Mālama ma hope o ka hānau ʻana no nā holoholona
He manawa koʻikoʻi ka wā hānau ma hope o ka hānau ʻana no nā holoholona, ʻoiai nā ʻīlio a me nā pōpoki. I loko o kēia wā, loaʻa i ka makuahine nā loli kino a me nā hormonal koʻikoʻi, ʻoiai ʻo kāna mau pōpoki e pono ai ka mehana nui, ka meaʻai, a me ka pale. Kōkua ka mālama pono ʻana ma hope o ka hānau ʻana i ka wikiwiki o ka hoʻōla ʻana o ka makuahine, pale i ka maʻi, a hōʻoia i ka ulu olakino o kāna mau pōpoki. Kūkākūkā kēia ʻatikala i nā hana mālama ma hope o ka hānau ʻana hiki iā ʻoe ke hana ma ka home, nā hōʻailona hōʻike e makaʻala ai, a me ka wā e kūkākūkā ai me ke kauka holoholona.
1. Ke hoʻomaopopo nei i ke kūlana o ka makuahine ma hope o ka hānau ʻana
Ma hope o ka hānau ʻana, ʻike pinepine ʻia ka makuahine ua luhi, moe pinepine, a kālele i ka mālama ʻana i kāna ʻīlio. Hiki ke emi ka makemake i nā hola 24 mua, a laila piʻi mālie ma muli o ke koi nui o ka ikehu o ka hānai ʻana i ka waiū. Loaʻa i kekahi mau makuahine ka wai kahe i kapa ʻia ʻo lochia, ʻo ia ke koko a me nā ʻiʻo i koe mai ke kaʻina hānau. ʻO ka maʻamau, he ʻulaʻula-ʻeleʻele ke kala o ka lochia a lilo mālie i ke keʻokeʻo i loko o kekahi mau lā a i ʻole nā pule. Eia nō naʻe, inā he pilau ka wai kahe, he ʻōmaʻomaʻo ʻeleʻele, a i ʻole e hele pū me ke kuni a me ka nāwaliwali nui, hiki i kēia ke hōʻike i kahi maʻi ʻōpū.
Ma ke ʻano naʻau, hiki i nā makuahine ke lilo i mea palekana nui a hopohopo paha. ʻO kahi wahi piha, nā mea hoʻohilahila he nui, a i ʻole ka launa pinepine ʻana me nā malihini e hiki ke hoʻoulu i ke kaumaha. Hiki i ke kaumaha ke hoʻopilikia i ka hana waiū, ke ʻano hānai, a me ka pilikia o ka makuahine e hōʻole i ke keiki. No laila, ʻo ka hoʻomaopopo ʻana i nā pono kumu o ka makuahine—ka palekana, ka mehana, ka mālie, a me ka meaʻai kūpono—ke kumu o ka mālama ʻana ma hope o ka hānau ʻana.
2. E hoʻomākaukau i kahi hoʻomaha palekana a ʻoluʻolu hoʻi
ʻO kahi kūpono no ka hānau ʻana a me ka hānai ʻana, pono ia ma kahi mālie o ka hale, kahi kaʻawale mai ke kaʻa, nā walaʻau nui, a me nā holoholona ʻē aʻe. E hoʻomākaukau i kahi "pahu hānau" a i ʻole kahi moe i uhi ʻia me nā pepa moe maʻemaʻe a maʻalahi hoʻi e hoʻololi. He mea nui nō hoʻi ka mahana o ka lumi, ʻoiai no nā pēpē hānau hou, ʻaʻole hiki ke hoʻoponopono pono i ka mahana o ko lākou kino. No nā pōpoki a me nā ʻīlio liʻiliʻi, he mea kōkua ka mahana mahana a paʻa. E hoʻohana i kahi ʻōmole wai mahana a i ʻole kahi pale hoʻomehana holoholona ma kahi haʻahaʻa, akā e hōʻoia i kahi wahi i hoʻomehana ʻole ʻia kahi e hiki ai i nā pōpoki ke hoʻi hope inā wela loa lākou.
