He mea maʻamau ke hopohopo iki a me ka pīhoihoi ke ʻike ʻoe e hāpai ana ʻoe i kahi pēpē, ʻeā? ʻO ke kauka hānau keiki kekahi mea nāna e kōkua iā ʻoe a me kāu pēpē i hānau ʻole ʻia e loaʻa ka mālama maikaʻi loa. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ke kauka hānau keiki a pehea e hiki ai iā lākou ke kōkua iā ʻoe.
ʻO wai lā ke kauka hānau keiki?
I ka ʻōlelo maʻalahi, he loea ka kauka hānau keiki nāna e mālama iā ʻoe a me kāu pēpē ma mua o kou hāpai ʻana, i loko o kou hāpai ʻana, i ka wā hānau, a ma hope o kou hānau ʻana i kāu pēpē . E kōkua ʻo ia iā ʻoe i kēia mau pae ʻehā:
- Ka Manaʻo Mua: ʻO kēia ka manawa e hoʻomaka ai ʻoe e noʻonoʻo e pili ana i ka loaʻa ʻana o kahi pēpē.
- Hāpai: ʻO ka manawa a pau āu e hāpai nei i kahi pēpē.
- Ka hānau ʻana: ʻO ka manawa e hānau ʻia ai ke pēpē i kēia ao.
- Ma hope o ka hānau ʻana: ʻO nā pule mua ma hope o ka hānau ʻana o ke pēpē.
Hana pū kekahi mau kauka hānau keiki ma ke ʻano he kauka wahine . Kāhea mākou iā lākou he Ob/Gyns. He kauka kauka wahine ke kauka lapaʻau i nā maʻi e pili ana i ka ʻōnaehana hānau wahine. No laila, inā he Ob/Gyn kāu kauka hānau keiki, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau mai iā ia no nā pilikia olakino wahine ʻē aʻe ma waho aʻe o ka hāpai ʻana.
He hoʻoholo koʻikoʻi ke koho ʻana i ke kauka e mālama iā ʻoe i kou wā hāpai. ʻO ke kauka hānau keiki kāu koho maikaʻi loa. Hiki iā lākou ke kōkua iā ʻoe e ʻike a mālama i nā kūlana e pili ana i ka hāpai ʻana e hōʻoia i ke olakino o ʻoe a me kāu pēpē.
He aha ka hana a kēia mau kauka?
Hāʻawi kahi kauka hānau keiki i ka mālama maʻamau i nā wahine hāpai. Hoʻoponopono a mālama pū lākou i nā pilikia e kū mai ana i ka wā hāpai. Hānau lākou i kāu pēpē a mālama iā ʻoe ma hope.
Eia kekahi o nā kuleana nui o kāu kauka hānau keiki:
- Nā nānā ʻana i ka wā hānau, nā hoʻokolohua, a me nā hoʻokolohua lab: Hiki i kēia ke kōkua iā ʻoe e aʻo e pili ana i kou olakino a me ke olakino o kāu pēpē. No ka laʻana , nā hoʻokolohua koko, ka urinalysis, a me nā scan ultrasound .
- Ke hāʻawi nei iā ʻoe i ka ʻike e pono ai ʻoe e mālama i kāu hāpai ʻana: E hoʻomaopopo ʻia ʻoe e pili ana i nā mea he nui, e like me ke ʻano o ka meaʻai e ʻai ai, nā hoʻoikaika kino e hana ai, a me nā mea e hana ʻole ai.
- Ke loiloi ʻana i ka nui, ka ulu ʻana, a me ke kūlana o ka ʻōpū i ka wā hāpai: Ke nānā nei inā e ulu pono ana ka pēpē a inā paha aia ke pēpē i ke kūlana kūpono.
- Ke ʻike ʻana i nā ʻokoʻa hānau keiki a i ʻole nā pilikia e hiki mai ana: Nānā mua mākou inā he mau pilikia ko ka pēpē i ka wā hānau, a inā paha e kū mai nā pilikia i ka wā hāpai.
