i ka pō. Inā loaʻa iā ʻoe kekahi ʻā a ʻeha paha i ka wā e mimi ai ʻoe, e haʻi i kāu kauka, no ka mea, he hōʻailona paha kēia o kahi maʻi ʻaʻai mimi. |
| Ka mumū o ka larynx a me ka constipation | He ʻano maʻi i hoʻokumu ʻia e ka hormone progesterone. No ka ʻeha puʻuwai, e ʻai i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā ma kahi o ka ʻai ʻana i nā meaʻai nui. E hōʻemi i nā meaʻai ʻaila, ʻala, a me ka ʻawaʻawa. No ka paʻa ʻana o ka ʻōpū, e ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu) a inu i ka wai he nui. Inā hoʻopilikia kēia mau mea, e kamaʻilio me kāu kauka e pili ana i kahi lāʻau lapaʻau hiki iā ʻoe ke hoʻohana. |
| Pehu ʻana | Hiki ke paʻa iki kou mau wāwae, a hiki ke pehu kou mau kuʻekuʻe wāwae a me kou maka. ʻO kēia ma muli o ka paʻa ʻana o ka wai (edema). E hoʻokiʻekiʻe i kou mau wāwae i kou noho ʻana. Eia nō naʻe, inā ʻike ʻoe i ka pehu koke ʻana, he hōʻailona paha ia o kahi pilikia hāpai weliweli i kapa ʻia ʻo preeclampsia, no laila e ʻimi koke i ke kōkua lapaʻau. |
He mea maʻamau ka luhi, loaʻa nā moeʻuhane ʻē, manaʻo kaulike ʻole, a loaʻa nā māka kīkoʻo i kēia manawa. E hoʻomaha iki i ka wā e luhi ai ʻoe. Pono ʻoe i kou ikaika ma hope o ka hānau ʻana o ke pēpē, no laila e mālama i kēia manawa.
Nā Hōʻailona Hōʻailona ʻUlaʻula e Pono e ʻIke Koke i ke Kauka
ʻO kekahi o kēia mau hōʻailona paha he hōʻailona ia o kahi pilikia i kou wā hāpai. Inā ʻike ʻoe i kekahi mea e like me kēia ma mua o kou kipa ʻana i ke keʻena lapaʻau maʻamau , e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa.E hele i ka ʻĀpana Lapaʻau Pōpilikia (ETU).
- ʻEha nui o ka ʻōpū a i ʻole ke kuʻi ʻana
- Ka luaʻi nui a i ʻole ka luaʻi ʻana
- ʻO kēlā me kēia ʻano kahe koko ʻana o ka vaginal
- ʻO ka poniuniu nui
- ʻEha a wela paha i ka wā e mimi ai
- ka piʻi wikiwiki ʻana o ke kaumaha (ʻoi aku ma mua o 3 kg i kēlā me kēia mahina) a i ʻole ka pohō kaumaha
ʻO kekahi mau ʻōlelo aʻoaʻo kūikawā no nā makuahine e kali ana i nā māhoe
Inā ʻoe e kali ana i nā māhoe, e noʻonoʻo e pili ana i kēia mau mea.
- E kiʻi i ka ʻōlelo aʻoaʻo no ka hānai waiū: He paʻakikī ka hānai waiū ʻana i ʻelua pēpē, akā ʻaʻole hiki ʻole. E noi i kāu kauka no ka ʻōlelo aʻoaʻo no kēia ma mua.
- E nānā i kou pae hao: E nīnau i kāu kauka inā pono ʻoe e lawe i nā lāʻau hao. ʻEhā manawa ka nui o ka loaʻa ʻana o ka anemia hemahema hao i nā makuahine o nā māhoe.
- E makaʻala i nā hōʻailona o ka preeclampsia: Hoʻonui pālua ka pilikia o kēia maʻi koʻikoʻi ke hāpai ʻoe i nā māhoe. E haʻi koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha poʻo, ka ʻike maka pohihihi, a i ʻole ka piʻi koke ʻana o ke kaumaha .
- E huli i kahi hui kākoʻo: E huli i kahi hui o nā makuahine o nā māhoe ma kou wahi. ʻO ke kākoʻo mai ka poʻe i loaʻa nā ʻike like me ʻoe hiki ke waiwai nui ʻia.
Leka Lawe-Home
- ʻO ke kolu o ka trimester ka ʻāpana hope loa a paʻakikī loa o ka hāpai ʻana. I loko o kēia manawa, ke hele nei kou kino a me kāu pēpē i nā loli nui.
- He mea maʻamau ka ʻeha kua, ka hiamoe ʻole, a me ka pōkole o ka hanu, akā aia nā ala maʻalahi e hoʻoponopono ai iā lākou.
- E makaʻala mau i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ke kahe ʻana o ke koko, a me ka pehu koke . Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea koke aku i kāu kauka.
- I loko o kēia manawa, he mea nui loa iā ʻoe a me kāu pēpē e loaʻa ka hoʻomaha kūpono, ʻai i nā meaʻai momona, a noho hauʻoli noʻonoʻo.
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