I te wiki kua taha ake nei, i a au e tirotiro ana i ngā mate i roto i te wāhanga whānau, ka tūtaki ahau ki a Rashmi (27 tau te pakeke). He whaea ia i whānau tana tamaiti tuatahi i ngā rā e rua kua pahure ake nei. I a ia e pupuri ana i tana pēpi, e tangi ana.
"E Tākuta Priya, kāore anō taku waiū kia tae mai. Kei te tangi te pēpi nā te mea e hiakai ana ia. Kei te mataku ahau kāore e nui te waiū e riro mai i te pēpi, ā, ka pāngia e te mate. Me hoatu e au he miraka pēpi ki a ia?" te pātai a Rashmi ki ahau, me te mataku, me te āwangawanga.
I noho ahau i tōna taha, i whakamarie i a ia, ā, i whakamārama atu: "E Rashmi, kaua e manukanuka. I ngā rā tuatahi e 2-3 i muri i te whānautanga, he iti noa te miraka e tukuna ana mai i ngā ū. Ka kiia tēnei ko te colostrum (te miraka tuatahi koura) . He rite te rahi o te puku o te pēpi ki te māpere iti rawa i tēnei wā. Nō reira, ko te nui o te colostrum e whiwhi ana koe mai i tō tinana, he torutoru tīpune, he tino rawaka hei whakakī i te puku o te pēpi me te whakawhanake i te ārai mate. Ko te whakatū whāngai ū he tukanga me mahi angitu me te manawanui me te whai i ngā tikanga tika. I tēnei rā, kia tirohia me pēhea te tīmata angitu i te whāngai ū i ngā rā tuatahi i muri i te whānautanga o te pēpi."
🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu
Mena ka puta mai ēnei tohu mōrearea i ngā rā tōmua o te whāngai ū, me toro atu koe ki te tākuta, ki te kaiwhakawhanau rānei i taua wā tonu:
- He tino hiamoe te pēpi, ā, he uaua ki te whakaara i a ia, ā, kāore hoki e whakaatu ana i te hiahia ki te inu miraka (he tohu pea tēnei o te iti o te huka toto, o te maroke rānei).
- Kāore te pēpi i moe i te nāpi mākū, i te tūtae rānei mō ngā rā e 3 i muri i te whānautanga (Ra 3 Whero).
- Te kōwhai o te kiri me ngā kanohi o te pēpi (Te mate kiriuhi - he tere te horapa o ngā tohu o te mate kiriuhi i roto i ngā pēpi).
- He nui te kirika o te whaea, he makariri, he mamae nui hoki te ū, me te ira whero (he tohu tēnei o te mate pukupuku mastitis).
Ngā mahi matua hei tīmata angitu i te whāngai ū
Whāia ēnei mahi hei whakaoho tika i te tuku waiū o te ū i te whānautanga mai o tō pēpi:
1. Te Whakatōnga Moata: Ngāna kia whāngaihia te pēpi ki te ū i roto i te haora tuatahi i muri i te whānautanga. Ka whakaoho tēnei i ngā homoni prolactin me te oxytocin i roto i te tinana o te whaea, ā, ka tere ake te whakaputa waiū.
2. Te Pā Kiri-ki-te-Kili: Mā te pupuri tahanga i te pēpi i runga i te uma o te whaea (Kili-ki-te-kiri) ka whakaoho i te hiahia ā-tūturu o te pēpi ki te ngote, ā, ka taurite hoki te pāmahana tinana me te tere o te manawa o te pēpi.
3. Whāngai Urupare: Kaua e whāngai i tētahi wā kua whakaritea i runga i te karaka, engari whāngaihia ina whakaatu tō pēpi i ngā tohu e hiahia ana ia ki te whāngai (e puta ana ngā niho, e tuwhera ana te waha, e tangi ana). I te nuinga o te wā, e 8 ki te 12 ngā whāngaitanga e hiahiatia ana i roto i te wā 24-hāora.
