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He aha ke ʻano o ka ʻoki ʻana i ka ʻōpū (C-section)?
I ka ʻōlelo maʻalahi, ʻo ka ʻoki cesarean kahi hana ʻoki e hānau ai i kahi pēpē ma o nā ʻoki liʻiliʻi i loko o kou ʻōpū a me ka uterus. Hoʻoholo pinepine nā kauka e hānau i kahi pēpē ma kēia ʻano ke paʻakikī ke hānau maʻamau, a i ʻole ke loaʻa ka pilikia i ka makuahine a i ʻole ke pēpē. E hoʻomanaʻo, i kekahi manawa hiki i kēia ke lilo i hana hoʻōla ola. Hana ʻia kēia mau ʻoki e nā kauka hānau keiki a me nā kauka wahine - a i ʻole, i ka hihia o kahi haukapila aupuni, e nā kauka kiʻekiʻe ma ia kahua (ma lalo o ka nānā ʻana o nā kauka hānau keiki a me nā kauka wahine).No ke aha he mea e pono ai ka ʻoki caesarean i kekahi manawa?
Nui nā kumu e hiki ai ke hana ʻia kahi ʻoki cesarean. Hoʻolālā mua ʻia kekahi, aʻo kekahi e hana ʻia i ka wā pilikia. E nānā kākou i nā mea ʻelua.Nā ʻĀpana C i Hoʻonohonoho ʻia
I kekahi manawa, ua ʻike mua ke kauka he pilikia ka hānau ʻana maʻamau. I kēlā mau hihia, ua hoʻonohonoho ʻia kahi ʻoki cesarean i hoʻokahi lā ma mua. Eia kekahi mau hihia:- Ke kūlana o ka pēpē: Aia ke pēpē ma ke kūlana breech, ke kūlana breech, a i ʻole ke kūlana transverse. Eia nō naʻe, i kekahi manawa hiki ke hoʻohuli ʻia ke pēpē ma mua o ka hānau ʻana, a i ʻole hiki ke hoʻohana ʻia nā ʻano hana kūikawā e kōkua i ka pēpē e hānau maʻamau.
- Nā kīnā hānau i ka pēpē: Inā he kīnā hānau koʻikoʻi ko ka pēpē e like me ka "Hydrocephalus" (wai e hoʻopiha ana i ke poʻo).
- Nā pilikia o ka placenta: Inā he pilikia ko ka makuahine me kona placenta. Eia kekahi laʻana, he kūlana i kapa ʻia ʻo "Placenta Previa", ʻo ia hoʻi, aia ka placenta ma lalo loa i loko o ka ʻōpū, e uhi ana i ka cervix .
- Nā kūlana olakino o ka makuahine: Inā he mea weliweli ka hānau maʻamau no ka makuahine a i ʻole ke pēpē ma muli o ke kūlana olakino o ka makuahine (no ka laʻana, ke kiʻekiʻe o ka maʻi HIV i loko o ke kino, a i ʻole ka herpes genital ikaika).
- Hāpai keiki he nui: I kekahi mau hihia o nā hāpai keiki he nui, e like me nā hānau māhoe.
- Nā hana ʻoki kino ma mua:Inā ua hana mua ʻia ke ʻoki ʻōpū o ka makuahine, a inā paha ua hana mua ʻo ia i kahi ʻoki cesarean. Eia nō naʻe, pono e hoʻomaopopo ʻia ma ʻaneʻi e hiki i nā makuahine he nui ke hānau maʻamau i kā lākou pēpē aʻe, ʻoiai inā ua hana mua ʻia lākou i kahi ʻoki cesarean. Kāhea mākou i kēia ʻo VBAC (Vaginal Birth After Cesarean).
Nā ʻĀpana C-ʻEha Pōpilikia
Hana koke ʻia kekahi mau ʻoki cesarean a me ka manaʻo ʻole ʻia. Hiki ke hana ʻia kēia i ka wā hāpai, i ka wā hānau, a i ʻole ke pilikia me ka makuahine a i ʻole ka pēpē. Eia kekahi mau laʻana:- Pau a lohi paha ka ʻeha o ka hānau ʻana: Inā ʻaʻole e hele pono mai ana ka ʻeha o ka hānau ʻana, me he mea lā ua pau, a e hele lohi ana paha, a ʻaʻole kōkua nā lāʻau lapaʻau i hāʻawi ʻia.
- Ka hoʻopau ʻana o ka placenta: Inā kaʻawale ka placenta mai ka paia o ka ʻōpū i ka wā ʻōpiopio, ua kapa ʻia kēia ʻo "Placental Abruption".
