Hoʻopau i ka ʻeha hānau? E kamaʻilio kākou e pili ana i kēia!

Inā ʻoe e hāpai ana i kahi pēpē, ʻo kekahi o nā nīnau nui āu e loaʻa ai i kēia mau lā, pehea e hoʻoponopono ai i ka ʻeha hānau, ka ʻeha e hele mai me ka hānau ʻana o kāu pēpē. ʻOiaʻiʻo, ʻaʻole like ka ʻike o kēlā me kēia kanaka. ʻO ka nui o ka ʻeha āu e manaʻo ai ma muli o kekahi mau kumu. No ka laʻana, ka nui o ka pēpē, ke kūlana o ka pēpē, ka ikaika o kou mau ʻūmiʻi ʻōpū, a me kou hiki ke hoʻomanawanui i ka ʻeha.

No ke aha lā e hiki mai ai kēia mau ʻeha hānau? Pehea lā ko lākou manaʻo?

I ka ʻōlelo maʻalahi, ʻo nā ʻeha hānau ke kumu o ka ʻūlū ʻana a me ka hoʻomaha ʻana o kou ʻōpū (contracting). ʻO kēia ke kōkua i ka hoʻokuke ʻana i ka pēpē i lalo o ke kahawai hānau. I kēia manawa, ke hoʻomaka nei kou cervix e wehe (dilate) a lahilahi (effacing), i mea e hoʻomākaukau ai no ka puka ʻana mai o ka pēpē. Hiki paha iā ʻoe ke ʻeha mai ke kaomi ʻana o ke poʻo o ka pēpē ma luna o kou ʻōpū mimi a me nā ʻōpū. Ma hope mai, hiki paha iā ʻoe ke ʻeha i ka wā e paʻi ai ka pēpē ma kou vagina.

ʻO ka hapa nui o ka manawa, ʻo ka ʻeha nui loa i ka wā hānau, ʻo ia nā ʻūmiʻi. ʻOkoʻa ke ʻano o kēia ʻeha mai kēlā kanaka a i kēia kanaka. ʻAʻole paha like ia i kekahi hāpai ʻana me ka hāpai ʻana aʻe. No nā mea he nui, ua like ia me ka ʻeha ʻoi ma ke kua a me ka ʻōpū haʻahaʻa, a me ke kaomi i loko o ka ʻōpū. Wahi a kekahi , ua like ia me ka wā hānau . No kekahi, ua like ia me kahi nalu ikaika o nā ʻūmiʻi, me he mea lā e pohā ana ka ʻōpū.

I kekahi manawa , ʻoi aku ka hopohopo o ka poʻe e pili ana i ka hoʻomaha ʻana i ka ʻeha ma mua o ke koʻikoʻi o ka ʻeha, pehea kona mau, a me ka lōʻihi o kona mau. ʻElua ala nui e hōʻemi ai i ka ʻeha hānau: ka lāʻau lapaʻau a me ka lāʻau ʻole.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu mea mālama hāpai e pili ana i kēia mau ʻano hoʻopau ʻeha. Loaʻa i kēlā me kēia ʻano kona mau pono a me nā pōʻino. ʻO ke kamaʻilio ʻana e pili ana i kēia mau mea ma mua o kou hānau ʻana i kāu pēpē e maʻalahi ai ka hoʻoholo ʻana i ka wā e hiki mai ai ka manawa.

He ʻeha maoli anei ka hānau ʻana o kahi pēpē?

He nui ka poʻe e ʻeha iki i ka wā hānau, ʻoiai me nā lāʻau hoʻomaha ʻeha. Hiki ke ʻokoʻa ke ʻano o kēia ʻeha, pehea ka lōʻihi o kona mau ʻeha, a me kahi e ʻeha ai mai kēlā kanaka a kēia kanaka a mai kēlā hāpai ʻana a i kēia hāpai ʻana.

He aha nā koho no ka hōʻemi ʻana i ka ʻeha i ka wā hānau?

He mea nui e ʻike i nā koho hoʻomaha ʻeha i loaʻa i ka wā hānau. E ʻoluʻolu e kūkākūkā i kēia me kāu kauka ma mua o ka hānau ʻana o kāu pēpē. ʻO ka ʻike i ka mea e manaʻo ai a me nā pono a me nā pōʻino o kēlā me kēia mea hoʻomaha ʻeha e kōkua iā ʻoe e hoʻoholo i ka wā e hiki mai ai ka manawa.

E hoʻomanaʻo, ʻokoʻa paha nā koho hoʻomaha ʻeha hiki iā ʻoe ke koho ma muli o nā kūlana kikoʻī o kāu hana. Ma loko o kāu hana ʻana, e kōkua kāu kauka iā ʻoe e koho i ke koho hoʻomaha ʻeha kūpono iā ʻoe, ma muli o kou kūlana a me kou ʻoluʻolu.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi anesthesiologist (he kauka loea i ka hoʻokele ʻeha) e wehewehe i nā koho hoʻomaha ʻeha, e like me ka epidural a i ʻole ka anesthesia spinal. E hauʻoli ka anesthesiologist e pane i nā nīnau āu e loaʻa ai.

ʻO kēia kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia i ka wā hānau keiki:

1. Nā lāʻau hoʻomaha ʻeha

Hāʻawi nā kauka i kēia mau lāʻau hoʻomaha ʻeha, i kapa ʻia ʻo "Analgesics," ma o ka laina IV (intravenous) a i ʻole i loko o kahi ʻiʻo e kōkua i ka hōʻemi ʻana i ka ʻeha o ka hānau ʻana. ʻAʻole hoʻopau loa kēia mau lāʻau i ka ʻeha, akā hiki iā lākou ke hōʻemi nui iā ia. No ka mea, pili kēia mau "Analgesics" i kou kino holoʻokoʻa a hiki ke hoʻohiamoe iā ʻoe a me kāu pēpē, hoʻohana nui ʻia lākou i nā wā mua o ka hānau ʻana e kōkua iā ʻoe e hoʻomaha a mālama i ka ikehu.

Pehea e hoʻohana ʻia ai kēia mau mea (Analgesics) i ka wā hānau keiki?

Hāʻawi ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau i hāʻawi ʻia ma ke kino a i ʻole he inikini i loko o kahi ʻiʻo. Ke ālai nei lākou i kāu pane ʻana i ka ʻeha, ʻaʻole e hoʻopau iā ia. ʻO nā analgesics kahi ʻano lāʻau lapaʻau i kapa ʻia he opioid.

He aha nā pilikia o ka hoʻohana ʻana i nā opioids i ka wā hānau?

ʻO ka hoʻohana ʻana i nā opioids no ka ʻeha hānau hiki ke hoʻopilikia i ka hanu ʻana i ka pēpē ma hope koke o ka hānau ʻana, a hiki ke hoʻoluhi i ka pēpē a "ʻike ʻole paha." No laila, e nīnau pono i kāu kauka a anesthesiologist paha e pili ana i nā pono a me nā pōʻino o ka hoʻohana ʻana i nā analgesics.

2. Anesthesia kūloko

Hoʻomānoʻo ka anesthesia kūloko i kahi ʻāpana liʻiliʻi o kou kino, e like me kou vagina a me nā wahi a puni. Hāʻawi nā kauka i kēia i ka wā e kokoke ana ʻoe e hānau (a inā pono nā humuhumu ma hope o ka hānau ʻana o ke pēpē).

He aha ka anesthesia kūloko no ka hānau keiki ʻana?

Hoʻohana ʻia kēia e hoʻomāmā i kahi ʻāpana liʻiliʻi o kou kino i ka wā hānau. E hoʻokomo ke kauka hoʻomāmā i kahi mea hoʻomāmā i loko o nā aʻalolo e lawe ana i ka manaʻo i ka wahi. No ka laʻana, hiki iā ia ke hoʻomāmā i ka vagina, vulva a me ka wahi ma waena o ka vagina a me ka anus (perineum). He mea pono loa ia inā pono ʻoe e hana i kahi episiotomy a inā pono ʻoe e hoʻoponopono i kahi haehae i loko o ka vagina ma hope o ka hānau ʻana. He mea kākaʻikahi nā hopena ʻaoʻao mai ka anesthetic kūloko.

