ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka ʻoki Caesarean (C-Section)

Ma ke ʻano he makuahine, moeʻuhane pinepine ʻoe e hānau i kāu pēpē ma ke ʻano maʻamau, ʻo ia hoʻi, ma o ka hānau ʻana ma ke ʻano he wahine. Akā i kekahi manawa, ʻaʻole holo nā mea āpau e like me kā mākou e manaʻo nei. No ka palekana o ʻoe a me kāu pēpē, pono paha i nā kauka ke hoʻoholo e hana i kahi ʻoki cesarean, a i ʻole e like me kā mākou e ʻike nei, he ʻoki C. He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia. Akā ke hoʻomaopopo pono ʻia ʻoe e pili ana i ia mea, hiki iā ʻoe ke lanakila i kēlā makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia ʻoki C.

I ka ʻōlelo maʻalahi, he aha ka ʻoki ʻana o C-section?

ʻO ka ʻoki ʻoki cesarean (C-section) he hana ʻoki kino e pili ana i ka hana ʻana i kekahi mau ʻoki i loko o kou ʻōpū a me ka uterus e hānau ai i kāu pēpē. Hana ʻia kēia inā ʻaʻole hiki ke hānau maʻamau a inā hoʻoholo kāu kauka he mea weliweli ia nou a i ʻole kāu pēpē. He hoʻoholo lapaʻau koʻikoʻi loa kēia e hoʻopakele i ke ola o ka makuahine a me ka pēpē.

I ka manawa hea e pono ai ka ʻoki ʻana o C-section?

Hiki ke hoʻokaʻawale ʻia nā kumu no ka hana ʻana i kahi ʻoki C i ʻelua mau māhele nui. ʻO kekahi ke ʻoki kino i ʻike ʻia a hoʻolālā mua ʻia. ʻO kekahi ke ʻoki kino i hoʻolālā ʻole ʻia ma muli o kahi pilikia koke i ka wā hānau.

Nā kumu e hoʻolālā ai i mua a loaʻa kahi ʻāpana C-section

I kekahi manawa, i ka hoʻomaka ʻana o kou hāpai ʻana, e hoʻoholo kāu kauka ʻo ka ʻoki ʻana ma ke ʻano he C-section ka koho maikaʻi loa a palekana loa nou. Eia kekahi mau kumu no ke aha.

Nā kumu no ka loaʻa ʻana o kahi ʻāpana C-section i hoʻolālā ʻole ʻia

I kekahi manawa, ke holo pono nā mea a pau a ke manaʻo nei ʻoe i kahi hānau maʻamau, kū mai kahi pilikia koke a pono ʻoe e hana ʻia kahi ʻokiʻoki C.

• Ka Hana Lōʻihi: Inā pau ka wehe ʻana o ka ʻōpū o ka ʻōpū i ka hapalua, a inā pau ka iho ʻana o ke pēpē.
• Ka Paʻa ʻana o ke Kaula Umbilical: Inā e ʻōwili ʻia ke kaula umbilical a puni ka ʻāʻī a i ʻole ke kino o ka pēpē, a i ʻole e paʻa ma waena o ke poʻo o ka pēpē a me ka pelvis o ka makuahine.
• Ka Pohō ʻana o ke Kaula Umbilical: He pilikia koʻikoʻi loa kēia. Inā puka mai ke kaula umbilical mai loko mai o ka vagina ma mua o ka hānau ʻana o ka pēpē, e nele paha ka pēpē i ka oxygen.
• Ka Hoʻopau ʻana o ka Placental: Inā kaʻawale ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē, he mea weliweli nui ia no ka makuahine a me ke pēpē.
• ʻEhaeha o ka Hānau Keiki: Inā loli ke ʻano ʻē o ka puʻuwai o ka pēpē i ka wā hānau, ʻo ia hoʻi, ʻaʻole hiki i ka pēpē ke hoʻomanawanui i ke kaumaha o ka hānau ʻana. I kēlā manawa, pono paha kahi ʻoki C-section e hānau koke ai i ka pēpē.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Inā ʻoe e hana nei i kahi ʻoki C-section i hoʻolālā ʻia, e hana ʻia kēia mau mea ma mua o ke ʻoki ʻana.

• Ke kau inoa ʻana i nā palapala ʻae: Pono ʻoe e hōʻoia ma ke kākau ʻana ua ʻae ʻoe i ke ʻoki kino.
• Ke kamaʻilio ʻana e pili ana i ka anesthesia: E kamaʻilio ke kauka anesthesiology iā ʻoe e pili ana i ke ʻano o ka hāʻawi ʻia ʻana iā ʻoe i ka anesthesia. ʻO ka hapa nui, he epidural a i ʻole ka spinal block . E hoʻomāʻū kēia iā ʻoe mai kou umauma a i lalo, akā e ʻike ʻoe.
• Hoʻomākaukau: Wehe ʻia ka lauoho mai ke kahua ʻoki (ʻōpū lalo). Hoʻokomo ʻia kahi catheter. Hoʻopili ʻia nā mea hana e ana i nā mea e like me ka helu o ka puʻuwai a me ke koko.
• Hoʻokomo ʻia ka saline: Hoʻokomo ʻia kahi cannula i loko o kahi aʻa ma ka lima a i ʻole ka lima, kahi e lawelawe ʻia ai nā lāʻau lapaʻau a me nā wai e pono ai (saline).

