Ka Maʻi Wahi Post-Cesarean: Pehea i hopena ai kēia?

Anter

• Nā kumu weliweli no ka maʻi ʻeha C-ʻāpana
• Nā ʻōuli o kahi maʻi ʻeha ma hope o ka cesarean a i ʻole ka pilikia
• Pehea e ʻike ʻia ai kahi maʻi ʻeha?
• Nā ʻano a me nā hiʻohiʻona o nā maʻi ma hope o ka paukū C
• Cellulitis
• ʻEhaʻeha (ʻōpū) abscess
• ʻUshpala
• ʻO nā maʻi urinary a me nā maʻi maʻi bladder
• Pehea e mālama ʻia ai kahi maʻi ʻeha?
• Pehea e pale ai i kahi maʻi ʻeha C-ʻāpana
• Nā pilikia o kēia ʻano
• ʻO Outlook no ka maʻi ʻeha ma hope o ka cesarean

ʻO ka maʻi ʻeha ma hope o ka cesarean (C-ʻāpana)

ʻO ka maʻi ʻeha ma hope o ka cesarean kahi maʻi i kū ma hope o kahi ʻāpana C, kahi i kapa ʻia he hānau ʻōpū a i ʻole cesarean. ʻO ka mea maʻamau ma muli o kahi maʻi bacteria i ka wahi incision surgical.

ʻO nā hōʻailona maʻamau e laʻa me ke kuni (100.5ºF a 103ºF, a i ʻole 38ºC a 39.4ºC), ʻike ʻia i ka ʻeha, ʻulaʻula a me ka pehu ʻana ma ka pūnaewele, a me ka ʻeha o ka ʻōpū haʻahaʻa. He mea nui e mālama koke ʻia e pale i nā pilikia mai ka maʻi.

Nā kumu weliweli no ka maʻi ʻeha C-ʻāpana

ʻOi aku paha ka manaʻo o kekahi mau wahine ma mua o nā poʻe ʻē aʻe i kahi maʻi ʻeha post-cesarean. Hiki i nā mea pilikia ke komo pū:

• momona
• mimikō a i ʻole kahi maʻi immunosuppressive (e like me HIV)
• chorioamnionitis (maʻi o ka wai amniotic a me ka membrane fetal) i ka wā o ka hana
• ke lawe nei i nā steroid wā lōʻihi (e ka waha a i ʻole intravenously)
• mālama hune prenatal (mau kipa ʻana i ke kauka)
• nā hāʻawi cesarean i hala
• ka nele o nā antibiotics cautionary a i ʻole mālama mālama antimicrobial pre-incision
• kahi hana lōʻihi a ʻokiʻoki paha
• nui ke kahe o ke koko i ka wā o ka hana, lawe ʻana, a i ʻole ke ʻoki kino

Wahi a kahi noiʻi 2012 i paʻi ʻia i loko o ka, ʻo nā wahine i loaʻa nā silikina nylon ma hope o ka hāʻawi ʻana i ka cesarean e ulu paha i kahi maʻi. Hiki i nā sutures staple ke lilo i pilikia. Hana ʻia nā Suture mai polyglycolide (PGA) no ka mea he ʻelua a he biodegradable hoʻi.

Nā ʻōuli o kahi maʻi ʻeha ma hope o ka cesarean a i ʻole ka pilikia

Inā loaʻa iā ʻoe kahi hānau cesarean, he mea nui e nānā i ka hiʻohiʻona o kou ʻeha a hāhai pono i kāu kauka postoperative kuhikuhi. Inā hiki ʻole iā ʻoe ke ʻike i ka ʻeha, e nānā i kahi mea aloha i ka ʻeha i kēlā me kēia lā e kiaʻi no nā hōʻailona hōʻailona o kahi maʻi ʻeha. ʻO ka loaʻa ʻana o kahi cesarean hiki ke hoʻokau iā ʻoe i ka makaʻu no nā pilikia ʻē aʻe, e like me ke kahe o ke koko.

Kāhea i kāu kauka no ka ʻōlelo aʻo a ʻimi i ka mālama olakino inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli ma hope o kou hoʻokuʻu ʻia mai ka haukapila.

• ʻeha nui i ka ʻōpū
• ʻulaʻula ma ka pūnaewele incision
• pehu o ka wahi ʻoki
• hoʻokuʻu i ka pahu mai ka pūnaewele incision
• ʻeha ma ka pūnaewele incision ʻaʻole e hele a hele a ʻoi ʻole ka maikaʻi
• ʻoi aku ka wela ma mua o 100.4ºF (38ºC)
• urination ʻeha
• hoʻokuʻu hoʻokuʻu honi ʻaʻala
• kahe kahe e pulu i kahi pad wahine i loko o hoʻokahi hola
• kahe kahe i loko o nā clots nui
• ʻeha wāwae a ʻōhū paha

Pehea e ʻike ʻia ai kahi maʻi ʻeha?

