Ma ke ʻano he makuahine e hiki mai ana, e hopohopo iki paha ʻoe a hoihoi paha i ka hānau ʻana. He mea maʻamau loa ia. ʻO kekahi o nā mea a ka poʻe he nui e nīnau ai a makaʻu ai, ʻo ia ka wā e haehae ai ka ʻāpana a puni ka ʻōpū i ka wā e hānau ai ke pēpē. He mea kēia a nā makuahine he nui e ʻike ai. Akā ma mua o kou makaʻu ʻana, e kamaʻilio kākou e pili ana i ia mea me ka maopopo a me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka haehae ʻana o ka vaginal?
ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he "Perineal Laceration". I ka ʻōlelo maʻalahi, i ka wā hānau keiki, i ka wā e puka mai ai ke pēpē mai loko mai o ka vagina, ua haehae ʻia ka ʻili a me nā ʻiʻo a puni kou vagina. ʻO ka wahi ma waena o kou puka vaginal a me kou anus ua kapa ʻia ʻo "Perineum". ʻO ka maʻamau, hana ʻia ka haehae ma kēia wahi.
E noʻonoʻo, i ka wā e puka mai ai ke pēpē, hoʻomaka ka ʻili o kou ʻōpū e kīkoʻo lahilahi loa. Ua hoʻolālā ʻia ko mākou kino e kīkoʻo maikaʻi i kēia wahi i hiki ai i ke pēpē ke puka i waho me ka ʻole o ka pōʻino. Eia nō naʻe, i kekahi manawa hiki i kēia wahi ke haehae iki i ka wā e puka mai ai ke poʻo o ke pēpē. Mai hopohopo, he mea maʻamau loa kēia. ʻO ka ʻoiaʻiʻo, ma kahi o 90% o nā makuahine i loaʻa ka hānau maʻamau e ʻike i kekahi kekelē o ka haehae ʻana.
ʻO ke ʻano o ka mālama ʻana no kēia haehae e pili ana i kona ʻano. I nā hihia he nui, hiki i nā lāʻau lapaʻau home ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka wikiwiki o ka ho'ōla ʻana.
ʻEhā ʻano nui o kēia mau Iriyams.
Ua māhele ʻia kēia mau hōʻailona i ʻehā mau pae nui ma muli o ko lākou koʻikoʻi. E nānā kākou i ke ʻano o lākou.
| Ke kēkelē o ka haehae ʻana | He wehewehe maʻalahi |
|---|---|
| Kekelē mua | ʻO kēia ka pae liʻiliʻi loa. ʻO ka papa luna o ka ʻili wale nō i loko o ka vagina a me ka perineum kahi i haehae iki ʻia. I ka hapanui o nā hihia, ʻaʻole pono kēia i nā humuhumu. |
| Kekelē ʻelua | ʻO kēia ka pae maʻamau. Maanei, hiki ka haehae i ka papa ʻiʻo ma lalo o ka ʻili. Pono maoli kēia i nā humuhumu. |
| Kekelē ʻekolu | Maanei, ua hoʻolōʻihi ʻia ka haehae mai ka vagina a i ka anus. ʻO ke ʻano kēia ua hōʻino ʻia ka ʻili a me nā ʻiʻo o ka ʻāpana perineum, a me nā ʻiʻo sphincter anal e kaohi ana i ka neʻe ʻana o ka ʻōpū. Pono nō hoʻi kēia i nā humuhumu. |
| Kekelē ʻehā | ʻO kēia ke ʻano haehae koʻikoʻi loa a kakaʻikahi loa. Hoʻomaka ka haehae mai ka vagina, ma o ka perineum, ma o nā ʻiʻo anal, a hiki i ka paia o loko o ka rectum. I kēia hihia, hiki ke lawe ʻia ʻoe mai ka lumi hānau i ka lumi hana no nā humuhumu. |
E hoʻomanaʻo, he mea kākaʻikahi loa nā ʻeha ʻekolu a me ka hā. ʻAʻole i hiki i ka 5% o nā makuahine ke ʻike i kēia maʻi. ʻO nā ʻeha ʻelua ka mea maʻamau.
No ke aha e hana ʻia ai kēia? ʻO wai ka mea i hoʻonui ʻia ka pilikia?
ʻO ke kumu nui o kēia haehae i ka wā hānau keiki, ʻo ia ka hoʻolōʻihi ʻana o ka vagina a me ka perineum i ka wā e puka mai ai ke pēpē. He hana maʻamau kēia. ʻAʻole hiki iā mākou ke kāohi i nā mea e like me ka elasticity o kou ʻili vaginal. Eia nō naʻe, hiki i kekahi mau mea ke hoʻonui i ka pilikia o kēia haehae.
- Inā ʻo kou hānau mua kēia.
- Inā e kū ana ke pēpē i luna ma kahi o ke kū ʻana i lalo i kona puka ʻana i waho.
