No ʻoukou e kokoke ana e lilo i makuahine , he ʻike kūikawā ka hānau ʻana i kou ola. He makuahine mua paha ʻoe, a he mau keiki paha kāu. Eia nō naʻe, ʻokoʻa kēlā me kēia hānau ʻana. I kekahi manawa, hikiwawe loa ka hānau ʻana o ke pēpē. Akā i kekahi manawa, lōʻihi iki ka manawa. ʻO ka wikiwiki o ka hānau ʻana o kāu pēpē, ma muli ia o nā kumu he nui.
I ka ʻōlelo maʻalahi, ʻo ka hānau ʻana ke kaʻina hana o nā ʻiʻo o kou ʻōpū e ʻūlū paʻa ana, e kaomi ana i ka pēpē i lalo o ka vagina. ʻO kēia mau ʻūlū ʻiʻo ka mea a mākou e kapa nei he 'ʻeha', 'cramps' a i ʻole 'contractions'. E ʻike ʻoe i kēia ʻeha ma kou kua a me ka ʻōpū haʻahaʻa. ʻO kēia mau 'contractions' ke kumu o ka wehe mālie ʻana o ka cervix. Ua like ia me ka puka e wehe ai no ka pēpē e puka i waho. Ke wehe piha ʻia kēia puka, hiki i ka pēpē ke puka i waho.
ʻO ka maʻamau, e hānau ana kahi makuahine hānau mua ma waena o 12 a me 18 mau hola. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi pēpē ma mua, ʻoi aku ka pōkole o kēia wā, malia paha he hapalua o ia.
He aha ka hana lōʻihi?
I kekahi manawa, ʻaʻole wikiwiki ke kaʻina hana e like me kou manaʻo. Hiki ke manaʻo ʻia e like me ke kū ʻana a i ʻole ka hele lohi loa. Ua kapa ʻia kēia e nā kauka ʻo " Failure to Progress ."
Hoʻoholo ʻia ka hānau lōʻihi e ke kahua o ka hānau ʻana a inā ua hoʻonui piha ʻia ka cervix. Inā loaʻa iā ʻoe nā ʻūlū maʻamau no kahi o 20 mau hola a ʻaʻole i hānau ʻia kāu pēpē, manaʻo paha kāu kauka he ' hānau lōʻihi ' ia. I kekahi manawa ua ʻōlelo ʻia kēia ma waena o 18 a me 24 mau hola.
Inā he māhoe kāu, ua manaʻo ʻia ka hānau ʻana he lōʻihi ka hānau ʻana inā ʻoi aku ma mua o 16 mau hola.
No ke aha i lohi ai ka hānau ʻana?
He nui nā makuahine e moeʻuhane nei i kahi hānau wikiwiki a maʻalahi. Akā inā me he mea lā e holo pono ana kāu hānau ʻana, mai hopohopo. Ke mālama pono nei kāu kauka , nā kahu maʻi, a me ke kahu hānai iā ʻoe a me kāu pēpē. Aia kekahi mau kumu e lohi ai ka hānau ʻana.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ke piʻi nei ka nui o ka pēpē. | Inā nui iki ke kino o ke pēpē, he mea paʻakikī paha iā ia ke puka i waho ma ke kahawai hānau o ka makuahine. |
| Kūlana pēpē | ʻO ka maʻamau, puka mai ke pēpē me kona poʻo i lalo a me kona alo i ke kua o ka makuahine. Inā loli kēia kūlana (no ka laʻana, inā ua iho ka breech), hiki ke lohi ka hānau ʻana. |
| Ka hoʻohaiki ʻana o ke kahawai hānau | I kekahi manawa, ʻaʻole lawa ka lumi o ka pelvis o ka makuahine no ka pēpē e puka i waho. |
| Ka nāwaliwali o nā ʻūmiʻi | Ke ʻole ka ʻūmiʻi ikaika o ka ʻōpū e wehe i ka cervix a pahu i ka pēpē i lalo, lohi ka wikiwiki o ka hānau ʻana. |
He aha ka mea e hana ʻia ma ka haukapila ke lohi ka hānau ʻana?
ʻAʻole ʻoe hoʻokahi i kēia manawa. E hoʻomau ka hui lapaʻau i ka nānā ʻana iā ʻoe a me ke kūlana o kāu pēpē. E nānā nui lākou i kēia mau mea:
- ʻEhia pinepine kou loaʻa ʻana o nā ʻūlū: E nānā kēia i ka pinepine o kou loaʻa ʻana o nā ʻūlū.
- Ka ikaika o ka ʻeha hānau: ʻO kēia ke ʻike inā ua lawa ka ikaika o ka ʻeha e hoʻoulu ai i ka hana.
No ka ʻike pololei ʻana i kēia ʻike, i kekahi manawa hiki ke hana ʻia nā hoʻokolohua kūikawā.