He aha ka Pudendal Block?

He ʻano anesthesia kūloko nō hoʻi ka poloka pudendal. Pili kēia i ka hāʻawi ʻana i kahi inikini i loko o kou aʻalolo pudendal. Hāʻawi nā kauka i kēia i ka wā e hānau ai kāu pēpē. Hoʻēmi kēia i ka ʻeha a puni kou vagina a me ka anus i ka wā e neʻe ai kāu pēpē i lalo o ke kahawai hānau a puka i waho o kou vagina. Makemake pinepine nā kauka e hoʻohana i kahi lāʻau i kapa ʻia ʻo lidocaine no ka poloka pudendal no ka mea ʻoi aku ka lōʻihi o ka hana ma mua o nā lāʻau lapaʻau ʻē aʻe.

3. Anesthesia ʻĀpana

ʻO ka anesthesia kūloko ke ʻano maʻamau a maikaʻi loa o ka hoʻomaha ʻeha i ka wā hānau. Hiki iā ia ke hōʻemi nui a hoʻopau loa paha i ka ʻeha mai kou kua i lalo. Hiki ke hoʻohana ʻia inā he ʻoki C kāu, a i ʻole ka ʻoki cesarean. ʻEkolu ʻano o ka anesthesia kūloko: spinal, epidural, a me ka hui pū ʻana o nā mea ʻelua (hui pū ʻia me ka spinal/epidural). I kēlā me kēia o kēia mau ʻano hana, hoʻokomo kahi anesthesiologist i kahi lāʻau i loko o nā aʻalolo ma kou kua i lalo e "āpau" i ka ʻeha ma kahi nui o kou kino i kou wā e ala ana.

He aha nā ʻano ʻekolu o ka anesthesia kūloko i hoʻohana ʻia i ka wā hānau keiki?

• Poloka Epidural: Hoʻokomo kāu anesthesiologist i kahi paipu plastik lahilahi, i kapa ʻia he catheter, i loko o kou kua. Waiho ʻia kēia paipu a hiki i ka pau ʻana o ka hana a ua hoʻopili ʻia i kahi pamu. Hiki iā ʻoe ke lawe i nā lāʻau liʻiliʻi e like me ka mea e pono ai i ka wā hana. Inā pono ʻoe e hana i kahi ʻoki C, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau ikaika ma o kēia paipu. ʻO ka epidural ke ʻano kaulana loa o ka hōʻoluʻolu ʻeha ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. Hoʻomānoʻo ia i kou kua haʻahaʻa a me nā wāwae. He 15 mau minuke ka lōʻihi no ka hoʻomaka ʻana o ka epidural e hana. Hiki nō iā ʻoe ke neʻe a puni ma kahi moe a hoʻololi i nā kūlana me kahi epidural.
• Poloka Spinal: Hoʻohana pinepine ʻia kahi poloka spinal ma hope o ka ʻoki ʻoki C-section i hoʻolālā ʻia. Hoʻohana ka anesthesiologist i kahi nila lahilahi e hoʻomānoʻonoʻo i ka wahi a puni kou kaula spinal (ke kahawai spinal). Hana wikiwiki kēia ʻano hana a hiki ke mālama iā ʻoe me ka ʻeha ʻole no kahi o ʻelua hola. ʻAʻole e like me ka epidural, ʻaʻole hāʻawi ka poloka spinal i ka hoʻomaha mau.
• ʻO Combined Spinal-Epidural (CSE): He hui pū ʻana kēia o kahi epidural a me kahi spinal. Hāʻawi ka spinal i ka hoʻomāʻū wikiwiki ʻana a hiki ke hoʻohana ʻia me nā lāʻau lapaʻau hou inā pono.

I ka manawa hea e hāʻawi ʻia ai ka anesthesia kūloko?

