ʻO ka lilo ʻana i makuahine kekahi o nā ʻike nani loa o ke ola. Akā me kēlā hauʻoli, ʻaʻole mākou e kamaʻilio nui e pili ana i ka ʻoluʻolu ʻole a me ka ʻeha a ke kino o ka makuahine e ʻike ai ma hope o ka hānau ʻana. ʻO ka ʻeha a puni ka ʻōpū ma hope o ka hānau ʻana he mea ia e ʻike ai nā makuahine he nui. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia kūlana. Mai hopohopo, he mea maʻamau kēia i ka hapa nui o nā hihia, a he nui nā mea hiki ke hana ʻia e pili ana i ia mea.
He aha ka haehae perineal?
I ka ʻōlelo maʻalahi, ʻo ka ʻili ma waena o kou vagina a me ka anus ua kapa ʻia ʻo ka perineum. I ka wā hānau vaginal, i ka wā e puka mai ai ke pēpē, ua kau ʻia kēia wahi ma lalo o ka nui o ke kaomi. Hiki i kēia kaomi ke hana i kēia wahi e haehae. Ua kapa ʻia kēia he perineal tear.
I kekahi manawa, inā pono e hānau ʻia ka pēpē me kahi puka nui aʻe, e hana ke kauka i kahi ʻoki liʻiliʻi ma ia wahi. Ua kapa ʻia kēia he episiotomy.
Inā paha e loaʻa iā ʻoe kahi ʻoki a haehae paha e like me kēia, e kau ke kauka i kekahi mau humuhumu e kōkua i ka ho'ōla ʻana o ka ʻeha. Hiki ke hoʻoheheʻe ʻia kēia mau humuhumu, no laila e hoʻoheheʻe wale lākou i loko o kekahi mau pule. No laila, ʻaʻole pono ʻoe e ʻoki iā lākou. He mea maʻamau ka ʻike ʻana i nā ʻāpana o kēia mau humuhumu ma kāu pad a i ʻole ka pepa lua ke hoʻohana ʻoe i ka lua.
E noʻonoʻo wale, inā he liʻiliʻi loa ka ʻeha, hiki paha i ke kauka ke hoʻōla iā ia iho me ka ʻole o nā humuhumu.
Ma muli o ka hohonu a me ka lōʻihi o ka ʻeha, hiki ke hala i ʻehā a ʻeono pule e ho'ōla piha ai. ʻIke nui ʻia ka ʻeha ma hope koke iho o ka hānau ʻana o ke pēpē. He mea maʻamau ka manaʻo ʻoluʻolu ʻole i ka wā e hele ana, e noho ana, e mimi ana , a e ʻōpala ana no ka pule mua a i ʻole. E hoʻomanaʻo he ʻokoʻa ke kino, ka ʻeha, a me ke kaʻina hana ho'ōla o kēlā me kēia makuahine. No laila, i ka wā e mālama ana i kou kino, e hoʻomau i ka launa pū me kāu kauka.
Nā hōʻailona maʻamau ʻē aʻe ma hope o ka hānau ʻana
Ma hope o ka hānau ʻana o kahi pēpē, he mea maʻamau ke kau ʻana i kou manaʻo a pau i kāu pēpē hou. Akā he mea nui hoʻi e mālama i kou olakino kino a me kou noʻonoʻo. Me ka ʻeha o ka ʻōpū, hiki iā ʻoe ke ʻike i kēia mau hōʻailona.
