3 mau anuu o ka Parturition (hānau keiki)
Anter
- He aha ka parturition?
- Hoʻonui
- Kipaku ʻia
- Placental
- Nā pilikia i ka wā hānau
- Hoʻopilikia fetal
- Kaula Nuchal
- Breech
- ʻO ka lawe lawe ʻana
He aha ka parturition?
ʻO ka parturition ka hānau hānau. ʻO ka hānau keiki ka hopena o ka hāpai keiki, kahi manawa e ulu ai kahi pēpē i loko o ka kōpū o ka wahine. Kapa ʻia ka hānau keiki he hana.Hele nā kānaka hāpai i ka hana ma kahi o ʻeiwa mau mahina ma hope o ka hāpai ʻana.
E heluhelu e aʻo e pili ana i nā pae ʻekolu o ka parturition a pehea ka lōʻihi o kēlā me kēia pae ma ka awelika.
Hoʻonui
Hoʻomaka ka pae mua o ka parturition me ka hoʻomaka o ka hana. Hoʻomau ia a hiki i ka wā o ka piha ʻana o ka cervix. Māhele ʻia kēia pālahalaha i ʻelua mau hanana:
- Pae Latent. ʻO ka cervix ka 0 i ka 4 centimita (cm) pālahalaha.
- Pae hana. ʻO ka cervix he 4 a 10 cm i pālahalaha ʻia.
ʻO ka pae latent ma kahi o ʻeono mau hola no kahi wahine e hānau nei no ka manawa mua. Ma kahi o ʻelima mau hola no kahi wahine i hānau ʻia ma mua. No kekahi mau wahine, he 8 a 12 paha hola ka lōʻihi o ke kaʻina latent.
I ka wā o ka hana, manaʻo ʻia e pālahalaha ka cervix ma kahi o 1 cm i kēlā me kēia hola no ka wahine e hānau ana no ka manawa mua. No kahi wahine i hānau mua i ka hānau wahine, ʻo ka helu maʻamau ma kahi o 2 cm i kēlā me kēia hola.
Kipaku ʻia
Hoʻomaka ka pae ʻelua o ka parturition i ka piha piha a hoʻomau a hiki i ka hānau ʻana. ʻElua mau ʻāpana o kēia pae:
- Pae Passive. Neʻe ke poʻo o ke pēpē i lalo i waena o ka lua.
- Pae hana. Manaʻo ka makuahine he pono e pahu aku, a ʻaelike paha i nā mākala o ka ʻōpū i ka manawa me nā kuʻina uterine.
ʻO ke kaʻina hana he 45 mau minuke no ka wahine e hānau ana i kāna pēpē mua. No nā wahine i loaʻa i ka lawe ʻōpū, ʻo ke kaʻina hana he 30 mau minuke ka lōʻihi.
Pau ka pae 2 me ka hānau ʻana o ka pēpē. I kēia manawa, paʻa ka umbilical cord, a paipai pinepine ʻia ka hānai ʻana e kōkua me ka pae 3.
Placental
Hoʻomaka ke kolu o ka pae o ka parturition ma hope o ka hānau ʻana a hoʻopau me ka hānau ʻana o ka hānau hānau (placenta a me nā membrane).
Inā he kuleana hana ke kauka - me ka huki mālie ʻana i ka placenta - ma ke ʻano he 3 mau minuke ka pae 3. Inā hāʻawi ʻia ka placenta me ke kōkua ʻole, hiki ke kahua 3 ma kahi o 30 mau minuke.
Nā pilikia i ka wā hānau
I kekahi manawa aia nā pilikia i kēlā me kēia o nā pae parturition ʻekolu.
ʻO kekahi o nā pilikia maʻamau ka:
Hoʻopilikia fetal
ʻO ke kūpilikiʻi fetal maʻamau e kuhikuhi i ka lohi o ka puʻuwai o ka pēpē. Kuhi pinepine ke kauka i kēia ma ka hoʻohana ʻana i kahi mea hakahaka a i ʻole ka ikaika e hoʻokele i ka hānau ʻana. Inā ʻaʻole i kūleʻa kēlā, e kāhea ʻia kahi hoʻouna cesarean. He ʻoki kino kēia e hānau ai ka pēpē.
Kaula Nuchal
ʻO kēia ka wā e hoʻopuni ai ka umbilical cord i ka ʻāʻī o ka pēpē. ʻOiai ʻaʻole manaʻo ke kaula nuchal i ka makaʻu no ka pēpē, hiki i lilo i pilikia inā ʻaʻole hiki i ka makuahine ke hoʻokuʻi i ka pēpē a ʻaʻole kūleʻa kahi mea huki a i ʻole nā forceps. ʻO kahi hoʻouna cesarean ʻo ia ka lāʻau maikaʻi loa no kēia kūlana.
Breech
E hāʻawi ʻia nā pēpē kanaka me ke poʻo i lalo. ʻO ka hāpai hānai ke hoʻonohonoho ʻia ka pēpē i nā wāwae i lalo, i lalo i lalo, a i ʻole ʻaoʻao. I kekahi manawa hiki i ke kauka ke hoʻonohonoho hou i ka pēpē me ka lima. I kekahi manawa ka hāʻawi ʻana i kahi cesarean.
ʻO ka lawe lawe ʻana
ʻO Parturition kekahi huaʻōlelo no ka hānau keiki. ʻOiai ʻaʻole like kēlā wahine kēia wahine i ka huakaʻi hāpai, e hele lākou i kēia mau pae maʻamau. Loaʻa i nā limahana olakino e alakaʻi iā ʻoe ma o ka parturition he hoʻoholo naʻaupō inā kū nā pilikia.