Nā helehelena o ke olakino olakino: he aha ka Obstetrician?
Anter
- Hōʻike Overview
- He aha ka mea hānau hānau?
- Nā koina aʻo a me nā pono aʻo
- He aha nā kūlana e mālama ai ka poʻe hānau hānau?
- He aha nā kaʻina hana a ka poʻe hānau hānau?
- Āhea ʻoe e ʻike ai i ka mea hānau hānau?
Hōʻike Overview
ʻO ka huaʻōlelo "OB-GYN" e pili ana i ka hana o nā obstetrics a me ka gynecology a i ʻole i ke kauka e hoʻomaʻamaʻa i nā ʻano ʻelua o ka lāʻau. Koho kekahi mau kauka e hoʻomaʻamaʻa i hoʻokahi wale nō o kēia mau māla. ʻO kahi laʻana, hoʻomaʻamaʻa wale nā gynecologists i ka gynecology, kahi e kau nei i ka olakino hānau wahine.
Hoʻomaʻamaʻa wale ka poʻe Obstetricians i nā mea hoʻokalakiko, a i ʻole kahi o nā lāʻau e pili ana i ka hāpai ʻana a me ka hānau hānau. Eia kahi nānā kokoke loa i ka hana a kēia mau loea a i ka wā e ʻike ai ʻoe i kekahi.
He aha ka mea hānau hānau?
Hāʻawi ka poʻe Obstetricians i ka mālama ʻoki kino no nā wahine i ka wā hāpai a me ka hānau hānau. Mālama pū lākou i ka mālama postnatal.
Koho kekahi o nā obstetricians i ka loea i ka lāʻau makuahine-fetal (MFM). Kuhi kēia lālā o ka hānau hānau i nā wahine hāpai i loaʻa nā pilikia olakino mau a i ʻole nā pilikia ʻē aʻe e ala aʻe i ka wā hāpai. Ma muli o kēia, manaʻo ʻia nā kauka ʻo MFM he loea loea kiʻekiʻe.
Hiki paha iā ʻoe ke ʻike i kahi kauka MFM inā he maʻi olakino kou e hoʻopili ai i kou hāpai ʻana. Koho kekahi mau wahine e hui me kēia mau kauka no ka mālama ma mua o ka hāpai ʻana e kōkua i ka hoʻomohala ʻana i kahi hoʻolālā no ka hāpai keiki.
Nā koina aʻo a me nā pono aʻo
I lilo i mea hānau keiki, pono ʻoe e lawe i kahi papa hana ma mua a loaʻa i ke kekelē laepua. A laila, pono ʻoe e lawe a hala i ka Test College College Admissions Test e hiki ai ke kākau inoa i ke kula kauka.
Ma hope o ka pau ʻana o nā makahiki ʻehā o ke kula kauka, pono ʻoe e hoʻopau i kahi papahana noho e loaʻa hou ai ka ʻike. Noho nā kamaʻāina i mau hola ma ke keʻena a i ʻole kahi haukapila e kōkua ana i ka pane ʻana i nā pilikia, nā hānau ʻana, a me nā kaʻina hana e pili ana.
Inā koho ʻoe e loea i ka MFM, pono ʻoe e hoʻopau i kahi mea hou aʻe ʻelua a ʻekolu mau makahiki o ka hoʻomaʻamaʻa ʻana.
Ke pau kāu hoʻomaʻamaʻa, pono ʻoe e lawe i kahi hōʻike hōʻoia e lilo i hōʻoia ma o ka American Board of Obstetrics and Gynecology.
He aha nā kūlana e mālama ai ka poʻe hānau hānau?
ʻIke pinepine nā wahine i ka poʻe hānau hānau no ka mālama prenatal maʻamau. Kū pinepine ke koho mua ma kahi o ʻewalu mau pule ma hope o kāu manawa hope loa. E ʻike ʻoe i ke kauka ma kahi o hoʻokahi manawa i ka mahina ma ka lōʻihi o kou hāpai ʻana.
Mālama pū ka poʻe Obstetricians i nā wahine me ka hāpai hāpai kiʻekiʻe kiʻekiʻe i ka wā a ma hope o ka hāpai ʻana.
Hiki paha iā ʻoe ke hāpai i ka pilikia nui inā hāpai ʻoe a me ʻoe:
- he kūlana olakino olakino
- ma luna o 35 mau makahiki
- ke hāpai nei i nā pēpē he nui
- he moʻolelo o ka hāpai keiki ʻole, hana hana mua, a i ʻole ka lawe cesarean
- komo i kekahi mau ʻano nohona koho, e like me ka paka a me ka inu ʻana
- hoʻomohala i kekahi mau pilikia i ka wā hāpai e pili iā ʻoe a pēpē paha
Mālama pū nā Obstetricians:
- hāpai keiki ectopic
- pilikia pēpē
- preeclampsia, i hōʻike ʻia e ke koko kiʻekiʻe
- abruption placental, a i ka wā e hemo ai ka placenta mai ka pūpū
- dystocia poʻohiwi, a i ka wā e paʻa ai nā poʻohiwi o ka pēpē i ka wā hānau
- hū ka uterine
- kaula i hoʻopili ʻia, a i ʻole ke hei ʻia o ka ʻume umbilical i ka wā o ka lawe ʻana
- hemorrhage hoʻokalakupua
- sepsis, kahi maʻi hoʻoweliweli ʻino
He aha nā kaʻina hana a ka poʻe hānau hānau?
