He makuahine anei ʻoe e hāpai ana i kahi pēpē ma o ka ʻoki ʻana o C? A i ʻole ua loaʻa mua iā ʻoe kahi pēpē ma o ka ʻoki ʻana o C? A laila ua lohe paha ʻoe e pili ana i ka huaʻōlelo hou ʻo 'Vaginal Seeding'. Ua ʻōlelo paha kekahi hoaaloha ou iā ia, a ua ʻike paha ʻoe iā ia ma ka pūnaewele. No laila he aha ke ʻano o ia mea? He maikaʻi anei ia no ka pēpē? A i ʻole he mea ia e hoʻoweliweli ana i ke ola o ka pēpē me ka ʻike ʻole? E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi e hoʻomaʻemaʻe i nā kānalua āu e loaʻa ai no ia mea.
I ka ʻōlelo maʻalahi, he aha ka 'Vaginal Seeding'?
He mea maʻalahi loa kēia. Ma hope koke iho o ka hānau ʻana o ka pēpē ma o ka ʻoki ʻoki cesarean, lawe ʻia kekahi o nā mea huna o ka makuahine a hoʻopili ʻia ma ka waha, ka maka, a me ke kino o ka pēpē. Ua kapa ʻia kēia ʻo 'vaginal seeding.' ʻO kekahi inoa no kēia ʻo 'microbial seeding.'
ʻO ka maʻamau, hana ʻia kēia penei: Ma mua o ka ʻoki ʻana o C-section, kau ke kauka i kahi ʻāpana gauze maʻemaʻe i loko o ka vagina o ka makuahine. Ma hope o kekahi manawa, omo ka gauze i ka wai o ka vagina. A laila, i ka wā e hānau ai ka pēpē, holoi ʻia ka pēpē me ka gauze.
No ke aha lā e hoʻowalewale ʻia ai nā kānaka e hana i kekahi mea e like me kēia?
I mea e maopopo ai ke kumu o kēia, pono kākou e ʻike e pili ana i kekahi o nā hoaaloha liʻiliʻi i loko o ko kākou kino. ʻO lākou nā bacteria "maikaʻi" e pono ai ko kākou kino. Kāhea mākou i kēia hōʻiliʻili o nā bacteria a me nā microorganisms ʻo "microbiome." Kōkua kēia mau bacteria maikaʻi iā mākou e hoʻoheheʻe i ka meaʻai, pale iā mākou mai nā maʻi, a hoʻoikaika i kā mākou ʻōnaehana pale .
E noʻonoʻo e pili ana i ia mea, ma ke ʻano maʻamau, ʻo ia hoʻi, i ka wā e hānau ʻia ai kahi pēpē ma ke ʻano vaginal, i ka wā e puka mai ai ke pēpē ma ke kahawai hānau o ka makuahine, lawe pū ia i kēia mau bacteria 'maikaʻi' mai ka vagina o ka makuahine me ia. He mea kēia e hana maoli ʻia. ʻO kēia mau bacteria ka mea mua e hoʻokumu i kahi kolone bacteria maikaʻi i loko o nā ʻōpū a me ke kino o ka pēpē.
Akā i ka wā e hānau ʻia ai kahi pēpē ma o ka ʻoki ʻoki cesarean, lawe pololei ʻia ke pēpē mai loko mai o ka ʻōpū, no laila ʻaʻole i loaʻa i ke pēpē kēia mau bacteria maikaʻi mai ka vagina o ka makuahine. No laila, manaʻo ka poʻe e kākoʻo ana i ke ʻano 'vaginal seeding' inā hāʻawi ʻia nā pēpē i hānau ʻia ma o ka ʻoki ʻoki C i kēlā mau bacteria maikaʻi kūlohelohe, ma ke ʻano hana a i ʻole ma o ke ʻano kaohi hānau, e hoʻomaikaʻi ʻia ko lākou palekana a hiki ke pale ʻia mai kekahi mau maʻi (e like me ka hānō a me nā allergies) e ulu paha iā lākou i ka wā e hiki mai ana.
Akā e hoʻomanaʻo, he kumumanaʻo wale nō kēia. ʻAʻole lawa nā hōʻike ʻepekema paʻa e pili ana i kona mau pono.
He aha nā pono a me nā pilikia koʻikoʻi o ka 'vaginal seeding'?
Ma mua o ka hoʻoholo ʻana i kekahi mea, he mea nui loa ia e ʻike i nā pono a me nā pōʻino o ia mea. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.
