Episiotomy - mālama mālama

ʻO kahi episiotomy kahi incision liʻiliʻi i hana ʻia i ka wā hānau hānau e hoʻonui ai i ka hāmama o ka lua.

Hoʻokumu pinepine kahi waimaka perineal a i ʻole laceration iā ia iho i ka wā o ka hānau hānau ʻana. Kākaʻikahi, e hoʻopili pū kēia waimaka i ka mākala a puni ka anus a i ʻole ka pelu. (ʻAʻole kūkākūkā ʻia nā pilikia ʻelua i hala.)

Pono nā episiotomies a me nā perineal lacerations i nā humuhumu e hoʻoponopono a hōʻoia i ka hoʻōla maikaʻi loa. Ua like nā mea ʻelua i ka manawa hoʻōla a me ka hōʻoluʻolu ʻole i ka wā o ka hoʻōla.

Hoola ka hapa nui o nā wahine me ka ʻole o nā pilikia, ʻoiai he mau pule paha ka lōʻihi.

ʻAʻole pono e hemo i kāu mau humuhumu. Komo kou kino iā lākou. Hiki iā ʻoe ke hoʻi i nā hana maʻamau ke mākaukau ʻoe, e like me ka hana keʻena māmā a hoʻomaʻemaʻe hale paha. E kali ʻoe i 6 mau pule ma mua ou:

• E hoʻohana i nā tampons
• Loaʻa ka moekolohe
• Hana i kekahi hana ʻē aʻe e haki (haki) i nā kuʻi

E hoʻomaha ai i ka ʻeha a me ka hōʻoluʻolu ʻole:

• E noi i kāu kahu hānai e hoʻopili i nā pūʻolo hau ma hope pono o ka hānau ʻana. ʻO ka hoʻohana ʻana i nā pūʻolo hau i nā hola he 24 ma hope o ka hānau ʻana e hōʻemi ana i ka pehu ʻana a kōkua pū me ka ʻeha.
• E ʻauʻau mehana akā kali a hiki i 24 mau hola ma hope o kou hānau ʻana. E hoʻomaʻemaʻe e hoʻomaʻemaʻe ʻia ka pahu ʻauʻau me kahi mea disinfectant ma mua o kēlā me kēia ʻauʻau.
• E lawe i ka lāʻau e like me ka ibuprofen e hoʻomaha ai i ka ʻeha.

Hiki iā ʻoe ke hana i nā mea ʻē aʻe he nui e kōkua i ka wikiwiki i ka hana hoʻōla, e like me:

• E hoʻohana i ka ʻauʻau sitz (noho i loko o ka wai e uhi ana i kou wahi vulvar) i kekahi mau manawa i ka lā. E kali a hiki i 24 mau hola ma hope o kou hānau ʻana e ʻauʻau i kahi sitz pū kekahi. Hiki iā ʻoe ke kūʻai i nā paipu i loko o nā hale kūʻai lāʻau e kūpono ma ka lihi o ka lua. Inā makemake ʻoe, hiki iā ʻoe ke noho i kēia ʻano tub ma kahi o ka piʻi ʻana i loko o ka pahu wai.
• Hoʻololi i kāu pads i kēlā me kēia 2 a 4 mau hola.
• E mālama i ka wahi a puni nā humuhumu hoʻomaʻemaʻe a maloʻo. E hoʻomaloʻo i ka wahi me kahi kāwele maʻemaʻe ma hope o kou ʻauʻau.
• Ma hope o kou mimi a i ʻole ke neʻe ʻana o ka ʻōpū, e pīpī i ka wai mehana ma luna o ka wahi a hoʻomaloʻo me kahi kāwele maʻemaʻe a i ʻole ka holoi pēpē. Mai hoʻohana i ka pepa lua.

Lawe i nā palupalu noho a inu i ka wai he nui. Pale aku kēia i ka paʻa paʻa. E kōkua pū ka ʻai nui ʻana i ka fiber. Hiki i kāu mea mālama ola ke ʻōlelo i nā meaʻai me ka nui o ka fiber.

Hana i nā hoʻoikaika Kegel. E kaomi i nā mākala āu e hoʻohana ai e paʻa i ka mimi no 5 mau minuke. Hana i kēia 10 mau manawa i ka lā a puni ka lā.

Kāhea i kāu mea hāʻawi inā:

• E māhuahua kou ʻeha.
• Hele ʻoe no 4 a ʻoi paha mau lā me ka ʻole o kahi ʻōpū.
• Ua hala ʻoe i kahi hāpuna koko ma mua o ka wōnati.
• He hoʻokuʻu kou me kahi ʻala maikaʻi ʻole.
• E haki ka ʻeha.

Perineal laceration - ma hope o ka mālama ʻana; Waimaka perineal hine hānau - aftercare; Mālama postpartum - episiotomy - ma hope o ka mālama ʻana; Hana - episiotomy ma hope o ka mālama ʻana; Lawe ʻia o ka maʻi ʻōpū - episiotomy ma hope o ka mālama ʻana

ʻO Baggish MS. Episiotomy. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 81.

Kilatrick SJ, Garrison E, Fairbrother E. Ka hana maʻamau a me ka lawe ʻana. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 11.

• Hānau keiki
• Mālama ʻo Postpartum