He aha ka Maʻi Kūlana Hāpai? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka maʻi kūlana hāpai kahi ʻano o ka maʻi kō e ulu i ka wā hāpai a maʻamau e hala ma hope o ka hānau ʻana o kāu pēpē. Hana ia i ka wā ʻaʻole hiki i kou kino ke hana i ka insulin lawa e mālama ai i ka glucose (kō) hou e hana ai ka hāpai.

Hoʻopili kēia kūlana ma kahi o 2 a 10 pakeneka o nā hāpai i kēlā me kēia makahiki. ʻOiai paha e lohe ʻia he weliweli, ʻo ka ʻoiaʻiʻo maikaʻi, me ka mālama pono a me ka nānā ʻana, nui nā wahine me ka maʻi kūlana hāpai e loaʻa nā hāpai olakino a me nā pēpē olakino.

He aha ka Maʻi Kūlana Hāpai?

Hana ka maʻi kūlana hāpai i ka wā e hana ai nā hormones hāpai i ka paʻakikī no kou kino ke hoʻohana pono i ka insulin. ʻO ka insulin ka hormone e kōkua i ka hoʻoneʻe ʻana i ka kō mai kou koko i loko o kou mau sela no ka ikehu.

I ka wā hāpai, hana kāu placenta i nā hormones e kōkua i ka ulu ʻana o kāu pēpē. Eia naʻe, hiki i kēia mau hormones ke pale i ka insulin mai ka hana pono ʻana i kāna hana. Ke kapa ʻia nei kēia he kū'ē insulin, a he mea maʻamau loa ia i kekahi pae i ka wā hāpai.

No ka nui o nā wahine, hiki i ka pancreas ke hana i ka insulin hou e lanakila ai i kēia kū'ē. Akā i ka wā ʻaʻole hiki i kou kino ke mālama i ka noi insulin i hoʻonui ʻia, piʻi nā pae kō koko, e alakaʻi ana i ka maʻi kūlana hāpai.

Hoʻomaka maʻamau ka kūlana ma kahi o ka hebedoma 24 a 28 o ka hāpai. ʻAʻole he mea kūpono kēia manawa - ʻo ia ka wā e kiʻekiʻe loa ai nā hormones hāpai a ulu wikiwiki ana kāu pēpē.

He aha nā Hōʻailona o ka Maʻi Kūlana Hāpai?

ʻAʻole ʻike ka nui o nā wahine me ka maʻi kūlana hāpai i nā hōʻailona maopopo. ʻO ia ke kumu he mea nui ka nānā maʻamau i ka wā hāpai - ʻaʻole paha ʻoe e ʻike iā ʻoe inā ʻaʻohe hoʻokolohua.

I ka wā e ʻike ʻia ai nā hōʻailona, he māmā pinepine lākou a hiki ke kuhi hewa ʻia no nā loli hāpai maʻamau. Eia nā hōʻailona e nānā ai:

• Nui ka make wai ʻaʻole e hele aku
• Nui ka mimi ʻana ma mua o nā pono hāpai maʻamau
• Luhi maʻamau e ʻoi aku ka ikaika ma mua o ka luhi hāpai
• Mālamalama ʻole ka maka a i ʻole nā ​​hoʻololi i ka ʻike maka
• Nā maʻi hou, ʻo nā maʻi yeast a i ʻole nā ​​maʻi urinary tract
• Nausea a me ka luaʻi e hoʻi mai ma hope o ka trimester mua

Hiki i kēia mau hōʻailona ke mālie a ulu mālie. Nui nā wahine e kāpae iā lākou ma ke ʻano he mau mea hāpai maʻamau, ʻo ia hoʻi ka mea maopopo.

He aha nā Kumu o ka Maʻi Kūlana Hāpai?

Hana ka maʻi kūlana hāpai i ka wā ʻaʻole hiki i kou kino ke hana i ka insulin lawa e hoʻokō ai i nā noi hoʻonui o ka hāpai. Aia ke kumu kumu i ke ʻano o ka hopena o nā hormones hāpai i ka hiki o kou kino ke hoʻoponopono i ka kō.

I ka wā hāpai, hana kāu placenta i nā hormones he nui, me ka human placental lactogen, cortisol, a me ka estrogen. He mea nui kēia mau hormones no ka ulu ʻana o kāu pēpē, akā hana lākou i kou mau sela i emi ka pane i ka insulin.

