He makuahine hānau keiki anei ʻoe? A laila ua lohe paha ʻoe i ka huaʻōlelo 'ʻokiʻoki' i ke kamaʻilio ʻana e pili ana i ka hānau keiki ʻana. He mea maʻamau no nā makuahine he nui ke makaʻu iki a hopohopo i ka lohe ʻana i kēia mau ʻōlelo. He aha maoli kēia ʻokiʻoki? I ka lāʻau lapaʻau, kapa mākou ia he episiotomy. He mea kēia a nā kānaka a pau e hana ai? No ke aha e hana ʻia ai? I kēia lā, e pane mākou i kāu mau nīnau a pau e pili ana i kēia ma kēia ʻatikala.
He aha ka episiotomy?
I ka ʻōlelo maʻalahi, he ʻoki liʻiliʻi kahi episiotomy a kāu kauka e hana ai ma kahi o ka ʻili a me nā ʻiʻo ma waena o kou vagina a me ka anus (i kapa ʻia ʻo ka perineum) e hana i ke alahele no kāu pēpē e puka maʻalahi i waho i ka wā hānau.
I kekahi manawa, ke puka mai ka pēpē, hiki i kēia wahi ke haehae iki iā ia iho me ka ʻole o kahi ʻoki. Ua kapa ʻia kēia he haehae perineal. I ka wā ma mua, ua manaʻo ʻia he mea maʻamau ka loaʻa ʻana o kahi episiotomy i ka wā hānau keiki, akā i kēia lā, manaʻo nā kauka he ʻoi aku ka maikaʻi o ka hoʻokuʻu ʻana i ka haehae ma ke ʻano maoli ke ʻole he mea pono loa .
No laila, no ke aha he mea pono e hana i kahi episiotomy?
ʻOiai ʻaʻole kēia he mea maʻamau i kēia manawa, i kekahi mau hihia kūikawā, pono ke kauka e hana i kēia ʻoki no ka palekana o ka makuahine a me ka pēpē. E noʻonoʻo, ua like ia me ke kū koke ʻana i kahi kaʻa e pale aku ai i kahi ulia i ka wā e hoʻokele ana ma ke alanui. Eia nā hihia koʻikoʻi loa:
- Inā ʻike ka pēpē i kekahi ʻano ʻeha (fetal distress) a pono ʻoe e hoʻopuka i ka pēpē i waho i ka hikiwawe loa.
- I ka wā e luhi loa ai ka makuahine ma hope o ke kaumaha ʻana no ka manawa lōʻihi a ʻaʻohe ona ikaika e hoʻokuke hou aku.
- Inā pono ʻoe e hoʻohana i nā forceps a i ʻole nā mea hoʻoneʻe mīkini e wehe ai i ka pēpē, pono e nui iki aʻe ka vagina i hiki ai ke hoʻokomo ʻia kēia mau mea.
- Inā aia ke pēpē i kahi kūlana ʻē, no ka laʻana, inā he breech lākou a inā paʻa nā poʻohiwi o ke pēpē (shoulder dystocia).
- Inā ʻoi aku ka nui o ka pēpē ma mua o ka awelika.
- Ke paʻi ka makuahine no ka manawa lōʻihi akā ʻaʻole i puka mai ke pēpē.
ʻO ka mea nui loa, e hoʻoholo wale ke kauka i kēia hoʻoholo inā manaʻo ʻo ia ʻaʻohe koho ʻē aʻe a he mea pono loa ia no ka palekana o ka makuahine a me ka pēpē.
Pehea e hana ʻia ai kēia ʻoki a he aha nā ʻano ʻoki?
ʻAʻole ʻoe e ʻeha i ka wā e loaʻa ai iā ʻoe kahi epidural. Inā loaʻa iā ʻoe kahi epidural, ʻaʻole pono ʻoe i kekahi lāʻau ʻeha ma lalo o ka pūhaka. A i ʻole, e hoʻokomo ke kauka i kahi anesthetic kūloko ma kahi e hana ʻia ai ka ʻoki. A laila, i ka hoʻomaka ʻana o ke poʻo o ke pēpē e puka mai ka vagina (crowning), hana ʻia ka ʻoki me nā ʻoki kūikawā (episiotomy scissors). Ma hope o ka hānau ʻana o ke pēpē, hoʻoponopono ʻia ka wahi me nā humuhumu hiki ke hoʻoheheʻe ʻia.
