Ua hoʻomākaukau anei ʻoe no ka hānau ʻana, ua hoʻomaka ka hānau ʻana, a ua holo pono nā mea a pau, akā ua lohi koke nā mea a pau? Me he mea lā ua emi pinepine a emi iki paha kou ʻūlū ʻana? He mea maʻamau no ka makuahine ke makaʻu a hopohopo i nā manawa e like me kēia. Akā, mai hopohopo. I nā hihia e like me kēia, ke lohi a oki paha ka hānau maoli ʻana, hiki i nā kauka ke kōkua iā ʻoe a me kāu pēpē e hoʻopau palekana i ka huakaʻi ma ka hoʻolalelale hou ʻana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kaʻina hana, i kapa ʻia ʻo 'Augmentation of Labor'.
I ka ʻōlelo maʻalahi, he aha ka Augmentation of Labor?
ʻO ka 'Hoʻonui ʻana i ka Hana' ʻo ia ka wā ʻaʻole e holomua ka hana kūlohelohe e like me ka mea i manaʻo ʻia, ʻo ia hoʻi, inā ʻaʻole e holomua ka hana i ka wikiwiki i makemake ʻia, a laila e hoʻolalelale ʻia ke kaʻina hana e ke kōkua o waho. I ka pololei, e pili ana i ka hoʻoikaika ʻana i kāu mau ʻūmiʻi ʻōpū, a i ʻole nā ʻūmiʻi, i ʻoi aku ka ikaika a me ka pinepine.
Ma kēia, hoʻohana nā kauka i nā lāʻau lapaʻau a i ʻole nā ʻano hana ʻē aʻe e wikiwiki ai ka hānau ʻana. Pono paha kēia ʻano hana inā lōʻihi loa ka manawa ma waena o nā ʻūlū, a inā ua pau loa nā ʻūlū. No ka mea, ʻo ka hānau ʻana i lōʻihi loa hiki ke lilo i mea weliweli no ʻoe a me kāu pēpē.
He ʻelua mau mea like ʻole ka Augmentation a me ka Induction?
ʻAe. ʻO kēia kahi e huikau ai nā kānaka he nui. He ʻokoʻa loa kēia mau ʻano hana ʻelua.
ʻO ka hoʻoulu ʻana i ka hana ke kaʻina hana o ka hoʻomaka ʻana i ka hana (ma ka hāʻawi ʻana i ka lāʻau lapaʻau) i kahi mea i hoʻomaka ʻole i ka hana.
ʻO ka Hoʻonui ʻana i ka Hana he hana ia e wikiwiki ai ke kaʻina hana no kekahi i hoʻomaka mua i ka hana, akā lohi ke kaʻina hana.
I mea e maʻalahi ai ka hoʻomaopopo ʻana, e nānā kākou i kēia ʻano.
| ʻAno | Hoʻokomo ʻana i ka hana | Hoʻonui i ka Hana |
|---|---|---|
| Kumu | Ke hoʻomaka ʻole ke aniau, e hoʻomaka. | Inā nāwaliwali ka neʻe ʻana i hoʻomaka mua ʻia, e hoʻoikaika a hoʻolalelale iā ia. |
| Manawa kūpono | Ke hānau ʻole ʻia ka pēpē ma hope o ka hala ʻana o ke kau makahiki, a i ʻole i ka wā e loaʻa ai ka pilikia olakino o ka makuahine a i ʻole ka pēpē. | Ke kauō ka hana no nā hola he nui (ʻaʻole holomua). |
ʻO wai ka mea e pono ai kēia ʻōnaehana?
Pono paha ʻoe i kēia ʻano hana inā ʻoe e hana maoli ana (ʻaʻole i hoʻoulu ʻia) a ua pau ke kaʻina hana a lōʻihi paha. Kāhea nā kauka i kēia kūlana ʻo "failure to progress." ʻO ke ʻano kēia, ʻaʻole i holomua pono ka hana ma hope o 18-24 mau hola o ka hana.
Hiki ke hana ʻia kēia ma muli o kekahi mau kumu:
- ʻAʻole i haki ka ʻeke amniotic.
