Ua hānau paha ʻoe, a ua hāʻule paha kāu keiki. Eia nō naʻe, he manawa iki ka manawa e hoʻōla ai kou kino ma hope o kēlā hanana. He mea maʻamau ka ʻike ʻana i ke kahe koko i kēia manawa. Eia nō naʻe, i kekahi manawa hiki i kēia kūlana ke hele ma mua o ka pae maʻamau. ʻO kekahi kumu no ia mea, ʻo ia ke kūlana a mākou e kamaʻilio nei i kēia lā.
He aha ke ʻano o kēia no nā ʻāpana i hoʻopaʻa ʻia o ka ʻōpū (RPOC)?
I ka ʻōlelo maʻalahi, ʻo nā huahana i mālama ʻia o ka hāpai ʻana (RPOC) ʻo ia ka wā e noho ai nā ʻiʻo mai ka fetus a i ʻole ka placenta i loko o kou ʻōpū ma hope o ka pau ʻana o ka hāpai ʻana. Aia kekahi mau ala e hiki ai kēia ke hana:
- Ma hope o ka hānau maʻamau
- Ma hope o ka ʻoki ʻana i ka ʻāpana caesarean (C-section)
- Ma hope o ka hāʻule ʻana o ka hāpai keiki
- Ma hope o ka hoʻopau ʻana i ka hāpai keiki
ʻO ka hapa nui o nā mea i koe he ʻāpana o ka placenta, akā i kekahi manawa e koe nō hoʻi kekahi mau ʻāpana o ka pēpē i loko o ke kino.
ʻO ka mea nui, ʻaʻole kēia he maʻi e hoʻopilikia i nā wahine he nui. No laila, mai makaʻu pono ʻole i ka heluhelu ʻana e pili ana i kēia. ʻO ka mea nui loa, ʻo ia ka makaʻala.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi?
He nui nā loli i kou kino ma hope o ka hāpai ʻana. He mea maʻamau kekahi kahe koko a me ke kahe ʻana o ka ʻōpū. Eia nō naʻe, inā loaʻa iā ʻoe ke kahe koko nui a i ʻole nā kīʻaha koko nui, he hōʻailona paha ia e pono ai ʻoe e ʻimi i ke kōkua lapaʻau.
ʻO ka hōʻailona nui a maʻamau o RPOC, ʻo ia ke kahe koko nui a ʻano ʻole paha . Eia kekahi, hiki ke ʻike ʻia kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| kuni | He hōʻailona paha ia o kahi maʻi i loko o ke kino. |
| ʻEha ʻōpū haʻahaʻa | ʻO ka ʻeha pelvic ka ʻeha a i ʻole ka ʻoluʻolu ʻole i loko o ka lua pelvic. |
| Ka hoʻonui ʻia ʻana o ka ʻōpū a me ka ʻeha | I ka nānā ʻana o ke kauka, ʻoi aku paha ka nui o ka ʻōpū ma mua o ka maʻamau a ʻeha paha ke hoʻopā ʻia. |
| ʻAʻole hoʻi mai ke kaʻina hana menstrual | Inā ʻaʻole ʻoe e hānai waiū ana i kāu pēpē, pono e hoʻomaka hou kou wā. Inā ʻaʻole, pono ʻoe e hoʻolohe iā ia. |
No ke aha e hana ʻia ai kēia? He aha nā kumu pilikia?
He paʻakikī ke kuhikuhi pono i ke kumu e noho ai nā ʻiʻo o ka ʻōpū ma hope o ka hāpai ʻana. Eia nō naʻe, hiki i kekahi mau mea ke hoʻonui i ka pilikia o kēia maʻi.
- Inā ua loaʻa iā ʻoe kēia ʻano ma mua: Inā ua loaʻa iā ʻoe ʻo RPOC i kahi hānau mua, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe.
- Nā pilikia o ka placenta: Ma ke ʻano i kapa ʻia ʻo "Placenta Accreta", kahi i pili pono ai ka placenta i ka paia o ka ʻōpū, ʻaʻole paha e kaʻawale loa ka placenta a puka i waho.
- Makahiki: ʻOi aku ka kiʻekiʻe o ka pilikia inā ʻoi aku ʻoe ma mua o 35 mau makahiki i ka wā hāpai.
- Ka hānau keiki ʻana me nā mea kani: Hiki ke hoʻonui ʻia kēia pilikia ke hānau ʻia ke pēpē me ka hoʻohana ʻana i nā mea kani e like me "Forceps" a i ʻole "Vacuum".
- ʻO ka hāʻule ʻana o ka trimester ʻelua: Inā hānau ʻia, hāʻule ʻana, a hoʻopau ʻia paha ka hāpai ʻana ma waena o 13 a me 26 mau pule o ka hāpai ʻana.
- ʻO ke ʻoki kino ma mua: Inā ua loaʻa iā ʻoe kahi ʻāpana C-section a i ʻole dilation a curettage (D&C) ma mua, hiki i ka ʻeha ma ka ʻōpū ke hana i nā pilikia me ka placental abruption.
- Nā ʻano ʻē i ke ʻano o ka ʻōpū: Hiki ke hānau ʻia kekahi mau wahine me ke ʻano ʻē aʻe o ka ʻōpū. I ia mau hihia, aia nō hoʻi kēia pilikia.
He aha ka mea e hana ai inā ʻaʻole e wehe ʻia kēia mau ʻāpana?
Inā koe nā ʻāpana i koe o ka ʻōpū, hiki iā ia ke alakaʻi i kekahi mau pilikia, a ʻo kekahi o ia mau mea he mea koʻikoʻi loa paha.
