Kōkua! Kāpēpē kuʻu pēpē i ka waiū!

Anter

• He aha kaʻu e hana ai inā ʻeha kuʻu pēpē i ka waiū?
• No ke aha e ʻūpī ai kaʻu pēpē i ka wā e hānai ai i ka waiū?
• Pehea wau e pale aku ai i kuʻu pēpē mai ke kuhi ʻana i ka waiū ke hānai ʻoe?
• No ke aha e ʻūpī ai kaʻu pēpē i ka ʻōmole mai ka hue?
• Āhea wau e kāhea ai no ke kōkua?
• Lawe aku

Nānā ka nui o nā mākua i ka manawa hānai me kā lākou pēpē. He manawa kūpono ia e hoʻopaʻa ai a hāʻawi pū iā ʻoe i kekahi mau minuke o ka maluhia a me ka mālie.

Akā no kekahi, hiki i ka hānai ʻōmole a i ʻole ka hānai ʻana i ka waiū ke alakaʻi i ke kani ʻana a me ke kani ʻana o ke kani, kahi mea weliweli inā he makua hou ʻoe. ʻO ka mea pōmaikaʻi, aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i kāu pēpē mai ke kihi ʻana i ka waiū a i ʻole ka haʻina.

He aha kaʻu e hana ai inā ʻeha kuʻu pēpē i ka waiū?

Inā he nui ka peʻa o kāu pēpē i ka wā e ʻai ana, mai makaʻu. "ʻO ka choking a me ka gagging i ka wā o ka hānai ʻana he mea maʻamau ia i nā pēpē ʻōpio," wahi a Robert Hamilton, MD, FAAP, he pediatrician ma Providence Saint John's Health Center ma Santa Monica.

Ua ʻōlelo ʻo Hamilton ua hānau ʻia nā pēpē me ka "reflex hyper-gag reflex" i hoʻomāhuahua ʻia a hiki i ka gagging ke hānai ʻia. Hoʻohui, maʻalahi ka pēpē ma muli o kā lākou iho neurologic immaturity.

"Ke ulu nei nā pēpē a aʻo i nā ala hou e hoʻohana ai i ko lākou kino (a me nā waha) i kēlā me kēia lā," wahi a Amanda Gorman, CPNP a me ka mea hoʻokumu o Nest Collaborative, kahi hōʻuluʻulu o nā International Consultant Lactation Consultants International Board.

"ʻO ka pinepine, ʻo ke kū wale ʻana i ka hānai a hoʻonohonoho i ka pēpē me ke kū pono o ke poʻo a me ka ʻāʻī e hāʻawi iā lākou i kekona kekona e hoʻokele i ka pilikia."

ʻO Gina Posner, MD, kahi kauka kauka ma MemorialCare Orange Coast Medical Center, i ʻōlelo inā hoʻomaka ke pēpē o kāu pēpē, e haʻalele iā lākou i ka hānai ʻana no ka liʻiliʻi a paʻi hoʻi i ko lākou kua. "ʻO ka maʻamau, inā ʻokiʻoki lākou i nā wai, e hoʻonā koke ia," i ʻōlelo ʻo ia.

No ke aha e ʻūpī ai kaʻu pēpē i ka wā e hānai ai i ka waiū?

ʻO ke kumu maʻamau o ka pēpē ʻana o kahi pēpē i ka wā o ka hānai ʻana i ka waiū ʻoi aku ka wikiwiki ma mua o ka hiki i kāu pēpē ke ale. ʻO ka maʻamau, hiki kēia i ka wā e nui ai ka momona o ka waiū o ka makuahine.

Wahi a ka La Leche League International (LLLI), nā hōʻailona maʻamau o ka overupply me ka hoʻomaha ʻole ma ka umauma, ka ʻū ʻana, ka ʻū ʻana, a me ka waiū waiu, ʻoiai ma ka hoʻokuʻu ʻana, a me ka nahu ʻana i ka nipple e hoʻōki i ke kahe o ka waiū, a me nā mea ʻē aʻe.

Hiki paha iā ʻoe ke hoʻokuʻu i lalo i lalo, kahi e kumu ai i ka kahe ikaika o ka waiū i loko o ka waha o kāu pēpē. Ke hoʻonāukiuki ʻia kou umauma e kāu pēpē omo, ʻo ka oxytocin ke kumu o ka hoʻokuʻu let-down e hoʻokuʻu i ka waiū.

Inā loaʻa ʻoe i kahi hana ikaika a ikaika paha i lalo, wikiwiki wikiwiki kēia hoʻokuʻu no ka pane pololei ʻana o kāu pēpē, e ʻānai a ʻokiʻoki paha iā lākou ke hānai.

Pehea wau e pale aku ai i kuʻu pēpē mai ke kuhi ʻana i ka waiū ke hānai ʻoe?

ʻO kekahi o nā mea mua āu e hiki ai ke hana e pale aku i kāu pēpē mai ke kolohe ʻana ʻoiai e ʻai ana e hoʻololi i ka wahi hānai.

"No nā makuahine hānai hānai i ʻike ʻia i ka hoʻokuʻu nui ʻana i lalo, ʻōlelo pinepine mākou iā lākou e hānai i kahi kūlana moe, kahi e hoʻohuli i ka hopena o ka umekaumaha a ʻae i ka pēpē e loaʻa ka mana hou," wahi a Gorman.

Paipai ʻo Posner e huki i kāu pēpē mai ka umauma i kēlā me kēia manawa e kōkua iā lākou e hopu i ko lākou hanu a lohi. Hiki iā ʻoe ke lawe i kāu pēpē mai ka umauma no 20 a 30 kekona ke hoʻokuʻu mua kāu waiū.