ʻO ka manawa kūpono loa e loaʻa ai ka anesthesia kūloko e pili ana i ke ʻano o kāu a me kāu pēpē e pane ai i ka hānau ʻana. Inā ʻoe e noi i ka anesthesia kūloko i ka wā hānau, e kāhea kāu kauka i kahi anesthesiologist. A laila e hele mai ka anesthesiologist i kou lumi a hāʻawi i ka anesthesia. Pau ka ikaika o ka anesthesia kūloko i ka hala ʻana o ka manawa, no laila he mea nui ka manawa. E hōʻoia ke kauka aia kāu hānau ʻana ma ka pae kūpono o ka anesthesia. Eia nō naʻe, inā ʻoe e hoʻopaneʻe i ka loaʻa ʻana o kahi epidural, ʻaʻole paha ʻoe e loaʻa. ʻO ia ke kumu he manaʻo maikaʻi e aʻo e pili ana i nā koho anesthesia ma mua o ka hānau ʻana o kāu pēpē. ʻAʻohe lula paʻa a wikiwiki, a inā hoʻololi koke ʻoe i kou manaʻo, he koho mau ka epidural.

Inā ʻoe e noi ana i ka anesthesia kūloko, hiki iā ʻoe ke loaʻa i kahi anesthesia epidural a i ʻole ka anesthesia spinal, a i ʻole ka hui pū ʻana o nā mea ʻelua. E koho nā kauka i ke ʻano o ka anesthesia ma muli o kou olakino holoʻokoʻa a me ka holomua o kāu hānau ʻana.

Pehea ka hana ʻana o kahi epidural?

Hāʻawi ke kauka anesthesiologist iā ʻoe i kahi epidural ʻoiai ʻoe e noho ana a moe paha ma kou ʻaoʻao. ʻO ka mea mua, hoʻomāʻū ʻo ia i kahi wahi ma kou kua haʻahaʻa me kahi anesthetic kūloko. A laila, hoʻokomo ʻia kahi nila kūikawā i loko o ka wahi i hoʻomāʻū ʻia e ʻike i kahi kūpono e hoʻokomo ai i ka anesthetic. Ma hope o ka hoʻokomo ʻia ʻana o ka anesthesiologist, wehe ke kauka anesthesiologist i ka nila. Waiho ʻia kahi ʻōmole plastik liʻiliʻi i kapa ʻia he catheter epidural ma kahi ma hope o ka wehe ʻia ʻana o ka nila, e hāʻawi iā ʻoe i ka lāʻau ʻeha e like me ka mea e pono ai a hiki i ka pau ʻana o ka hānau ʻana.

E hoʻopilikia anei ka anesthesia kūloko i kaʻu pēpē?

Ua hōʻike ʻia he nui nā noiʻi he palekana ka anesthesia kūloko no ʻoe a me kāu pēpē.

Pehea ka wikiwiki o ka hopena o ka anesthesia kūloko a pehea ka lōʻihi o kona hopena?

Hoʻomaka ka hana ʻana o ka anesthesia epidural i loko o 10 a 20 mau minuke ma hope o ke komo ʻana. ʻO ka hoʻomaha ʻeha mai kahi epidural e mau a hiki i ka pau ʻana o kāu hana, no ka mea, hiki ke hāʻawi ʻia nā lāʻau lapaʻau hou aʻe ma o ke catheter i kēlā me kēia manawa.

Hoʻomaka koke ka hana ʻana o ka anesthesia spinal ma hope o ka hoʻokomo ʻana. ʻElua hola ka lōʻihi o ka hoʻomaha ʻeha. Inā manaʻo ʻia e lōʻihi ka lōʻihi o kou hānau ʻana, e hoʻokomo kāu kauka i kahi catheter epidural a hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻomau i ka hoʻomaha ʻeha no ka lōʻihi e pono ai.

ʻEhia ka nui o ka ʻeha e loaʻa iaʻu mai ka anesthesia kūloko?

ʻOiai ua nui kou hōʻoluʻolu mai ka ʻeha, hiki nō iā ʻoe ke manaʻo i kekahi kaomi mai kou ʻūmiʻi ʻana o ka ʻōpū. Hiki nō hoʻi iā ʻoe ke manaʻo i ke kaomi ke nānā ke kauka iā ʻoe. ʻAʻole paha ʻoe e hiki ke hele pinepine i ka manawa. Pono ʻoe e ala, makaʻala, a hiki ke manaʻo iā ia i ka wā e paʻi ai.