- Ke mālama ʻana i nā kūlana olakino e hoʻopilikia paha i kāu hāpai ʻana: No ka laʻana, inā he mau kūlana kou e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kōkua lākou iā ʻoe e kaohi iā lākou i ka wā hāpai.
- Ka Hoʻokele ʻana i ka hana a me ka hānau ʻana: ʻO kēia ka hoʻokomo ʻana i ka hana (ʻo ia hoʻi ke kumu o ka ʻeha) a me ka hoʻokele ʻana i nā pilikia.
- Ka mālama ʻana ma hope o ka hānau ʻana a hiki i ʻeono pule ma hope o ka hānau ʻana: Ke mālama nei i kou olakino ma hope o ka hānau ʻana o kahi pēpē.
E noʻonoʻo, i kou wā e kokoke ana e hānau i kāu pēpē mua, nui paha kāu mau nīnau a me nā makaʻu. E hoʻomaopopo kahi kauka hānau maikaʻi i kēia mau mea a pau, e kamaʻilio pū me ʻoe ma ke ʻano e hōʻoluʻolu ai ʻoe, a e wehewehe i nā mea āpau. He kōkua nui kēlā!
Āhea wau e ʻike ai i kahi kauka hānau keiki?
Pono ʻoe e ʻike i kahi kauka obstetric i nā hihia aʻe:
- Ke ʻike ʻoe ua hāpai ʻoe: E ʻike koke i ke kauka. ʻO ka maʻamau, e ʻike ʻoe i ke kauka no ka manawa mua ma kahi o ʻehiku a ʻewalu mau pule ma hope o kou wā hope loa.
- No nā nānā maʻamau i kou wā hāpai: ʻO ka maʻamau, e ʻike ʻoe i kāu kauka i hoʻokahi manawa i ka mahina ma mua, a laila hoʻokahi i kēlā me kēia ʻelua pule, a ma ka hope hoʻokahi i ka pule i kou kokoke ʻana i ka hānau ʻana. Eia nō naʻe, inā he hāpai pilikia kiʻekiʻe kou, pono paha ʻoe e ʻike pinepine iā lākou.
- Inā kū mai kekahi mau pilikia i ka wā hāpai.
- Ma hope o ka hānau ʻana o ka pēpē (ʻeono pule ma hope mai): Ua kapa ʻia kēia he "kipa postpartum".
- Inā kū mai kekahi mau pilikia ma hope o ka hānau ʻana o ke keiki.
Inā ʻoe e hānau ana i kāu pēpē ma ka haukapila, e hānau ke kauka hānau keiki i kāu pēpē - hiki ke hana ʻia ma ke ʻano vaginal a i ʻole ma o ka ʻoki ʻana. Ma hope o ka hānau ʻana o kāu pēpē, e nānā kāu kauka i kou kahe koko, ka neʻe ʻana o ka ʻōpū, a me ka mimi ʻana. E nānā pū lākou no nā ʻōpū koko a i ʻole nā kūlana postpartum ʻē aʻe. Inā holo maikaʻi kou hoʻōla ʻana, e ʻae ʻia ʻoe e hoʻi i ka home i hoʻokahi a ʻehā lā.
He aha kā lākou mau ʻoihana akamai?
He loea kekahi mau kauka hānau keiki i nā ʻāpana ʻē aʻe o ka hānau keiki. ʻO kekahi mau laʻana:
- ʻO ka endocrinology hānau a me ka hānau ʻole: Mālama i ka poʻe pilikia i ka loaʻa ʻana o nā keiki.
- Lapaʻau makuahine-kōne: ʻIke ʻia hoʻi he perinatologists, mālama kēia mau loea i nā makuahine me nā hāpai keiki pilikia kiʻekiʻe. ʻO ke ʻano kēia inā loaʻa i ka makuahine a i ʻole ka pēpē kekahi mau pilikia paʻakikī i ka wā hāpai, pono lākou i ka mālama kūikawā.
Pono ʻoe i kahi kuhikuhi e ʻike ai i ke kauka?
