Inā hāpai ʻoe, ʻo kekahi o kou mau makaʻu nui loa, ʻo ia paha ka paheʻe a i ʻole ka hiolo ʻana. He mea maʻamau kēia no nā makuahine he nui. Ua hōʻike ʻia nā noiʻi he 30% o nā wahine hāpai e hāʻule ana ma ka liʻiliʻi i hoʻokahi manawa i ka wā hāpai. No laila, ʻoiai he mea maʻamau kēia, he mea nui e makaʻala i ia mea. I kēia lā, e kamaʻilio mākou e pili ana i ke kumu e hana ai kēia i ka wā hāpai, ka mea e hana ai inā hāʻule ʻoe, a pehea e pale ai iā ʻoe iho mai ka hāʻule ʻana.
No ke aha ʻoe e hoʻāʻo ai e hāʻule e like me kēia i ka wā hāpai?
ʻO ka hāpai ʻana he manawa ia e hele ai kou kino i nā loli kupaianaha he nui. ʻO kēia mau loli a pau e pale i ka pēpē i loko o ka ʻōpū a hana i ke kaiapuni e pono ai e ulu pono.
E noʻonoʻo e pili ana i ia mea, he pā ikaika kou ʻōpū i hana ʻia me nā ʻiʻo mānoanoa. A aia ka wai amniotic e hoʻopuni ana i ka pēpē. Ua like kēia me kahi ʻeke ea i loko o ke kaʻa, e pale ana i ka pēpē mai nā hopena liʻiliʻi.
Akā i loko o kēia manawa, nui nā loli o ka puʻuwai o kou kino, nā māmā, ka ʻōnaehana mimi, a me nā iwi a me nā ʻiʻo, me kāu hana hormonal. Hiki i kēia ke alakaʻi i ka piʻi ʻana o ke kaumaha , ka nalowale o ke kaulike, a me kekahi nalowale o ka ikaika o nā ʻiʻo.
I ka ʻōlelo maʻalahi, i ka ulu ʻana o kou ʻōpū, e neʻe ana kou kikowaena o ke koʻikoʻi, e like me ka hāpai ʻana i kahi ʻeke kaumaha i mua ou. Hiki i kēia ke hoʻolilo iā ʻoe i mea paʻakikī ke kaulike e like me ka wā ma mua.
ʻO kekahi kumu nui no kēia, ʻo ia ka hormone "Relaxin" . Hoʻomaha kēia hormone i kou mau hono a me nā ligaments. Hoʻomākaukau kēia hormone i nā ʻiʻo a me nā hono ma ka ʻāpana pelvic no ka hānau ʻana. Akā ma ke ʻano he hopena ʻaoʻao o kēia, hoʻomaha pū nā hono i kou mau wāwae a me kou mau pūhaka. ʻO kēia kūlana "loloa" e hoʻonui ai iā ʻoe i ka nalowale ʻana o kou kaulike ke hele ʻoe a hāʻule.
He aha kāu e hana ai inā hāʻule ʻoe? Pono anei ʻoe e makaʻu?
ʻO ka mea mua, ʻaʻole nā hāʻule āpau he mea weliweli. ʻOi loa aku i ka trimester mua o ka hāpai ʻana, ua haʻahaʻa loa ka pilikia o nā pilikia koʻikoʻi mai ka hāʻule ʻana, no ka mea, i kēlā manawa ua pale maikaʻi ʻia ka ʻōpū e nā iwi pelvic.
Eia nō naʻe, ʻo ka hāʻule ʻana i ka wā o ka trimester ʻelua a ʻekolu paha , ʻoiai inā hāʻule pololei ʻoe ma kou ʻōpū, hiki ke lilo i mea pilikia iki. Akā, mai hopohopo, ua palekana maikaʻi ka pēpē. Akā, ʻaʻole pono kākou e lawe i kekahi pilikia.