- Nā pilikia o ke kaula umbilical: Inā ʻūmiʻi ʻia ke kaula umbilical (hiki i kēia ke hoʻopilikia i ka lako oxygen o ka pēpē) a i ʻole inā komo ke kaula umbilical i loko o ka vagina ma mua o ka hānau ʻana o ka pēpē ( umbilical cord prolapse ).
- ʻEhaeha o ka ʻōpū: Hōʻike nā loli i ka helu o ka puʻuwai o ka pēpē ʻaʻole lawa ka oxygen i ka pēpē.
- Ka nui o ka pēpē: Inā nui loa ke poʻo o ka pēpē a i ʻole ke kino holoʻokoʻa e puka i waho o ke kahawai hānau.
Inā ʻōlelo kāu kauka he pono ʻoe i kahi ʻoki cesarean, hiki iā ʻoe ke kiʻi i kahi manaʻo ʻelua mai kekahi kauka ʻē aʻe, ke ʻole he pilikia. Akā i ka hopena, ʻoi aku ka maikaʻi o ka hilinaʻi i ka hoʻoholo a ke kauka.
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Check Availability →Pehea e hana ʻia ai ka ʻoki caesarean (C-section)?
E nānā kākou i kekahi o nā mea e hana pinepine ʻia i ka wā o ka ʻoki ʻana i ka ʻōpū. Hiki i kāu mea kākoʻo (kāne, ʻohana) ke noho pū me ʻoe i loko o kahi lole ʻoki. (Eia naʻe, ʻaʻole hiki kēia i ka wā o ka ʻoki ʻana i ka ʻōpū ulia pōpilikia.) Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e kamaʻilio ke kauka anesthesiologist me ʻoe e pili ana i ka mea e hana ʻia e hōʻole ai ʻoe i ka ʻeha. ʻO ka hapa nui, hoʻohana lākou i ka mea i kapa ʻia ʻo "Regional Anesthesia". ʻO ke ʻano kēia, he wahi wale nō o ke kino i make. Hoʻohana ʻia kēia e hōʻemi i ka ʻeha i ka wā o ka hānau ʻana ma ka ʻōpū a me nā ʻoki ʻana. Eia kekahi mau mea a lākou e hana ai e hoʻomākaukau iā ʻoe no ke ʻoki ʻana:- Ua hoʻokomo ʻia nā mea hana like ʻole (Monitors) e nānā i nā mea e like me kou helu puʻuwai, ka hanu ʻana , a me ke koko .
- E hoʻohana ʻia kahi pale maka oxygen a i ʻole kahi ʻōmole liʻiliʻi i kau ʻia i loko o kou mau puka ihu e hāʻawi iā ʻoe i ka oxygen.
- E hoʻokomo ʻia kahi ʻōmole liʻiliʻi (catheter) i loko o kou urethra e hoʻokahe i ka mimi (hiki paha ke ʻoluʻolu iki kēia, akā ʻaʻole ia he ʻeha).
- E kau ʻia kahi laina intravenous (IV) i loko o kou lima a i ʻole kahi aa koko i loko o kou lima e hāʻawi iā ʻoe i ka saline.
- E holoi pono ʻia kou ʻōpū a e wehe ʻia ka lauoho mai kou piko a me kou ʻōpū lalo.
- E kau ʻia kahi pale e uhi i kou ʻōpū.
E manaʻo anei ʻoe i kekahi mea i ka wā o ke ʻoki kino?
ʻAʻole ʻoe e ʻeha i ka wā o ka ʻoki cesarean. Eia nō naʻe, hiki iā ʻoe ke manaʻo i ka huki ʻana a i ʻole ke ʻūmiʻi ʻana. He nui nā makuahine e ala ana i ka wā o ka ʻoki cesarean no ka mea he anesthesia kūloko ko lākou (kahi epidural a/a i ʻole ka poloka spinal) e hoʻomānoʻonoʻo wale i ka ʻāpana ma lalo o ka pūhaka. Ma kēia ʻano, hiki iā lākou ke ʻike a lohe i kā lākou pēpē e hānau ʻia ana. E kau ʻia kahi pale ma kou ʻōpū i ka wā o ke kaʻina hana, akā hiki iā ʻoe ke nānā i luna a ʻike i ka pēpē e lawe ʻia ana mai loko mai o kou ʻōpū. I kekahi manawa, pono paha e hāʻawi ʻia kahi makuahine e loaʻa ana i kahi ʻoki cesarean ulia pōpilikia i ka anesthesia laulā. ʻO ke ʻano kēia ua ʻike ʻole ka pēpē (a i ʻole "hiamoe") i ka wā hānau a ʻaʻole e hoʻomanaʻo a ʻike paha i kekahi ʻeha.He aha nā pilikia o ka ʻoki caesarean?
