Ua pau anei kou lā hānau? A i ʻole ua ʻōlelo mai ke kauka iā ʻoe e hānau i kāu pēpē ma mua iki ma muli o kou olakino a me ke olakino o kāu pēpē? ʻO kēia ka manawa a mākou e kamaʻilio ai e pili ana i ke ʻano i kapa ʻia ʻo 'Labor Induction'. I ka ʻōlelo maʻalahi, ʻo ia ka inoa i hāʻawi ʻia i ke kaʻina hana o ka hoʻomaka ʻana o ka hānau ʻana ma ke ʻano hana ma kahi o ke kali ʻana e hana maoli. ʻOiai ʻo kēia ke koho maikaʻi loa no kekahi poʻe, aia kekahi mau pilikia. A ʻaʻole ia e hana no nā mea āpau. No laila e maopopo kākou e pili ana i kēia.
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No ke aha e hana ai i ka ʻeha e like me kēia ma ke ʻano hana hoʻopunipuni?
ʻO ka maʻamau, e hoʻomaka kou kino i ke kaʻina hana ke hiki mai ka lā hānau. Eia nō naʻe, i kekahi manawa, inā he pilikia i kou olakino a i ʻole ke olakino o kāu pēpē, hiki i kāu kauka ke hoʻoholo e hoʻoulu i ka hana ma kēia ʻano. ʻAʻole kēia he mea kupanaha e like me kou manaʻo, a he nui nā hānau ʻana e hana ʻia ma kēia ʻano.
Eia nō naʻe, pono e loaʻa kahi kumu lapaʻau maopopo no ka hana ʻana i kēia. ʻOiai nā kauka hānau keiki a me nā kauka wahine e ʻōlelo nei, "Ke paipai wale nei mākou i kēia ʻano hana e hoʻokuʻu iā ʻoe a me kāu pēpē mai kēia kaʻina hana me ka palekana." He kūkākūkā mau kēia ma waena ou a me kāu kauka. No laila, e kamaʻilio pono e pili ana i nā pono, nā pōʻino, a me nā koho ʻē aʻe ma mua o ka hoʻoholo ʻana.
Aia kekahi mau kumu nui e hoʻoholo ai i kēia:
- Hoʻokahi a ʻelua paha pule ma hope o kou lā hānau: Ma hope o 41 mau pule o ka hāpai ʻana, piʻi aʻe ka pilikia o nā pilikia no ʻoe a me kāu pēpē. Akā, mai hopohopo inā ua lohi ʻoe i hoʻokahi a ʻelua paha lā. ʻAʻole hoʻi he mea kūpono ke hana i kēia ma mua o 39 mau pule. No ka mea, ʻoi aku ka nui o nā pilikia olakino o nā pēpē i hānau ʻia ma hope o kēlā.
- ʻAʻole hiki ke hoʻoulu i ka hānau ʻana ma hope o ka haki ʻana o ka ʻeke amniotic: Ma hope o ka haki ʻana o ka ʻeke amniotic, ʻoi aku ka nui o ka pilikia o ka maʻi iā ʻoe a me kāu pēpē. No laila, hiki i kāu kauka ke hoʻoholo e hoʻoulu i ka hānau ʻana.
- Nā pilikia olakino iā ʻoe a i ʻole kāu pēpē: Hiki i kāu kauka ke hoʻoholo i kēia inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka preeclampsia, kahi maʻi i loko o ka ʻōpū (chorioamnionitis), a i ʻole ka wai amniotic haʻahaʻa (oligohydramnios).
- Ka pilikia i ke olakino o ka pēpē: Hoʻohana ʻia kēia ʻano hana inā ʻaʻole ulu pono ka pēpē a i ʻole he mau ʻano ʻē o ka puʻuwai.
- Nā kumu lapaʻau ʻole (Elective Induction): I kekahi manawa nīnau ka poʻe inā hiki ke hana ʻia kēia no ka mea ua mamao loa ʻoe mai ka haukapila, a i ʻole no nā kumu ʻē aʻe o ka maʻalahi. Eia nō naʻe, ʻōlelo ka hapa nui o nā loea ʻaʻole e hana i kēia ke ʻole he kumu lapaʻau maopopo.