E noʻonoʻo i kēia ala: pono kou kino i ka insulin ʻelua a ʻekolu paha mau manawa ma mua o ka hāpai ʻana ma mua o kou hāpai ʻana. Inā ʻaʻole hiki i kāu pancreas ke mālama i kēia noi, kūkulu ka glucose i loko o kou koko ma mua o ke komo ʻana i kou mau sela.

He kuleana ko kāu pēpē i kēia kaʻina hana. I ka wā e ulu ana kāu pēpē, ʻoiai i ka lua a me ke kolu o nā trimester, hana ka placenta i nā hormones hou aku, e hoʻoikaika hou ana i ka kū'ē insulin.

He mea nui e hoʻomaopopo ʻaʻole i hana ʻia ka maʻi kūlana hāpai ma muli o ka ʻai nui ʻana i ka kō a i ʻole kekahi mea āu i hana hewa ai. He pane maoli ia i nā loli hormonal o ka hāpai e ʻike ai kekahi mau wahine ma mua o nā mea ʻē aʻe.

I ka wā e ʻike ai i ke Kauka no ka Maʻi Kūlana Hāpai?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona mau loa e like me ka make nui o ka wai, ka nui o ka mimi ʻana, a i ʻole ka luhi maʻamau i ka wā hāpai. Mai kali no kāu hālāwai hoʻonohonoho hou inā pilikia kēia mau hōʻailona iā ʻoe.

Hoʻokomo ka mālama prenatal maʻamau i ka nānā maʻamau no ka maʻi kūlana hāpai, maʻamau ma waena o 24 a 28 mau hebedoma o ka hāpai. Eia naʻe, pono paha kekahi mau wahine i ka hoʻokolohua mua inā loaʻa iā lākou nā kumu pilikia.

Kāhea koke i kāu kauka inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka luaʻi mau, nā hōʻailona o ka maloʻo, a i ʻole nā ​​hoʻololi nui i ka ʻike maka. Hiki i kēia ke hōʻike i ka kiʻekiʻe loa o kāu pae kō koko.

Inā ua ʻike mua ʻia ʻoe me ka maʻi kūlana hāpai, e hoʻokaʻaʻike i kāu hui mālama ola inā pilikia ʻoe i ka mālama ʻana i kāu pae kō koko ʻoiai e hahai ana i kāu papa hana lapaʻau. Hiki iā lākou ke hoʻoponopono i kāu ala e kūpono ai i kāu mau pono.

He aha nā Kumu Pilikia no ka Maʻi Kūlana Hāpai?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i ka maʻi kūlana hāpai, ʻoiai he mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā kumu pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka kūlana. Nui nā wahine me nā kumu pilikia he nui ʻaʻole loaʻa i ka maʻi kūlana hāpai.

Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe a me kāu mea mālama ola e makaʻala a loaʻa paha i ka kūlana i ka wā mua:

• Ke kaumaha a i ʻole ke momona ma mua o ka hāpai
• Ke loaʻa nei ka mōʻaukala ʻohana o ka maʻi kō, ʻoiai ma nā mākua a i ʻole nā ​​hoahānau
• Ke ʻoi aku ka nui o 25 mau makahiki, me ka hoʻonui ʻana o ka pilikia me ka makahiki
• Ua loaʻa ka maʻi kūlana hāpai i ka hāpai ma mua
• Ua hānau mua i kahi pēpē kaumaha ma mua o 9 paona
• Ke loaʻa nei ka polycystic ovary syndrome (PCOS)
• Ke loaʻa nei nā lāhui kūikawā e like me Hispanic, African American, Native American, a i ʻole Asian descent
• Ke loaʻa nei ke koko kiʻekiʻe a i ʻole ka maʻi naʻau
• Ke loaʻa nei ka mōʻaukala o ka kū'ē insulin a i ʻole prediabetes

ʻO kekahi mau kumu pilikia liʻiliʻi ʻole e komo pū ana me ka loaʻa ʻana o ka stillbirth a i ʻole miscarriage i wehewehe ʻole ʻia, a i ʻole ka nui o ka wai amniotic (polyhydramnios) i ka hāpai ma mua. Hōʻike kēia mau mea i ka paʻakikī o kou kino i ka mālama ʻana i ka kō koko i ka wā ma mua.