ʻO nā ʻoki Cesarean i hana ʻia i kēia lā he palekana no ka makuahine a me ka pēpē. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia. ʻO kekahi o nā pilikia hiki ke loaʻa i ka ʻoki cesarean:- Ke kahe nui ʻana o ke koko (ʻano kakaikahi loa, pono paha ka hoʻoili koko)
- ʻO ka maʻi ʻeha (Hāʻawi pinepine ʻia nā antibiotics e pale aku i kēia)
- Ka hōʻino ʻana i ka ʻōpū mimi a i ʻole nā naʻau
- Nā hopena maikaʻi ʻole i nā lāʻau lapaʻau
- Nā ʻūpā koko
- Make (kākaʻikahi loa)
- Nā ʻeha hiki ke loaʻa i ka pēpē
I ke ʻano o ka ʻoki ʻoki cesarean ulia pōpilikia, ʻoi aku ka nui o nā pono ma mua o nā pilikia. Hiki i ka ʻoki ʻoki cesarean ke hoʻōla ola.
Pehea ka lōʻihi o ka manawa hoʻōla ma hope o ka ʻoki cesarean?
E like me nā ʻoki kino āpau, aia kekahi ʻeha a me ka ʻoluʻolu ʻole ma hope o ka ʻoki ʻana i ka ʻōpū. ʻOi aku ka lōʻihi o ka manawa hoʻōla ma mua o ka hānau ʻana maʻamau. ʻO nā makuahine i loaʻa i ka ʻoki ʻana i ka ʻōpū e noho mau ana i ka haukapila no kahi o 3 a 4 mau lā. Ma hope koke iho o ke ʻoki ʻana, hiki iā ʻoe ke manaʻo i ka ʻeha, ka luaʻi, a i ʻole ka ʻeha - nā hopena maʻamau a pau i ka anesthesia a me ke ʻoki ʻana. Inā pono ʻoe e loaʻa i ka anesthesia laulā no ka ʻoki ʻana i ka ʻōpū ulia pōpilikia, hiki iā ʻoe ke hiamoe, huikau, anu, makaʻu, hopohopo, a kaumaha paha. E hāʻawi kāu limahana lapaʻau iā ʻoe i ka lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i kekahi ʻeha a ʻeha paha. I nā lā mua a hiki i kekahi mau pule, hiki iā ʻoe ke ʻike:- Manaʻo luhi.
- ʻEha a puni ka ʻoki (e kuhikuhi ke kauka i nā lāʻau ʻeha, a i ʻole e haʻi iā ʻoe e pili ana i nā lāʻau ʻeha ma luna o ke kūʻai aku e palekana ke hoʻohana inā ʻoe e hānai waiū ana).
- ʻO ka pehu a me ka paʻa ʻana.
- He paʻakikī ke neʻe a hāpai i ke pēpē.
He aha kāu e hana ai inā ʻaʻole ʻoe e maikaʻi koke?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , e kāhea koke aku i kāu kauka:- Kuni.
- Nā hōʻailona o ka maʻi a puni ka ʻoki (pehu ʻana, ʻulaʻula, mehana, pus).
- Ka ʻeha koke e hoʻonui ana a puni ka ʻoki a i ʻole ma ka ʻōpū.
- He kahe ʻana o ka ʻōpū me ke ʻala pilau.
- ʻEha i ka wā e mimi ai.
- Ka paʻakikī o ka hoʻokahe ʻana.
- Ke kahe koko nui ʻana o ka ʻōpū.
- ʻEha, pehu, a ʻulaʻula paha i nā wāwae.
- Ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha o ka umauma.
- ʻEha ma kekahi a i ʻole nā umauma ʻelua.
- Nā manaʻo e like me ke kaumaha.
- Nā manaʻo e hōʻeha iā ʻoe iho a i ʻole ke pēpē.
Leka Lawe-Home
He hana lapaʻau nui ka ʻoki ʻoki cesarean i hana ʻia no ke olakino a me ka palekana o ka makuahine a me ka pēpē. I kekahi manawa ua hoʻolālā ʻia, i kekahi manawa he pilikia ia.ʻAʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana, a i ka hapanui o nā hihia e hiki iā ʻoe ke ʻike i ke pēpē ma hope koke o kona hānau ʻana.He manawa iki ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana, a he mea nui loa ia e hoʻomaha maikaʻi a hahai i nā ʻōlelo a kāu kauka i kēia manawa. Inā ʻike ʻoe i kekahi mau hōʻailona ʻeha a weliweli paha, e ʻike koke i kāu kauka. ʻO ka mea hope loa, inā he ʻoki cesarean a he hānau maʻamau paha, he ʻike kupaianaha ka lilo ʻana i makuahine. Nā makemake maikaʻi loa no kāu huakaʻi!
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