Ke hoʻi nei i ka home ma hope o kahi ʻāpana C
E hoʻi ana ʻoe i ka home ma hope o kahi ʻāpana C. Pono ʻoe e manaʻo e pono i ke kōkua e mālama iā ʻoe iho a me kāu keiki hānau. E kamaʻilio me kāu pakanā, makua, hūnōnaʻi, a i ʻole mau hoaaloha.
Loaʻa paha iā ʻoe ke kahe o kou lua a hiki i 6 mau pule. E emi mālie ʻo ia i ka ʻulaʻula, a laila poni, a laila e loaʻa hou i kahi kala melemele a keʻokeʻo paha. ʻO ka hoʻokahe a me ka hoʻokuʻu ʻana ma hope o ka lawe ʻia ʻana ua kapa ʻia ʻo lochia.
I ka manawa mua, e hoʻokiʻoki iki ʻia kāu ʻoki (incision) ma mua o ke koena o kou ʻili. E hele paha paha i kahi ala.
- E hoʻēmi ʻia kahi ʻeha ma hope o 2 a 3 mau lā, akā e palupalu kou ʻoki a hiki i 3 mau pule a ʻoi paha.
- Pono ka hapa nui o nā wahine i ka lāʻau ʻeha no nā lā mua i 2 mau pule. E nīnau i kāu mea hāʻawi i kahi mea palekana e lawe i ka wā hānai.
- I ka hala ʻana o ka manawa, e lahilahi a palahalaha kou scar a huli keʻokeʻo a i ʻole ke kala o kou ʻili.
Pono ʻoe i kahi loiloi me kāu kauka olakino ma 4 a 6 mau pule.
Inā ʻoe e hoʻi i ka home me kahi lole (bandage), e hoʻololi i ka ʻaʻahu ma luna o kou ʻokiʻoki i hoʻokahi manawa i ka lā, a i ʻole ma mua koke inā lepo a pulu paha.
- E haʻi aku kāu mea lawelawe iā ʻoe i ka manawa e hōʻoki ai i ka uhi ʻana i kou ʻeha.
- E hoʻomaʻemaʻe i kahi ʻeha ma ka holoi ʻana me ke kopa me ka wai. ʻAʻole pono ʻoe e ʻānai iā ia. ʻO ka pinepine, ʻo ka waiho wale ʻana i ka wai e holo ma luna o kou ʻeha i ka ʻauʻau ua lawa.
- Hiki iā ʻoe ke hemo i kou lole ʻeha a lawe i nā ua inā ua hoʻohana ʻia nā kuʻi, nā staples, a i ʻole ke kāpili e pani ai i kou ʻili.
- MAI palu i loko o kahi pahu wai a i ʻole pahu wai wela, a hele aku i ka ʻauʻau ʻana, a hiki i ka wā e haʻi aku ai ka mea hāʻawi iā ʻoe ua maikaʻi. I ka hapanui o nā hihia, ʻaʻole kēia a hiki i 3 mau pule ma hope o ke kaha ʻana.
Inā hoʻohana ʻia nā ʻāpana (Steri-Strips) e pani i kāu ʻokiʻoki:
- Mai hoʻāʻo e holoi i nā Steri-Strips a i ʻole ke kāpili. He maikaʻi ke ʻauʻau a paʻi i kou ʻokiʻoki me kahi kāwele maʻemaʻe.
- E hāʻule paha lākou ma kahi o hoʻokahi pule. Inā lākou ma laila ma hope o 10 mau lā, hiki iā ʻoe ke wehe iā lākou, ke ʻōlelo ʻole kāu mea lawelawe iā ʻoe.
ʻO ke ala ʻana a me ka holoholo ʻana aia ma kou home ka mea e kōkua iā ʻoe e hoʻōla wikiwiki a hiki ke pale i ke kaʻe koko.
Hiki iā ʻoe ke hana i kāu hana maʻamau i 4 a 8 mau pule. Ma mua a laila:
- Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o kāu pēpē no nā 6 i ka 8 mau pule mua.
- ʻO nā hele wāwae pōkole kahi ala maikaʻi loa e hoʻonui i ka ikaika a me ka ikaika. Maikaʻi ka hana māmā. Hoʻonui lohi i kāu hana.
- Manaʻo e luhi maʻalahi. E hoʻolohe i kou kino, a mai hoʻoikaika i ka luhi.
- Hōʻalo i ka mālama hale kaumaha, ka jogging ʻana, ka hapa nui o nā hoʻoikaika kino, a me nā hana e hōʻoluʻolu ai ʻoe i ka hanu a kānana paha i kou mau mākala. Mai noho i luna.
Mai hoʻokele i kahi kaʻa no 2 mau pule. He maikaʻi ke holo i loko o kahi kaʻa, akā e nānā pono ʻoe i kou kāʻei noho. Mai kalaiwa inā ʻoe e lawe ana i ka lāʻau narcotic pain a i ʻole inā ʻoe e nāwaliwali a palekana paha i ka hoʻokele.
E hoʻāʻo e ʻai i nā mea ʻai liʻiliʻi ma mua o ka manawa maʻamau a loaʻa nā meaʻai māmā i waena. E ʻai i nā hua a me nā lau nui, a inu i 8 mau kīʻaha (2 liters) o ka wai i kēlā me kēia lā e pale i ka paʻa ʻana o ka maʻi.