ʻOiai ʻaʻole ʻoe i loaʻa kekahi o kēia mau kumu pilikia, hiki nō iā ʻoe ke loaʻa i ka maʻi kūlana hāpai. ʻO ia ke kumu he mea nui ka nānā ʻana i ka wā hāpai.

He aha nā Pilikia Hiki o ka Maʻi Kūlana Hāpai?

ʻOiai hiki i ka maʻi kūlana hāpai ke alakaʻi i nā pilikia, he mea nui e ʻike i ka mālama pono ʻana, nui nā wahine a me nā pēpē e hana maikaʻi loa. Ke kōkua nei ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e hana pū me kāu hui mālama ola e pale aku iā lākou.

No kāu pēpē, hiki i ka maʻi kūlana hāpai i kaohi ʻole ʻia ke hana i nā pilikia he nui. ʻO ka pilikia maʻamau loa ʻo ia ka macrosomia, ʻo ia hoʻi e ulu nui ana kāu pēpē ma mua o ka maʻamau ma muli o ka glucose nui e hele ana i ka placenta.

Eia nā pilikia nui e hiki ke hoʻopilikia i kāu pēpē:

• Kaumaha hānau nui (macrosomia), e hana ana i ka hānau ʻana i ka paʻakikī
• Hānau mua a me nā pilikia hanu pili
• Kō koko haʻahaʻa (hypoglycemia) ma hope o ka hānau ʻana
• Nui ka pilikia o ka loaʻa ʻana o ka maʻi kō type 2 ma hope i ke ola
• Hoʻonui ʻia ka hiki ke momona o ke keiki

Hiki i nā pilikia no ʻoe ma ke ʻano he makuahine ke komo pū me nā maʻi koko kiʻekiʻe e like me ka preeclampsia, ka hoʻonui ʻia o ka pilikia o ka hānau ʻana ma ka cesarean ma muli o ka nui o ka pēpē, a me ka nui o ka manawa e loaʻa ai ka maʻi kō type 2 ma hope i ke ola.

ʻO nā pilikia koʻikoʻi no nā pēpē, akā he mea maʻamau ʻole ia me ka nānā pono a me ka mālama ʻana. Hiki i kekahi mau pēpē ke loaʻa nā pilikia hanu i ka wā hānau a i ʻole jaundice.

ʻO ka lono hoʻoikaika, ʻo ka mālama ʻana i ka kaohi kō koko maikaʻi e hoʻemi nui i ka pilikia o kēia mau pilikia a pau. Nui nā wahine me ka maʻi kūlana hāpai i mālama maikaʻi ʻia e loaʻa nā hāpai maʻamau loa a me nā pēpē olakino.

Pehea e pale aku ai i ka Maʻi Kūlana Hāpai?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka maʻi kūlana hāpai ma muli o kona ʻano hormonal, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia a hoʻomaikaʻi i kou olakino hāpai holoʻokoʻa. ʻO ke kī ka mālama ʻana i kahi ola olakino ma mua a i ka wā hāpai.

ʻO ka hoʻomaka ʻana i ka hāpai me kahi kaumaha olakino kekahi o nā ala maikaʻi loa e hoʻemi ai i kou pilikia. Inā hoʻolālā ʻoe e hāpai, e hana pū me kāu mea mālama ola e loaʻa i kahi kaumaha olakino ma mua ma o ka ʻai kaulike a me ka hoʻoikaika kino maʻamau.

I ka wā hāpai, e nānā i ka ʻai ʻana i kahi ʻai kaulike piha i nā meaʻai holoʻokoʻa, nā mea kanu, nā protein liʻiliʻi, a me nā carbohydrates paʻakikī. E pale i nā mea inu kō a me nā meaʻai i hana ʻia e hiki ke hana i nā kō koko kiʻekiʻe.

Hiki i ka hoʻoikaika kino maʻamau, e like me ka ʻae ʻana o kāu kauka, ke kōkua i kou kino ke hoʻohana i ka insulin maikaʻi aku. ʻO nā hana māmā e like me ka hele wāwae no 30 mau minuke i ka nui o nā lā e hiki ke hana i kahi ʻokoʻa nui.

Inā ua loaʻa iā ʻoe ka maʻi kūlana hāpai ma mua, ʻo ka mālama ʻana i kahi ola olakino ma waena o nā hāpai a me ka lilo paha o ke kaumaha e hiki ke hoʻemi i kou pilikia o ka hoʻi hou ʻana. Eia naʻe, e loaʻa hou i kekahi mau wahine ia me ka nānā ʻole i nā loli ola ma muli o nā pane hormonal pilikino.

