ʻĀpana Cesarean

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• Hōʻike Overview

Hōʻike Overview

ʻO kahi ʻāpana cesarean kahi ala e hoʻopakele ai i kahi pēpē e ka ʻoki ʻana i ka ʻili o ka ʻōpū o ka makuahine. ʻOiai ʻo cesarean (C-ʻāpana) kahi palekana i nā kaʻina ʻoki lāʻau, pono e hana ʻia ia ma nā kūlana olakino kūpono.

ʻO kekahi o nā kumu maʻamau no ka cesarean ʻo:

• Inā ʻo ka pēpē i kahi wāwae i mua (breech) kūlana.
• Inā ʻo ka pēpē i kahi poʻohiwi mua (transverse) kūlana.
• Inā nui ke poʻo o ka pēpē e komo i loko o ke kahawai hānau.
• Inā hoʻolōʻihi ʻia ka hana a ʻaʻole e pālahalaha ka pūpū o ka makuahine a 10 kenimika.
• Inā loaʻa ka placenta previa i ka makuahine, kahi e ālai ana ka placenta i ka aʻa hānau.
• Inā loaʻa nā ʻōuli o ka pēpē pēpē i ka wā e makaʻu ai ka pēpē ma muli o ka emi o ke kahe o ka oxygen i ka pēpē.

ʻO kekahi mau kumu maʻamau o ka pilikia o ka fetal i:

• Kaohi ʻana o ka umbilical cord.
• ʻO ka hoʻopili ʻana o nā kīʻaha koko nui i loko o ka ʻōpū o ka makuahine ma muli o kona kūlana hānau.
• ʻO ka maʻi makuahine ma muli o ke kiʻekiʻe, anemia, a me nā maʻi puʻuwai.

E like me nā kaʻina hana he nui, koi nā ʻāpana cesarean i ka anesthesia. ʻO ka maʻa mau, hāʻawi ʻia ka makuahine i kahi epidural a i ʻole ka palaka. E palu kēia mau mea ʻelua i ka haʻahaʻa o ke kino, akā e makaʻala ka makuahine. Inā pono e hānau wikiwiki ka pēpē, e like me kahi pilikia, hāʻawi ʻia paha i ka makuahine ka anesthetic laulā, e hiamoe ai ʻo ia. I ka wā o ke kaha, hana ʻia kahi ʻokiʻoki ma ka ʻōpū o lalo e ukali ʻia e kahi ʻoki i hana ʻia i loko o ka kōpū. ʻAʻohe ʻeha e pili pū ʻia me kēia mau ʻoki āpau ma muli o ka anesthesia.

E wehe ke kauka i ka kōpū a me ka ʻeke amniotic. A laila hoʻomaʻamaʻa pono ʻia ka pēpē ma o ka ʻoki a i waho i ka honua. ʻO ke kaʻina hana mau ma kahi o 20 mau minuke.

Ma hope, hāʻawi ke kauka i ka placenta a humuhumu i nā ʻoki i loko o ka kōpū a me ka paia o ka ʻōpū. ʻO ka maʻamau, ʻae ʻia ka makuahine e haʻalele i ka haukapila i loko o kekahi mau lā, e hoʻopaʻa ana i nā pilikia e like me nā maʻi ʻeha. ʻO kahi hopohopo i loaʻa i nā wahine he nui inā hiki iā lākou ke loaʻa i kahi lawe maʻamau ma hope o ka loaʻa ʻana o ka cesarean. Aia ka pane i nā kumu no ka loaʻa ʻana o ka ʻāpana c i ka wā mua. Inā ma muli o ka pilikia hoʻokahi manawa, e like me ke kaohi ʻana o ka aho a i ʻole ke kūlana breech, a laila hiki i ka makuahine ke hānau hānau maʻamau.

No laila, ʻoiai he hoʻokahi a ʻelua paha mau hānau cesarean i ka makuahine me kahi incision uterine haʻahaʻa, a ʻaʻohe mea hōʻike ʻē aʻe no kahi cesarean, he moho ia no ka hānau ʻana ma hope o ka cesarean, i kapa ʻia ʻo VBAC.

Palekana nā ʻaoʻao Cesarean, a hiki ke mālama i nā ola o ka makuahine a me ka pēpē i ka wā o ka wā pilikia. E hoʻomākaukau nā makuahine e hiki mai ana no ka hiki ke loaʻa i hoʻokahi. E hoʻomanaʻo, i ka hānau hānau ʻana, ʻaʻole ia wale nō ke ʻano o ka lawe ʻana i mea nui, akā ʻo ka hopena: ʻo kahi makuahine olakino a pēpē hoʻi.

• Pauku Cesarean