Ke kali nei me ka hoʻomanawanui ʻole o kekahi makuahine i kēia manawa: ʻo ka mea ke pāʻani ʻo ia i kahi ʻōpū puni, he hōʻailona o kahi hanana hauʻoli e hiki mai ana. ʻO nā ʻōkuhi mua o ka hāpai hāpai ʻike pinepine ʻia i ka hopena o ke kolu o ka malama, akā pili ia i nā makuahine e kali ana a me ka helu o nā hāpai keiki.

Hōʻike pinepine nā ʻōkuhi mua o ka hāpai ʻana ma ka hopena o ka malama ʻekolu. ʻO ka uterus, ʻoi aku ma kēia manawa ʻoi aku ka nui ma mua o ka huaʻulu, i kēia manawa nui loa e komo i loko o ka lua pelvic. No laila hoʻi i loko o ka lua o ka ʻōpū, e hōʻike ana i kahi ʻūlū liʻiliʻi i ka ʻōpū o lalo. I ka hā o ka mahina, ʻo ka kōpū ka nui o ka niu a hōʻea i waena o ka pubis a me ka piko, me ka waiho ʻole i ka kānalua no ka hāpai ʻana.

Inā ʻaʻole kēia he pēpē mua, hoʻomaka paha ka ʻōpū e hoʻopuni i kahi liʻiliʻi ma mua no ka mea ʻoi aku ka maʻalahi o nā mākala i ka uterus. Akā pili ia i nā wahine a me kā lākou moʻomeheu. I ke kumu o ka momona a momona paha, ʻoi aku ka paʻakikī o ka ʻōpū āpau e ʻike ai no nā kumu like ʻole: hiki i ka momona o ka ʻōpū ke "pale" i ka uterus, ʻoi aku ka mea nui ʻole o ke kaumaha i ka wā o ka hāpai ʻana a ʻo ka pēpē, he nui kona wahi, mālama e hoʻonoho iā ia iho i ʻokoʻa i loko o ka ʻōpū, emi i mua.

Wahi a ka huaʻōlelo "ʻōpū kiko, moe kolohe", kahi ʻōpū i mua e hōʻike ana i kahi kaikamahine. Akā ʻaʻohe ʻepekema noiʻi i hōʻoia i kēia ʻōlelo. Eia kekahi, ʻo kēia ala o ka wānana ʻana i ka moekolohe o ka pēpē e like me ka ʻōpū o ka makuahine hiki ke loli e like me nā wahi a me nā ʻohana, a i kekahi manawa, ʻo ia ka ʻaoʻao i ʻoi aku: ʻo ka ʻōpū kiʻekiʻe a kiʻekiʻe, he keikikāne ia. ; poepoe a haʻahaʻa, he kaikamahine ia.

Pili ke ʻano o ka ʻōpū i ke kūlana o ka pēpē i ka utero, akā i nā hihia āpau ka mana o ka wahine o kāna pēpē i kāna kūlana a i kāna neʻe ʻana i loko o ka ʻōpū.

Mai nā piko mua, he mea nui e mālama i kou ʻōpū i mea e pale aku ai i ke ʻano o nā kaha kau. Pili ka pale ʻana i kēia mau hana ʻelua:

• ʻai i ka papaʻai kaulike i mea e hōʻalo ai i ka loaʻa ʻana o ke kaupaona hiki wawe i ka hoʻoweliweli ʻana i ka ʻili i ka mimiki ikaika;
• Mai ka hoʻomaka o ka hāpai ʻana, moisturize i nā wahi i ka makaʻu i hoʻokahi a ʻelua mau manawa paha i ka lā i mea e hoʻonui ai i ka ʻili o ka ʻili, e lawe ana i ka manawa e lomilomi i mea e hoʻomaha ai nā olonā.

Nui a hewahewa nā anti-kikoo i nā kalima lomilomi a i ʻole nā ​​aila ma ka makeke, akā ʻaʻohe mea ʻepekema i hōʻoia e holo. Eia nō naʻe, kū i waho kahi o nā mea hoʻohui: Centella asiatica extract (kahi lāʻau lapaʻau e hoʻolauna i ka hana o collagen a me nā olonā lahilahi) alpha tocopherol a me collagen-elastin hydrolystas (centella) (1).

Ma ka laulā, i ka wā o ka hāpai ʻana e koho mākou i ka mālama meaola e hōʻalo i ka hōʻike ʻana i ka fetus i nā endocrine disruptor.

Hiki iā mākou ke huli i nā huahana kūlohelohe, koho ʻia pū kekahi. Ma ka hāʻawi ʻana i nā lipids i ka ʻili, hoʻoikaika ka aila mea kanu i kona elasticity. Hiki iā ʻoe ke hoʻohana i ka aila ʻai o ka ʻalemona ʻono, ka avocado, ka niu, ka hua palaoa, ka rosehip, ka argan, ka primrose ahiahi, a i ʻole ka pata shea.