- Nā neʻe ʻana o ka ʻōpū palupalu a ʻano ʻole paha.
- Ka pau loa ʻana o ke kahe ʻana o ka wai.
He aha nā kūlana i kūpono ʻole ai kēia ʻano hana?
I kekahi manawa, ʻaʻole hoʻohana nā kauka i kēia ʻano hana. Eia nā kumu:
- Ke kūlana o ka pēpē: Inā aia ke pēpē i kahi kūlana paʻakikī (e.g. breech, transverse moe) ma mua o ke poʻo i lalo.
- Nā pilikia me kou ʻōpū: Inā he ʻiʻo ʻeha kou i loko o kou ʻōpū (Asherman syndrome).
- ʻO ka ʻoki caesarean ma mua: Inā he mau ʻeha ma kou ʻōpū mai kahi ʻoki C-section ma mua a i ʻole kekahi ʻoki ʻē aʻe, ʻaʻole paha e ʻōlelo ʻia kēia ʻano hana no ka mea aia kahi pilikia o ka hōʻino ʻia ʻana o ka ʻiʻo ʻeha ke ʻūlū nui ka ʻōpū.
Pehea e wikiwiki ai ka hana?
Ma mua o kēia kaʻina hana, e kamaʻilio kāu kauka me ʻoe e pili ana i nā koho hoʻokele ʻeha i ka wā hānau. I ka hapa nui o nā hihia, hiki iā ʻoe ke loaʻa i kahi epidural. A laila, ma muli o kou kūlana, e koho kāu kauka i ke ʻano kūpono loa.
ʻEkolu mau ʻano hana nui:
1. Ka uhaki ʻana i ka ʻeke wai (Amniotomy):
ʻO kēia ka mea a mākou i lohe ai he "wāwahi i ka ʻeke wai." ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻohana ʻana o ke kauka i kahi mea liʻiliʻi e like me ka makau plastik e wāwahi mālie i ka ʻeke amniotic e hoʻopuni ana i ka pēpē. Ke hoʻokuʻu ʻia ka wai amniotic, hiki i ke poʻo o ke pēpē ke paʻi pololei i ka cervix. ʻO kēia kaomi ke kumu o ka wehe hou ʻana o ka cervix, a e hoʻomaka nā ʻūlū e hele pinepine a ʻoi aku ka ikaika.
2. Nā lāʻau lapaʻau:
Maanei, e hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau ma o kahi saline drip (kahi IV drip). ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo Oxytocin (inoa inoa ʻo Pitocin®). He ʻano synthetic kēia o kahi hormone i hana maoli ʻia i loko o ko mākou kino. Hana kēia lāʻau lapaʻau ma ka hoʻoulu ʻana i ka uterus e ʻaelike a hoʻoikaika i ka uterus.
3. Catheter Baluna:
He ʻano hana kēia e wehe ai i ka cervix. Maanei, hoʻokomo ʻia kahi pōpō liʻiliʻi me kahi ʻōmole lahilahi (catheter) i loko o kou cervix a hoʻopiha ʻia. Ua like ia me ka puhi ʻana i kahi pōpō liʻiliʻi. ʻO ke kaomi mai kēia pōpō e hoʻonui ai i ka cervix, a wehe paha. Ke wehe pono ka cervix, e hāʻule koke ka pōpō i waho.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?
ʻO ka pōmaikaʻi nui, ʻo ia ka hiki ke pale pinepine ʻia ka ʻoki ʻoki cesarean (C-section). He kōkua nui kēia i ka hoʻokō ʻana i kahi hānau kūlohelohe. No ka mea, ʻoi aku ka lōʻihi o ka manawa hoʻōla ma hope o ka ʻoki ʻoki cesarean a ʻoi aku ka nui o ka ʻeha.
A, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia e pili ana. Akā, mai hopohopo, hiki ke hoʻemi ʻia kēia mau pilikia no ka mea e nānā pono ana ke kime lapaʻau iā ʻoe a me kāu pēpē.
- Hoʻoulu nui ʻia o ka ʻōpū: I kekahi manawa, hiki i ka lāʻau lapaʻau `(Oxytocin)` ke hoʻoulu i nā ʻūlū e ikaika loa a pinepine. Hiki i kēia ke hana i kekahi kaomi ma luna o ka pēpē (`fetal distress`). ʻO ke ʻano kēia, hiki ke emi ka nui o ke koko a me ka oxygen i loaʻa i ka pēpē. Eia naʻe, hiki ke hoʻomalu ʻia kēia no ka mea hoʻoponopono mau ke kauka i ka nui o ka lāʻau lapaʻau a nānā mau i ka puʻuwai o ka pēpē (`electronic fetal monitoring`).
- Nā maʻi: Ma hope o ka uhaki ʻana i ka ʻeke wai me ke akahele, hiki ke loaʻa pinepine kahi maʻi bacteria (chorioamnionitis). I mea e pale aku ai i kēia, e hāʻawi ʻia ʻoe a me kāu pēpē i nā lāʻau antibiotic.
- ʻO ka Pohō ʻana o ke Kaula Umbilical: He ʻano kakaikahi loa kēia. ʻO ke ʻano kēia ma hope o ka haki ʻana o ka wai, e paheʻe ke kaula umbilical i loko o ka vagina ma mua o ke poʻo o ka pēpē. Hiki i kēia ke ʻoki i ka lako oxygen o ka pēpē. He pilikia kēia a pono ka ʻoki C-section pilikia.
Hoʻōla hou a me ka wā e ʻike ai i ke kauka
Aia kou manawa hoʻōla i ke ʻano o ka hānau ʻana. Inā ua hana ʻia ʻoe i kahi ʻoki C, kahi episiotomy, a i ʻole kahi haehae vaginal, hiki ke lōʻihi ka manawa e ho'ōla ai a hiki iā ʻoe ke ʻike i ka ʻeha hou aku.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ka hānau ʻana, e kāhea koke aku i kāu kauka.
- ʻEha umauma
- ʻO ka poniuniu a i ʻole ka nāwaliwali (syncope)
- ʻEha nui loa
- Ka nui o ke kahe ʻana o ka ʻōpū a pilau hoʻi
- Ke kahe koko nui
- Ka luaʻi a me ka luaʻi
- Paʻakikī ka hanu ʻana
- Nā hōʻailona o ka maʻi, e like me ke kuni a me ke anu
- Ka pehu ʻana o nā wāwae, nā lima, a i ʻole ka maka (edema)
Hoʻohana wale ʻia kēia mau ʻano hana ke pono ke kauka, no kou palekana a me kāu pēpē. No laila, inā he lohi ka hānau ʻana, mai hopohopo a kamaʻilio me kāu kauka e hoʻoholo i ke koho maikaʻi loa nāu.
Leka Lawe-Home
- ʻO ke ʻano o ka "Hoʻonui ʻana i ka Hana" he hana ia e kōkua ai i ka wikiwiki ʻana o ka hānau ʻana i hoʻomaka maoli ʻia akā ua lohi ma ke ala.
- He ʻokoʻa kēia mai ke ʻano hana `Induction of Labor`, kahi e hoʻomaka ai i ka hana mai ka hoʻomaka ʻana.
- ʻO ka wāwahi ʻana i ka ʻeke wai, ka hāʻawi ʻana i nā lāʻau lapaʻau e like me 'Oxytocin', a me ka hoʻohana ʻana i ka 'Balloon Catheter' nā ʻano hana nui i hoʻohana ʻia ma ʻaneʻi.
- ʻO ka pōmaikaʻi nui, ʻo ia ke kōkua i ka pale ʻana i ka ʻoki ʻana o C-section a me ka hoʻomaʻamaʻa ʻana i ka hānau kūlohelohe.
- ʻOiai aia kekahi mau pilikia, ʻaʻohe pono e makaʻu no ka mea e nānā pono ana ke kime lapaʻau iā ʻoe a me kāu pēpē.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe ma hope o ka hānau ʻana, e hoʻomaopopo koke i kāu kauka.
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