Kūlohelohe vs. Epidural: He aha e manaʻo ai

Anter

• Nā koho no ka hānau hānau
• I ka wā hea e hoʻohana ʻia ai kahi epidural?
• Nā Pōmaikaʻi
• Nā pilikia
• He aha ke ʻano o ka 'hānau maoli'?
• Nā Pōmaikaʻi
• Nā pilikia
• Hoʻomākaukau
• Ke laina lalo

Nā koho no ka hānau hānau

Hiki i ka hānau hānau ʻana ke lilo i mea nani. Akā, ʻo ka manaʻolana o ka lawe ʻana e hāʻawi i kekahi mau wahine i ka hopohopo no ka ʻeha a me ka hōʻoluʻolu ʻole i manaʻo ʻia.

ʻOiai he nui nā wahine e koho e loaʻa i nā epidurals (ka lāʻau no ke kōkua ʻeha) i loaʻa kahi hana hōʻoluʻolu hou aku, ke koho nei nā mea he nui i nā hānau kūlohelohe "kūlohelohe" ʻole ʻole. Ke ulu nei ka makaʻu e pili ana i ka hopena o ka hānau hānau ʻana a me nā maʻi ʻino.

Kūkākūkā i nā koho me kāu kauka a i ʻole ka palekeiki e hoʻoholo ai i ke ʻano kūpono no ʻoe a me kāu keiki. I kēia manawa, eia kekahi mau mea nui e noʻonoʻo ai.

I ka wā hea e hoʻohana ʻia ai kahi epidural?

ʻO kahi epidural e hoʻoliʻiliʻi i ka ʻeha ma kahi kikoʻī - i kēia hihia, ka ʻaoʻao haʻahaʻa o ke kino. Koho pinepine nā wahine i hoʻokahi. ʻO kekahi manawa he pono olakino inā loaʻa nā pilikia, e like me nā mea e hopena i ka lawe cesarean (C-section).

Lawe ʻia kahi epidural ma kahi o 10 mau minuke e waiho a 10 a 15 mau minuke hou aʻe e hana. Hāʻawi ʻia ia ma o kahi paipu ma o ka iwi kuamoʻo.

Nā Pōmaikaʻi

ʻO ka pōmaikaʻi ʻoi loa o kahi epidural ka hiki i ka lawe painless. ʻOiai paha ʻoe e ʻike i nā kuʻikahi, ua hōʻemi nui ʻia ka ʻeha. I ka wā o ka hānau ʻana, ʻike mau ʻoe i ka hānau a hiki ke neʻe.

Pono ʻia kahi epidural i ka lawe cesarean e hōʻoluʻolu i ka ʻeha mai ka wehe ʻana i kahi pēpē mai ka ʻōpū. Hoʻohana ʻia ka anesthesia laulā i kekahi mau hihia pū, kahi e ala ʻole ai ka makuahine i ka wā o ke kaʻina hana.

Ua hōʻike ʻo National Institutes of Health (NIH) i ka piʻi ʻana he 72 pakeneka i ka helu o nā hāʻawi cesarean mai 1997 a 2008, a e wehewehe paha i ke kaulana mau o nā epidurals.

ʻOiai koho ʻia kekahi cesarean deliveries, koi ʻia ka hapa nui inā ʻaʻole hiki ke hoʻokō ʻia i ka lawe ʻana i ka ʻōpū. Hiki i ka hānau hānau ma hope o ka ʻāpana cesarean, akā ʻaʻole no nā wahine āpau.

Nā pilikia

ʻO kekahi mau kumu pilikia o kahi epidural:

• ʻeha hope a ʻeha hoʻi
• ʻeha poʻo
• kahe mau (mai ka puncture pūnaewele)
• fiva
• nā pilikia hanu
• kulu i ke kahe o ke koko, hiki ke hoʻohaʻahaʻa i ka helu o ka puʻuwai o ka pēpē

He mea nui e hoʻomaopopo, ʻoiai nā ʻano pilikia e like me ia, ua manaʻo ʻia he laha ʻole lākou.

ʻO ka ʻoiaʻiʻo ʻaʻole hiki i nā makuahine ke ʻike i nā mea āpau o ka lawe ʻana me kahi epidural hiki ke alakaʻi ʻia i kekahi mau pilikia ʻē aʻe, e like me ka hoʻonui ʻana i ka haehae i ka wā o ka hānau ʻana o ka maʻi.

ʻAʻole pili pono nā pilikia me nā hāʻawi cesarean i ka epidural. ʻAʻole like me nā hānau hānau, he mau ʻoki kēia, no laila ʻoi aku ka lōʻihi o ka manawa o ka hoʻōla a aia kahi pilikia i ka maʻi.

