Ua pūʻiwa paha ʻoe i ka ʻike ʻana i kahi ʻili poni a ʻulaʻula paha ma kou mau lole ma hope o ka hānai ʻana i kāu pēpē? He mea maʻamau no kekahi makuahine ke makaʻu i ka ʻike ʻana i ke koko i loko o kona waiū umauma ponoʻī. Nui nā mea e hiki mai ana i ka noʻonoʻo. "Auē, ua maʻi anei au? He mea maikaʻi anei ke hāʻawi i kēia waiū i kaʻu pēpē?" Nui nā nīnau e like me kēia e hiki mai ana i ka noʻonoʻo. Akā, ʻo ka ʻoiaʻiʻo, ʻo ka hapa nui o ka manawa, ʻaʻole kēia he mea weliweli e like me ka mea i ʻike ʻia. No laila, mai hopohopo kākou, akā e makaʻala i kēia.
He aha ke kumu o ke koko i loko o ka waiū umauma?
Aia kekahi mau kumu e ʻike ʻia ai ke koko liʻiliʻi i loko o kou waiū umauma. He mea liʻiliʻi loa kekahi, akā aia kekahi mau kūlana kahi e pono ai ʻoe e ʻimi i ke kōkua lapaʻau. E nānā kākou i nā kumu nui.
1. ʻO ka maʻi paipu ʻūlū
He mea ʻē paha kēia inoa. I ka ʻōlelo maʻalahi, ua like ia me ka hoʻā ʻana i kahi paipu wai i hoʻohana ʻole ʻia no kekahi manawa a laila hoʻā koke i ka wai. ʻO ka mea maʻamau kēia i nā lā mua ma hope o ka hoʻomaka ʻana o ka pēpē e hānai waiū.
I loko o kēia mau lā, i ka piʻi ʻana o ka hana ʻana o ka waiū , piʻi pū ke kahe o ke koko i nā umauma. I kekahi manawa hiki i kēia ke hana i kahi liʻiliʻi o ke koko e hōʻiliʻili i loko o nā ala waiū mai nā kīʻaha koko palupalu. ʻO ka waiū mānoanoa mua e puka mai ana, i kapa ʻia ʻo colostrum, a i ʻole ka waiū umauma, e ʻike ʻia he ʻeleʻele, ʻulaʻula, a poni paha. ʻAʻohe ʻeha o kēia a e nalo aku ka magema i loko o kekahi mau lā.
2. Nā Nipples Māwae
ʻO kēia ke kumu maʻamau o ka ʻike ʻana i ke koko i loko o ka waiū umauma. Ke ʻole ka pēpē e latch pono (poor latch), pinepine nā nipples e māwae, haki, a ʻeha. A laila, hiki i kahi koko liʻiliʻi ke hui pū me ka waiū. I kekahi manawa, pōkole loa ke alelo o ka pēpē (tongue-tie) a hiki i nā nipples ke lilo i ʻeha. I ia mau hihia, hiki iā ʻoe ke wikiwiki i ka ho'ōla ʻana ma ke kau ʻana i kahi liʻiliʻi o kāu waiū umauma ponoʻī i kahi ʻeha a i ʻole ma ka hoʻohana ʻana i kahi poni e like me ka "lanolin" e like me ke kauoha a kāu kauka.
3. Maʻi ʻaʻai
He kūlana kēia e pono ai ka nānā ʻana. ʻO ka "Mastitis" kahi maʻi a me ka pehu ʻana o ka ʻiʻo umauma. Ma waho aʻe o ke koko i loko o ka waiū, aia kekahi mau hōʻailona ʻē aʻe.
- ʻEha nui, ʻulaʻula, a me ka pehu ʻana i loko o nā umauma
- He paʻakikī e like me ka puʻupuʻu e hiki ke hopu ʻia i ka lima
- ʻO ke kuni a me nā ʻeha kino (manaʻo lohi, me he mea lā he anu)
ʻO ka maʻamau, hiki mai kēia maʻi ke komo ka bacteria ma o nā nipples māwae. Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i kāu kauka.He mea nui loa ka ʻike ʻana i ke kauka.
4. Ka maʻi ʻaʻai umauma
Mai hopohopo i kēia. He maʻi laha ʻole kēia. Akā he mea nui e makaʻala. I kekahi manawa, hiki i ka maʻi ʻaʻai umauma ke hoʻoheheʻe koko mai ka nipple. Hiki iā ia ke lilo i hōʻailona o kahi puʻupuʻu e like ʻole me kahi duct i paʻa a i ʻole mastitis. He mea nui e nānā i kekahi o kēia mau maʻi e ke kauka.
