Me pēhea te whakaputa waiū a tō tinana mā tō pēpi? (Te whāngai ū) Me kōrero taipitopito tātou mō tēnei!

Kei te tata koe te noho hei whaea? He whaea kē rānei koe nō tētahi pēpi e arohaina ana e koe? Heoi anō, he maha pea āu pātai mō te whāngai ū, arā, te tukanga whakaputa waiū (Lactation). Me kōrero tātou mō tēnei mea i tēnei rā i roto i tētahi huarahi māmā e mārama ai koe, āe?

Me pēhea te whakaputanga o te waiū ū? He aha te mea e tupu ana i roto i te ū?

Āe, me titiro tātou ki tēnei mīhini hanga miraka whakamiharo, arā, ngā mahi e mahia ana i roto i ō ū. Whakaarohia ngā repe ū i roto i ō ū he wheketere miraka iti. He torutoru ngā wāhanga matua o ēnei:

• Ngā Alveoli: Koinei ngā pēke iti rite ki te karepe. Koinei te wāhi e hangaia ai te waiū, e rongoatia ai hoki mō te wā poto. He maha o ēnei alveoli ka huihuia hei hanga i ngā tautau repe e kiia nei ko ngā lobules. Ka honoa te lobule ki te lobe.
• Ngā awaawa miraka: Kotahi te awaawa miraka o ia pū. Tērā pea e 20 ngā pū i roto i tō ū. Ka haria e ēnei awaawa te waiū mai i ngā alveoli ki te uma.
• Areola: Ko te rohe pōuri huri noa i te uma e kiia ana ko te areola. He maha ngā pito io tino tairongo. Ina ngote te pēpi, ka kī atu ēnei io ki te roro, "Āe, tukua te waiū ki waho inaianei." Ka puta mai te waiū ina whakaohokia te areola katoa.
• Umu: E 20 pea ngā kōhao ririki kei roto i te uma, ā, ka puta mai te waiū i roto i ēnei kōhao. Ina ngote te pēpi i te waiū (ina pēhia rānei mā te ringa, ina papuhia rānei mā te papu ū), ka whakaohokia ngā io o tēnei uma. Ka tukuna e tēnei whakaoho he tohu ki te roro kia tukuna te waiū mai i ngā alveoli kia heke iho i ngā awa waiū, kia puta atu i te uma.

Ki te kī māmā noa iho, whakaarohia tēnei pūnaha hanga waiū hei rākau nui. Ko tō uma te take o te rākau. Ko ngā awaawa waiū ngā manga. Ko ngā alveoli ngā rau.

He aha tātou ka whiwhi ai i te miraka?

Nō reira, ko te take matua he whāngai i tā tātou pēpi. He mea taiao tēnei, he mea whakahaeretia e ngā homoni. Ka puta te miraka i tēnei ara i te wā e whānau ana te pēpi, ā, i muri hoki i te whānautanga, hei whakarato i te kai e tika ana mō te pēpi hou. Ko ngā homoni motuhake i roto i tō tātou tinana te mea e tīmata ai te whakaputanga o te miraka me te putanga mai o te miraka. Ko ngā kararehe katoa e whāngai ana i ā rātou tamariki i tēnei ara. Ko te mea whakamiharo, ki te whakamahi koe i ngā rongoā homoni tika, ka taea e koe te hanga i te miraka kia puta mai i te tangata kāore i te hapu.

Me pēhea te tīmatanga o te whakaputa waiū? He aha ngā wāhanga o tēnei?

Ka tīmata te tukanga hanga waiū me te raupapa o ngā huringa homoni e puta ana i muri i te haputanga. Ka kiia tēnei tukanga ko te "Lactogenesis". E toru ngā wāhanga matua o tēnei.

Te wāhanga tuatahi o te lactogenesis - ka tīmata i te wā e hapu ana!

Ka tīmata tēnei wāhanga i te 16 wiki o tō hapūtanga, ā, ka roa tae noa ki ētahi rā i muri i te whānautanga o te pēpi.

• Ka piki ake ngā homoni o te estrogen me te progesterone.Ka nui haere te rahi me te rahi o ngā awa waiū i roto i ō ū. Tērā pea ka nui ake, ka kī ake ō ū. Kei te rite ngā repe ū ki te hanga waiū.
• Ka pōuri haere ō uma, ā, ka nui haere hoki tō areola.
• Ka whakaputahia e ngā puku ririki ('ngā repe Montgomery') i roto i te areola he matū rite ki te hinu hei pupuri i te makuku o te uma.
• Ko te mea nui, ka tīmata tō tinana ki te whakaputa i te colostrum, te waiū tuatahi ka puta i tō pēpi, he miraka tino whai kiko.

Te wāhanga tuarua o te lactogenesis - Te putanga mai o te waiū i muri i te whānautanga o te pēpi!