- Inā pono ʻoe e hoʻohana i kahi mea "Forceps" a i ʻole "Vacuum" e wehe ai i ke pēpē.
- Inā ʻoi aku ka momona o ke pēpē (ʻoi aku ma mua o 8 paona).
- Inā lōʻihi ka manawa o ka lua o ka hana, ʻo ia hoʻi ke kahua hoʻokuke.
- Inā ua hāʻawi ʻia ʻoe i kahi epidural no ka hoʻomaha ʻana i ka ʻeha.
- Ua ʻike ʻia kekahi mau noiʻi he kiʻekiʻe iki ka pilikia o nā wāhine ʻAsia.
Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia a ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia.
He aha nā pilikia e hiki ai i kēia ke hana?
Hiki i ka haehae ke hoʻoulu i kekahi ʻoluʻolu ʻole a me ka ʻeha. Eia nō naʻe, ʻo ka hapa nui o nā haehae liʻiliʻi e hoʻōla ʻia i loko o ʻelua pule. Inā nui iki ka haehae, he mea maʻamau ke manaʻo ʻoluʻolu ʻole no hoʻokahi a ʻelua paha mahina. Me nā haehae ʻekolu a me ka hā o ke kekelē, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia.
- Maʻi:Inā ʻaʻole mālama ʻia ka ʻeha maʻemaʻe, hiki ke lilo i ka maʻi.
- Ke kahe ʻana o ke koko.
- ʻEha i ka wā moe: (ma hope o ka ʻae ʻia e ke kauka)
- ʻO ka incontinence fecal: Hiki ke hana kēia i nā hihia koʻikoʻi.
- ʻEha mau a me ka ʻeha.
Inā ʻoe e manaʻo nei i kekahi mea e like me kēia, e hōʻoia e haʻi i kāu kauka i kāu manawa hoʻopaʻa ma hope o ka hānau ʻana. A laila hiki iā ia ke haʻi iā ʻoe inā he mea maʻamau kāu e manaʻo nei a ʻaʻole paha.
Pehea e mālama ai i kahi ʻeha ma ka home a hiki i kona ho'ōla ʻana?
Ma hope o ka hānau ʻana o kahi pēpē, e ʻike paha ʻoe i kekahi ʻoluʻolu ʻole i ka wā e ho'ōla ai ka waimaka. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻemi ʻana i kēlā ʻoluʻolu ʻole. Hiki ke hana ʻia kēia mau mea no kēlā me kēia pae o ka waimaka.
- E mālama i ka maʻemaʻe: Ma hope o ka hoʻohana ʻana i ka lua, e hoʻohana i ka `(peri-bottle)` (he ʻōmole pīpī) e holoi i ka wahi me ka wai mehana. Ma kahi o ka holoi ʻana me ka pepa lua, e pā mālie i ka wahi a maloʻo.
- E kau i kahi ʻeke hau: Aia nā pale hoʻomaʻemaʻe kūikawā e loaʻa ana kahi ʻeke hau hiki iā ʻoe ke kūʻai mai nā hale kūʻai lāʻau lapaʻau. A i ʻole, e kāʻei i kekahi mau pahu hau i loko o kahi lole maʻemaʻe a kau iā lākou ma luna o ka ʻeha no 10-15 mau minuke. E hōʻemi kēia i ka pehu a me ka ʻeha.
- Kāohi i ka paʻa ʻana o ka ʻōpū: E pale i ka hoʻoluhi ʻana i kēia manawa. E inu i ka wai he nui. Eia kekahi, e ʻai i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu, a me nā greens). Inā pono, e nīnau i kāu kauka e pili ana i ka lawe ʻana i kahi mea palupalu ʻōpala.
- E ʻauʻau Sitz: Inā he ʻauʻau kou, e hoʻopiha iā ia i kekahi mau ʻīniha ke kiʻekiʻe me ka wai mehana a noho i loko no 10-15 mau minuke. E hōʻemi kēia i ka ʻeha a kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha. ʻOi aku ka maikaʻi o ka hana ʻana i kēia i ʻelua a ʻekolu paha manawa i ka lā.
- E hoʻohana i ka uluna Donut: Inā ʻike ʻoe i ke kaomi ma kou ʻeha i kou noho ʻana, e noho ma luna o kahi uluna ʻano donut me kahi lua ma waenakonu. E hōʻemi kēia i ke kaomi ma luna o ka ʻeha.
- E hōʻalo i nā kūlana ʻoluʻolu ʻole: E hoʻōki i ka hana ʻana i nā hoʻoikaika kino e hōʻeha ai i ka ʻeha, e like me ke iho ʻana i lalo i nā alapiʻi, nā squats, a pēlā aku no kekahi manawa.
- Nā lāʻau hoʻopau ʻeha: E lawe i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol e like me ke kuhikuhi a kāu kauka. Inā koʻikoʻi ka haehae, hiki iā ia ke kuhikuhi i kahi lāʻau hoʻopau ʻeha ikaika aʻe.
