Ma hope o ka hānau ʻana o kahi pēpē, ke manaʻo nei ʻoe i kahi ʻeha iki ma kou ʻōpū lalo, e like me ka wā e loaʻa ai kou wā? ʻOiai ua puka ke pēpē, ua nui iki anei kou ʻōpū? Mai hopohopo, e Māmā, he mea maʻamau kēia. ʻO kēia no ka mea ke hoʻomaka nei kou ʻōpū e emi hou i kona nui mua. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo 'uterus involution'. I kēia lā, e kamaʻilio mākou e pili ana i kēia kaʻina hana koʻikoʻi a kūlohelohe.
I ka ʻōlelo maʻalahi, he aha ke ʻano o kēia hoʻihoʻi ʻana o ka ʻōpū?
ʻO ka involution uterine ke kaʻina hana e emi ai kou uterus, ka mea i ulu e hoʻokipa i kāu pēpē i ka wā hāpai, i kona nui ma mua ma hope o ka hānau ʻana. E noʻonoʻo e like me ka pōpō. Ulu mālie kou uterus i ka nui i nā mahina ma hope o kou loaʻa ʻana o kahi pēpē. Pono ia e emi hou i lalo ma hope o ka hānau ʻana. ʻO ia ke kumu i kapa ʻia ai he involution. Hoʻomaka kēia kaʻina hana ma hope koke o ka hānau ʻana a mau no ʻeono pule. ʻO kēia ka manawa e ʻike ai ʻoe i ke kahe koko postpartum a me ka hoʻokuʻu ʻana i kapa ʻia ʻo lochia.
He ʻāpana koʻikoʻi loa kēia o ke kaʻina hana ho'ōla o kou kino. Ke noʻonoʻo nei i ka nui a me ka nui o ka loli o kou ʻōpū i ka wā hāpai, he mea maʻamau ia e lōʻihi ka manawa e hoʻi ai i kona nui mua.
No ke aha he mea nui kēia kaʻina hana?
ʻO ka pahuhopu nui o kēia, ʻo ia ka hoʻihoʻi ʻana i ka ʻōpū i kona nui ma mua o ka hāpai ʻana. I ka wā hāpai, hoʻonui ka ʻōpū i nā manawa he nui o kona nui maʻamau. Hoʻomohala pū ia i nā kīʻaha koko a me nā ʻiʻo keu e hāʻawi i ka meaʻai no ka pēpē e ulu ana. Ma hope o ka hānau ʻana o ka pēpē, ʻaʻole pono hou ke kino i kēia wahi a i ʻole ʻiʻo keu.
No laila, ʻo ka hana a kēia kaʻina hana "(Involution)" ʻo ia ka wehe ʻana i kēlā ʻiʻo i makemake ʻole ʻia, hoʻēmi i ka ʻōpū, a hoʻomākaukau i ke kino e hoʻomaka hou i kāu pōʻaiapuni menstrual mahina.
Pehea e hana ai kēia kaʻina hana?
Hoʻomaka kēia kaʻina hana ma hope o kou hānau ʻana i ka placenta, ʻo ia ke kolu o ka pae o ka hānau ʻana. A laila hoʻomaka hou kou ʻōpū e ʻūlū, a emi paha. Hoʻemi kēia mau ʻūlū i ka nui o ke koko e kahe ana i kahi i hoʻopili ʻia ai ka placenta i ka ʻōpū. ʻO kēia ke ʻano pale o ke kino. ʻO kēia ka mea e pale ai i ke kahe nui ʻana o ke koko (Postpartum Hemorrhage).
ʻO kēia mau ʻūmiʻi ke kumu e emi ai ka ʻōpū a puka aku ai nā ʻiʻo i makemake ʻole ʻia aʻu i ʻōlelo ai ma mua mai ke kino aku ma ke ʻano he "Lochia". He mau pinepine kēia mau ʻūmiʻi a ikaika iki i loko o nā hola 12 mua ma hope o ka hānau ʻana o ke pēpē. Hiki paha iā ʻoe ke manaʻo i kahi ʻūmiʻi ma kou ʻōpū lalo i kēia manawa. Kāhea mākou i kēia mau "afterpains".
ʻO kēia mau "afterpains," a i ʻole nā ʻeha ʻōpū e hiki mai ana ma hope o ka hānau ʻana, he mau lā wale nō ka lōʻihi. Akā hiki iā lākou ke ʻoi aku ka ikaika i ka wā e hānai waiū ana ʻoe a i ʻole e pamu ana. A inā ʻo kāu pēpē ʻelua a ʻekolu paha kēia, ʻoi aku ka ikaika o ka ʻeha ma mua o ka mua.
ʻEono pule ka lōʻihi o ke kaʻina hana "involution". I kēlā me kēia lā, emi ke kaumaha o ka ʻōpū, a emi pū kona wahi i loko o ka lua pelvic. ʻO ia ke kumu e nui iki ana kou ʻōpū no kekahi manawa ma hope o ka hānau ʻana o ke pēpē. ʻOiai aia ke pēpē i waho, nui ka wahi o ka ʻōpū i loko o kou ʻōpū.