He mea maikaʻi ke makaʻala i ka mea e hiki mai ana inā hāʻule ʻoe.
| Nā Pōʻino Hiki o ka Hāʻule ʻana | |
|---|---|
| I ka makuahine | Nā haki, ke kahe koko o loko. |
| No ka pēpē | ʻEha poʻo, hōʻino i ka placenta. |
| ʻĒ aʻe | Ka hōʻino ʻana i ka ʻōpū, ka hānau mua ʻana. |
| Pono e hoʻomaopopo ʻia: ʻo kēia nā hopena koʻikoʻi loa e hana pinepine ʻole ʻia, a ʻo ka hapa nui o nā hāʻule ʻana ʻaʻole ia he mea weliweli loa. | |
Inā hāʻule ʻoe, mai hopohopo, e nānā mua i nā ʻeha. A laila e noho mālie a nānā i nā hōʻailona ma lalo nei.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā hāʻule ʻoe i ka wā hāpai waena a i ʻole ka hopena o ka hāpai ʻana a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka . Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Nā Hōʻailona ʻŌlelo Aʻo e Makaʻala ai | |
|---|---|
| Nā ʻūmiʻi o ka ʻōpū | Inā hele mai ka ʻeha o ka ʻōpū a hele pinepine (contractions). |
| Ke kahe koko ʻana o ka wahine | Inā he koko liʻiliʻi a he wai paha. |
| ʻEha nui o ka ʻōpū | Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū. |
| Ua emi iho ka neʻe ʻana o nā pēpē | Inā ʻaʻole ʻoe e manaʻo i kāu pēpē e neʻe ana a inā paha e neʻe emi ana ma mua o ka maʻamau. |
ʻOiai inā ʻaʻole e hana ʻia kekahi o kēia mau mea, inā he kānalua kou, ʻoi aku ka maikaʻi o ke kāhea ʻana i ke kauka a loaʻa ka ʻōlelo aʻo.
Nā hoʻomaʻamaʻa e kōkua ai i ka mālama ʻana i ke kaulike o ke kino
ʻO kekahi o nā ala maikaʻi loa e pale aku ai i ka hāʻule ʻana, ʻo ia ka hoʻoikaika kino mau . E hoʻomaikaʻi kēia i kou kaulike a hōʻemi i ka ʻeha ma kou kino haʻahaʻa. He mea nui loa nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo ma kou ʻōpū, nā ʻūhā, a me nā pūhaka.
ʻŌlelo Aʻo: Ma mua o ka hoʻomaka ʻana i kekahi o kēia mau hoʻomaʻamaʻa, pono ʻoe e nīnau i kāu kauka e ʻike inā kūpono lākou iā ʻoe, pehea e hana ai iā lākou, a pehea ka pinepine e hana ai iā lākou.
Eia kekahi mau hoʻomaʻamaʻa maʻalahi hiki iā ʻoe ke hana ma ka home:
1. Ke Kilo Pelvic
Hoʻoikaika kēia i kou mau ʻiʻo ʻōpū a me ka pelvic.
- E kū ma luna o nā ʻehā ma luna o kahi moena yoga me kou mau kuli a me kou mau poho lima ma ka papahele. E hoʻomau i kou kua i pololei a kūlike me ka honua.
- I kēia manawa, e hanu hohonu, e huki iki i nā ʻiʻo o kou ʻōpū i loko, a hāpai i kou kua i luna, e hoʻopaʻa ana i kou mau puʻupuʻu. E like me ka pōpoki huhū.
- E paʻa i kēia kūlana no ka helu ʻelima, a laila e hoʻi mālie i ke kūlana hoʻomaka.
2. Hāpai wāwae
Hoʻoikaika kēia i nā ʻiʻo o ke kua, ka ʻōpū, a me nā puʻupuʻu.
- E kū ma nā ʻehā. Pono kou mau poho lima ma lalo pono o kou mau poʻohiwi a me kou mau kuli ma lalo pono o kou mau pūhaka.
- I kēia manawa e kulou i kou kuli hema a lawe mai i kou kuʻekuʻe hema.
