ʻO ka hānai hānai vs. hānai ʻana

Ma ke ʻano he makua hou, he nui nā koho āu e hoʻoholo ai. ʻO kekahi e koho inā e hānai i kāu pēpē a i ʻole hānai hānai e hoʻohana ana i ka haʻihaʻi pēpē.

ʻAe nā loea olakino ʻo ka hānai waiū ka koho olakino loa loa loa na ka makuahine a me nā pēpē. Paipai lākou e hānai wale nā ​​pēpē i ka waiū umauma no nā mahina 6 mua, a laila hoʻomau i ka loaʻa ʻana o ka waiū umauma ma ke ʻano he ʻāpana nui o kā lākou papaʻai a hiki i ka liʻiliʻi o 1to 2 mau makahiki.

Nui nā pilikia olakino e hiki ʻole ai ka hānai ʻana i ka waiū. Aia kekahi mau kumu ʻē aʻe i hiki ʻole i nā wahine ke hānai, akā me ke kākoʻo maikaʻi a me ka ʻike, hiki ke lanakila i ka hapa nui o kēia mau mea.

Eia kekahi mau mea e noʻonoʻo ai i ka hoʻoholo ʻana e pili ana i ka hānai ʻana i ka waiū. ʻO ka hoʻoholo e pili ana pehea e hānai ai i kāu pēpē he mea pilikino ia, a ʻo ʻoe wale nō e koho i ka mea kūpono a me kou ʻohana.

He ala maikaʻi loa ka hānai ʻana i ka hānai me kāu mea liʻiliʻi. Eia kekahi o nā keu pono ʻē aʻe o ka hānai ʻana i ka waiū.

• Loaʻa i ka waiū umauma i nā meaola āpau e pono ai nā pēpē e ulu a ulu.
• Loaʻa i nā waiū antibodies i hiki i ka waiū umauma ke pale aku i kāu pēpē mai ka maʻi ʻana.
• Hiki i ka hānai hānai ke pale i nā pilikia olakino i kāu pēpē, e like me nā maʻi āpau, eczema, nā maʻi pepeiao, a me nā pilikia o ka ʻōpū.
• ʻAʻole hiki ke hōʻemi ʻia nā pēpē i hānai ʻia me nā maʻi hanu.
• ʻAʻole hiki i nā pēpē hānai ke lilo i obese a i ʻole loaʻa diabetes.
• Hiki ke kōkua i ka hānai hānai ʻana i ka pale ʻana i ka maʻi make pēpē hikiwawe (SIDS).
• ʻOi aku ka maʻalahi o nā makuahine e hānai i ka hānai ma hope o ka hāpai ʻana.
• Hiki i ka hānai hānai ke kōkua i ka hoʻohaʻahaʻa ʻana i ka makaʻu no nā maʻi maʻi umauma a me nā ovarian, diabetes, a me kekahi mau maʻi ʻē aʻe i nā makuahine.

ʻOi aku ka maʻalahi o ka hānai hānai ʻana. Hiki iā ʻoe ke hānai waiū ʻaneʻane i nā wahi āpau a i nā wā āpau ua pōloli kāu pēpē. ʻAʻole pono ʻoe e hana i ka haʻilula ma mua o ka hānai ʻana, hopohopo e pili ana i ka wai maʻemaʻe, a i ʻole lawe pū me ʻoe ke hele ʻoe a huakaʻi paha. A mālama ʻoe i ke kālā ma ka haʻilula, hiki ke uku ʻia i $ 1,000 a ʻoi paha i ka makahiki.

ʻO ka hānai hānai ka mea maʻamau, koho olakino no ka makuahine a me ka pēpē.

He ʻoiaʻiʻo, ʻaʻole maʻalahi a maʻamau ka umauma no nā makuahine a me nā pēpē.

Hiki iā ia ke hoʻolōʻihi i kahi manawa na olua e kāʻawe ai. He mea nui ia e ʻike i kēia i mua, i hiki ai iā ʻoe ke hōʻoia he kākoʻo kou a me nā kūpaʻa āu e pono ai inā piʻi mai kahi pilikia.

ʻO ka ʻili i ka pili ʻana o ka ʻili i ka wā hānau e kōkua iā ʻoe a me kāu pēpē e hoʻomaka maikaʻi me ka hānai ʻana i ka waiū. E noi i kāu mea mālama ola e kau i kāu pēpē ma kou umauma, inā ke olakino a paʻa ʻole kēlā me kēia ma hope o ka hānau ʻana.

