ʻAʻole hiki ke hōʻike ʻia ka hauʻoli āu e manaʻo ai ma hope o ka hānau ʻana o kāu pēpē i kēia ao ma nā huaʻōlelo, ʻeā? Akā me kēia hauʻoli, pono kākou e makaʻala i nā loli i kou kino ma ke ʻano he makuahine. He mea maʻamau ke kahe koko i kekahi ʻano ma hope o ka hānau ʻana o kahi pēpē . Akā inā piʻi kēlā kahe koko i kahi ʻano hiki ʻole ke kāohi ʻia, hiki ke lilo i kūlana weliweli. ʻO kekahi o nā pilikia nui e hiki ke hana i ia manawa ʻo ia ka Uterine Atony. E kamaʻilio kākou e pili ana i kēia i kēia lā, me ka makaʻu ʻole, maʻalahi.
He aha ka ʻAtony Uterine?
I ka ʻōlelo maʻalahi, i loko o kou hāpai ʻana, ʻo ia hoʻi he 9 mahina, loaʻa i kāu pēpē nā meaʻai a me ka oxygen āpau e pono ai ma o nā kīʻaha koko i loko o kou ʻōpū. Ma hope o ka hānau ʻana o ke pēpē, i ka wā e hānau ʻia ai ka placenta, e wehe ʻia kēia mau kīʻaha koko.
ʻO ka mea maʻamau e hana ʻia, ʻo ia ka wā e hānau ai ke pēpē, e ʻūlū ikaika nā ʻiʻo o ka ʻōpū, e pani ana i kēia mau kīʻaha koko hāmama a hoʻōki i ke kahe ʻana o ke koko. E noʻonoʻo e like me ke kaomi ʻana i kahi paipu wai me kou lima a pau ke kahe ʻana o ka wai.
Eia nō naʻe, i loko o ke kūlana i kapa ʻia ʻo Uterine Atony , ʻaʻole e ʻūlū nā ʻiʻo o ka ʻōpū e like me ka mea i manaʻo ʻia. Lilo lākou i palupalu a "palaualelo" (ʻo ia ka atony). A laila, hoʻomaka kēlā mau kīʻaha koko hāmama e kahe koko me ke kāohi ʻole.
Hiki ke hana ʻia kēia i ka wā hānau ʻana ma ke ʻano he ʻāpana hānau wahine a i ʻole ka ʻoki ʻana i ka ʻōpū. Hiki nō hoʻi ke hana ʻia ma hope o ka hāʻule ʻana o ka hāpai keiki. Pono ʻoe e hoʻomanaʻo he kūlana koʻikoʻi loa kēia e pono ai ka mālama olakino koke .
He aha nā kumu e hoʻonui ai i ka pilikia o kēia maʻi?
ʻAʻole loaʻa kēia maʻi i nā kānaka a pau. Eia nō naʻe, aia paha kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe ma muli o kekahi mau kumu. ʻO ia ke kumu e ʻike mau ai kāu kauka i kēia mau kumu pilikia.
| Kumu Hoʻopilikia | Ua wehewehe maʻalahi ʻia |
|---|---|
| He hana lōʻihi a paʻakikī hoʻi | Hiki i nā ʻiʻo o ka ʻōpū ke luhi ma hope o ka wā lōʻihi o ka hānau ʻana a me ka hānau paʻakikī ʻana o kahi pēpē. |
| Nā ʻūmiʻi nui o ka ʻōpū | Inā kaumaha nui ke pēpē (e.g., ʻoi aku ma mua o 4 kg), inā he māhoe ia, a inā he nui ka wai amniotic (wai) i loko o ka ʻōpū (polyhydramnios), ua kīkoʻo nui ʻia paha ka ʻōpū. |
| Ke hana nei i kahi pua | Ke hānau ʻia he pēpē ma ka hāʻawi ʻana i kahi lāʻau lapaʻau e like me ka oxytocin a me ka hoʻoulu ʻana i ka hānau ʻana no ka manawa lōʻihi. |
| Nā Fibroids | Hiki i nā fibroids i loko o ka ʻōpū ke pale i ka ʻaelike pono ʻana o ka ʻōpū. |
| Nā kūlana maʻi | Ka maʻi o nā membrane e hoʻopuni ana i ka pēpē (chorioamnionitis). |
| Momona | ʻO ke kaumaha nui kekahi mea pilikia. |
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui a weliweli loa o kēia ʻano, ʻo ia ke kahe koko nui i hiki ʻole ke kāohi ʻia ma hope o ka hānau ʻana ( Postpartum Hemorrhage ) .
ʻOiai he mea maʻamau ke kahe iki ke koko ma hope o ka hānau ʻana, inā manaʻo ʻoe ua nui ke koko, a inā ua pulu loa ka pā āu e hoʻohana nei i loko o kahi manawa pōkole, e like me hoʻokahi hola, a inā paha e hele ana ʻoe i nā ʻōpū koko nui, mai manaʻo he mea maʻamau ia. E hoʻomaopopo koke i kāu kauka a i ʻole nā limahana kahu maʻi.
Ke hoʻokuʻu ʻia ke koko nui mai ke kino, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe.