I loko o kahi ʻoki C-section ulia pōpilikia, ʻaʻohe manawa nui no kēia mau mea. Hana wikiwiki nā mea āpau e hoʻopakele i kou ola a me ke ola o kāu pēpē. I ia hihia, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā, kahi e hoʻohiamoe loa ai ʻoe, no ka mea, ʻoi aku ka wikiwiki ma mua o ka inikini iwi kuamoʻo.

He aha ka mea e hana maoli ana i ka wā o ke ʻoki kino?

Ma hope o ka hāʻawi ʻia ʻana o ka anesthesia, e hoʻomaʻemaʻe ʻia kou ʻōpū me kahi wai antiseptic. A laila e kau ʻia kahi pale ma waena ou a me ke kauka.

A laila, e hana ke kauka i kahi ʻoki ma kou ʻili a me ka paia o ka ʻōpū. Hiki ke ʻoki ʻia kēia ʻoki ma ke ʻano (he ʻoki bikini) a i lalo paha. A laila, hana ʻia kahi ʻoki 3-4 ʻīniha i loko o ka ʻōpū, a lawe mālie ʻia ke pēpē ma o kēia ʻoki.

Ma hope o ka hānau ʻana o ke pēpē, ʻoki ʻia ke kaula umbilical, wehe ʻia ka placenta, a pani ʻia nā ʻoki ma ka ʻōpū a me ka ʻōpū me nā humuhumu.

No laila pehea ka manaʻo maoli o kēia ʻoki kino?

ʻAʻole ʻoe e ʻeha iki no ka mea aia ʻoe ma lalo o ka anesthesia. Eia nō naʻe, ʻōlelo ka nui o nā makuahine ua manaʻo lākou i kahi huki iki a i ʻole ke kaomi ʻana i ka wā e wehe ʻia ai ke pēpē mai ko lākou ʻōpū. He mea maʻamau kēia.

He aha ka mea e hana ʻia ma hope o ka ʻoki ʻana o C-section? Pehea ka lōʻihi e hoʻōla ai?

Pono ʻoe e noho ma ka haukapila no kahi o 2-3 mau lā ma hope o ke ʻoki ʻana. I ka pau ʻana o ka anesthesia, e hoʻomaka ʻoe e ʻike i ka ʻeha mai ka ʻoki ʻia. No nā lā mua, pono paha ʻoe i ke kōkua e ala aʻe mai kahi moe.

Hiki ke hala he 4 a 6 mau pule e ho'ōla piha ai. Pono ʻoe e makaʻala loa i kēia manawa.

• Hoʻomaha: E hoʻomaha nui e like me ka hiki. Mai kānalua e noi i ka ʻohana a me nā hoaaloha no ke kōkua me nā hana hale, ka māla, a me ka kuke ʻana.
• Mai hāpai i kekahi mea kaumaha: Mai hāpai i kekahi mea kaumaha ma mua o ke kaumaha o ke pēpē.
• Lāʻau hoʻopau ʻeha: E lawe i nā lāʻau hoʻopau ʻeha i kauoha ʻia e kāu kauka i ka manawa kūpono.
• E mālama i ka ʻoki: E mālama i ka ʻoki i maʻemaʻe a maloʻo. E hahai i nā kuhikuhi a ke kauka.
• Ke Hoʻokele Kaʻa: E pale i ka hoʻokele a hiki i kou hiki ke hoʻohuli i kou kino a hoʻōki me ka pilikia ʻole.
• Moe kolohe: E pale i ka moe kolohe no 6 mau pule a hiki i ka wā e ʻae ai kāu kauka iā ʻoe.

He mea maʻamau ke kahe koko ʻana o ka ʻōpū (lochia) no kekahi mau pule ma hope o ke ʻoki ʻana. E ʻulaʻula ia i ka wā mua, a laila e melemele a nalowale mālie. E hoʻohana i nā pads sanitary no kēia, ʻaʻole nā ​​tampons.

He aha nā pilikia a me nā pono?

E like me nā ʻoki kino āpau, loaʻa i kahi ʻoki C-section kekahi mau pilikia. Akā e hoʻomanaʻo, hana ke kauka i kēia hoʻoholo ma hope o ka ʻike ʻana he ʻoi aku ka nui o nā pilikia o ka hana ʻole ʻana i ke ʻoki kino ma mua o kēia mau pilikia.

Āhea wau e kāhea aku ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kou wā e hoʻōla ai, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka . He mau hōʻailona paha kēia o kahi maʻi.

• Inā ʻulaʻula a pehu kahi i ʻoki ʻia.
• Inā e kahe ana ka pus a i ʻole kekahi wai ʻē aʻe mai ka ʻoki.
• Inā he kuni kou.
• Inā piʻi aʻe ka ʻeha mai ka ʻoki ʻana i kēlā me kēia lā ma kahi o ka emi ʻana.
• Inā he nui ke kahe koko ʻana o ka ʻōpū a i ʻole he ʻala pilau.

Hiki paha ke hānau hou i kahi pēpē ma hope o ka ʻoki ʻana ma ke ʻano maʻamau?

ʻAe, i ka hapanui o nā hihia hiki iā ʻoe. Ma hope o ka ʻoki ʻana o C-section, ʻo ka hānau ʻana o kāu pēpē aʻe ma ke ʻano vaginal ua kapa ʻia ʻo Vaginal Birth After Cesarean (VBAC) . Akā na kāu kauka e hoʻoholo inā hiki kēia a ʻaʻole paha. E noʻonoʻo lākou i kekahi mau mea, me ke ʻano o ka ʻoki ʻia i hana ʻia i ke ʻoki mua a me ka nui o kou pelvis. E kamaʻilio me kāu kauka e pili ana i kēia i kou hāpai ʻana aʻe.