| ʻAno | Wehewehena |
|---|---|
| Hoʻokuʻu ʻia ʻana o ka wahine | Ma hope o ka hānau ʻana o ke pēpē, ua hui pū ʻia nā membrane mucous i loko o ke kino me ke koko a hoʻokuʻu ʻia. ʻO kēia kahe ʻana, ka mea i ʻulaʻula mua a puka pinepine mai, lilo i wai i loko o kekahi mau pule a nalowale mālie. |
| Nā ʻūmiʻi ʻōpū (Afterpains) | No kekahi mau lā ma hope o ka hānau ʻana, hiki iā ʻoe ke ʻike i ka ʻeha e like me ka menstrual. He ʻoiaʻiʻo loa kēia i ka wā e hānai waiū ai. ʻO kēia no ka mea ua ʻūmiʻi nā kīʻaha koko i loko o ka ʻōpū, kahi e hoʻōki ai i ke kahe ʻana o ke koko. |
| Ka paʻakikī ke kāohi ʻana i ka mimi (incontinence) | I ka wā hāpai a me ka hānau keiki ʻana, hoʻolōʻihi ʻia a hoʻonāwaliwali ʻia nā ʻiʻo o ka papahele pelvic. No laila, ke ʻakaʻaka ʻoe, ke kunu, a i ʻole ke kihe, hiki iā ʻoe ke hoʻokahe i kahi mimi liʻiliʻi. E hoʻohana i kahi napkin sanitary no kēia. Eia kekahi, e nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa hiki iā ʻoe ke hana e kaohi i kou ʻōpū mimi. |
| Nā ʻōpū hemorrhoids | Inā ʻoe e ʻeha nui i ka wā e kahe ai ka wai, e nānā inā he pehu a puni ka anus. Ua kapa ʻia kēia he hemorrhoids. Mai ho'ōki i ka kahe ʻana ma muli o ka ʻeha. E inu i ka wai he nui a ʻai i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu). |
| Nā ʻUma ʻEha | I loko o kekahi mau lā ma hope o ka hānau ʻana o kahi pēpē, e komo mai ana kou waiū. E paʻakikī a ʻeha kou mau umauma. Inā ʻoe e hānai waiū ana, e hānai pinepine i ka waiū. E kōkua kēia i ka hōʻemi ʻana i ka pehu ʻana. |
| Nā loli o ka naʻau | Ke loli nui nei kāu mau hormones i kēia manawa, no laila e ʻike paha ʻoe i nā mea e like me ka huhū, ke kaumaha, a me ka hiamoe ʻole. Inā ʻaʻole e hoʻomaikaʻi kēia mau hōʻailona i loko o kekahi mau pule, e ʻike i kāu kauka e kūkākūkā i ke kaumaha postpartum. |
Nā mea hiki iā ʻoe ke hana ma ka home e hōʻemi i kēia ʻeha
Inā he waimaka perineal kou, e ho'āʻo i kēia mau mea e kōkua ai i ka mālama ʻana i ka ʻeha:
- E hoʻopili i ka hau: No ka hōʻemi ʻana i ka pehu a me ka ʻeha, e hoʻopili i kahi ʻeke hau a i ʻole kekahi mau pahu hau i wahī ʻia i kahi lole maʻemaʻe i ka wahi ʻeha no kahi o 10-15 mau minuke.
- E akahele i ka noho ʻana: E hoʻohana i ka uluna a i ʻole kahi uluna poepoe me kahi puka ma waenakonu (p ADD ed ring) i ka wā e noho ana.
- E holoi me ka wai mehana: I ka wā e mimi ai , e hoʻopiha i kahi ʻōmole ʻomi me ka wai mehana a holoi i ka ʻāpana perineum me kēlā wai. E hōʻemi nui kēia i ka mumū.
- ʻAuʻau Sitz: E hoʻopiha i kahi ʻauʻau me ka wai mehana, e lawa wale no ka uhi ʻana i kou pūhaka, a noho i loko no kekahi mau minuke. Inā ʻoluʻolu ʻole ka wai wela, hiki nō hoʻi iā ʻoe ke hoʻohana i ka wai anuanu.
- Nā lāʻau hoʻopau ʻeha : E hoʻohana i nā lāʻau hoʻopau ʻeha i ʻōlelo ʻia e kāu kauka .
- Kāohi i ka paʻa ʻana o ka ʻōpū: E lawe i kahi mea palupalu ʻōpala e like me ke kuhikuhi a kāu kauka. E hōʻemi kēia i ka ʻeha āu e ʻike ai i ka wā e neʻe ai ka ʻōpū.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻOiai he mea maʻamau ka manaʻo ʻole ma hope o ka hānau ʻana, aia kekahi mau hōʻailona e pono ai mākou e hopohopo nui. Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
| Hōʻailona Hoʻolaha | Nā mea e makaʻala ai |
|---|---|
| Kahe nui ʻana o ke koko | Inā kaumaha loa ke kahe ʻana o ke koko a pono ʻoe e hoʻololi ma mua o hoʻokahi pad i kēlā me kēia hola. |
| Ke hele nei i nā ʻōpū koko nui | Inā hele ʻia nā ʻūpā koko i ʻoi aku ka nui ma mua o ka nui o kahi ʻāpana kālā. |
| Kuni a me ke anu | Inā ʻoi aku ka mahana o kou kino ma mua o 100.4°F (38°C) a ke anu nei ʻoe a me ka haʻalulu. |
| ʻEha poʻo nui a i ʻole ka poniuniu | Inā pinepine ʻoe e manaʻo nāwaliwali, poniuniu, a i ʻole he ʻeha poʻo koʻikoʻi mau loa. |
| Ka maʻi ʻeha | Inā pehu kou wahi i humuhumu ʻia (ʻoki a haehae paha) a kahe ka pus. |
| He ʻala ʻē | Inā he ʻala ikaika loa a ʻano ʻē ka hoʻokahe ʻana o kou ʻōpū. |
| Paʻakikī ka hanu ʻana | Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka wikiwiki o ka puʻuwai, a i ʻole ka paʻakikī o ka hanu ʻana. |
| ʻEha wāwae | Inā ʻulaʻula ka ʻāpana a pehu me ka ʻeha ma ka wāwae. |
E aʻo pū kākou e pili ana i ka hana kino.
Pono paha ʻoe e kaupalena i kekahi mau hana kino a hiki i ka ho'ōla loa ʻana o ka ʻeha.
- Hoʻomaha: E hoʻomaha nui i ka wā hiki iā ʻoe ke luhi. E hiamoe iki i ka wā e hiamoe ana kāu pēpē.
- Hele wāwae: E hele wāwae pōkole i kēlā me kēia lā. Hoʻomaikaʻi ia i ke kahe koko a pale i ka paʻa ʻana o ka ʻōpū.
- E pale i ka hoʻoikaika kino: E pale i ka hoʻoikaika kino e like me ke kaʻa paikikala, ka holo ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha a hiki i ka wā e ho'ōla ai ka ʻeha.
- Ka hāpai kaumaha: I ka hiki, mai hāpai i kekahi mea kaumaha ma mua o ke kaumaha o kāu pēpē.
- Ka moe kolohe ʻana:Mai moe a hiki i ka wā e nānā ai kāu kauka a ʻōlelo mai ua ho'ōla loa ʻia ka ʻeha.
Leka Lawe-Home
- He mea maʻamau ke ʻeha o ka ʻōpū ma hope o ka hānau ʻana. Mai makaʻu a hilahila paha.
- E hāʻawi i kou kino i ka manawa e ho'ōla ai. E hoʻomanawanui. Mai hoʻohālikelike iā ʻoe iho me nā poʻe ʻē aʻe.
- Nui nā lāʻau lapaʻau maʻalahi e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha. E hahai iā lākou.
- Inā e ʻoi aku ka ʻino o ka ʻeha i kēlā me kēia lā, a inā paha he mau hōʻailona hōʻailona kāu i ʻōlelo ʻia ma luna nei, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka.
- Inā makemake ʻoe i ke kōkua i kēia manawa, mai kānalua e noi i ke kōkua mai ka ʻohana a i ʻole nā hoaaloha. He mea nui like kou olakino kino me kou olakino noʻonoʻo.
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