Inā ʻoe e kali ana i kahi pēpē, ʻo kekahi o nā nīnau nui loa ma kou manaʻo, ʻo ia ka 'Pehea e hānau ai ke pēpē?' Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ka ʻoki ʻoki cesarean (C-Section). A i ʻole ke noʻonoʻo nei paha ʻoe no ka mea ua hana kekahi hoaaloha, makemake ʻoe e loaʻa kahi pēpē no ka laki, a makaʻu paha ʻoe i nā ʻeha hānau. I kēia lā, he nui nā pēpē ma ko mākou ʻāina i hānau ʻia ma o ka ʻoki ʻoki C. No laila no ke aha i maʻamau ai? He aha nā pōmaikaʻi a me nā pōʻino o kēia? Pehea ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana? E kamaʻilio mākou e pili ana i kēia mau mea a pau i kēia lā.
He aha maoli ke ʻano o ka ʻoki ʻoki cesarean (C-Section)?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka ʻoki C. Ma kahi o ka hānau ʻana i ka pēpē ma ke ʻano vaginal, ʻo ia ka hānau maʻamau, ʻoki mākou i ka ʻōpū a me ka uterus o ka makuahine ma ke ʻoki kino e wehe i ka pēpē.
ʻElua kumu nui no ka hana ʻana i kēia ʻoki kino. ʻO kekahi he mea pono no ke olakino . ʻO ia hoʻi, inā he mea hoʻoweliweli ka hānau maʻamau i ke ola o ka makuahine a i ʻole ka pēpē, e paipai ke kauka i ka ʻoki C. ʻO kekahi he koho . ʻO ia hoʻi, inā hana ʻia ke ʻoki kino me ke kumu ʻole o ke olakino a ma ke noi a ka makuahine.
He aha nā pōmaikaʻi a me nā pōʻino o ka ʻoki ʻana ma kahi ʻāpana C?
E like me nā ʻoki kino āpau, loaʻa i ka ʻoki C-section nā pono a me nā hemahema. Pono ʻoe e noʻonoʻo pono i nā mea ʻelua ma mua o ka hoʻoholo ʻana.
Hoʻopoina ka poʻe he nui i ke koʻikoʻi o ka ʻoki ʻana ma ke ʻano he C-section no ka mea he mea ia a lākou e hana pinepine ai. Akā, pono kākou e hoʻomanaʻo ʻaʻole kēia he mea maʻamau, he ʻoki ʻōpū nui ia .
No ka maʻalahi, e nānā kākou i kēia mau pono a me nā hemahema i loko o kahi papa.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
| ʻO ka maʻalahi o ka hoʻolālā: ʻO ka ʻike mua ʻana i ka lā a me ka manawa o ka hiki ʻana mai o ka pēpē e maʻalahi ai ka hoʻolālā ʻana i nā hana, e like me ka hana a me nā hoʻomaha. Hiki iā ʻoe ke hoʻomākaukau no ka hiki ʻana mai o nā hoahānau mamao. | ʻOiai he ʻoki kino nui:He ʻoki kino nui kēia e pili ana i ka ʻoki ʻana i ka ʻili, nā ʻiʻo o ka ʻōpū, a me ka uterus. No laila, aia nā pilikia āpau i loko o ke ʻoki kino. |
| Ke pale ʻana i ka ʻeha hānau: ʻAʻole pono ʻoe e ʻike i ka ʻeha hānau a nā makuahine he nui e makaʻu nei. | Ka hōʻino ʻana i nā ʻōpū a puni: Aia kahi pilikia liʻiliʻi o ka hōʻino ʻana i ka ʻōpū mimi a i ʻole ka ʻōpū, kokoke i ka uterus, i ka wā o ke ʻoki ʻana. |
| Kākoʻo loea: Inā loaʻa kekahi pilikia i ka pēpē ma muli o kahi ʻoki kino i hoʻolālā ʻia, hiki ke loaʻa koke ke kākoʻo mai nā loea e like me nā neonatologists. | Ke kahe nui ʻana o ke koko a me ka maʻi: Aia ka pilikia o ke kahe nui ʻana o ke koko a me ka maʻi ʻeha i ka wā a ma hope paha o ke ʻoki ʻana. |
| Ke pale ʻana i kekahi mau pilikia olakino: I kekahi mau hihia (e laʻa, ka hānau ʻana ma ka ʻūhā), hiki ke pale ʻia nā pilikia e kū mai ana i ka wā hānau maʻamau. | Ka pilikia o ka hana hou ʻana i nā ʻoki C: ʻOi aku ka nui o ka pilikia o nā makuahine i loaʻa i ʻekolu a ʻoi aku paha mau ʻoki C. Hiki i nā ʻōpala mai nā ʻoki ma mua ke hoʻopili nui i ka placenta i ka ʻōpū. Hiki iā ia ke hoʻohemo i ke koko nui, e pono ai ke hoʻoili koko a i ʻole ka hysterectomy e hoʻopakele i ke ola o ka makuahine. |
No ke aha i lilo ai nā ʻokiʻoki C-Section i mea maʻamau i kēia manawa?
