Ma hope o kahi ʻāpana C - i ka haukapila

ʻO ka hapa nui o nā wahine e noho i ka haukapila no 2 a 3 mau lā ma hope o ka hānau ʻana cesarean (C-section). E hoʻohana i ka manawa e hoʻopaʻa ai me kāu pēpē hou, e hoʻomaha iki, a loaʻa i kahi kōkua me ka hānai ʻana a me ka mālama ʻana i kāu pēpē.

Ma hope pono o ke kaha ʻana hiki iā ʻoe ke manaʻo:

• ʻO Groggy mai nā lāʻau i loaʻa iā ʻoe
• ʻO Nusea no ka lā mua a ʻoi paha
• ʻIke, inā loaʻa iā ʻoe nā narcotics i kāu epidural

Lawe ʻia ʻoe i kahi e ola ai ma hope pono o ke kaha ʻana, kahi e kahu ai:

• Nānā i kou kaomi koko, ka helu o ka puʻuwai, a me ka nui o kou kahe ʻana o ke kino
• E hōʻoia e hōʻoia i kou kōpū e lilo i paʻa
• Lawe iā ʻoe i kahi lumi haukapila ke kūpaʻa ʻoe, kahi e hoʻolilo ai i nā lā e hiki mai ana

Ma hope o ka pīhoihoi o ka hānau hope ʻana a paʻa hoʻi i kāu pēpē, ʻike paha ʻoe i kou luhi.

E ʻeha kou ʻōpū i ka wā mua, akā e hoʻomaikaʻi nui ia ma mua o 1 a 2 mau lā.

ʻIke kekahi mau wahine i ke kaumaha a i ʻole ka letdown ʻano ma hope o ka hānau ʻana. ʻAʻole maʻamau kēia mau manaʻo. Mai hoʻohilahila. E kamaʻilio me kāu poʻe lawelawe olakino a me kāu hoa.

Hiki ke hoʻomaka pinepine ka hānai ʻana ma hope o ke kaha ʻana. Hiki i nā kahu wahine ke kōkua iā ʻoe e ʻike i ke kūlana kūpono. Hiki i ka numbness mai kāu anesthetic ke kaupalena i kāu neʻe no kekahi manawa, a ʻo ka ʻeha i kou ʻokiʻoki (incision) hiki ke hoʻoikaika iki e lilo i ʻoluʻolu, akā mai hāʻawi.Hiki i nā kahu wahine ke hōʻike iā ʻoe pehea e hoʻopaʻa ai i kāu pēpē no laila ʻaʻohe kaomi i kou ʻoki (ʻokiʻoki) a me kou ʻōpū.

Hoihoi ka mālama ʻana a me ka mālama ʻana i kāu pēpē hou, e hana ana no ka huakaʻi lōʻihi o kou hāpai ʻana a me ka ʻeha a me ka hōʻoluʻolu ʻole o ka hana. Loaʻa nā kahu lapaʻau a me nā loea hānai hānai e pane i nā nīnau a kōkua iā ʻoe.

Lawe pū i ka mālama pēpē a me ka lawelawe lumi a ka haukapila e hoʻolako ai nāu. E hoʻi ana ʻoe i ka ʻoliʻoli i ka lilo ʻana i makuahine a me nā koi o ka mālama ʻana i kahi pēpē hānau hou.

Ma waena o ka luhi ma hope o ka hana a me ka mālama ʻana i ka ʻeha mai ke ʻoki kino, ke hele nei i waho o kahi moena me he mea lā he hana nui loa ia.

Akā ʻo ka hele ʻana i waho o kahi moe ma kahi o hoʻokahi a ʻelua mau manawa i ka lā i ka mua hiki ke kōkua i ka wikiwiki i kou ola ʻana. Hoʻoemi ia i kou manawa o ke loaʻa ʻana o ke koko a kōkua i kou ʻōpū e neʻe.

E hōʻoia inā kokoke kahi mea e kōkua iā ʻoe inā e hele a luʻuluʻu a nāwaliwali paha. E hoʻolālā i ka hele wāwae ʻana ma hope koke o kou loaʻa ʻana i kahi lāʻau ʻeha.

Ke hāʻawi koke ʻoe, ua hala nā pāʻina kaumaha. Akā pono i kāu kōpū e hana i ka ʻaelike e hoʻi hou i kona nui maʻamau a pale i ke kahe nui. Kōkua pū ka hānai ʻana i kāu ʻaelike uterus. ʻOi aku ka ʻeha o kēia mau kuʻikahi, akā nui ia.

I ka lilo ʻana o kou ʻōpū i mea ʻoi aku ka liʻiliʻi a liʻiliʻi, ʻoi aku ka liʻiliʻi o ke kahe ʻana o ke kahe. E hele mālie ke kahe o ke kahe i kou lā mua. Hiki paha iā ʻoe ke ʻike i kekahi mau huʻihuʻi liʻiliʻi e hele ana i ka kaomi ʻana o ke kahu i kou kōpū e nānā iā ia.

ʻO kāu epidural, a i ʻole spinal, catheter hiki ke hoʻohana pū ʻia no ka ʻeha ma hope o ke kahakaha ʻana. Waiho ʻia i loko a i 24 mau hola ma hope o ka lawe ʻana.

Inā ʻaʻohe ou epidural, hiki iā ʻoe ke loaʻa i nā lāʻau ʻehaʻeha i loko o kou mau uaua ma o ka laina intravenous (IV) ma hope o ke kahakaha ʻana.

• Holo kēia laina i loko o kahi pauma e hoʻonohonoho ʻia e hāʻawi iā ʻoe i kekahi nui o ka lāʻau ʻeha.
• I ka manawa pinepine, hiki iā ʻoe ke kaomi i ke pihi e hāʻawi iā ʻoe iho i ka ʻeha ke hōʻoluʻolu ke pono ʻoe.
• Kāhea ʻia kēia ka analgesia kāohi hoʻomanawanui (PCA).

A laila e hoʻohuli ʻia ʻoe i nā pila ʻeha āu e lawe ai ma ka waha, a i ʻole loaʻa iā ʻoe nā kī o nā lāʻau. He maikaʻi ke noi aku i nā lāʻau ʻeha inā pono ʻoe.

E loaʻa iā ʻoe kahi catheter urinary (Foley) ma kahi kūpono ma hope o ke kaha ʻana, akā e hemo kēia i ka lā mua ma hope o ke kaha ʻana.

ʻO ka ʻāpana a puni kāu ʻoki (incision) ʻeha paha, manunu, a i ʻole ʻelua. Lawe pinepine ʻia nā Suture a i ʻole staples a puni ka lua o ka lā, ma mua pono o kou haʻalele ʻana i ka haukapila.

I ka manawa mua e noi ʻia ʻoe e ʻai wale i nā ʻili hau a i ʻole e inu i ka wai, ma ka liʻiliʻi a hiki i ka ʻike ʻana o kāu mea lawelawe ʻaʻole paha ʻoe i kahe nui loa ke kahe ʻana o ke kahe. ʻOi paha, hiki iā ʻoe ke ʻai i kahi papaʻai māmā 8 mau hola ma hope o kāu ʻāpana C.

Paukū Cesarean - i ka haukapila; Lāʻau hānau - cesarean

• ʻĀpana Cesarean
• ʻĀpana Cesarean

Bergholt T. Cesarean ʻāpana: ke kaʻina hana. I: Arulkumaran S, Robson MS, eds. ʻO nā keʻena hana o Munro Kerr. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 25.

Berghella V, Mackeen AD, Jauniaux ERM. Hāʻawi Cesarean. 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 19.

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

• Pauku Cesarean