Inā he makuahine ʻoe e kokoke ana e hānau i kahi pēpē, ua lohe pinepine paha ʻoe i ka huaʻōlelo 'cesarean'. Malia paha ua haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi ʻoki cesarean. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka wā e hana ʻia ai kēlā. ʻO nā nīnau e like me "ʻAʻole anei he ʻoki nui?", "E ʻeha anei iaʻu?", "He mea ʻino anei ia no ka pēpē?" e hiki mai ana paha i ka noʻonoʻo. Akā, mai hopohopo. I kēia lā, e ʻike mākou i nā pane i nā nīnau a pau āu e pili ana i kēia ʻoki cesarean , ʻo ia hoʻi, he ʻoki C.
I ka ʻōlelo maʻalahi, he aha ka ʻoki cesarean?
ʻO ka ʻoki ʻoki cesarean kahi hana ʻoki e hānau ʻia ai kahi pēpē ma o kahi ʻoki liʻiliʻi ma ka ʻōpū a me ka uterus, ma mua o ka ʻōpū o ka makuahine. ʻOi aku ka nui o nā ʻoki cesarean i hana ʻia i kēia lā ma mua o ka wā ma mua. ʻOiai paha e kuhihewa kekahi poʻe e pili ana i kēia, ʻo ka mea nui e pono ai mākou e hoʻomaopopo, ʻo ia ka nui o nā ola i hoʻopakele ʻia e kēia ʻano hana i kēia lā.
ʻAʻole ia manaʻo he pono i nā kānaka a pau ke hana i ka ʻoki cesarean. Aia kekahi mau pilikia i ka ʻoki cesarean i hoʻohālikelike ʻia me ka hānau ʻana ma ke ʻano he wahine. ʻO ia ke kumu e ʻōlelo mau ai nā kauka e pono ʻoe e hana i ka ʻoki cesarean inā he kumu olakino wikiwiki loa.
| Nā pilikia kūpono o ka ʻāpana Cesarean | |
|---|---|
| Nā maʻi | Hiki ke loaʻa nā maʻi, ʻoi aku hoʻi ma ka ʻōpū, nā ʻōpū pili, a i ʻole nā ʻeha ʻoki. |
| Kahe nui ʻana o ke koko | Aia ka hiki ke kahe hou aku ke koko ma mua o ka mea maʻamau i ka wā a ma hope paha o ke ʻoki ʻana. |
| Nā pilikia ma muli o ka anesthesia | Hiki i kekahi poʻe ke loaʻa nā pilikia me nā lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia. |
| Nā ʻūpā koko | Ma muli o ka palena o ka neʻe ʻana ma hope o ke ʻoki ʻana, hiki ke hana ʻia nā ʻūpā koko ma nā wāwae. |
| Ka hōʻino ʻana i nā ʻōpū o loko | I ka hapanui pinepine, hiki ke hōʻino ʻia nā ʻōpū e like me ka ʻōpū a me ka ʻōpū mimi. |
Akā e hoʻomanaʻo, me ka ʻenehana lapaʻau holomua o kēia wā, ua liʻiliʻi kēia mau pilikia. E mālama pono kāu kauka a me nā limahana o ka haukapila iā ʻoe.
No ke aha i hoʻoholo ai ke kauka e hana i kahi ʻāpana cesarean?
ʻElua ʻano o nā ʻoki cesarean. ʻO kekahi he cesarean i hoʻolālā ʻia . ʻO kekahi he cesarean ulia pōpilikia . He ʻokoʻa nā kumu no nā mea ʻelua.
Nā kumu no ka hoʻolālā ʻana i kahi ʻāpana cesarean
I kekahi manawa, ma mua o ka hānau ʻana o ke pēpē, ua hoʻoholo kāu kauka ʻo ka ʻoki cesarean ka koho maikaʻi loa nāu. Hiki ke loaʻa kekahi mau kumu no kēia.
