He makuahine anei ʻoe e hāpai ana i kahi pēpē me ka manaʻolana nui a me nā manaʻolana kiʻekiʻe? A laila ʻo kou manaʻolana nui loa ka hānau ʻana i kahi pēpē olakino i kēia ao i ka manawa kūpono. Akā i kekahi manawa, me ka manaʻo ʻole ʻia, hiki ke hoʻomaka ka hānau ʻana i nā pule ma mua o ka lā hānau. I kēia lā, e kamaʻilio mākou e pili ana i kēia kumuhana he mea nui i nā makuahine he nui.
He aha maoli ka hānau keiki ʻana i ka wā ʻōpiopio?
I ka ʻōlelo maʻalahi, kapa mākou i ka hānau mua ʻana, a i ʻole "hana mua ʻana," i ka wā e hoʻomaka ai kou kino e hoʻomākaukau no ka hānau ʻana ma ka liʻiliʻi he ʻekolu pule ma mua o kou lā hānau.
He mea weliweli iki paha kēia. Akā, ʻo ka nūhou maikaʻi, hiki i nā kauka ke hana i nā mea he nui e hoʻopaneʻe i kēia hānau mua ʻana. No ka mea, he mea waiwai kēlā me kēia lā e ulu ana kāu pēpē i loko o kou ʻōpū. ʻO ka lōʻihi o ka noho ʻana o kāu pēpē i loko o ka ʻōpū a hiki i ka lā hānau, ʻo ka emi ʻana o nā pilikia e loaʻa iā lākou ma hope o ka hānau ʻana.
He aha nā kumu e hoʻonui ai i ka pilikia o kēia maʻi?
Nui nā kumu e hiki ai ke hānau mua ʻia. E nānā kākou i ko lākou ʻano. Malia paha e pili ana kekahi a ʻoi aku paha o kēia mau mea iā ʻoe.
| Kumu pilikia | He wehewehe maʻalahi |
|---|---|
| ʻAno nohona | Ka puhi paka, ka waiʻona a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe. |
| Kaumaha o ke kino a me ka makahiki | ʻO ke kaumaha nui a i ʻole ke kaumaha haʻahaʻa ma mua o ka hāpai ʻana. Ma lalo o 20 mau makahiki a i ʻole ma luna o 40 mau makahiki. |
| Nā kūlana olakino | Loaʻa i ke koko kiʻekiʻe, preeclampsia, maʻi diabetes, nā maʻi clotting koko, a i ʻole nā maʻi maʻi ʻē aʻe. |
| Nā mea e pili ana i ka hāpai ʻana | ʻO ka loaʻa ʻana o nā māhoe a ʻoi aku paha mau keiki i loko o ka ʻōpū, ka hāpai ʻana ma o kahi ʻano hana e like me In Vitro Fertilization (IVF), a i ʻole ka loaʻa ʻana o kahi pēpē me kahi kīnā hānau. |
| Ka ʻike ma mua | Ua hānau mua ʻia ma mua. Ua hānau mua ʻia kekahi o ka ʻohana i ka mea like. Ua hānau ʻia kekahi keiki a laila hāpai hou ma hope koke iho. |
| Mālama ma mua o ka hānau ʻana | ʻO ka nele o ke aʻo lapaʻau kūpono a me ka mālama prenatal i ka wā hāpai. |
E makaʻala i kēia mau hōʻailona!
I mea e pale ai i ka hānau keiki ʻana i ka wā ʻōpiopio, pono ʻoe e makaʻala i nā hōʻailona hōʻike . Hiki i ka hana wikiwiki ke hana i kahi ʻokoʻa nui. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke i kāu kauka .
