Ua ʻike anei ʻoe i ka haki ʻana o ka ʻōpū? E kamaʻilio kākou e pili ana me ka makaʻu ʻole!

Inā ʻoe e hoʻomākaukau ana no ka hānau keiki ʻana, a inā paha e hāpai ana kekahi o kou ʻohana, he mea maʻamau ke manaʻo iki i ka makaʻu i kekahi manawa ma muli o nā mea āu e lohe ai. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo ka haki ʻana o ka ʻōpū , hiki ke lilo i mea koʻikoʻi iki, akā he mea kakaikahi loa ia . Mai hopohopo ke lohe ʻoe i kēia, e hoʻomaopopo kākou iā ia me ka maʻalahi a me ka maopopo.

He aha ka haki ʻana o ka ʻōpū?

I ka ʻōlelo maʻalahi, ʻo ka haki ʻana o ka ʻōpū he haehae a haki paha i ka paia o kou ʻōpū. ʻIke pinepine ʻia kēia i nā wahine i loaʻa i ka ʻoki cesarean ma mua (C-section) a ke hoʻāʻo nei e hānau hou i kā lākou pēpē ma ke ʻano vaginal (Vaginal Birth After Cesarean - VBAC).

E noʻonoʻo e pili ana i ia mea, he ʻōkana kupaianaha kou ʻōpū i hana ʻia me nā ʻiʻo e hiki ke ulu i ka wā e ulu ana kāu pēpē. Ua hana ʻia ia me kekahi mau papa o nā ʻiʻo. Ke haki ka ʻōpū, haehae kēia mau papa. ʻO ka hapa pinepine, hiki mai kēia haehae ma kahi o kahi ʻoki C-section ma mua. I ka wā o ka ʻoki C-section, ʻoki kāu kauka i kou ʻōpū e wehe i kāu pēpē, a hana ʻia kahi ʻōpala ma laila. ʻO ka maʻamau, pono e ho'ōla maikaʻi kēia ʻōpala a kū i ke kaomi o ka hāpai ʻana a me ka hānau keiki ma hope. Eia naʻe, i ka wā e haki ai ka ʻōpū, haehae kēia ʻōpala.

ʻElua ala nui e hiki ai i kēia uterus ke haki:

• Ka haki piha ʻana o ka ʻōpū: ʻO kēia ka wā e haehae ʻia ai nā papa ʻekolu o ka paia ʻōpū. He kūlana koʻikoʻi loa kēia a pono e mālama koke ʻia.
• Ka haki ʻana o ka ʻōpū i piha ʻole: Ma kēia, ʻaʻole i haehae ʻia nā papa ʻekolu o ka paia o ka ʻōpū.

ʻIke ʻia ka hapa nui o nā haki ʻōpū i ka wā hānau keiki, akā hiki ke hana i kekahi manawa i ka wā hāpai. He mea kākaʻikahi loa, hiki nō hoʻi ke hana i ka wā ʻaʻole hāpai.

He aha ka mea e hana ai inā haki ka ʻōpū?

Ua manaʻo ʻia ka haki ʻana o ka ʻōpū he pilikia olakino . ʻO kēia no ka mea hiki ke hoʻoweliweli i ke ola no ʻoe a me kāu pēpē. E noʻonoʻo i kahi lua i loko o kou ʻōpū e pili ana i kou lua ʻōpū. He mea weliweli loa kēia a hiki ke hoʻoulu i ka nui o ke kahe koko. Ke haki ka ʻōpū, nalowale ka pēpē i ka pale i loaʻa iā ia mai ka ʻōpū. Hiki iā ia ke hoʻolohi i ka puʻuwai o ka pēpē a hiki ke nele ka pēpē i ka oxygen. Inā nele ka pēpē i ka oxygen, hiki ke hōʻino i ka lolo a i ʻole ka hanu ʻana. No laila, pono nā kauka e hana koke e wehe i ka pēpē a hoʻoponopono i kou ʻōpū.

Pehea ka maʻamau o ka haki ʻana o ka ʻōpū?

ʻO ka ʻoiaʻiʻo, he mea kakaikahi loa ka haki ʻana o ka ʻōpū.Ma waena o nā wahine i loaʻa i hoʻokahi ʻoki cesarean, hana ʻia kēia ma kahi o hoʻokahi i loko o 300 mau hānau ʻana. Eia nō naʻe, ma waena o nā wahine i loaʻa ma mua o hoʻokahi ʻoki C-section, ʻoi aku ka kiʻekiʻe o ka pilikia o ka haki ʻana o ka ʻōpū. ʻO ia hoʻi, hiki ke hana ʻia ma kahi o 9 mai loko mai o 300 mau hānau ʻana. No laila he mea nui e kamaʻilio ākea me kāu kauka e pili ana i kāu mau hānau mua.

