9 mau hanana i paipai ʻia ka ʻāpana cesarean

Anter

• 1. Placenta previa a i ʻole ka wehe ʻana i ka placenta
• 2. Nā pēpē me nā syndrome a i ʻole nā ​​maʻi
• 3. Ke loaʻa nā STI o ka makuahine
• 4. Ke puka mua ka umbilical cord
• 5. Kuhi hewa o ka pēpē
• 6. I ka hihia o nā māhoe
• 7. Pēpē nui keu
• 8. Nā maʻi ʻē aʻe o ka makuahine
• 9. Fetal ʻeha

Hōʻike ʻia ka ʻāpana Cesarean i nā hanana kahi e hōʻike ai ka hānau maʻamau i kahi makaʻu nui aʻe no ka wahine a me ka hānau hou, e like me ke kūlana kūpono ʻole o ke pēpē, kahi wahine hāpai i loaʻa i nā pilikia puʻuwai a me kahi pēpē momona hoʻi.

Eia nō naʻe, ʻoki mau ka ʻāpana caesare i kekahi mau pilikia e pili ana, e like me ka makaʻu o nā maʻi i hana ʻia kahi ʻoki a i ʻole hemorrhages a no laila e hana wale ʻia ke loaʻa nā hōʻailona olakino.

ʻO ka hoʻoholo no kahi ʻāpana cesarean i hoʻoholo ʻia e ka mea hānau hānau akā he mea nui nō hoʻi e noʻonoʻo i ka makemake o ka wahine hāpai e hānau maʻamau a ʻaʻole paha. ʻOiai ʻo ka hānau maʻamau ke ala ʻoi loa no ka hānau ʻia ʻana o ka pēpē, hoʻopiʻi ʻia ia i kekahi manawa, pono e hana i kahi ʻāpana cesarean a aia i ke kauka ke hoʻoholo hope loa ma hope o ka nānā ʻana i ke kūlana olakino o ka makuahine a me ka pēpē.

ʻO kekahi mau kumu no ka loaʻa ʻana o kahi cesarean:

1. Placenta previa a i ʻole ka wehe ʻana i ka placenta

Hana ʻia ka placenta previa ke hoʻopaʻa ʻia ia i kahi wahi e pale ai i ka pēpē mai ka hele ʻana ma waena o ka puka hānau, a he hiki i ka placenta ke puka i waho o ka pēpē. Loaʻa ka wehe o ka placenta a ke kaʻawale ia mai ka kōpū ma mua o ka hānau ʻia ʻana o ka pēpē.

ʻO ka hōʻike no ka cesarean no kēia mau hanana no ka mea ʻo ka placenta ke kuleana no ka hōʻea ʻana o ka oxygen a me nā mea momona no ka pēpē a i ka wā e hoʻopilikia ʻia ai, hoʻopilikia ʻia ka pēpē e ka nele o ka oxygen, a hiki i ka lolo ke hōʻino.

2. Nā pēpē me nā syndrome a i ʻole nā ​​maʻi

ʻO nā pēpē i hōʻoia ʻia me kekahi ʻano o ka maʻi a i ʻole nā ​​maʻi, e like me ka hydrocephalus a i ʻole ka omphalocele, ʻo ia ka manawa i waho o ke kino ka ate a me ka ʻōpū o ka pēpē, pono mau e hānau ma o ka ʻāpana cesarean. ʻO kēia no ka mea hiki i ke kaʻina hana maʻamau ke hōʻino i nā ʻāpana i ka hihia o omphalocele, a hiki i nā ʻaoʻao uterine ke hōʻino i ka lolo i ka hihia o ka hydrocephalus.

3. Ke loaʻa nā STI o ka makuahine

Ke loaʻa ka maʻi i ka makuahine i ka maʻi maʻamau (STI) e like me HPV a i ʻole Genital Herpes, i koe a hiki i ka hopena o ka hāpai ʻana, hiki ke hoʻohaumia ʻia ka pēpē a ʻo ia ke kumu e ʻoi aku ai ka maikaʻi o ka hoʻohana ʻana i ka cesarean.

Eia nō naʻe, inā hana ka wahine i ka lāʻau no STI, kuhi ʻo ia aia iā ia, a loaʻa ka maʻi i lalo o ka kaohi, hiki iā ia ke hoʻāʻo i kahi hānau maʻamau.

No nā wahine i loaʻa i ka maʻi HIV, koi ʻia e hoʻomaka i ka lapaʻau ma mua o ka hoʻomaka ʻana o ka hāpai ʻana, no ka mea e pale aku i ka pēpē ʻole ʻana i ka wā e hānau ai, pono ka makuahine e hoʻohana i nā lāʻau i koi ʻia ma loko o ka wā ʻōpū akā naʻe, hiki i ke kauka ke koho. ʻāpana cesarean. Hoʻopiʻi ʻia ka hānai hānai ʻana a pono e hānai ʻia ka pēpē me kahi ʻōmole a me ka waiū hānai. E ʻike i nā mea hiki iā ʻoe ke hana a hōʻino ʻole i kāu pēpē me ka maʻi HIV.

4. Ke puka mua ka umbilical cord

I ka wā o ka hana, hiki i ka umbilical cord ke puka mua ma mua o ka pēpē, i kēia kūlana e makaʻu paha ka pēpē i ka pau ʻana o ka oxygen, no ka mea ʻo ka hoʻopihapiha ʻole e hei i ka hele o ka oxygen i ke kaula i waho o ka pēpē. Kino, i kēia hihia ʻāpana cesarean ʻo ia ka koho palekana loa. Eia nō naʻe, inā piha ka nui o ka wahine, hiki ke manaʻo ʻia ka lawe maʻamau.

5. Kuhi hewa o ka pēpē

Inā noho ka pēpē i kēlā me kēia kūlana, ʻokoʻa ma ke alo o lalo, e like me ka moe ʻana ma kona ʻaoʻao a i ʻole me kona poʻo i luna, a ʻaʻole i huli a hiki i mua o ka hānau ʻana, ʻoi aku ka kūpono o ka loaʻa ʻana o ka cesarean no ka mea ʻoi aku ka makaʻu o ka wahine a me ka pēpē, ʻoiai ʻaʻole lawa ka ikaika o nā kuikahi, e paʻakikī ana i ka hānau maʻamau.

Hiki ke hōʻike ʻia i ka ʻāpana ʻo Caesarean ke huli ke alo i lalo akā hoʻonoho ʻia me ke poʻo i huli iki i hope me ka auwae i luna, hoʻonui kēia kūlana i ka nui o ke poʻo o ka pēpē, paʻakikī e hele i nā iwi hip o ka pēpē. makuahine

6. I ka hihia o nā māhoe

I ka hāpai ʻana o nā māhoe, ke huli pono nā pēpē ʻelua i lalo, hiki ke hānau maʻamau, akā naʻe, inā ʻaʻole i huli kekahi o lākou a hiki i ka manawa o ka hānau ʻana, e aʻo ʻia paha he ʻāpana cesarean. I ka manawa he pākolu a he quadruplets paha lākou, ʻoiai ke alo o lākou i lalo, ʻoi aku ka maikaʻi o ka ʻāpana cesarean.

7. Pēpē nui keu

Ke hala aʻe ka pēpē ma luna o 4.5 kg hiki i ka paʻakikī ke hele ma waena o ke aʻa ʻōpū, ʻoiai ʻo ke poʻo o ka pēpē e ʻoi aku ka nui ma mua o ka hakahaka o ka iwi pūhaka o ka makuahine, a no kēia kumu, ʻoi aku ka kūpono o ka ʻae ʻana ʻāpana cesarean. Eia nō naʻe, inā ʻaʻole ʻeha ka makuahine i ka maʻi diabetes a i ʻole ka diabetes maʻamau a loaʻa ʻole nā ​​mea hoʻonāukiuki ʻē aʻe, hiki i ke kauka ke hōʻike i ka hānau maʻamau.

8. Nā maʻi ʻē aʻe o ka makuahine

Ke loaʻa nā maʻi i ka makuahine e like me nā pilikia o ka puʻuwai a me ka lung, poni a maʻi ʻaʻai paha, pono ke kauka e nānā i nā makaʻā o ka hānau hānau ʻana a inā he akahai ia, hiki iā ʻoe ke manaʻo i ka hana maʻamau. Akā ke hiki i ke kauka i ka hopena hiki i kēia ke hoʻoweliweli i ke ola o ka wahine a i ʻole ka pēpē, hiki iā ia ke hōʻike i kahi ʻāpana caesar.

9. Fetal ʻeha

Ke palupalu ka puʻuwai o ka pēpē ma mua o ka mea i ʻōlelo ʻia, aia nā hōʻailona o ka pēpē pēpē a ma kēia hihia e pono ai kahi ʻāpana cesarean, no ka mea me ka haʻahaʻa o ka puʻuwai ma mua o ka pono, nele paha ka pēpē i ka oxygen i ka lolo, e hiki ai i ka lolo ka hōʻino. e like me ka hemahema kaʻa, no ka laʻana.