Ma waho aʻe o kahi kūlana moe, ua paipai ka LLL e moe i kou ʻaoʻao i hiki i kāu pēpē ke ʻae i ka waiū e kahe mai kona waha ke kahe koke.

Eia kekahi, ke kōkua ʻana i ka waiū no 1 a 2 mau minuke ma mua o ka lawe ʻana mai i kāu pēpē i kou umauma. ʻO ka hana ʻana pēlā e hoʻokuʻu ai ka ikaika i mua o nā lathes pēpē. ʻ saidlelo ia, e akahele me kēia hana, ʻoiai ka pauma ʻana no ka lōʻihi e ʻōlelo i kou kino e hana hou i ka waiū a hoʻonui i ka pilikia.

No ke aha e ʻūpī ai kaʻu pēpē i ka ʻōmole mai ka hue?

Ke gags kāu pēpē ke inu ʻoe mai kahi ʻōmole, pinepine ia ma muli o ke kūlana. Ke waiho nei i kāu pēpē ma ko lākou kua i ka wā e hānai ana ka hue i kahi kahe o ka waiū wikiwiki, e paʻakikī ana i kāu pēpē e kaohi i ka nui o ka hānai ʻana.

"Ke kuhi nei i ka lalo o ka ʻōmole ma mua o ka nipple e hoʻonui ai i ka helu o ke kahe o ka waiū, e like me ka piko me kahi puka nui loa no ka makahiki o ke pēpē," ʻōlelo aʻo ʻo Gorman. ʻO ka huki ʻana i ka ʻōmole kiʻekiʻe loa hiki ke alakaʻi i ka hoʻonui pono ʻole ʻana i ka lawe a hāʻawi i nā pilikia e like me reflux.

Ma kahi o ka hānai ʻōmole ʻana i kahi pēpē, e hoʻāʻo e hoʻohana i kahi ʻenehana i kapa ʻia ka hānai ʻōmole paced. "Ma ka mālama ʻana i ka ʻōmole i ka honua, noho ka pēpē i ka kaohi o ka kahe waiū, ʻoiai lākou ma ka umauma," wahi a Gorman.

ʻAe kēia ʻenehana i kāu pēpē e huki ikaika i ka waiū mai ka ʻōmole e hoʻohana ana i kā lākou mākau omo a e ʻoki maʻalahi iā lākou ke pono. Inā ʻole, kaohi ka umekaumaha.

No nā pēpē i hānai ʻia i ka hue e nā mea mālama nui, ʻōlelo ʻo Gorman ʻo nā kānaka āpau e lawelawe i nā hānai e aʻo ʻia i ka hānai ʻōmole holo wāwae.

ʻO ka hope, ʻaʻole pono ʻoe e hāpai i ka ʻōmole i mea e hānai ai i kāu pēpē a hele aku. ʻOiai ʻaʻole hiki iā lākou ke kaohi i ke kahe o ka waiū, e hele mai ia inā ʻaʻole mākaukau kāu pēpē e ale.

Āhea wau e kāhea ai no ke kōkua?

"He paʻakikī ke ʻano hana o ka ale ʻana a koi aku i nā hui mākala e hana pū ana i ka ʻahamele a me ke kaʻina manawa kūpono," wahi a Hamilton. ʻO ka mea pōmaikaʻi, hoʻoliʻiliʻi pinepine ka gagging ʻana i ka wā e nui ai nā keiki a lilo i maikaʻi i ka ale ʻana.

Eia nō naʻe, inā he makua hou a mea mālama paha ʻoe, akamai ke lawe ʻana i ka resuscitation cardiopulmonary pēpē (CPR). ʻOiai he kakaikahi, kahi ʻāʻā choking i hoʻohuli i kāu pēpē e uliuli a i ʻole e lilo i ka ʻike ʻana he pilikia.

Inā loaʻa iā ʻoe nā pilikia e pili ana i ka hānai ʻana i ka waiū, e hoʻopili aku i kahi alakaʻi LLL a i ʻole International Board Certified Lactation Consultant (IBCLC). Hiki iā lākou ke kōkua iā ʻoe me ka latch a kāu pēpē, ke hoʻonohonoho ʻana, nā pilikia nui loa, a me nā pilikia hoʻokuʻu let down.

Inā loaʻa iā ʻoe nā pilikia e pili ana i ka hānai ʻōmole, e kāhea i kāu keiki pediatric. Hiki iā lākou ke kōkua iā ʻoe me ke koho ʻōmole a me ka nipple, a me nā kūlana hānai e pale ai i ke kolo ʻana i ka waiū a i ʻole ka haʻina.

Inā hoʻomau ka pēpē o kāu pēpē ma hope o ka hoʻolohi ʻana i ka helu o ka hānai ʻana, pono ʻoe e hoʻopili aku i kāu kaukō pediatrician e kāpae i nā kumu anatomical no ke aha e paʻakikī ai ka ale ʻana.

Lawe aku

Ke lohe ʻoe i kāu pēpē e gagging a ʻūʻū paha i ka wā o ka hānai ʻana, mai makaʻu. Lawe i ka pēpē mai ka piko a hāpai iā lākou e kōkua iā lākou e hoʻomaʻemaʻe i ko lākou ala.

ʻO ka manawa pinepine e lawe i kahi manawa liʻiliʻi no kāu pēpē e aʻo i ka omo me ka maʻalahi. I kēia manawa, e hoʻāʻo e kū pololei i kāu pēpē i ka wā o ka hānai ʻana a hoʻonui i ke kahe o ka waiū, inā hiki. Ma hope koke iho, ʻo ka manawa hānai he kau snuggle momona!