ʻO wai ka mea i pilikia nui?

ʻO ka hapa pinepine, hana ʻia ka haki ʻana o ka ʻōpū i ka wā i loaʻa ai i kahi wahine kahi ʻoki C ma mua a ke hoʻāʻo nei e hānau i kāna pēpē aʻe ma ke ʻano vaginal (VBAC), kahi i loaʻa ai ka ʻōpala mai ke ʻoki mua. ʻO ka nui o nā ʻoki C āu, ʻoi aku ka kiʻekiʻe o kou pilikia o ka haki ʻana o ka ʻōpū.

Aia kekahi mau kumu pilikia ʻē aʻe:

• Inā ua hana mua ʻia ʻoe i ke ʻoki ʻana o ka ʻōpū (e.g. wehe ʻana i nā fibroids).
• Inā ua loaʻa iā ʻoe kahi haki ʻōpū ma mua.
• Inā he pōʻino a ʻeha paha i ka ʻōpū.
• Inā he ʻōpū kou me kahi kīnā hānau (e like me ka ʻōpū septate a i ʻole ka ʻōpū bicornuate ).
• Inā ua nui loa ka ʻōpū o kou ʻōpū. ʻO ia hoʻi, inā he nui kāu mau pēpē, e like me nā māhoe, a inā he nui loa ka wai amniotic .
• Inā aia kāu pēpē i ke kūlana breech a ua hoʻāʻo ʻoe e hoʻohuli lima iā ia (external cephalic version - ECV) ma mua o ka hānau ʻana.
• Inā e hoʻolōʻihi ʻia ka hana.

Mai hopohopo e pili ana i kēia mau mea. He mau mea pilikia wale nō kēia. ʻAʻole e haki ka ʻōpū o ka poʻe a pau me kēia. ʻO ka mea nui loa, ʻo ia ke kūkākūkā i kēia mau mea a pau me kāu kauka a hana i kahi hoʻolālā hānau e kūpono loa iā ʻoe.

He aha nā hōʻailona o ka haki ʻana o ka ʻōpū?

I kekahi manawa, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. E nānā mau ana kāu kauka hānau keiki a me ka mea hānai keiki i nā hōʻailona o nā pilikia i ka wā hānau. Inā manaʻo lākou he hewa kekahi mea, e hana koke lākou.

Hiki i nā hōʻailona o ka haki ʻana o ka uterine ke komo pū me:

• Nā ʻano ʻē i ka puʻuwai o ka pēpē i loko o ka ʻōpū (fetal distress) .
• Ka puʻuwai wikiwiki a i ʻole ke koko haʻahaʻa i ka makuahine hāpai.
• ʻEha koke a koʻikoʻi ka ʻōpū.
• Ke kahe koko ʻana o ka ʻōpū.
• Nā ʻūmiʻi e hoʻomau a ʻaʻole e hōʻoluʻolu.
• Hoʻōki a lohi paha ka hana.

Inā ʻike kāu kauka ua pilikia ʻoe i ka haki ʻana o ka ʻōpū, hiki iā lākou ke hana i nā hana palekana e pono ai ma mua o ka hānau ʻana. No laila he mea nui e kaʻana like i kāu mōʻaukala olakino piha me kāu kauka.

He aha nā kumu o ka haki ʻana o ka ʻōpū?

ʻO ka hapa pinepine, loaʻa nā haki ʻōpū i ka wā e hānau maoli ai ka wahine i kāna pēpē aʻe, ma kahi o kahi ʻeha C-section ma mua. ʻO kēia no ka mea hiki i ke kaomi a me ke kaumaha o ka hānau ʻana ke hoʻonāwaliwali i ka ʻiʻo ʻeha a hoʻoulu iā ia e haehae. Ke haki ka ʻōpū, hiki i ke pēpē ke neʻe i loko o ka lua ʻōpū me ka ʻole o kahi e hele ai.

Inā ua hana ʻia ʻoe i kahi ʻoki C-section, ua piʻi aʻe kou pilikia o ka haki ʻana o ka ʻōpū. Eia nō naʻe, inā ua hana kāu kauka lapaʻau i kahi ʻoki haʻahaʻa-transverse uterine, ua emi iki ka pilikia ma mua o ka hana ʻana i kahi ʻoki kū pololei. Eia nō naʻe, hiki i nā ʻoki ʻōpū ʻē aʻe, e like me nā mea e hoʻoponopono ai i kahi kīnā uterine, ke hoʻonui i kou pilikia. Inā manaʻo kāu kauka he kiʻekiʻe kou pilikia o ka haki ʻana o ka ʻōpū, hiki iā lākou ke ʻōlelo aku i kahi ʻoki C-section e pale aku i nā pilikia.

