Hiki i kēia kumuhana ke lilo i mea koʻikoʻi a pilikino hoʻi no nā poʻe he nui. A kānalua kekahi poʻe e kamaʻilio e pili ana i ia mea. Akā, he mea nui loa ka ʻike ʻana i ka ʻike lapaʻau pololei e pili ana i kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka hoʻopau ʻana i ka hāpai ʻana me nā pila, a i ʻole ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'Medical Abortion'.
I ka ʻōlelo maʻalahi, he aha ka 'Medical Abortion'?
He ʻano hana ʻoki ʻole kēia no ka hoʻopau ʻana i ka hāpai mua ʻana me ka hoʻohana ʻana i nā pila i kuhikuhi kūikawā ʻia. ʻElua ʻano lāʻau lapaʻau nui e hoʻohana ʻia ana ma kēia. ʻO lākou ʻo mifepristone a me misoprostol .
E noʻonoʻo, he hormone ko ko mākou kino e pono ai no ka mālama ʻana i ka hāpai ʻana, a ua kapa ʻia ʻo ia ʻo progesterone .
- ʻO ka lāʻau lapaʻau mua (Mifepristone): Hoʻōki kēia i ka hana ʻana o ka hormone progesterone aʻu i ʻōlelo ai. Ke pau kēia hormone, e lahilahi ka paia o ka ʻōpū a ʻaʻole hiki i ka hāpai ke ola hou.
- ʻO ka lua o ka lāʻau lapaʻau (Misoprostol): Hoʻoulu kēia i ka ʻūlū ʻana o ka ʻōpū, e hoʻokahe ai ke koko a me ka ʻeha, a e kipaku aku i nā mea o loko o ka ʻōpū.
Huli kekahi poʻe i kēia ʻano hana no ka mea ʻaʻole ia he hana ʻoki kino. Eia nō naʻe, hiki ke hana ʻia kēia i nā pule mua o ka hāpai ʻana. Inā lohi loa ka hāpai ʻana, e kūkākūkā paha kāu kauka i nā ʻano hana ʻē aʻe, e like me ke kaʻina hana ʻoki kino i kapa ʻia ʻo D&C (Dilation and Curettage) .
No ke aha e hoʻoholo ai kekahi e like me kēia?
He hoʻoholo pilikino a paʻakikī kēia. Hiki ke ʻokoʻa kēia hoʻoholo ma muli o ke kūlana o ke ola o ke kanaka.
- Hiki i nā mākua ke hoʻoholo i kēia ke ʻike lākou he maʻi hānau ʻia a maʻi hoʻoilina paha kā kā lākou pēpē.
- I kekahi manawa hiki ke kumu ia ma muli o ka hāpai ʻana i manaʻo ʻole ʻia.
- Eia kekahi, i nā hihia i make ai ke pēpē i loko o ka ʻōpū akā ʻaʻole i haʻalele i ke kino (kapa mākou i kēia he 'missed abortion'), hoʻohana pū nā kauka i kēia mau lāʻau like e wehe i kēlā mau ʻāpana ʻiʻo.
- Inā he pilikia i ke ola o ka makuahine ma muli o ka hāpai ʻana, hana ʻia kēia ma ke ʻōlelo aʻoaʻo a ke kauka.
He ʻokoʻa ke kūlana o kēlā me kēia kanaka, no laila ʻoi aku ka maikaʻi o ka hoʻoholo ʻana ma ke kamaʻilio ʻana me ke kauka i ʻike i kou mōʻaukala olakino a hoʻomaopopo i kāu mau pono.
No wai ka mea kūpono ʻole kēia ʻano hana?
E like me nā lāʻau lapaʻau āpau, ʻaʻole kēia no nā kānaka a pau. He mea nui e kūkākūkā i kāu mōʻaukala olakino piha me kāu kauka i mea e palekana ai kēia nou. ʻAʻole palekana iki kēia ʻano hana inā loaʻa iā ʻoe kēia mau kūlana:
| Kūlana | Wehewehena |
|---|---|
| Hāpai keiki | ʻAʻole kūpono kēia ʻano hana inā he mau pule i hala ka hāpai ʻana (ʻoi aku ma mua o ka palena i kuhikuhi ʻia e ke kauka). |
| ʻAleʻaleʻa i ka lāʻau lapaʻau | Inā he maʻi allergy kou i nā lāʻau lapaʻau i hoʻohana ʻia. |
| ʻO kekahi hāpai ectopic ʻē aʻe | Inā aia ka hāpai ʻana ma waho o ka ʻōpū (no ka laʻana, i loko o ka ʻōpū fallopian). He kūlana weliweli loa kēia. ʻAʻole e hana kēia lāʻau lapaʻau no ia. |
| Ke hoʻohana nei i kahi IUD | Inā loaʻa iā ʻoe kahi mea hana intrauterine (IUD). Eia nō naʻe, hiki ke hana ʻia kēia ʻano hana ma hope o ka wehe ʻia ʻana o ka IUD. |
| Kekahi mau kūlana olakino | Inā loaʻa iā ʻoe nā maʻi koko, anemia koʻikoʻi, hoʻohana lōʻihi i nā corticosteroids, a i ʻole ka hāʻule ʻana o ka adrenal mau loa. |
| Ka nele o ka mālama ulia pōpilikia | He mea pilikia kēia ʻano hana inā ʻaʻohe hale e hele koke aku ai i ka Emergency Treatment Unit (ETU) o ka haukapila i ka wā o kahi pilikia. |
Pehea e hana ai kēia kaʻina hana?