Ka tīmata tēnei wāhanga i te rua, i te toru rānei o ngā rā i muri i te whānautanga o te pēpi. Koinei te wā ka tere ake te whakaputa waiū.

• Whai muri i te whānautanga o tō pēpi me te whenua whānau, ka heke ohorere ngā taumata o te estrogen me te progesterone. Kātahi ka tīmata te mahi a te homoni e kiia nei ko te prolactin.
• Ko te prolactin te homoni matua e hanga ana i te waiū.
• Ka kite koe ka piki haere te nui o te waiū i tēnei wā. Ka mea tātou 'kei te rere te waiū', koinā te tikanga.
• I ēnei rā , ka kī tonu pea ō ū i te waiū, he pīkari, he "kīkī", ā, he mamae.

Wāhanga tuatoru ('Wāhanga tuatoru lactogenesis') - te wā tika mō te whāngai ū tonu!

Koinei te wā katoa o tō whāngai ū.

• I te nuinga o te wā, ka haere tonu te whakaputa waiū mena ka mimiti te waiū o ō ū.
• I te nui haere o te waiū e tangohia ana, ka nui ake te waiū e hangaia ana e tō tinana hei whakakī i te āputa. Ka taea e koe te hanga waiū nui ake mā te whāngai ū i tō pēpi i ngā wā katoa, mā te papu rānei.

He aha ngā homoni e āwhina ana ki te whakaputa waiū?

Kua mārama pea koe inaianei ki te hiranga o ngā homoni ki tēnei tukanga whakaputa waiū. Ko te mea matua e whakahaere ana i te nui o te waiū e hangaia ana e koe ko te homoni e kiia nei ko te prolactin. Ka tīmata tō tinana ki te hanga i tēnei prolactin i ngā wāhanga tōmua o te hapūtanga. Heoi, i te tīmatanga, ka pehia te mahi a te prolactin nā te pikinga o ngā taumata o ngā homoni pēnei i te estrogen me te progesterone i te wā e hapū ana. I muri i te putanga mai o te whenua whānau, i te mea ka heke aua homoni hapūtanga, ka riro i te prolactin te mana.

Ina ngote te pēpi i te uma, ka whakaoho i ngā io, ka kī atu ki te roro kia tukuna ngā homoni e rua e kīia nei ko te prolactin me te oxytocin . Mā te prolactin ka puta te waiū i roto i ngā alveoli. Mā te oxytocin ka kōpiri ngā uaua, ka panaia te waiū ki waho o ngā alveoli ki roto i ngā awa waiū.

Ka kiia te waiū e puta mai ana he 'letdown'.Ka puta tēnei "tukunga" i te 30 hēkona i muri i te tīmatanga o te ngote a te pēpi. Kāore ēnei homoni e herea ki te ū kotahi, nō reira ka taea e te "tukunga" te meinga te waiū kia puta mai i ngā uma e rua i te wā kotahi.

Ki te kore koe e hapu, ko te whakaoho i te whāngai ū ko te whakamahi i ngā rongoā e whai ana i ngā homoni e hangaia ana e tō tinana i te wā e hapu ana. Mā te whakaoho i ō ū – mā te papu ū, mā te whāngai ū rānei – ka āwhina i te tīmatanga o te whakaputanga o tō waiū. He tukanga uaua tēnei, nō reira he mea nui kia mahi tahi me tētahi tākuta e mārama ana ki ō hiahia, ā, he mātau hoki ki tēnei mahi.

Ka tīmata te waiū ki te puta mai i te wā e hapu ana?

Ae, tera pea he āhua rerekē, engari ka taea e koe te tīmata ki te whakaputa waiū i roto i ētahi wiki i muri i tō hapūtanga, ā, ka uru atu ki te toru marama tuarua. I te pikinga ake o ngā taumata o te estrogen me te progesterone, ka whakarite tō tinana ki te whakaputa waiū. Ka piki ake te maha o ngā awaawa waiū i roto i ō ū. Ka haria e ēnei awaawa te waiū mai i ngā alveoli ki ngā uma. I waenganui o te hapūtanga, ka tīmata tō tinana ki te whakaputa colostrum . Koinei te waiū tuatahi ka riro i tō pēpi.

Ka taea e koe te whāngai ū me te kore e hapu?

Ae, ka taea e koe te hanga waiū me te kore e hapu. Ka kiia tēnei ko te whakaoho i te whāngai ū. He tukanga uaua rawa. He maha ngā marama e pau ana i ngā rongoā e whai ana i ngā homoni hei hanga waiū. Ko te wāhanga tuarua o te hanga waiū ko te whakaputa waiū mai i te uma. Ina ngote te pēpi, ina whakamahi i te papu ū, ina whakaputa waiū rānei mā te ringa, ka tukuna e te roro ngā tohu ki te ū kia tukuna te waiū ki waho. Ka taea e te tākuta te āwhina i a koe ki tēnei tukanga.

