ʻO ka hāpai ʻana: haʻuki, sauna, hammam, ʻauʻau wela… he kuleana anei mākou a ʻaʻole paha?

E loaʻa i kahi sauna liʻiliʻi, e hele no kekahi mau minuke e hoʻomaha i ka hammam, e ʻauʻau me ka wela maikaʻi, e hana i kahi hoʻomaʻamaʻa ikaika ... Ma muli o ka pāpā ʻana i ka wā hāpai, ʻaʻole mākou ʻike maopopo loa i ka mea e hana ai a ʻaʻole paha e hana inā ʻoe. hapai. A he mea maopopo, hoʻopau pinepine mākou i ka hana ʻole, no ka makaʻu i ka pōʻino i ke olakino o ka pēpē!

Eia nō naʻe, he mau manaʻoʻiʻo wahaheʻe kekahi o nā mea i ʻōlelo ʻia, a ʻo nā hana he nui e hoʻonāwaliwali ʻia ma muli o kahi loina hoʻomalu i lawe ʻia i ke koʻikoʻi. A ʻo kēia ka hihia no nā haʻuki, hele i ka sauna / hammam a i ʻole ʻauʻau.

Sauna, hammam, ʻauʻau wela: ʻo kahi haʻawina ʻepekema nui e lawe i ka waiwai

Ka hui pū ʻana ʻikepili mai ka liʻiliʻi o 12 mau noiʻi ʻepekema, kahi ʻepekema meta-analysis e pili ana i kēia mau hana i ka wā hāpai i paʻi ʻia ma Malaki 1, 2018 ma ka "ʻO ka Lapaʻau Lapaʻau Pelekania o nā lāʻau lapaʻau".

Hōʻike nā mea noiʻi i kēlā ʻO ka mahana o loko o ke kino (ma ke kiʻekiʻe o nā mea koʻikoʻi) ua ʻōlelo ʻia he teratogenic, ʻo ia hoʻi ka pōʻino i ka pēpē, ke ʻoi aku ia ma mua o 39 ° C. No laila ua ʻae ʻia ʻo ka mahana o ke kino ma waena o 37,2 a me 39 ° C ʻaʻole ia e hōʻeha i ka fetus, a ʻoi aku ka nui inā ʻaʻole lōʻihi ka piʻi ʻana o ka mahana.

No kēia noiʻi nui, ua hōʻiliʻili nā ʻepekema mai ke Kulanui o Sydney (Australia), i ka ʻikepili a me nā hopena o nā haʻawina 12 i hana ʻia ma 347 mau wahine hāpai i hōʻike ʻia i ka piʻi ʻana o ka mahana o ke kino, ma muli o ka hoʻomaʻamaʻa kino, d ” he sauna a i ʻole ka hammam. , a i ʻole he ʻauʻau wela.

Nā hualoaʻa pololei a hōʻoluʻolu

ʻO ka mahana o ke kino kiʻekiʻe loa i ʻike ʻia i kēia mau haʻawina ʻo 38,9 ° C, ma lalo pono o ka paepae i manaʻo ʻia he teratogenic. Ma hope koke o ka hana (sauna, lumi mahu, ʻauʻau a hoʻomaʻamaʻa paha), ʻo ka awelika kiʻekiʻe o ke kino o nā wahine hāpai e komo ana he 38,3 ° C, a i ʻole. ma lalo o ka paepae o ka pilikia no ka fetus.

ʻO ka ʻoiaʻiʻo, ua hōʻuluʻulu ka haʻawina i nā kūlana e hiki ai i nā wahine hāpai ke hana i kēia mau hana like ʻole e hoʻonui ai i ka mahana o ke kino. Wahi a ka haʻawina, no laila hiki i ka wahine hāpai ke:

• hoʻoikaika kino a hiki i 35 mau minuke, ma ka 80-90% o kou puʻuwai kiʻekiʻee, ma kahi mahana ambient o 25 ° C a me kahi haʻahaʻa o 45%;
• hana a hana haʻuki wai i ka wai o 28,8 a 33,4 ° C no 45 mau minuke kiʻekiʻe;
• lawe i ʻauʻau wela ma 40 ° C, a hoʻomaha paha i kahi sauna ma 70 ° C a me 15% humidity no ka lōʻihi o 20 mau minuke.

No ka mea he pololei loa kēia mau ʻikepili a ʻaʻole paʻa loa, a ʻaʻole maʻalahi ke komo i kēia mau hana me ka ʻike piha o ka mahana a me ka haʻahaʻa o ka lumi, ua makemake mākou e nīnau. ke kukui o ke kanaka ma'i.

Sauna, hammam, haʻuki a me ka hāpai ʻana: ka manaʻo o Prof. Deruelle, lālā o ka National College of French Obstetrician Gynecologists

No Prof. Philippe Deruelle, gynecologist a me sKakauolelo Nui Obstetrics o ka CNGOF, he mea hōʻoluʻolu kēia meta-analysis o nā haʻawina ʻumikūmālua no nā wahine hāpai: " Aia mākou ma nā protocols paʻa, no ka laʻana me ka ʻauʻau ma 40 ° C, ʻoiai ʻoiaʻiʻo, e maʻalili koke ka ʻauʻau, a ʻaʻole i hoʻopaʻa ʻia ke kino, no laila. ʻAʻole mākou i loko o kēia mau kuʻuna koʻikoʻi “. Eia nō naʻe, ʻoiai me ia mau protocols, ʻaʻole i hiki i ka palena o ka pōʻino no ka fetus (a i ʻole teratogenicity), no laila " aia kahi lumi ", Manaʻo ʻo Professor Deruelle, nona mākou e hiki ai" e hilinaʻi i kēia meta-analysis e hōʻoluʻolu i nā wahine ".