Aia kekahi mau kumu no kēia.
- Hoʻemi ʻia ka hoʻohana ʻana i nā mea hana: ʻO ka hoʻohana ʻana i nā mea hana e like me ke "forceps" a i ʻole ke "vacuum" i hoʻohana ʻia e kōkua i ka hānau keiki ʻana a me ke aʻo ʻana iā lākou ua emi iho nei. No laila, i ka wā e loaʻa ai kahi pilikia liʻiliʻi, hoʻohana nā kauka i ka ʻoki ʻana ma ke ʻano he koho maʻalahi a palekana loa.
- ʻO ka ʻoki C-section i hana hou ʻia: ʻAʻole ʻike ka nui o nā makuahine i ke kumumanaʻo o ka hānau ʻana ma hope o ka ʻoki C-section (VBAC) ma hope o ka hānau ʻana o ka pēpē mua. ʻAʻole ʻae kekahi mau haukapila i ka VBAC. No laila, ʻo ka wahine i loaʻa i ka ʻoki C-section hoʻokahi e hānau i kāna mau pēpē ma ke ʻano like.
- Hoʻowahāwahā i ka pilikia: Makaʻu i nā pilikia kānāwai inā he pilikia liʻiliʻi i ka wā hānau, a me ka palekana o ka pēpēʻOiai lākou e noʻonoʻo nui ana i ia mea, hoʻohana koke kekahi mau kauka i ka ʻoki C-section.
- Nā noi a nā makuahine: Aia kekahi mau manawa e noi ai kekahi mau makuahine i ka ʻoki ʻana ma ke ʻano he C-section no ka mea makaʻu lākou i ka ʻeha o ka hānau keiki ʻana, a no ka mea makemake lākou e loaʻa ka pēpē i ka lā a lākou e makemake ai, me ka mana hoʻomalu.
- Makahiki: Ke hoʻopaneʻe nei nā wāhine i ka hānau keiki ʻana, e lilo ana ia i mea maʻamau no nā wāhine ke hāpai ma kahi o 40 mau makahiki. I ko lākou ʻelemakule ʻana, ʻoi aku ka nui o ka loaʻa ʻana o nā pilikia i ka wā hāpai, a no laila ʻoi aku ka nui o ka loaʻa ʻana o kahi ʻoki C.
Pehea ka lōʻihi o ka manawa ho'ōla ma hope o ka ʻoki ʻana ma C-section?
ʻAʻole maʻalahi ka ho'ōla ʻana mai ka ʻoki ʻana ma hope o kahi ʻoki C. Pono ka manawa a me ke ahonui.
ʻO ka maʻamau, pono ʻoe e noho ma ka haukapila no ʻehā lā. I ka hānau keiki maʻamau, hiki iā ʻoe ke hoʻi i ka home ma kahi o ʻelua lā. Ma hope o ke ʻoki ʻana, e hoʻokomo ʻia kahi catheter iā ʻoe. E hoʻomānoino ka anesthesia iā ʻoe no kekahi mau hola, no laila ʻaʻole ʻoe e manaʻo i kekahi mea ma lalo o ka pūhaka. E hoʻomau ʻia ka hāʻawi ʻana iā ʻoe i nā lāʻau hōʻoluʻolu no ka ʻeha.