Pehea ka hopena o ka hānai waiū i kēia?
Inā hānai ʻoe i kāu pēpē me ka waiū umauma, ʻoi aku ka wikiwiki o ka ʻūlū ʻana o kou ʻōpū. ʻO kēia no ka mea ke omo kāu pēpē a i ʻole ʻoe e pamu, hana kou kino i kahi hormone i kapa ʻia ʻo `(Oxytocin).` Kōkua kēia hormone i kou ʻōpū me ka ʻoi aku ka maikaʻi o ka ʻūlū ʻana. ʻO ia ke kumu e ʻeha iki ai ʻoe i ka wā e hānai ai ʻoe i ka waiū umauma. Akā ʻo ia hoʻi ke ho'ōla pono nei kou kino.
Pehea e nānā ai nā kauka inā e holo pono ana kēia?
ʻOiai ʻoe ma ka haukapila, e hele pinepine mai ke kauka a kahu maʻi paha e nānā i ka holo pono ʻana o kēia kaʻina hana.
- E kau lākou i ko lākou mau lima ma kou ʻōpū a kaomi i lalo ma luna e nānā i ka piko o kou uterus, i kapa ʻia ʻo "fundus". Ua kapa ʻia kēia ʻo ka nānā ʻana i ke "kiʻekiʻe o ka fundal".
- Nānā pū lākou e ʻike inā paʻakikī a puʻupuʻu ka ʻōpū.
- E nānā ʻia ka nui a me ke kala o kāu hoʻokuʻu ʻana (lochia) i kēia manawa.
Eia kekahi laʻana, inā ʻaʻole e ʻūlū ana kou ʻōpū e like me ka mea i manaʻo ʻia, a inā palupalu ke pā ʻia, ua nui kou pilikia o ke kahe koko postpartum. Inā hana ʻia kēia, hiki i kāu kauka ke lomilomi i kou ʻōpū me ko lākou mau lima e kōkua i kou ʻōpū e ʻūlū. I kekahi manawa, hāʻawi paha lākou iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Pitocin, nona ka hormone oxytocin, e hoʻoulu i nā ʻūlū.
Pehea e loli ai ka ʻōpū i kēia manawa?
ʻO ka hapa nui o ka manawa, emi ke kaumaha a me ka nui o ka ʻōpū o kēlā me kēia kanaka i ka manawa like. Eia nō naʻe, ʻokoʻa iki paha ka nui o kou ʻōpū ma muli o nā mea e like me inā ua loaʻa iā ʻoe nā keiki ma mua, inā he mau māhoe kāu, a me kahi āu i hānau ai i kou wā hāpai.
Eia ke ʻano o ka emi ʻana o ke kaumaha o ka ʻōpū.
| Manawa | Ke kaumaha o ka ʻōpū (kokoke) |
|---|---|
| Ma hope koke iho o ka hānau ʻana | 1,000 grams (ma kahi o 1 kilogram) |
| Ma hope o hoʻokahi pule | 500 grams |
| Ma hope o ʻelua pule | 300 grams |
| Ma hope o ʻehā pule | 100 grams |
| Ma hope o ʻewalu pule | 60 grams (ka nui awelika) |
Eia kekahi, eia ke ʻano o ka neʻe ʻana o ka ʻōpū i loko o ka lua pelvic a hoʻēmi.
| Manawa | Ke kūlana o ka ʻōpū |
|---|---|
| Ma kahi o hoʻokahi hola ma hope o ka hānau ʻana | Pono ka ʻāpana o luna o ka uterus (fundus) ma ka pae o kou cervix. |
| Ma hope o kēlā | Pono e iho i lalo ma kahi o 1 kenimika i kēlā me kēia 24 hola. |
| Ma kahi o hoʻokahi pule ma hope mai | ʻO ka iwi pelvic, aia ma lalo pono o kou pihi ʻōpū, pono e kūlike me kou "Iwi Pubic". |
| Ma hope o 10-14 mau lā | Pono e hoʻohaʻahaʻa piha ʻia ka uterus i loko o ka lua pelvic a ʻaʻole e paʻa i loko o ka ʻōpū. |
He aha nā pilikia e hiki ke kū mai i kēia kaʻina hana?
ʻElua mau pilikia nui e hiki ke hana: Subinvolution a me Postpartum Hemorrhage.
1. Subinvolution (ʻaʻole e ʻaelike pono ka ʻōpū)
ʻO ke ʻano kēia, ʻaʻole e emi koke ana kou ʻōpū e like me kā mākou e makemake ai. I kekahi manawa hiki ke hana ʻia kēia no ka mea ʻaʻole e pani pono nā kīʻaha koko kahi i hoʻopili ʻia ai ka placenta.