Ma Sri Lanka, hiki iā ʻoe ke ʻike pololei i kahi loea. Eia nō naʻe, inā loaʻa iā ʻoe kekahi ʻinikua, he manaʻo maikaʻi e nīnau inā pono kahi "referral", ʻo ia hoʻi kahi ʻōlelo aʻoaʻo mai kekahi kauka ʻē aʻe. A i ʻole, he hana maikaʻi ke nīnau i kāu kauka ʻohana (GP) e pili ana i kēia a loaʻa kahi ʻōlelo aʻoaʻo mai iā ia.
He aha nā kūlana e mālama ai ke kauka hānau?
Mālama nā kauka hānau keiki i kou olakino holoʻokoʻa i ka wā hāpai, a me nā pilikia a i ʻole nā kūlana olakino e hoʻopilikia paha i kou hāpai ʻana. ʻO kekahi o nā kūlana a lākou e kōkua ai e hoʻokele:
- Nā maʻi hoʻoilina hānau
- Nā hāpai ʻana o ka ectopic a i ʻole nā mea hāʻule
- ʻO ka maʻi diabetes gestational: He ʻano maʻi diabetes kēia e loaʻa wale ana i ka wā hāpai.
- Ke koko kiʻekiʻe a i ʻole preeclampsia: He kūlana weliweli kēia e piʻi ai ke koko i ka wā hāpai a hiki ke hoʻopilikia i nā kino ʻē aʻe.
- Nā maʻi
- Nā pilikia placental, no ka laʻana, ka abruption placental
- Maʻi kakahiaka
- Nā ʻehaʻeha o ka hāpai ʻana
Loaʻa i kekahi mau kauka hānau keiki ka ʻike hou aku i ka mālama ʻana i nā hāpai keiki pilikia kiʻekiʻe. Aia kahi manawa kiʻekiʻe o nā pilikia i ka hāpai keiki pilikia kiʻekiʻe. Inā ʻaʻole hiki i kāu kauka hānau keiki ke mālama i kou hāpai ʻana, hiki iā ia ke kuhikuhi iā ʻoe i kahi loea lapaʻau makuahine-fetal (perinatologist).
He aha nā kaʻina hana lapaʻau a nā kauka hānau keiki e hana ai?
Hana nā kauka hānau keiki i nā ʻano hana lapaʻau like ʻole e pili ana i ka hāpai ʻana, ka hānau ʻana, a me ka hānau keiki ʻana. ʻO kekahi mau laʻana:
- ʻAmniocentesis: He hoʻāʻo e lawe i kahi hāpana liʻiliʻi o ka wai amniotic e hoʻopuni ana i ka pēpē. Kōkua kēia e ʻike inā he mau maʻi genetic ko ka pēpē.
- Ka cervical cerclage: Hana ʻia kēia e hōʻemi i ka pilikia o ka hānau mua ʻana inā ua nāwaliwali ka cervix.
- Nānā ʻana i ka ʻōpū o ka cervix: Nānā e ʻike inā ua hāmama (dilated) a lahilahi paha ka ʻōpū o ka cervix (effacement).
- ʻO ka ʻoki Cesarean (C-section) a me ka hānau ʻana ma ke ʻano vaginal
- Dilation a me curettage (D&C): He kaʻina hana i hana ʻia e hoʻomaʻemaʻe i ka ʻōpū ma hope o ka hāʻule ʻana.
- Episiotomy: Hana ʻia kahi ʻoki liʻiliʻi ma waena o ka vagina a me ka anus e maʻalahi ai ka puka ʻana mai o ke pēpē.
- ʻO ke ʻano cephalic waho (ECV): Inā aia ke pēpē i ke kūlana breech, e ho'āʻo e hoʻohuli i ke pēpē ma ka hoʻopā ʻana i ka ʻōpū.
- Kōkua i ka hānau keiki ʻana me ka hoʻohana ʻana i nā forceps a i ʻole nā mea hoʻomaʻemaʻe.
Pehea e koho ai i kahi kauka hānau maikaʻi?
ʻO ke koho ʻana i kahi kauka hānau keiki hiki iā ʻoe ke hilinaʻi a ʻoluʻolu hoʻi e hoʻolilo i kou hāpai ʻana a me ka hānau ʻana i mea leʻaleʻa loa. Inā hiki, e ʻimi i kahi kauka hānau keiki maikaʻi a i ʻole Ob/Gyn ma mua o kou hāpai ʻana.
