Ka mālama ʻana i ka ʻeha i ka wā hana

ʻAʻohe ala maikaʻi loa e hana ai me ka ʻeha i ka wā o ka hana. ʻO ke koho maikaʻi loa ka mea e noʻonoʻo pono iā ʻoe. Inā koho ʻoe e hoʻohana i ka ʻeha a i ʻole ʻaʻole, maikaʻi e hoʻomākaukau iā ʻoe iho no ka hānau hānau maoli.

ʻO ka ʻeha i ʻike ʻia i ka wā o ka hānau ʻana he ʻokoʻa ia no kēlā me kēia wahine. Koho kekahi mau wahine i ka hānau hānau maoli, a i ʻole ka hānau ʻana me ka ʻole o ka lāʻau no ka ʻeha. Inā holo pono nā mea āpau, hiki ke lilo i ʻike maikaʻi loa.

Inā makemake ʻoe e hāʻawi me ka ʻole o ka lāʻau, e lawe i kahi papa hānau. Ke aʻo nei nā papa hānau keiki i nā hana hanu a me ka hoʻomaha. Hiki i kēia mau ʻenehana ke kōkua iā ʻoe e hōʻoluʻolu i ka ʻeha i ka wā hānau. A, hiki iā lākou ke hoʻohui i ka hōʻoluʻolu i loaʻa iā ʻoe mai ka lāʻau inā koho ʻoe e lawe.

No kekahi mau wahine, ua lawa nā ʻenehana i aʻo ʻia i nā papa hānau keiki e hoʻomaha ai i ko lākou ʻeha. Koho paha nā wahine ʻē aʻe e hoʻohana i ka lāʻau ʻeha i ka wā hānau.

ʻO kahi analgesic ʻōnaehana kahi lāʻau ʻeha i injected i loko o kou aa a i ʻole nāʻiʻo. Hana kēia lāʻau i kāu ʻōnaehana holoʻokoʻa holoʻokoʻa ma mua o kahi ʻāpana o kou kino. ʻAʻole paha e hele a pau ka ʻeha, akā e luʻuluʻu ia.

Me nā analgesics ʻōnaehana, ʻoi aku ka maʻalahi o ka hana o kekahi mau wahine a hōʻoluʻolu hou aku. ʻAʻole lohi kēia mau lāʻau i ka hana. ʻAʻole lākou e pili i ka hoʻoliʻiliʻi.

Akā, hoʻomoe lākou iā ʻoe a me kāu pēpē. Hoʻopiʻi kekahi mau wahine i ka manaʻo e like me ka lilo o ka kāohi.

Hoʻomaʻamaʻa kahi palaka epidural a i ʻole ke kumu o ka nalo ʻana o ka manaʻo i ka hapa haʻahaʻa o kou kino. Hoʻokomo kāu mea mālama ola i ka palaka i kāu ʻaoʻao haʻahaʻa. Hoʻoemi kēia i ka ʻeha o nā kuʻikuʻi a maʻalahi hoʻi i ka lawe ʻana i kāu pēpē ma o kāu ʻōpala.

ʻO Epidural ka hana ʻoi aku ka palekana a maikaʻi loa. ʻO ka hapa nui o nā wahine e koho i kahi epidural e hoʻokele i ka ʻeha o kā lākou hana. Nā mea e pili ana i nā epidurals:

• ʻAʻohe hopena sedating ma luna ou a ʻo kāu pēpē.
• Liʻiliʻi nā pilikia.
• ʻAʻole hoʻonui nā manawa o ka pono ʻana i kahi cesarean delivery (C-section).
• ʻOi aku ka lōʻihi o ka hana i kekahi manawa inā loaʻa ʻoe i kahi epidural.
• Hiki i nā manawa he epidural ke ʻae i ka hana i kū i ka holomua.
• ʻO ka hopena ʻaoʻao nui o kahi epidural ka numbness a me ka ʻole o ka neʻe (neʻe).

ʻO kahi anesthesia kūloko (poloka pudendal) kahi lāʻau numbing a kāu mea hoʻolako e hoʻokomo ai i kāu wahine a me nā wahi o ke ākea ke kokoke ʻoe i ka lawe. Hoʻoemi ia i ka ʻeha ke hele ka pēpē ma kahi o ka helu.

E hoʻomanaʻo he hoʻolālā wale nō kahi hoʻolālā. E maʻalahi i ka wā e hoʻolālā ana ʻoe i kāu hana a me kāu lawe ʻana. Hoʻololi pinepine nā mea ke hiki mai ka lā maoli. Hoʻoholo nā wahine he nui ma mua o ka hana ʻana e hānau keiki maoli. Ma hope, hoʻololi lākou i ko lākou manaʻo a hoʻoholo e makemake lākou i ka lāʻau ʻeha ma hope o nā mea āpau. Maikaʻi ke hoʻololi i kou manaʻo.

Hoʻolālā nā wahine ʻē aʻe i ka lāʻau ʻeha, akā hōʻea loa lākou i ka haukapila. I kekahi manawa, hānau ka pēpē ma mua o ka loaʻa ʻana o ka wahine i ka lāʻau ʻeha. He manaʻo maikaʻi e hele i nā papa hānau keiki a aʻo e pili ana i nā hanu a me nā ʻano hoʻomaha, ʻoiai ʻoe e hoʻolālā e loaʻa i ka lāʻau ʻeha.

E kamaʻilio me ka mea hoʻolako e pili ana i nā ʻano ʻeha o ka ʻeha no kāu hana a me ka lawe ʻana. ʻO ke olakino a me ka palekana o ʻoe a me kāu pēpē ka mea i hele mua, no laila hiki i kāu mea hāʻawi ke paipai i hoʻokahi ʻano o ka ʻehaʻeha no ʻoe ma mua o nā poʻe ʻē aʻe. Maikaʻi ke ʻike i kāu mau koho āpau i hiki iā ʻoe ke hana i kahi hoʻolālā maikaʻi loa no kāu hana a me ka lawe ʻana.

Hāpai keiki - ʻeha i ka wā hana; Hānau - mālama ʻeha

Minehart RD, Minnich ME. Hoʻomākaukau hānau keiki a me nā analgesia nonpharmacologic. I: Chestnut DH, Wong CA, Tsen LC, et al, eds. ʻO Chestnut's Obstetric Anesthesia: Nā Manaʻo a me ka Hoʻomeheu. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 21.

Sharpe EE, Arendt KW. Anesthesia no nā ʻōpū. I: Gropper MA, ed. Miller Anesthesia. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 62.

ʻO Thorp JM, Grantz KL. ʻO nā ʻaoʻao Clinical o ka hana maʻamau a maʻamau. I: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, nā mea i hana ʻia. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 43.

• Hānau keiki