| Kumu | Nā hiʻohiʻona nui | Pono anei au e hopohopo? |
|---|---|---|
| ʻO ka maʻi paipu ʻūlū | ʻAʻohe ʻeha. Waiū ʻeleʻele/ʻulaʻula. ʻIke ʻia i nā lā mua o ka hānai waiū. | ʻO ka maʻamau, nalo wale ia i loko o kekahi mau lā. ʻAʻohe pono e hopohopo. |
| Nā Nipples Māwae | ʻEha o ka ʻū i ka wā e hānai waiū ai. Aia nā palapū/ʻeha i ʻike ʻia ma ka ʻū. | E hoʻopaʻa i kāu pēpē i loko o ka ʻōpū. Inā ʻaʻole e hoʻomaikaʻi i loko o kekahi mau lā, e ʻimi i ke kōkua lapaʻau. |
| ʻO ka maʻi ʻōpū | ʻEha ka umauma, ʻulaʻula, pehu, kuni, ʻeha kino. | E ʻike koke i ke kauka. Pono ʻoe i ka lāʻau lapaʻau. |
He aha kāu e hana ai inā ʻike ʻoe i ke koko i loko o ka waiū umauma?
ʻAe, i kēia manawa ua ʻike ʻoe i nā kumu. No laila he aha kāu e hana ai inā ʻike ʻoe i kahi mea e like me kēia?
1. E hoʻomau i ka hānai ʻana i kāu pēpē i ka waiū umauma.
ʻO kēia ka mea nui loa. I ka hapanui o nā hihia, ʻaʻohe pilikia i ka hoʻomau ʻana i ka hānai ʻana i kāu pēpē ʻoiai inā he koko i loko o kāu waiū.ʻAʻole ia he mea weliweli maoli no ka pēpē. Hiki i kāu pēpē ke luaʻi hou aʻe, akā ʻaʻohe mea e hopohopo ai. Mai hoʻōki i ka hānai waiū ke ʻole kāu kauka e haʻi aku iā ʻoe i kahi ʻē aʻe.
E hoʻomanaʻo, ʻo ka hapa nui o ka manawa, ʻo ke koko i loko o ka waiū umauma he pilikia ia no ka makuahine a ʻaʻole ia e hōʻeha i ka pēpē.
2. E hoʻomanawanui.
Inā ʻike ʻoe i kahi wahi koko liʻiliʻi i nā lā mua o ka hānai ʻana me ka ʻole o ka ʻeha, ʻo ia paha ka "Rusty Pipe Syndrome". Mai hopohopo no ia mea a kali no ʻelua a ʻekolu paha lā. ʻOi aku ka maʻalahi o ka nalo ʻana ma kāna iho.
3. E makaʻala i ke kīkoʻo o ka pēpē
Inā māwae kou mau nipples, ʻo ka pilikia paha ke ʻano o ka ʻūlū ʻana o kāu pēpē. Inā ʻūlū pono kāu pēpē, ʻaʻohe ʻeha.
- Pono e hāmama nui ka waha o ke pēpē.
- Pono e paʻi maikaʻi ʻia ke auwae i ka umauma.
- ʻAʻole wale ka nipple, akā, ʻo kahi hapa nui o ka ʻāpana ʻeleʻele a puni (areola) hoʻi e pono e noho i loko o ka waha o ke pēpē.
Inā pilikia ʻoe i ka hana pono ʻana i kēia mau mea, pono e ʻimi i ke kōkua o kahi loea lactation kūpono.
4. E ʻike i ke kauka
ʻO kēia ka hana nui loa. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike koke i kāu kauka.
- Inā ʻoi aku ka lōʻihi o ke kahe ʻana o ke koko ma mua o hoʻokahi pule .
- Inā loaʻa iā ʻoe ke kuni, ʻeha nui o ka umauma, ʻulaʻula, a pehu paha .
- Inā ʻike ʻoe i kahi puʻupuʻu hou i loko o kou umauma.
- Inā he makaʻu nui kou a he kānalua paha no kēia.
Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo umauma. Inā pono, hiki ke kuhikuhi ʻia ʻoe no kahi mammogram a i ʻole ultrasound scan. Inā kānalua ʻia ka maʻi ʻaʻai, hiki ke hana ʻia kahi biopsy e hōʻoia i ka hōʻailona.
Leka Lawe-Home
- ʻAʻole ia he mea ʻino ke koko liʻiliʻi i loko o kou waiū umauma i kāu pēpē, no laila, mai hoʻōki i ka hānai waiū.
- ʻO ka mea mua, e nānā i kou mau nipples no nā māwae a i ʻole ka ʻeha. E ho'āʻo e hoʻoponopono i ka latch.
- Inā hele mai ke kahe koko me ka ʻole o ka ʻeha no nā lā mua, hiki ke nalo wale ia i loko o kekahi mau lā.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha nui, a me ka pehu ʻana, he mastitis paha ia. E ʻike koke i ke kauka.
- Inā ʻoi aku ka lōʻihi o ke kahe ʻana o ke koko ma mua o hoʻokahi pule, a inā he kānalua kāu, mai hoʻoholo i kāu iho a e ʻimi pono i ke kōkua lapaʻau .
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