ʻO ka hemorrhage postpartum: he aha ia, nā kumu a pehea e hōʻalo ai

Anter

• Nā kumu o ka hemorrhage postpartum
• Nā hōʻailona hōʻeuʻeu
• Pehea e hana ai i ka lāʻau
• Pehea ke ola ʻana

Kūpono ka hemorrhage postpartum i ka nui o ke kahe o ke koko ma hope o ka lawe ʻana ma muli o ka nele o ka hōʻemi ʻana o ka kōpū ma hope o ka haʻalele ʻana o ka pēpē. Manaʻo ʻia ka hemorrhage ke nalowale ka wahine ma mua o 500 mL o ke koko ma hope o ka hāʻawi maʻamau a ʻoi aku paha ma mua o 1000 mL ma hope o ka ʻāpana cesarean. ʻO ka hemorrhage postpartum ka pilikia nui i ka wā a ma hope o ka hānau ʻana, kahi e alakaʻi ai i ka haʻalulu a, a ʻo ka hopena, ka make. E ʻike i nā kumu nui o ka make i ka hānau hānau.

ʻO kēia ʻano kahe ʻana o ke kahe e pinepine pinepine i nā wahine i hoʻāʻo i ka lawe maʻamau no nā hola he nui akā ua pau ka loaʻa ʻana o kahi ʻāpana cesarean. Eia nō naʻe, hiki ke hana ʻia i nā wahine i loaʻa kahi ʻāpana ʻo Caesarean i hoʻonohonoho ʻia a ʻaʻole i hele i ka hana.

Nā kumu o ka hemorrhage postpartum

ʻO ke kahe ʻana o ka postpartum, i ʻike ʻia ʻo locus, mau no kekahi mau pule a ʻike ʻia e ka kahe ʻana o nā nui o ke koko e like me ka menstruation, i manaʻo ʻia he maʻamau. Eia nō naʻe, ke lilo ka nui o ke koko he nui, he hōʻailona ia o ka hemorrhage, ke kumu o ia mea e ʻike ʻia ai a pono ke hoʻomaka koke ʻia ka lāʻau lapaʻau ma hope. ʻO kekahi o nā kumu kūpono o ka hemorrhage postpartum:

• Hana hoʻolōʻihi, ma mua o 12 mau hola;
• Uterine atony, ʻo ia ka nalo o ka hiki i ka uterus ke hana aelike ma hope o ka lawe ʻana i kahi;
• ʻO ka distention nui o ka kōpū i ka wā hāpai o nā māhoe a ʻoi paha nā pēpē;
• Ke kūʻana o nā fibroids i ka kōpū, kahi mea paʻakikī e hana i ka pūpū i ka wā o ka hana;
• Hoʻohana o nā lāʻau, ma ke ʻano he relaxant muscle, a i ʻole he nui o nā magnesium i ka wā hāpai;
• ʻEha i loko o ka ʻōpū ma muli o ka lawe wale ʻana;
• Nā loli i ke kaʻina o ke kāpili koko, ke paʻakikī ke kahe ʻana o ke kahe ʻana;

Ke kū hoʻokahi a ʻoi paha nā mea, ʻoi aku ka nui o ka makaʻu o ke kahe ʻana ma hope o ka lawe ʻana.

ʻOiai ʻoi aku ka maʻamau i ka wā hānau, hiki ke hana ʻia kēia hemorrhage a hiki i ka mahina mua ma hope o ka hānau ʻana, inā aia nā koʻi o ka placenta i hoʻopaʻa ʻia i ka kōpū, akā naʻe, ʻaʻole kau ka mea hope i ke ola o ka makuahine i ka make. E ʻike i ka wā e hopohopo ai e pili ana i ka kahe ʻana o ka postpartum.

Nā hōʻailona hōʻeuʻeu

ʻO ka hōʻailona hōʻailona nui ka nalowale o 500 ml o ke koko, i hiki ke ʻike ʻia ma o kekahi mau hōʻailona a me nā ʻōuli e like me ka maʻule, pale, nāwaliwali, paʻakikī e kū a paʻa paha i ka pēpē, a ʻoi paha ma kekahi mau hihia ke kunu a me ka ʻeha o ka ʻōpū. .

ʻOiai ʻaʻole hiki ke wānana e loaʻa ka hemorrhage i ka wā o ka hānau ʻana, hiki ke pale ʻia e ka lawe ʻana i kekahi mau ana, e like me ka mālama ʻana i ka anemia i ka wā hāpai, hoʻomākaukau no ka hānau keiki ma o nā papa hoʻomākaukau no ka hānau keiki a me ka hana o nā hana i ka wā hāpai e loaʻa hou ke kūpaʻa a no ka lawe maʻamau e ʻoi aku ka wikiwiki.

Eia hou, he mea nui e lawe wale i nā lāʻau i hōʻike ʻia e ke kauka, i ke ana a no ka manawa i paipai ʻia e ka mea hānau maʻi, e heluhelu pū ana hoʻi i ka pūʻolo hoʻokomo a me ka nānā ʻana inā he mau hōʻailona ʻaʻole kūpono kekahi ma mua a ma ka wā o ka hana.

Pehea e hana ai i ka lāʻau

ʻO ke kaohi o ke kahe ʻana ma hope o ka hānau ʻana e hana ʻia e nā kauka ma o ka lomilomi pololei ʻana i ka pūpū a me ka lawelawe pololei ʻana o ka oxytocin i loko o ke aa, ʻoiai e paipai kēia hormone i ka hōʻemi ʻana o ka kōpū. I nā hihia ʻoi aku ka paʻakikī, hiki i ke kauka ke koho e ʻoki i nā aʻa e hoʻoinu i ka ʻōpū a i ʻole lawe aku iā ia, e kaohi i ke kahe ʻana a mālama i ke ola o ka wahine.

Hoʻohui ʻia, hiki i ke kauka ke koi aku i ke kuʻi koko e pani i ka nui o ka hao a me ka hemoglobin i ke kino a hoʻihoʻi i ka lako o ka oxygen i nā ʻokena. Ma hope o kahi mahele o ka hemorrhage postpartum, he mea maʻamau ia no ka wahine i ka anemia no kekahi mau pule hou, pono e lawe i kahi mea hao no kekahi mau mahina.

Pehea ke ola ʻana

Ma muli o ke kahe nui o ke koko, hiki i ka wahine ke loaʻa ka anemia no kekahi mau pule, pono e hoʻokō i ka lāʻau i hōʻike ʻia e ke kauka, ʻo ia hoʻi ka hoʻonui ʻana o ka ʻai o ka hao. Ma waena o nā ʻōuli o ka anemia ka luhi a me ka nui o ka hiamoe, ka mea hiki ke keʻakeʻa i ka mālama mua ʻana o ka pēpē ma ka home. ʻIke i nā meaʻai maikaʻi loa no ka anemia.

I loko o kēia, ʻaʻole pono e hōʻeha ʻia ka hānai ʻana a me ka ikaika o ka makuahine i mea e hānai iā ia iho a hōʻoia i kona palekana a me kāna pēpē. Eia kekahi, ʻo ka loaʻa ʻana o kekahi ma ka home e kōkua me ka kuke ʻana, hoʻomaʻemaʻe ʻana i ka hale a me ka holoi holoi ʻana he mea nui ia e mālie a mālama i nā mea āpau.