| Hōʻailona | Pehea ke ʻano o ia mea? |
|---|---|
| ʻEha kua | He ʻeha mau a i ʻole ka ʻeha pōkole ma ke kua haʻahaʻa. ʻAʻole kēia e nalo ʻoiai inā ʻoe e hoʻololi i kou kūlana a hana paha i kahi mea ʻē aʻe. |
| Nā ʻūmiʻi | Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū i kēlā me kēia 10 mau minuke a emi mai paha a lilo ia i mea ʻino. |
| ʻEha ʻōpū haʻahaʻa | ʻEhaʻeha o ka maʻi kōkō. Manaʻo paha ʻoe ua piha kou ʻōpū i ke kinoea, a hiki ke hele pū me ka maʻi pākī. |
| Hoʻokuʻu ʻana o ka vaginal | Ka wai a i ʻole ke kahe wai ʻē aʻe mai loko mai o ka vagina. |
| Hoʻonui ʻia ke kahe ʻana o ka vaginal a i ʻole ke kahe koko | ʻOi aku ka nui o ka hoʻokuʻu ʻana ma mua o ka maʻamau a i ʻole ke kahe koko iki. |
| Kaomi ma ka ʻōpū haʻahaʻa a i ʻole ka vagina | He manaʻo ʻē o ke kaomi a i ʻole ke kaumaha ma ka ʻōpū lalo a i ʻole ka vagina. |
| Nā hōʻailona o ke kuni | Nā hōʻailona e like me ka luaʻi ʻana, ka nausea, a i ʻole ka maʻi pākī. E haʻi i kāu kauka, ʻoiai inā he mau mea liʻiliʻi ia. Inā ʻaʻole hiki iā ʻoe ke inu wai no nā hola he 8 a ʻoi, e ʻike pono i ke kauka. |
ʻIke ʻia kekahi o kēia mau hōʻailona e like me nā ʻeha maʻamau o ka hāpai ʻana, e like me ke kua. Akā inā he kānalua iki kou, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ia mea. Mai hoʻowahāwahā i kēia mau hōʻailona.
Pehea e nānā ai no nā contractions?
ʻO kēia ke kumu nui o ka hānau ʻana.
- E kau i kou mau manamana lima ma kou ʻōpū .
- Inā ʻike ʻoe e ʻūmiʻi ana kou ʻōpū a laila hoʻomaha hou, ua kapa ʻia kēlā he 'contraction'.
- E mālama i kahi moʻolelo o ka wā e loaʻa ai kēia mau ʻeha. E kākau i lalo i ka manawa e hoʻomaka ai kekahi a me ka manawa e hoʻomaka ai kekahi.
- E hoʻāʻo e hoʻōki i kēia ʻeha. Inā ʻoe e kū ana, e noho i lalo. E hoʻololi i nā kūlana . E hoʻomaha maikaʻi. E inu i ʻelua a ʻekolu mau kīʻaha wai.
- Inā hoʻomau ka ʻeha i kēlā me kēia 10 mau minuke a emi mai paha, inā ʻoi aʻe ka ʻino o nā hōʻailona, a inā he ʻeha nui, e kāhea koke i kāu kauka.
I kekahi manawa i ka wā hāpai, hiki iā ʻoe ke loaʻa i nā ʻūmiʻi wahaheʻe i kapa ʻia ʻo 'Braxton Hicks contractions.' He mau ʻano ʻē kēia, ʻaʻole hoʻomau, a nalo ke hoʻololi ʻoe i nā kūlana a hoʻomaha paha. ʻAʻole lākou he ʻāpana o ka hānau ʻana. Akā inā ʻaʻole ʻoe maopopo i ke ʻano o ka ʻeha, e ʻimi pono i ke kōkua lapaʻau.
He aha ka mea e hana ʻia inā pono wau e hele i ka haukapila?
Inā kānalua kāu kauka e hānau mua ana ʻoe, hiki ke hoʻokomo ʻia ʻoe i ka haukapila. Ke hele ʻoe i ka haukapila, e hana ke kauka a kahu maʻi paha i kēia mau mea:
- E nīnau lākou e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau āu i lawe ai i ka wā hāpai.
- E nānā lākou i kou pulse, ke koko, a me ka mahana.
- E kau ʻia kahi mea nānā ma kou ʻōpū e nānā i ka puʻuwai o kāu pēpē a me kou mau ʻūlū ʻana.
- Lawe ʻia kahi hāpana no kahi hoʻāʻo i kapa ʻia ʻo "Fetal Fibronectin", hiki ke wānana i ka pilikia o ka loaʻa ʻana o kahi pēpē hānau mua.
- Nā nānā ʻana no nā maʻi o ke ala mimi a i ʻole nā maʻi o ka ʻāʻī.
- Nānā e ʻike inā e wehe ana ka cervix no ka hānau ʻana.
Inā ua ʻike ʻia ʻoe me ka 'hanau mua', hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau aʻe:
- Ke hāʻawi ʻana i ka saline (nā wai IV).
- Ke hāʻawi nei i ka lāʻau lapaʻau e hoʻomaha ai i ka ʻōpū a hoʻōki i ka ʻeha.
- Ke hāʻawi ʻana i nā lāʻau lapaʻau kūikawā (steroids) e kōkua i ka ulu wikiwiki ʻana o nā māmā o ke pēpē .
- E hāʻawi i nā antibiotics inā loaʻa kahi maʻi.
- Ka hoʻokipa ʻana i ka haukapila a me ka mālama ʻana.