He hana kēia me nā ʻanuʻu he nui, a hana ʻia nā mea āpau ma lalo o ka nānā ʻana a kāu kauka.
KaʻAnuʻu Hana 1: Ka hoʻonohonoho ʻana a me ka hoʻomākaukau ʻana o ke kauka
Pono mua ʻoe e ʻike i ke kauka. Eia ka mea e hana ʻia:
- E hōʻoia ka hoʻāʻo mimi a i ʻole ke koko inā ua hāpai maoli ʻoe.
- Hana ʻia kahi scan ultrasound e hoʻoholo pono i ka nui o nā pule o kou hāpai ʻana.
- E wehewehe pono ʻia kēia kaʻina hana holoʻokoʻa, kona mau pilikia a me nā hopena ʻaoʻao iā ʻoe.
KaʻAnuʻu Hana 2: Ke lawe ʻana i ka lāʻau lapaʻau
He mea nui loa ma ʻaneʻi e hahai pololei i nā ʻōlelo a ke kauka .
1. Pila mua (Mifepristone): Hāʻawi pinepine ʻia kēia pila iā ʻoe i mua o ke kauka. Ma hope o kēia, hiki iā ʻoe ke hoʻi i ka home. Hiki i kekahi poʻe ke ʻike i kahi kahe koko liʻiliʻi ma hope o kēia, akā ʻaʻole ka hapa nui o ka poʻe i manaʻo i kekahi mea.
2. Pila ʻElua (Misoprostol): Pono e lawe ʻia kēia pila ʻelua i 24 a 48 mau hola ma hope o ka lawe ʻana i ka pila mua. Hiki ke waiho ʻia i loko o ka waha a ʻae ʻia e hoʻoheheʻe, a i ʻole e hoʻokomo ʻia i loko o ka vagina. E haʻi pololei kāu kauka iā ʻoe pehea e hana ai i kēia.
KaʻAnuʻu Hana 3: Ka Hana ʻana o ke Kaʻina Hana
Ma hope o ka lua o ka pila e hoʻomaka ai ʻoe e manaʻo nui. Hiki iā ʻoe ke manaʻo i kēia mau mea:
- Hoʻomaka ka ʻeha o ka ʻōpū (ʻūlū) a me ke kahe ʻana o ke koko ma waena o 1 a me 4 mau hola ma hope o ka lawe ʻana i ka lāʻau.
- I loko o nā hola e hiki mai ana, e loaʻa ana ka ʻeha nui o ka ʻōpū a me ke kahe koko nui me nā ʻūpā koko . E like kēia me kahi wā kaumaha loa.
- Hiki i kekahi poʻe ke loaʻa i ke kuni iki, ka ʻūlū, ka nausea, a me ka ʻeha o ka ʻōpū no hoʻokahi lā.
He mea nui e hoʻomaha ma kahi ʻoluʻolu a palekana i kēia manawa. He kōkua nui ia inā he kanaka āu e hilinaʻi ai me ʻoe. E mālama i kahi ʻōmole wai wela e kōkua i ka ʻeha, a e lawe i nā lāʻau hōʻoluʻolu ʻeha (e like me ka ibuprofen) e like me ka ʻōlelo a kāu kauka.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
ʻOiai e emi ana ke kahe koko nui a me ka ʻeha i loko o kekahi mau hola, hiki iā ʻoe ke ʻike i ke kahe koko māmā no kekahi mau lā a i ʻole mau pule, e like me ka wā maʻamau. E hoʻohana i nā pads sanitary i kēia manawa. E ʻae kēia iā ʻoe e nānā i ka nui o ke kahe koko āu e loaʻa nei.
ʻO ka mea nui loa, ʻo ia ke hele ʻana no kahi manawa hoʻokolokolo hou me ke kauka. Hiki paha kēia ma kahi o ʻelua pule. Ma laila, e hana lākou i kahi hoʻokolohua (kahi scan a i ʻole ka hoʻāʻo koko) e hōʻoia i ka pau ʻana o ka hāpai ʻana.