- ʻŪpī hoʻopau ʻeha: Hiki iā ʻoe ke hoʻohana i kahi pīpī e hōʻemi ana i ka ʻeha a me ka mae ʻana o ka ʻili, e like me ka ``(Dermoplast®)``, hiki ke kūʻai ʻia ma nā hale kūʻai lāʻau lapaʻau. Eia nō naʻe, he mea naʻauao ke nīnau i kāu kauka.
ʻO ka mea nui loa: Inā he makuahine hānai ʻoe, e nīnau mau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
ʻEhia ka lōʻihi e hoʻōla ai? He aha nā kumu pilikia?
No ka hapa nui o nā makuahine, e emi nui ana ka ʻeha a me ka ʻoluʻolu ʻole ma hope o ʻelua pule. Inā nui ka haehae, e lōʻihi paha ka manawa e ho'ōla ai. E nalowale nā humuhumu āu e loaʻa ai ma hope o kekahi manawa, no laila ʻaʻohe pono e ʻoki ʻia.
Eia nō naʻe, pono ʻoe e makaʻala i nā hōʻailona o ka maʻi i ka wā e ho'ōla ana ka ʻeha.
| I ka manawa e kāhea koke aku ai i kāu kauka | |
|---|---|
| He ʻala ʻino | Inā he kahe ʻala ʻino mai kahi i humuhumu ʻia ai a i ʻole mai ka vagina. |
| kuni | Inā manaʻo ʻoe he kuni kou. |
| ʻEha nui | Inā ʻoe e lawe i nā mea hōʻeha ʻeha, akā e ʻoi aku ka ʻeha ma kahi o ka emi ʻana. |
| Ka nalowale o ke kaohi | Inā ʻaʻole hiki iā ʻoe ke kaohi i kou ʻōpū a i ʻole ka mimi. |
Hiki iā ʻoe ke noʻonoʻo e loaʻa hou kahi pēpē?
ʻAe, hiki nō ia. ʻO ka loaʻa ʻana o kahi ʻōpū i haki i ka hānau mua ʻana, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke hānau maʻamau i ka manawa aʻe. ʻOiai nā haʻawina i hoʻohana i nā makuahine i loaʻa ka ʻōpū i haki nui ʻia, ʻaʻole lākou e hāʻawi i nā hōʻike maopopo e pono ai ka ʻoki Caesarean i ka manawa aʻe.
Eia kekahi, ʻoiai inā e haehae ana i ka manawa mua, ʻaʻole ia he manaʻo e haehae ʻia i kēlā me kēia manawa. ʻO ka ʻoiaʻiʻo, ʻike ka hapa nui o nā makuahine i ka emi ʻana o ka haehae ʻana i ko lākou hānau ʻelua a ʻekolu paha. No laila, mai hopohopo no ia mea. E kamaʻilio me kāu kauka e pili ana i nā mea āpau ma kou manaʻo.
ʻEpisiotomy a i ʻole episiotomy - ʻo wai ka maikaʻi?
I kekahi manawa, inā ʻaʻole e puka koke mai ana ke pēpē, e hana ke kauka i kahi ʻoki liʻiliʻi ma ka lihi o ka puka o ka ʻōpū. Ua kapa ʻia kēia he "Episiotomy". Hana ʻia kēia e hoʻonui i ka puka o ka ʻōpū ma ke ʻano i kāohi ʻia a pale i ka haehae ʻana i kāohi ʻole ʻia.
Eia nō naʻe, ʻo ka manaʻo lapaʻau o kēia manawa, ʻaʻole ia e ʻōlelo ʻia e hana mau i kahi episiotomy. Hōʻike ka noiʻi hou loa he ʻoi aku ka maikaʻi o ka hoʻōla maoli ʻana i ka waimaka. No laila, ʻaʻole hana pinepine nā kauka i kēia ʻoki ʻana, koe wale nō nā hihia o ka pono nui.
Leka Lawe-Home
- He mea maʻamau a maʻamau ka haehae ʻana a puni ka ʻōpū i ka wā hānau. Mai hopohopo nui no ia mea.
- ʻO ka hapa nui o nā kuni (ma luna o 95%) he kekelē mua a me ka lua, ʻaʻole koʻikoʻi loa. Ho'ōla koke lākou.
- E mālama pono i kou hoʻomaʻemaʻe i ka wā o ke kaʻina hana ho'ōla. Hiki i nā hana maʻalahi e like me ka holoi ʻana me ka wai mehana a me ka hoʻopili ʻana i ka hau ke kōkua i ka hōʻemi ʻana i ka ʻeha.
- Inā loaʻa iā ʻoe ke kuni, ka wai kahe ʻala ʻino, a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui , e ʻike koke i kāu kauka.
- Mai makaʻu i kāu hānau hou ʻana no ka mea ua haehae mua ʻoe. E kamaʻilio me kāu kauka e pili ana i ia mea a hoʻoholo i kou manaʻo.
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