| Kumu | I ka ʻōlelo maʻalahi... |
|---|---|
| Ke piʻi nei ka nui o ka pēpē. | Inā manaʻo ʻoe ua pilikia ka pēpē i ka puka ʻana i waho ma o ka pelvis o ka makuahine no ka mea ua kaumaha loa. |
| Ke kūlana o ka pēpē (Breech/Transverse) | Inā kūlou ke pēpē i lalo, ʻaʻole ke poʻo i lalo, akā, kūlou a ʻaoʻao paha. |
| ʻO ka Placenta Previa | Inā aia ka placenta ma lalo o ka ʻōpū, e uhi ana i ka cervix. |
| Nā maʻi i loko o ka makuahine | Inā loaʻa i ka makuahine kahi maʻi ikaika, e like me ka herpes genital, e pale iā ia mai ka laha ʻana i ka pēpē. |
| Ma hope o ka loaʻa ʻana o kahi ʻoki cesarean ma mua | Inā ua hānau ʻia ka pēpē ma mua ma ka ʻoki caesarean, i kekahi mau hihia ua ʻōlelo ʻia kahi ʻoki caesarean no ka pēpē aʻe. |
No ke aha e hoʻoholo ai i ka ʻoki caesarean ulia pōpilikia?
I kekahi manawa, ʻoiai ke manaʻo ʻia nei ka hānau maʻamau, pono nā pilikia i ka wā hānau i kahi ʻāpana caesarean ulia pōpilikia.
- Puʻuwai kūpono ʻole i ka wā hānau. ʻO ke ʻano kēia e ʻike nei ka pēpē i kekahi pilikia.
- ʻO ka pilikia me ke kaula umbilical e kaupalena ana i ka nui o ke koko a me ka oxygen i loaʻa i ke pēpē.
- Ka hoʻopau ʻana o ka placenta .
- Ua pau ka hoʻonui ʻana o ka māwae o ka ʻōpū a i ʻole ke iho ʻana o ka pēpē no kekahi kumu ʻē aʻe.
Pehea e hana ʻia ai kahi ʻāpana caesarean i hoʻolālā ʻia?
Inā he ʻāpana cesarean i hoʻolālā ʻia, eia ka mea hiki iā ʻoe ke manaʻo.
1. Hoʻomākaukau: E hāʻawi mua ʻia ʻoe i ka lāʻau lapaʻau e hoʻomaloʻo i nā mea huna i loko o kou waha a me nā ala ea. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hōʻemi i ka waikawa o ka ʻōpū . A laila e hoʻomaʻemaʻe ʻia kou ʻōpū lalo a, inā pono, e wehe ʻia ka lauoho.
2. Catheter a me ka IV Line: Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) e hoʻokaʻawale i ka ʻōpū mimi. Hoʻokomo ʻia kahi nila liʻiliʻi (IV line) i loko o kahi aa ma ka lima e hāʻawi i ka saline a me nā lāʻau lapaʻau.
3. Anesthesia: ʻO ka hapa pinepine, hāʻawi ʻia ka anesthesia i kou iwi kuamoʻo. Hana ʻia kēia me ka hoʻohana ʻana i ka anesthesia epidural a i ʻole spinal. Hoʻomānoʻo kēia i kou kua i lalo, akā ua ʻike nō ʻoe. Hāʻawi wale ʻia ka anesthesia laulā i nā pilikia.
4. Hoʻomaka ke ʻoki kino : E hoʻomaʻemaʻe ʻia kou ʻōpū me ka wai antiseptic, a e kau ʻia kahi pale ma luna o ka wahi e ʻoki ʻia ai. E kau ʻia kahi pale i ʻole ʻoe e ʻike i ke ʻoki kino.
5. ʻOki ʻana: Ke pau ka hopena o ka anesthesia, e ʻoki ke kauka ma ka ʻili o kou ʻōpū a laila ma kou uterus. ʻO ka maʻamau, he ʻoki bikini kēia, ma lalo pono o kou laina bikini. ʻAʻole ʻoe e ʻeha, akā e ʻike paha ʻoe i kahi ʻūmiʻi iki.
6. Ke lawe ʻana i ka pēpē i waho:A laila e wehe pono ke kauka i ka pēpē. I kekahi manawa, pono paha ʻoe e hoʻohana i nā forceps a i ʻole kahi vacuum extractor. E ʻike ʻoe i kahi manaʻo huki iki i kēia manawa.
7. Ka manawa mua: Ke lawe ʻia aku ka pēpē i waho, hoʻomaʻemaʻe ʻia kona ihu a me kona waha ma ke omo ʻana. ʻOki ʻia ke kaula umbilical a wehe ʻia ka placenta. A laila hāʻawi ʻia ke pēpē i kahi kahu maʻi. Hana ʻo ia i ka hoʻāʻo Apgar, kahi e ana ai i ke olakino o ka pēpē.