- Ke koko haʻahaʻa (Hypotension)
- Hoʻonui ʻia ka helu o ka puʻuwai
- Anuanu a mae ke kino
- Manaʻo poniuniu, polū nā maka
- Ua emi ka hoʻopuka ʻana o ka mimi
- Ka nalowale o ka ʻike i nā hihia koʻikoʻi loa
Pehea e ʻike ai ke kauka i kēia?
ʻO kāu kauka.ʻIke nui ʻia kēia maʻi ma ka nānā ʻana i ka ʻōpū.
Ma hope o ka hānau ʻana maʻamau, e kau ke kauka i kona lima ma kou ʻōpū a nānā i kou ʻōpū. Inā ua hana ʻia ʻoe i kahi ʻoki cesarean, hana ʻia kēia hoʻokolokolo ma ka hopena o ke ʻoki ʻana. ʻO ka maʻamau, ma hope o ka hānau ʻana, pono e emi kou ʻōpū a paʻakikī e like me ka pōhaku . Eia nō naʻe, i nā hihia o ka atony uterine, nui loa ka ʻōpū a palupalu ke pā.
E nānā pū ke kauka e ʻike inā he mau kumu ʻē aʻe no kēia kahe koko nui. Eia kekahi laʻana:
- Aia kekahi mau ʻeha a haehae paha i ka cervix a i ʻole ka vagina?
- Ke waiho nei anei nā ʻāpana o ka placenta i loko o ka ʻōpū (placenta i mālama ʻia)?
Ua hōʻoia ke kauka i ke kūlana o ka atony uterine ma hope o ka nānā ʻana i kēia mau mea a pau.
He aha nā lāʻau lapaʻau no kēia?
He pilikia kēia, no laila pono e hoʻomaka koke ka lāʻau lapaʻau. ʻO ka pahuhopu nui ka hoʻōki ʻana i ke kahe koko i ka hikiwawe loa. I kēia manawa, e hāʻawi ʻia ʻoe i ka saline e pani i nā wai i nalowale i loko o kou kino, a me ka oxygen inā pono. Inā nui ke koko i nalowale, pono paha ka hoʻoili koko .
Aia kekahi mau ʻano lapaʻau.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Lapaʻau Lapaʻau | |
| ʻOkitokina (Pitocin) | He hormone e kōkua ai i ka ʻūmiʻi ʻana o ka ʻōpū. Hāʻawi ʻia kēia ma ke ʻano intravenous me ka saline. |
| Nā lāʻau lapaʻau ʻē aʻe (e like me Methylergonovine, Prostaglandins) | He mau lāʻau lapaʻau kēia i hāʻawi ʻia e hoʻoikaika i ka ʻūlū ʻana o ka ʻōpū. Hāʻawi ʻia kekahi ma ke ʻano he inikini, aʻo kekahi e hāʻawi ʻia ma ke ʻano he mau pila i hoʻokomo ʻia i loko o ka vagina a i ʻole ka rectum. |
| Nā Kaʻina Hana ʻoki kino a me nā Kaʻina Hana ʻē aʻe | |
| Ka Hoʻopaʻa ʻana/Palupa ʻōpū | Hoʻokomo ʻia kahi ʻōwili gauze kūikawā a i ʻole ka pōpō pehu i loko o ka ʻōpū, kahi e hoʻopaʻa ai i nā kīʻaha koko mai loko a hoʻōki i ke kahe ʻana o ke koko. |
| Hoʻopaʻa ʻana i ke aʻa o ka ʻōpū | He hana ʻoki kino liʻiliʻi kēia. Ua nakinaki ʻia ke kīʻaha koko nui e hoʻolako ana i ke koko i ka ʻōpū, e hoʻōki ana i ke kahe ʻana o ke koko. |
| Hoʻopau ʻia ka hysterectomy | Inā ʻaʻohe mea ʻē aʻe e hiki ke hoʻōki i ke kahe ʻana o ke koko, ma ke ʻano he koho hope loa , pono paha e wehe loa ʻia kou ʻōpū e hoʻopakele i kou ola. He hana nui kēia. |
Hana ʻia ka Hysterectomy i nā hihia hoʻopakele ola wale nō kahi ʻaʻohe koho ʻē aʻe, no laila mai makaʻu pono ʻole iā ia.
Leka Lawe-Home
- ʻO ka atony uterine kahi kūlana i ʻole e ʻaelike pono ai nā ʻiʻo uterine ma hope o ka hānau ʻana, e hopena ana i ke kahe nui ʻana o ke koko. He pilikia olakino kēia e pono ai ka mālama koke ʻia.
- Inā he kānalua kou e kahe nui ana ke koko ma hope o ka hānau ʻana (pulu koke ka ʻūpā, hele nā ʻōpū koko nui), e haʻi koke aku i kāu kauka a kahu maʻi paha. Mai hoʻopanee.
- ʻOiai aia kekahi mau kumu pilikia no kēia maʻi, hiki iā ia ke hana i loko o kekahi kanaka, no laila he mea nui loa ka hānau ʻana i loko o kahi haukapila me nā limahana i aʻo ʻia.
- Aia nā lāʻau lapaʻau kūpono loa no kēia. Hoʻohana nā kauka i nā ʻano hana like ʻole, mai nā lāʻau lapaʻau a hiki i ke ʻoki ʻana, e hoʻōki i ke kahe ʻana o ke koko.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kou kino, ma mua a ma hope o ka hānau ʻana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo