Puerperium. Nā loli āpau e kali ana iā mākou ma hope o ka hoʻouna ʻana

Ua hānau ʻia kā mākou pēpē, i kēia manawa pono mākou e alo i kahi pae paʻakikī, piha i nā loli, nā manaʻo huikau a me nā makaʻu.

ʻO ka puerperium ka manawa o ka manawa i hala mai ka hopena o ka hana a hiki i ka manawa i loaʻa iā mākou ka menstruation mua ma kahi o.

I kēia manawa e hana ko mākou kino i kahi ʻano o ka hoʻololi kino a me ka noʻonoʻo a hoʻi i ka mokuʻāina i loaʻa ma mua o ka hāpai ʻana, a i ʻole ʻaʻole like mākou ma mua o ka hāpai ʻana, akā ʻo wai ka mea e ʻōlelo nei he maikaʻi ʻole kēia?

Nā pae o ka puerperium

Wahi a nā poʻe loea a pau, hiki iā mākou ke hoʻokaʻawale i ʻekolu mau pae, kēlā me kēia me nā hoʻololi a me nā ʻano like ʻole.

Puerperium koke

Ka manawa e hala ana mai ka lawe ʻana i nā hola he 24 mua. I kēia manawa ke pono ka makaʻala e ka wahine i hānau wale. no ka mea i kēia manawa ke hiki mai nā pilikia ʻoi loa.

Pono ka ʻōpū e ʻaelike ikaika loa, e hōʻalo i ke kahe nui ʻanaKe puka ka placenta, e ʻike mākou iā ia ma ke ʻano he wahi paʻakikī ma waena o ka piko a me ka pubis.

I nā hola ʻelua mua o ko kā mākou pēpē ola, he mea maikaʻi e hoʻomaka mākou i ka hānai ʻana. E kōkua iā mākou ʻelua e hoʻoulu i ka hana ʻana i ka waiū a e hoʻokuʻu i nā hormona pono no ka uterus e hoʻi koke i kona ʻano ma mua o ka hāpai ʻana a me ka nui.

Puerperium maʻi

Mai ka lā 2 a hiki i ka lā 10 postpartum.

Ma hope o nā lā hānau mua he 24 e ʻike mākou i ka uterus ma ka pae o ka piko a i ʻole kekahi mea ma luna. Mai kēlā manawa e iho mai ia i ka helu o hoʻokahi kenimika i ka lā, no laila i ka hopena o kēia kahua aia i ke kiʻekiʻe o ka pubis.

ʻO kēia ka manawa e ʻoi aku ka wikiwiki o nā loli hormonal. ʻO ia nō ka manawa e nawaliwali loa ai ko mākou naʻau a ʻike ʻia nā "blues makuahine" a i ʻole ke kaumaha puerperal.

ʻO ia nō hoʻi ka manawa e hoʻokumu ʻia ai ka waiū hānai. I ka mua aia ka colostrum i ko mākou umauma, akā i ka hopena o kēia manawa ua loaʻa iā mākou ka waiū. I kēia loulou ʻLelo aku wau iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e hoʻomaʻalahi ai ka holomua a me ka mālama ʻana i ka hānai ʻana i ka waiū

Puerperium lohi

Mai ka 10 mau lā postpartum a hiki i nā hanana o ka reproductive a me ka genital system hoʻi i ko lākou kūlana mua. ʻO ka "quarantine" kaulana.

He manawa kēia o nā hoʻololi mālie. Hoʻomaka mākou e hoʻomaopopo kekahi i kekahi me ka pēpē a i kēlā me kēia lā ʻike maikaʻi mākou. Ma hope o kekahi mau pule ua hoʻomaka mākou e hauʻoli maoli i ka makuahine.

ʻOiai, i ke kumumanaʻo, he manawa ia e pau ke loaʻa iā ʻoe ke menstruation, ʻaʻole kēia ka hihia mau. Ke hānai mākou, hiki i ka menstruation ke hala i mau mahina e ʻikea.

Hoʻololi postpartum

Hiki ke hoʻokaʻawale i nā loli postpartum ʻoi loa i nā loli hormonal, kino a me ka noʻonoʻo.