Me pēhea te aukati i te taenga mai o te waiū?

He maha ngā take e hiahia ai koe ki te whakamutu i te whakaputa waiū. Ka taea e koe te whakamutu i te whakaputa waiū mā te taiao, ka taea rānei e koe te mahi i tēnei mā te whakamahi i ngā rongoā homoni.

Me pēhea te whakaiti i te nui o te waiū i roto i te taiao:

He tukanga tono-tuku te whakaputanga waiū. Ko te tikanga o tēnei, i te mea ka heke te whakawhirinaki o tō pēpi ki te waiū ū, i te mea rānei ka whakaitihia e koe te auau o te whāngai ū, te pupuhi rānei, ka heke haere te nui o tō waiū. He māmā noa iho, ki te whakaitihia e koe te nui o te waiū ka tangohia e koe i ō ū, ka heke haere te whakaputanga o tō tinana.

Ina mutu te puta mai o tō waiū, tera pea ka pāngia koe e te ahua kore whakamarie. He maha ngā tāngata e pupuhi ana. Tērā pea nā te turuturu o te waiū, nā te aukati rānei o te ara waiū. Heoi, ka taea e koe te whakaiti i tēnei mamae mā te whakamahi i tētahi rongoā mamae ka taea te hoko, te mau i tētahi pōtae tautoko, te whakatakoto rānei i tētahi kete hukapapa ki runga i tō ū.

Me pēhea te whakamutu i te whāngai ū mā te whakamahi i ngā rongoā:

Kei reira anō ngā rongoā hei aukati i te whakaputanga waiū. Ka taea e tō tākuta te kōrero atu ki a koe mō ēnei rongoā, ō rātou painga, me ngā pānga taha.

Kei hea ngā repe ū?

Ko ngā repe ū te mea e kīia whānuitia ana ko ngā ū. Kei te katoa ēnei. Kei roto i te uma. He mea hanga ēnei ki te kiko honohono, te ngako, me te kiko repe motuhake e hanga ana i te waiū. He rerekē te kiko repe o ngā wāhine, nā te mea he alveoli me ngā lobules kei roto e hanga ana i te waiū. He nui ake hoki ngā kiko repe o ngā wāhine.

He aha ngā āhuatanga noa e pā ana ki te kaha ki te whāngai ū?

He rerekē te kaha o te whāngai ū me te roa o te wā e taea ai e koe te whakaputa waiū i ia tangata, i ia tangata. Ka taea e ētahi tāngata te whakaputa waiū mō ngā tau, ko ētahi ia he uaua ki te whakaputa waiū mā ā rātou pēpi.

Anei ētahi āhuatanga noa ka pā ki te whāngai ū, ki te whāngai ū rānei:

• Ngā taumata homoni me ngā āhuatanga e pā ana ki te homoni.
• Te rongoā e tangohia ana e koe.
• Mena kua whiwhi koe i te rongoā irahiko i mua.
• Te whara ki ngā ū, ki ngā uma rānei.
• Mena kua whakanuia ō ū, kua hangaia anō, kua pokangahia rānei ō ū.
• Ētahi atu āhuatanga hauora, pērā i te mate HIV.
• Te whakamahi i ngā raau taero me te waipiro.

Mena kei te whāngai ū koe i tāu pēpi, kei te whāngai pounamu rānei, me kōrero tonu koe ki tō tākuta i mua i te tīmatanga o tētahi rongoā hou, maimoatanga rānei. He maha ngā rongoā ka uru ki te waiū ū, ā, ka pā kino pea ki tāu pēpi.

He aha te korenga o te paheketanga i te wā e whāngai ana i te ū (lactational amenorrhea)?

Ko te amenorrhea lactational ko te wā e mutu ai tō paheketanga nā te mea kei te whāngai u koe. I a koe e whāngai u ana, ka whakaputahia e tō tinana he homoni e kiia nei ko te prolactin, koinei te homoni e hanga ana i te waiū. Ka whakaitihia e tēnei prolactin te nui o te homoni luteinizing (LH) i roto i tō tinana. Ka āwhina tēnei LH i tō tinana ki te tuku i te hua manu i te wā o te whakaputanga o te hua manu. Ki te kore tō tinana e whakaputa i te LH, kāore koe e whakaputa uri, ā, kāore koe e pāngia e te paheketanga. Ka roa pea tēnei ngaronga o te rere o te paheketanga nā te whāngai u mō ētahi marama, tae noa ki te mutunga rawa o te whāngai u.

Ka whakaitihia e te whāngai ū te tūponotanga o te pāngia e ngā mate?