Pehea e ʻike ʻia ai ka Maʻi Kūlana Hāpai?

ʻIke ʻia ka maʻi kūlana hāpai ma o nā hoʻokolohua koko e ana i ke ʻano o ka hoʻoponopono ʻana o kou kino i ka kō. Hana ʻia ka nānā maʻamau ma waena o 24 a 28 mau hebedoma o ka hāpai, ʻoiai pono paha kekahi mau wahine i ka hoʻokolohua mua.

ʻO ka hoʻokolohua maʻamau loa ʻo ia ka hoʻokolohua glucose challenge, kahi e inu ai ʻoe i kahi wai kō kō a lawe ʻia kou koko i hoʻokahi hola ma hope. ʻAʻole pono ʻoe e wikiwiki no kēia hoʻokolohua nānā mua.

Inā kiʻekiʻe nā hopena o kāu hoʻokolohua glucose challenge, pono ʻoe i kahi hoʻokolohua glucose tolerance piha aʻe. No kēia hoʻokolohua, e wikiwiki ʻoe i ka pō, a laila e inu i kahi wai kō a lawe ʻia kou koko i nā manawa kūikawā ma luna o ʻelua a ʻekolu hola.

E ʻike kāu mea mālama ola i ka maʻi kūlana hāpai inā ʻoi aku ka nui o ʻelua a ʻoi aku paha o kāu mau waiwai glucose tolerance test ma mua o nā pae maʻamau. Hiki ke ʻokoʻa iki nā helu kūikawā ma waena o nā mea mālama ola, akā noho like nā kumu.

Hiki i kekahi mau wahine me nā kumu pilikia kiʻekiʻe ke loaʻa ka nānā mua i kā lākou trimester mua. Inā maʻamau nā hopena, e loaʻa nō lākou i ka nānā maʻamau ma hope i ka wā hāpai ʻoiai e ulu maʻamau ka maʻi kūlana hāpai i ka lua a i ʻole ke kolu o nā trimester.

He aha ka Lapaʻau no ka Maʻi Kūlana Hāpai?

Nānā ka lapaʻau no ka maʻi kūlana hāpai i ka mālama ʻana i kāu pae kō koko i loko o kahi pae olakino e pale aku ai iā ʻoe a me kāu pēpē. ʻO ka lono maikaʻi, hiki i ka nui o nā wahine ke mālama pono i kā lākou kūlana me nā loli ola wale nō.

E aʻo kāu hui mālama ola iā ʻoe pehea e nānā ai i kāu kō koko ma ka home me kahi mika glucose. E nānā maʻamau ʻoe i kāu mau pae ʻehā manawa i kēlā me kēia lā: hoʻokahi i kou ala ʻana (wikiwiki) a hou ma hope o kēlā me kēia ʻai.

ʻO ka hoʻololi ʻana i ka ʻai ʻo ia ka laina mua o ka lapaʻau. Hiki i kahi dietitian i hoʻopaʻa ʻia ke kōkua iā ʻoe e hana i kahi papa ʻai e hāʻawi i ka meaʻai kūpono no ʻoe a me kāu pēpē ʻoiai e mālama ana i ka kō koko paʻa. Hoʻokomo maʻamau kēia i ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine a koho i nā carbohydrates paʻakikī ma mua o nā kō maʻalahi.

Kōkua ka hoʻoikaika kino maʻamau, e like me ka ʻae ʻana o kāu kauka, i kou kino ke hoʻohana i ka insulin maikaʻi aku. Hiki i nā hana māmā e like me ka hele wāwae, ka ʻauʻau, a i ʻole ka yoga prenatal ke pōmaikaʻi.

Inā ʻaʻole lawa nā loli ola e kaohi i kāu kō koko, hiki i kāu kauka ke kuhikuhi i nā inikini insulin. He mea palekana ka insulin i ka wā hāpai a ʻaʻole ia e hele i ka placenta e hoʻopilikia i kāu pēpē.

Hiki i kekahi mau wahine ke lilo i mau moho no nā lāʻau waha e like me ka metformin, ʻoiai ke noho nei ka insulin ma ke ʻano he lāʻau lapaʻau i makemake ʻia i ka wā hāpai. E hoʻoholo kāu mea mālama ola i ka ala maikaʻi loa ma muli o kāu kūlana pilikino.