He aha nā pōmaikaʻi āu e manaʻo ai?
Manaʻo kekahi poʻe noiʻi he loaʻa paha kekahi mau pono o ka lūlū ʻana i ka ʻōpū. Wahi a lākou e hōʻemi paha ia i ka pilikia o ka loaʻa ʻana o nā maʻi e pili ana i ka pale ʻana e like me ka hānō, nā maʻi ʻaleka, a me ka eczema i nā pēpē i hānau ʻia e C-section.
Akā, aia kahi 'akā' nui i kēia. ʻO ka hapa nui o nā haʻawina i hana ʻia ma kēia he liʻiliʻi loa. Eia kekahi, ʻaʻohe mea i ʻike i ka lōʻihi o nā pono o kēia ʻano hana. No kēia mau kumu, ʻaʻole ʻōlelo nā hui lapaʻau nui o ka honua i kēia ʻano hana.
Nā pilikia e hiki ke hoʻoweliweli maoli
ʻO kēia kahi e pono ai kākou a pau e makaʻala nui. ʻAʻole wale nā bacteria 'maikaʻi' e noho ana i loko o ka ʻōpū o ka makuahine. I kekahi manawa, hiki ke loaʻa nā bacteria 'maikaʻi ʻole' a me nā virus e hiki ke hoʻoulu i nā maʻi koʻikoʻi me ka ʻole o nā hōʻailona.
He nāwaliwali loa ka ʻōnaehana pale o kahi pēpē hānau hou. ʻAʻohe o lākou hiki ke pale aku i kēia mau germs weliweli. Ke hana mākou i ka 'vaginal seeding', hiki iā mākou ke hoʻokomo i kēia mau germs weliweli i loko o ke kino o ka pēpē me ka ʻike ʻole. Hiki i kēia ke hana i nā maʻi e hiki ke hoʻopilikia i ka pēpē no ke ola, a hiki ke make.
E nānā i ka papa ma lalo no nā maʻi weliweli e hiki ke laha i nā pēpē ma kēia ʻano.
| Inoa o ka maʻi | Nā hopena hiki ke loaʻa i ke keiki hānau hou |
|---|---|
| ʻO ka Streptococcus Pūʻulu B (GBS) | He mea weliweli loa kēia no nā pēpē hānau hou. Hiki iā ia ke hana i nā maʻi make e like me ka meningitis, ka pneumonia, a me ka sepsis. |
| ʻO ka Herpes Genital (Genital Herpes - HSV-2) | Inā loaʻa i kahi pēpē kēia maʻi, hiki iā ia ke hōʻino i ka lolo, nā māmā, a me ke akepaʻa, e hana ana i nā pilikia neurological koʻikoʻi a i ʻole ka make. |
| ʻO Chlamydia | Hiki iā ia ke hoʻoulu i nā maʻi koʻikoʻi i nā maka o ka pēpē (maka poni) a me ka maʻi niumonia. |
| ʻO ka maʻi gonorrhea | Hiki iā ia ke hoʻoulu i nā maʻi koʻikoʻi i nā maka o kahi pēpē a hiki ke alakaʻi i ka makapō inā ʻaʻole mālama ʻia. |
ʻO ka mea nui, ʻaʻole hōʻike ka nui o nā makuahine me kēia mau maʻi i kekahi mau hōʻailona. No laila, he mea weliweli loa ka hana ʻana i kēia ma ka manaʻo ʻana, "ʻAʻohe oʻu maʻi."
No laila, ʻaʻohe ala palekana e hāʻawi ai i nā 'bacteria maikaʻi' i kahi pēpē C-section?
ʻOiaʻiʻo nō ʻelua mau ala palekana 100% a i ʻāpono ʻia e ke kauka e kōkua i kāu pēpē e kūkulu i kahi microbiome olakino ma ka hāʻawi ʻana iā lākou i nā bacteria maikaʻi, me ka ʻole o ka pilikia o ka 'vaginal seeding'.
1. Ka hānai ʻana i ka waiū umauma: ʻAʻole wale ka hānai ʻana i ka waiū umauma e pili ana i ka hāʻawi ʻana i kāu pēpē i ka meaʻai e pono ai lākou. Aia i loko o kou waiū umauma he miliona mau ʻano bacteria 'maikaʻi' e pono ai kāu pēpē no ko lākou ʻōpū. Loaʻa pū i kāu pēpē nā bacteria maikaʻi mai kou ʻili a puni kou mau nipples ke hānai ʻoe i ka waiū umauma. ʻO kēia ke ala maikaʻi loa a palekana hoʻi e kūkulu i ka pale ʻana o kāu pēpē.