ʻO nā hānau Cesarean kekahi o nā maʻi maʻi kamaliʻi (e like me ka maʻi diabetes 1, hānō, a me ka momona).Pono hou ka noiʻi.

He aha ke ʻano o ka 'hānau maoli'?

Hoʻohana mau ʻia ka huaʻōlelo "hānau maoli" e wehewehe i ka lawe ʻana i ka ʻōpū me ka ʻole o ka lāʻau. Hoʻohana ʻia ia i kekahi manawa e hoʻokaʻawale ma waena o ka lawe ʻana i ka ʻōpū a me kahi hānau cesarean.

Nā Pōmaikaʻi

Ua hoʻonui ʻia nā hānau hānau ʻole i ka kaulana ma muli o nā hopohopo e hiki i nā epidurals ke hoʻopilikia i nā pane o ke kino maoli i ka hana a me ka lawe ʻana. ʻO Ashley Shea, kahi doula hānau, kumu yoga, kahu wahine, a me ka mea hoʻokumu o hānau Organic, ua ʻike maka i kēia ʻano.

"Makemake nā wahine e neʻe a puni i ka mīkini i nā mīkini, makemake lākou e noho i ka home i ka wā hiki ma mua o ka hele ʻana i ka haukapila, ʻaʻole lākou makemake e hoʻopilikia ʻia a nānā nui ʻia paha, a i ʻole he nui nā kīʻaha o ke kino (inā paha ), a makemake lākou e launa koke a pili ʻole hoʻi i ka ʻili i ka ʻili me kā lākou keiki hānau hou a kali a kū ke kaula i ka pulsating e hoʻopaʻa a ʻoki i ke kaula, "wahi a Shea.

E like me kāna kuhikuhi ʻana, "Inā ʻike ʻoe he pēpē kāu i loko o ka loko wai mehana a mehana i hoʻohālikelike ʻia me ka pālahalaha ma kou kua me ka poʻe e walaʻau ana iā ʻoe e pahu aku, he aha kāu e koho ai?"

A inā ʻaʻole ʻoe i ʻike, he kuleana ko nā makuahine e koho i nā hānau hānau ʻole ma nā haukapila.

Nā pilikia

Aia kekahi mau pilikia koʻikoʻi e pili ana i nā hānau hānau ʻole. Kū pinepine nā pōpilikia inā aia kekahi pilikia olakino me ka makuahine a i ʻole ka pilikia e pale i ka pēpē mai ka neʻe kūlohelohe ʻana ma o ka puka hānau.

ʻO nā hopohopo ʻē aʻe e pili ana i kahi hānau hānau pū kekahi:

• waimaka i ka perineum (kahi ma hope o ka paia vaginal)
• hoʻonui ʻeha
• hemorrhoids
• pilikia ʻōpū
• incontinence mimi
• trauma ʻeha

Hoʻomākaukau

He mea nui ka hoʻomākaukau no nā pilikia o ka hānau hānau ʻole. E noʻonoʻo paha nā makuahine i ka hele ʻana mai o ka palekeiki i ko lākou home a i ʻole hoʻopau paha i ke kaʻina hana hānau ma ka haukapila.

Kōkua nā papa aʻo hānau keiki i ka hoʻomākaukau ʻana iā ʻoe no ka mea e manaʻo ai. Hāʻawi kēia i kahi ʻupena palekana inā kū kekahi pilikia.

Hoʻohana ʻia nā hana nonmedication e hōʻoluʻolu i ka hana a me ka lawe ʻana:

• nā lomilomi
• acupressure
• lawe i ka wai ʻauʻau mehana a i ʻole ka hoʻohana ʻana i kahi ʻeke wela
• nā ʻenehana hanu
• nā hoʻololi pinepine i ke kūlana e uku no nā loli i ka pelvis

Ke laina lalo

Ma muli o ka paʻakikī o ka hana, ʻaʻohe ʻano hoʻokahi-nui-āpau ke pili i ka hānau ʻana. Wahi a ka Office on Women's Health, eia wale nō kekahi o nā kumu e noʻonoʻo ai nā kauka a me nā palekeiki i ka manawa e noi ana:

• ke olakino olakino a me ke olakino manaʻo o ka makuahine
• ka nui o ka pelvis o ka makuahine
• pae pae hoʻomanawanui a ka makuahine
• ka pae ikaika o ka hoʻoliʻiliʻi
• ka nui a i ʻole ke kūlana o ka pēpē

ʻOi aku ka maikaʻi e hoʻomaopopo i kāu mau koho āpau a ʻike i ka wā e pono ai ʻoe i ka lāʻau e maopopo ai hiki i kāu pēpē ke komo i ka honua me ka ʻole o nā pilikia.