I ka wā e pili ana i ka hānau ʻana o kahi pēpē, ʻo ka nīnau nui loa ma ka manaʻo o kēlā me kēia makuahine, ʻo ia 'Pehea e hānau ʻia ai ke pēpē?', 'He mea maʻamau anei? A i ʻole e hana wau i kahi ʻoki C?' He mea kēia e lawe mai ai i ka makaʻu, ka hoihoi, a me ka manaʻolana nui. ʻO ka ʻoiaʻiʻo, ʻaʻole ka hānau ʻana he mea e hana ʻia ma ke ʻano hoʻokahi wale nō. Nui nā ala e hana ai. A hiki ke hoʻoholo ʻia kēia ʻano hana ma muli o kou kūlana olakino, ke kūlana o ka pēpē, a me kou mau makemake. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo i kēia lā.
He aha ka hānau ʻana ma ke ʻano he vaginal?
I ka ʻōlelo maʻalahi, ʻo kēia ke ala hānau maoli a maʻamau loa. ʻO ia kahi e puka mai ai ke pēpē i ke ao nei ma o ka ʻōpū o ka makuahine. ʻO ia nō hoʻi ke ala palekana no ka hapa nui o nā wāhine a me nā pēpē.
Hoʻohana kekahi mau makuahine i ka lāʻau lapaʻau e hōʻemi i ka ʻeha. Makemake kekahi e hānau maoli, me ka ʻole o nā mea hoʻomaha ʻeha. ʻO kēia ka mea a mākou e kapa nei he "Hānau Maoli".
He aha nā pōmaikaʻi o ka hānau keiki maʻamau?
- Hiki iā ʻoe ke ho'ōla koke no ka mea ʻaʻole pono ʻoe e hana i ke ʻoki kino.
- Haʻahaʻa ka pilikia o ka maʻi mai ke ʻoki ʻana.
- Loaʻa i ka pēpē ka manawa kūpono e loaʻa ai nā bacteria maikaʻi e pono ai i loko o kona kino.
- ʻEmi ka emi ʻana o nā pilikia e kū mai ana i ka hāpai ʻana i kahi keiki ʻē aʻe i ka wā e hiki mai ana.
Akā e hoʻomanaʻo, i kekahi manawa hiki i kēia ʻano hana ke hōʻeha i nā ʻiʻo a puni ka vagina. Akā hiki ke ho'ōla ʻia ka hapa nui o kēia mau mea me ka manawa a i ʻole me nā lāʻau lapaʻau liʻiliʻi. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia.
He aha ka hānai ʻana ma ke ʻano he vaginal?
I kekahi manawa, pono ke kōkua iki e hoʻopuka i ka pēpē i waho. Ke luhi ka makuahine ma hope o ka wā lōʻihi o ka hānau ʻana, a inā paha e ʻeha ana ka pēpē, hoʻohana nā kauka i kekahi mau mea hana a i ʻole nā ʻano hana e kōkua pono i ka pēpē i waho. ʻO kēia ka mea a mākou e kapa nei he kōkua hānau.
Aia kekahi mau ʻano hana nui i hoʻohana ʻia no kēia:
- ʻO ka lawe ʻana i ka forceps : He mea hana kēia e like me ʻelua puna nui. Hoʻohana ke kauka iā ia e hopu pono i ke poʻo o ke pēpē a kōkua iā ia e puka i waho ma o ka vagina.
- Ka Hoʻokaʻawale ʻana i ka Vacuum: Pili kēia i ke kau ʻana i kahi kīʻaha palaki liʻiliʻi ma luna o ke poʻo o ka pēpē a me ka hoʻopili mālie ʻana i ka omo e kōkua i ka huki ʻana i ka pēpē i waho.
- ʻEpisiotomy:He ʻoki liʻiliʻi kēia ma ka ʻiʻo ma waena o ka vagina a me ka anus (ka perineum). I ka wā ma mua, hana mau ʻia kēia e pale aku i ke kahe nui ʻana o ke koko. Akā i kēia manawa hana ʻia ia i nā pilikia wale nō ke pono e hānau koke ʻia ke pēpē.