Mālama ʻia kekahi mau maʻi ʻeha ma hope o ka cesarean ma mua o ka hoʻokuʻu ʻia ʻana o kahi mea maʻi mai ka haukapila. Eia nō naʻe, ʻaʻole ʻike ʻia nā maʻi he nui a hiki i kou haʻalele ʻana i ka haukapila. ʻO ka ʻoiaʻiʻo, ʻike pinepine ʻia nā maʻi ʻeha ma hope o ka cesarean i loko o nā pule mua ʻelua ma hope o ka hānau ʻana. No kēia kumu, ʻike ʻia ka hapa nui o kēia mau maʻi i nā kipa ukali.

ʻIke ʻia nā maʻi ʻeha e:

• helehelena ʻeha
• hoʻōla holomua
• ke kūʻana o nā hōʻailona maʻi maʻi maʻamau
• alo o kekahi koʻohune

Pono paha kāu kauka e wehe i ka ʻeha e hana i kahi hōʻailona a hāʻawi iā ʻoe i ka lāʻau kūpono. Inā kahe ka pus mai ka ʻokiʻoki, hiki i ke kauka ke hoʻohana i kahi nila kuʻi e hemo i ka pā mai ka ʻeha. E hoʻouna ʻia paha ka wai i kahi lab e ʻike ai i nā koʻohune i loaʻa.

Nā ʻano a me nā hiʻohiʻona o nā maʻi ma hope o ka paukū C

Hoʻonohonoho ʻia kahi maʻi ʻeha ma hope o ka cesarean ma ke ʻano he cellulitis ʻeha a i ʻole kahi ʻeha (ʻōpū) abscess. Hoʻolahalaha pū paha kēia mau maʻi ʻeha a hoʻopilikia i nā ʻōpū, ka ʻili, ke koko, a me nā mea kūloko.

Cellulitis

ʻO ka cellulitis o ka ʻeha ka hopena o nā koʻohune staphylococcal a i ʻole streptococcal bacteria. ʻO kēia mau ʻano ʻāpana kahi o nā koʻohune maʻamau i loaʻa ma ka ʻili.

Me ka cellulitis, lilo ka mea maʻi i loaʻa ma lalo o ka ʻili i ka wela. Hoʻolahalaha koke kaʻulaʻula a me ka pehu mai ka ʻoki ʻana i waho i kahi ʻili kokoke. Hoʻomaʻamaʻa a palupalu hoʻi ka ʻili i loaʻa i ka pā. Ma ke ʻano laulā, ʻaʻohe o ka pus i ka ʻokiʻoki iā ia iho.

ʻEhaʻeha (ʻōpū) abscess

Hoʻokumu ʻia kahi ʻeha (ʻōpū) abscess e nā bacteria like me ka cellulitis ʻeha a me nā bacteria ʻē aʻe. ʻO ka maʻi maʻi ma ke kahua o ka ʻokiʻoki e alakaʻi i ka ʻulaʻula, palupalu, a me ka pehu ʻana ma nā kaʻe o ka ʻoki. Hōʻiliʻili ʻo Pus i kahi hakahaka i hoʻokumu ʻia e ka maʻi bacteria. ʻO ka hapa nui o nā abscesses ʻeha pū kekahi e kaomi i ka pā mai ka ʻokiʻoki.

Hiki i nā abscesses ke hana ma ka ʻoki o ka uterine, nāʻiʻo scar, nā ovaries, a me nā mea ʻē aʻe a i ʻole nā ​​mea kokoke ke loaʻa kahi maʻi ma hope o ke kahakaha ʻana.

Kekahi koʻohune i kumu o ka eha abscess hiki i kumu endometritis. ʻO kēia kahi hoʻonāukiuki post-cesarean o ka uhi ʻana o ka uterine e hiki ke kumu:

• ʻeha
• kahe koko ʻole
• hoʻokuʻu
• pehu
• fiva
• malaise

ʻO nā maʻi maʻamau ʻē aʻe ma hope o kahi ʻāpana C ʻaʻole i loaʻa mau i nā wahine i loaʻa i kahi maʻi incision. Hoʻopili kēia i ka thrush a me ka urinary tract a i ʻole nā ​​maʻi maʻi bladder:

ʻUshpala

Hoʻokumu ʻia ka thrush e ka fungus Candida, ka mea maʻa mau i ke kino o ke kanaka. Hiki i kēia fungus ke hana i kahi maʻi i nā poʻe e lawe nei i nā steroid a i ʻole nā ​​lāʻau ʻaloʻalo a i nā poʻe me nā ʻōnaehana pale nawaliwali. Hiki i ka fungus ke hana i ka maʻi hū a me ka ʻulaʻula a me nā ʻula keʻokeʻo ma ka waha. ʻAʻole pono ka lāʻau i nā manawa a pau, akā hiki i ka lāʻau antifungal a i ʻole ka holoi waha ke kōkua iā ʻoe e hakakā i ka maʻi. ʻAi i ka yogurt a me nā probiotics ʻē aʻe e pale ai i ka ulu nui o ka hū, keu hoʻi inā ʻoe ma nā antibiotic.