ʻO ka mea nui, ʻo ka hānau ʻana ma ke ʻano kūlohelohe.ʻOi aku ka maikaʻi o ka ʻae ʻana ia mea e hana ʻia. Hoʻokumu wale ʻia ka ʻeha hana no nā kumu lapaʻau koʻikoʻi loa.
Pehea e hoʻoulu ai nā kauka i kēia maʻi? (Nā ʻano lapaʻau)
Aia kekahi mau ʻano hana nui i hoʻohana ʻia ma ka haukapila no kēia. E koho kāu kauka i ke ʻano hana kūpono loa ma muli o kou kūlana.
| ʻAno hana | He wehewehe maʻalahi o ka mea e hana nei |
|---|---|
| Ka Hoʻomaʻemaʻe ʻana i ka Membrane | Hoʻokomo ke kauka i kahi manamana lima i uhi ʻia me ka mīkina lima ma o ka vagina i loko o ka cervix a hoʻokaʻawale mālie i ka ʻeke wai mai ka paia o ka uterine. Hoʻoulu kēia i ka hana ʻana o ke kino i nā hormones hoʻoulu ʻeha kūlohelohe (prostaglandins). |
| Ke hāʻawi ʻana i nā hormones | Hoʻokomo ʻia kahi pila a gel paha e loaʻa ana kahi hormone i kapa ʻia ʻo prostaglandin i loko o ka vagina e wehe i ka cervix a hōʻeha i ka ʻeha. |
| Hoʻonui mīkini | Hoʻokomo ʻia kahi mea e like me ka catheter balloon ma o ka cervix a hoʻonui mālie ʻia e wehe i ka cervix. |
| Nā lāʻau lapaʻau | Hāʻawi ʻia ʻo Oxytocin, i ʻike ʻia hoʻi ʻo Pitocin, ma ke ʻano intravenous i loko o ka saline. Hoʻoulu ia i ka ʻūlū o ka ʻōpū (ʻeha). Hoʻonui mālie ʻia ka nui e hana i ka nui o ka ʻeha i makemake ʻia. |
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home? (Nā hana kūlohelohe)
Ua lohe paha ʻoe i kekahi mau lāʻau lapaʻau kūlohelohe kaulana. Akā, ʻaʻohe hōʻike ʻepekema maopopo o ka hapa nui o kēia mau mea. ʻO ka mea nui loa, mai hoʻāʻo i kekahi o kēia mau mea me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
- Ka moe kolohe ʻana: Hiki i kēia ke hoʻokuʻu i nā hormones i kapa ʻia ʻo prostaglandins i loko o ke kino, kahi e hoʻoulu ai i ka hānau ʻana. Inā ʻaʻole i haki kou wai a ua ʻae kāu kauka iā ʻoe, ʻaʻohe hewa o ka hoʻāʻo ʻana.
- Ke hele wāwae nei: ʻOiai he hoʻoikaika kino maikaʻi ka hele wāwae ʻana, ʻaʻole i hōʻoia ʻia e ka ʻepekema e hoʻoulu ai i ka pahū ʻana.
- Kekahi mau meaʻai: ʻOiai he mau manaʻo like ʻole e pili ana i nā mea e like me nā meaʻai ʻala, ka paina, a me nā lā, ʻaʻole hiki ke ʻōlelo maopopo ʻia e hoʻoulu kēia i ka hānau ʻana.
- ʻAila castor: Mai hoʻohana me ke aʻoaʻo ʻole ʻia e ke kauka no ka mea hiki i kēia ke hoʻoulu i ka maʻi pākī a me ka dehydration.
- Nā mea kanu like ʻole: ʻOiai ua kamaʻilio ʻia kekahi mau kī lāʻau a me nā aila, ʻaʻohe hopena paʻa e pili ana i ko lākou palekana a me ka pono.
Hiki i nā ʻano hana kūlohelohe ke kōkua i ka palupalu ʻana o kou cervix a hoʻomākaukau no ka hānau ʻana. Akā inā ʻaʻole mākaukau kou kino, e ʻeha wale nō ʻoe a ʻaʻole e hoʻomaka ka hānau ʻana.