- A laila, e hoʻolōʻihi mālie i kēlā wāwae hema i hope. Pono ke kūlike o ka wāwae me ka honua a pololei. Mai hāpai iā ia i luna aʻe ma mua o kou mau pūhaka.
- E hoʻi i ke kūlana hoʻomaka a hana like me ka wāwae ʻē aʻe.
3. Hoʻolōʻihi i hope
Eia kekahi, ua hoʻolōʻihi maikaʻi ʻia nā ʻiʻo o ka ʻūhā a me ke pelvis.
- E noho ma nā ʻehā a pau.
- I kēia manawa, e lawe mālie i kou kino i hope a lawe mai i kou mau ʻūhā i kokoke i kou mau kuʻekuʻe wāwae e like me ka hiki.
- I ka manawa like, e hoʻohaʻahaʻa i kou poʻo a hoʻokokoke mai i kou mau kuli. Pono e hohola ʻia kou mau lima, e kū pono ana nā poho lima i ka papahele.
- E paʻa i kēia kūlana no kekahi mau kekona, a laila e hoʻi i ke kūlana hoʻomaka.
E hoʻomanaʻo i kēia mau mea e pale iā ʻoe iho mai ka hāʻule ʻana
ʻO ka hāpai ʻana he manawa ia e pono ai ʻoe e akahele loa. Ua hōʻike ʻia ka noiʻi he 2.3 mau manawa ka nui o ka wahine e hoʻokomo ʻia i ka haukapila ma muli o ka hāʻule ʻana ma mua o ka wahine hāpai ʻole. No laila, inā ʻoe e hoʻolilo i kēia mau mea maʻalahi i mea maʻamau, hiki iā ʻoe ke hōʻemi nui i kou pilikia.
| Nā mea e hana ai | Nā mea ʻaʻole e hana ʻia |
|---|---|
| E paʻa i ka ʻauamo lima i ke piʻi ʻana a i lalo ʻana i ke alapiʻi. | E pale i ka hele ʻana ma luna o nā ʻili pulu, pahee, a ʻaʻole kūlike ʻole paha. |
| E komo i nā kāmaʻa me ka paʻa maikaʻi a me nā kapuaʻi maikaʻi. | E pale i ke komo ʻana i nā kuʻekuʻe wāwae kiʻekiʻe a i ʻole nā kāmaʻa e hiki ai ke kuʻi. |
| E waiho i kahi kukui palupalu i loko o ka lumi moe a me ka lua i ka pō. | E pale i ka lawe ʻana i nā mea kaumaha a nui paha i hiki ʻole iā ʻoe ke ʻike i mua. |
Leka Lawe-Home
- He mea maʻamau ka hāʻule ʻana i ka wā hāpai ma muli o nā loli o ke kino (ʻoi aku hoʻi nā loli o ke kaumaha a me ka hormone Relaxin) .
- ʻO ka hapa nui o ka manawa, ua palekana maikaʻi ʻia kāu pēpē e nā paia mānoanoa a me ka wai amniotic o ka ʻōpū.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kahe ʻana o ke koko ma ka ʻōpū, ka ʻeha mau o ka ʻōpū, nā ʻūmiʻi o ka ʻōpū, a i ʻole ka emi ʻana o ka neʻe ʻana o ka pēpē ma hope o ka hāʻule ʻana , e ʻimi koke i ke kōkua lapaʻau.
- Hiki i nā hoʻomaʻamaʻa maʻalahi, i hana ʻia me ka ʻae ʻia e kāu kauka, ke hoʻomaikaʻi i ke kaulike o kou kino.
- ʻO nā hana maʻalahi e like me ka pale ʻana i nā ʻili pahee a me ke komo ʻana i nā kāmaʻa kūpono hiki ke hōʻemi nui i ka pilikia o ka hāʻule ʻana.
- Inā he kānalua a makaʻu paha kou, mai kānalua e kūkākūkā me kāu kauka.
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