Hāʻawi Cesarean: i kēlā me kēia ʻāpana a i ka wā i hōʻike ʻia ai

Anter

• Cesarean i kēlā me kēia wāwae
• Ke kuhikuhi ʻia ka ʻāpana cesarean

ʻO ka ʻāpana Cesarean kahi ʻano o ka lawe ʻana i loko o ka ʻoki ʻana i ka wahi o ka ʻōpū, ma lalo o ka anesthesia i hoʻopili ʻia i ka iwi kuamoo o ka wahine, e hemo ai ka pēpē. Hiki ke hoʻonohonoho ʻia kēia ʻano o ka lawe ʻana e ke kauka, me ka wahine, a i ʻole hiki ke hōʻike ʻia ke loaʻa kahi contraindication no ka lawe maʻamau, a hiki ke hana ʻia ma mua a ma hope paha o ka hoʻomaka ʻana o ka hana.

ʻO ka mea maʻamau ka hoʻonohonoho ʻia ʻana o ka cesarean ma mua o ka ʻike ʻia ʻana o nā mea hōʻemi, ʻoi aku ka ʻoluʻolu no ka wahine. Eia nō naʻe, hiki ke hana ʻia ma hope o ka hoʻomaka ʻana o ka hoʻohaʻahaʻa a me ka inu ʻana e hōʻike ana i nā hōʻailona maopopo ua mākaukau ʻoe e hānau.

Cesarean i kēlā me kēia wāwae

ʻO ka hana mua i ka cesarean ka anesthesia i hāʻawi ʻia i ka iwi kuamoo o ka wahine hāpai, a noho ʻia ka wahine no ka mālama ʻana i ka anesthesia. A laila, kau ʻia kahi catheter i loko o ka wahi epidural e kōkua ai i ka lawelawe ʻana o nā lāʻau a kau ʻia kahi paipu e loaʻa ka mimi.

Ma hope o ka hoʻomaka ʻana o ka hopena anesthesia, e ʻokiʻoki ke kauka ma kahi o 10 a 12 cm ka laulā ma ka wahi o ka ʻōpū, kokoke i ka "laina bikini", a ʻokiʻoki i nā papa hou he 6 a hiki i ka pēpē. A laila lawe ʻia ka pēpē.

Ke hoʻoneʻe ʻia ka pēpē mai ka ʻōpū pono ka neonatologist pediatrician e nānā inā paha e hanu pono ana ka pēpē a laila hiki i ke kahu ke hōʻike i ka pēpē i ka makuahine, ʻoiai ke kauka pū kekahi e lawe i ka placenta. E hoʻomaʻemaʻe pono ʻia ke pēpē, kaupaona ʻia a ana ʻia a ma hope wale hiki ke hāʻawi ʻia i ka makuahine no ka hānai ʻana i ka waiū.

ʻO ka ʻāpana hope loa o ke ʻoki kino ka pani ʻana o ka ʻoki. I kēia manawa e humuhumu ke kauka i nā papa āpau o ka ʻokiʻoki i ʻokiʻoki ʻia no ka lawe ʻana, i hiki ke lawe i ka awelika o 30 mau minuke.

He mea maʻamau ia ma hope o ka ʻāpana cesarean e hana ʻia kahi maʻalā, akā naʻe ma hope o ka hemo ʻana o nā humuhumu a hoʻēmi i ka pehu ʻana o ka ʻāina, hiki i ka wahine ke hoʻohana i nā lomilomi a me nā kalima e pono e hoʻopili ʻia ma ia wahi, no ka mea he mea hiki ke hana pālule hou kāhiko lole. E ʻike pehea e mālama ai i ka ʻili cesarean.

Ke kuhikuhi ʻia ka ʻāpana cesarean

ʻO ka hōʻike nui no ka hānau cesarean ka makemake o ka makuahine e koho i kēia hana hānau no ka pēpē, pono e hoʻonohonoho ʻia ma hope o ka pule 40, akā ʻo kekahi mau hanana ʻē aʻe e hōʻike ana i ka pono e hana i kahi cesarean:

• ʻO ka maʻi makuahine e pale ai i ka lawe maʻamau, e like me ka maikaʻi a me ka kiʻekiʻe o ka maʻi HIV, herpes genital, cancer, maʻi puʻuwai a i ʻole maʻi maʻi māmā.
• Nā maʻi i loko o ka pēpē hiki ʻole ke hānau maʻamau, e like me myelomeningocele, hydrocephalus, macrocephaly, puʻuwai a i ʻole ate ma waho o ke kino.
• I ke kumu o ka placenta previa a i ʻole accreta, hoʻokaʻawale o ka placenta, pēpē liʻiliʻi no ka makahiki hāpai, maʻi maʻi puʻuwai;
• I ka loaʻa ʻana o ka wahine ma mua o 2 mau ʻāpana cesarean, ua wehe ʻo ia i kahi hapa o ka uterus, pono i ke kūkulu hou ʻana o ka uterine e pili ana i ka endometrium holoʻokoʻa, ka haki ʻana o ka uterus i ka manawa ma mua.
• Ke huli ʻole ka pēpē a hele i loko o ka ʻōpū o ka wahine;
• Inā hāpai i nā māhoe a ʻoi paha nā pēpē;
• Ke hoʻokau ʻia ka hana maʻamau, ke hoʻolōʻihi ʻia nei a me ka ʻole o ka dilation piha.

I kēia mau hihia, ʻoiai inā makemake nā mākua i kahi lawe maʻamau, ʻo ka ʻāpana cesarean ka koho palekana loa, e paipai ʻia e nā kauka.