ʻO nā pilikia postpartum i nā puaʻa guinea

Aia ma lalo ke kiʻi maikaʻi loa o kahi hānau kūleʻa i makemake ʻia e nā puaʻa puaʻa āpau e ʻike. 

Ma hope o ka palu ʻana o ka wahine i nā keiki hou a hoʻomaʻemaʻe iā ia iho, pono e ʻae i nā keiki e omo waiū. ʻO ka mea mua āu e ʻike ai, inā maikaʻi ka hānau ʻana, ʻo ia ka wahine e noho ana ma ke kihi o ka hale me kāna mau keiki a puni; maʻemaʻe a maloʻo nā keiki, e omo waiu kekahi o lākou. ʻAʻohe koko liʻiliʻi a liʻiliʻi paha ma luna o ka moena, a ʻike paha ʻoe i kekahi mau hānau hānau ʻelua e waiho ʻole ʻia ka mumps. Ma hope o ka hānau maʻamau, pōloli ka mumps a hānai i nā keiki me ka mālama nui a me ke aloha. Ma hope koke o ka hānau ʻana, hiki i nā keiki ke holo, a i loko o nā hola 48 mua e hoʻomaka lākou e ʻai i ka meaʻai paʻa.

He mea maʻamau ka lilo ʻana o ke kaumaha o nā pups i nā lā mua 3 a i ʻole 4, a laila e piʻi koke ke kaumaha a hiki i ko lākou kaumaha kumu ma mua o ka hopena o ka pule mua o ke ola. E ʻālohilohi ko lākou mau maka, ʻaʻole pono ke nānā aku i ka ʻili o nā keiki, a ʻaʻole i ʻōleʻa ko lākou ʻaʻahu. 

E lilo ana ka wahine maʻamau i ke kaumaha ma ke ʻano o ka litter he nui, akā inā mālama ʻo ia i ka makemake maikaʻi a nānā i ke olakino. Ma hope o kona ho'ōki ʻana i ka hānai ʻana i kāna ʻōpiopio, e piʻi koke ke kaumaha.

I loko o nā lā ʻelua e hiki mai ana ma hope o ka hānau ʻana, hiki i ka wahine ke ʻike i ke kahe koko māmā mai ke ala hānau, a ma hope o ka pani ʻana o ka membrane vaginal. Inā kaumaha ke koko a i ʻole he ʻala maikaʻi ʻole ke koko, a ʻaʻole i lawa ka hana ʻana o ka mumps, a laila hōʻike paha kēia i ka hānau ʻana a i ʻole ke keiki e waiho ana i loko o ka ʻōpū. Pono e lawe koke ʻia ka puaʻa guinea i ke kauka lapaʻau.

I loko o ka lua o ka ʻōpū, aia nā pēpē i loko o nā membrane fetal i hoʻopiha ʻia me ka wai. I ka wā o ka hānau ʻana, huki ka wahine i ka ʻōpū me kona mau niho a haʻihaʻi i nā membrane fetal. Inā ʻaʻole e hana ʻia kēia no kekahi kumu, e make ana ka pēpē i ka ʻūhā.

Inā hānau ʻia ka hānau ʻana i mua o ka mea nona, a laila hiki iā ia ke hoʻokuʻu i kahi keiki mai nā membrane. No ka hana ʻana i kēia, pono ʻoe e uhaʻi i ke kiʻiʻoniʻoni kokoke i ka muzzle o ke keiki hānau hou, hoʻomaʻemaʻe i ka waha o ka waha a me ka ihu o ka mucus a, paʻa paʻa i kou lima, lulu ikaika i ke keiki i nā manawa he nui. Kōkua kēia i ka hoʻihoʻi ʻana i ka hanu. A laila, holoi pono me kahi lole palupalu. A laila, he mea nui ʻaʻole e hāʻawi iā ia i mea inu.