Hiki ke ʻokoʻa nā kaʻina hana a me nā hana i nā obstetricians mai nā mea a nā gynecologists e hana ai. Ma waho o nā koho maʻamau a me nā lawelawe hana a me ka lawe ʻana, hana pū kekahi nā mea hānau keiki i kēia mau mea:
- cercer cerclage
- ka hoʻonui a me ka curettage
- lawe cesarean
- hānau hānau
- episiotomy, a i ʻole kahi ʻoki ma ka wehe o ka puki e kōkua i ka lawe ʻana i ka ʻōpū
- ʻoki poepoe
- ka ikaika a me ka hoʻokuʻu manuahi
Inā loaʻa ʻoe i kahi hāpai hāpai kiʻekiʻe, hiki i kāu kauka lāʻau ke hāʻawi iā ʻoe i kekahi mau hoʻokolohua. Pākuʻi ʻia kēia:
- he ultrasound
- kahi amniocentesis e hoʻoholo ai i ka moekolohe o kāu pēpē a ʻike i kekahi mau ʻano ʻano ʻē
- cordocentesis, a i ʻole umbilical blood sampling, e loiloi ai no kekahi mau maʻi, nā kūlana hānau, a i ʻole nā maʻi o ke koko
- ana i ka lōʻihi o ka cervix e nānā i kou makaʻu i ka hana mua
- Ke hoʻokolohua hoʻokolohua no nā ʻano ʻano like ʻole
- ʻO ka hoʻowalewale hoʻokolohua e ana i ka fetal fibronectin, kahi e kōkua iā lākou e hoʻoholo i kou makaʻu i ka hana mua
- kahi hōʻike biophysical, hiki ke kōkua iā lākou e nānā i ka maikaʻi o kāu pēpē ma o ka nānā ʻana o ka puʻuwai a me ka ultrasound
Hele pū ka mea hānau hānau i nā hānau, nā ʻōpū a me nā mea ʻē aʻe. Inā makemake ʻoe i kahi hoʻokomo a i ʻole cesarean delivery, e mālama kahi mea hānau i nā kaʻina hana. E hana pū lākou i kekahi ʻoki pili. Hiki iā lākou ke ʻoki poepoe i ka pēpē kāne ma hope o ka hānau ʻana inā noi ʻoe iā ia.
Āhea ʻoe e ʻike ai i ka mea hānau hānau?
Pono ʻoe e hana i kahi manawa e ʻike ai i ka mea hānau maʻi inā hāpai ʻoe a i ʻole e noʻonoʻo ʻana i ka hāpai ʻana. Hiki iā lākou ke hāʻawi iā ʻoe i ka mālama prenatal a kōkua iā ʻoe e hoʻolālā no kou hāpai ʻana.
Makemake paha ʻoe e launa me nā kauka like ʻole ma mua o ke koho ʻana i hoʻokahi e mālama i kāu mālama. I ka wā o kāu hulina, makemake paha ʻoe e nīnau i kēlā me kēia kaukna hānau i kēia:
- He aha nā hoʻokolohua āu e koi ai i ka wā hāpai?
- Hele ʻoe i ka hānau a i ʻole ke kauka i kāhea?
- Pehea ʻoe e nānā ai i ka pēpē i ka wā o ka hana?
- He aha kou mau manaʻo no ka hānau hānau maoli?
- Āhea ʻoe e hana ai i nā hāʻawi cesarean?
- He aha kāu helu hāʻawi cesarean?
- Hana maʻamau paha ʻoe i nā episiotomies? Inā pēlā, i nā ʻano hea?
- I ka manawa hea o ka hāpai ʻana e hoʻomaka ai ʻoe e noʻonoʻo i ka hoʻokomo?
- He aha kāu kulekele kikoʻī e pili ana i ka hoʻokomo hana?
- He aha nā kaʻina hana āu e hana ai ma ka hānau hou? Āhea ʻoe e hana ai iā lākou?
- He aha ke ʻano o ka mālama hope ʻana āu e hāʻawi ai?
Ke loaʻa ʻoe i kahi kauka āu e makemake ai, e hoʻonohonoho i kāu mau manawa prenatal i ka wanaʻao a pinepine no ka hopena ʻoi loa.
Pono ʻoe e ʻike i kāu kauka no ka mālama hānau ʻana. Hāʻawi kēia iā ʻoe e:
- e kamaʻilio e pili ana i nā koho kaohi hānau, e like me ka pila a i ʻole mea intrauterine
- e loaʻa ka wehewehe ʻana i kekahi mea i hana ʻia i ka wā hāpai a hānau hānau paha.
- e kūkākūkā i nā pilikia e loaʻa ana iā ʻoe e hoʻoponopono ana i ka makuahine a i ʻole nā hopohopo e pili ana i ke kaumaha postpartum
- e hāhai i nā pilikia olakino āu i hālāwai ai i ka wā o ka hāpai ʻana, e like me ka diabetes diabetes a i ʻole ke kiʻekiʻe kiʻekiʻe.
- e hōʻoia i kēia lā nā pale ʻana