Manaʻolana ka nui o nā makuahine e hānau maoli i kā lākou pēpē. Akā i kekahi manawa, hoʻoholo paha kāu kauka e hana i kahi ʻoki cesarean (C-Section). Hana pinepine ʻia kēia no ka palekana o ʻoe a me kāu pēpē. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu he mea pono ka ʻoki C-section a me nā pilikia e hiki ai ke hoʻopilikia i ka makuahine a me ka pēpē. He mea nui e ʻike pono i kēia.
No ke aha ʻoe e pono ai i ka ʻāpana C-Section?
Hiki ke hoʻokaʻawale ʻia nā kumu no ka hana ʻana i ka ʻoki cesarean i ʻelua mau māhele nui. ʻO kekahi he ʻoki C-Section i hoʻolālā ʻia a ʻo kekahi he ʻoki C-Section ulia pōpilikia .
E noʻonoʻo ʻoe he mau māhoe a ʻoi aku paha kāu. I ia mau hihia, ʻoi aku ka paʻakikī o ka hānau ʻana maʻamau, no laila e hoʻolālā mua nā kauka i kahi ʻoki C-section. Eia kekahi, inā he maʻi ko ka makuahine e paʻakikī ke kāohi, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a inā he maʻi ʻōpū kona e hiki ke hoʻoili ʻia i ka pēpē (e like me ka herpes), ua ʻōlelo ʻia ke ʻoki ʻana no ka palekana o ka pēpē.
Pono ka ʻoki ʻoki C-section ulia pōpilikia ma muli o kekahi mau pilikia e kū mai ana i ka wā hānau keiki .
- ʻAʻole lawa ka holomua o ka hānau ʻana: I kekahi manawa, ʻaʻole e wehe nui ka cervix e like me ka mea e pono ai. Inā ʻaʻole i lalo ka pēpē ma hope o nā hola o ka hānau ʻana.
- Ke kūlana o ka pēpē: Inā ʻaʻole ke kūlana kūpono o ka pēpē, no ka laʻana, inā aia ke pēpē i ke kūlana breech ma kahi o ke kūlana poʻo i lalo.
- Ka nui o ka pēpē: Inā nui loa ka pēpē a manaʻo ke kauka he paʻakikī iā ia ke hele ma waena o ka pelvis o ka makuahine .
- Nā pilikia no ka pēpē a i ʻole ka makuahine: Inā loli ka puʻuwai o ka pēpē i ka wā hānau (fetal distress), ʻo ia hoʻi ke pilikia nei ka pēpē. I ia mau hihia, pono e hānau koke ʻia ka pēpē. Eia kekahi, inā loaʻa i ka makuahine kahi mea e like me ke kahe koko nui, pono paha ke ʻoki ʻana.
ʻO ka mea nui loa, ʻo ka ʻoki ʻana ma ke ʻano he C-section he hoʻoholo lapaʻau koʻikoʻi loa ia i hana ʻia e pale i ke ola o ka makuahine a me ka pēpē. ʻAʻole loa ia he hemahema.
Nā pilikia i ka makuahine mai ke ʻoki kino
E like me nā ʻoki kino nui a pau, loaʻa i kahi ʻoki cesarean kekahi mau pilikia. Eia nō naʻe, he mea nui e hoʻomanaʻo he mea kakaikahi kēia a ʻaʻole paha e hana ʻia.
| Kūlana pilikia | He wehewehe maʻalahi |
|---|---|
| Maʻi | Aia kahi manawa liʻiliʻi o ka ulu ʻana o ka maʻi i loko o ka ʻeha ʻoki a i ʻole ka ʻōpū. E hana ka haukapila i nā hana palekana āpau e pale aku ai i kēia. |
| Ke kahe koko | Aia paha he ʻoi aku ka nui o ke kahe koko ma mua o ka wā hānau maʻamau. Akā ua mākaukau nā kauka no kēia. Aia pū kekahi mau pono e hāʻawi i ke koko inā pono. |
| Nā ʻūpā koko | Aia kahi pilikia liʻiliʻi o nā ʻūpā koko (Deep Vein Thrombosis - DVT), ʻoi aku hoʻi ma nā wāwae. Paipai ʻia ka hele wikiwiki ma hope o ke ʻoki ʻana e hōʻemi i kēia pilikia. |
| Nā hopena i ka Anesthesia | He mea kākaʻikahi loa nā hopena maʻi a i ʻole nā hopena ʻē aʻe i ka anesthesia. E nānā pono nā anesthesiologists iā ʻoe i ka wā o ke ʻoki kino. |
| Ka hōʻino ʻana i nā ʻōpū ʻē aʻe | I ka manawa kākaʻikahi loa, hiki ke loaʻa kahi hōʻino liʻiliʻi i ka ʻōpū mimi a i ʻole nā ʻōpū kokoke i ka ʻōpū i ka wā o ke ʻoki ʻana. Hiki i nā kauka ke hoʻoponopono koke i kēia mau mea. |
| Ka Embolism Wai Amniotic | He kūlana kakaikahi loa kēia akā he kūlana koʻikoʻi kahi e komo ai ke wai amniotic e hoʻopuni ana i ka pēpē i loko o ke koko o ka makuahine. He pilikia olakino kēia. |
Aia kekahi hopena i nā hāpai ʻana i ka wā e hiki mai ana?
