Inā ʻoe e hāpai ana i kāu pēpē ma o ka ʻoki Cesarean ( C-section ), ua hālāwai paha ʻoe me kahi kumuhana i kapa ʻia ʻo 'Vaginal Seeding' i kou nānā ʻana ma ka pūnaewele. Ua lohe paha ʻoe i nā ʻōlelo he mea pono loa ia no kāu pēpē a hiki ke hoʻoikaika i ko lākou pale ʻana. Akā he aha ia? He mea pono maoli anei ia no kāu keiki liʻiliʻi? E wehewehe kākou i kēia no ʻoe ma ke ʻano maʻalahi, ʻoihana, a maopopo hoʻi, i lawe ʻia mai iā ʻoe e Nirogi Lanka.
I ka ʻōlelo maʻalahi, he aha ka 'Vaginal Seeding'?
He hana maʻalahi ka 'Vaginal Seeding'. Ma hope o ka hānau ʻana ma ke ʻoki C-section, lawe kekahi poʻe lapaʻau i nā wai mai ke kahawai hānau o ka makuahine a holoi iā lākou ma luna o ka waha, ka maka, a me ka ʻili o ke keiki hānau hou. Kapa kekahi i kēia he 'microbirthing'.
Eia nō naʻe, ʻaʻole lawa ka ʻikepili paʻa e hōʻoia i kona palekana a i ʻole ka pono. No kēia kumu, ʻaʻole ʻōlelo nā hui lapaʻau alakaʻi, e like me ke American College of Obstetricians and Gynecologists (ACOG), i kēia hana ma waho o ka noiʻi lapaʻau maʻamau.
No ke aha e noʻonoʻo ai nā kānaka e hana i kēia?
No ka hoʻomaopopo ʻana i kēia, pono mua kākou e nānā i nā hoa liʻiliʻi e noho ana i loko o ko kākou kino.
He aha ka 'Microbiome'?
E noʻonoʻo i kou kino e like me ke kūlanakauhale nui a piha i ka poʻe. He miliona mau meaola liʻiliʻi e noho ana ma laila—he mau microbes kēia, me nā bacteria , fungi, a me nā virus i ʻike ʻole ʻia e ka maka ʻōlohelohe. Noho lākou i kou ʻili, waha, ʻōpū, a me ke ala hānau.
Ma ke ʻano hui pū ʻia, hoʻokumu kēia mau meaola i kahi ʻōnaehana olaola i kapa ʻia ʻo 'microbiome' . ʻAʻole ʻino ka hapa nui o lākou; he mau microbes maikaʻi lākou e kākoʻo ana i kou kino ma ke kōkua ʻana i ka ʻai ʻana, ka pale ʻana iā ʻoe mai ka maʻi, a me ka hoʻoikaika ʻana i kāu ʻōnaehana pale .
Pehea e pili ai kēia i ka ʻoki ʻana o C-section?
Ke hānau ʻia kahi pēpē ma ke ʻano he ʻōpū, hele lākou ma ke kahawai hānau, kahi e pili maoli ai lākou i nā flora o ka ʻōpū o ka makuahine. ʻO kēia ka 'lūlū' mua o ka microbiome ponoʻī o ka pēpē, kahi e kōkua ai i nā bacteria maikaʻi e hoʻomaka e noho ma ka ʻōpū o ke pēpē.
Eia nō naʻe, i ka wā o ka ʻoki ʻana o C-section, ua hānau pololei ʻia ke pēpē mai ka ʻōpū mai a ʻaʻole ia e launa pū me kēia mau microbes vaginal.
ʻO ka poʻe e kākoʻo ana i ka 'Vaginal Seeding' e hoʻāʻo e hana kope i kēia hōʻike kūlohelohe no nā pēpē i hānau ʻia ma o ka ʻoki ʻoki ʻia.
Ua hānau ʻia nā pēpē ma o ka ʻoki ʻana o C-section me kahi pilikia kiʻekiʻe no nā pilikia olakino?
He mea maʻamau kēia. Ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o nā pēpē i hānau ʻia ma o ka ʻoki ʻana o C i ka loaʻa ʻana o kekahi mau maʻi olakino ke hoʻohālikelike ʻia me nā mea i hānau ʻia ma o ka ʻōpū.
| Kūlana Ola | Wehewehena |
|---|---|
| Momona | Hoʻonui ʻia ka pilikia o ka lilo ʻana i ke kaumaha nui i ka wā kamaliʻi. |
| Asthma | He maʻi mau loa e hoʻopilikia ana i nā ala ea. |
| Nā maʻi ʻaleka | Nā maʻalahi i nā meaʻai, ka lepo, a i ʻole nā mea hoʻonāukiuki ʻē aʻe o ke kaiapuni. |
| Maʻi Celiac | He hopena palekana i ka ʻai ʻana i ka gluten. |
Manaʻo nā mea kākoʻo o ka 'Vaginal Seeding' e hiki i ka hoʻoili ʻana i kēia mau bacteria ke hōʻemi i kēia mau pilikia. Eia nō naʻe, ʻo ka mea nui e lawe ʻia , ʻaʻole i hiki i nā kauka ke hoʻoholo paʻa inā ʻo nā ʻokoʻa microbiome wale nō ke kumu o kēia mau kūlana. No laila, he mea nui ka noiʻi mau ʻana.
He aha ka pilikia nui o ka 'Vaginal Seeding'?
ʻO kēia kahi e pono ai mākou e makaʻala loa. ʻAʻole nā microbes maikaʻi wale nō i loko o ke kahawai hānau o ka makuahine; hiki iā ia ke mālama i nā bacteria a i ʻole nā virus ʻino e hiki ai ke hoʻoulu i nā maʻi e hoʻoweliweli i ke ola i kahi keiki hānau hou.
ʻOiai aia kēia pilikia ma ke ʻano kūlohelohe i ka wā hānau ʻana ma ke ʻano he wahine, ʻo ia ke kumu e hana ai kāu kauka hānau i nā nānā maʻamau i ka wā hāpai e ʻike a mālama i nā maʻi āpau ma mua o ka hānau ʻana. Inā loaʻa kekahi pilikia olakino, e ʻoluʻolu e kelepona koke i kāu mau lawelawe pilikia kūloko (911) a i ʻole ka haukapila kokoke loa iā ʻoe.
I ka hana ʻana i ka 'Vaginal Seeding,' ke hōʻike nei ʻoe i kāu keiki hānau hou i nā microorganism ʻino me ka manaʻo ʻole. He pilikia nui kēia no ka hoʻoulu ʻana i nā maʻi koʻikoʻi e hoʻoweliweli i ke ola o kāu pēpē.
| ʻO ka streptococcus hui B (GBS) | He bacteria e hiki ke hoʻoulu i nā maʻi koʻikoʻi i nā pēpē hānau hou, e like me ka meningitis a me ka pneumonia. |
| ʻO Gonorrhea a me Chlamydia | Nā maʻi i laha ma ke ʻano moekolohe e hiki ai ke alakaʻi i nā maʻi maka koʻikoʻi i kāu pēpē. |
| ʻO ka Herpes Genital (HSV-2) | He maʻi viral e hiki ke hōʻino i ka lolo o kāu pēpē a me nā ʻōpū koʻikoʻi ʻē aʻe. |
Ma muli pono o kēia mau pilikia ke nānā pono nei nā loea lapaʻau i kēia hana me ke akahele loa a ʻaʻole lākou e paipai iā ia i kēia manawa.
Aia kekahi mau ala palekana e kākoʻo ai i ka microbiome o kāu pēpē inā ʻoe e hana ana i kahi ʻāpana C-section?
ʻAe loa! Ma kahi o nā ʻano hana kiʻekiʻe e like me ka 'Vaginal Seeding,' aia ʻelua mau ala maʻalahi, palekana, a me ka maikaʻi loa e kōkua ai i kāu pēpē C-section e kūkulu i kahi microbiome olakino.