He aha nā pilikia a me nā pono?
He 98% ka holomua a palekana kēia ʻano hana ke hana ʻia ma lalo o ka mākaʻikaʻi lapaʻau kūpono.
Nā Pōmaikaʻi:
- Hiki ke hana i kēia i nā wā mua loa o ka hāpai ʻana.
- ʻOiai ʻaʻohe hana ʻoki kino, ʻaʻohe pilikia e pili ana me ia.
- Hiki iā ʻoe ke hana i kēia kaʻina hana ma kahi ʻoluʻolu a pilikino hoʻi (e like me ka home).
- Hiki iā ʻoe ke mālama i ka poʻe e hāʻawi iā ʻoe i ke kākoʻo āu e pono ai kokoke iā ʻoe.
Nā pilikia (kākaʻikahi, akā he mea nui e makaʻala):
- Ka Hāpai Keiki ʻAna: I kekahi manawa, ʻaʻole paha e pau ka hāpai ʻana. A i ʻole e waiho paha kekahi ʻiʻo i loko o ka ʻōpū. I kēlā hihia, pono paha kahi D&C.
- Ke kahe koko nui: Ke kahe koko kaumaha loa e hiki ʻole ke hoʻōki.
- Maʻi: ʻO nā hōʻailona o kahi maʻi e komo pū ana me kahi ʻala pilau mai ka vagina a me ke kuni e mau ana ma mua o hoʻokahi lā.
- Nā maʻi ʻaleʻale i nā lāʻau lapaʻau.
ʻAʻole e hoʻopilikia kēia kaʻina hana i nā hāpai ʻana i ka wā e hiki mai ana (ke ʻole he mau pilikia). E hoʻi hou ana kāu pōʻaiapuni menstrual maʻamau i loko o 4-6 mau pule.
I ka manawa e ʻike koke ai i ke kauka
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU) .
| Hōʻailona | He aha e hoʻolohe ai |
|---|---|
| Kahe nui ʻana o ke koko | Inā ua pulu loa nā ʻūpā hoʻomaʻemaʻe mānoanoa ʻelua i loko o hoʻokahi hola . |
| ʻAʻohe kahe koko | Inā ʻaʻohe hoʻomaka ʻana o ke kahe ʻana o ke koko i loko o 24 mau hola ma hope o ka lawe ʻana i ka lua o ka pila (misoprostol). |
| Nā hōʻailona o ka maʻi | Ke kuni e mau ana ma mua o 24 mau hola, a me ke kahe ʻana o ka ʻōpū ʻala ʻino. |
| ʻEha nui | ʻEha nui o ka ʻōpū a i ʻole ke kua i hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha. |
| Ke ʻike ʻia ʻana o nā hōʻailona hāpai | Inā loaʻa iā ʻoe nā hōʻailona hāpai e like me ka nausea a me ka ʻeha o ka umauma ma hope o kekahi mau pule. |
Hiki i kēia kaʻina hana ke hoʻopilikia iā ʻoe ma ke kino a me ka noʻonoʻo. He mea maʻamau ka manaʻo ʻana i nā ʻano manaʻo like ʻole, me ka hauʻoli, ke kaumaha, ka hewa, a me ke kaumaha. Inā makemake ʻoe i kekahi e kamaʻilio pū me, hiki ke kōkua nui ke kamaʻilio ʻana me kahi hoaaloha hilinaʻi, lālā o ka ʻohana, a i ʻole ke kākāʻōlelo olakino noʻonoʻo (therapist). Hiki i kāu kauka ke kōkua iā ʻoe me kēia.
Leka Lawe-Home
- He hana lapaʻau ka 'Medical Abortion' e hoʻopau ai i nā pae mua o ka hāpai ʻana me ka hoʻohana ʻana i nā pila, me ke ʻoki ʻole ʻana.
- Pono e hana mau ʻia kēia ma lalo o ka nānā ʻana a ke kauka kūpono . Mai lawe i ka lāʻau lapaʻau ma kāu iho a i ʻole ma ke ʻōlelo aʻo a haʻi no kekahi kumu.
- He mea nui loa ka hahai pono ʻana i nā ʻōlelo a ke kauka no ka holomua o ke kaʻina hana a me kou palekana.
- E makaʻala i nā hōʻailona hōʻike e like me ke kahe koko nui, ka ʻeha nui, a i ʻole nā hōʻailona o ka maʻi, a e ʻimi koke i ke kōkua lapaʻau.
- He mea nui ke olakino noʻonoʻo e like me ke olakino kino. Inā makemake ʻoe i ke kākoʻo noʻonoʻo, mai kānalua e kamaʻilio e pili ana.
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