Akā e hoʻomanaʻo i kēia: ʻOiai ua loaʻa iā ʻoe kahi ʻoki C, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke hānau ma ke ʻano vaginal. He mea nui e kamaʻilio me kāu kauka e pili ana i kāu mau hānau ʻana i hala a loiloi inā kūpono ʻoe no kahi VBAC. I kekahi mau hihia, he mea weliweli loa ka VBAC, no laila e paipai paha kāu kauka i kahi ʻoki C e pale aku i ka haki ʻana o ka ʻōpū.

He aha ke ʻano o ka haki ʻana o ka ʻōpū?

ʻAʻole manaʻo nā kānaka a pau i ka haki ʻana o ka ʻōpū. Eia nō naʻe, inā hana ʻoe pēlā, hiki iā ʻoe ke manaʻo i kahi kaomi kaumaha koke a i ʻole kahi manaʻo o ka ʻūlū ʻana i loko o kou ʻōpū. Hiki iā ʻoe ke ʻike i nā hōʻailona o ke koko haʻahaʻa a i ʻole ka puʻuwai wikiwiki, e like me ka poniuniu a i ʻole ka pōkole o ka hanu.

Hiki i ka haki ʻana o ka ʻōpū ke kumu i ka make?

ʻAe, he liʻiliʻi loa ka manawa e make ai mai ka haki ʻana o ka ʻōpū. ʻOi aku ka liʻiliʻi o ka make no ka makuahine ma mua o 1%. ʻO ia hoʻi, ʻoi aku ka liʻiliʻi ma mua o hoʻokahi i loko o 100.

ʻOi aku ka nui o ka make o ka pēpē i loko o ka ʻōpū ma mua o ka makuahine (ma kahi o 6%). ʻO ia ke kumu e ʻōlelo ai nā kauka he mea nui e hana koke e hoʻopakele i ka pēpē a hāʻawi i ka lāʻau e hoʻōla ai i ke ola.

Pehea e ʻike ai i ka haki ʻana o ka uterine?

Hoʻomaopopo pinepine ʻia kēia i ka wā hānau. E ʻike paha kāu kauka i kēia mau mea:

• Ua iho maikaʻi ke poʻo o kāu pēpē i loko o ka pelvis a ʻaʻole hiki iā ʻoe ke ʻike iā ia i ka wā o ka hoʻokolokolo ʻana o ka vagina.
• Inā ua lohi ka puʻuwai o kāu pēpē a ke loaʻa nei iā ʻoe nā ʻūmiʻi ikaika o ka ʻōpū.

Ua hōʻoia nā kauka i ka haki ʻana o ka ʻōpū ma ka hana ʻana i kahi ʻoki ma kou ʻōpū a nānā inā ua haehae kou ʻōpū. Inā hōʻoia lākou i ka haki ʻana o ka ʻōpū, e hana lākou i ke ʻoki ʻana e wehe i ka pēpē i ka wikiwiki a me ka palekana.

Pehea e mālama ʻia ai ka haki ʻana o ka ʻōpū?

Inā haki kou ʻōpū, e hānau koke kāu kauka i ke pēpē . A laila, e hana lākou i ke ʻoki kino e hoʻoponopono i kou ʻōpū. I kekahi manawa, inā nui kou kahe koko, pono paha e wehe loa ʻia kou ʻōpū (hysterectomy). Pono nā mea mālama ola e mākaukau e wehe koke i ke pēpē mai kou ʻōpū a hāʻawi i ka mālama ulia pōpilikia no ʻoe a me kāu pēpē.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka haki ʻana o ka ʻōpū?

Pono ʻoe ma ka liʻiliʻi he ʻehā a ʻeono pule e hoʻōla ai mai kahi haki ʻana o ka ʻōpū.He mea nui e hoʻomaha nui i kēia manawa a e pale aku i nā hana a kāu kauka e ʻōlelo aku ai ʻaʻole ʻoe e hana a hiki i kou olakino ʻana. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e pale aku i nā mea e like me kēia i kou wā e hoʻōla ana:

• Ke hāpai ʻana ma mua o kekahi mau paona.
• Ke hoʻokomo ʻana i kekahi mea i loko o ka vagina. ʻO kēia ka hoʻohana ʻana i nā tampons a me ka moekolohe.
• Hoʻoikaika kino, piʻi i nā alapiʻi, a me ka hana ʻana i nā neʻe ikaika.
• ʻAuʻau ʻana i ka wai a noho paha i loko o ka wai.