ʻO nā hemorrhoids āu e hoʻomohala ai e hōʻemi haʻahaʻa i ka nui. Hele paha kekahi. Nā hana e kōkua ai i nā hōʻailona me:
- Nā wai ʻauʻau mehana (pāpaʻu e mālama i kou ʻokiʻoki ma luna o ka pae wai).
- Kāpena anuanu ma luna o ka wahi.
- Nā mea hōʻoluʻolu ʻāpala over-the-counter.
- ʻO nā hamo hemorrhoid over-the-counter a i ʻole nā suppositories.
- Laxatives lehulehu e pale ai i ka paʻa paʻa. Inā pono, e noi i kāu mea hāʻawi no nā ʻōlelo aʻoaʻo.
Hiki ke hoʻomaka ka moekolohe i kēlā me kēia manawa ma hope o 6 mau pule. Eia nō naʻe, e kamaʻilio pū me kāu mea hāʻawi e pili ana i ka pale ʻana ma hope o ka hāpai ʻana. Pono e hoʻoholo i kēia hoʻoholo ma mua o kou haʻalele ʻana i ka haukapila.
Ma hope o nā ʻāpana C e pili ana i kahi hana paʻakikī, ua hōʻoluʻolu kekahi mau makuahine. Akā kaumaha nā mea ʻē aʻe, hoʻohoka ʻia, a i ʻole hewa hoʻi e pili ana i ka makemake ʻana i kahi ʻāpana C.
- ʻO ka hapa nui o kēia mau manaʻo he maʻamau, ʻoiai no nā wahine hānau hānau wahine.
- E hoʻāʻo e kamaʻilio me kāu pakanā, ʻohana, a i ʻole nā hoaaloha e pili ana i kou mau manaʻo.
- E ʻimi i ke kōkua mai kāu mea hāʻawi mai inā ʻaʻole hele aku kēia mau manaʻo a ʻinoʻino paha.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ke kahe o ka maʻi i:
- Kaumaha loa (e like me ke kahe o ka wā menstrual) ma hope o 4 mau lā
- Mālamalama akā mau ia ma mua o 4 mau pule
- Hoʻopili i ka hala o nā clots nui
Kāhea pū i kāu mea hāʻawi inā loaʻa iā ʻoe:
- ʻO ka pehu ʻana i kekahi o kou mau wāwae (e ʻulaʻula a mehana ia ma mua o ka wāwae ʻē aʻe)
- ʻEha i kāu keiki bipi
- ʻO kaʻulaʻula, hoʻomehana, pehu, a hoʻoheheʻe paha mai kāu pūnaewele incision, a wehe paha kāu ʻokiʻoki
- Fever oi ma mua o 100 ° F (37.8 ° C) e hoʻomau (pehu nā umauma i kumu o kahi haʻahaʻa haʻahaʻa o ka mahana)
- Hoʻonui i ka ʻeha i loko o kou ʻōpū
- Hoʻokuʻu i kāu ʻōpū i lilo i mea kaumaha a hoʻomōhala i kahi pilau
- E kaumaha nui, luʻuluʻu, a i unuhi ʻia paha, ke loaʻa nei iā ʻoe ka manaʻo e hōʻeha iā ʻoe iho a i kāu pēpē paha, a i ʻole ke pilikia nei e mālama iā ʻoe iho a i kāu pēpē
- Kahi palupalu, ʻulaʻula, a i ʻole mehana ma kahi umauma (he hōʻailona paha kēia o ka maʻi)
ʻO ka preeclampsia postpartum, ʻoiai pinepine ʻole, hiki ke hana ma hope o ka lawe ʻana, ʻoiai inā ʻaʻole i loaʻa iā ʻoe ka preeclampsia i kou wā hāpai. Kāhea koke i kāu mea hāʻawi inā ʻoe:
- Loaʻa ka pehu i kou mau lima, ka maka, a i ʻole nā maka (edema)
- Hiki ke kaupaona ma mua o 1 a i ʻole 2 mau lā, a i ʻole loaʻa iā ʻoe ma mua o 2 paona (1 kilo) i hoʻokahi pule
- E loaʻa i ka ʻeha poʻo ʻole i hele a hele a ʻoi aku ka ʻino
- Loaʻa i nā loli o ka hihiʻo, e like me ka hiki ʻole iā ʻoe ke ʻike no kahi manawa pōkole, ʻike i nā kukui uila a i ʻole nā kiko, pili i ka mālam, a i ʻole ʻike maka.
- ʻEhaʻeha o ke kino a me ka achiness (like i ke ʻeha o ke kino me ke kuni kiʻekiʻe)
Cesarean - e hoʻi i ka home
Ke KulanuiʻAmelika o nā Obstetricians a me nā Gynecologists; Hana Hana ma ka hanu kiʻekiʻe i ka hāpai ʻana. Hypertension i hāpai keiki. Hōʻike o ka American College of Obstetricians and Gynecologists ’Task Force on Hypertension in Pregnancy. ʻO Obstet Gynecol. 2013; 122 (5): 1122-1131. PMID: 24150027 www.ncbi.nlm.nih.gov/pubmed/24150027.
Beghella V, Mackeen AD, Jaunaiux ERM. Hāʻawi Cesarean. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 19.
ʻO Isley MM, Katz VL. Mālama ʻo Postpartum a me nā noʻonoʻo olakino lōʻihi. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.
Sibai BM. Preeclampsia a me nā maʻi hypertensive. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 31.
- Pauku Cesarean