- Anemia: ʻO ke kahe koko nui ke kumu o ka emi ʻana o ke koko i loko o ke kino, e alakaʻi ai i ka luhi a me ka nawaliwali.
- Maʻi: Hiki ke loaʻa nā maʻi ma muli o nā ʻāpana i koe o ka ʻōpū. Inā ʻaʻole mālama pono ʻia kēia mau maʻi, hiki iā lākou ke hōʻino i ka ʻōnaehana hānau keiki a hiki ke ulu aʻe i kahi kūlana weliweli i kapa ʻia ʻo 'sepsis' .
- ʻEha mau loa o ka ʻōpū lalo: Hiki ke loaʻa ka ʻeha pinepine o ka ʻōpū lalo.
- ʻO ka maʻi Asherman:He kūlana laha ʻole kēia. Pili ia i ke kūkulu ʻia ʻana o nā ʻiʻo ʻeha (nā hoʻopili ʻana) i loko o ka ʻōpū. Hiki i kēia ke hana i nā pilikia me ka hāpai ʻana i ka wā e hiki mai ana a me nā hewa o ka menstruation.
Pehea e ʻike ai nā kauka i kēia maʻi?
He mea paʻakikī ke ʻike inā he RPOC kou ma ka nānā wale ʻana i nā hōʻailona. Hiki i kēia mau hōʻailona ke like me nā kūlana ʻē aʻe e hiki ke kū ma hope o ka hānau ʻana. No laila, e holo paha kāu kauka i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
| ʻAno hoʻāʻo | He aha ka mea e hana nei? |
|---|---|
| Nā hoʻāʻo koko a me nā ʻiʻo |
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| Nā scan |
|
He aha nā lāʻau lapaʻau no kēia?
Inā hōʻoia ʻia ka RPOC, hana ʻia ka lāʻau lapaʻau e wehe i nā ʻāpana i koe. ʻElua mau ʻano lapaʻau nui.
1. Nā lāʻau lapaʻau: ʻO Misoprostol kahi lāʻau lapaʻau i lawe ʻia ma ka waha a i ʻole i hoʻokomo ʻia i loko o ka vagina. Hana kēia lāʻau lapaʻau ma ke kumu ʻana i ka ʻōpū e ʻūlū a hoʻokuke aku i nā ʻiʻo i loko.
2. D&C (Dilation a me Curettage): He hana ʻoki liʻiliʻi kēia. Ma kēia, ua wehe ʻia ka cervix a hoʻohana ʻia kahi mea hana kūikawā e ʻeli i waho i nā ʻiʻo a pau i loko o ka ʻōpū.
He kūpono kēia mau lāʻau ʻelua. Na kāu kauka e hoʻoholo i ka lāʻau kūpono loa iā ʻoe, me ka noʻonoʻo ʻana i kou kūlana a me ka nui o ke kino i koe.
Aia kekahi mau pilikia me kēia mau lāʻau lapaʻau?
E like me nā hana lapaʻau a pau, he liʻiliʻi loa nā pilikia. He liʻiliʻi loa ka manawa kūpono o ke kahe koko nui a i ʻole ka maʻi. He kakaikahi loa ka pilikia o ka perforation uterine i ka wā o ka D&C. Eia nō naʻe, hoʻoholo pinepine kēia ma kāna iho.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hānau ʻana, ka hoʻopau ʻana i ka hāpai ʻana, a i ʻole ka hoʻopau ʻana i ka hāpai ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila a i ʻole e ʻike i kāu kauka.
- Paʻakikī ka hanu ʻana
- Ke kahe koko nui loa (ka pulu ʻana ma mua o hoʻokahi ʻūpā hoʻomaʻemaʻe i kēlā me kēia hola)
- kuni kiʻekiʻe
- Ka luaʻi a me ka luaʻi
- ʻEha nui o ka ʻōpū lalo hiki ʻole ke hoʻomanawanui
Ma hope o ka hānau ʻana i kahi pēpē a i ʻole ka hāʻule ʻana o kahi keiki, pono ʻoe i ka manawa e hoʻomaha ai a ho'ōla, ma ke kino a me ka noʻonoʻo. He mea maʻamau ke kaumaha a me ka hoka ke haʻi ʻia iā ʻoe e pono ʻoe e hana i kahi lāʻau ʻē aʻe. Akā e hoʻomanaʻo, ʻo ka waiho ʻana i kēia maʻi me ka mālama ʻole ʻia hiki ke alakaʻi i nā pilikia lōʻihi. No laila, mai makaʻu e kamaʻilio me kāu kauka. ʻO ke kamaʻilio ākea e pili ana i kou mau manaʻo a me kou mau hopohopo e kōkua iā ʻoe e ʻoluʻolu.
Leka Lawe-Home
- Hiki ke mālama ʻia ka ʻiʻo uterine (RPOC) ma hope o ka pau ʻana o ka hāpai ʻana, akā ʻaʻole maʻamau.
- ʻO ka hōʻailona nui, he kahe koko nui a kūpono ʻole ma hope o ka hānau keiki/hoʻopau keiki. ʻO nā hōʻailona ʻē aʻe e komo pū ana me ke kuni a me ka ʻeha o ka ʻōpū ma lalo.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokuʻu iā lākou a e haʻi koke aku i kāu kauka .
- Hiki ke mālama pono ʻia kēia ʻano me ka lāʻau lapaʻau a i ʻole kahi ʻoki liʻiliʻi i kapa ʻia ʻo D&C.
- Ma hope o ka loaʻa ʻana o ka lāʻau kūpono, hiki i ka hapa nui o nā wahine ke hāpai hou i ka wā e hiki mai ana me ka ʻole o nā pilikia a hānau i nā keiki olakino.
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