- ʻAmniotomy: ʻO kēia ka mea a mākou e kapa nei ʻo " ka uhaki ʻana i ka ʻeke wai ." Hoʻohana ke kauka i kahi mea hana liʻiliʻi e like me ka makau plastik e hou i ka ʻeke amniotic e hoʻopuni ana i ka pēpē.
- Ka Hana Hoʻoulu: ʻO kēia ke kaʻina hana o ka hoʻoulu ʻana i ka hana me ka lāʻau lapaʻau ma mua o ka hoʻomaka kūlohelohe ʻana. Hiki i nā kauka ke ʻōlelo aku i kēia ʻano hana inā he pilikia i ke olakino o ka makuahine a i ʻole ke pēpē.
I nā hihia hea e hana ʻia ai ka ʻoki caesarean (C-Section)?
I kekahi manawa, ʻaʻole hiki ke hānau maʻamau. No ka palekana o ka makuahine a me ka pēpē, pono ke ʻoki ʻana e wehe i ka pēpē. Ua kapa ʻia kēia he ʻoki cesarean, a i ʻole C-section. Hiki ke hoʻolālā ʻia a hana ʻia paha i kahi pilikia.
Aia ma ka papa ma lalo nei kekahi o nā kumu maʻamau no ka hana ʻana i kahi ʻāpana C-section .
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ke kūlana o ka pēpē | Inā aia ke pēpē i ke kūlana breech a transverse paha, ma kahi o ke poʻo i lalo. |
| Nā pilikia olakino o ka makuahine | Inā he mau maʻi paʻakikī ke kaohi, e like me ke koko kiʻekiʻe a i ʻole ka maʻi diabetes. |
| Ka nui o ka pēpē | Inā nui loa ke pēpē ʻaʻole hiki ke hele ma waena o ka pelvis o ka makuahine. |
| Ka pilikia o ka ʻōpū | Inā loli ke ʻano ʻē o ka puʻuwai o ka pēpē. |
| Nā pilikia placental | Inā aia ka placenta ma lalo o ka ʻōpū, e uhi ana i ka cervix (Placenta Previa) a inā paha e hemo ana ma mua o ka hānau ʻana (Placental Abruption). |
| Ka Holomua ʻole | Inā ʻaʻole e wehe ka cervix ma hope o ka manawa lōʻihi. |
| Nā hāpai keiki he nui (Nui nā pēpē) | I nā hihia o nā māhoe a i ʻole nā triplets. |
| Nā pilikia o ke kaula umbilical | Inā komo ke kaula umbilical i loko o ka vagina ma mua o ke keiki. |
| Ma hope o ka loaʻa ʻana o ka ʻoki C-section ma mua | Inā ua loaʻa iā ʻoe kahi ʻoki caesarean ma mua, i kekahi manawa ua ʻōlelo ʻia e hana hou i ke ʻoki ʻana. |
Hiki ke hānau maʻamau ma hope o ka ʻoki ʻana o C-section? (VBAC)
He nīnau kēia a nā makuahine he nui. ʻO ka pane, ʻae, hiki iā ʻoe! Hiki i nā makuahine he nui i loaʻa i ka ʻoki C ma mua ke hānau i kā lākou pēpē hou ma o ka ʻōpū. ʻO ka inoa lapaʻau no kēia ʻo VBAC (Vaginal Birth After C-section) .
Akā, ʻaʻole hiki i nā kānaka a pau ke hana i kēia. Hoʻopilikia kekahi mau kumu i kēia.
- Inā he pae a haʻahaʻa ka ʻoki ʻana i loko o ka ʻōpū i ka wā o ke ʻoki mua ʻana, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o ka VBAC.
- Inā lawa ka lumi o kou pelvis no kahi pēpē nui maʻamau e puka mai ai.
- I kēia manawa hoʻokahi wale nō pēpē.
- Inā ʻo ke kumu o ka ʻoki C-section ma mua no kekahi kumu i pili ʻole i kēia hāpai ʻana, e like me ka pēpē e breech ana.