He aha nā pilikia o ka haki ʻana o ka uterine?

Hiki i ka haki ʻana o ka ʻōpū ke hoʻoulu i nā pilikia e hoʻoweliweli i ke ola. Eia nō naʻe, inā mālama koke ʻia, haʻahaʻa ka pilikia o nā pilikia koʻikoʻi.

Nā pilikia e hiki ke loaʻa i ka fetus:

• Pōkole o ka hanu.
• Ka hōʻino ʻana o ka lolo ma muli o ka nele o ka oxygen.

Nā pilikia e hiki iā ʻoe ke ʻike:

• Ke kahe koko nui ʻana (hemorrhage) .
• Ka nalowale o ka hiki ke hāpai hou ma muli o ka wehe ʻana o ka ʻōpū (hysterectomy).
• Hana ʻia kahi hānau make.

Pehea e hōʻemi ai i ka pilikia o ka haki ʻana o ka uterine?

Hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka haʻi ʻana i kāu mōʻaukala olakino piha me kāu kauka a me ke kūkākūkā ʻana i kāu mau kumu pilikia no ka haki ʻana o ka ʻōpū. ʻO ka ʻike ʻana ua pilikia ʻoe no ka haki ʻana o ka ʻōpū e kōkua i kāu kauka e hana i nā hoʻomākaukau e pono ai e pale aku.

Inā nui kou pilikia o ka haki ʻana o ka ʻōpū ma muli o kou hana ʻoki ʻana i ka ʻōpū, hiki i kāu kauka ke hoʻoholo he ʻoi aku ka palekana o ka hoʻonohonoho ʻana i kahi ʻoki ʻana i ka ʻōpū (C-section). E pale aku kēia iā ʻoe mai ka loaʻa ʻana o nā ʻeha hānau a me ke kau ʻana i ke kaomi hou ma luna o kou ʻōpū.

Hiki ke hānau hou i kahi keiki ma hope o ka haki ʻana o ka ʻōpū?

ʻAe, hiki i nā poʻe he nui ke hāpai hou a hānau ma hope o ka haki ʻana o ka ʻōpū. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi haki ʻana o ka ʻōpū ma mua, e hānau pinepine ʻia kāu pēpē aʻe ma o ka ʻoki ʻana.

He aha ka ʻokoʻa ma waena o ka haki ʻana o ka uterine a me ka abruption placental?

ʻO ka placental abruption ka wā e kaʻawale ai ka placenta mai ka uterus ma mua o ka hānau ʻana o ke pēpē. I ka placental abruption, ʻaʻole e haehae a haki paha kou paia uterine. Eia naʻe, e like me ka haki ʻana o ka uterine, hiki iā ia ke hana i nā pilikia koʻikoʻi nou a me kāu pēpē. ʻO kekahi mau mea pilikia, e like me ka haki ʻana o ka uterine a me ka hāpai ʻana i nā māhoe, he mea maʻamau i nā kūlana ʻelua. Eia kekahi, hiki ke ʻike ʻia kekahi mau hōʻailona, ​​​​e like me ka ʻeha o ka ʻōpū a me ke kahe ʻana o ke koko ma ka vaginal, i nā mea ʻelua.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He pilikia kaʻawale ka haki ʻana o ka ʻōpū akā he pilikia koʻikoʻi paha. He mea maʻamau ia i nā wahine i loaʻa i kahi ʻoki C-section ma mua a i ʻole kekahi ʻoki ʻōpū ʻē aʻe a ke hoʻāʻo nei i ka hānau ʻana ma ke ʻano he vaginal.

ʻO ka mea nui loa, ʻo ke kamaʻilio ākea me kāu kauka hānau keiki e pili ana i kou mōʻaukala olakino i hiki iā lākou ke hoʻoholo maikaʻi loa e pili ana i ke ʻano e hoʻomau ai me kāu hānau ʻana.

ʻOiai inā ua loaʻa iā ʻoe kahi ʻoki cesarean ma mua, inā ʻoe e hoʻokō i kekahi mau kūlana, hiki iā ʻoe ke loaʻa kahi hānau ʻana ma ke ʻano vaginal (VBAC). E kamaʻilio me kāu kauka e pili ana i kāu mau koho hānau a inā paha ʻoe i ka pilikia no ka haki ʻana o ka ʻōpū. E mākaukau e lawe mai i kāu pēpē i ka honua me ka palekana, me ka makaʻu ʻole, a me ka ʻike!

ʻO ka haki ʻana o ka ʻōpū, Cesarean, C-section, VBAC, Hānau keiki, Hāpai keiki, Ola kino o nā wāhine