Pono e waiho ʻia ke keiki hānau ma kahi kokoke i kahi kumu wela, e like me ka ʻōmole wai mahana, a mālama ʻia i ka mahana. Ma hope o hoʻokahi hola, hiki i ke keiki ke neʻe iā ia iho, hiki ke waiho ʻia ma ka ʻaoʻao o kona makuahine. Akā, no ka mea, ʻaʻole ʻo ia i palu i ke keiki, ʻaʻole ʻo ia i ʻike iā ia iho, no laila pono e waiho pono ʻia ma lalo o ka ʻōpū o ka wahine a hōʻoia e ʻae ʻo ia.

Inā hōʻole ka wahine i ke keiki, hiki iā ʻoe ke hoʻāʻo hou ma hope aku, akā inā hoʻomau ʻo ia e kipaku iā ia, pono ʻoe e hānai i ke keiki.

I kekahi manawa hōʻole ka wahine e hānai i nā keiki. ʻO ka pinepine kēia i nā wahine primiparous, no ka mea hiki ke paʻakikī iā lākou ke hoʻololi koke i ke kūlana o ka makuahine makuahine. Pono e waiho ia mau puaʻa iā lākou iho a me nā keiki, e hāʻawi i ka maluhia a me ka mālie. Inā ʻaʻole ia e hoʻonā i ka pilikia ma hope o 6-8 mau hola, a laila hiki iā ʻoe ke hoʻāʻo i kēia: e hoʻokomo iā lākou i loko o kahi pahu liʻiliʻi liʻiliʻi me ka lawa ʻole o ka lumi e holo ai me ka hopohopo. I ka manawa e ʻae ai ka wahine i nā keiki e omo waiū a hoʻomaka e mālama iā lākou, ʻo ia hoʻi ua ʻae a aʻo ʻo ia i ke kuleana o ka makuahine, a laila e hoʻonohonoho pono nā mea a pau.

ʻAʻole pōloli maoli nā pēpē no nā hola 12 mua. Eia naʻe, inā hoʻomau ka wahine i ka hōʻole ʻana i ka hānai ʻana, pono ʻoe e hoʻohana i ka hānai ʻana a i ʻole e hoʻāʻo e ʻimi i kahi makuahine hānai no nā keiki. Pono ʻoe e wikiwiki, i ʻole e make lākou i ka pōloli. 

ʻOi aku ka mākaukau o ka hapa nui o nā wāhine i ka wā hānau hou a hānai pono i nā ʻōpiopio. Akā, ʻaʻole pono e hoʻohana ʻia ka wahine i hōʻole i ka hānai ʻana i ka pua e hiki mai ana no ka hānau ʻana, no ka mea, hiki ke hoʻoili ʻia ka hemahema o ka makuahine e nā keiki ola. ʻO kahi ʻē aʻe, hiki ke hāʻawi ʻia nā mea hoʻomaha mālie a hiki i ka ʻae ʻana o ka wahine i nā keiki, akā no nā kumu i ʻōlelo ʻia ma luna, ʻaʻole pono e hoʻohana ʻia kēia wahine i ka hana hānau.

Loaʻa kēia pilikia i kēlā me kēia manawa, ʻoi aku ka nui o nā litters. Loaʻa ka ʻehaʻeha o ka wahine i ka wā e hānai ai, a ʻike ʻia ka pōʻino nui ma ka ʻili a me ke kapa. E holoi i nā ʻeha a me nā wahi ʻili e pili ana me ka decoction o ka chamomile a i ʻole kahi hopena disinfectant maʻalahi, a laila e hoʻomoʻi i kahi ʻaila ʻoluʻolu a palupalu i ka ʻili.

E makaʻala ʻaʻole e hoʻohana i nā huahana hiki ke pōʻino ke ʻai ʻia e nā pups. Hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau no ka mumū o nā nipples i hoʻohana ʻia e nā kānaka. Hiki ke laha i ka umauma ka ma'i o ka ili a puni na nipples a hooulu i ka mastitis.

ʻO ka mastitis kahi maʻi o ka umauma. Lilo ka ʻeleʻele i ʻulaʻula, mahana, paʻakikī a pehu. Mānoanoa ka waiū a loaʻa i kahi ʻulaʻula melemele. ʻAi ka hapa nui o nā wahine a ʻike ʻia he maʻamau, akā hiki mai ke kuni a me ka pau ʻana o ka ʻai. ʻO ka hōʻike ʻana i ka waiū he ʻāpana pono o ka mālama ʻana. No ka hana ʻana i kēia, e ʻomi mālie i ka nipple me kou mau manamana lima i nā manawa he nui i ka lā, a laila holoi me ka pulupulu me ka wai mehana, kopa liʻiliʻi a holoi me ka wai maʻemaʻe.

