Ma ke ʻano he makuahine hāpai, he nui paha kāu mau nīnau a me nā makaʻu. He mea maʻamau ka manaʻo iki i ka makaʻu, ʻoiai ke lohe ʻoe i nā moʻolelo e like me ke "ʻoki ʻana" a me ke "humuhumu ʻana" i ka wā hānau. Nui ka poʻe e makaʻu i kēia, akā i ka wā e ʻike pono ai ʻoe i ke ʻano o ia mea, i ka wā e hana ʻia ai, a pehea e mālama ai ma hope, e nalowale loa kou mau makaʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mea i kapa ʻia he episiotomy.
He aha maoli ka episiotomy?
I ka ʻōlelo maʻalahi, he ʻoki liʻiliʻi ka episiotomy a kāu kauka e hana ai ma kahi ma waena o ka puka o kou vagina a me kou anus (ua kapa ʻia kēia wahi ʻo ka perineum) i mea e maʻalahi ai i kāu pēpē ke puka i waho. ʻO kēia ʻoki e hoʻonui iki i ka puka o kou vagina, e maʻalahi ai i kāu pēpē ke puka i waho.
Akā, ʻaʻole kēia he mea e hana ʻia i nā kānaka a pau. I kekahi manawa, me ka ʻole o ka ʻoki ʻia ʻana, hiki i ka ʻāpana perineum ke haehae iki i ka wā e puka mai ai ke pēpē. Kāhea mākou i kēia he haehae kūlohelohe `(Perineal tear)` a i ʻole `(laceration)`.
I ka wā ma mua, ua manaʻo ʻia he mea maʻamau ka hana ʻana i kahi episiotomy, akā i kēia manawa, manaʻoʻiʻo nā kauka he ʻoi aku ka maikaʻi o ka pale ʻana i kēia ʻoki ke ʻole he mea pono loa a ʻae i ka haehae e hana maoli ʻia.
No laila, i ka manawa hea e pono ai ka episiotomy?
I kēia manawa, ʻoiai ʻaʻole hana pinepine ʻia kēia ʻoki ʻana, i kekahi manawa he mea pono ia no ka palekana o ʻoe a me kāu pēpē. E hoʻoholo wale ke kauka i kēlā hoʻoholo inā manaʻo ʻo ia ʻo ia ke koho palekana loa no ʻoe a me kāu pēpē.
Eia kekahi mau hihia:
- Inā pilikia ka pēpē: I loko o kahi pilikia, e like me ka wā e emi ai ka puʻuwai o ka pēpē, pono ʻoe e hoʻopuka koke i ka pēpē i waho. Hiki ke hana ʻia kēia ʻoki ʻana i mea e maʻalahi ai ke kaʻina hana.
- Inā luhi loa ʻoe: Inā luhi loa ʻoe ma hope o ke kaomi ʻana no nā hola a ʻaʻohe ikaika e kaomi hou aku, hiki iā ʻoe ke hana i kēia e kōkua i ka pēpē e puka i waho.
- Inā pono ʻoe e hoʻohana i nā forceps a i ʻole nā mea hoʻomaʻemaʻe: I kekahi manawa pono e hoʻohana ʻia kēia mau mea e wehe i ka pēpē. Inā ʻaʻole lawa ka lumi i loko o ka vagina e hoʻokomo i nā mea hana, pono kēia ʻoki ʻana e hana i kahi ākea.
- Inā ʻokoʻa ke kūlana o ka pēpē: inā he breech ka pēpē a inā paʻa nā poʻohiwi o ka pēpē (shoulder dystocia), pono paha kēia ʻoki ʻia e hana i kahi puka nui aʻe no ka pēpē e puka mai ai.
- Inā momona ke pēpē (pēpē nui): Inā ʻoi aku ka nui o ke pēpē ma mua o ka maʻamau, ʻaʻole paha lawa kahi e puka ai i waho.
- Inā ʻaʻole hiki iā ʻoe ke kāohi i kou huhū:I kekahi manawa, i ka wā e paʻi wikiwiki ai a me ke kaohi ʻole ʻia, hiki ke hōʻino nui ʻia ka perineum. I ia mau hihia, hiki i ke kauka ke hoʻoholo e hana i kahi ʻoki liʻiliʻi e kaohi i ka hōʻino.
No ke aha he mea maikaʻi ke haehae ʻia iā ia iho ma mua o ka ʻoki ʻia?
I ka wā ma mua, ua manaʻo nā kauka ma ka hana ʻana i kahi ʻoki, e ho'ōla pono ia a pale i ka haehae nui ʻana. Aia kekahi manaʻoʻiʻo e hōʻemi ia i nā pilikia ma hope e like me ka incontinence urinary.
