Inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē ma o ka ʻoki ʻana ma ke ʻano he C-section , ua lohe paha ʻoe e pili ana i kahi mea hou i kapa ʻia ʻo 'Vaginal Seeding' i kou wā e heʻenalu ana i ka pūnaewele. Ua lohe paha ʻoe i kekahi poʻe e ʻōlelo ana he mea maikaʻi loa ia no ka pēpē a hoʻoikaika i ka pale ʻana. He aha ke ʻano o kēia? He mea maikaʻi maoli anei kēia no ka pēpē? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, me ka maʻalahi loa.
I ka ʻōlelo maʻalahi, he aha ka 'Vaginal Seeding'?
He hana maʻalahi loa ka 'Vaginal Seeding'. Ma hope o ka hānau ʻana o ka pēpē ma o ka ʻoki cesarean, lawe ʻia kahi liʻiliʻi o nā mea huna o ka makuahine a hoʻopili ʻia ma ka waha, ka maka, a me ke kino o ka pēpē. Kapa pū kekahi poʻe i kēia he 'microbirthing'.
Akā, ʻaʻole nui ka ʻikepili e pili ana i ka palekana a i ʻole ka pono o kēia. No kēia kumu, ʻaʻole paipai nā hui lapaʻau nui a puni ka honua, e like me ke American College of Obstetricians and Gynecologists (ACOG), i kēia ʻano hana ma waho o ka noiʻi lapaʻau .
No ke aha e hoʻowalewale ʻia ai nā kānaka e hana i kēia?
I mea e maopopo ai i kēia, pono mua kākou e ʻike e pili ana i kekahi o nā hoaaloha liʻiliʻi i loko o ko kākou kino.
He aha kēia 'Microbiome'?
E noʻonoʻo e like ko kākou kino me ke kūlanakauhale nui. Ma kēia kūlanakauhale, ʻaʻole wale ʻo kākou, akā, he miliona o nā mea ola liʻiliʻi ʻē aʻe e noho ana. Ua kapa ʻia kēia mau mea he microbes . ʻO ia hoʻi, nā mea ola ʻike ʻole ʻia e like me ka bacteria , fungi, a me nā virus . Aia kēia mau mea ma nā wahi a pau o ko kākou ʻili, ma ko kākou waha, ma ko kākou ʻōpū, a ma ko kākou mau wahi hoʻokamakama.
Ua kapa mākou i ka ʻōnaehana ola kahi a kēia mau microorganism e hana pū ai i ka 'microbiome'.ʻAʻole ka hapa nui o kēia mau mea e hoʻomaʻi ai iā mākou, akā, ʻo nā microbes maikaʻi e kōkua i ko mākou kino. Kōkua lākou iā mākou e hoʻoheheʻe i kā mākou meaʻai, pale iā mākou mai nā maʻi, a hoʻoikaika i ko mākou ʻōnaehana pale kino .
No laila pehea e pili ai kēia i ka ʻoki ʻana o C-section?
Ke hānau maʻamau ʻia kahi pēpē, ʻo ia hoʻi, ma o ka hānau ʻana ma ke ʻano he wahine, puka mai ke pēpē ma o ka wahine o ka makuahine. I kona puka ʻana mai, ua hoʻolaha ʻia nā microorganisms pono (nā flora vaginal) a mākou i kamaʻilio ai i loko o ka wahine o ka makuahine ma ke kino holoʻokoʻa o ke pēpē. ʻO kēia nā hua mua e ulu ai ka 'microbiome' ponoʻī o ke pēpē. Hoʻomaka kēia i ka ulu ʻana o nā bacteria pono i loko o nā ʻōpū o ke pēpē.
Akā i ka wā e hānau ʻia ai kahi pēpē ma o ka ʻoki ʻoki caesarean, no ka mea ua lawe pololei ʻia ke pēpē mai loko mai o ka ʻōpū, ʻaʻohe ona manawa e launa pū ai me nā microorganisms pono i loko o ke ala vaginal.
