Ke hopohopo nei ʻoe a ʻaʻole mākaukau no ka hiki ʻana mai o kāu pēpē? I kekahi manawa, ʻōlelo ke kauka, "ʻAʻole i wehe ʻia kou cervix, e kōkua iki kākou." I nā manawa e like me kēia, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e kōkua i ka palupalu a wehe i kou cervix e maʻalahi ai ka hānau ʻana. ʻO kēia ka Dinoprostone gel.
He aha ka Dinoprostone?
I ka ʻōlelo maʻalahi, ʻo Dinoprostone kahi lāʻau lapaʻau i hana ʻia e hoʻohālike i kahi kemika i kapa ʻia ʻo Prostaglandin i loaʻa maoli i loko o ko kākou kino. Loaʻa pinepine ia ma ke ʻano he gel. ʻO kāna hana nui ka palupalu a wehe mālie i ka cervix o kahi makuahine e kokoke ana i ka hopena o kona hāpai ʻana a kokoke i ka hānau ʻana, e kōkua ana iā ia e hoʻomaka i ka hana.
E noʻonoʻo e pili ana i ia mea, ʻo ka cervix ka puka e hiki ai i ka pēpē ke puka i waho. Pono kēlā puka e wehe pono i mea e puka maʻalahi ai ka pēpē. I kekahi manawa ua lohi loa ka wehe ʻana i kēlā puka. ʻO ia ka manawa e hoʻohana ai nā kauka i kēia gel Dinoprostone e kōkua i ka wehe ʻana i kēlā puka.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hāʻawi ʻana i kēia lāʻau?
I mea e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe, he mea nui loa i kāu kauka ke ʻike i kāu mōʻaukala olakino piha. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou.
| Nā kūlana āu e pono ai e hōʻike |
|---|
| Inā loaʻa iā ʻoe kahi maʻi i kēia manawa i loko o ka vagina, uterus, a i ʻole ka ʻāpana pelvic. |
| Haʻahaʻa ka hemoglobin i loko o ke koko (anemia). |
| Ke kūlana glaucoma. |
| Inā loaʻa iā ʻoe ka maʻi puʻuwai, ke koko kiʻekiʻe, ka maʻi puʻupaʻa, a i ʻole ka maʻi akepaʻa. |
| Nā maʻi o ka māmā a i ʻole ka hanu e like me ka hānō. |
| ʻO ka Placenta Previa. |
| Inā ua loaʻa iā ʻoe kahi hānau paʻakikī ma mua, a inā paha ua hana ʻoe i kahi ʻoki cesarean. |
| Inā ua hana mua ʻia ʻoe ma kou ʻōpū a inā he mau ʻeha kou. |
| Inā loaʻa iā ʻoe kahi maʻi hopu. |
| Inā ʻoe e kahe ana ke koko mai ka vagina i kēia manawa. |
| Inā ua hānau mua ʻoe i 6 a ʻoi aku paha keiki. |
| Inā loaʻa iā ʻoe kahi hopena maʻi i ka dinoprostone, prostaglandins, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Inā he makuahine hānai waiū ʻoe. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia ka mea nui loa āu e pono ai e ʻike. ʻAʻole pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ka home. Pono e hāʻawi wale ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole nā kahu maʻi i aʻo ʻia.
E hoʻopili ke kauka a kahu maʻi paha i kēia gel ma o kou vagina a ma luna o kou cervix. A laila e noi ʻia ʻoe e moe i lalo no 15 a 30 mau minuke. E hoʻōki ke kauka i ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau ke hoʻonui ʻia kou cervix no ka hoʻomaka ʻana o ka hana, a i ʻole ke hoʻomaka maoli ka hana.
Hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka wale nō. No laila, ʻaʻohe pono e hopohopo e pili ana i ka overdose. Ua ʻike piha ka hui lapaʻau i kēia. Inā he kānalua no ia mea, e hana lākou i nā hana e pono ai. No ka laʻana, inā pono, ʻike lākou pehea e kelepona ai i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo a ʻimi i ka ʻōlelo aʻo.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. Akā, mai hopohopo, aia ʻoe ma lalo o ka nānā ʻana a nā kauka a me nā kahu maʻi ma ka haukapila. No laila, inā loaʻa kekahi mea, na lākou e mālama.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka/kahu hānai | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha ka umauma, ka poniuniu a i ʻole ka maule ʻana, ke kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit). |
| Nā pilikia vaginal | Ka hoʻokahe ʻana o ka waimaka maʻamau ʻole a pilau paha, ke kahe koko nui, ka ʻeha pelvic, a i ʻole ka ʻeha kua nui. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻŌnaehana hoʻoheheʻe | Luaʻi, nausea, diarrhea. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | ʻEha ke poʻo, piʻi iki ka mahana o ke kino (a nalowale ma hope). |
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
ʻO kekahi lāʻau lapaʻau e hiki ke launa pū me kēia lāʻau lapaʻau ʻo Oxytocin. Ua lohe paha ʻoe "hāʻawi lākou iā ʻoe i ka saline e hōʻeha iā ʻoe." ʻO ia ka mea i hoʻohui ʻia ai ʻo Oxytocin i ka saline. ʻOiai ʻo kēia mau lāʻau lapaʻau ʻelua ke kumu o ka ʻūlū ʻana o ka ʻōpū, akahele loa nā kauka i ka wā e hāʻawi pū ai lākou i kēia mau mea ʻelua. ʻIke pono lākou i ka manawa e pono ai ke waiho ma waena o nā mea ʻelua. No laila, mai hopohopo no ia mea. Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
Leka Lawe-Home
- ʻO ka Dinoprostone kahi lāʻau lapaʻau i hāʻawi ʻia e kōkua i ka palupalu o ka cervix a wehe e kōkua i ka hoʻomaka ʻana o ka hana.
- ʻAʻole hoʻohana ʻia kēia ma ka home. Hāʻawi wale ʻia ia ma kahi haukapila ma lalo o ka nānā ʻana a ke kauka .
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino āpau (ʻoi aku hoʻi inā ua loaʻa iā ʻoe kahi ʻoki cesarean ma mua).
- E nānā pono ana ke kime lapaʻau iā ʻoe a me ka puʻuwai o kāu pēpē i ka wā e hāʻawi ʻia ai ka lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻeha nui, kahe koko nui), e hoʻomaopopo koke i kāu kauka a kahu maʻi paha.
- Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.
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