4. Hononga tika (Whakapiri/Āpitihanga):He mea nui te piri tika o te pēpi ki te ū hei ārai i te mamae o te uma, hei whakarite hoki i te rere pai o te waiū.
Te Whakataurite i te Colostrum me te Miraka Pakari
| Āhuatanga | Colostrum (miraka tuatahi) | Miraka Pakeke |
|---|---|---|
| Te wā whakaputa | Ko ngā rā tuatahi 1-3 i muri i te whānautanga. | 4-5 ngā rā i muri i te whānautanga. |
| Āhua | Matotoru, kōwhai koura. | He angiangi, he mā, he kikorangi rānei. |
| Rahi | He iti noa te nui (he tīpune torutoru). | He nui te nui (me te mea kua puhake ngā ū). |
| Te uara kai | He nui ngā paturopi me ngā pūmua (pērā i te kano kano tuatahi a te tamaiti). | He nui te wai, te ngako, me ngā warowaihā (hei āwhina i te whakanui taumaha me te whakamama i te matewai). |
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Kia tino whakatuwhera te waha o te pēpi, kia kuhua hoki te nuinga o te wāhi pōuri huri noa i te uma (areola) ki roto i tōna waha. | Kaua e hohoro te hoatu miraka pēpi, ngā ū rānei i te wā tonu e tangi ana tō pēpi, me te whakaaro kāore i te rawaka te waiū. |
| I mua i te whāngai i te pēpi, me noho pai te whaea, me ngā urunga ki muri i tōna tuara hei tautoko. | Kaua e whakawhāitihia te roa o te whāngai ū ki te 10 meneti anake; tukua te pēpi kia ngote kia tukuna rā anō e ia te ū. |
| Ahakoa kei te moe te pēpi, ngana ki te whakaara i a ia i ia toru hāora te iti rawa i ngā wiki tuatahi kia whāngai ū ai. | Ki te pāngia koe e te mamae, kaua e whakamanawanui; ki te kore e hono tika ana, kōkuhuhia he maihao, wetekina te hononga, ka hono anō. |
❓ Ētahi atu pātai pea āu (FAQ)
Ki te kore e kitea he waiū i te wā e kutikuti ana i ngā rā tuatahi e rua, kāore he waiū? ▼
Kāo. He matotoru rawa te ū i puta i ngā rā tuatahi, ā, he iti noa iho. Tērā pea kāore e kitea mā te pēhi noa i te ū. Heoi, ki te tika te tūnga o te pēpi, ā, ki te akiakihia kia ngote, ka taea e te pēpi te ngote i te nui e hiahiatia ana.
Me pēhea koe e mōhio ai kei te nui te waiū e whiwhi ana tō pēpi? ▼
Ki te moe pai te pēpi i muri i te whāngai, ā, neke atu i te 6 ngā mimi i te rā, ā, he kōwhai māwhero tōna tae, ā, ka piki haere te taumaha o te pēpi i roto i ngā wiki e 2, he mārama kei te nui te waiū e whiwhi ana te pēpi.
Me pēhea te ārai i te mamae o ngā uma? ▼
Ko te tino take o te mamae o ngā uma ko te kore e pai te ū. Me tango e te pēpi te uma ki roto i tōna waha, tae atu ki te wāhi pōuri huri noa. I muri i te whāngai, mā te pani i tētahi pata miraka ki te uma, me te tuku kia maroke, ka āwhina anō hoki ki te whakaora i ngā mate.
He uaua te whāngai ū i muri i te pokanga tākihi (C-Section)? ▼
Kāo. Tērā pea he uaua ki te pupuri i te pēpi nā te mamae i muri i te pokanga, engari ka taea te whakatutuki angitu i te whāngai ū mā te takoto ki tō taha (tūnga takoto taha) mā te whakatakoto urunga rānei me te pupuri i te pēpi ki tō puku (pupuri whutupaoro).
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