2. Pili ʻili-i-ka-ʻili: I ka wā e hānau ai kāu pēpē, e wehe i ko lākou lole (koe wale nō ka diaper) a hoʻopaʻa iā lākou ma kou umauma ʻōlohelohe. Ua kapa ʻia kēia ʻo 'Skin-to-skin contact'. Hoʻoili maoli nā miliona o nā bacteria maikaʻi ma kou ʻili i ka ʻili o kāu pēpē i kēia manawa. ʻAʻole wale kēia e hāʻawi i ka palekana, ka mehana, a kōkua i ka hoʻokumu ʻana i kahi microbiome olakino no kāu pēpē.
ʻO ka mea hope loa, he aha ka ʻōlelo aʻo a nā kauka?
Ma muli o nā hōʻike ʻepekema i loaʻa a hiki i kēia lā, ke ʻōlelo lokahi nei nā hui lapaʻau gynecological a me pediatric ma Sri Lanka a puni ka honua ʻaʻole lākou e ʻōlelo i ke ʻano o ka 'vaginal seeding' .
Ua maopopo loa ke kumu no ia mea:
- ʻAʻole i hōʻoia ʻia nā pono: He kumumanaʻo nō naʻe nā pono i manaʻo ʻia.
- He kiʻekiʻe loa ka pilikia a ua hōʻoia ʻia: he ʻoiaʻiʻo a koʻikoʻi loa ka pilikia o ka hoʻoili ʻana i nā maʻi weliweli i ka pēpē.
Inā ʻoe e hāpai ana i kahi pēpē ma o ka ʻoki C, ma kahi o ka noʻonoʻo ʻana i nā ʻano pilikia e like me kēia, e kamaʻilio me kāu kauka e pili ana i ke ʻano e hiki ai iā ʻoe ke hoʻomaikaʻi i ke olakino o kāu pēpē me nā ʻano i hōʻoia ʻia a palekana e like me ka hānai waiū a me ka hoʻopā ʻana o ka ʻili i ka ʻili.
He aha kāu e hana ai inā ʻoe i hana i kēia a i ʻole ke noʻonoʻo nei e hana?
ʻOiai ʻaʻole ʻōlelo nā kauka, hiki iā ʻoe ke hoʻoholo e hana i kēia. Inā pēlā, e hoʻomanaʻo i kēia mau mea:
- E haʻi aku i kāu kauka:E hōʻoia e hoʻomaopopo i kāu pediatrician a me ke kauka obstetric e pili ana i kēia.
- E makaʻala i nā hōʻailona o ka maʻi o kāu pēpē: Inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Ke kuni a i ʻole ka mahana kino haʻahaʻa loa
- ʻUmiʻumi a hanu wikiwiki paha
- Hoʻemi a pale paha i ka ʻai ʻana i nā huahana waiū
- ʻUlaʻula a kahe paha mai nā maka (maka Pink)
- ʻŌhū ʻili
- Ka hiamoe maʻamau ʻole a i ʻole ka palaualelo
Leka Lawe-Home
- ʻO ke 'vaginal seeding' ka hoʻopili ʻana o nā mea hoʻokahe o ka makuahine i ke kino o kahi pēpē i hānau ʻia ma hope o ka ʻoki ʻoki cesarean.
- ʻOiai ʻo ka pahuhopu ka hāʻawi ʻana i ka pēpē me nā bacteria 'maikaʻi', ʻaʻohe hōʻike ʻepekema paʻa o kona mau pono.
- Eia nō naʻe, aia kahi pilikia maoli a koʻikoʻi o ka loaʻa ʻana o nā maʻi weliweli i hiki ke make, e like me Group B Strep a me Herpes .
- No kēia kumu, ʻaʻole ʻōlelo iki nā kauka a me nā hui lapaʻau a puni ka honua i kēia ʻano hana.
- ʻO nā ala maikaʻi loa a 100% palekana hoʻi e kūkulu i ka palekana a me ke olakino o kāu pēpē ma ka ʻoki ʻana, ʻo ia ka hānai waiū a me ka pili ʻana o ka ʻili i ka ʻili.
- Ma mua o ka hoʻoholo ʻana i kekahi mea e pili ana i kou olakino a me ke olakino o kāu pēpē, e kamaʻilio me kāu kauka.
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