He aha ka mea e hana ʻia i kou ʻōpū ma hope o kou hānau ʻana i kahi pēpē? (Uterus Involution)

ʻOiai ua hōʻoluʻolu ʻoe i ka loaʻa ʻana o kahi pēpē, he mea maʻamau i kou kino ke manaʻo iki i ka luhi no kekahi mau lā, ʻeā? ʻOiai ʻo kou ʻōpū, ka mea i hāpai i ke pēpē no nā mahina, pono e hoʻi hou i kona nui mua. I kēia lā, e kamaʻilio mākou e pili ana i kēia kaʻina hana koʻikoʻi.

He aha ka Uterine Involution?

I ka ʻōlelo maʻalahi, ʻo ka involution uterine ka wā e emi ai kou uterus i ka nui ma mua o kou hānau ʻana i kahi pēpē. Hana ʻia kēia ma hope koke iho o kou hānau ʻana i kāu pēpē a mau no ʻeono pule. ʻO kēia ka manawa e ʻike ai ʻoe i ke kahe koko postpartum a me ka hoʻokuʻu ʻana, a i ʻole ka mea a mākou e kapa nei he lochia .

E noʻonoʻo, ua ulu kou ʻōpū no nā mahina, mākaukau e hāʻawi i ka pale a me ka hānai no kāu pēpē. No laila, ma hope o ka puka ʻana o ke pēpē, he mea maʻamau ia e lōʻihi ka manawa e hoʻi ai i kona nui mua. ʻO kēia emi ʻana o ka ʻōpū he ʻāpana koʻikoʻi ia o ke kaʻina hana ho'ōla postpartum .

No laila he aha ke kumu o kēia? E hoʻomaka hou kāu pōʻaiapuni menstrual ke hoʻi hou kou uterus i ka maʻamau. Kōkua pū kēia kaʻina hana i ka wehe ʻana i ke koko a me nā ʻiʻo keu a pau i hōʻiliʻili ʻia i loko o kou uterus i ka wā hāpai.

Pehea e hana ai kēia kaʻina hana?

Hoʻomaka kēia kaʻina hana o nā ʻūlū ʻōpū i ka wā e hānau ai ʻoe i ka placenta. ʻO ia hoʻi, i ke kolu o ka pae o ka hānau ʻana. A laila hoʻomaka hou kou ʻōpū e ʻūlū. E noʻonoʻo, ʻo kēia mau ʻūlū ka mea e hōʻemi ai i ke kahe koko mai kahi i hoʻopili ʻia ai ka placenta i ka ʻōpū. He ʻano pale kupaianaha kēia i loaʻa i ko mākou kino, e hoʻōki i ke kahe koko nui (postpartum hemorrhage) .

ʻO kēia mau ʻūmiʻi ke kumu e emi hou ai ka ʻōpū a hoʻokuʻu ʻia aku nā ʻiʻo keu, i kapa ʻia ʻo lochia . He mau a ikaika loa kēia mau ʻūmiʻi ʻōpū no nā hola 12 mua ma hope o ka hānau ʻana. I loko o kēia manawa, hiki iā ʻoe ke ʻeha ma kou ʻōpū lalo, ʻo ia ka mea a mākou e kapa nei ʻo 'afterpains' .

ʻO ka maʻamau, e emi iki ana kēia ʻeha o ka puʻupuʻu i loko o kekahi mau lā. Eia nō naʻe, hiki iā ʻoe ke ʻike hou aku i kēia ʻeha i ka wā e hānai waiū ana ʻoe a i ʻole e pīpī ana. Eia kekahi, inā ua loaʻa iā ʻoe nā pēpē ma mua, hiki iā ʻoe ke ʻike hou aku i kēia ʻeha.

Ma kahi o ʻeono pule e hoʻi piha ai ka ʻōpū i kona nui maʻamau. I ka emi ʻana o ke kaumaha o kou ʻōpū, pēlā nō hoʻi ka hakahaka i loko o kou lua pelvic. Hiki paha iā ʻoe ke manaʻo iki he 'ʻōpū-like' no kekahi mau lā ma hope o ka hānau ʻana. ʻO kēia no ka mea ke lawe mau nei kou ʻōpū i kahi nui i loko o kou ʻōpū, ʻoiai ua puka kāu pēpē.

He hopena anei ka hānai waiū i kēia?

ʻAe, ʻoiaʻiʻo! Inā ʻoe e hānai waiū ana i kāu pēpē, e ʻoi aku ka wikiwiki o ka ʻūlū ʻana o kou ʻōpū. ʻO kēia no ka mea ke omo kāu pēpē i ka waiū (a i ʻole ke pamu ʻoe i ka waiū), ʻo kou kinoHoʻopuka ʻia ka hormone oxytocin. Hoʻoulu kēia hormone i ka ʻūlū ʻana o ka ʻōpū. No laila, he kōkua nui ka hānai waiū i kēia kaʻina hana.

