Ke ʻike ʻoe e hāpai ana ʻoe i kahi pēpē, he mea maʻamau ka manaʻo makaʻu iki a me ka hoihoi me ka hauʻoli. "He aha kaʻu e hana ai i kēia manawa?", "ʻO wai kaʻu e kūkākūkā ai?", "ʻO wai ka mea e nānā i koʻu olakino a me ko kaʻu pēpē?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. I kēlā manawa, aia kekahi kanaka ma ko mākou ʻāina e hele mai e kōkua iā ʻoe, e hele mai i kou home a nānā i kou pono a me kāu pēpē. ʻO ia ka "midwife nona" a i ʻole ka limahana olakino ʻohana (PHM) e like me kā mākou e kapa aloha nei iā ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka mea nona kēia midwife a pehea e hiki ai iā ia ke kōkua iā ʻoe.
ʻO wai ke 'wahine kahu hānai' ma Sri Lanka?
I ka ʻōlelo maʻalahi, he loea olakino ka wahine hāpai ma ko mākou ʻāina i aʻo ʻia a koho ʻia e ke aupuni e hāʻawi i nā lawelawe olakino i nā makuahine hāpai e like me ʻoe, nā makuahine postpartum, a me nā pēpē ʻōpio. ʻAʻole e like me kekahi mau ʻāina Komohana, ʻaʻole nui ka poʻe ma ko mākou ʻāina i loaʻa nā pae like ʻole o ke aʻo ʻana a hana pilikino. Ma ko mākou ʻāina, ʻo kēia lawelawe he ʻāpana o ka ʻōnaehana olakino aupuni ponoʻī.
Aneane kēlā me kēia kauhale a me ke kaona he Kauka Lapaʻau Ola ʻOhana (PHM) nāna e mālama i kahi wahi. Hana ʻo ia ma lalo o ke Kauka Lapaʻau Ola kūloko (MOH). ʻO ke ʻano kēia he luna i ʻike ʻia e ke aupuni a ua aʻo ʻia . Ke ʻike ʻoe ua hāpai ʻoe, ʻo ka mea mua āu e pono ai e hana, ʻo ke kākau inoa me kāu kauka hānau kūloko.
He aha ke kuleana o kahi kahu hānai?
Hoʻomaka nā lawelawe a ke kahu hānau keiki mai ka manawa āu e manaʻo ai ua hāpai ʻoe, e hoʻomau ma hope o ka hānau ʻana o ke pēpē , a hoʻomau a hiki i ka piha ʻana o ke pēpē i 5 mau makahiki. E nānā pono kākou i kāna mau hana nui.
| Ka wā | Nā lawelawe i hāʻawi ʻia e kahi kahu hānai |
|---|---|
| Ma mua o ka hāpai ʻana | Ke hāʻawi nei i nā ʻōlelo aʻoaʻo no nā ʻano hoʻolālā ʻohana a me ke aʻo ʻana e pili ana i ka hoʻomākaukau ʻana no ka hāpai keiki olakino. |
| I ka wā hāpai | Ke kāinoa ʻana iā ʻoe, ke kipa ʻana i kou home e nānā i kou olakino, ka nānā ʻana i kou kaumaha a me ke koko, ke aʻo ʻana i ka meaʻai, ka hoʻoikaika kino a me ka hoʻomaʻemaʻe, ka hāʻawi ʻana i nā mea hoʻopihapiha meaʻai e like me Thriposha, ke alakaʻi ʻana i nā Maternal Clinics, ka ʻike ʻana i nā kumu pilikia a me ka kuhikuhi ʻana iā ʻoe i ke kauka o ka haukapila. |
| Ka hānau ʻana | Ke hoʻomākaukau nei iā ʻoe no ka hānau ʻana ma ka haukapila. ʻO ka mea nui loa: Ma ko mākou ʻāina, hana ʻia nā hānau ʻana ma nā haukapila, ma lalo o ka nānā ʻana a nā kauka a me nā limahana haukapila. ʻO ka hana a ke kahu hānai ke alakaʻi palekana iā ʻoe ma laila. |
| Ma hope o ka hānau ʻana | Ma hope o kou hoʻi ʻana mai ka haukapila mai, e kipa ʻia ʻoe ma ka home e nānā i kou olakino a me ke olakino o kāu pēpē, e hāʻawi i nā ʻōlelo aʻoaʻo no ka hānai waiū, e aʻo iā ʻoe pehea e ʻauʻau ai i kāu pēpē, mālama i ke kaula umbilical, e nānā i ka ulu ʻana a me ke kaumaha o kāu pēpē, e hoʻomanaʻo iā ʻoe i nā lā o ka lāʻau pale, a e kuhikuhi iā ʻoe i nā keʻena lapaʻau. |
Pehea ka pilina ma waena o ke kahu hānai a me ke kauka?
He mea nui loa kēia. ʻO ke kahu hānau a me kāu kauka he mau kānaka ʻelua e hana pū ana ma ke ʻano he hui hoʻokahi . ʻO kā lāua pahuhopu ʻelua e hāʻawi i ka palekana loa nou a me kāu pēpē.