Pehea e lawe ai i ka lapaʻau home i ka wā o ka Maʻi Kūlana Hāpai?

ʻO ka mālama ʻana i ka maʻi kūlana hāpai ma ka home e pili ana i ka nānā mau ʻana i ka kō koko, ka hahai ʻana i kāu papa ʻai, a me ka noho ʻana i ka hana. Lilo kēia mau hana i kēlā me kēia lā i kāu mea hana no ka mālama ʻana iā ʻoe a me kāu pēpē.

E nānā i kāu kō koko e like me ke kuhikuhi ʻana o kāu hui mālama ola, maʻamau ʻehā manawa i kēlā me kēia lā. E mālama i kahi moʻolelo o kāu mau helu me nā memo e pili ana i kāu mea i ʻai ai a me kekahi hana kino. Kōkua kēia ʻike i kāu mea mālama ola e hoʻoponopono i kāu papa hana lapaʻau inā pono.

E hahai mau i kāu papa ʻai pilikino, ʻoiai ʻaʻole ʻoe e makemake. E ʻai i nā manawa maʻamau e pale aku ai i nā kō koko kiʻekiʻe a me nā haʻahaʻa. Inā pilikia ʻoe me ka nausea a i ʻole nā ​​mea ʻai ʻole, e hana pū me kāu dietitian e ʻimi i nā mea kūpono e hana no ʻoe.

E noho ikaika me kāu papa hana hoʻoikaika i ʻae ʻia. ʻOiai ma nā lā āu e luhi ai, hiki i ka neʻe māmā e like me ka hele wāwae pōkole ke kōkua i ka hoʻopaʻa ʻana i kāu kō koko. E hoʻolohe i kou kino a mai hoʻoikaika nui ʻoe.

E lawe i kāu insulin a i ʻole nā ​​lāʻau ʻē aʻe e like me ke kuhikuhi ʻia inā ʻaʻole lawa nā loli ola wale nō. Mai haʻalele i nā doses a hoʻoponopono i nā nui me ka ʻole o ka kamaʻilio ʻana me kāu mea mālama ola ma mua.

E nānā i nā hōʻailona hoʻomaopopo e pono ai ka mālama ola koke, e like me nā helu kō koko mau loa ma luna o kāu pae pahuhopu, ka luaʻi mau, a i ʻole nā ​​hōʻailona o ka maʻi. Ke kānalua, e hoʻokaʻaʻike i kāu hui mālama ola.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

E hele mākaukau me kāu moʻolelo kō koko, me nā lā, nā manawa, a me nā helu mai kāu nānā home. E lawe mai hoʻi i nā memo e pili ana i kāu mau meaʻai, hoʻoikaika kino, a me ke ʻano o kou manaʻo.

E kākau i kekahi mau nīnau a i ʻole nā ​​pilikia āu e loaʻa ai ma mua o kāu hālāwai. ʻO nā nīnau maʻamau e komo pū ana i ka nīnau ʻana e pili ana i nā meaʻai kūikawā, nā hoʻololi hoʻoikaika kino, a i ʻole ka mea e manaʻo ai i ka wā hānau me ka maʻi kūlana hāpai.

E lawe mai i kahi papa inoa o nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe nei. E komo pū i nā doses a me ka pinepine o kāu lawe ʻana iā lākou. Kōkua kēia i kāu mea mālama ola e hōʻoia i ka hana pū ʻana o nā mea āpau me ka palekana.

E noʻonoʻo e lawe mai i kahi mea kākoʻo i nā hālāwai koʻikoʻi, ʻoiai i ka wā e kūkākūkā ana i nā loli lapaʻau a i ʻole ka hoʻolālā hānau. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo manaʻo.

E ʻoiaʻiʻo e pili ana i nā pilikia āu e kū nei me ka ʻai, ka hoʻoikaika kino, a i ʻole ka nānā ʻana i ka kō koko. Hiki i kāu hui mālama ola ke kōkua iā ʻoe inā maopopo iā lākou ka mea e hana maoli nei ma ka home.

He aha ka lawe nui e pili ana i ka Maʻi Kūlana Hāpai?