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Check Availability →Aia kekahi mau pilikia i loko o kēia?
ʻAe, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia, ʻo ia ke kumu he mea nui e kūkākūkā pono i kēia me ke kauka.
- Ke manaʻo nei i ka ʻeha hou aku: Hiki i ka ʻeha i hoʻoulu ʻia i hana ʻia ke ʻoi aku ka ikaika a me ka pinepine ma mua o ka ʻeha maoli, e ʻoi aku ka maʻalahi o ka lāʻau ʻeha, ʻoiai ka epidural.
- Ka pilikia o ka maʻi: Inā ʻaʻole hānau ʻia ke pēpē i loko o hoʻokahi a ʻelua paha lā ma hope o ka haki ʻana o ka wai, piʻi aʻe ka pilikia o ka maʻi.
- Ka hiki ke hana ʻia o ka ʻoki ʻoki cesarean (C-section): I kekahi manawa, ʻaʻole holomua kēia mau ʻano hana. I kēlā hihia, pono paha e hana ʻia kahi ʻoki cesarean.
- Nā pilikia e hiki mai ana no ka pēpē: Inā hoʻomaka ka hānau ʻana ma mua o 39 mau pule (no nā kumu olakino), hiki i ka pēpē ke loaʻa nā pilikia e like me ka paʻakikī o ka hanu ʻana.
- Nā pilikia kakaikahi akā koʻikoʻi: Ke hoʻohana ʻia kēia mau ʻano hana no kekahi mea i loaʻa i kahi ʻoki cesarean ma mua, aia kahi pilikia liʻiliʻi loa o ka haki ʻana o ka ʻōpū. Aia kekahi pilikia o ka placental abruption, kahi e hoʻokaʻawale ai ka placenta mai ka paia o ka ʻōpū. He mau maʻi kakaikahi loa kēia.
He aha nā pilikia o ka ʻole o ke kumu ʻana i ka ʻeha?
Ma kekahi ʻaoʻao, i kekahi manawa ʻoiai inā ʻōlelo ke kauka akā ʻaʻole ia e hōʻeha, aia kekahi mau pilikia e pili ana.
- Nā pilikia i ka makuahine: I ka ulu ʻana o ka pēpē i kēlā me kēia lā, hiki ke lilo i mea paʻakikī ka hānau ʻana. Aia kekahi pilikia o ke koko kiʻekiʻe e pili ana i ka hāpai ʻana.
- Nā pilikia i ka pēpē:I ka holomua ʻana o ka hāpai ʻana, emi iho ka pono o ka placenta, e hōʻemi ana i ka meaʻai a me ke koko o ka pēpē. Eia kekahi, inā hoʻopuka ka pēpē i ka meconium i loko o ka ʻōpū, hiki iā ia ke hana i nā maʻi koʻikoʻi inā hanu ʻia.
No laila, e kamaʻilio mau me kāu kauka a hoʻoholo i kahi e ʻaelike ai ʻolua i ka mea maikaʻi loa nou a me kāu pēpē.
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- ʻO ke 'hoʻoulu ʻana i ka hana' e pili ana i ka hana o ka hoʻoulu ʻana i ka hana me ke kali ʻole ʻana i ka hana e hana maoli ʻia.
- Hana ʻia kēia no nā kumu lapaʻau wale nō, inā he pilikia i kou olakino a me ke olakino o kāu pēpē.
- Hoʻohana ʻia kekahi mau ʻano lapaʻau no kēia kumu, e like me ka lāʻau lapaʻau, ka lāʻau hormone, a me nā ʻano mechanical.
- Aia kekahi mau pilikia i loko o kēia kaʻina hana, no laila he mea nui e kūkākūkā pono i nā pono a me nā pōʻino me kāu kauka ma mua o ka hoʻoholo ʻana.
- E ʻimi mau i ka ʻōlelo aʻo lapaʻau ma mua o ka hoʻāʻo ʻana i nā mea i kapa ʻia he lāʻau lapaʻau kūlohelohe.
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