ʻO nā maʻi urinary a me nā maʻi maʻi bladder

ʻO nā catheters i hoʻohana ʻia i kou wā e noho ana i ka haukapila hiki ke hana i nā maʻi urinary a me nā maʻi pākeke. ʻO kēia mau maʻi ka hopena o E. coli bacteria a hiki ke mālama ʻia me kahi antibiotic. Hiki iā lākou ke hana i kahi wela i ka wā o ka urination, kahi pono pinepine e mimi, a me kahi kuni.

Pehea e mālama ʻia ai kahi maʻi ʻeha?

Inā loaʻa iā ʻoe ka cellulitis ʻeha, pono i nā antibiotic e hoʻomaʻemaʻe i ka maʻi. Hoʻopaʻa pololei nā antibiotic i nā koʻohune staphylococcal a me streptococcal. I ka haukapila, mālama pinepine ʻia nā maʻi ʻeha me nā lāʻau antibiotic intravenous. Inā mālama ʻia ʻoe ma ke ʻano he outpatient, hāʻawi ʻia a kauoha ʻia ʻoe i nā lāʻau ʻaloʻalo e lawe ma ka home.

Mālama pū ʻia nā abscesses eha me nā antibiotic a koi ʻia i kahi mālama kūikawā. E wehe kāu kauka i ka ʻokiʻoki ma nā wahi āpau, a laila hoʻokahe i ka pā. Ma hope o ka holoi pono ʻana o ia wahi, e pale aku kāu kauka i ka hōʻiliʻili o ka pus ma ke kau ʻana i kahi antiseptic me ka gauze. Pono e nānā pinepine ʻia ka ʻeha i mea e hōʻoia pono ai ka hoʻōla.

Ma hope o kekahi mau lā o ka mālama ʻana i nā lāʻau antibiotic a me ka wai, e nānā hou kāu kauka i ka ʻokiʻoki. I kēia manawa, e pani hou ʻia ka ʻeha a ʻae ʻia paha e hoʻōla iā ia iho.

Pehea e pale ai i kahi maʻi ʻeha C-ʻāpana

ʻAʻole hiki i kāu mau maʻi ke hōʻeha i nā maʻi maʻi. Inā loaʻa iā ʻoe kahi ʻāpana C, akā naʻe, hiki iā ʻoe ke hana i kekahi mau kaʻina e hōʻemi ai i ka loaʻa ʻana o ka maʻi. Inā ʻoe e noʻonoʻo e pili ana i kahi ʻāpana C koho, hiki iā ʻoe ke hana i nā hana e pale ai i nā pilikia.

Inā ua loaʻa iā ʻoe kēia ʻano ʻoki, eia kekahi mau ana i hiki iā ʻoe ke lawe.

• E hāhai i nā ʻōkuhi mālama ʻeha a me nā kuhikuhi lāʻau hope i hāʻawi ʻia e kāu kauka a kahu maʻi paha. Inā he mau nīnau kāu, mai hoʻokaʻulua e kāhea i kāu kauka.
• Inā ua hāʻawi ʻia iā ʻoe nā lāʻau ʻalopika e mālama a pale aku ai i kahi maʻi, mai hōʻalo i nā lāʻau a oki paha i ka hoʻohana ʻana iā lākou a hiki i kou hoʻopau ʻana i ka papa holoʻokoʻa holoʻokoʻa.
• E hoʻomaʻemaʻe i kou ʻeha a hoʻololi pinepine i nā lole ʻeha.
• Mai hoʻokomo i nā kapa paʻa a kau i nā ʻili o ke kino ma luna o ka ʻeha.
• Noi i ka ʻōlelo aʻo e pili ana i ka mālama ʻana a me ka hānai ʻana i ka pēpē e hōʻalo ai i ke kaomi hōʻoluʻolu ʻole i kou ʻeha, ʻoiai inā ʻoe e hoʻolālā e hānai
• E hoʻāʻo e pale i ka ʻae ʻana i nā pale o ka ʻili e uhi a hoʻopā i ka wahi ʻokiʻoki.
• Lawe i kou mahana me kahi thermometer waha inā ʻoe e kuni. E ʻimi i ka mālama olakino a i ʻole kelepona i kāu kauka inā ʻike ʻoe i ke kuni ma mua o 100ºF (37.7ºC).
• E ʻimi i ka mālama olakino no nā pūnaewele hoʻopaʻa i loaʻa ka pus, pehu, e lilo i mea ʻeha, a i ʻole e hōʻike i ka ʻulaʻula i ka ʻili e palahalaha mai ka pūnaewele incision.