He alahaka ikaika ka pale keiki ma waena o ke kaiāulu a me ka haukapila.
E noʻonoʻo, i kou wā hāpai, hele mai kāu kahu hānai i kou home e nānā iā ʻoe. Inā ʻike ʻo ia ua kiʻekiʻe iki kou koko, e kuhikuhi koke ʻo ia iā ʻoe i ke keʻena antenatal ma ka haukapila. Ma laila , e nānā kahi kauka hānau keiki (OB-GYN) iā ʻoe a kuhikuhi i ka lāʻau lapaʻau e pono ai.
ʻO ia hoʻi, ʻo ke kahu hānau ke kahu mua o kou olakino. Nānā ʻo ia iā ʻoe ma ke kaiāulu a, inā ʻike ʻo ia i kahi hōʻailona liʻiliʻi o kahi pilikia, kuhikuhi ʻo ia iā ʻoe i ke kauka ma mua o ka lilo ʻana i pilikia nui. ʻO ia ke kumu he haʻahaʻa loa ka nui o ka make ʻana o nā makuahine a me nā pēpē i ko mākou ʻāina.
No ke aha he waiwai nui ka lawelawe a ke kahu hānau?
ʻAʻole e like me ke kumumanaʻo o ke koho ʻana i kahi kahu hānau no ka mea makemake ʻia ka 'hānau maoli', e like me nā ʻāina Komohana, ʻoi aku ka nui o ka lawelawe ʻana o kahi kahu hānau ma ko mākou ʻāina.
- Kākoʻo mau:Loaʻa iā ʻoe kekahi āu e hilinaʻi ai e kāhea i kēlā me kēia manawa, e nīnau i kahi nīnau, a i ʻole e kiʻi i ka ʻōlelo aʻoaʻo.
- Lawelawe kipa home: Ma waho aʻe o ka hele ʻana i nā keʻena lapaʻau a me nā haukapila, hele mai mākou i kou home e nānā i kou olakino, ka mea e hāʻawi iā ʻoe i ka ʻoluʻolu nui a me ka ikaika noʻonoʻo.
- Ka ʻike mua ʻana i ka pilikia: Hiki i nā hoʻokolohua home ke kōkua i ka ʻike ʻana i nā kūlana pilikia e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ke kaumaha hānau haʻahaʻa i ka wā mua a kuhikuhi iā lākou no ka mālama ʻana.
- Pilina hilinaʻi: ʻOiai ua ʻike lōʻihi ʻoe iā ia, hiki iā ʻoe ke kamaʻilio me ia e pili ana i kāu mau nīnau a hopohopo paha me ka makaʻu ʻole a kānalua ʻole paha.
Pehea e loaʻa ai ka pono nui mai nā lawelawe a ke kahu hānai?
He mea nui ka hoʻokumu ʻana i kahi pilina maikaʻi me kāu kahu hānai kūloko no ʻoe a me kāu pēpē. Eia kekahi mau ʻōlelo aʻoaʻo no ka hana ʻana pēlā:
- E hele i nā keʻena lapaʻau: E hōʻoia e hele i kēlā me kēia keʻena lapaʻau hānau āna e mālama ai.
- E nīnau i nā nīnau: E ʻoluʻolu e nīnau i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi. Mai noʻonoʻo, "He nīnau lapuwale anei kēia?"
- Mai hūnā i ka ʻike: Mai hūnā i kekahi mea mai ona aku, e like me nā hōʻailona ʻē aʻe āu e ʻike nei a i ʻole kekahi mau kūlana olakino i loko o kou ʻohana.
- E hahai i nā kuhikuhi: E ho'āʻo e hahai pono i nā kuhikuhi āna i hāʻawi ai e pili ana i ka meaʻai a me nā hana olakino.
- Hilinaʻi: E hoʻomanaʻo, he loea i aʻo ʻia ʻo ia i hoʻolaʻa ʻia no kou pono a me kāu keiki. E mahalo i kāna hana.
Inā loaʻa iā ʻoe kekahi mau pilikia, e like me ke kahe koko nui a i ʻole ka ʻeha nui, pono ʻoe e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) . He mea nui e hoʻomaopopo i kāu kahu hānai i kēia manawa.
Leka Lawe-Home
- He 'midwife' a he Family Health Worker (PHM) ma Sri Lanka he loea olakino i aʻo ʻia e ke aupuni.
- He lawelawe koʻikoʻi kāna mau lawelawe nou a me kāu pēpē i ka wā hāpai, ka hānau keiki ʻana, a ma waho aku.
- He pilina koʻikoʻi ʻo ia ma waena o ke kaiāulu a me ka haukapila, e nānā ana i kou olakino a e kuhikuhi ana iā ʻoe i nā kauka ma ka haukapila inā pono.
- He mea nui loa ka mālama ʻana i ka pilina maikaʻi me kāu kahu hānai kūloko no kahi makuahine olakino a me kahi pēpē olakino.
- E kamaʻilio ākea me ia a i ʻole kāu kauka e pili ana i nā pilikia e kū mai ana i ka wā a ma hope paha o kou hāpai ʻana.
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