ʻO ka manaʻo o ka poʻe e noʻonoʻo ana i ka 'Vaginal Seeding' ʻo ia ke hoʻihoʻi i kēia kaʻina hana kūlohelohe i nalowale ma hope o ka ʻoki ʻana o ka pēpē ma ke ʻano he C-section.
Ua ʻoi aku ka nui o ka pilikia olakino o nā pēpē i hānau ʻia ma o ka ʻoki ʻana?
He nīnau kēia a nā poʻe he nui e nīnau ai. Ua hōʻike kekahi mau noiʻi he ʻoi aku ka kiʻekiʻe o ka pilikia o nā pēpē i hānau ʻia ma o ka ʻoki ʻana i ka ʻōpū ma mua o nā pēpē i hānau ʻia ma o ka hānau ʻana ma ke ʻano he wahine.
| Kūlana olakino | Wehewehena |
|---|---|
| Momona | Ka pilikia o ka momona i ka wā kamaliʻi. |
| Asthma | He maʻi o ka ʻōnaehana hanu. |
| Nā maʻi ʻaleka | Nā mea e like me nā maʻi ʻaleka meaʻai, nā maʻi ʻaleka lepo. |
| Maʻi Celiac | ʻO ka pane a ka ʻōnaehana pale i ka gluten protein. |
Manaʻo nā mea kākoʻo o ka 'Vaginal Seeding' hiki i ka hāʻawi ʻana i ka bacteria vaginal i ka pēpē ke hōʻemi i kēia pilikia. Akā ʻo ka mea nui ma ʻaneʻi , ʻaʻole i hiki i nā kauka ke hoʻoholo paʻa e pili ana i ka loli ʻana o ka microbiome wale nō ke kumu o kēia mau maʻi. No laila, ke hana ʻia nei nā noiʻi hou aʻe ma kēia.
He aha ka pilikia nui loa o ka 'Vaginal Seeding'?
ʻO kēia kahi e pono ai kākou a pau e hopohopo nui. ʻAʻole wale ka home o nā microbes maikaʻi i loko o ka vagina o ka makuahine. I kekahi manawa, hiki iā ia ke loaʻa nā bacteria a me nā virus ʻino e hiki ai ke hoʻoulu i nā maʻi weliweli loa no ka pēpē.
Aia kēia pilikia i ka wā hānau maʻamau. ʻO ia ke kumu e hana ai kāu kauka i nā hoʻokolohua like ʻole i ka wā hāpai e nānā i kēlā mau maʻi.
Ke hana mākou i ka 'Vaginal Seeding', hiki iā mākou ke hāʻawi me ka manaʻo i kēia mau microbes ʻino i ka pēpē. Hoʻonui kēia i ka manawa kūpono o ka loaʻa ʻana o nā maʻi koʻikoʻi i ka pēpē.
| ʻO ka streptococcus hui B (GBS) | He bacteria e hiki ke hoʻoulu i nā maʻi koʻikoʻi loa (meningitis, pneumonia) i nā pēpē hānau hou. |
| ʻO Gonorrhea a me Chlamydia | Nā maʻi i laha ma ke ʻano moekolohe e hiki ai ke hoʻoulu i nā maʻi koʻikoʻi i nā maka o ke pēpē. |
| ʻO ka Herpes Genital (HSV-2) | He maʻi viral hiki ke hōʻino i ka lolo o ke pēpē a me nā ʻōpū ʻē aʻe. |
Ma muli o kēia pilikia, ke noʻonoʻo nei nā kauka i kēia ʻano hana a ʻaʻole lākou e paipai nei i kēia manawa.
No laila, inā hānau ʻia kahi pēpē ma o ka ʻoki ʻana o C, ʻaʻohe anei nā ala palekana ʻē aʻe e hāʻawi ai i ka pēpē me nā bacteria maikaʻi?