Inā kānalua kāu kauka i kēia i ka wā o ka hoʻokolokolo ʻana o ka ʻōpū, hiki iā lākou ke ʻōlelo aku i kahi scan ultrasound. Eia kekahi, inā ʻike ʻoe i ke kahe koko ʻulaʻula ʻeleʻele no ka ʻoi aku o hoʻokahi pule ma hope o ka hānau ʻana, hiki i kēia ke lilo i hōʻailona o kēia maʻi. Aia kekahi mau kumu no kēia:
- Nā maʻi o ka ʻōpū, no ka laʻana `(Endometritis)`.
- Nā mea e like me nā ʻāpana o ka placenta i koe i loko o ka ʻōpū.
- Ua nui loa ka ʻeha o ka hānau keiki ʻana.
- Ma hope o ka hana ʻana i ka ʻoki caesarean (C-section).
2. Ke kahe koko ma hope o ka hānau ʻana - PPH (Ke kahe koko ma hope o ka hānau ʻana)
He kūlana koʻikoʻi kēia, a he mea hoʻoweliweli paha i ke ola. ʻO ka PPH ke kahe nui ʻana o ke koko mai ka ʻōpū ma hope o ka hānau ʻana. Hana pinepine ia i ka wā ʻaʻole ikaika ka ʻūlū ʻana o ka ʻōpū ma hope o ka hānau ʻana.
ʻIke pinepine ʻia ka PPH i loko o nā hola 24 mua ma hope o ka hānau ʻana, akā i kekahi manawa hiki ke hoʻomau ka pilikia a hiki i 12 mau pule.
ʻOiai ʻoe ma ka haukapila, e nānā mau nā kauka a me nā kahu maʻi i kou nalowale koko. Akā inā ʻoi aku kou kahe koko ma mua o ka maʻamau ma hope o kou hoʻi ʻana i ka home (no ka laʻana, inā ʻoe e hoʻomohu ana ma mua o hoʻokahi pad i kēlā me kēia hola), inā ʻoe e hele ana i nā ʻōpū koko nui, a inā paha ʻoe e poniuniu, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa. ʻAʻole kēia he mea āu e hoʻopaneʻe ai.
Pehea ʻoe e mālama ai iā ʻoe iho i kēia manawa?
ʻO ka manawa ma hope o ka hānau ʻana o kahi pēpē, ʻo ia hoʻi, ka wā postpartum, he manawa ia e pono ai ʻoe e mālama iā ʻoe iho a me kāu pēpē. E hoʻomaha nui. E kiʻi i ke kōkua mai kou ʻohana a me kāu kāne e mālama i ke pēpē.
ʻO kēlā mau "ʻeha ma hope" aʻu i ʻōlelo ai ma mua, hiki ke ikaika iki i kekahi manawa, ʻoiai i ka wā e hānai waiū ai. Hiki iā ʻoe ke manaʻo i kahi ʻeha koʻikoʻi no kahi o 5 mau minuke, a laila manaʻo paha e emi mālie ana. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka mālama ʻana i kēia ʻeha:
- E hana i nā hoʻomaʻamaʻa hanu a me ka hoʻomaha i hoʻohana ʻia no ka ʻeha hānau.
- E kau i kahi uluna ma lalo o kou ʻōpū a moe pālahalaha ma kou kua.
- E hele wāwae.
- E lawe i kahi lāʻau hoʻomaha ʻeha a kāu kauka e ʻōlelo ai. Hiki i kahi mea e like me ka ibuprofen ke hana maikaʻi ma mua o ka paracetamol, akā e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi mea.
He hana koʻikoʻi loa ka hoʻi ʻana o ka ʻōpū i kona ʻano maʻamau a kūlohelohe. Akā i kekahi manawa, pono ka ʻōpū i kahi kōkua iki ma kēia huakaʻi. ʻO ia ke kumu e nānā mau ai ke kime lapaʻau iā ʻoe ma ka haukapila ma hope o kou hānau ʻana i kāu pēpē. Me he mea lā he pilikia kēia mau nānā ʻana iā ʻoe, no ka mea, makemake ʻoe e noho manuahi me kāu lālā ʻohana hou. Akā, he mea nui kēia mau nānā ʻana no ka ʻike ʻana i nā pilikia e like me ka PPH i ka wā mua.
Leka Lawe-Home
- ʻO ka involution uterine he hana maʻamau a kūlohelohe hoʻi ia e hana ʻia ma hope o ka hānau ʻana.
- He mea maʻamau ka loaʻa ʻana o nā ʻeha ʻōpū ("afterpains") no kekahi mau lā ma hope o ka hānau ʻana o kahi pēpē. Hiki ke ʻike nui ʻia kēia i ka wā e hānai waiū ai.
- ʻO ka maʻamau, ʻeono pule ka lōʻihi o kēia kaʻina hana holoʻokoʻa.
- Inā ʻoi aku kou kahe ʻana o ke koko ma mua o ka maʻamau, he nui nā ʻūpā koko, a i ʻole manaʻo poniuniu kou ma ka home, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka e pili ana.
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