Lilo ka makua hou i manawa, a ʻaʻohe ʻokoʻa ka hānai ʻana i kēia kānāwai.

• E ʻai nā pēpē hānai i kēlā me kēia manawa i kēlā me kēia hola no kekahi manawa, ma mua o ka hiamoe lōʻihi. E hoʻāʻo e hiamoe ke hana kāu pēpē.
• Inā makemake ʻoe i kahi haki ʻoi aku ka lōʻihi, hiki iā ʻoe ke hōʻike i ka waiū (ma ka lima a i ʻole ka pauma) a e hānai kekahi i ka waiū umauma i kāu pēpē.
• Ma hope o kekahi mau hebedoma, ʻike mua ʻia ka papa hana pēpē pēpē.

ʻAʻole pono ʻoe e hāhai i kahi papaʻai kūikawā ke hānai ʻoe i ka waiū. Kākaʻikahi loa ka nānā ʻana o ka pēpē i kekahi mau meaʻai, e like me nā meaʻai nīoi a gassy paha e like me ka kāpeti. E kamaʻilio me kāu kauka pēpē inā manaʻo ʻoe hiki i kēia ke ʻano.

ʻOi aku ka maʻalahi ma mua o ka hana a hoʻomau i ka hānai ʻana. ʻO ka ʻae ʻana i nā wahine e hānai pinepine e alakaʻi i ka manawa i hala ʻole ma muli o ka maʻi, a hoʻemi i ka huli.

ʻO nā limahana o kēlā me kēia hola e kūpono no ka uku manawa e hana no nā ʻoihana me ʻoi aku ma mua o 50 mau limahana e koi ʻia e ke kānāwai e hāʻawi ʻia i ka manawa a me kahi e pump. ʻAʻole pili kēia i nā limahana uku, ʻoiai ʻo ka hapa nui o nā luna e ukali i kēia mau hana. ʻO kekahi o nā mokuʻāina he kānāwai hoʻomake waiū ākea.

Akā ʻaʻole hiki i nā makuahine āpau ke pume i ko lākou umauma ma ka hana i hiki ai iā lākou ke hoʻomau i ka hānai ʻana. ʻO kekahi mau ʻoihana, e like me ka hoʻokele kaʻa ʻōhua a i ʻole nā ​​papa kali, e paʻakikī paha e pili pono i ka papa hana pumping maʻamau. Inā loaʻa iā ʻoe ma mua o hoʻokahi hana a i ʻole inā huakaʻi ʻoe no ka hana, paʻakikī ka ʻimi ʻana i kahi a me ka manawa e pauma a mālama ai i ka waiū. A, ʻoiai hāʻawi kekahi ʻoihana i kahi wahi hōʻoluʻolu no nā makuahine e pīpī i ka waiū, ʻaʻole pau nā hana.

Hiki i kekahi mau pilikia ke hele i ke ala o ka hānai ʻana no kekahi mau makuahine:

• ʻO ke aloha o ka umauma a me ka ʻeha o ka nipple. He mea maʻamau kēia i ka pule mua. Hiki iā ia ke hala i ʻelua mau pule no ka makuahine a me ka pēpē e aʻo ai pehea e hānai ai i ka waiū.
• Hoʻokomo i ka umauma a i ʻole piha.
• Kuhi waiū hoʻopili.
• ʻAʻole lawa ka waiū no nā pono o ka pēpē. ʻOiai hopohopo nā wahine he nui e pili ana i kēia, kākaʻikahi ka hana ʻana o ka makuahine i ka waiū liʻiliʻi.

He mea kūpono ke hana i nā mea āpau e hiki ai ke pale i nā luʻi hānai. ʻO ka hapa nui o nā makuahine ʻike i ka hala koke o nā hakakā mua, a noho lākou i kahi papa hana hānai kūpono a ʻoluʻolu hoʻi me kā lākou mea liʻiliʻi.

Inā ʻoe he puhipaka, maikaʻi mau ka hānai ʻana i ka waiū.