Akā ua ʻike ʻia kahi noiʻi hou i ka wā e hana ʻia ai kahi episiotomy, ʻoi aku ka nui o ka haehae ʻana o ka ʻoki ma mua o ka mea i manaʻo ʻia . Eia kekahi, ʻoi aku ka liʻiliʻi o ka hōʻino ʻana o ka haehae kūlohelohe. ʻO ia ke kumu e hoʻāʻo nei nā kauka e ʻae i ke kaʻina hana e hana maoli ʻia e like me ka hiki.
Pehea e hana ʻia ai kēia kaʻina hana ʻoki?
Hana ʻia kēia i ka wā ʻelua o ka hana, ʻo ia ka manawa e hoʻomaka ai ke poʻo o ke pēpē e puka mai ka vagina (crowning).
1. Nā lāʻau hoʻopau ʻeha: ʻO ka mea mua, e hāʻawi ʻia ʻoe i nā lāʻau hoʻopau ʻeha e hoʻopau i ka ʻeha. Inā ua loaʻa iā ʻoe kahi epidural, ʻaʻole pono ʻoe i nā lāʻau hoʻopau ʻeha hou aʻe no ka mea ua mae mua kou kua haʻahaʻa. A i ʻole, e hoʻokomo ke kauka i kahi liʻiliʻi o ka anesthetic kūloko i loko o ka perineum e hoʻopau iā ia.
2. Ke ʻoki ʻana: Ke kaomi koke ke poʻo o ke pēpē i ka perineum, hana ke kauka i ka ʻoki me ka hoʻohana ʻana i nā ʻoki episiotomy kūikawā.
3. Ka wehe ʻana i ka pēpē a me ka placenta: Ma hope o ke ʻoki ʻana, puka mai ka pēpē, a laila wehe ʻia ka placenta.
4. Nā Humuhumu: ʻO ka hope loa, e hoʻohana ke kauka i kahi ʻano humuhumu e hoʻoheheʻe aunoa e pani i ka ʻoki. I ka manawa like, e nānā ʻo ia i ka nui o ka ʻoki a inā he mau pilikia ʻē aʻe.
He aha nā ʻano ʻokiʻoki?
ʻElua ʻano nui o nā ʻoki.
| ʻAno ʻoki | Wehewehena |
|---|---|
| ʻOki waena/waena | He ʻoki pololei kēia, mai luna a i lalo. Hana pololei ʻia ia mai ka puka o ka vagina a i ka anus. He maʻalahi kēia e hoʻokomo, akā aia kahi pilikia kiʻekiʻe iki o ka haehae ʻana i ka anus. |
| ʻoki ʻana ma waena o ka ʻaoʻao | He ʻoki kēia i hana ʻia ma ka anus. Hana ʻia ia ma kahi kihi 45-degere mai ka puka o ka vagina. Hoʻemi kēia i ka pilikia o ka hōʻino ʻana i ka anus. Eia nō naʻe, ʻoi aku ka paʻakikī o ke humuhumu ʻana, ʻoi aku ke kahe ʻana o ke koko, a hiki ke ʻoi aku ka ʻeha i ka wā o ke kaʻina hana ho'ōla. |
He aha nā 'kekelē' o kahi ʻoki a haehae paha?
Inā he haehae maoli a he ʻoki episiotomy paha, ua helu ʻia ia mai ka 1 a i ka 4 ma muli o kona koʻikoʻi.
- Kekelē mua: He haehae liʻiliʻi e hoʻopilikia wale ana i ka papa lahilahi o ka ʻili ma luna o ka vagina.
- Kekelē ʻelua: He haehae e komo ana i loko o nā ʻiʻo ma lalo o ka ʻili. Hāʻule ka hapa nui o nā ʻoki episiotomy i loko o kēia māhele.
- Kekelē ʻekolu: He haehae e hele ana ma o nā ʻiʻo vaginal a komo i loko o ka anal sphincter.
- Kekelē ʻehā: ʻO kēia ka pae koʻikoʻi loa. I kēia hihia, e pālahalaha ka haehae ma o ka ʻiʻo rectal a i loko o ka paia rectal.
Pehea ka ʻeha o kahi episiotomy?
Mai hopohopo, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana no ka mea ua mae loa ka ʻāpana i kēlā manawa.
Eia nō naʻe, ma hope o ka pau ʻana o ka mae ʻana o ke kino, he mea maʻamau ke ʻeha ma kahi o nā humuhumu no kekahi mau lā, a me ka ʻoluʻolu ʻole i ka wā e hele ana a noho ana paha.
He aha nā pilikia a me nā pilikia o kahi episiotomy?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Akā e hoʻomanaʻo, hiki i kekahi o kēia mau pilikia ke hana ʻia me ka haehae maoli.