1. Ka hānai ʻana i ka waiū umauma: ʻO kēia ke ala koʻikoʻi loa. ʻOi aku ka nui o ka waiū umauma ma mua o ka meaʻai wale nō; ua piha ia i nā bacteria maikaʻi a me nā haneli o nā mea pono e kōkua i ka hoʻomohala ʻana i ka microbiome o kāu pēpē. Eia kekahi, loaʻa i kāu pēpē nā bacteria olakino mai kou ʻili i ka wā e hānai ana. ʻO ka hānai ʻana i ka waiū umauma no ka lōʻihi e hiki ai, ʻoiai i nā mahina 6 mua, hāʻawi i nā pono olakino waiwai nui.
2. Pili ʻili-i-ʻili: ʻO kēia ke kau ʻana i kāu pēpē i kou umauma ʻōlohelohe ma hope koke iho o ka hānau ʻana. Kōkua kēia i ka hoʻopili ʻana i kāu pēpē me nā microorganisms maikaʻi e kū nei ma kou ʻili. Hoʻoikaika pū ia i kou pilina, hoʻopaʻa i ka mahana o ke kino o kāu pēpē, a hoʻomālielie iā lākou. Hiki i nā makuakāne ke komo pū i kēia a pono hoʻi.
Ua hōʻoia ʻia ʻepekema kēia mau ʻano ʻelua e kōkua i kāu pēpē e kūkulu i kahi microbiome olakino me ka ʻole o nā pilikia pili.
Inā ʻoe e noʻonoʻo nei i kēia kaʻina hana ...
ʻOiai ʻaʻole ʻōlelo ʻia e nā loea lapaʻau, hiki i kekahi mau mākua ke noʻonoʻo iā ia. Inā ʻoe e noʻonoʻo ana i kēia, e ʻoluʻolue kūkākūkā pono me kāu kauka ma mua.
Inā koho ʻoe e hoʻomau, e makaʻala no nā hōʻailona o ka maʻi i kāu pēpē. Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, mai kali—e kelepona koke aku i kāu kauka a lawe paha i kāu pēpē i ka keʻena pilikia o ka haukapila kokoke loa (ER).
- ʻŪhū
- Ke kuni a i ʻole ka mahana o ke kino i lalo o ka pae maʻamau
- Ka kahe ʻana o ka maka a i ʻole ka ʻulaʻula (Conjunctivitis)
- Ka hānai maikaʻi ʻole a i ʻole ka hōʻole ʻana e hānai
- Hanu wikiwiki
- ʻŌhū ʻili
- Lethargy a hiamoe nui paha
Leka Hoʻouna Koʻikoʻi mai Nirogi Lanka mai
- ʻO ka 'Vaginal Seeding' kahi hoʻāʻo e hoʻoili i nā wai o ka vagina o ka makuahine i luna o kahi pēpē i hānau ʻia ma o ka ʻoki ʻana o C me ka manaʻolana e hoʻolauna i nā bacteria maikaʻi.
- Aia kēia hana i kahi pilikia nui o ka hoʻoili ʻana ʻaʻole wale i nā bacteria maikaʻi akā i nā pathogens weliweli loa , e like me nā virus a me nā bacteria ʻino.
- Ma muli o kēia mau pilikia koʻikoʻi, ʻaʻole ʻōlelo nā hui lapaʻau nui o ka honua i kēia kaʻina hana i kēia manawa.
- ʻO nā ala maikaʻi loa, palekana, a me ka hopena e hānai ai i kahi microbiome olakino no kāu pēpē C-section ʻo ka hānai waiū a me ka pili ʻana o ka ʻili i ka ʻili .
- Inā he mau nīnau kāu e pili ana i ka Vaginal Seeding a i ʻole nā hana olakino ʻē aʻe, e kūkākūkā mau me kāu Obstetrician-Gynecologist (VOG) a i ʻole Pediatrician ma mua o ka hana ʻana .