Pehea e nānā ai nā kauka ua hoʻi hou ka ʻōpū i ka maʻamau?

ʻOiai ʻoe ma ka haukapila, e hele pinepine mai ke kauka a kahu maʻi paha e nānā i ke ʻano o ka ʻūlū ʻana o kou ʻōpū. E kau lākou i ko lākou mau lima ma luna o kou ʻōpū a nānā i ka piko o kou ʻōpū, i kapa ʻia ʻo kou 'fundal height' . E nānā pū lākou e ʻike inā paʻakikī kou ʻōpū. E nānā pū lākou i kāu lochia (wax) i kēia manawa.

Eia kekahi laʻana, inā ʻaʻole e ʻūlū ana kou ʻōpū e like me ka mea i manaʻo ʻia, a inā palupalu paha, hiki iā ʻoe ke piʻi aʻe ka pilikia o ke kahe koko postpartum . I kēia hihia, e lomilomi pinepine kāu kauka i kou ʻōpū (fundal massage) e kōkua iā ia e ʻūlū. I kekahi manawa, hāʻawi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Pitocin® , he hormone hana, e hoʻoulu i nā ʻūlū ʻōpū.

Pehea e loli ai ka ʻōpū i kēia manawa? (Ka nui a me ke kaumaha)

ʻOiai ke ʻūlū nei ka ʻōpū o kēlā me kēia kanaka ma kahi papa hana like, hiki ke ʻokoʻa ka nui a me ke kaumaha o kou ʻōpū ma mua o kou hāpai ʻana. Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia:

• Inā ua loaʻa iā ʻoe nā pēpē ma mua (he nui ka nui o ka ʻōpū o nā wahine ma hope o ka hānau mua ʻana).
• ʻEhia mau pēpē āu i loaʻa ai, e like me nā māhoe?
• I ka manawa hea i kou hāpai ʻana i hānau ai ʻoe i ke pēpē?

ʻO ke ʻano maʻamau, loli ke kaumaha o ka ʻōpū ma hope o ka hānau ʻana penei:

• Ma hope koke iho o ka hānau ʻana: Ma kahi o 1000 grams (ma kahi o 2 paona).
• I hoʻokahi pule: ma kahi o 500 grams.
• I loko o ʻelua pule: ma kahi o 300 grams.
• I loko o ʻehā pule: ma kahi o 100 grams.
• I nā pule ʻewalu: ma kahi o 60 grams (ma kahi o 2 auneke).

Maopopo iā ʻoe? I loko o kēia ʻūmiʻi ʻana, e emi ana ka ʻōpū mai ka nui o ka pomelo , ka mea i hoʻopiha i ka lua pelvic holoʻokoʻa, i ka nui o ka pea . ʻO ka papa hana no ka iho ʻana o ka ʻōpū i loko o ka lua pelvic penei:

• Ma kahi o hoʻokahi hola ma hope o ka hānau ʻana, pono ka piko o ka uterus (fundus) ma kou pihi ʻōpū.
• Ma hope o kēlā, pono e iho ka piko o ka ʻōpū ma kahi o 1 kenimika i loko o ka ʻōpū i kēlā me kēia 24 hola.
• Ma hope o hoʻokahi pule, pono ka piko o kou uterus kokoke i ka iwi pubic (symphysis pubis) ma kou ʻōpū lalo.
• I ka hala ʻana o 10 a 14 mau lā, pono e hoʻi ka piko o ka ʻōpū i loko o ka lua pelvic.

He aha nā pilikia e hiki ke kū mai i kēia kaʻina hana?

ʻElua mau pilikia nui e hiki ke kū mai i ka wā e hoʻōla ʻia ai ka ʻōpū: ʻaʻole i ʻaelike pono ka ʻōpū a me ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana.

Ka hoʻohaʻahaʻa ʻana o ka ʻōpū

ʻO ka subinvolution ka wā ʻaʻole e ʻūlū pono kou ʻōpū, ʻo ia hoʻi, ʻaʻole ia e ʻūlū. I kekahi manawa kapa nā kauka i kēia "placental subinvolution." ʻO kēia ka wā e pani pono ʻole ai nā aʻa wili, kahi i hoʻopili ʻia ai ka placenta i ka ʻōpū, a ua lohi.

Hiki paha i kāu kauka ke kānalua i kēia ma hope o ka nānā ʻana i ka piko o kou ʻōpū (hoʻokolokolo fundal). Eia kekahi, ʻo ka ʻulaʻula ʻeleʻele, ke kahe koko ( lochia rubra ) e mau ana ma mua o hoʻokahi pule ma hope o ka hānau ʻana he hōʻailona ia o kēia ʻano. Inā hana ʻia kēia, hiki i kāu kauka ke kauoha i kahi ultrasound e ʻike i ke ʻano maoli.

I kekahi manawa, ʻaʻole hiki i ka ʻōpū ke hoʻomau i ka ʻaelike ʻana, a i ʻole nā ​​pilikia ʻē aʻe e hoʻopilikia i kēia kaʻina hana. Eia kekahi mau kumu e hiki ai ke hana ʻia ka subinvolution :

• Nā maʻi o ka ʻōpū, e like me ka endometritis .
• Nā mea e like me nā ʻāpana o ka placenta i koe i loko o ka ʻōpū.
• Ka hānau keiki lōʻihi a i ʻole ka hoʻohana lōʻihi ʻana iā Pitocin®, ka mea e hoʻopaʻa ai i ka ʻōpū.
• Ka hānau ʻana o kahi pēpē ma o ka ʻoki ʻoki caesarean (C-section) .
• Ke hāʻawi nei i ka anesthesia laulā, e like me ka ʻoki cesarean ulia pōpilikia.

Ke kahe koko ma hope o ka hānau ʻana (PPH)

ʻO ke kahe koko ma hope o ka hānau ʻana (PPH) he kahe nui ʻana mai ka ʻōpū ma hope o ka hānau ʻana. Hiki i kēia ke hoʻoweliweli i ke ola , no laila pono ʻoe e makaʻala loa.

Ma kahi o 80% o nā hihia PPH e kū mai ana ma muli o ka ikaika ʻole o nā ʻūlū ʻōpū ma hope o ka hānau ʻana. ʻO ka maʻamau, hiki mai ka PPH i loko o 24 mau hola o ka hānau ʻana. Eia nō naʻe, hiki ke hiki a hiki i 12 mau pule ma hope o ka hānau ʻana.

ʻOiai ʻoe e hoʻōla ana ma ka haukapila, e nānā mau nā limahana lapaʻau iā ʻoe no ke kahe koko ( lochia ). Inā he nui ke kahe koko āu, e mālama koke lākou iā ia.

ʻO ka mea nui loa, inā e kahe nui ana ke koko i kou wā ma ka home, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.

Pehea ʻoe e mālama ai iā ʻoe iho? (Hoʻokele ʻeha hope)

Ma hope o ka hānau ʻana o kahi pēpē, he mea nui e mālama iā ʻoe iho a hoʻomaha a me ka mālama ʻana i kāu pēpē. E ʻimi i ka manawa e noʻonoʻo ai iā ʻoe iho a noi i ke kōkua mai ka ʻohana a me nā hoaaloha e mālama i ka pēpē.

ʻO ke 'ʻeha hope' e hele mai me nā ʻūmiʻi ʻōpū hiki ke ikaika i kekahi manawa, ʻoiai i ka wā e hānai waiū ai. Hiki ke mau ka ʻeha no kahi o ʻelima mau minuke a laila e emi mālie. Eia kekahi mau mea hiki iā ʻoe ke hana e mālama i kēia ʻeha hope:

• Nā hoʻomaʻamaʻa hanu a me ka hoʻomaha (e like me nā hoʻomaʻamaʻa no nā ʻeha hānau).
• E moe ma kou ʻōpū me kahi uluna ma lalo o kou ʻōpū lalo.
• ʻO ka lawe ʻana i kahi lāʻau hoʻopau ʻeha ma luna o ke kauka i ʻōlelo ʻia e kāu kauka. Hiki i ka Ibuprofen ke hana maikaʻi ma mua o ka acetaminophen .
• He hele wāwae iki.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

ʻO ka hoʻi ʻana o ka ʻōpū i kona nui maʻamau he hana maoli a koʻikoʻi loa ia. Eia nō naʻe, i kekahi manawa pono paha kou ʻōpū i kahi kōkua iki ma kēia huakaʻi. ʻO ia ke kumu e nānā mau ai nā limahana lapaʻau iā ʻoe ma hope o kou hānau ʻana i kāu pēpē. ʻOiai ke ʻano o kēia mau nānā ʻana he mea hoʻopilikia iki ia i kou wā e maʻa wale ana i kou lālā ʻohana hou, he mea nui ia no ka ʻike mua ʻana i nā pilikia e like me ke koko postpartum . Inā he hopohopo ko lākou e pili ana i ke ʻano o ka ʻūlū ʻana o kou ʻōpū, e hoʻomaopopo lākou iā ʻoe. No laila, mai hopohopo, e maikaʻi nā mea āpau!

ʻO nā ʻūmiʻi o ka ʻōpū, postpartum, lochia, ke kahe koko postpartum, ka hānai waiū, ka nui o ka ʻōpū, ka hoʻōla ʻana