Inā ʻoe e hāpai ana i kahi pēpē, ua lohe paha ʻoe i ka moʻolelo o "kou haki wai" a i ʻole "kou haki wai." I kekahi manawa, e like me kāu e ʻike ai ma nā kiʻiʻoniʻoni, hiki i kou wai ke haki i ka manawa hoʻokahi, a i ʻole hiki ke haki mālie. Akā, ʻaʻole kēia e hana maoli no nā mea āpau. I kekahi manawa, ʻoiai me nā ʻeha hānau, ʻaʻole haki kou wai. I ia mau hihia, pono paha i kāu kauka ke haki i kou wai. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he amniotomy. E nānā kākou i ke ʻano o ia mea, no ke aha i hana ʻia ai, a me nā mea āu e pono ai e ʻike e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka amniotomy?
I ka wā hāpai, ua hoʻopaʻa palekana ʻia kāu pēpē i loko o kahi ʻeke i piha i ka wai i loko o kou ʻōpū. Ua kapa pinepine ʻia kēia ʻo "ʻeke wai" a ua ʻike ʻia ma ke ʻano lapaʻau ʻo "ʻeke amniotic." ʻO ka wai i loko o kēia ʻeke ua kapa ʻia ʻo "wai amniotic." Hana kēia wai ma ke ʻano he uluna no kāu pēpē a pale iā ia mai ka pōʻino i kona neʻe ʻana a puni.
A hiki i ka manawa e hānau ai ke pēpē, pohā maoli kēia ʻeke wai a puka mai ka wai amniotic. ʻO kēia ka mea a mākou e kapa nei ʻo "ka haki ʻana o ka wai." Eia naʻe, no kekahi mau makuahine, ʻaʻole paha e haki kēia ʻeke ʻoiai lākou e hānau ana. I kēlā manawa, hana ʻia e ke kauka, ʻo ia hoʻi, me ka manaʻo, e uhaʻi i kēia ʻeke wai, i kapa ʻia he amniotomy a i ʻole Artificial Rupture of Membranes (AROM) . Ke haki ka ʻeke wai ma kēia ʻano, hoʻonui ʻia nā ʻūlū o ka ʻōpū, kahi e kōkua ai i ka wehe ʻana o ka cervix.
No ke aha lā e hoʻoholo ai ke kauka e hana i kekahi mea e like me kēia?
Hana pinepine ʻia kahi amniotomy e wikiwiki ai kāu hana. Eia naʻe, ʻaʻole kūpono ia no nā mea āpau no ka mea he mau pilikia kona. Aia kekahi mau kumu nui e hoʻoholo ai kāu kauka i kēia hoʻoholo.
| Kumu | He aha ka mea e hana ʻia me kēia? |
|---|---|
| E hoʻolalelale a hoʻomaka paha i ka hana | Ke haki kou wai, hiki ke hoʻokuʻu ʻia nā hormones e hoʻoulu ai i kou ʻōpū e ʻūlū ikaika. Eia kekahi, ke haki kou wai, kaomi pololei ke poʻo o ke pēpē i kou cervix. ʻO kēia kaomi ke kumu o ka wehe wikiwiki ʻana o kou cervix. |
| No ka nānā pono ʻana i ke kūlana o ka pēpē | I kekahi manawa pono ʻoe e ʻike pololei i ka puʻuwai o kāu pēpē. Ma kahi o kahi monitor waho i kau ʻia ma kou ʻōpū, hiki i kahi monitor liʻiliʻi i kau ʻia ma ke poʻo o kāu pēpē (kahi monitor fetal kūloko) ke hāʻawi i ka ʻikepili maopopo. No ka hana ʻana i kēia, pono e haki kou wai. |
| No ka nānā ʻana i ka wai amniotic | Ke loaʻa i kahi pēpē ko lākou neʻe ʻana o ka ʻōpū mua i loko o ka ʻōpū, ua kapa ʻia ʻo ia he meconium. Hiki ke lilo kēia i mea weliweli inā komo ia i loko o nā māmā o ka pēpē. Hiki i nā kauka ke nānā i ke kahe e puka mai ana i waho i ka wā e haki ai ka wai e ʻike inā aia ia ma laila, a inā pēlā, hiki iā lākou ke hoʻomākaukau e omo i ka ihu a me ka waha o ka pēpē ma hope o ka hānau ʻana. |
Eia nō naʻe, aia nā manaʻo like ʻole ma waena o nā kauka e pili ana i ka holomua o kēia kaʻina hana amniotomy. Hōʻike kekahi mau noiʻi i ka wā hāpai olakino, ʻaʻole ia e wikiwiki i ka hānau ʻana, a ʻoi aku ka maikaʻi o ka ʻae ʻana i ke kaʻina hana kūlohelohe e hele i kāna ala. Akā hōʻike kekahi ʻikepili hiki iā ia ke wikiwiki i ka hānau ʻana ma kahi o hoʻokahi hola.
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 ke ʻano kēia, ua palupalu kou cervix, lahilahi, a ua hoʻohaʻahaʻa piha ʻia ke poʻo o kāu pēpē. A laila, e kau ʻia nā pads absorbent a i ʻole nā kāwele ma lalo ou e omo i kekahi wai e puka mai ana.
