ʻO ke kāpili ʻāpana ʻo Caesarean: he aha kāu e ʻike ai? Video

Hana ʻia nā ʻāpana Caesarean ke hoʻoweliweli ka lawe ʻana kūlohelohe i ke ola o ka makuahine a pēpē paha.

ʻO nā heluhelu piha pū kekahi:

• nā hiʻohiʻona o ke kino i hiki ʻole i ka fetus ke hele ma waena o ka puka hānau ma kāna iho
• uterine fibroids
• ʻōpū genital
• deformities o nā iwi pelvic
• ka mānoanoa o ka uterus ma lalo o 3 mm
• ka hoʻoweliweli o ka haki o ka uterus ma ka ʻili
• hoʻopau placenta previa a i ʻole abruption

ʻAʻole pono nā hōʻailona pili. ʻO lākou manaʻo ʻaʻole hoʻolaha ʻia ka lawe ʻana i nā ʻōpū, akā hāpai i kahi makaʻu nui.

Hoʻoholo pākahi ʻia ka nīnau no ka hoʻohana ʻana i ka hana ma kēia hihia, me ka noʻonoʻo ʻana i nā contraindications āpau a me kahi noiʻi piha o ka moʻolelo o ka mea maʻi.

Aia i waena o lākou nā:

• kīnā ʻole o ka naʻau o ka makuahine
• ka nele o ka puʻupaʻa i ka wahine i ka hana
• ke alo o myopia kiʻekiʻe
• hypertension a hypoxia paha
• maʻi ʻaʻai o kēlā me kēia wahi
• ʻōhumu
• kūlana transverse a i ʻole hōʻike breech o ka fetus
• nawaliwali o ka hana

Kau ʻia kahi ʻāpana caesarean pilikia inā, i ka wā o kahi hānau kūlohelohe, kū aʻe nā pilikia e hoʻoweliweli i ke ola o ka makuahine a me ke keiki, ka hoʻoweliweli o ka haki o ka pūpū ma ka ʻili, ka hiki ʻole ke hemo i ke keiki me ka ʻole o ka ʻeha, ka haki koke o ka placental a me nā mea ʻē aʻe. kumumea.

I ka lā ma mua o ka hana, pono ʻoe e kaupalena i ka lawe ʻana o nā huaʻaleʻale a me nā momona, ua lawa ia e ʻai pū me ke kai a ʻai i kahi ʻiʻo wīwī no ka ʻaina awakea

Ma ka hola 18 ua ʻae ʻia e inu i kefir a i ʻole tī.

Ma mua o ka hiamoe ʻana, pono ʻoe e ʻauʻau i ka wai hoʻomaʻemaʻe. He mea nui ka loaʻa ʻana o ka hiamoe maikaʻi, ʻo ia ke kumu e hāʻawi pinepine ai nā kauka i kahi lāʻau hoʻohiamoe iā lākou iho. Hana ʻia kahi enema hoʻomaʻemaʻe i 2 mau hola ma mua o ka hana. I mea e pale aku ai i ka thrombosis hohonu, hoʻopaʻa ka pou i ka wāwae o ka wahine me ka paukū paʻa a lawe iā ia i ka lumi hana ma kahi gurney.

Pono pono e kūʻai i ka wai inu mua me ka nui o ka ʻole o 1 lita a me 2 bandages uila me ka lōʻihi o 2,5 m kēlā me kēia. ʻOi aku ka hana e ʻūlū i nā mea o ka pēpē i loko o kahi ʻeke paʻa nui a kau inoa iā ia

I ka lā o ke komo ʻana, ua kahi ʻia ka lauoho o ka wahine a me ka lauoho ʻōpū o lalo. Hoʻokomo nā kahu hānai hoʻōla i kahi ʻōnaehana IV a me ka laina IV. Hoʻokomo ʻia kahi catheter i loko o ka vurethra e hoʻoliʻiliʻi ai ka pākeke a liʻiliʻi hoʻi i ka maʻalahi. Hoʻokau ʻia ka cuff o kahi mea kaomi koko ma luna o ka lima.

Inā koho ka mea maʻi i kahi epidural, kau ʻia kahi catheter ma kona kua. He hana ʻeha ʻole ia e hana ʻia me ka hopena liʻiliʻi a i ʻole hopena. I ka hihia ke koho ʻia ka anesthesia laulā, hoʻopili ʻia ka pale maka i ka maka a kali no ka holo ʻana o ka lāʻau. Aia nā contraindications no kēlā me kēia ʻano anesthesia, i wehewehe nui ʻia e ka anesthesiologist ma mua o ka hana.

Mai makaʻu i ke kaha. ʻO ka hānau hou ʻana ma hope o ka ʻāpana caesarean he mea maʻamau

He mea pono no nā ʻohana o ka wahine e hana ana e hāʻawi i ke koko ma ke keʻena transfusion inā he pilikia i ka wā o ka hana.

I nā lā mua ma hope o ka hana, he mea nui e hoʻihoʻi i ka ʻōpū, no laila, ʻae ʻia ka meaʻai papaʻai. ʻAʻole hiki iā ʻoe ke ʻai i ka momona, nā mea ʻono, nā kālika. ʻAe ʻia e inu i ka wai i ka nui o 2,5 liters o ka lā. I ke kolu o ka lā, hāʻawi lākou i ka moa momona momona a i ka moa veal paha me nā crouton, nā uala i kāwili ʻia i ka wai, tī tī me ka waiū ʻole.

I loko o hoʻokahi pule, hiki iā ʻoe ke ʻai i kaʻiʻo moa keʻokeʻo, iʻa i hoʻolapalapa ʻia, ka oatmeal a me ka porridge buckwheat. He mea kūpono ke kāpae ʻana i ka berena keʻokeʻo, soda, kope, puaʻa a me ka bata, a me ka laiki mai ka papa kuhikuhi. Pono e hāhai ʻia kēia papaʻai i ka wā e hiki mai ana i mea e hoʻihoʻi ai i ka paona i makemake ʻia a loaʻa kahi kino lahilahi.

ʻEono wale nō mau mahina ma hope o ka hānau ʻana, hiki iā ʻoe ke komo i nā haʻuki e like me ka ʻauʻau ʻana, aerobics, jogging, a me ka paikikala ʻana, ka heʻe hau a me ka abs.