Inā kokoke ʻoe e hānau, ua lohe paha ʻoe i ka huaʻōlelo "ka haki ʻana o ka wai." I kekahi manawa hiki ke hana koke ʻia, e like me nā kiʻiʻoniʻoni, a i ʻole hiki ke hana mālie. No nā poʻe he nui, hana maoli kēia me nā ʻeha hānau. Eia naʻe, i kekahi manawa ʻaʻole. ʻOiai he ʻeha, ʻaʻole haki ka wai. I kēlā manawa, hiki i kāu kauka ke kuhikuhi "e uhaʻi kākou i ka wai." Ma ke ʻano lapaʻau, ua kapa ʻia kēia he amniotomy, a i ʻole Artificial Rupture of Membranes (AROM). I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa .
I ka ʻōlelo maʻalahi, he aha ka amniotomy?
E noʻonoʻo ʻoe aia kāu pēpē i loko o ka ʻōpū, i loko o kahi ʻeke pale e like me ka pōpō i piha i ka wai. Ua kapa ʻia kēia ʻeke ʻo ka ʻeke amniotic, a i ʻole ma ka ʻōlelo maʻamau , ʻo ka wai amniotic . Ua kapa ʻia ka wai i loko he wai amniotic. Mālama kēia ʻeke i ka pēpē mai ka hoʻolei ʻia ʻana a puni a kōkua i ka pēpē e noho ʻoluʻolu.
I ka wā hānau keiki, haki kēia ʻeke wai a puka mai ka wai i loko. Hana maoli kēia. Akā i nā hihia i hiki ʻole ai kēia, hoʻohana ke kauka a kahu hānai paha i kahi mea hana kūikawā e uhaki i kēia ʻeke wai, i kapa ʻia ʻo amniotomy .
I ka ʻōlelo maʻalahi, ʻo ka amniotomy ka wā e wāwahi ai ke kauka i kāu ʻeke wai e maʻalahi ai a wikiwiki paha ka hana.
No ke aha e hana ai nā kauka i kēia?
Hoʻoholo ke kauka i kēia no kekahi mau kumu. ʻAʻole hana ʻia no nā kānaka a pau, hana ʻia wale nō ke pono loa. E nānā kākou i nā kumu nui.
- E hoʻolalelale a hoʻolalelale paha i ka hānau ʻana: I kekahi manawa hoʻomaka nā ʻeha hānau a lohi loa ka wehe ʻana o ka cervix. Ke haki ka ʻeke wai, kaomi pololei ke poʻo o ke pēpē ma luna o ka cervix. ʻO kēia kaomi ke kumu o ka ʻūlū ʻana o ka uterus, ʻo ia hoʻi, hoʻonui ka ʻeha a hoʻomaka ka cervix e wehe koke. Eia kekahi, hiki i kēia kaʻina hana ke hoʻokuʻu i kekahi mau hormones e hiki ke hoʻolalelale i ka hānau ʻana.
- E nānā pono i kāu pēpē: I kekahi manawa, pono ʻoe e ʻike pololei i ka puʻuwai o kāu pēpē. ʻOi aku ka pololei o kahi mea nānā liʻiliʻi o loko o ka fetal, i hoʻopili ʻia i ke poʻo o kāu pēpē, ma mua o kahi mea nānā waho i kau ʻia ma kou ʻōpū. No ke kau ʻana i kēia mea nānā kūloko, pono ua haki ka ʻeke wai.
- E nānā i ka wai amniotic:ʻO ka ʻōpala mua a ke pēpē e hemo ai ua kapa ʻia ʻo meconium. I kekahi manawa, hemo kēia ʻōpala i ka wā e noho ana ke pēpē i loko o ka ʻōpū. Inā hana ʻia kēia, ua hui pū ʻia ka ʻōpala me ka wai amniotic. Ma ka nānā ʻana i ke kala o ka wai e puka mai ana i ka wā e haki ai ka ʻeke wai (inā he ʻōmaʻomaʻo), hiki i nā kauka ke ʻike inā ua hemo ka pēpē i ka ʻōpala. Inā pēlā, hiki iā lākou ke hoʻomākaukau e omo i ka ihu a me ka waha o ka pēpē i ka wā e hānau ai ke pēpē. ʻO kēia no ka mea ʻaʻole maikaʻi no ka pēpē ke ale i kēia wai i hui pū ʻia me nā ʻōpala.
