ʻO nā mea āpau āu e makemake ai e ʻike e pili ana i ka ʻoki Cesarean!

Inā he makuahine hānau ʻoe, a inā paha e kokoke ana kekahi o kou ʻohana e hānau i kahi pēpē, ua lohe paha ʻoe i ka 'cesarean section' a i ʻole `(C-section)`. ʻOiai ua makaʻu iki kekahi poʻe iā ia, he mea kōkua nui ia a i kekahi manawa he mea pono ʻole e pale i ke ola o ka makuahine a me ka pēpē. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia cesarean section, no ke aha e hana ʻia ai, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope, ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

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.

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.

Ma hope o kou hoʻomaʻamaʻa ʻia ʻana, e hana kāu kauka i kahi ʻoki ma kou ʻōpū - ʻo ka maʻamau he ʻoki ākea (1-2 ʻīniha ma luna o kou lauoho pubic, i kekahi manawa i kapa ʻia he "bikini cut"). A laila e huki mālie kāu kauka i kou mau ʻiʻo ʻōpū a hoʻokokoke iā lākou i kou uterus. E hana ʻia kekahi ʻoki ʻē aʻe i loko o kou uterus. Hiki i kēia ʻoki ke kū pololei a i ʻole ka paepae. Hoʻohana pinepine nā kauka i kahi ʻoki ākea no ka mea ʻoi aku ka nui o ka hopena i ka hānau ʻana ma ke ʻano vaginal (VBAC), a i ʻole ka ʻoki cesarean. Ma hope o ka hana ʻana i ka ʻoki, e wehe mālie ʻia kāu pēpē. E omo kāu kauka a hoʻomaʻemaʻe i ka waha a me ka ihu o kāu pēpē, e hoʻopaʻa i ke kaula umbilical, a ʻokiʻoki. E hiki iā ʻoe ke ʻike koke i kāu pēpē, e like me ka wā hānau maʻamau. Ma hope o kēlā, e mālama ʻia kāu pēpē e kahi kahu maʻi a kauka paha no kekahi mau minuke. A laila, e wehe ke kauka hānau i ka placenta mai kou uterus a pani i ka uterus me nā humuhumu hiki ke hoʻoheheʻe ʻia. E pani ʻia ka ʻoki ma kou ʻōpū me nā humuhumu a i ʻole nā ​​staples ʻoki. Hoʻoneʻe pinepine ʻia kēia mau staples me ka ʻeha ʻole ma hope o kekahi mau lā. Inā maikaʻi kāu pēpē, hiki iā ʻoe ke hāpai a hānai i kāu pēpē i loko o ka lumi hoʻōla. Inā pono ʻoe e noho ma kahi moe, pono paha ʻoe i kekahi e kōkua iā ʻoe e hānai i kāu pēpē.

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

Ua manaʻo ʻia he palekana no ka pēpē nā anesthesia kūloko a me nā anesthesia laulā i hoʻohana ʻia i ka wā o ka ʻoki cesarean, akā hiki iā lākou ke hana i nā pilikia no ka makuahine, e like me ka nausea a me ke koko haʻahaʻa. Hiki i nā pēpē i hānau ʻia ma o ka ʻoki cesarean ke loaʻa i kekahi manawa ka paʻakikī o ka hanu ʻana (transient tachypnea o ka pēpē hānau hou). ʻO kēia no ka mea ʻaʻole i hoʻoneʻe pono ʻia ka wai mai nā māmā i ka wā o ka hānau ʻana. Hoʻopau pinepine kēia ma kāna iho i loko o hoʻokahi a ʻelua paha lā. ʻO ka loaʻa ʻana o ka ʻoki cesarean e hoʻopilikia paha i nā hāpai a me nā hānau ʻana i ka wā e hiki mai ana. Hiki i nā makuahine he nui ke loaʻa kahi hānau vaginal holomua a palekana (VBAC) ma hope o ka ʻoki cesarean. Eia nō naʻe, i kekahi mau hihia, pono paha e hana hou ʻia kahi ʻoki cesarean i ka wā e hiki mai ana, ʻoiai inā ua hana ʻia ka ʻoki ʻana i loko o ka uterus ma ke ʻano kū pololei ma mua o ka pae. Hiki i ka ʻoki cesarean ke hoʻonui i ka pilikia o nā pilikia placental i nā hāpai e hiki mai ana.

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 mea kōkua paha ke paʻa ʻana i kou ʻoki me kou lima i kou wā e kihe ai, e ʻū ana, a e ʻakaʻaka paha. Hiki i kēia mau neʻe koke ke ʻeha. I mea e pale aku ai i ke kau ʻana i ke kaomi pono ʻole ma kāu ʻoki, pono ʻoe e pale i ka hoʻokele kaʻa a i ʻole ka hāpai ʻana i nā mea kaumaha no kekahi manawa.E nīnau i kāu kauka i ka wā e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau (ma waena o 6 a me 8 mau pule, ke ho'ōla ʻia kou ʻōpū). E like me ka hānau ʻana ma ka ʻōpū, e pale i ka moe a hiki i ka ʻōlelo ʻana a kāu kauka he palekana ke hana pēlā (ma kahi o 6 mau pule ma hope o ka hānau ʻana o kāu pēpē). ʻO ka hele wāwae pinepine a pōkole e hiki ke kōkua i ka hōʻemi ʻana i kekahi o ka ʻeha a me ka ʻoluʻolu ʻole ma hope o ka ʻoki ʻana. Hiki iā ia ke kōkua i ka pale ʻana i nā ʻōpū koko a hoʻomau i ka neʻe ʻana o kou ʻōpū. Akā, mai hoʻoikaika nui iā ʻoe iho - e mālie, e neʻe a puni, a e kōkua kekahi iā ʻoe, ʻoiai i ka piʻi ʻana a i lalo i nā alapiʻi. Inā he mau keiki ʻē aʻe kāu, e noi i nā hoaaloha, ʻohana, a i ʻole nā ​​hoalauna no ke kōkua me nā meaʻai a me nā hana no kekahi manawa. Hiki ke ʻeha iki ka hānai waiū i ka wā mua, akā ʻo ka hānai waiū ma kou ʻaoʻao, ma ka paʻa lima, a i ʻole ma ka paʻa pôpeku hiki ke kōkua i ka hōʻemi ʻana i ke kaomi ma kou ʻōpū. E inu i ka wai nui e kōkua i ke kahe ʻana o kāu waiū a pale i ka paʻa ʻana. E mae nā ʻeha Cesarean i ka hala ʻana o ka manawa. E emi lākou a lilo i kala ʻili i loko o kekahi mau pule a i ʻole mau mahina ma hope o ka hānau ʻana. Eia kekahi, no ka mea, hana pinepine ʻia nā ʻoki ma ka wahi "bikini", ʻaʻole ʻike ʻia nā ʻeha.

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.

Ma ke ʻano noʻonoʻo, inā ʻoe e manaʻo ana i ka hānau maʻamau, a inā paha ua hele ʻoe i ka hānau ʻana a ua loaʻa iā ʻoe kahi ʻoki cesarean, e manaʻo iki paha ʻoe i ka hoka. E hoʻomanaʻo, ʻaʻole ka loaʻa ʻana o kahi ʻoki cesarean e hoʻemi i ka kūikawā o ka hānau ʻana o kāu pēpē, ʻaʻole hoʻi e hoʻemi i ka waiwai o kāu mau hana. Ma hope o nā mea a pau, ua hele ʻoe i kahi ʻoki nui e lawe mai i kāu pēpē i ke ao nei!

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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