8. Nā Humuhumu: E humuhumu ke kauka i kou ʻōpū a me kou ʻōpū. Hoʻoheheʻe ʻia nā humuhumu i loko o ka ʻōpū i loko o kou kino. ʻO nā humuhumu ʻili paha ke ʻano e wehe ʻia ma hope o kekahi mau lā, a i ʻole he mau humuhumu hoʻoheheʻe ʻia paha i kau ʻia ma lalo o ka ʻili.
9. Hoʻōla: Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi "Lumi Hoʻōla." Ma laila, e nānā ʻia kou koko a me kou pulse. Ke pau ka anesthesia, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha e kāohi i ka ʻeha.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
He mea nui nō hoʻi nā lā ma hope o ke ʻoki ʻana.
- Ke ala ʻana mai kahi moe: 6-8 mau hola ma hope o ke ʻoki ʻana, e wehe ʻia ke catheter a e noi ʻia ʻoe e ala aʻe mai kahi moe a hele a puni. He mea paʻakikī iki paha kēia, akā e kōkua ia iā ʻoe e hoʻōla wikiwiki.
- Ka hānai waiū ʻana: Inā ʻoe e hoʻolālā e hānai waiū i kāu pēpē, e hōʻike nā kahu maʻi iā ʻoe pehea e paʻa ai i kāu pēpē i kahi ʻano e kau ʻole ai i ke kaomi ma luna o ka ʻeha. Hiki iā ʻoe ke hānai waiū me ka paʻa ʻana i kahi uluna ma luna o ka ʻeha a i ʻole e noho ana i luna.
- ʻAi a me ka mea inu: E hāʻawi ʻia ʻoe i ka saline no hoʻokahi a ʻelua paha lā. Ma hope o kēlā, hiki iā ʻoe ke hoʻomaka mālie e ʻai i nā wai a me nā meaʻai maʻamau.
- Hoʻokuʻu ʻia mai ka haukapila: Hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i loko o 3-5 mau lā. E hala ana ma kahi o 4-6 mau pule e hoʻi hou ai i nā hana maʻamau.
Ke kaumaha nei ʻoe no ka hana ʻana i kahi ʻoki cesarean?
He nui nā makuahine e lana nei ka manaʻo e hānau maʻamau. Ke haʻi koke ʻia aku iā lākou he pono lākou e hana i kahi ʻoki cesarean, he mea maʻamau ke kaumaha a me ka hoka. ʻO nā manaʻo e like me, "ʻAʻole anei au i hoʻāʻo nui?", "He hemahema anei au ma ke ʻano he makuahine?" e hiki mai ana paha i ka noʻonoʻo.
E ʻoluʻolu e hoʻomaopopo ʻaʻole ka hānau ʻana i kahi pēpē ma o ka ʻoki ʻoki cesarean e hōʻemi i kou makuahine ma kekahi ʻano. ʻO ka mea nui loa, ʻo ia ke olakino a palekana o ʻoe a me kāu pēpē. Inā ʻo ka ʻoki ʻoki cesarean ke ala maikaʻi loa e hana ai i kēlā, a laila ʻo ia ka mea kūpono e hana ai.
I kekahi manawa, ke hoʻololi ʻoe i kou manaʻo, nalowale kēia manaʻo. Hiki iā ʻoe ke noʻonoʻo, "He mea kupanaha ka hiki ke nānā aku i kaʻu pēpē e hiki mai ana i kēia ao me ka ʻike ʻole i ka ʻeha a me ka maluhia."
Akā inā hoʻomau ʻoe i kēia kaumaha, e kamaʻilio pono me kāu kāne, he lālā o ka ʻohana, a i ʻole kāu kauka . E hāʻawi kēlā iā ʻoe i ka nui o ka hōʻoluʻolu.
Leka Lawe-Home
- He hana ʻoki palekana loa ka ʻoki ʻana i ka Caesarean i kēia mau lā. Mai makaʻu pono ʻole i ia mea.
- Hana ʻia kēia ʻoki kino inā he kumu olakino e pono ai no ka palekana o ka makuahine a me ke pēpē.
- ʻAʻole ke ʻano o kou hānau ʻana i kāu pēpē (maʻamau a cesarean paha) ke ana o kou makuahine. ʻO ka mea nui loa, he pēpē olakino a he makuahine olakino.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i ka ʻoki cesarean, e kūkākūkā ākea me kāu kauka.
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