Ka hana kino i ka wā hāpai: palekana a paipai ʻia!

No Polofesa Deruelle, ʻoi aku ka hōʻoluʻolu o kēia ʻimi ʻana e like me ka hōʻike maopopo ʻana palekana ka hana kino " No nā makahiki, ua hoʻohana nā kauka i kēia hopena teratogenic o ka hyperthermia e haʻi i nā wahine hāpai ʻaʻole e hoʻoikaika, me ka hoʻopaʻapaʻa ʻana he mea pōʻino ka piʻi ʻana o ka wela o ke kino i ka pēpē. », Minamina i ke kauka. ” Hiki iā mākou ke ʻike i kēia lā, ma o kēia mau haʻawina, ʻaʻole ʻoiaʻiʻo kēia, a hiki iā mākou ke hana i ka hoʻoikaika kino i ka wā o ka hāpai ʻana, ma kahi ʻē! Pono e hoʻololi wale ʻia kēia hana kino. ʻAʻole mākou e hana pololei i ka mea a mākou i hana ai i ka wā hāpai. Pono ka physiology o nā wahine hāpai i ka hoʻololi ʻana, me ka hoʻemi iki ʻana o ka lōʻihi a i ʻole ka ikaika o ka haʻuki, sauna a ʻauʻau paha. », Wehewehe ia Philippe Deruelle.

« I kēia lā, inā e hana nā wāhine Farani hāpai a pau i ʻumi mau minuke o ka haʻuki i ka lā ma ke ʻano kūpono, ʻo wau ka hauʻoli o ka obstetrician. ", Ua hoʻohui ia, kuhikuhi hou, evokes ka haʻawina i ka protocol o 35 minuke o physical haʻawina, ma 80-90% o kona kiʻekiʻe puʻuwai puʻuwai, i loa physical, a loaʻaʻole loaʻa. Inā ʻaʻohe pilikia i ka pēpē ma lalo o ia mau kūlana, no laila palekana ka hana ʻana i kahi manawa pōkole o ka hele wāwae, ʻauʻau a i ʻole kaʻa kaʻa i ka wā hāpai.

Sauna a me ka hammam i ka wā o ka hāpai ʻana: kahi pilikia o ka hōʻoluʻolu a me ka maikaʻi ʻole

I ka hele ʻana i ka sauna a i ʻole hammam ke hāpai ʻoe, ʻoi aku ka akahele ʻo Professor Deruelle ma kekahi ʻaoʻao. No ka mea, ʻoiai, e like me ka meta-analysis, ʻaʻole i hoʻonui ʻia kahi sauna ma 70 ° C no 20 mau minuke i ka mahana ma mua o ka palena e pōʻino ai ke pēpē, ʻaʻole ʻoluʻolu loa kēia wahi pani, saturated a wela loa i kou wā hāpai. . “ ʻO ka physiology o ka wahine hāpai e hele ai ʻaʻole maikaʻi ka ʻae ʻana i nā wela kiʻekiʻe, ke ʻike koke ʻia ka beta-HCG, ma muli o nā loli vascular a me ka luhi », Wehewehe mai o Professor Deruelle. Hōʻike ʻo ia ʻoiai he mea maikaʻi ke hele i ka sauna inā ʻaʻole ʻoe hāpai. ʻO ka hāpai ʻana he mea hoʻololi pāʻani a hiki ke hōʻoluʻolu i ke kūlanae. E hoʻomaopopo ʻaʻole ʻōlelo ʻia ka sauna a me ka hammam no ka poʻe e loaʻa ana i nā wāwae kaumaha a me nā veins varicose, no ka mea, pili kēia i ka ka hana i ke koko. ʻOiai ʻo ka hāpai pinepine ʻana me nā wāwae kaumaha, ʻoi aku ka maikaʻi o ka hoʻomaha ʻana i ka sauna a me ka hammam.

No ka ʻauʻau, ma ka ʻaoʻao ʻē aʻe, ʻaʻohe pilikia, no ka mea, ʻo ka wai i mālama ʻia ma 40 ° C no 20 mau minuke ʻaʻole ia he pilikia no ka pēpē i loko o ka ʻōpū. ” ʻAʻole ʻoluʻolu wau i ka ʻae ʻana o kekahi mau kauka i ka ʻauʻau », Ua ae aku o Polofesa Deruelle. ” ʻAʻole kēia i hoʻokumu ʻia ma kahi noiʻi ʻepekema, he papa paternalistic maoli ia Hoʻohui ʻo ia. Mai hoʻonele iā ʻoe iho i kahi ʻauʻau wela maikaʻi i ka wā hāpai inā makemake ʻoe, ʻoi aku ka mea hiki ke kōkua iā ʻoe e hoʻomaha i ka hopena o ka hāpai ʻana i ka wā e kokoke mai ana ka hānau ʻana.

ʻO ka holoʻokoʻa, a ma ka nānā ʻana i kēia meta-analysis hōʻoluʻolu o 12 mau haʻawina, ʻoi aku ka maikaʻi ʻaʻole e hoʻonele iā ʻoe iho i ka hana kino, kahi hammam / sauna (ka liʻiliʻi) a i ʻole kahi ʻauʻau wela maikaʻi inā makemake ʻoe. ma ka hoʻomau ʻana i nā hōʻailona o kona kino a me ka hoʻololi ʻana i kāna mau hana e like me ia. I kela wahine keia wahine o e imi i kou mau palena i kona hāpai ʻana ma ke ʻano o ka wela.