He mea maikaʻi anei ke ʻai a inu i ka wā e kokoke ana ʻoe e hānau keiki? (ʻAi ʻana i ka wā hānau) E ʻike pono kākou e pili ana i kēia!

Ke hiki koke mai nei ka lā nani loa o kou ola, ʻeā? Akā i ka manawa like, pono ʻoe e makaʻu iki a hoʻomanawanui ʻole. ʻOiai ke kokoke ʻoe e hānau i kahi pēpē , ʻo ia hoʻi, i ka wā e hoʻomaka ai ka hānau ʻana, pono ʻoe e lohe i nā moʻolelo like ʻole e pili ana i ka meaʻai a me ka mea inu. Wahi a kekahi ʻaʻole maikaʻi ke inu iki i ka wai. Wahi a kekahi e pono ʻoe e ʻai i kahi mea no ka ikaika. No laila he aha ka ʻoiaʻiʻo maoli i kēia? E kamaʻilio kākou e pili ana i ia mea me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

Ikaika a me ke ahonui - ʻoi aku ka maikaʻi o ka ʻai ʻana a ʻaʻole paha?

E noʻonoʻo e pili ana i ia mea, ʻo ka hānau ʻana i kahi keiki ua like ia me ka holo ʻana i ka marathon. ʻO ia ka pilikia nui loa e hiki i kou kino ke ʻike. No ka makuahine hānau mua, hiki i nā ʻeha hānau ke mau ma waena o 12 a me 24 mau hola. No ke keiki ʻelua a ʻekolu paha, hiki ke hoʻemi ʻia kēia manawa i waena o 8 a me 10 mau hola.

I kēia manawa, e nānā, i kahi lā maʻamau, ʻoiai ke luhi ʻole mākou, ʻai mākou i kahi mea i kēlā me kēia mau hola e loaʻa ai ka ikehu. Ke nānā ʻoe iā ia ma ia ʻano, pehea ka paʻakikī o ka ʻai ʻole ʻana a inu ʻole paha i kekahi mea i ka manawa e like me kēia, i ka wā e kaumaha nui ai ke kino no nā hola? He nui nā makuahine i loaʻa ka pilikia nui me kēia.

Akā, hauʻoli wau e haʻi aku iā ʻoe, ua loli nui ke kūlana i kēia manawa. Ua hoʻomaha ʻia nā lula paʻa i kau ʻia ma mua.

No ke aha ʻoe i ʻōlelo ai ʻaʻole hiki iā ʻoe ke hāʻawi iā lākou i ka meaʻai a me ka mea inu ma mua?

Hoʻomaka kēia moʻolelo i nā makahiki 1940. I kēlā manawa, ua ʻike nā kauka inā ʻai nā makuahine i hāʻawi ʻia i ka anesthesia laulā i ka wā hānau keiki, hiki i kēlā meaʻai ke piʻi hou mai ka ʻōpū a hele i loko o nā māmā. ʻO kēia ka mea i kapa ʻia ʻo 'Aspiration' i ka ʻepekema lapaʻau.

I ka ʻōlelo maʻalahi, ʻo ia ke ala kūpono ʻole o ka ʻai ʻana a me ka inu ʻana a me ke komo ʻana ma o ka trachea i loko o nā māmā. I ka wā hāpai, hoʻomaha ka hormone `Progesterone` i nā ʻiʻo o ka ʻōpū. Eia kekahi, hoʻonui ʻia kēia pilikia no ka mea ua kaomi ʻia ka ʻōpū e ka uterus e ulu ana. Inā komo ka meaʻai i loko o nā māmā, hiki iā ia ke hana i nā maʻi koʻikoʻi (`Pneumonia`) a hiki ke hoʻoweliweli i ke ola.

No laila, ua loli ke kūlana i kēia manawa?

ʻAe, ʻoiaʻiʻo nō. Ua holomua loa ka ʻepekema lapaʻau i kēia manawa. ʻOi loa aku hoʻi nā ʻano hana anesthesia.

I kēia mau lā, hoʻohana wale ʻia ka 'General Anesthesia' i nā hihia koʻikoʻi, e like me ka ʻoki ʻoki caesarean ulia pōpilikia, i ka wā hānau keiki. Akā, ʻoi aku ka hoʻohana pinepine ʻia o ka 'Regional Anesthesia'. Ua lohe paha ʻoe i ka 'Epidural' a i ʻole ka 'Spinal Block'. ʻAʻole hoʻohiamoe loa kēia mau ʻano hana iā ʻoe, akā hoʻomānoino wale i kahi ʻāpana kikoʻī o kou kino, ma lalo o ka pūhaka. No ka mea ua ʻike ʻoe, ua emi loa ka pilikia o ka 'Aspiration'.