ʻAe, aia kekahi mau mea āu e pono ai e makaʻala i kou wā hāpai aʻe ma hope o ka ʻoki ʻana.
Inā ʻoe e hoʻāʻo nei e hānau ma ke ʻano he ʻōpū (Vaginal Birth After Cesarean - VBAC) ma hope o ka ʻoki ʻana o ka ʻōpū, aia kahi pilikia liʻiliʻi loa o ka haki ʻana o ka ʻōpū mai ka ʻeha ʻoki mua. ʻOiai he mea kakaikahi loa kēia, he mea nui e kūkākūkā i kēia me kāu kauka a hahai i kā lākou ʻōlelo aʻo.
Eia kekahi, ua piʻi iki ka pilikia o ka hoʻomohala ʻana i nā pilikia e pili ana i ka placenta , e like me ka placenta previa.
He aha nā pilikia i ka pēpē?
ʻO ka nūhou maikaʻi, he haʻahaʻa loa nā pilikia i ka pēpē i ka wā o ka ʻoki cesarean.
- Nā pilikia hanu: ʻO kēia ke ʻano maʻamau. I ka wā hānau maʻamau, ua ʻomi ʻia ka wai i loko o nā māmā i ka wā e hele ai ke pēpē ma ke kahawai hānau. No ka mea, ʻaʻole hana pono kēia kaʻina hana i ka wā o ka ʻoki ʻana o C, hiki i kekahi mau pēpē ke piʻi iki ka nui o ka hanu ʻana no kekahi manawa pōkole ma hope o ka hānau ʻana. Ua kapa ʻia kēia ʻo Transient Tachypnea of the Newborn (TTN) . Mai hopohopo , e nalowale ana kēia ʻano ma kona iho i loko o hoʻokahi a ʻelua paha lā me ka ʻole o ka lāʻau lapaʻau. He kiʻekiʻe loa kēia pilikia inā hana ʻia ke ʻoki ma mua o 39 mau pule.
- Nā ʻeha liʻiliʻi i ka wā o ke ʻoki ʻana: Ke ʻoki ke kauka i ka ʻōpū i ka wā o ke ʻoki ʻana, ʻaʻole paha e ʻike ka pēpē i kahi ʻōpala liʻiliʻi ma ka ʻili. He mau ʻeha liʻiliʻi loa kēia a ho'ōla koke.
- Nā hopena i ka anesthesia: ʻAʻole pinepine ka hopena o nā lāʻau anesthetic i ka pēpē i hāʻawi ʻia i ka makuahine.
ʻAʻole hiki ke hānai i ka umauma ma hope o ka ʻoki ʻana o C-section?
ʻAʻole loa! Hiki iā ʻoe ke hānai waiū maikaʻi ma hope o ka ʻoki ʻoki cesarean. Hiki iā ʻoe ke hoʻāʻo e hānai waiū i kāu pēpē i ka wā e hoʻi hou ai kou ʻike ma hope o ka anesthesia a lawe ʻia mai i ka lumi. He paʻakikī paha iā ʻoe ke noho i luna ma muli o ka ʻeha ʻoki. I kēlā manawa, e noi i nā kahu maʻi no ke kōkua a e aʻo e pili ana i nā kūlana maʻalahi kahi e hiki ai iā ʻoe ke hānai waiū i kāu pēpē me ka hilinaʻi ʻana i hope.
Leka Lawe-Home
- He mea pono pinepine ka ʻoki ʻoki cesarean (C-Section) e hoʻopakele i ke ola o ka makuahine a me ke pēpē. ʻAʻole loa e manaʻo ʻia he hemahema.
- E like me nā ʻoki kino āpau, aia nā pilikia liʻiliʻi. Akā, haʻahaʻa loa ka likelika o ka hapa nui o kēia mau mea. Ma mua o ka makaʻu a me ka hopohopo e pili ana i kēia, he mea nui e makaʻala i ia mea.
- He haʻahaʻa loa nā pilikia i ka pēpē. ʻO nā mea e like me ka pilikia hanu e hoʻopau pinepine ʻia ma o lākou iho i loko o hoʻokahi a ʻelua paha lā.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i ka ʻoki ʻana o ka ʻōpū (C-section), e ʻoluʻolu e kūkākūkā me kāu kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
- Hiki iā ʻoe ke hānai waiū me ka holomua ma hope o ka ʻoki ʻana o C-section. ʻAʻohe mea keakea i kēlā.
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