Eia kekahi mau mea e kōkua paha iā ʻoe:
- E kiʻi i nā ʻōlelo paipai: E noi i kāu mau hoaaloha a me kou ʻohana no nā ʻōlelo paipai. Hiki iā ʻoe ke hele ma ka pūnaewele a heluhelu i nā loiloi o nā kauka. Hiki i kāu kauka ʻohana ke ʻōlelo paipai i nā kauka hānau keiki maikaʻi.
- E noʻonoʻo i nā mea nui iā ʻoe: He aha nā mea nui iā ʻoe i ka wā hāpai a ma hope o ka hānau ʻana o ke pēpē? Hiki ke kōkua i ka hana ʻana i kahi papa inoa pōkole. E nīnau iā ʻoe iho i kēia mau nīnau:
- Hiki iaʻu ke kamaʻilio me kēia kauka me ka ʻoluʻolu? Pēlā nō hoʻi no kaʻu kāne/hoa?
- Ke wehewehe maopopo mai nei kēia kauka iaʻu i nā mea? Ke pane mai nei ʻo ia i kaʻu mau nīnau?
- He aha ka manaʻo o kēia kauka e pili ana i kaʻu hoʻolālā hānau ?
- Pehea e hiki ai iaʻu ke kamaʻilio me kēia kauka ma waho o nā hola o ke keʻena lapaʻau?
- Inā ʻaʻole hiki mai ke kauka aʻu i koho ai i kēlā lā, ʻo wai lā kekahi e mālama iaʻu?
Hana kekahi mau kauka hānau keiki ma nā hana hui. Ma kēlā mau hoʻonohonoho, makemake lākou iā ʻoe e ʻike i nā kauka he nui e like me ka hiki. ʻO kēia no ka mea ʻo ke kauka e hana ana i ka lā o kou lā hānau e hānau i kāu pēpē. Eia nō naʻe, inā ʻoe e hoʻolālā ana i kahi ʻoki C, ʻoi aku paha kou koho ʻana i ke kauka āu e makemake ai.
He mea maʻamau ke makemake i kekahi kauka ma mua o kekahi, akā e hoʻomanaʻo, ua aʻo maikaʻi ʻia nā kauka hānau keiki a pau a ua ʻike nui i ka hāpai ʻana a me ka hānau keiki ʻana.
I ka wā hāpai a ma hope o ka hānau ʻana, nui nā loli e hele ana i kou kino a me kou noʻonoʻo. No laila he mea nui ka loaʻa ʻana o ke kauka hiki iā ʻoe ke hilinaʻi. Mai kānalua e nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai. Aia lākou ma laila e hāʻawi iā ʻoe i ka mālama maikaʻi loa. Loaʻa iā ʻoe a me kāu kauka ka pahuhopu hoʻokahi: ka hāpai olakino, ka hānau olakino, a me kahi pēpē olakino.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui kākou e pili ana i kahi kauka hānau keiki i kēia lā, ʻeā? I ka pōkole, e hoʻomanaʻo i kēia mau mea:
- He loea kahi kauka hānau keiki nāna e kōkua a alakaʻi iā ʻoe ma kāu huakaʻi hāpai.
- E ʻike koke i kahi kauka hānau keiki maikaʻi ke ʻike ʻoe ua hāpai ʻoe.
- Mai poina i ka hele ʻana i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia.
- E koho i ke kauka āu e ʻoluʻolu ai e kamaʻilio pū me ia a hilinaʻi hoʻi. E haʻi aku i kāu mau nīnau a me nā makaʻu a pau iā lākou.
- E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā kauka, nā kahu maʻi, a me nā limahana mālama ola ʻē aʻe e kōkua iā ʻoe.
Ke makemake nei au iā ʻoe a me kou ʻohana i kahi wā e hiki mai ana olakino a hauʻoli!
Kauka hānau keiki, hāpai keiki, hānau keiki, kauka hānau keiki, kauka wahine, olakino wahine, pēpē
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