Inā he makuahine hāpai ʻoe, a he makuahine paha i hānau wale i kahi pēpē, ʻo kekahi o nā hauʻoli nui loa āu e ʻike ai, ʻo ia ka hānai ʻana i kāu keiki ponoʻī. Inā ʻoe e hoʻoholo e hānai i ka waiū umauma a i ʻole ka hānai waiū formula i kāu pēpē, e hoʻomaka maoli kou kino e hana i ka waiū nou i ka hapa nui o nā hihia. Akā pehea e hana maoli ai kēia kaʻina hana o ka hana ʻana i ka waiū umauma, a i ʻole ka lactation? He mea kupaianaha a mana loa ia. E kamaʻilio kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka lactation?
ʻO ka lactation wale nō ke kaʻina hana o ka hana ʻana i ka waiū no kāu keiki liʻiliʻi mai nā kelepa mammary i loko o kou mau umauma. Hana kēia i ka aneane nā mammals āpau. Hoʻomaka pinepine kēia kaʻina hana i ka wā e hāpai ana ʻoe. A hoʻomau ia a hiki i kou hoʻōki ʻana i ka hānai ʻana i ka waiū.
ʻOiai ka hana pinepine ʻia ʻana o ka waiū i ka wā hāpai a ma hope o ka hānau ʻana, aia kekahi mau manawa e hiki ai ke hoʻoulu i ka lactation me ka ʻole o ka hāpai ʻana. E nānā kākou pehea e hana ai kēia.
Pehea e hana ai ko mākou kino i ka waiū? (Lactogenesis)
Hoʻomaka kēia kaʻina holoʻokoʻa me nā hormones . I mea e pololei ai, ʻo ke kaʻina hana o ka waiū me kēia mau loli hormonal ua kapa ʻia ʻo lactogenesis. ʻEkolu mau pae nui ma kēia. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia mau pae ʻekolu.
| Kahua | Āhea e hana ʻia ai? (I ka wā e hana ʻia ai) | He aha ka mea e hana ʻia ana i loko o ke kino |
|---|---|---|
| Kahua I Hoʻomaka ʻana o ka hana huna | Ma hope o 16 mau pule o ka hāpai ʻana, ʻo ia hoʻi, i ka hapa lua o ka hāpai ʻana. | I loko o kēia manawa, piʻi aʻe kou pae estrogen a me progesterone. Hoʻonui kēia i nā ala waiū i loko o kou mau umauma, hoʻonui i kou mau umauma, a ʻeleʻele kou mau nipples a me areola. Hoʻopuka pū kēia i kāu pēpē i ka waiū mua, i kapa ʻia ʻo colostrum.Hoʻomaka ia e ulu. I kekahi manawa, e kahe iki paha kēia waiū ma mua o ka hānau ʻana o ka pēpē. He mea maʻamau kēlā. |
| Pae II Hoʻāla ʻana o ka ʻōlelo huna | Ma hope o ka hānau ʻana. | Ma hope o ka hānau ʻana o ke pēpē a me ka hānau ʻana o ka placenta, hāʻule koke kou pae hormone progesterone. ʻO kēia ke kumu o kou pae o ka prolactin, ka hormone nui nona ke kuleana no ka hana ʻana i ka waiū, e piʻi aʻe. I loko o ʻelua a ʻekolu mau lā, e ʻike ʻoe i ka hoʻokuʻu ʻia ʻana o kāu waiū. Hiki i kou mau umauma ke pehu a paʻakikī. Ua kapa ʻia kēia he engorgement. |
| Pae III Kalakopoiesis | Ke hoʻomaka ka lactation, he manawa ia o ka mālama ʻana. | ʻO kēia ka manawa e mālama ʻia ai ka hānai ʻana i ka waiū. Ke omo kāu pēpē, hoʻouna nā aʻalolo i loko o kou nipple i nā hōʻailona i kou lolo. Hoʻokuʻu kēia i ʻelua mau hormones, prolactin (ka hormone e hana ai i ka waiū) a me oxytocin (ka hormone e hoʻokuʻu i ka waiū i waho). Ke omo kāu pēpē no kahi hapalua minuke, e manaʻo ʻoe e like me ʻoe e 'hoʻokuʻu ana'. ʻO ka nui o kāu hānai ʻana i ka waiū a i ʻole ka pamu ʻana, ʻo ka nui o ka waiū āu e hana ai. Ua kapa ʻia kēia ʻo 'supply-on-demand' . |
Hiki iā ʻoe ke hānai i ka waiū me ka ʻole o ka hāpai ʻana?
ʻAe, me ka holomua o ka ʻepekema lapaʻau, hiki ke hoʻoulu i ka hana waiū me ka ʻole o ka hāpai ʻana. Akā, pono nō hoʻi kēlā i nā hormones like i ʻōlelo ʻia ma mua. Inā pono e hana ʻia kekahi mea e like me kēia, e hāʻawi ke kauka iā ʻoe i nā lāʻau lapaʻau e like me nā hormones i hana ʻia i ka wā hāpai a ma hope o ka hānau ʻana.
Akā, ʻaʻole kēia he mea maʻalahi. No ka hana ʻana i kēia, pono ʻoe i ka nānā ʻana a me ka ʻōlelo aʻoaʻo a ke kauka akamai.
He aha nā mea e hiki ke hoʻopilikia i ka hānai waiū?
Aia kekahi mau kumu e hiki ke hoʻopilikia i kāu hana waiū, no laila he mea nui e ʻike i kēia mau mea.