ʻO ka mea nui loa, inā ʻoe e hoʻāʻo nei no kahi VBAC, pono e hana ʻia ma kahi haukapila me nā pono āpau e pono ai., pono e hana ʻia ma lalo o ka nānā pono ʻana o nā kauka, no ka mea, ʻoiai he mea kakaikahi loa, aia kahi pilikia o ka haki ʻana o ka ʻōpū ma kahi o ka ʻoki mua ʻana.
ʻAuhea kahi maikaʻi loa e koho ai no ka hānau ʻana o kahi pēpē?
Ma Sri Lanka, ʻoi aku ma mua o kanaiwakumamāiwa pakeneka o nā hānau ʻana e hana ʻia ma nā haukapila. ʻO ia kahi palekana loa no ʻoe a me kāu pēpē . ʻOi loa aku inā he pilikia nui kou hāpai ʻana a i ʻole ʻoe e hoʻāʻo nei i kahi VBAC, ʻo ka haukapila wale nō ke koho.
Ka hānau ʻana ma ka haukapila
ʻAʻole e like me ka wā ma mua, he nui nā pono o nā haukapila i kēia manawa. Ua hana lākou i kahi kūlana kahi e hiki ai i ka makuahine ke kū mālie a maʻalahi hoʻi i ka hānau ʻana.
- Nā Pōmaikaʻi: Loaʻa koke i ka ʻenehana lapaʻau, nā kauka loea, a me nā Keʻena Lapaʻau Pōpilikia (ETU) i kekahi pilikia. Loaʻa nā lāʻau hoʻopau ʻeha inā pono.
- Nā Pono: He nui nā haukapila i kēia manawa i loaʻa nā lumi pilikino, ka manawa kūpono no ke kāne a i ʻole ka ʻohana e kokoke mai ana, a me nā mea e like me nā pōpō hānau e kōkua i ka hānau ʻana.
Nā Kikowaena Hānau a me nā Hānau Ma ka Home
Ma nā ʻāina Komohana, ua hoʻowalewale ʻia kekahi poʻe e hānau ma waho o nā haukapila, ma nā kikowaena hānau e hāʻawi ana i kahi ʻano like me ka home, a i ʻole ma ko lākou mau home ponoʻī.
Akā, pono kākou e makaʻala loa i kēia.
- Ka Pōpilikia: Wahi a nā hui obstetric a me gynecological o ka honua, ʻo ka pilikia i ka pēpē i ka wā hānau ma ka home he ʻelua a ʻekolu manawa ke kiʻekiʻe ma mua o ka haukapila.
- No wai lā ʻaʻole kūpono?: ʻAʻole ʻōlelo ʻia ka hānau ʻana ma ka home no nā makuahine me nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā makuahine me nā māhoe, a me nā makuahine e hoʻāʻo nei i ka VBAC.
Ma ka ʻōnaehana mālama ola kino ma Sri Lanka, ʻo ka haukapila kahi maikaʻi loa a palekana hoʻi e hōʻoia i ka palekana loa no ka makuahine a me ka pēpē. I kekahi pilikia, hiki iā ʻoe ke loaʻa ke kōkua āu e pono ai i loko o kekona ma ka haukapila.
Leka Lawe-Home
- He ʻike pilikino loa ka hānau ʻana o ka pēpē, a he mea nui e ʻike i nā koho like ʻole i loaʻa.
- ʻO ka hānau ʻana ma ke ʻano kūloko ke ʻano hānau maʻamau a palekana loa. Eia nō naʻe, inā pono, he hana lapaʻau koʻikoʻi loa ka ʻoki ʻoki cesarean (C-section) e hiki ai ke hoʻōla i nā ola.
- E kamaʻilio ākea e pili ana i kou hopohopo, kou makaʻu, a me kou manaʻolana me ke kauka nāna e mālama iā ʻoe i kou wā hāpai. ʻO ia ke kanaka maikaʻi loa e aʻo iā ʻoe i ke ala kūpono loa nāu.
- ʻO ka haukapila kahi palekana a ʻōlelo nui ʻia e hānau ai ma Sri Lanka. ʻO ka haukapila ka mea i lako pono e lawelawe i kekahi pilikia.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo