Abortion - lapaʻau

Lapaʻau abort ka hoʻohana ʻana i ka lāʻau e hoʻopau ai i kahi hāpai hāpai ʻole ʻia. Kōkua ka lāʻau i ka lawe ʻana i ka ʻōpū a me ka placenta mai ka ʻōpū o ka makuahine (kōpū).

Aia nā ʻano like ʻole o ka hoʻōki maʻi.

• Hana ʻia ka hoʻōla maʻi lapaʻau no ka mea he olakino ko ka wahine.
• Hana ʻia ka abortion koho ma muli o ka koho ʻana o ka wahine (elect) e hoʻopau i ka hāpai keiki.

ʻAʻole like ka ʻōmeʻa koho me kahi hāʻule ʻole. ʻO ka hāʻule ʻole ke pau kahi hāpai i kāna iho ma mua o ka 20 mau pule o ka hāpai keiki. Kāhea ʻia ka miscarriage i kekahi manawa he abortor spontaneous.

Hoʻohana ke abort surgical i ke kahakaha e hoʻopau ai i kahi hāpai keiki.

Hiki ke hana i kahi ʻōkuhi, a i ʻole nonsurgical, abortion ma waena o 7 mau pule mai ka lā mua o ka wā hope o ka wahine. Hoʻohana ʻia kahi hui o nā lāʻau lapaʻau hormonone kuhikuhi e kōkua i ke kino e hemo i ka fetus a me kaʻiʻo placenta. Hiki i kāu mea mālama ola ke hāʻawi iā ʻoe i nā lāʻau ma hope o ka hana ʻana i kahi hoʻokolohua kino a me ka nīnau ʻana i nā nīnau e pili ana i kāu moʻolelo olakino.

ʻO nā lāʻau i hoʻohana ʻia me mifepristone, methotrexate, misoprostol, prostaglandins, a i ʻole ka hui pū ʻana o kēia mau lāʻau. E kuhikuhi ana kāu mea hāʻawi i ka lāʻau, a e lawe ʻoe ia ma ka home.

Ma hope o kou lawe ʻana i ka lāʻau, e kipaku ʻia kou kino i ka ʻōpū hāpai. Loaʻa ka hapa nui o nā wahine i ke kahe koko a me ka cramping no kekahi mau hola. Kauoha paha kāu mea hāʻawi i ka lāʻau no ka ʻeha a me ka nausea inā pono e hōʻoluʻolu i kou hōʻoluʻolu i kēia kaʻina.

E noʻonoʻo ʻia ka hoʻōkō ʻana o ka lāʻau lapaʻau ke:

• ʻAʻole paha makemake ka wahine e hāpai (hāpai koho).
• Loaʻa i ka pēpē hoʻomōhala kahi kīnā o ka hānau a i ʻole ka pilikia kūpuna.
• Hoʻopōʻino ka hāpai i ke olakino o ka wahine (abortion therapeutic).
• Ua hapai ka hāpai ʻana ma hope o kahi hanana traumatic e like me ka pue wale a i ʻole ka lawehala.

ʻO nā pōʻino o ka hoʻōla maʻi lapaʻau:

• Kahe kahe ʻana
• Pohā
• ʻAʻole hele i waho ke kiko o ka hāpai ʻana i ke kino
• Maʻi kīnā
• Nusea
• ʻEha
• ʻO ka luaʻi

ʻO ka hoʻoholo e hoʻopau i kahi hāpai hāpai he pilikino pilikino ia. I mea e kōkua ai i ke kaupaona ʻana i kāu mau koho, e kūkākūkā i kou mau manaʻo me ke kākāʻōlelo, mea lawelawe, a i ʻole kekahi lālā o ka ʻohana a i ʻole he hoa aloha.

Hana ʻia nā hōʻike ma mua o kēia kaʻina hana:

• Hana ʻia ka hōʻike Pelvic e hōʻoia i ka hāpai ʻana a kuhi i ka nui o kāu mau wahine hāpai.
• Hana ʻia kahi hōʻike koko HCG e hōʻoia i ka hāpai ʻana.
• Hana ʻia kahi hōʻoia koko e nānā i kāu ʻano koko. Ma muli o ka hopena hōʻike, pono paha ʻoe i kahi kī kūikawā e pale ai i nā pilikia inā hāpai ʻoe i ka wā e hiki mai ana. Kapa ʻia ka pana ʻo Rho (D) immune globulin (RhoGAM a me nā mana ʻē aʻe).
• Hiki ke hana ʻia i ka ultrasound a me ka ʻōpū o ka ʻōpū e hoʻoholo i ka makahiki kikoʻī o ka fetus a me kona wahi i ka ʻōpū.

He mea nui ka ukali ʻana me kāu mea hāʻawi. E hōʻoia kēia i ke kaʻina hana a ua kipaku ʻia nā mea āpau. ʻAʻole hiki i ka lāʻau ke hana ma kahi liʻiliʻi loa o nā wahine. Inā kū kēia, pono e hana ʻia kahi mahele lāʻau ʻē aʻe a i ʻole ke kaʻina hana abortion.

Kū pinepine ka hoʻōla kino i loko o kekahi mau lā. E hilinaʻi ia i ke kahua o ka hāpai ʻana. Kuhi i kekahi kahe koko a me ka cramping maʻalahi no kekahi mau lā.

ʻO kahi ʻauʻau mehana, kahi pale hoʻomehana i hoʻonohonoho ʻia ma ka haʻahaʻa, a i ʻole kahi ʻōmole wai wela i hoʻopiha ʻia me ka wai mehana i kau ʻia ma luna o ka ʻōpū e kōkua paha i ka hōʻoluʻolu ʻole. Hoʻomaha e like me ka mea e pono ai. Mai hana i kekahi hana ikaika no kekahi mau lā. Maikaʻi ka hana māmā. Hōʻalo i ka moekolohe no 2 a 3 mau pule. Pono e hana i kahi manawa maʻamau ma kahi o 4 a 6 mau pule.

Hiki iā ʻoe ke hāpai ma mua o kou manawa aʻe. E mālama pono i nā hoʻonohonoho e pale ai i ka hāpai ʻana, keu hoʻi i ka malama mua ma hope o ka hāpai keiki.

Palekana a me nā ʻoki ʻana he palekana a maikaʻi. ʻAʻohe o lākou pilikia koʻikoʻi. Kākaʻikahi ka hoʻōla ʻana o ka lāʻau lapaʻau e hoʻopili i ka momona o ka wahine a i ʻole kona hiki ke hānau keiki i ka wā e hiki mai ana.

Hoʻōla lāʻau lapaʻau Therapeutic; Hoʻōkōlō lapaʻau koho; Hoʻoiho hāpai keiki; Hoʻoipo kūlohelohe ʻole

Ke KulanuiʻAmelika o nā Obstetricians a me nā Gynecologists. Hoʻomaopopo bulletin no. 143: ka hoʻokele olakino o ka abort trimester mua. ʻO Obstet Gynecol. 2014; 123 (3): 676-692. PMID: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166.

ʻO Nelson-Piercy C, Mullins EWS, ke olakino wahine ʻo Regan L. Wahine. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clark. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 29.

Rivlin K, Westhoff C. Hoʻolālā ʻohana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 13.