He mea nui ka maʻemaʻe. Pono e hoʻololi koke ʻia nā moena i pulu ʻia me nā wai, ke koko, a i ʻole ka mimi. Hoʻonui kahi ʻano lepo i ka pilikia o ka maʻi i ka makuahine (e like me ka mastitis) a me nā keiki bipi (nā maʻi ʻili, ka ʻōpū, a i ʻole ka hanu). Eia naʻe, e pale i ka hoʻomaʻemaʻe nui ʻana me nā kemika ʻala ikaika, no ka mea hiki i kēia ke hoʻonāukiuki i ka makuahine a me nā keiki bipi.
3. ʻO ka ʻai a me ka hoʻomaʻū ʻana no nā makuahine hānai
Pono nā makuahine hānai i nā calorie, protein, a me nā wai hou aku. Paipai ka nui o nā kauka holoholona i ka meaʻai "ulu" a i ʻole "kīkī/ʻīlio liʻiliʻi" kūikawā no nā makuahine hānai ma muli o kona nui o ka ikehu a me ka ʻikepili meaʻai piha. E hānai i nā meaʻai liʻiliʻi a pinepine, no ka mea, makemake kekahi mau makuahine e ʻai i nā meaʻai liʻiliʻi me ka mālama ʻana i kā lākou mau pōpoki.
Pono e loaʻa ka wai inu i nā manawa a pau. E kau i ka wai a me nā kīʻaha meaʻai kokoke i kahi hānai i ʻole e waiho ka makuahine i nā ʻīlio liʻiliʻi no ka manawa lōʻihi. I kekahi mau hihia, hiki i ka makuahine ke maloʻo inā ʻaʻole lawa kāna wai e lawe ai, ʻoiai ke kiʻekiʻe ka hana ʻana o ka waiū. ʻO nā hōʻailona o ka maloʻo ʻana e komo pū me nā ʻāʻī maloʻo, ka nāwaliwali, ka ʻili palupalu, a me ka mimi ʻeleʻele. Inā ʻano kānalua ka makuahine e inu, hiki iā ʻoe ke hoʻonui i kāna wai e lawe ai me ka meaʻai pulu a i ʻole ka wai ʻole i ka paʻakai (no nā holoholona) ma hope o ke kūkākūkā ʻana me ia.
4. E nānā i ke kaʻina hana hānai waiū a me ka hana ʻana o ka waiū umauma
E nānā e ʻike inā loaʻa i nā pēpē āpau ka manawa kūpono e hānai waiū ai. ʻO ka maʻamau, ʻimi ikaika nā pēpē olakino i ka nipple, hānai mau, a laila hiamoe maikaʻi. Inā uē mau kahi pēpē, ʻike ʻia he nāwaliwali, a i ʻole ua hoʻokaʻawale ʻia mai ko lākou mau kaikaina, ʻaʻole paha lākou e loaʻa ana i ka waiū lawa a i ʻole ke ʻike nei paha i ka hypothermia.
I loko o kahi ʻīlio wahine, hōʻike ʻia ka hana waiū maikaʻi e ka piʻi ʻana o ke kaumaha o ka ʻīlio wahine a me nā nipples ʻaʻole i pehu. Inā ʻike ʻia nā nipples o ka ʻīlio wahine he ʻulaʻula, pehu, a wela paha, a inā hōʻole ʻo ia e hoʻopā ʻia ma kahi e waiū ai, e makaʻala i ka mastitis (kahi maʻi o nā kelepa mammary). Hiki i ka mastitis ke lilo i mea weliweli no ka mea e hōʻeha ai i ka ʻīlio wahine a hōʻemi i ka maikaʻi a me ka nui o ka waiū. I kēlā mau hihia, pono e hoʻokaʻaʻike koke ʻia ke kauka holoholona.