I ka lā aʻe, ma hope o ka wehe ʻia ʻana o ke catheter a loaʻa hou iā ʻoe kekahi manaʻo i kou mau wāwae, e hoʻāʻo nā kahu maʻi e hoʻāla iā ʻoe mai kahi moe a hele wāwae iki. ʻOiai he ʻeha loa ia, pono ia e pale i ke kūkulu ʻia ʻana o nā ʻōpū koko i loko o kou kino.
Nā mea e pono ai ke nānā aku ma hope o ka hoʻi ʻana i ka home
Hoʻomaka ka pilikia maoli ma hope o kou hoʻi ʻana i ka home mai ka haukapila.
| Hana | Nā mea e pono ai/ʻaʻole e pono ai |
|---|---|
| Ka hāpai kaumaha | No nā pule ʻelua mua, mai hāpai i kekahi mea kaumaha ma mua o kāu pēpē. Mai ho'āʻo hoʻi e hōʻea i nā mea e like me nā bākeke wai a i ʻole nā pahu kinoea. |
| Ke hoʻokele nei | Mai kalaiwa no ʻelua pule ma ka liʻiliʻi. |
| Hoʻoikaika kino | E hōʻalo i ka hoʻoikaika kino ikaika no 4-6 mau pule. Hiki ke hoʻomaka ʻia nā hana maʻalahi e like me ka hele wāwae ma ke ʻōlelo aʻoaʻo a ke kauka. |
| Moe kolohe | ʻAʻole kūpono ke moe no 6 mau pule. E kūkākūkā me kāu kauka ma mua o kēlā manawa no ka ʻōlelo aʻo. |
Ma hope o ka ʻoki ʻana o C-section, e luhi loa ʻoe a me ka luhi . Ma luna o kēlā, pono ʻoe e mālama i kahi pēpē hānau hou. Hoʻokau kēia i ka nui o ke kaumaha ma kou kino. Mai manaʻo i ka nui o ka hōʻoluʻolu no nā pule 3-4 mua. Hiki ke hala a hiki i 3 mahina e manaʻo ai he 100% maikaʻi a hoʻi i ka maʻamau.
ʻO ka mea nui loa, ʻo ia ka palekana o ka hānau maʻamau a me ka ʻoki ʻoki cesarean (C-Section). Eia nō naʻe, e hoʻomanaʻo he ʻoi aku ka palekana o ka hānau maʻamau e holo maikaʻi ana me ka ʻole o nā pilikia ma mua o ka C-Section i holo maikaʻi me ka ʻole o nā pilikia.
Leka Lawe-Home
- ʻAʻole he hana maʻalahi ka ʻoki ʻana i ka ʻōpū, he ʻoki ʻōpū nui ia. No laila e makaʻala i kona mau pilikia.
- E kamaʻilio ākea me kāu kauka e pili ana i nā pono a me nā pōʻino o ka ʻoki ʻana i ka ʻāpana C. E nīnau i ka mea maikaʻi loa iā ʻoe ma muli o kou kūlana olakino.
- He manawa ka hoʻōla ʻana ma hope o ke ʻoki ʻana. E hoʻolohe i kou kino, e ahonui, a e loaʻa ke kōkua āu e pono ai.
- Inā ua loaʻa iā ʻoe kahi ʻoki C-section ma mua, e nīnau i kāu kauka e pili ana i ka hiki ke hānau ʻana ma ke ʻano he vaginal (VBAC) no kāu hānau ʻana aʻe.
- E hana i ka hoʻoholo hope loa, ʻaʻole ma muli o ka manaʻo o haʻi, akā ma hope o ke kūkākūkā ʻana me kāu kauka e pili ana i ke ʻano palekana loa no ʻoe a me kāu pēpē.
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