Pehea ʻoe e hana ai i kēia? He ʻeha anei?
He hana maʻalahi loa kēia. ʻO ka mea mua, e nānā kāu kauka i kou cervix e ʻike inā ua mākaukau no ka hānau ʻana, ʻo ia hoʻi ua palupalu a lahilahi iki. E nānā pū lākou e ʻike inā ua iho pono ke poʻo o ke pēpē i loko o ka pelvis. Inā maikaʻi nā mea āpau, e hana ʻia ka amniotomy.
A laila, e hoʻokomo ʻia ʻoe ma lalo o kou ʻōpū me nā pale a i ʻole nā kāwele e omo ai. A laila, e hoʻohana kāu kauka i kahi mea lahilahi, plastik, ma kahi o 12 ʻīniha ka lōʻihi, me kahi makau e like me ka makau crochet. Ua kapa ʻia kēia he amnihook . Hoʻokomo ʻia kēia mea hana ma o kou vagina a hou mālie i ka ʻeke wai, e hana ana i kahi lua liʻiliʻi. A laila e hoʻomaka ka wai e puka i waho.
ʻAʻole ʻeha ka hapa nui o ka poʻe i ka wā e hana ʻia ai kēia. ʻO kēia no ka mea ʻaʻohe aʻalolo ʻike ʻeha i loko o ka ʻeke wai. Inā ʻoe e hānau ana, a inā he mea like me ka epidural no ka ʻeha, ʻaʻole ʻoe e ʻike iki i kēia. ʻAʻole ia e hōʻeha a hōʻeha paha i ka pēpē.
Ma hope o ka hana ʻana i kēia, e ʻike koke ʻoe a lohi paha i kahi wai mehana e puka mai ana mai kou ʻōpū. Ma hope o kēlā, e lilo paha kou ʻeha hānau i mea ikaika iki a hoʻomaka e kokoke mai. ʻO ke ʻano kēia ua holomua ke kaʻina hana a ke holomua nei ka hānau ʻana.
He aha nā pōmaikaʻi a me nā pilikia o ka amniotomy?
E like me nā hana lapaʻau āpau, aia nā pono a me nā pilikia. Na kāu kauka e wehewehe i kēia mau mea iā ʻoe.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| Ka hānau wikiwiki ʻana: Ke kaomi nei ke poʻo o ke pēpē i ka cervix, e ikaika aʻe nā ʻūmiʻi o ka ʻōpū a hiki ke hana koke ʻia ka hānau ʻana. | Ka Pohō ʻana o ke Kaula Umbilical: He liʻiliʻi loa ka pilikia o ka hāʻule ʻana o ke kaula umbilical i loko o ka vagina ma mua o ka hānau ʻana o ka pēpē. He pilikia kēia e hiki ai ke ʻoki i ka lako oxygen o ka pēpē. |
| Ka hiki ke nānā pono i ka pēpē: Hiki ke hoʻohana ʻia kahi mea nānā kūloko e nānā pono i ka puʻuwai o ka pēpē me ka pololei loa. | Ka Paʻa ʻana o ke Kaula Umbilical: Ke haki ka wai, hiki ke paʻa ke kaula umbilical ma waena o ke poʻo o ke pēpē a me ka paia o ka ʻōpū, e hōʻemi ana i ka lako oxygen o ke pēpē. |
| ʻIke ʻana i ka Meconium: Ma ka ʻike mua ʻana inā ua pau ka ʻōpala i ke pēpē, hiki iā ʻoe ke mākaukau e hāʻawi i ka mālama olakino e pono ai ma hope koke o ka hānau ʻana. | Nā Pōʻino o ka Hānau Cesarean: Inā loli ke kūlana o ka pēpē (e.g., huli i ka breech) ma hope o ka haki ʻana o ka ʻeke wai, pono paha ka ʻoki ʻana o C-section. |
| Maʻi: He uhi pale ka ʻeke wai no ka pēpē. Ke haki, nui ka manawa e piʻi ai ka maʻi i ka ʻōpū. ʻO ka lōʻihi o ka haki ʻana o ka wai a me ka lohi o ka hānau ʻana, ʻoi aku ka nui o ka pilikia. | |
| Hoʻonui ʻia ka ʻeha: Hiki i kekahi poʻe ke ʻike i nā ʻeha hānau koʻikoʻi i ka wā e kaomi pololei ai ke poʻo o ke pēpē i ka cervix i ka wā e nalowale ai ka uluna wai. |
Aia kekahi mau manawa i manaʻo maikaʻi ʻole ai kēia?