I mea e hoʻonui ai i kā lākou pono, hiki ke hoʻohui i nā aila kūpono me ka hoʻoponopono hou ʻana, ka hoʻoliʻiliʻi ʻana o ka ʻili a me nā waiwai hoʻōla e like me nā geranium ʻākala, zest mandarin ʻōmaʻomaʻo a i ʻole helichrysum. No ke ana a me ka hoʻohana ʻana o nā aila pono ʻē aʻe, e ʻimi i ka ʻōlelo aʻoaʻo mai kahi kauka lāʻau a lāʻau lāʻau paha, no ka mea ua hoʻopiʻi ʻia kekahi i nā wahine hāpai.

Pono pono ka lawe ʻana i ka lipid waha no ka maikaʻi o ka ʻili a me ke kūpaʻa ʻana i ka ʻola ʻana. I kēlā me kēia lā, no laila e mālama mākou i ka hoʻopau ʻana i nā aila mea kanu (aila rapeseed, walnuts), nā hua chia, nā iʻa aila liʻiliʻi, a me nā meaʻai ʻē aʻe i waiwai i ka omega.

I ke kumu, ʻaʻole koi ʻia ka lāʻau ponoʻī i ka wā hāpai. Ma ke ʻano he akahele e koi ʻia e kūkākūkā i ka hihia o nā poʻo poʻo poʻo nui a i ʻole ʻole e hele ana, ke kuni, ke ʻano o ka maʻi flu. I kēia manawa, hiki ke lawe i kekahi mau lāʻau e hōʻoluʻolu ai i ka ʻeha o ke poʻo. Wahi a ka Center Reference on Teratogenic Agents (CRAT) (1), e pili ana i nā analgesics o ka ʻanuʻu 1:

• ʻO ka paracetamol ka analgesic laina mua, me ka nānā ʻole i ka manawa o ka hāpai keiki. E makaʻala e mahalo i nā lāʻau (3 g / lā palena ʻole). Eia naʻe, ua huki ʻia nā noiʻi hou i ka makaʻu i nā makaʻu o ka lawe nui ʻana i ka paracetamol no ka fetus a me ke olakino o ke keiki hānau ʻole. ʻO kahi noiʻi i mālama ʻia e ka Barcelona Environmental Epidemiology Research Center (2) no laila kahi hiʻohiʻona i kahi loulou ma waena o ka loaʻa mau o ka paracetamol i ka wā hāpai a me ka hoʻonui ʻana i ka pilikia o ka nānā ʻana i nā keiki, a me nā maʻi o ka pae autism i nā pēpē. ʻOiai ke kali nei no nā ʻōlelo olakino hou e hiki, no laila he mea pono e akahele a mai loaʻa ʻole i ka paracetamol "reflex" i kahi ʻeha iki.
• hiki ke hoʻohana ʻia ka aspirin i kekahi mau manawa i loko o nā mahina ʻelima mua o ka hāpai ʻana (24 mau wiki o ka amenorrhea). Ma waho aʻe o 24 mau pule, aspirin ≥ 500 mg / lā contraindicated maʻamau a hiki i ka hānau keiki.
• nā NSAID āpau (non-steroidal inflammative drug) i contormalicated maʻamau mai 24 mau pule ma luna. Ma mua o 24 mau pule, pono e hōʻalo i nā lāʻau kūmau. E hoʻomaopopo naʻe, ma nā manawa he nui, ka loiloi Mea kau ua aʻo ʻia no kāna ʻāpana e kūʻē i ka hoʻohana ʻana o NSAID i ka wā o ka hāpai ʻana. ʻO ka makaʻala hou loa ma hope o ka nānā ʻana a ka Nord-Pas-de-Calais Pharmacovigilance Center nāna i hōʻike kahi hihia o ka pani mua ʻia ʻana o ka ductus arteriosus (kahi moku e hoʻopili ana i ke aʻa o ka pulmonary i ke aorta o ka fetus) i kahi fetus ma hope o hoʻokahi lāʻau. o kahi NSAID e kahi wahine he 8 mau mahina hāpai (3). "I ka hapa mua o ka hāpai keiki, ma muli o kā lākou waiwai lāʻau, hiki i nā NSAID ke hōʻike i ka nui o ka hopena o nā ʻōnaehana kūlohelohe, a aia kekahi mau kānalua e pili ana i nā kīnā ʻole o ka puʻuwai." nā ʻōlelo paipai a ka ANSM (French Medicines Agency) e kūʻē i ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal mai ka mahina 2017 o ka hāpai ʻana (4). No paracetmol, no laila pono e 'akahele loa.

No ka mālama ʻana i ka neʻe ʻana o ka migraine me nā triptans, hōʻike ʻo CRAT hiki ke hoʻohana ʻia ka sumitrapan me ka nānā ʻole i ka manawa o ka hāpai keiki. Inā holo ʻole ka sumatriptan, hiki ke hoʻohana ʻia ka rizatripan a me ka zolmitriptan.

Ma ka ʻaoʻao o ka lāʻau ʻē aʻe:

• hiki i ka acupuncture ke hana maikaʻi no ka hōʻeha poʻo poʻo;
• Hāʻawi ka homeopathy i nā lāʻau like ʻole e pili ana i nā ʻano o ka headache, nā maʻi ʻē aʻe i pili a me ko lākou kūlana.

ʻO ke noi ʻana i nā compresses anu a i ʻole nā ​​ʻūhū gel ʻeha ʻeha kūikawā hiki ke kōkua i ke kōkua i ka ʻehaʻeha.