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He aha ke ʻano o ka cesarean iterative?
Ua ʻōlelo ʻia no ka cesarean hoʻomau hou ke hanaia i ka wahine i hanau ma ka cesarean ma mua, ma hope o ka hāpai mua ʻana. ʻO ka huaʻōlelo "ʻōlapa"ʻO ke ʻano maoli"e hana hou ia ana".
Ua manaʻo pinepine ʻia ʻo ka wahine i hānau ʻia ma ka Caesarean he ʻano "hoahewaʻia"E hānau hou ma ka ʻāpana caesarean i ka wā hāpai hou. ʻO kēia ka hihia a hiki i ka wā i hala aku nei, no ka paʻakikī o ka hānau ʻana me ka a ʻōpū ʻeha. Akā me ka hoʻomaikaʻi ʻana i nā ʻenehana cesarean, ua maʻalahi ka pauku cesarean iterative, a ʻO ka wahine i loaʻa i ka caesarean hiki ke hānau pinepine ma ka waha ma hope iho, i ka wā hāpai hou.
E hoʻomanaʻo i ka lele ʻana o ka helu cesarean a puni 20% o nā hoʻopuka ma Farani, ma kahi o ka 10% i ʻōlelo ʻia e ka World Health Organization (WHO). No ka mea e mau ana ka pauku cesarean i mea oki, me na pilikia a me na pilikia a pau e pili ana i keia, a me na hemahema i manaoia no ke ola kino o ka pepe, nolaila, e noonoo mau ka obstetrician gynecologists i ka hanau vaginal ma hope o ka pauku cesarean mua. Ua manaʻo ʻia ʻo 50 a 60% o nā wahine "caesarized" e hānau maʻamau ma hope o ka hāpai ʻana.
I ka manawa hea e hana ʻia ai ka caesarean iterative?
I ka wā ma mua, me ko mākou mau kupuna wahine, ua hoʻohana ʻokoʻa nā kauka obstetrician gynecologists i ka pauku cesarean iterative i ka wā i hana ʻia ai ka ʻāpana cesarean mua ma mua. I kēia manawa, ʻO ka koho o ka loaʻa ʻana o ka cesarean iterative a i ʻole ka hoʻoholo maʻamau i kēlā me kēia hihia, ma muli o nā ʻano o ka hāpai ʻana a me ke koho ʻana o ka makuahine e hiki mai ana.
"ʻAʻole ʻo ka ʻōpū ʻulaʻula i hōʻailona no ka ʻāpana cesarean i hoʻolālā ʻia.. ʻO nā hōʻike o nā hana mua ma ka ʻōpū a me ka hana hiki ke alakaʻi i ka ʻāpana cesarean he mea pono i ke koho ʻana i ke ʻano o ka hānau ʻana.”, Details the High Authority of Health (HAS). "I ka hopena o ka pauku caesarean ma mua, ma ka nānā ʻana i nā pilikia o ka makuahine a me ka hānau ʻana, he mea kūpono ke ʻōlelo ʻia e hoʻāʻo [o ka hānau ʻana o ka wahine], koe wale nō inā loaʻa kahi ʻili kino", ʻo ia hoʻi ka ʻula e uhi ana i ke kino. o ka opu.
Eia naʻe, manaʻo ʻo HAS i ka wā omoʻolelo o ʻekolu a ʻoi aʻe paha nā ʻāpana caesarean, ua ʻōlelo ʻia e hāʻawi i kahi cesarean i hoʻonohonoho ʻia.
I ka pōkole, e lawe ʻia ka nīnau no ka hana ʻana i ka cesarean iterative i kēlā me kēia hihia, ma muli o kanā ʻano o ka hāpai ʻana:ʻO ka hāpai nui a ʻaʻole paha, ka hele ʻana o kahi placenta accreta a i ʻole kahi placenta previa, hōʻike ʻia o ka pēpē ma ka breech a i kahi kūlana paʻakikī, ʻōpū ʻulaʻula, ke kaumaha a me ka morphology o ka pēpē, makemake o ka mea maʻi ...
Eia naʻe, e aʻo ikaika ʻia ka wahine i hānau mua ma ka ʻāpana cesareanhānau i loko o kahi hale hānai (ʻoi aku ka maikaʻi o ke ʻano 2 a i ʻole 3) ma mua o ka home a i kahi kikowaena hānau., i hiki ke hana i ka cesarean ulia pōpilikia i ka wā o ka hāʻule ʻole o ka hānau ʻana (he nui ka pilikia o ka pohā ʻana o ka ʻōpū, ʻehaʻeha o ke keiki, a pēlā aku).
Pehea ka hana ʻana i ka cesarean iterative?
Le ka papa o ka cesarean iterative ua like ia me ka caesarean "maʻamau", koe wale nō ka caesarean hou i ka caesarean i hoʻonohonoho pinepine ʻia. Hana ʻia ka ʻokiʻoki ma ka ma'i caesarean kahiko, hiki ke ʻae i ke kauā gynecological e hoʻomaikaʻi i ke ʻano o ka ʻili, i ka wā ʻaʻole maikaʻi a maikaʻi ʻole paha.
E hoʻomaopopo i ka wā e hoʻolālā ʻia ai, hiki i ka pauku cesarean iterative ke hiki ke hoʻonohonoho iā ʻoe iho ma ka home a i ka wā o ka hānau ʻana: mālama keiki, hele i ka hānau keiki no ka wahine, hana ʻili i ka ʻili me ka pēpē, etc.
ʻO ka cesarean hoʻomaʻamaʻa: aia kekahi mau pilikia o nā pilikia?
Ma muli o ka caesarean mua a me kona ʻeha, hiki i ka caesarean iterative ke ala mai ka lōʻihi a / a i ʻole ka hānau keiki paʻakikī. Ua puka mai paha ka ʻili ma mua adhesions ma waena o nā ʻāpana like ʻole, e like me ma waena o ka ʻōpū a me ka ʻōpū, ma ke kiʻekiʻe o ka paia o ka ʻōpū ...
Inā paʻakikī ke komo i ka ʻōpū, hiki i ke kauka lapaʻau ke koho ʻoki i ka puka me ka ʻokiʻoki ma mua o nā manamana limaʻoi aku ka pilikia inā loaʻa kahi pilikia no ke olakino o ka pēpē (fetal distress). Hiki i kēia ʻoki ke hoʻonui i ke koko a me ka ʻeha nui. I ka pilikia, pilikia ka ʻoki kino, ʻoi aku ka kakaikahi, e hōʻino i ka ʻōpū a i ʻole e hōʻeha i ka pēpē. ʻO ia ke kumu i makemake ai nā kauka hoʻonohonoho i ka cesarean iterative ma mua o ka hoʻokō koke ʻana i ka wā i hāʻule ʻole ai ka hoʻāʻo ʻana i ka hānau ʻana. No laila ke koʻikoʻi o ke kūkākūkā piha ʻana i nā contingencies a pau e pili ana i ka pauku cesarean iterative i uka, a me ka loiloi pono i ka pōmaikaʻi / koena pilikia ma mua o ka hoʻomaka ʻana a ʻaʻole paha i ka hānau ʻana ma hope o ka pauku cesarean.