Ua ʻike ʻia ma nā noiʻi hou nei he haʻahaʻa loa ka pilikia o ka hanu ʻana i ka wā hānau i loko o kahi hāpai olakino a haʻahaʻa ka pilikia. ʻO ka ʻoiaʻiʻo, hoʻokahi wale nō hihia o ia ʻano i hōʻike ʻia ma ʻAmelika Hui Pū ʻIa ma waena o 2005 a me 2013. A ʻo ia ma kahi hāpai pilikia kiʻekiʻe me nā pilikia ʻē aʻe, e like me ka pre-eclampsia.

No laila, he aha kāu e ʻai ai a inu ai i kou wā e kali ana i kahi pēpē?

Inā he hāpai olakino kou a haʻahaʻa ka pilikia, hiki iā ʻoe ke ʻai i nā meaʻai māmā e kōkua iā ʻoe e noho ikaika i ka wā hānau. Akā e hoʻomanaʻo, ʻoi aku ka maikaʻi o kēia mau mea i ka wā hānau mua. He mea naʻauao ke pale aku i ka ʻai ʻana i ka wā hānau ikaika i ka wā e hoʻonui ana ka ʻeha a kokoke e hānau ʻia ke pēpē.

He aha kēia mau mea hiki iā ʻoe ke ʻai a inu? E nānā kākou.

Nā pōmaikaʻi o ka ʻai ʻana a me ka inu ʻana

Ua hōʻike ʻia nā noiʻi hou he nui nā pono o ka ʻai ʻana i ka meaʻai māmā i ka wā hānau.

• Ka manawa hana pōkole: Wahi a kekahi mau noiʻi, hiki i ka ikehu i loaʻa ke hoʻopōkole iki i ka manawa hana.
• Hoʻemi ʻia nā ʻoki cesarean ulia pōpilikia: Ke loaʻa ka ikaika maikaʻi o ka makuahine, hiki iā ia ke paʻi maikaʻi e hānau i ka pēpē. Hoʻemi kēia i ka pilikia o ka hana ʻia ʻana o kahi ʻoki cesarean ulia pōpilikia.
• ʻO kahi ʻike ʻoluʻolu: Hiki i ka makuahine ke ʻike i kēia ʻike me ka ʻoi aku ka maikaʻi, ʻoiai ua hoʻopau ʻia ka ʻoluʻolu ʻole o ka pōloli a me ka make wai.

ʻO wai ka mea e pono e pale aku i ka ʻai ʻana a me ka inu ʻana?

He mea nui loa kēia. ʻAʻole i loaʻa i nā kānaka a pau kēia ʻae. Inā he pilikia nui kou hāpai ʻana , a inā paha ʻoi aku ka nui o kou loaʻa ʻana i ka anesthesia laulā, pono ʻoe e pale loa i ka ʻai ʻana a i ʻole ka inu ʻana i ka wā hānau.

Eia kekahi mau hihia:

• Inā he ʻoki ʻoki cesarean i hoʻolālā ʻia kāu ('Planned C-section`).
• Inā he pilikia nui kou no ka loaʻa ʻana o kahi ʻoki C-section ulia pōpilikia (e.g., inā ua loaʻa iā ʻoe kahi ʻoki C-section ma mua, inā he pilikia me ke kūlana o ka pēpē).
• Inā he hānau pālua, e like me nā māhoe.
• Inā he mau pilikia olakino ʻē aʻe kāu e hoʻopilikia ai i kāu hāpai ʻana, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe (pre-eclampsia).

Nā nīnau e nīnau aku ai i kāu kauka

ʻOiai me kēia alakaʻi hou, ʻokoʻa paha kēia mau lula mai ka haukapila a i ka haukapila. No laila, ma mua o kou hele ʻana e hānau i kāu pēpē, e ʻike i ke kulekele o ka haukapila āu i koho ai no kēia mea.

Eia kekahi, e nīnau pono i kēia mau mea mai ke kauka nāna i mālama iā ʻoe i kou wā hāpai a ua kamaʻāina loa i kou kūlana.

• "E ke kauka, he haʻahaʻa anei ka pilikia o koʻu hāpai ʻana?"
• "He aha nā manawa kūpono e loaʻa iaʻu kahi ʻoki C-section?"
• "Hiki iaʻu ke loaʻa ka anesthesia laulā?"
• "Hiki iā ʻoe ke aʻo mai iaʻu i ka mea hiki iaʻu ke ʻai a me ka mea hiki ʻole iaʻu ke ʻai i ka wā hānau?"

ʻO ia wale nō ke haʻi pololei iā ʻoe i ka mea kūpono loa no kou kūlana.