I kekahi mau hihia, inā ʻaʻole hiki ke kāohi ʻia ka ʻeha, hiki i nā kauka ke hoʻoholo e hānau i ka pēpē. Inā he maʻi koʻikoʻi, e like me ka preeclampsia, a inā he pilikia i ka makuahine a i ʻole ka pēpē, hiki i nā kauka ke hoʻoholo e hānau i ka pēpē i ka wā mua.
He aha ka mea e hana ai inā hānau mua ʻia ke pēpē?
ʻAʻole like nā pēpē hānau mua a pau. ʻO ka hapa nui, pono nā pēpē i hānau ʻia ma hope o 7 mau mahina e noho i loko o ka "NICU" o ka haukapila, ʻo ia hoʻi ka ʻāpana mālama koʻikoʻi no nā keiki hānau hou . ʻOi aku ka nui o nā pilikia o nā pēpē i hānau ʻia ma mua. Pono lākou i ka mālama kūikawā mai nā kauka loea a me nā kahu maʻi ma ka "NICU".
ʻOiai inā hānau mua ʻia lākou, ulu maikaʻi ka hapa nui o nā pēpē a lilo i mea maʻamau e like me nā pēpē ʻē aʻe i ka hala ʻana o ka manawa. Eia nō naʻe, aia paha kahi pilikia o kekahi mau pilikia olakino lōʻihi.
Ke hoʻi ʻoe a me kāu pēpē i ka home, pono ʻoe e makaʻala loa i kēia mau mea. Inā he mau pilikia, pono ʻoe e kamaʻilio koke me ke kauka.
Ka hānai ʻana
ʻOi aku ka nui o ka omo ʻana o nā pēpē hānau mua, no laila pono ʻoe e hānai pinepine i ka waiū (malia paha i kēlā me kēia 3-4 hola). Inā hōʻole kāu pēpē e inu waiū, e haʻi i kāu kauka.
Moe
ʻOi aku paha ka hiamoe o kēia mau pēpē ma mua o nā pēpē ʻē aʻe. Hiki iā lākou ke hiamoe i ka wā hānai. No laila e hoʻāla i ka pēpē i ka wā e hānai ai. E hoʻomoe mau i ka pēpē ma kona kua.
Ka hanu ʻana
Inā ʻike ʻoe ua pilikia kāu pēpē i ka hanu ʻana, e ʻike koke i ke kauka a kāhea aku paha i ka 1990 .
Mahana Kino
He ʻuʻuku ka momona o ke kino o kēia mau pēpē, no laila he paʻakikī ke kāohi i ka mahana o ko lākou kino. No laila e pale i kāu pēpē mai ke anu. E mālama i ka lumi i ka mehana.
ʻĀʻī
Inā melemele ka ʻili a i ʻole nā maka o kāu pēpē, he hōʻailona paha ia o ka jaundice. ʻO ke ʻano kēia, ʻaʻole hiki i ke akepaʻa o kāu pēpē ke wehe i kahi mea i kapa ʻia ʻo bilirubin mai ke koko. E hoʻāʻo ʻia no kēia ma mua o kou haʻalele ʻana i ka haukapila. Inā ʻike ʻoe i kekahi mau hōʻailona ma hope o kou hoʻi ʻana i ka home, e ʻike koke i ke kauka.
Nā maʻi
He ʻōnaehana pale ʻole ko nā pēpē hānau mua, no laila ʻoi aku ka maʻalahi o lākou i nā maʻi. E makaʻala i nā hōʻailona e like me ke kuni a me ka paʻakikī o ka hanu ʻana.
Leka Lawe-Home
- E makaʻala pono i nā hōʻailona o ka hānau keiki ʻana ma mua o ka manawa (ʻeha kua, ʻeha, kahe ʻana o ke kino wahine).
- Inā loaʻa iā ʻoe kekahi mau hōʻailona kānalua, mai manaʻo he mea liʻiliʻi ia, akā e kāhea koke aku i kāu kauka.
- ʻO ke ala maikaʻi loa e pale aku ai i kēia maʻi, ʻo ia ka loaʻa ʻana o ke aʻo lapaʻau kūpono a me ka mālama prenatal i ka wā hāpai.
- He mea nui loa ia e hoʻomalu i ke ola kino maikaʻi ma ka pale ʻana i ka puhipaka, ka waiʻona, a me ka hoʻēmi ʻana i ke kaumaha.
- Inā hānau mua ʻia kāu pēpē, mai hopohopo. Me ka mālama olakino kūpono a me ka mālama kūikawā ma ka home, hiki ke hānai olakino ʻia kāu pēpē.
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