ʻO nā wahine me ka lawe ʻana i ka ʻōpū e liʻiliʻi paha e loaʻa i nā maʻi postpartum. I kekahi mau hihia, eia naʻe, weliweli ka hānau ʻana ma hope o ka C-ʻāpana (VBAC) ma muli o nā pilikia ʻē aʻe i ka makuahine a me nā pēpē. Kūkākūkā i kāu mau pilikia pilikino me kāu kauka.

Inā ʻaʻohe ou ʻāpana C, eia kekahi mau ʻanuʻu hiki iā ʻoe ke lawe.

• Mālama i kahi kaupaona olakino. Inā ʻaʻole ʻoe i hāpai, hoʻoikaika kino a hāhai i ka papaʻai olakino e hōʻalo i ka hāpai ʻana me kahi ʻōpū kino nui (BMI).
• Koho no ka mea, he hana maʻalahi a hoʻouna ʻia inā hiki. ʻO nā wahine me ka lawe ʻana i ka ʻōpū e liʻiliʻi paha e loaʻa i nā maʻi postpartum. (ʻO kēia ka hihia ʻoiai i nā wahine i loaʻa kahi ʻāpana C, akā weliweli ʻo VBAC i kekahi mau hihia. Pono e kūkākūkā me ke kauka.)
• E mālama i nā kūlana preexisting e hoʻonāukiuki i kāu ʻōnaehana pale. Inā loaʻa ʻoe i ka maʻi a maʻi paha, e hoʻāʻo e mālama iā ia ma mua o ka hāpai ʻana a i ʻole ma mua o kou lā palena inā palekana iā ʻoe a me ka pēpē ke hana pēlā.

Pono ʻoe e koho i kahi hana palekana loa o ka pani ʻana o ka ʻeha. Inā hoʻolālā kāu kauka e hoʻohana i nā staples, e nīnau inā loaʻa kahi ʻano ʻē aʻe (e like me nā sutures PGA). E noi i nā lāʻau ʻalopelo pre-incision a me nā ʻōkuhi mālama ʻehaʻeha loa mai ka poʻe e mālama iā ʻoe ma ka haukapila. Eia kekahi, e noi e nānā iā ʻoe no nā hōʻailona o ka maʻi ma mua o kou hoʻi ʻana i ka home mai ka haukapila.

Nā pilikia o kēia ʻano

I kekahi mau hihia, hiki i kahi maʻi ʻeha ke hana i nā pilikia koʻikoʻi. ʻO nā laʻana me:

• ʻo ka necrotizing fasciitis, kahi maʻi bacteria e hōʻino ai i nā mea olakino maikaʻi
• ruptured fascia a dehiscence o ka ʻeha, kahi wehe o ka ʻili a me nā ʻili i hoʻopaʻa ʻia ma hope o ke ʻoki.
• evisceration, kahi wehe o ka ʻeha me ka ʻōpū e hele mai ana i loko o ka ʻokiʻoki

Inā hoʻomohala ʻoe i kekahi o kēia mau pilikia, pono lākou i ka hoʻoponopono ʻoki kino. Hiki i kēia ke hopena i kahi manawa hoʻōla lōʻihi loa. I nā hihia maʻamau, make paha nā pilikia.

ʻO Outlook no ka maʻi ʻeha ma hope o ka cesarean

Inā mālama mua ʻia ʻoe, hiki iā ʻoe ke hoʻōla mai kahi maʻi post-cesarean me nā hopena hopena lōʻihi. Wahi a ka Mayo Clinic, ʻehā a ʻeono mau pule ka hoʻōla incision maʻamau. Eia nō naʻe, inā ʻike ʻia kahi maʻi ʻeha ma mua o kou hoʻokuʻu ʻia ʻana mai ka haukapila, hiki i kou noho ʻana i kahi haukapila ma kahi o kekahi mau lā. (E hoʻonui ana kēia i kāu koina haukapila.)

Inā ua hoʻouna ʻia ʻoe i ka home e ka manawa e loaʻa ai ka maʻi ʻeha ma hope o ka cesarean, pono paha ʻoe e kiʻi hou ʻia e loaʻa ai nā lāʻau i loko a i ʻole ke ʻoki hou. Hiki ke mālama ʻia kekahi o kēia mau maʻi i ka maʻi ma waho me ke kipa ʻana o ke kauka a me nā antibiotic.