Hoʻololi Hormonal

Kūleʻa nui nā hoʻololi Hormonal i ka postpartum. Pono pono e hōʻike i nā hormoni hou e hoʻoulu ai i ka hana a me ka puka o ka waiū a hoʻi mākou i ka loaʻa ʻana o nā homone wahine i ka nui maʻamau i hiki i kā mākou menstrual cycle ke hoʻomaka hou.

ʻO Estrogens.

Hāʻule nui lākou ma hope o ka hānau ʻana, akā hoʻonui hou lākou i ka hopena o ka puerperium, ʻoiai inā hānai mākou i ka lōʻihi o ka lōʻihi.

ʻO Hormones FSH a me LH

ʻAʻole hiki ke ʻike ʻia iā lākou no nā lā 10/12 mua, a ma hope e pili ana i ka hānai ʻana.

Nā homone Placental

Nalo lākou, abruptly, i ka manawa e pau ai ka lawe ʻana.

ʻO Prolactin

Pono pono e hoʻoulu i ka huna o ka waiū. Piʻi ia ma hope o ka lawe ʻana, akā pono i ka stimulate o ka omo ʻana a me ka hakahaka ʻana o ka umauma e ka pēpē e mālama i kāna mau pae a mālama i ka hana ʻana i ka waiū.

Oxytocin

Pono nui ʻia no ka kōpū e ʻaelike a hoʻi i kona kūlana a puka ka waiū i waho o ka umauma ke omo ka pēpē. Hoʻoulu pū kekahi ia i ka omo ʻana o ka pēpē.

Hoʻololi kino

Hoʻi o ka uterus i kāna kūlana i hala.

Mai ka manawa o ka hānau ʻana pono ka ʻōpū e ʻaelike paʻa e hōʻalo i ke kahe ʻana o ke kahe a lilo mālie i ka nui, e hele mai kahi kaupaona a me ka lōʻihi o 1500gr a me 32 cm e ana ana i ka hopena o ka hāpai ʻana i ka 7/8 cm a me 60/80 gr e loaʻa mau iā ia.

Hiki iā mākou ke kōkua i ko mākou kino e hana i kēia loli nui. ʻO ka hānai hānai ʻana, ke ala ʻana a me ka hele wāwae ʻana i ka wā hiki loa a me ka waiho ʻana i ka wā o ka hakahaka nā kumu i hiki iā mākou ke kaohi a kōkua i kā mākou kōpū e hoʻi koke i kona wahi, ke hoʻemi nei i ka makaʻu o ke kahe ʻana a me ka maʻi.

ʻO ka endometrium a i ʻole loko o ka uterus

He wahi mucous ia, a ko mākou kino e hana ai i kēlā me kēia mahina, ulu i ka nui a hoʻomākaukau e lilo i "moʻo" o kahi hāpai keiki hiki. I loko o nā hebedoma mua hāʻawi ia i nā meaola āpau e pono ai ka pēpē e hiki mai ana.

I ka wā hāpai hāpai e ulu a ulu ka placenta i loko ona, e waiho ana ma hope o ka lawe ʻana i kahi i kapa ʻia ʻo "placental bed" e ʻoi aku ka lōʻihi o ka hoʻōla ma mua o ke koena o ka endometrium.

I ka mahele mua o ka puerperium pono e nalowale kēlā mucosa i uhi i ka hāpai ʻana, luku ʻia a kipaku ʻia ka waho i ke ʻano o Lochios.

Mai ka lā 5 hoʻomaka kēlā wahi o ka kōpū e hoʻomaka hou a mai ka lā 25 a hiki i ka 45 postpartum hoʻomaka ia e hoʻoulu ʻia e nā hormones maʻamau, e hoʻihoʻi iā ia i kāna pōʻaiapuni maʻamau, Koe i ka hihia o ka hānai ʻana i ka waiū, ʻaʻole hiki ke hana i ka stimulate ma muli o ka hana o nā hormones lactation.

Mahope iho

ʻO wai ka mea i lohe ʻole i ko mākou mau makuahine a me nā tūtū wahine e kamaʻilio e pili ana i nā hewa kaulana?

ʻO nā hewa he mea ʻē aʻe contractions o ka uterus me ka mea e hoʻi i kona maʻamau helehelena. ʻOi pinepine lākou i nā makuahine i loaʻa hou nā keiki a i ʻole nā ​​hāpai māhoe.

ʻOi aku ka ikaika o lākou i nā lā mua, ʻoi aku ka ʻeha a i ka manawa o ka hānai ʻana inā loaʻa ka umauma.

ʻO Loquios

ʻOiai he nui nā wahine e kuhi hewa i kēia kahe ʻana no ka menstruation, ʻaʻohe mea pili iā ia.

Me ka lochia, nā koena i koe i koe i loko o ka kōpū ma hope o ka lawe ʻia ʻana. ʻO nā koena o ka endometrium o ka hāpai ʻana, nā koena o ke koko ... Etc

ʻO nā lā mua ma hope o ka lawe ʻana he ʻulaʻula, no ka mea he nui ko lākou koko.

Mai ka lā 4 a hiki i ka lā 10 postpartum he ʻano ʻulaʻula ko lākou. Loaʻa ka liʻiliʻi o ko lākou koko a me nā bacteria (ʻaʻole pathological) a i ʻole leukocytes.

Mai ka lā 10 a i ka pule 3 a i ʻole 4 he ʻano keʻokeʻo a melemele paha ko lākou. I kēia manawa a mākou e kipaku aku ai, he mau leukosit a me nā koena o ka hoʻōla o ka ʻeha placental (kahi i kau ʻia ai ka placenta) a me ka hoʻōla ʻana i ke koena o nā ʻeha liʻiliʻi i ko mākou hānau hānau

ʻAʻohe kānāwai paʻakikī a wikiwiki hoʻi o ka manamana lima e pili ana i ka lōʻihi o ke kahe ʻana ma hope o ka lawe ʻana. ʻO ka mea nui ʻike mākou i kēlā ke emi nei ka nui a me ka pilau, ʻoiai he ʻano ʻē a ikaika hoʻi, ʻaʻole fetid a ʻoluʻolu ʻole paha.

ʻO Vagina, papaha a me ka papakū pelvic

E hoʻi liʻiliʻi lākou i ka maʻamau. He mea nui e hoʻomaka i ka hoʻoponopono pelvic papahele i ka wā hiki ke hana i nā hana Kegel.

E kūkākūkā i kāu gynecologist a i ʻole wahine pale keiki i nā lā mua o ka postpartum e nānā i nā kūlana i loaʻa ai kou mau mākala a paipai i nā hana kūpono loa.

ʻO ka lilo kaumaha

ʻO kēia kahi pilikia e hopohopo pinepine nei iā mākou i ka nui, hoʻi i kā mākou kiʻi i ka wā hiki. Eia Hiki iā ʻoe ke heluhelu pehea e nalo ai ke kaupaona i kahi ala olakino postpartum.

He mea nui ʻaʻole e koi nui, Ua hele i loko o ko mākou kino ka hāpai ʻana a me ka hānau hānau ʻana, hiki nō paha i ka maʻalahi o kā mākou hana o mua, akā ʻo ia wale nō i kēia manawa he ʻano ʻokoʻa ko mākou kino a e emi iki ana ka liʻiliʻi o mākou.

Nā hoʻololi Psychological

I ka wā o ka hāpai ʻana, hōʻike ka hapa nui o nā makuahine i ko lākou makaʻu i ka hānau hānau, akā hoʻokau i ka pae hope. I nā manawa he nui a mākou e moeʻuhane nei i kahi pēpē a mālie hoʻi e hāʻawi iā mākou i ka palupalu nui ...

Akā he keiki liʻiliʻi ka pēpē e pono e hoʻomaʻa i nā loli. pono mākou i ka manawa e ʻike a hoʻomaopopo ai kekahi i kekahi. A me ka manawa e hoʻomaʻa i ke kūlana hou.

Nā pae a ka makuahine e hele ai i ka postpartum

Wahi a Reva Rubin (inā hoihoi ʻoe ʻaneʻi Loaʻa iā ʻoe kāna kumumanaʻo) i ka postpartum hele ka wahine ma o ʻekolu mau hanana

ʻAe ʻae a me ka manawa o ka hana hilinaʻi

I ka lā mua ma hope o ka hānau ʻana, mālama ka makuahine i kahi ʻano hilinaʻi. Nui kou kānalua a paʻakikī iā ʻoe e hoʻoholo ʻimi ʻia e alakaʻi ʻia e nā ʻaoʻao ʻekolu. Kamaʻilio mau ʻo ia e pili ana i ka hānau hānau, ke hoʻohālikelike ʻana i kāna mau mea i manaʻo ai me ka ʻoiaʻiʻo.

ʻO ke kahua o ke kākoʻo a hoʻololi paha mai ka hilinaʻi i ke kūʻokoʻa

I nā lā ʻelua a ʻekolu paha e hiki mai ana ka makuahine, ʻoiai manaʻo ʻole ʻo ia i ka palekana ʻole, hoʻomaka e komo ʻeleu i ka mālama ʻana o ka pēpē, e hoʻoholo kūʻokoʻa ana a hoʻomaka i ka lawe ʻana i kā lākou kuleana.

He wā ia e hoʻomaka ai mākou e lawe i ka kuleana o nā makuahine, akā pono mākou e hōʻoia e hana maikaʻi mākou ...

Ke kahua o ka haʻalele ʻana a i ʻole ka lawe ʻana i nā kuleana hou

ʻAʻohe manawa i hoʻonohonoho ʻia, hana pinepine ia ke hoʻi mākou i ka hale a ʻike iā mākou iho me ka makuakāne a me ka pēpē.

I kēia manawa aia mākou i ko mākou kaiapuni a ʻike mākou i ka pale a me ka mana e kaohi. ʻO ka pilina me kā mākou pakanā a ʻoiai me ko mākou ʻohana evolves a loli.

Pālū hānau

ʻO ka maʻamau, ma hope o ka hānau ʻana, ʻike ʻia kahi ʻano euphoria e nalo iki a hoʻomaka mākou e ʻike i ka luhi o ka hānau ʻana ma luna o mākou.

I kēia pono mākou e hoʻohui nā loli hormonal weliweli a ko mākou kino e hele nei me ka hiki ʻole, ka ʻeha, ka hiamoe ʻole, nā manaʻo hui a makaʻu paha a me ka hopohopo e pili ana i ke kuleana o ka hānai ʻana i kahi pēpē e hōʻike i ke kiʻi o nā "blues makuahine" a i ʻole ke kaumaha puerperal.

He hanana maʻamau a physiological hoʻi ia, i ʻike ʻia i ke ʻano o ka huli koke ʻana o ke ʻano, ke kaumaha, ka uē ʻana, ka hoʻonui ʻia o ka manaʻo a hōʻemi paha i ka makemake.

80% o nā makuahine e ʻehaʻeha iā ia. ʻIke ʻia ia i ke kolu a i ka hā o ka lā postpartum a kū i 7 a 10 mau lā.

He mea nui e ʻike ka ʻohana i ka makuahine. Inā ʻaʻole e nalo ke kūlana i kēlā manawa a i ʻoi aku ka ikaika o nā ʻōuli, pono e nīnau i ke kauka. e pale iā ia mai ke alakaʻi ʻana i ke kaumaha postpartum.

E hoʻokumu i ka pilina me kā mākou pēpē

ʻO ka hoʻopaʻa ka manaʻo o ka hui a me ka hoʻopili. No ka hoʻokumu ʻana iā ia, pono i nā mākua e hoʻolōʻihi i ka manawa me ka pēpē.

Hoʻopā, pili maka, ʻike leo a ʻaʻala paha he mea nui e hoʻoulu ai i ka hana o ia hoʻopaʻa.

Hoʻopili i ka pēpē, kamaʻilio pū me ia, hīmeni iā ​​ia, paʻa iā ia i ka wā hiki hiki, ʻO ka ʻike ʻana i nā reflex a ke keiki ma ke ʻano he hana manawaleʻa (e like me ke kaomi ʻana i ko mākou manamana lima), ke kāhea ʻana iā ia i kona inoa a i ʻole ke milimili ʻana iā ia he mea nui na mākou e hoʻomaka e ʻike iā mākou iho ma ke ʻano o kekahi.

Pono ia inā he kaikaina ko ka pēpē E hoʻokomo iā lākou i kēia mau manawa, ʻaʻole e hōʻole iā lākou e kāohi i ka pēpē a hoʻokaʻawale paha iā lākou mai ka lālā hou o ka ʻohana.