ʻO kēia lapaʻau, me ka lomilomi mālie o ka ʻili, hoʻomaikaʻi i ke kahe koko a hoʻoikaika i ka ho'ōla. Inā pau ka ʻai ʻana o ka wahine a ʻaʻole hoʻi i hoʻomaikaʻi ʻia i loko o kekahi mau lā, pono e nīnau ʻia ke kauka lapaʻau no ka mālama hou ʻana, e komo pū ana me ka lāʻau antibiotic (e nānā i ka ʻatikala Antibiotics and Guinea Pigs).

I nā hihia paʻakikī, hiki ke ʻōlelo ʻia ka loiloi microbiological me nā moʻomeheu e hoʻoholo ai i nā lāʻau antibiotic ka hopena maikaʻi loa. Pono e hoʻoponopono ʻia nā pilikia hoʻomaʻemaʻe cell e loaʻa nei (inā loaʻa) e pale aku i nā maʻi like i ka wā e hiki mai ana.

Ma kēia mea, e nāwaliwali koke nā keiki, a make paha kekahi o lākou (a i ʻole nā ​​​​mea āpau). Hiki ke kumu o ka nele i ka waiū ma muli o ke koʻikoʻi a i ʻole ka mastitis, a inā ʻaʻole e hoʻi mai ka waiū, pono e hānai ʻia nā keiki a hoʻāʻo paha e ʻimi i kahu hānai no lākou. Akā ma luna o nā mea a pau, e ho'āʻo e haʻalele i ka makuahine a me nā keiki i kahi noho mālie a mālie, e hāʻawi iā lākou i ka nui o nā greens juicy a me nā mea kanu, a me ka mauʻu maikaʻi loa e hiki ke loaʻa. Hoʻopau pinepine ka pilikia iā ia iho i loko o 24 mau hola. Eia nō naʻe, i ka hihia o ka mastitis i loko o ka wahine, pono e hoʻohana ʻia ka lāʻau i hōʻike ʻia ma luna.

Ma hope o ka hānau ʻana, nalowale ka lauoho o ka wahine ma muli o ka hoʻololi ʻana o ka hormonal hānau. ʻO ka hapanui pinepine, ʻike ʻia nā wahi me ka ʻaʻahu haki i ka symmetrically ma ka sacrum. He mau ʻōhule nō hoʻi. Inā ulu ka ʻili i nā ʻeha a me nā waimaka, e holoi iā lākou me kahi hopena disinfectant māmā i kēlā me kēia lā. Mai hopohopo, e hoʻomaka ka ulu lauoho maʻamau i hoʻokahi pule a ʻelua paha.

Hiki paha iā ʻoe ke ʻike i kahi ʻano ʻano ʻino o ka ʻiʻo i kou kua. Ma muli paha o ka ʻai ʻole a pono e hoʻoponopono ʻia e pale aku i nā pilikia hou aʻe. I kēlā me kēia lā - a hiki i ka hala ʻana - pono e holoi ʻia ka pōʻino, a laila hamo ʻia me kahi ʻaila ʻoluʻolu a palupalu. Inā loaʻa kahi maʻi, pono e nīnau koke i ke kauka holoholona. 

I kaʻu hoʻomaʻamaʻa ʻana, loaʻa iaʻu kahi kūlana kahi i nalowale ai ke kapa o kahi keiki i kekahi mau lā ma hope o ka hānau ʻana. Ua nānā maikaʻi ʻo ia, me nā maka ʻālohilohi, a i loko o 4 mau pule ua maʻamau hou kona ʻaʻahu.

© Mette Lybek Ruelokke

Aia ka ʻatikala kumu ma http://www.oginet.com/Cavies/cvbirpo.htm.

© Unuhi a Elena Lyubimtseva