ʻAe, ʻoiaʻiʻo nō. ʻAʻole kūpono ka amniotomy no nā kānaka a pau. ʻAʻole e hana nā kauka inā loaʻa nā kūlana ma lalo nei:
- Inā ʻaʻole i lalo ke poʻo o ke pēpē: Mai hana i kēia inā aia ke pēpē i ke kūlana transverse a breech paha.
- Inā ʻaʻole i lalo ke poʻo o ka pēpē i loko o ka pelvis: Inā ʻaʻole i lalo piha ke poʻo o ka pēpē a ʻaʻole i paʻa ma ka cervix, aia ka pilikia nui o ka puka ʻana o ke kaula umbilical inā haki ka ʻeke wai.
- Inā ʻaʻole i mākaukau ka cervix: Inā mānoanoa a pani ʻia ka cervix (cervix maikaʻi ʻole), he paʻakikī ke hoʻoulu i ka hānau ʻana ma ka hana ʻana i kēia.
- Ke kūlana Vasa Previa:He kūlana kakaikahi kēia akā he mea weliweli loa. I kēia hihia, hele nā kīʻaha koko o ka pēpē ma o ka cervix. Inā haki ka ʻeke wai, hiki ke hōʻino ʻia kēia mau kīʻaha koko a hiki ke pilikia ke ola o ka pēpē.
Aia nā manaʻo like ʻole ma waena o nā kauka e pili ana i ka wikiwiki maoli o ka amniotomy i ka hānau ʻana. Hōʻike kekahi mau noiʻi hiki iā ia ke hoʻopōkole i ka hānau ʻana ma kahi o hoʻokahi hola. Wahi a kekahi ʻoi aku ka maikaʻi o ka ʻae ʻana i ka wahine e hānau kūlohelohe i ka wā hāpai olakino.
ʻO ka mea hope loa, na kāu kauka kēia hoʻoholo e hana, ma hope o ka noʻonoʻo ʻana i nā kumu he nui, e like me kou olakino a me ke olakino o kāu pēpē, ka holomua o kāu hana, a pēlā aku. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e ʻoluʻolu e kūkākūkā me kāu kauka.
Leka Lawe-Home
- ʻO ka amniotomy ka wā e wāwahi ai ke kauka i kāu ʻeke wai e kōkua i ka hānau keiki ʻana.
- Hana ʻia kēia no nā kumu e like me ka wikiwiki ʻana o ka hānau ʻana, ka nānā ʻana i ka pēpē, a i ʻole ka nānā ʻana i ka wai amniotic.
- ʻAʻole ʻeha kēia kaʻina hana, akā e hoʻonui paha ka ʻeha o ka hānau ʻana ma hope.
- ʻOiai he mau pono kēia, aia paha kekahi mau pilikia, e like me nā pilikia o ke kaula umbilical a me nā maʻi.
- ʻAʻole kēia he ʻano hana i kūpono no nā kānaka a pau. Na kāu kauka e hoʻoholo i kēia ma muli o kou kūlana a me ke kūlana o kāu pēpē.
- ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia i hiki iā ʻoe ke hana i ka hoʻoholo palekana a maikaʻi loa no ʻoe a me kāu pēpē.
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