Inā haʻahaʻa ka hana ʻana o ka waiū, hiki i ke kauka holoholona ke kōkua i ka loiloi ʻana i ke kumu—e like me ke kaumaha, nā hemahema meaʻai, nā maʻi postpartum, a i ʻole nā pilikia hormonal. ʻAʻole pono e hāʻawi wale ʻia nā mea hoʻohui a me nā lāʻau hoʻoulu waiū, no ka mea, ʻokoʻa nā dosages a me nā hōʻailona mai kēlā holoholona a i kēia holoholona.
5. Mālama i ka Hānau Hou: Mehana, Maʻemaʻe, a me ke Kaumaha ʻana
He palupalu loa nā pōpoki hānau hou a me nā ʻīlio liʻiliʻi. ʻO ke kumu nui ka mehana, ka hānai ʻana, a me ka nānā ʻana i ke kaumaha. ʻO ke kaupaona ʻana i nā pōpoki i kēlā me kēia lā i ka manawa like kekahi o nā ala kūpono loa e hōʻoia ai e ulu ana lākou. ʻO ka piʻi mau ʻana o ke kaumaha e hōʻike ana i ka lawa ʻana o ka waiū. Inā kū mālie a emi paha ke kaumaha, e loiloi koke: ua lawa ka mehana o ka pōpoki, ua hānai waiū maikaʻi ʻo ia, a i ʻole pono iā ia ke pani hou i ka waiū?
He mea nui e hoʻomaopopo ʻaʻole hiki i nā pōpoki hānau hou ke hoʻomoe iā lākou iho. E palu pinepine ka makuahine i ka ʻāpana genital e hoʻoulu ai i ka mimi a me ka hoʻomoe. Inā ʻaʻole hana ka makuahine i kēia (no ka laʻana, inā nāwaliwali ʻo ia, kaumaha, a hōʻole paha i ka pōpoki), pono ka mea nona ke kōkua mālie me kahi pōpō pulupulu mahana a pulu, e hoʻohālike ana i ka palu ʻana o ka makuahine. E makaʻala a mālama i ka maʻemaʻe.
6. Nā Hōʻailona Pōʻino i loko o ka Makuahine e Makaʻala Ai
Pono kekahi mau maʻi postpartum e mālama koke ʻia. Eia nā hōʻailona hōʻike ʻaʻole pono e hoʻowahāwahā ʻia:
1. Ke kuni, nāwaliwali nui, a i ʻole ka makemake ʻole e ʻai no nā hola he 24 a ʻoi, ʻoiai inā hele pū me ka luaʻi a i ʻole ka maʻi pākī.
2. ʻO ke kahe ʻana o ka ʻōpū i pilau maikaʻi ʻole, kaumaha loa, a i ʻole he kala ʻē (e.g., ʻōmaʻomaʻo ʻeleʻele).
3. Ke kahe nui ʻana o ke koko ʻaʻole e emi iho.
4. Ua nui a ʻeha ka ʻōpū, e hōʻike ana i ka hiki ke waiho ʻia ke keiki a i ʻole ka maʻi ʻōpū.
5. Ka hoʻomaha nui ʻole, nā hopu ʻana, a i ʻole ka ʻoʻoleʻa, hiki ke alakaʻi i ka eclampsia (nele calcium) i nā makuahine hānai, ʻoi aku hoʻi i nā ʻīlio/pōpoki liʻiliʻi me nā ʻōpū nui.
6. Pehu nā ʻū, wela, ʻūhū, a hōʻole paha ka makuahine e hānai i ka waiū, e alakaʻi ana i ka mastitis.
Inā ʻike ʻia kekahi o kēia mau hōʻailona, mai hoʻokaʻulua. Hiki i ka mālama koke ke hoʻōla i ka makuahine a me ke keiki.
7. Nā Hōʻailona Pōʻino i nā Keiki: I ka manawa hea e hana koke ai
He mehana, ʻeleu, a hānai waiū ka pēpē olakino. E makaʻala i nā kūlana aʻe:
– Ke uē mau nei a me ka hoʻomaha ʻole (nā hōʻailona o ka pōloli, ke anu, a i ʻole ka ʻeha).
– Kino anu, nāwaliwali, makemake ʻole e hānai i ka waiū, me ka pilikia o ka hypothermia a me ka hypoglycemia.
– Ka maʻi pākī a i ʻole ka luaʻi ʻana, ʻoiai inā hana pinepine ʻia.
– Ka paʻakikī o ka hanu ʻana a i ʻole nā leo hanu kūpono ʻole.
– Ka pohō kaumaha a i ʻole ka piʻi ʻole ʻana o ke kaumaha no 24-48 mau hola.
Inā haʻalulu kāu keiki a i ʻole ke anu nei, e hoʻomehana mālie iā lākou ma mua o ka hānai ʻana iā lākou. ʻO ka hānai ʻana iā lākou i ka wā anu loa hiki ke lilo i mea weliweli no ka mea ʻaʻole hana pono kā lākou ʻōnaehana hoʻoheheʻe.
8. Papa Kuhikuhi no nā Nānā Holoholona a me ka Pale ʻana i ka Wā Lōʻihi
He mea pono nā nānā ʻana ma hope o ka hānau ʻana no ka hōʻoia ʻana ua hoʻi ka ʻōpū o ka makuahine i ke ʻano maʻamau, ka loiloi ʻana i ke olakino o kāna mau kelepa mammary, a me ka loiloi ʻana i ke kūlana o kāna mau ʻīlio liʻiliʻi. Hiki i kāu kauka holoholona ke hāʻawi i ke alakaʻi no ka lāʻau pale ʻana, ka deworming, a me nā papahana mālama ʻuku no nā ʻīlio liʻiliʻi e pili ana i ko lākou mau makahiki a me ke kaumaha. Eia kekahi, e kūkākūkā i ka spaying a me ka neutering inā ʻaʻole ʻoe e hoʻolālā hou e hoʻohua. Kōkua ka spaying i ka pale ʻana i nā hāpai hou, nā maʻi ʻōpū (pyometra), a hoʻemi i ka pilikia o nā puʻupuʻu kelepa mammary i nā pōpoki wahine a me nā ʻīlio.
He mea nui nō hoʻi ka pale ʻana i ke kaumaha. E kaupalena i ka launa nui ʻana me ke keiki i nā pule mua. E aʻo aku i nā ʻohana, ʻoiai nā keiki liʻiliʻi, ʻaʻole e hāpai i ke keiki me ka mālama ʻole. E ʻae i ka makuahine e hoʻokumu i kahi pilina a hoʻokumu i kahi hana hānai waiū.
Pani
ʻAʻole wale ka mālama ʻana i nā holoholona ma hope o ka hānau ʻana e pili ana i ka "kali ʻana i ka makuahine e hoʻōla," akā, he mau nānā pono i ka hoʻomaʻemaʻe, ka meaʻai, ka hōʻoluʻolu, a me ka nānā pono ʻana i ka makuahine a me nā ʻīlio. ʻO kahi ʻoluʻolu, ka meaʻai momona, ke komo kūpono i ka wai, a me ka makaʻala i nā hōʻailona pōʻino e hiki ke pale i nā pilikia he nui. Inā hopohopo ʻoe e pili ana i kekahi mau hōʻailona - ma ka makuahine a i ʻole nā ʻīlio - ʻo ke kūkākūkā ʻana me ke kauka holoholona ka hana palekana loa. Me ka mālama pono, e olakino nā makahiki mua o nā ʻīlio, a e hiki i ka makuahine ke hoʻōla maikaʻi a hānai maikaʻi.