Āe, he pono tēnā. Kua whakaatuhia e ngā rangahau ka whakaitihia e te whāngai ū te tūponotanga o te mate pukupuku whatukuhu me te mate pukupuku ū . Ka āwhina hoki ki te whakaiti i te tūponotanga o te mate huka momo 2 me te toto toto tiketike.

Me pēhea te pupuri i te whakaputanga miraka?

Ko te pupuri i te hanga miraka e whakawhirinaki ana ki te tuku me te tono.Ko te nui o te ngote a tō pēpi, ko te nui rānei o te pupuhi mā te papu ū, ka nui ake te waiū ka puta i tō tinana. He huarahi hei whakaiti i te nui o te waiū, ahakoa mā te whakamahi i ngā homoni, i ngā pire ārai whānau rānei. Ki te hiahia tonu koe ki te whāngai ū, anei ētahi mea ka taea e koe te mahi:

• Whāngaihia tāu pēpi i ngā wā katoa e tono mai ai ia, e pamu rānei i ngā wā katoa (ia whā hāora pea).
• Kai i tētahi kai hauora me te nui o ngā kaora. Ka taea e ngā kai iti-kaora te whakaiti i te nui o te waiū.
• Inumia he nui te wai, kia mau hoki te wai māori. He wai te nuinga o te waiū ū.
• Kaua e kai hikareti, e whakamahi i ngā raau taero, i te waipiro rānei. Ka taea e ēnei te whakaiti i te nui o tō waiū, ā, ka taea hoki te tāpiri atu ki tō waiū.

He aha te rerekētanga i waenga i te Lactation me te Colostrum?

Ko te whāngai ū te tukanga katoa o te hanga me te tuku i te waiū mai i ō ū. Ko te Colostrum te waiū tuatahi e whakaputaina ana e ō ū i te wā e whāngai ana i te ū, ā, ko te waiū tuatahi hoki e inumia ana e tō pēpi. He matotoru, he kōwhai, ā, e kiia ana ko te 'koura wai'. He nui te pūmua, ngā kohuke, ngā huaora, me ngā paturopi i roto i te Colostrum.

He aha te tikanga o te rongoā homoni hei whakaoho i te whakaputa waiū?

Ko ngā tāne me ngā wāhine, ngā whānau rānei e hiahia ana ki te whakatō ū mō ngā take pēnei i te whāngai tamariki, te whāngai whānau rānei, ka hiahia pea ki te whakamātau i te rongoā homoni. Ko te whakatō ū whakatō te tukanga o te whakawhanake i te puna waiū me te kore e hapu. Kei roto i tēnei ko te tango i ngā homoni pēnei i te estrogen me te progesterone mō ētahi marama hei tinihanga i tō tinana kia whakaaro kei te hapu koe. Mā tēnei ka whakarite i ō ū ki te hanga waiū. E whakaponohia ana hoki ko ētahi rongoā me ngā otaota ka āwhina i te whakawhanake i te puna waiū.

I mua i te whānautanga o tō pēpi, me tīmata te pupuhi i ō ū mā te whakamahi i te papu ū. Mā tēnei ka whakaoho i tō tinana ki te tuku i te prolactin, koinei te mea e hanga ana i te waiū. Arā, me pupuhi e koe tō waiū i ngā wā maha i te rā, pērā i tāu mahi ki te pēpi. Mā tēnei ka āwhina i te whakanui ake i te nui o tō waiū. Ka taea hoki e koe te whakatio i te waiū e hanga ana e koe hei hoatu ki tō pēpi i muri i tōna whānautanga.

Ki te mea kei te whakaaro koe mō tēnei, me kōrero koe ki tō tākuta mō tō hiahia ki te whāngai ū i tō pēpi. He angitu te whāngai ū ā-whakatairanga mō te tini o te tangata, engari kāore e angitu mō te katoa.

Hei whakamutunga, ngā mea hei maumahara

Ki te hiahia koe ki te whāngai ū i tāu pēpi, he mea nui kia mārama koe ki te tukanga o te whāngai ū kia mōhio ai koe ki ngā mea ka tumanakohia. Kōrero ki tō tākuta mō te huarahi pai ki te whakarite mō te whāngai ū, te whakaputa ū rānei.Kia maumahara, he rerekē te nui o te whāngai ū i ia tangata, i ia tangata, i runga i tō āhuatanga me tō hītori hauora.

Ki te mea he raruraru tāu ki te whāngai ū, tera pea ka whakama koe, ka pouri rānei. Engari he mea noa te whai raruraru ki te whāngai ū. Ka taea e ngā tohunga whāngai ū me ētahi atu kaiwhakarato hauora te āwhina i a koe ki te wikitoria i ēnei uauatanga.

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` Te whāngai ū, te whāngai ū, te hauora o ngā ū, ngā homoni, te haputanga, te kōroteuma