ʻElua ʻano nui o nā ʻoki.
| ʻAno ʻoki | Wehewehena |
|---|---|
| ʻoki waena (waena laina) | He ʻoki pololei kēia mai ka ʻōpū a i ka anus. He maʻalahi ke hana a emi ka ʻeha i ka wā e ho'ōla ana. Eia nō naʻe, 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 kahi kihi 45-degere mai ka vagina a i ka ʻaoʻao. ʻAʻole nui ka pilikia o ka hōʻino ʻana i ka anus. Eia nō naʻe, ʻoi aku ka paʻakikī o ka humuhumu ʻana, ʻoi aku ke kahe ʻana o ke koko, a ʻoi aku ka ʻeha i ka wā o ke kaʻina hana ho'ōla. |
Nā kekelē o ka haehae
Inā he haehae maoli a he episiotomy paha, ua māhele ʻia i 4 degere ma muli o kona koʻikoʻi.
- Kekelē mua: He haehae iki o ka ʻili ma luna o ka vagina.
- Kekelē ʻelua: He haehae e pālahalaha ana ma o ka ʻili o ka vagina a me nā ʻiʻo ma lalo. Hāʻule ka hapa nui o nā ʻoki episiotomy i loko o kēia māhele.
- Kekelē ʻekolu: Ka haehae ʻana o nā ʻiʻo o ka vagina a me ke ʻiʻo a puni ka anus (anal sphincter).
- Kekelē ʻehā: ʻO ka pae koʻikoʻi loa a paʻakikī loa, me kahi haehae e hohola ana a hiki i ka rectum.
He aha kāu e hana ai ma ka home e kōkua ai i ka ho'ōla koke ʻana o kahi ʻoki?
Hiki ke ʻeha nā pule mua ma hope o ke ʻoki ʻana. Akā me ka mālama pono ʻana, hiki iā ʻoe ke ho'ōla koke. ʻO ka maʻamau, he mahina hoʻokahi e ho'ōla piha ai. E kōkua nui kēia mau mea iā ʻoe.
| ʻAno hana | Wehewehena |
|---|---|
| Ke kau nei i kahi ʻeke hau | E kau i kahi ʻeke 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 hōʻemi nui kēia i ka pehu a me ka ʻeha. |
| ʻAuʻau Sitz | E hoʻopiha i kahi kīʻaha liʻiliʻi (ʻauʻau sitz) a i ʻole kahi kīʻaha nui me ka wai mahana a noho i loko no kahi o 15 mau minuke. E hana i kēia i ʻelua a ʻekolu paha manawa i ka lā e mālama i ka maʻemaʻe o ka ʻeha, hoʻomaikaʻi i ke kahe koko, a ho'ōla wikiwiki. |
| ʻŌmole Peri | E hoʻopiha i kēia ʻōmole a ka haukapila e hāʻawi ai iā ʻoe me ka wai mahana a holoi i ka wahi ma hope o kou mimi ʻana a me ka hoʻohana ʻana i ka lua. E hōʻemi kēia i ka mumū a kōkua i ka mālama ʻana i ka ʻeha i maʻemaʻe. |
| Nā lāʻau hoʻopau ʻeha | E lawe i nā lāʻau hoʻomaha ʻeha (e like me Paracetamol) i ʻōlelo ʻia e kāu kauka i ka manawa i kuhikuhi ʻia. E haʻi i kāu kauka inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui. |
| Uluna Donut | No ka hōʻemi ʻana i ka ʻeha i ka wā e noho ana, e hoʻohana i kahi uluna ʻano donut. E hōʻemi kēia i ke kaomi ma ka ʻāpana suture. |
Āhea ʻoe e ʻike koke ai i ke kauka?
E makaʻala pono i kou kino i kou wā e hoʻōla ai. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana i kēlā me kēia lā.
- Inā he kahe ʻala ʻino a i ʻole ka pus e puka mai ana mai kahi i humuhumu ʻia ai.
- Inā ʻulaʻula ka ʻāpana a puni ka ʻeha, pehu, a wela ke pā aku .
- Inā he kahe koko mai nā humuhumu.
- Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole nā ʻeha kino .
Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻAʻole hana ʻia ka episiotomy i nā hānau keiki a pau i kēia mau lā. Hana ʻia ia ke pono loa no ka palekana o ka makuahine a me ke pēpē.
- Ua ʻike ka lāʻau lapaʻau hou i ka hapanui o nā hihia, ʻoi aku ka palekana o ka ʻae ʻana i ka waimaka e ho'ōla maoli.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka i kou wā hāpai.
- Inā he ʻoki a he haehae maoli paha kou, he mea nui ka mālama pono ʻana i ka ʻeha no ka ho'ōla wikiwiki ʻana. E hahai pono i nā ʻōlelo a kāu kauka.
- Inā kū mai kekahi mau hōʻailona ʻē i kou wā e hoʻōla ai, mai makaʻu e ʻimi koke i ke kōkua lapaʻau.
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