Nā ʻeha a me nā ʻeha i ka wā hāpai

I ka wā o ka hāpai ʻana, e hele nui kou kino i nā loli ke ulu aʻe kāu pēpē a loli kāu mau hormoni. Me nā ʻōuli maʻamau ʻē aʻe i ka wā hāpai, e ʻike pinepine ʻoe i nā ʻeha a me nā ʻeha hou.

Kūleʻa ka poʻo poʻo i ka wā hāpai. Ma mua o kou lawe ʻana i ka lāʻau, nīnau i kāu mea mālama ola inā palekana ke lawe. Ma mua o ka lāʻau, kōkua paha nā hana hoʻomaha.

Hiki i nā maʻi poʻo ke hōʻailona o preeclampsia (ke koko kiʻekiʻe i ka wā hāpai). Inā hele a mānoanoa kou poʻo poʻo, a ʻaʻole lākou e hele maʻalahi ke hoʻomaha ʻoe a lawe i ka acetaminophen (Tylenol), keu hoʻi i ka hopena o kou hāpai ʻana, e haʻi i kāu mea hāʻawi.

ʻO ka pinepine, hana kēia ma waena o 18 a me 24 mau pule. Ke ʻike ʻoe i ke kīkoʻo a ʻeha paha, neʻe mālie a hoʻololi paha i nā kūlana.

ʻO nā ʻeha māmā a me nā ʻeha mau o nā manawa pōkole he maʻamau. Akā e ʻike koke i kāu mea hāʻawi inā loaʻa mau ʻoe i ka ʻeha o ka ʻōpū mau, ʻeha kūpono, a i ʻole ʻeha ʻoe a ke kahe nei a i ʻole ke kuni. ʻO kēia nā hōʻailona e hiki ke hōʻike i nā pilikia ʻoi aku ka nui, e like me:

• Ka abruption placental (hoʻokaʻawale ka placenta mai ka kōpū)
• ʻO ka hana mua
• Maʻi maʻi gallbladder
• Pākuʻi

Ke ulu nei kou kōpū, hiki paha iā ia ke kaomi i nā aʻalolo i kou mau wāwae. Hiki i kēia ke kumu i ka helu a me ke kani (ka manaʻo o nā kui a me nā nila) i kou mau wāwae a me nā manamana wāwae. He maʻamau kēia a e hele aku ma hope o kou hānau ʻana (he mau pule paha i mau mahina.

Hiki paha iā ʻoe ke numbness a kani paha i kou mau manamana lima a me kou mau lima. E ʻike pinepine paha ʻoe iā ia ke ala ʻoe i ke kakahiaka. Hele aku kēia ma hope o kou hānau ʻana, eia hou, ʻaʻole mau koke.

Inā hōʻoluʻolu ʻole ia, hiki iā ʻoe ke komo i ka pale i ka pō. E noi i kāu mea hāʻawi i kahi e loaʻa ai.

E nānā i kāu mea nāna e hāʻawi i ka numbness hoʻomau, ka ʻūlū ʻana, a i ʻole ka nāwaliwali i kēlā me kēia palena e hōʻoia ai ʻaʻohe pilikia koʻikoʻi.

Hoʻopilikia ka hāpai i kou kua a me kāu kūlana. I mea e hōʻalo a hōʻemi ai i nā ʻāʻī hope, hiki iā ʻoe:

• Noho kino, hele wāwae, a hoʻolōʻihi mau.
• E komo i nā kāmaʻa liʻiliʻi.
• E hiamoe ma kou ʻaoʻao me ka uluna ma waena o kou mau wāwae.
• Noho i kahi noho me ke kākoʻo kua maikaʻi.
• E hōʻalo i ke kū lōʻihi.
• Kulou kou mau kuli i ke ʻohi ʻana i nā mea. Mai kūlou i ka pūhaka.
• Hōʻalo i ka hāpai ʻana i nā mea kaumaha.
• Hōʻalo i ka loaʻa ʻana o ke kaupaona.
• E hoʻohana i ka wela a i ʻole ke anuanu ma ka ʻeha o kou kua.
• E lomilomi a hamo paha i kekahi i ka ʻeha o kou kua. Inā ʻoe e hele i kahi loea lomilomi ʻoihana, e hoʻomaopopo iā lākou ua hāpai ʻoe.
• Hana i nā hana i hope e ʻōlelo ai kāu mea hāʻawi e hōʻoluʻolu i ke kaumaha hope a mālama i kahi kūlana olakino.

ʻO ke kaumaha keu āu e hāpai ai ke hāpai ʻoe hiki ke hōʻeha i kou mau wāwae a hoʻi i ke kua.

E hana pū ana kou kino i kahi hōmona e hoʻokuʻu i nā ligament ma loko o kou kino e hoʻomākaukau ai iā ʻoe no ka hānau keiki. Eia nō naʻe, ʻoi aku ka maʻalahi o ka hōʻeha ʻia o kēia mau ligament looser, pinepine i kou kua, no laila e akahele ke hāpai ʻoe a hoʻoikaika kino.

Maʻamau nā ʻōiwi wāwae i nā mahina hope o ka hāpai ʻana. I kekahi manawa ke kīloi i kou mau wāwae ma mua o ka hiamoe e hoʻoliʻiliʻi i ka cramp. Hiki i kāu mea hāʻawi ke hōʻike iā ʻoe pehea e hoʻolōʻihi ai.

Nānā no ka ʻeha a me ka pehu ʻana i ka wāwae hoʻokahi, akā ʻaʻole ka lua. Hiki i kēia ke lilo i hōʻailona o ka hoʻopili koko. E hoʻomaopopo i kāu mea hāʻawi inā kū kēia.

ʻO Cline M, mālama ʻo Young N. Antepartum mālama. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2021. Piladelapia, PA: Elsevier; 2021: 1209-1216 ..

ʻO Gregory KD, Ramos DE, Jauniaux ERM. Mālama mua ʻana a me ka mālama mua ʻana. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 5.

• ʻEha
• Hapai keiki