1. IUPC (Intrauterine Pressure Catheter): Pili kēia i ke kau ʻana i kahi mea lahilahi e like me ka paipu i loko o ka ʻōpū, kokoke i kahi o ke pēpē. ʻAe kēia i ke kauka e ana ʻaʻole wale i ka wā e hiki mai ana kāu mau ʻōʻō, akā pehea hoʻi ko lākou ikaika. Inā ʻaʻole lawa ka ʻeha, e hoʻoholo ke kauka e hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻonui iā ia ma hope o nā hoʻokolohua e like me kēia.
2. EFM (Continuous Electronic Fetal Monitoring): Nānā kēia i ka puʻuwai o ka pēpē.Ke nānā mau nei. Ua ʻike paha ʻoe i ʻelua mau kaula i kau ʻia a puni ka ʻōpū o ka makuahine, a me kahi mīkini e nānā ana i ka puʻuwai o ka pēpē. Hiki iā ʻoe ke hōʻoia i ka maikaʻi o ka pēpē, me ka ʻole o ka ʻoluʻolu ʻole a luhi paha.
Hana ʻia kēia mau mea a pau no ka pale ʻana iā ʻoe a me kāu pēpē. No laila, mai makaʻu i nā mea e hana ʻia ana ma ka haukapila. Hana ʻia nā mea a pau no ka hōʻoia ʻana i ka palekana maikaʻi loa.
He aha ka lāʻau lapaʻau no ka lohi o ka hānau ʻana?
Inā maikaʻi ka holo ʻana o kāu hānau ʻana, e ʻōlelo mua paha kāu kauka iā ʻoe e hoʻomaha no kekahi manawa. I kekahi manawa, hāʻawi paha lākou iā ʻoe i nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha. Hiki iā lākou ke aʻo aku iā ʻoe e neʻe i kahi kūlana ʻoluʻolu.
Eia kekahi, pili ka lāʻau lapaʻau i ke kumu o ka lohi o ka hana.
- Inā ua hiki ke pēpē i ke kahawai hānau: Inā ua hiki ke pēpē i ka ʻaoʻao haʻahaʻa o ke kahawai hānau akā ua lōʻihi ka manawa e puka mai ai, hiki i ke kauka ke hoʻohana i nā forceps a i ʻole kahi mea hoʻomaʻemaʻe e kōkua i ka wehe pono ʻana i ka pēpē.
- Inā ʻaʻole ikaika kou mau ʻūmiʻi: Inā ʻaʻole ikaika kou mau ʻūmiʻi, hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau i kapa ʻia ʻo Pitocin (oxytocin) ma o ka saline e wikiwiki iā lākou a hoʻoikaika iā lākou.
- ʻOki Cesarean (ʻoki C): Inā nui loa ka pēpē, a inā ʻaʻole holomua ka hānau ʻana ma hope o ka lāʻau lapaʻau e like me Pitocin, pono paha ʻoe e hana i kahi ʻoki cesarean (ʻoki C).
ʻAʻole he hāʻule ka ʻoki ʻoki cesarean. Aia kekahi mau manawa ʻo ia ke koho maikaʻi loa a palekana hoʻi e hoʻopakele i kou ola a me ke ola o kāu pēpē.
Aia kekahi mau pilikia i ka hana lōʻihi?
ʻAe, aia kekahi mau pilikia e hiki mai ana inā lōʻihi loa ka hānau ʻana. Hoʻonui pū ia i nā manawa kūpono o ka hana ʻana i kahi `C-section`. ʻO nā pilikia i ka pēpē:
- Ua emi nā pae oxygen i loko o ke keiki.
- Nā ʻano ʻē i ka helu o ka puʻuwai o ka pēpē.
- Ka hōʻiliʻili ʻana o nā mea ʻino i loko o ka wai amniotic e hoʻopuni ana i ka pēpē.
- Ka maʻi ʻōpū.
Akā e hoʻomanaʻo, ʻo kēia mau pilikia ke kumu e nānā pono ai ke kime lapaʻau iā ʻoe a me kāu pēpē. Inā hōʻike kāu pēpē i kekahi mau hōʻailona o ka pilikia o ka fetal, hana koke ʻia kahi hānau ulia pōpilikia e pale aku i kēia mau pilikia. No laila aia ʻoe i nā lima palekana.
Leka Lawe-Home
- ʻAʻole he mea maʻamau ka hānau lōʻihi. Hiki nō ia, a hiki ke hoʻokele ʻia.
- E nānā pono ana kāu kauka a me nā limahana o ka haukapila iā ʻoe a me kāu pēpē, no laila mai hopohopo.
- Nui nā ala palekana e wikiwiki ai ka hānau ʻana, mai ka hoʻomaha a i ka lāʻau lapaʻau.
- I kekahi mau hihia, ʻo ka ʻoki caesarean (C-section) ke koho palekana loa no ʻoe a me kāu pēpē.
- He kuleana kou e kūkākūkā ākea i nā hopohopo a makaʻu paha āu e loaʻa nei me kāu kauka.
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