- Ke kahe ʻana o ke koko
- Ka maʻi ʻana o ka ʻeha suture
- ʻEha i ka wā o ka moekolohe ma hope o ka ho'ōla ʻana (dyspareunia)
- Ka hōʻino ʻana i nā ʻiʻo o ka rectum
- Ke waiho nei i kahi ʻeha
- Ka paʻakikī o ka kaohi ʻana i ka mimi
- ʻOi aku ka lōʻihi o ka ho'ōla ʻana
Nā mea hiki iā ʻoe ke hana ma ka home e kōkua i nā humuhumu e ho'ōla wikiwiki
He mea maʻamau ka loaʻa ʻana o kekahi ʻeha a me ka ʻoluʻolu ʻole no kekahi mau pule ma hope o ka wehe ʻia ʻana o kou mau humuhumu. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻemi ʻana i kēia ʻoluʻolu ʻole a wikiwiki i kou hoʻōla ʻana.
- E kau i kahi ʻeke hau: No ka hōʻemi ʻana i ka pehu a me ka ʻeha, e kau i kekahi mau pahu hau i wahī ʻia i loko o kahi lole maʻemaʻe ma kahi i kau ʻia ai nā humuhumu no kahi o 10-15 mau minuke. E hana i kēia i nā manawa he nui i ka lā.
- E ʻauʻau sitz: He mea kōkua nui kēia. E hoʻopiha i kahi kīʻaha nui me ka wai mahana a noho i loko no kahi o 15-20 mau minuke. E hōʻemi kēia i ka ʻeha, hoʻomaikaʻi i ke kahe koko, a kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha. ʻOi aku ka maikaʻi o ka hana ʻana i kēia i ʻelua a ʻekolu paha manawa i ka lā.
- E hoʻohana i ka ʻōmole peri: E hāʻawi ka haukapila iā ʻoe i kekahi o kēia. A i ʻole hiki iā ʻoe ke hoʻohana i kahi ʻōmole wai maʻemaʻe. Ma hope o ka hoʻohana ʻana i ka lua, e hoʻopiha i ka ʻōmole me ka wai mahana a holoi mālie i ka wahi i loaʻa ai nā humuhumu. E mālama kēia i ka maʻemaʻe o ka wahi a hōʻemi i ka ʻono wela i ka wā e mimi ai ʻoe.
- Nā lāʻau hoʻopau ʻeha: E lawe i kahi lāʻau hoʻopau ʻeha, e like me ka paracetamol, e like me ke kauoha a kāu kauka.
- E noho ma luna o kahi uluna donut: ʻO ka noho ʻana ma luna o kahi uluna donut hiki ke hōʻeha i ka wā e hamo ai nā humuhumu iā ia. ʻO ka noho ʻana ma luna o kahi uluna me kahi lua ma waenakonu e hōʻemi i ke kaomi ma kahi o nā humuhumu.
- E noho maʻemaʻe: E hoʻololi mau i kou mau ʻūpā kino i nā manawa a pau a e mālama i ka wahi i maloʻo a maʻemaʻe.
Āhea e hiki ai iaʻu ke moe hou?
Hoʻōla pinepine ʻia ka ʻeha ma kahi o 6 mau pule. Eia nō naʻe, ma hope o kāu kipa postpartum 6 pule, pono ʻoe e kūkākūkā me kāu kauka a moe hou ma hope o kona ʻae ʻana iā ʻoe. He mea maʻamau ka manaʻo ʻana i kekahi ʻeha a ʻoluʻolu ʻole paha i nā mahina mua. ʻO ka hoʻohana ʻana i kahi lubricant wai e hiki ke kōkua i ka hōʻemi ʻana i kēia ʻoluʻolu ʻole.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
Inā ua loaʻa iā ʻoe kahi episiotomy a loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, pono ʻoe e ʻike koke i kāu kauka .
| Nā hōʻailona e makaʻala ai |
|---|
| - Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana i kēlā me kēia lā. |
| - Inā he kahe ʻala pilau a i ʻole ka pus e puka mai ana mai kahi i humuhumu ʻia ai. |
| - Inā ʻulaʻula a pehu ka ʻili a puni ka ʻoki. |
| - Ke kahe koko mai nā humuhumuNā inoa. |
| - Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole nā ʻeha kino . |
Leka Lawe-Home
- ʻAʻole hana ʻia ka episiotomy e nā kānaka a pau i kēia mau lā. Hana ʻia ia ke pono loa no ka palekana o ʻoe a me kāu pēpē.
- ʻAʻole ʻoe e ʻeha i ka wā o ka ʻoki ʻana no ka mea ua mae ka wahi.
- E hala kekahi mau pule e ho'ōla ai nā humuhumu. I loko o kēia manawa, he mea nui loa e noho maʻemaʻe a hahai i nā ʻōlelo a ke kauka.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui, ka pehu ʻana, a i ʻole ka pus ma hope o ke kau ʻia ʻana o nā humuhumu, e ʻike koke i ke kauka.
- Inā he mau makaʻu a kānalua paha kāu e pili ana i kēia, e kamaʻilio ākea e pili ana i ia mea me kāu kauka ma kāu keʻena lapaʻau ma mua o kou hānau ʻana i kāu pēpē. E kiʻi i nā pane i kāu mau nīnau a pau mai iā ia.
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