Pono anei au e noho ma kahi moe ma hope o ka loaʻa ʻana o ka anesthesia kūloko?

ʻAʻole pono. Hiki i kāu anesthesiologist ke hoʻoponopono i ka anesthesia i hiki iā ʻoe ke noho ma kahi noho a hele paha. Hiki i ka hele wāwae a noho paha ke kōkua i ka wikiwiki o ka hānau ʻana. Inā makemake ʻoe, e nīnau i kāu anesthesiologist e pili ana i kahi "epidural hele wāwae."

E hoʻopaneʻe anei ka epidural i kaʻu hana?

No kekahi poʻe, hiki ke lohi ka ʻūlū ʻana o ka ʻōpū no kekahi manawa pōkole ma hope o ka anesthesia kūloko. Akā no nā poʻe he nui, kōkua ka anesthesia kūloko iā lākou e hoʻomaha, a ma ka ʻae ʻana iā lākou e hoʻomaha, hoʻomaikaʻi maoli ko lākou ʻano ʻūlū.

Inā loaʻa iaʻu kahi epidural, e hiki anei iaʻu ke paʻi?

ʻAe. ʻO ka anesthesia kūloko e hiki ai iā ʻoe ke hoʻomaha me ka ʻoluʻolu a hiki i ka wehe ʻana o kou cervix. Ke hoʻonui piha ʻia kou cervix a hiki i ka manawa e paʻi ai, e loaʻa iā ʻoe ka ikaika hou aʻe. ʻAʻole pono ka anesthesia kūloko e hoʻopilikia i kou hiki ke paʻi. Pono ia e maʻalahi iā ʻoe ke paʻi.

Aia kekahi mau hopena ʻaoʻao o ka anesthesia kūloko?

E mālama pono kāu kauka anesthesiologist i nā hana palekana kūikawā e pale aku i nā pilikia. ʻOiai he kakaikahi nā pilikia, hiki i kekahi mau hopena ʻaoʻao ke komo pū me:

• Ke koko haʻahaʻa: E hāʻawi ʻia ʻoe i nā wai intravenous (IV fluids), a e nānā kāu kauka i kou koko e pale aku i ka hāʻule ʻana i lalo loa.
• ʻEleʻele iki i ka wā hānau: Inā lilo ka ʻeleʻele i mea hoʻonāukiuki, hiki i ke kauka anesthesiologist ke mālama iā ia.
• ʻEha poʻo: ʻO ka inu ʻana i nā wai a me ka lawe ʻana i ka lāʻau ʻeha ma hope o ka anesthesia kūloko hiki ke kōkua i ka ʻeha poʻo. Inā hoʻomau ka ʻeha poʻo, e haʻi i kāu kauka.
• Ka hopena aleri: ʻOiai he mea kakaikahi nā hopena aleri i nā anesthetics kūloko, hiki iā lākou ke koʻikoʻi.

Inā ua hana ʻia ʻoe i kahi ʻoki kino nui ma kou kua haʻahaʻa ma mua, a inā he mau pilikia olakino kou, ʻaʻole paha hiki iā ʻoe ke loaʻa i kahi poloka epidural a spinal paha. E kamaʻilio me kāu kauka e pili ana i nā pilikia o kahi poloka epidural a spinal paha ma muli o kou mōʻaukala olakino.

4. Anesthesia Laulā

Hoʻomoe loa ka anesthesia laulā iā ʻoe. ʻOiai he palekana ia, ʻo ke ʻano o ka anesthesia laulā ʻaʻole hiki iā ʻoe ke ʻike i kāu pēpē ma hope koke o ka hānau ʻana. Hoʻohana pinepine ʻia ia i nā pilikia.

I ka manawa hea e hoʻohana ʻia ai ka anesthesia laulā i ka wā hānau keiki?

ʻO ke ʻano o ka anesthesia laulā ke hiamoe loa ʻoe i ka wā hānau o kāu pēpē. Hana wikiwiki ia, akā he koho wale nō ia no nā ʻoki C-ʻeha ulia pōpilikia a i ʻole nā ​​​​pilikia ʻē aʻe, e like me ke kahe nui ʻana o ke koko i ka wā hānau.

He aha nā pilikia o ka hoʻomoe ʻana i kahi pēpē i ka wā hānau?

ʻO kekahi pilikia o ka anesthesia laulā, ʻo ia ke komo ʻana o ka meaʻai i loko o kou mau māmā (`(aspirating)`). ʻO ke ʻano kēia, ʻoiai ʻoe e hiamoe ana, puka mai ka meaʻai mai kou ʻōpū mai loko mai o kou waha a hanu ʻia i loko. ʻO kēia ka pilikia nui o ka anesthesia laulā, ʻaʻole wale no ka hānau keiki ʻana, akā no kekahi ʻoki kino.

5. ʻOkika Nitrous

ʻO ka nitrous oxide, a i ʻole "gas ʻakaʻaka," he kinoea ʻaʻohe ona ʻala a ʻono paha. Hanu ʻoe iā ia ma o kahi pale maka. Kōkua ia i ka hoʻēmi ʻana i ka hopohopo i ka wā hānau, akā ʻaʻole ia e hoʻopau loa i ka ʻeha.

He aha nā pōmaikaʻi a me nā pōʻino o ke kinoea ʻakaʻaka?

ʻAʻole hoʻohana nui ʻia ka nitrous oxide ma ʻAmelika Hui Pū ʻIa e like me ia ma nā ʻāina ʻē aʻe. He kinoea ia āu e hanu ai ma o kahi waha i ka wā e kokoke ana ʻoe e ʻūlū. Hana koke ia, akā pau koke nō hoʻi. Ke aʻo nei nā kānaka noiʻi olakino i nā hopena lōʻihi o ka nitrous oxide. Hiki i ka nitrous oxide ke hoʻopilikia i kou hanu ʻana, a hiki nō hoʻi ke hoʻoulu i ka nausea, ka luaʻi, a me ka poniuniu.

He aha nā ala kūlohelohe e hōʻemi ai i ka ʻeha o ka hānau ʻana?

Nui nā ala e mālama ai i kou ʻeha i ka wā hānau me ka ʻole o ka lāʻau lapaʻau. ʻAʻole hoʻohana pinepine ka Natural Childbirth i kekahi lāʻau lapaʻau. Akā, hoʻohana ka poʻe i nā hoʻomaʻamaʻa hanu a me nā ʻano hoʻomaha e kōkua iā lākou e hoʻomanawanui i ka hānau ʻana.

ʻO kekahi mau laʻana o nā ala e hōʻemi ai i ka ʻeha me ka ʻole o ka lāʻau lapaʻau:

• Ke lomilomi ʻia nei.
• He mea maikaʻi ke ʻauʻau a ʻauʻau paha i ka wai wela.
• Ke hoʻolohe nei i nā mele mālie a māmā.
• Ke luliluli nei ma luna o kahi pōpō hoʻoikaika kino ("(pōpō hānau)`).
• Ke hoʻomaʻamaʻa ʻana i nā hana hanu hohonu.
• Ke noʻonoʻo ʻana a i ʻole ka hoʻohana ʻana i ka hypnosis / hypnobirthing.
• Ke hoʻomaʻamaʻa nei i nā ʻano hana hoʻomaha ʻē aʻe.
• ʻAcupuncture (`(Acupressure)`).

I ka manawa pinepine, ʻo ka loaʻa ʻana o kāu kāne a hoa paha, kahi doula hānau, a i ʻole he hoaaloha kokoke i ka wā hānau hiki ke hāʻawi i ke kākoʻo nui a me ka hoʻoikaika maikaʻi. Ua kapa ʻia kēia he kākoʻo hana mau . Koho kekahi poʻe e hoʻohana i kēia mau ʻano kūlohelohe me ka lāʻau lapaʻau.

He aha ke ʻano hānau keiki ka mea ʻeha loa?

He nīnau paʻakikī kēia e pane ʻia no ka mea he nui nā mea e noʻonoʻo ai. ʻO kekahi o kēia mau mea e pili ana i ka nui o kāu pēpē, pehea ka laulā o kou pelvis, inā ua loaʻa iā ʻoe nā pēpē ma mua, a me ke ʻano o ke ʻano hānau āu e makemake ai.

ʻOiai he mea maikaʻi ke ʻike i kāu mau koho hoʻomaha ʻeha ma mua o kou hānau ʻana i kāu pēpē, he mea paʻakikī ke wānana i ka hānau ʻana. E kamaʻilio me kāu kauka e pili ana i kou mau hopohopo a na lākou e kōkua iā ʻoe e hoʻoholo i ka mea maikaʻi loa iā ʻoe.

Aia kekahi mau lāʻau ʻeha no ka ʻeha hānau?

Hiki i kekahi mau ʻano narcotics (narcotics / opioids) ke kōkua i ka hōʻemi ʻana i ka ʻeha āu e manaʻo ai i ka wā hānau. ʻOiai ʻaʻole lākou e hoʻopau loa i ka ʻeha, hiki iā lākou ke kōkua i ka hoʻomalu ʻana i kāu pane ʻana i ka ʻeha. E hāʻawi kāu kauka iā ʻoe i kēia mau mea ma ke ʻano intravenous (IV) a i ʻole ma ka injection, maʻamau i ka wā mua o ka hānau ʻana (ʻo kēia ka mea palekana loa). E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao o nā opioids, no ka mea, ua hōʻike ʻia lākou e hoʻoulu i nā hopena ʻaoʻao e like me ka hiamoe a me nā loli i nā ʻano hanu.

Hiki iaʻu ke hānau keiki me ka ʻeha ʻole?

ʻAʻole paha he hānau ʻeha loa. Eia nō naʻe, he nui nā koho e kōkua i ka hōʻemi a i ʻole ka hoʻokele ʻana i kou ʻeha i ka wā hānau. ʻIke like ʻole nā ​​​​kānaka a pau i ka ʻeha hānau. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke kamaʻilio me kāu kauka hānau keiki a i ʻole anesthesiologist e pili ana i kāu mau koho. ʻAʻole hiki ke wānana pinepine ʻia ka hānau ʻana a me ka hānau ʻana, a pono paha ʻoe e maʻalahi, akā he mea kōkua ka ʻike i nā mea āu e pono ai ma mua o ka hiki ʻana mai o kāu pēpē.

He aha nā koho ʻē aʻe i kahi epidural?

ʻO ka epidural ka mea i kamaʻilio nui ʻia a kaulana hoʻi ke ʻano o ka hoʻomaha ʻeha no ka hānau ʻana. Inā ʻaʻole ʻoe e manaʻo he pono ʻoe i kahi epidural, aia kekahi mau koho ʻē aʻe e hiki ke kōkua i ka hōʻemi ʻana i kou ʻeha. Hiki ke kōkua kahi poloka nerve pudendal a i ʻole acetaminophen (paracetamol) inā ʻaʻole ʻoe makemake i ka manaʻo o kahi epidural. A i ʻole, hiki iā ʻoe ke nānā i nā koho ʻaʻole lāʻau lapaʻau, e like me nā papa hānau.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

Hiki i ka hānau keiki ke lilo i mea ʻeha. No laila, ʻo ke aʻo ʻana e pili ana i nā koho āpau i loaʻa e hōʻemi i ka ʻeha e kōkua iā ʻoe e hoʻoholo i ka mea kūpono iā ʻoe. E noi i kāu kauka e wehewehe pehea e hana ai kēlā me kēia ʻano hana a me kā lākou e ʻōlelo ai ma muli o kou mōʻaukala olakino. ʻO ka loaʻa ʻana o kahi hoʻolālā i ka noʻonoʻo e pili ana i ka mea e manaʻo ai a pehea ʻoe e makemake ai e hoʻokele i ka ʻeha a me ka ʻoluʻolu ʻole o ka hānau keiki ʻana he ala maikaʻi ia e hoʻomākaukau ai iā ʻoe iho no kēia. Mai hopohopo, ʻaʻole ʻoe hoʻokahi, aia nā kauka a me nā kahu maʻi e hiki ke kōkua. Makemake mākou iā ʻoe i kahi hānau hauʻoli!

ʻEha hānau, hānau keiki, hoʻomaha ʻeha, epidural, poloka iwi kuamoʻo, hānau maoli, hāpai keiki