ʻO ka mea aʻe, hoʻohana ke kauka i kahi mea hana plastik lahilahi i kapa ʻia he amnihook . He mea lōʻihi ia, e like me ke kui me kahi wēlau piʻo iki. Hoʻokomo ʻia ia ma o ka vagina, e ʻimi i ka ʻeke wai, a hana i kahi lua liʻiliʻi i loko. A laila e hoʻomaka ka wai e puka i waho.
No laila, he ʻeha kēia?
ʻAʻole. ʻAʻole ʻeha ka hapa nui o nā makuahine i ka wā e hana ʻia ai kēia. ʻOiai inā ua hāʻawi mua ʻia ʻoe i kahi epidural, ʻaʻole ʻoe e ʻike i kekahi mea. ʻO ka mea nui loa, ʻaʻole ia e hōʻeha a hōʻeha paha i ka pēpē. No kekahi mea i lawe ʻole i nā mea hoʻomaha ʻeha, hiki i ka amniohook ke ʻoluʻolu iki i ka wā e hoʻokomo ʻia ai, akā ʻaʻole ia he ʻeha.
He aha nā pōmaikaʻi a me nā pilikia o kahi amniotomy?
E like me nā hana lapaʻau a pau, aia nā pono a me nā pilikia. He mea nui iā ʻoe e makaʻala i nā mea ʻelua.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| Hiki ke wikiwiki ka hana. | Ka iho ʻana o ke kaula umbilical: Iho ke kaula umbilical i loko o ka vagina ma mua o ka hānau ʻana o ka pēpē. Hiki i kēia ke ʻoki i ka lako oxygen o ka pēpē a hana i kahi pilikia . |
| Hiki ke nānā pono ʻia ka puʻuwai o ka pēpē. | Ke kaomi ʻana o ke kaula umbilical: Hoʻemi ʻia ka lako o ka oxygen i ka pēpē ma muli o ke kaomi ʻana o ke kaula umbilical. |
| Hiki ke nānā i ka wai no ka meconium. | Nā Pōʻino o ka ʻoki ʻana o ka wai: Inā huli ka pēpē i ka breech ma hope o ka haki ʻana o ka wai, pono paha ʻoe e hana i ka ʻoki ʻana o ka wai. |
| Maʻi: He pale pale ka ʻeke wai no ka pēpē. Ke haki, piʻi aʻe ka pilikia o ka maʻi i ka hala ʻana o ka manawa. | |
| Hoʻonui ʻia ka ʻeha: Ke pau ka uluna wai, hiki i nā ʻūmiʻi ʻōpū ke lilo i mea ikaika loa no kekahi poʻe. |
Aia kekahi mau manawa i kūpono ʻole ai ke uhaʻi i ka ʻeke wai?
ʻAe, ʻoiaʻiʻo nō. I kekahi mau hihia, hiki ke hoʻoweliweli ka hana ʻana i kēia. Ua maopopo i ke kauka kēia. ʻAʻole hana pinepine ʻia ka amniotomy i nā hihia e like me kēia:
- Inā ʻaʻole e kū pono ana ke poʻo o ka pēpē i lalo (no ka laʻana, inā aia lākou i ke kūlana breech).
- Inā ʻaʻole i iho piha ke poʻo o ke pēpē i loko o ka pelvis a ʻaʻole i kau pono ʻia, kapa nā kauka i kēia 'fetal station'.
- Inā ʻaʻole "mākaukau" ka cervix no ka hānau ʻana (He cervix "maikaʻi"). ʻO ia hoʻi, ʻaʻole ia he palupalu, lahilahi, a hāmama.
- Inā loaʻa iā ʻoe kahi maʻi kakaikahi akā weliweli loa i kapa ʻia ʻo vasa previa, kahi e hele ai nā kīʻaha koko o ke pēpē ma o ka cervix, ʻo ka haki ʻana o ka ʻeke wai hiki ke hoʻoweliweli i ke ola o ke pēpē.
ʻO ka mea hope loa, he hana ka amniotomy e hiki ke kōkua i ke kaʻina hana. He ʻokoʻa kēlā me kēia hāpai ʻana. ʻAʻole i hōʻoia ʻia e wikiwiki i kāu hana. Hana ʻia kēia hoʻoholo ma muli o nā kumu he nui, me ke olakino o kāu pēpē a me ka manawa o kou hānau ʻana. ʻO ka mea nui loa, ʻo ia ke kūkākūkā i nā nīnau a hopohopo paha āu e loaʻa ai me kāu kauka.
Leka Lawe-Home
- ʻO ka amniotomy ka wā e wāwahi ai ke kauka i ka ʻeke wai e kōkua i ka hānau ʻana. Akā, ʻaʻole ia he mea e hana ai nā kānaka a pau a kūpono paha.
- ʻOiai he mau pono kēia e like me ka wikiwiki ʻana o ka hānau ʻana, aia pū kekahi mau pilikia e like me nā pilikia o ke kaula umbilical a me nā maʻi.
- ʻO kāu kauka wale nō, ka mea i ʻike maikaʻi loa i ke olakino o kāu pēpē a me ke olakino o kāu pēpē, hiki ke hoʻoholo inā kūpono kēia kaʻina hana a ʻaʻole paha.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka e pili ana iā lākou. ʻO ka ʻike e hāʻawi iā ʻoe i ka ikaika e kū i kēia kūlana me ka hilinaʻi.
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