ʻAe loa! Me ka ʻole o ka pilikia o kahi kaʻina hana 'Vaginal Seeding', aia ʻelua mau ala maʻalahi loa, palekana, a maikaʻi hoʻi 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 maikaʻi loa a koʻikoʻi loa. ʻAʻole wale ka waiū umauma o ka makuahine e pili ana i ka meaʻai. Loaʻa iā ia nā haneli o nā bacteria maikaʻi a me nā mea nui ʻē aʻe e pono ai no ka ulu ʻana o ka microbiome o ka pēpē. Eia kekahi, loaʻa pū i ka pēpē nā bacteria maikaʻi e kū nei ma ka ʻili a puni nā nipples o ka makuahine i ka wā e inu ai ʻo ia. ʻO nā pono o ka hānai ʻana i ka waiū no ka lōʻihi e hiki ai, ʻoiai no nā mahina 6 mua, he waiwai nui ia.
2. Pili ʻili-i-ʻili: ʻO kēia ka manawa e paʻa ai ʻoe i kāu pēpē ma kou umauma i kona wā e hānau ai. Hāʻawi kēia i kāu pēpē i nā microbes maikaʻi ma kou ʻili. Hoʻoikaika pū ia i ka pilina ma waena ou a me kāu pēpē, hoʻoponopono i ka mahana o ke kino o kāu pēpē, a hōʻoluʻolu i kāu pēpē. Hiki i nā makuakāne ke hana i kēia.
Ua hōʻoia ʻia kēia mau ʻano ʻelua e kōkua i kāu pēpē e hoʻomohala i kahi microbiome olakino me ka ʻole o nā pilikia.
Inā ʻoe e noʻonoʻo ana e hana i kēia iā ʻoe iho ...
ʻOiai ʻaʻole ʻōlelo nā kauka, hiki i kekahi mau mākua ke hoʻowalewale ʻia e hana i kēia ma o lākou iho. Inā ʻoe e noʻonoʻo ana e hana i kekahi mea e like me kēia, e ʻoluʻolu e kamaʻilio mua me kāu kauka .
Inā hana ʻoe pēlā, e makaʻala loa i nā hōʻailona o ka maʻi o kāu pēpē. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a lawe paha i kāu pēpē i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Kuke
- ʻO ke kuni a i ʻole ka mahana o ke kino i lalo o ka maʻamau
- Nā maʻi maka (Conjunctivitis)
- Hoʻemi a pale paha i ka ʻai ʻana i nā huahana waiū
- Hanu wikiwiki
- ʻŌhū ʻili
- Luhi
Leka Lawe-Home
- ʻO ka 'Vaginal Seeding' kahi hoʻāʻo e hoʻokomo i nā mea hoʻoheheʻe o ka makuahine i loko o ke kino o kahi pēpē i hānau ʻia ma ka ʻoki cesarean, e hāʻawi ana i nā bacteria maikaʻi.
- He pilikia nui kēia no ka hoʻoili ʻana i nā bacteria maikaʻi i ka pēpē a me nā bacteria a me nā virus ʻino e hiki ai ke hoʻoulu i nā maʻi weliweli loa .
- Ma muli o kēia pilikia, ʻaʻole ʻōlelo nā hui lapaʻau nui o ka honua i kēia ʻano hana i kēia manawa.
- ʻO nā ala maikaʻi loa, palekana, a me ka hopena e hāʻawi ai i kahi microbiome olakino i kahi pēpē i hānau ʻia ma o ka ʻoki ʻana ma o C-section, ʻo ia ka hānai waiū a me ka pili ʻana o ka ʻili i ka ʻili .
- Inā ʻoe e noʻonoʻo ana i ka 'Vaginal Seeding' a i ʻole kekahi ʻano hana ʻē aʻe, e kamaʻilio me kāu Obstetrician a me Gynecologist (VOG) a i ʻole Pediatrician ma mua o ka hana ʻana i kekahi mea.
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