ʻO ka maʻi kūlana hāpai kahi kūlana hiki ke mālama ʻia e hoʻopilikia i nā wahine he nui i ka wā hāpai. Me ka nānā pono, nā hoʻoponopono ola, a me ka mālama lapaʻau i ka wā e pono ai, hiki iā ʻoe ke loaʻa kahi hāpai olakino a me ka pēpē.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻaʻole ʻo ka loaʻa ʻana o ka maʻi kūlana hāpai ʻaʻole ia he manaʻo ua hana hewa ʻoe i kekahi mea. He pane maoli ia i nā hormones hāpai e ʻike ai kekahi mau wahine ma mua o nā mea ʻē aʻe.

E nānā i nā mea āu e hiki ke kaohi: ka hahai ʻana i kāu papa ʻai, ka noho ʻana i ka hana e like me ka ʻae ʻana o kāu kauka, ka nānā mau ʻana i kāu kō koko, a me ka mālama ʻana i ka mālama prenatal maʻamau. Hāʻawi kēia mau hana iā ʻoe i ka manawa maikaʻi loa no kahi hopena maikaʻi.

Nui nā wahine me ka maʻi kūlana hāpai e hele i nā hānau maʻamau loa a me nā pēpē olakino. Hoʻopau maʻamau ka kūlana ma hope o ka hāpai, ʻoiai he mea nui e hoʻomau i ka nānā ʻana i kou olakino lōʻihi.

Nā Nīnau Pinepine e pili ana i ka Maʻi Kūlana Hāpai

E hōʻino anei ka maʻi kūlana hāpai i kaʻu pēpē?

Me ka mālama pono, ʻaʻole pinepine ka maʻi kūlana hāpai e hōʻino nui i nā pēpē. ʻO ke kī ka mālama ʻana i ka kaohi kō koko maikaʻi ma o ka ʻai, ka hoʻoikaika kino, a me nā lāʻau inā pono. Nui nā pēpē i hānau ʻia i nā mākuahine me ka maʻi kūlana hāpai i mālama maikaʻi ʻia he olakino loa.

E loaʻa anei iaʻu ka maʻi kō ma hope o ka hānau ʻana o kaʻu pēpē?

Hoʻopau maʻamau ka maʻi kūlana hāpai ma hope o ka hānau ʻana, akā hoʻonui ia i kou pilikia o ka loaʻa ʻana o ka maʻi kō type 2 ma hope i ke ola. Ma kahi o 5 a 10 pakeneka o nā wahine me ka maʻi kūlana hāpai e ʻike ʻia he maʻi kō type 2 ma hope o ka hāpai. E loaʻa iā ʻoe ka hoʻokolohua hahai e nānā i kāu pae kō koko.

Hiki iaʻu ke hānai umauma inā loaʻa iaʻu ka maʻi kūlana hāpai?

ʻAe, hiki iā ʻoe a pono ke hānai umauma inā koho ʻoe. Hiki i ka hānai umauma ke kōkua i kāu kō koko e hoʻi i ka maʻamau wikiwiki ma hope o ka hānau ʻana. Inā pono ʻoe i ka insulin i ka wā hāpai, e hoʻoponopono kāu kauka i kāu dose ma hope o ka hānau ʻana ʻoiai ke hoʻopilikia nei ka hānai umauma i nā pae kō koko.

E loaʻa anei iaʻu ka maʻi kūlana hāpai i nā hāpai e hiki mai ana?

ʻO ka loaʻa ʻana o ka maʻi kūlana hāpai e hoʻonui i kou pilikia o ka loaʻa hou ʻana i nā hāpai e hiki mai ana, me nā helu hoʻi hou ma kahi o 30 a 50 pakeneka. Eia naʻe, ʻo ka mālama ʻana i kahi kaumaha olakino ma waena o nā hāpai a me ka hahai ʻana i kahi ola olakino e hiki ke kōkua i ka hoʻemi ʻana i kēia pilikia.

Pono anei iaʻu kahi cesarean section inā loaʻa iaʻu ka maʻi kūlana hāpai?

ʻAʻole pono. Nui nā wahine me ka maʻi kūlana hāpai e hiki ke loaʻa nā hānau vaginal. Aia ka hoʻoholo ma nā mea e like me ka nui o kāu pēpē, pehea ka maikaʻi o ka mālama ʻana i kāu kō koko, a me nā kūlana pilikino ʻē aʻe. E kūkākūkā kāu mea mālama ola i ka papa hana hānau maikaʻi loa no kāu kūlana kūikawā.