- Nā hemahema meaʻai : Inā ʻaʻole ʻoe e ʻai i ka meaʻai momona, hiki ke hoʻopilikia i ka hana ʻana o ka waiū.
- ʻO kekahi mau ʻano lāʻau lapaʻau:Hiki i kekahi mau lāʻau lapaʻau, ʻoiai nā mea e hoʻopilikia ai i ka dopamine, ke hōʻemi i ka hana ʻana o ka waiū. No laila, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana iā lākou.
- Nā Hana ʻole Hormonal: Hiki i nā pilikia hormonal ʻē aʻe i ke kino ke hoʻopilikia i ka hana waiū.
- Nā ʻeha a i ʻole nā ʻoki ʻana i nā umauma: Hiki i nā ʻoki hoʻonui/hoʻēmi ʻana i ka umauma ke hōʻino i nā ala waiū.
- Lapaʻau Radiation: Inā ua loaʻa iā ʻoe ka radiation therapy no nā kūlana e like me ke kanesa, hiki ke hoʻopilikia ʻia.
- Kekahi mau kūlana olakino.
- Ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona .
Nā pilikia a me nā hopena ʻaoʻao o ka hānai waiū
I ka wā e hānai waiū ai, loli nui nā hormonal i kou kino. Hiki i kēia ke hoʻopilikia i ke kino a me ka noʻonoʻo. He mea nui loa ka ʻike mua ʻana i kēia.
Ka ʻū ʻana o ka umauma
E like me ka mea i ʻōlelo ʻia ma mua, i nā lā mua o ka hānai ʻana, hiki i kou mau umauma ke piha, pehu, a ʻeha. Hiki nō hoʻi kēia ke hana i ka wā e loli ai kāu hana maʻamau, no ka laʻana, ke hoʻomaka ʻoe e hānai i kāu pēpē i nā meaʻai paʻa a i ʻole ke hoʻi ʻoe i ka hana, a inā ʻaʻole hiki iā ʻoe ke hānai i ka waiū i ka manawa kūpono. ʻO ke ala maikaʻi loa e hoʻoponopono ai i kēia, ʻo ia ka pamu ʻana i ka waiū i kēlā manawa inā ʻaʻole hiki iā ʻoe ke hānai i ka waiū. Inā ʻike ʻoe i ka pehu a me ka ʻeha, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hoʻomoʻa ʻana i kou mau umauma i loko o ka wai mahana ma mua o ka hānai ʻana .
Ka maʻi ʻōpū (Mastitis)
ʻO ka mastitis kahi mumū o nā ʻiʻo umauma. He mea maʻamau ia i waena o nā makuahine hānai . Hiki iā ia ke hana i ka ʻeha, ka pehu, ka ʻulaʻula, a me ke kuni .
ʻElua mau kumu nui o ka mastitis: 1) kahi ala waiū i ālai ʻia a me 2) kahi maʻi bacteria.
Inā he ala waiū i paʻa ke kumu o ka mastitis, ʻo ka hopena maikaʻi loa ka hoʻomau ʻana i ka hānai ʻana i ka waiū a i ʻole ka pumping ma kēlā ʻaoʻao. E kōkua kēia i ka hoʻokahe ʻana o ka waiū i paʻa. Eia nō naʻe, inā he maʻi bacteria ia, pono ʻoe e lawe i nā antibiotics. Inā loaʻa iā ʻoe nā hōʻailona like me ka mastitis, mai hopohopo a e ʻike koke i kāu kauka.
ʻO ka Dysphoric Milk Ejection Reflex (D-MER)
He mea hoʻohoka iki paha kēia. ʻO D-MER kahi manaʻo koke a maikaʻi ʻole o ke kaumaha, ka hopohopo, a i ʻole ka manaʻolana ʻole e kū mai ana i kahi manawa o ka hoʻohoka. He mau kekona wale nō ia.
ʻAʻole kēia he kaumaha postpartum. He hormonal ia. I ka ʻōlelo maʻalahi, pono ka oxytocin a me ka prolactin e hoʻokuʻu i ka waiū. I mea e hoʻonui ai ka prolactin, pono e emi ka neurotransmitter dopamine, ka mea e lawe mai ai iā mākou i ka leʻaleʻa. I kekahi manawa, hāʻule haʻahaʻa loa kēia pae dopamine. ʻO ia ka manawa e hiki mai ai kēia mau manaʻo paʻakikī i ka noʻonoʻo. Inā ua loaʻa iā ʻoe kekahi mea e like me kēia, he mea nui loa e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka lactation kahi hana kūlohelohe i kāohi ʻia e nā hormones.
- ʻO Colostrum, ka waiū mua i hana ʻia, ka meaʻai waiwai nui loa a koʻikoʻi hoʻi i loaʻa i kahi pēpē. He mea nui e hāʻawi iā ia i kāu pēpē.
- Hana ʻia ka waiū umauma ma ke kumu 'supply-demand'. ʻO ka nui o kou hānai ʻana i ka waiū, ʻo ka nui o ka waiū āu e hana ai.
- He mea maʻamau nā pilikia umauma e like me ka engorgement a me ka mastitis. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ka ʻeha nui, e ʻike koke i ke kauka.
- Inā loaʻa iā ʻoe nā manaʻo kaumaha a hopohopo paha i ka wā e hānai waiū ana (D-MER), he maʻi olakino maoli ia. E kamaʻilio me kāu kauka e pili ana i ia mea.
- Inā ʻoe e lawe ana i kekahi lāʻau lapaʻau i ka wā e hānai ai i ka waiū, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i ia mea.











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