• Hiki i ka waiū umauma ke kōkua i ka hoʻopau ʻana i kekahi o nā pilikia i kāu pēpē mai ka pili ʻana i ka puhipaka.
• Inā ʻoe puhi paka, puhi ma hope o ka hānai ʻana, no laila loaʻa i kāu pēpē ka liʻiliʻi o ka nui o ka nikotine.

He palekana ʻo ka hānai ʻana i kāu pēpē inā loaʻa iā ʻoe i ka maʻi hepitis B a i ʻole ka hepita C. Inā haʻihaʻi a kolo ʻia paha kou mau nipples, pono ʻoe e hōʻoki i ka hānai. E hōʻike i kou waiū a hoʻolei iā ia a hiki i ka wā e maikaʻi ai kou umauma.

ʻO nā makuahine ʻaʻole pono e hānai i nā keiki nāna:

• Loaʻa iā HIV a me AIDS paha, no ka mea hiki iā lākou ke hoʻohuli i ka maʻi i kā lākou pēpē.
• Ke lawe nei i kekahi mau lāʻau e pono ai e mālama i ka pilikia o ka olakino. Inā ʻoe e lawe i nā lāʻau no kahi pilikia olakino, e nīnau i kāu mea hāʻawi inā palekana ia i ka umauma.
• Loaʻa i kahi ʻalekiko a lāʻau lāʻau paha.

ʻAʻohe nīnau he ʻoi aku ka maikaʻi o ka hānai ʻana i kāu waiū umauma pēpē no ka mea hiki ke hiki iā ʻoe, ʻoiai inā no nā mahina mua wale nō.

ʻAʻole hiki i kahi liʻiliʻi o nā makuahine ke hānai. He paʻakikī paha kēia e ʻae, akā ʻaʻole ia e hoʻolilo iā ʻoe i makuahine māmā. ʻO ke kumulāʻau pēpē kahi koho olakino, a e loaʻa i kāu pēpē nā meaola kūpono āpau.

Inā koho ʻoe e hānai i kāu pēpē, aia kekahi mau pono:

• Hiki i kekahi ke hānai i kāu pēpē. Hiki i nā kūpuna a i ʻole nā ​​kahu hānai ke hānai i kāu pēpē ʻoiai ʻoe e hana a loaʻa paha i kahi manawa kūpono kūpono me kāu hoa.
• Hiki iā ʻoe ke loaʻa i ke kōkua kōkua ākea. Hiki i kāu hoa ke kōkua me ka hānai ʻana i ka pō i hiki ai iā ʻoe ke hiamoe hou. Hiki i kēia ke lilo i bonus no kāu hoapili, e hāʻawi ana iā lākou i ka manawa e hoʻopaʻa mua ai me kā lākou mea liʻiliʻi. E noʻonoʻo akā, inā hānai ʻoe i ka waiū, hiki iā ʻoe ke pume i kou umauma i hiki i kāu hoa ke hānai i kāu waiū umauma pēpē.
• ʻAʻole paha ʻoe e hānai pinepine. Lohi nā pēpē i ka haʻihaʻi, no laila he hapa iki kāu mau manawa hānai.

E hoʻomanaʻo i nā mea āpau āu e hana ai ma ke ʻano he makuahine, kou aloha, nānā, a me ka mālama, e kōkua ia e hāʻawi i kāu pēpē i ka hoʻomaka maikaʻi loa o ke ola.

Johnston M, Landers S, Noble L, Szucs K, Viehmann L; 'Academylelo AʻoʻAmelika Hui PūʻIa Pediatrics. ʻO ka hānai hānai a me ka hoʻohana ʻana i ka waiū kanaka. Pediatrics. 2012; 129 (3): e827-e841. PMID: 22371471 pubmed.ncbi.nlm.nih.gov/22371471/.

Lawrence RM, Lawrence RA. ʻO ka umauma a me ka physiology o ka lactation. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 11.

Parks EP, Shaikhkhalil A, Sainath NA, Mitchell JA. ʻO ka hānai ʻana i nā pēpē olakino, keiki, a me nā ʻōpio. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 56.

ʻO Newton ER. Lactation a me ka waiū hānai. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 24.

Pūnaewele ʻoihana Hana o ʻAmelika Hui Pū ʻIa. Mahele o ka uku a me ka hola. Haki ka manawa no nā makuahine hānai. www.dol.gov/agencies/whd/nursing-mothers. Loaʻa iā Mei 28, 2019.

• Hānai umauma
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