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Hāʻawi i ka lāʻau lapaʻau a i ʻole ka pauku cesarean: kahi kūkākūkā koi
Keia kipa me a anesthetist, i hoʻolako ʻia e ke kānāwai mai ka makahiki 1994, e hana mau ʻia ma ka hopena o ka mahina 8 a, i kekahi hihia, i kekahi mau lā ma mua o ka lā o kā mākou lawe ʻana. He mea koi ia i nā hihia a pau kahi i hoʻonohonoho ʻia ai ka ʻāpana caesarean a i ʻole ka hānau ʻana (Article D 6124-91 o ka Public Health Code). Pēlā nō, inā koho mākou i ka analgesia epidural ma mua, ua ʻōlelo ikaika ʻia mākou e hoʻokō i kēia nīnauele. ʻO kāna pahuhopu: e ʻae i ka mea maʻi maʻi nāna e mālama iā mākou i ka lā o kā mākou lawe ʻana e loaʻa ka ʻike piha o kā mākou faila lapaʻau e hōʻoia i ko mākou palekana.
Me ka ʻole epidural: ʻōlelo ʻia kahi kūkākūkā koho
ʻO Peri a ʻaʻole paha ? ʻOiai ʻaʻole mākou i hoʻoholo maoli, akā ke kahaha nei mākou no kēia hana. e aho e hele i keia kipa ana : Aia no ka mea anesthesiologist e pane i na ninau a pau a kokua ia makou e koho. ʻOi aku ka pono o ke kipa ʻana inā komo kā kāua keiki noho a i ʻole inā loaʻa iā ʻoe ka nui o ka hāpai ʻana, kahi e hoʻonui ai i ka pilikia o ka epidural wale nō, akā he cesarean kekahi. I ka ʻoiaʻiʻo, a hānau ʻoiai he mea pili i nā manawa a pau, ʻaʻohe wahine e maopopo ʻaʻole ʻo ia e alo ana me na pilikia Pono paha e hoʻokomo i kahi epidural a i ʻole spinal anesthesia, a i ʻole he anesthesia maʻamau. ʻO kēia ke kumu, ʻoiai i nā hihia kahi i manaʻo ai mākou e hānau i kahi hale olakino liʻiliʻi (ka papahana ʻenehana, ke kikowaena physiological, ke kikowaena hānau a i ʻole ma ka home), ua paipai ʻia mākou e hele i kēia kipa, no ka mea, ʻo ka hoʻololi ʻana i ka hale hānai. ʻaʻole i kāpae ʻia!
ʻO ke kūkākūkā pre-anesthetic: pehea e hele ai?
i ka kūkākūkā pre-anesthetic, e nīnau mai ke kauka iā mākou e pili ana i ko mākou hāpaiʻana (ka wā, kaʻike), akā, e pili ana hoʻi i kā mākou moʻolelo olakino (nā hāpai mua, nā maʻi, nā allergies, ka moʻolelo o ke kaʻina hana, a me nā mea'ē aʻe). E nīnau mai ʻo ia iā mākou e pili ana i nā lāʻau lapaʻau a me nā lāʻau lapaʻau e holo nei, e haʻi iā mākou i nā mea e hoʻololi ai a hoʻokuʻu paha. E nānā pono ʻo ia i kā mākou faila, a me nā hopena o nā loiloi kauka i kuhikuhi ʻia (hematology, hui koko, etc.). E lawe ʻo ia i ko mākou ʻoluʻolu, ko mākou kaumaha a hoʻolohe iā mākou. E haʻi mai ʻo ia iā mākou e pili ana i ka hoʻomākaukau postoperative e hana ʻia inā loaʻa iā mākou kahi ʻāpana cesarean i hoʻonohonoho ʻia. E pane pū ʻo ia i kā mākou mau nīnau a kuhikuhi i kahi hōʻike koko piha, e hana ʻia i loko o 30 mau lā ma mua o ka lawe ʻana. Pono paha ʻo ia e kuhikuhi i nā hoʻokolohua ʻē aʻe e pili ana i kāna ʻike (x-ray umauma, electrocardiogram, etc.).
He aha inā e hānau au ma mua o kēia kūkākūkā?
Mai hopohopo! Pono mākou e pōmaikaʻi mai ka epidural me ka pilikia ʻole. ʻOiaʻiʻo, inā paha i loaʻa iā mākou kēia huakaʻi pre-anesthetic, a hoʻolāʻau hoʻolāʻau e hoʻokō ʻia i nā hola ma mua o ka hana ʻana. I ka pōkole: inā, i ka wā e hiki mai ai ka manawa, makemake ʻoe e loaʻa i kahi epidural a i ʻole nā kūlana e koi ai i kahi hana hōʻeuʻeu ulia pōpilikia, hiki ke hana ʻia nā hoʻokolohua lapaʻau a me ke koko i hoʻolālā ʻia i ka wā o kēia kūkākūkā (ka helu platelet, ma ke ʻano) (i kēia hihia , hiki paha iā ʻoe ke kali liʻiliʻi no ka waiho ʻana i ka peri, ʻoiai ua pau nā hoʻāʻo). Eia kekahi, inā paha i hana ʻia kēia mau loiloi i ka wā kūkākūkā, hoʻololi pinepine ʻia lākou i kekahi mau hola ma mua o ka hana ʻana, no ka mea, ua loli paha kekahi mau ʻikepili e pili ana iā mākou i kēia manawa: hiki ke ʻano o ke kuni, nā pilikia o ke koko, etc.
E hui ana ka mea hoʻomaʻi maʻi i ka lā nui?
ʻAʻole pono. No nā kumu hoʻolālā hana, ʻo kekahi mea hoʻomaʻi maʻi ʻo ka mea i hui ʻia ma ke kūkākūkā ʻana paha e kākoʻo iā mākou no ke komo ʻana (ʻoi loa i nā hale ākea). Akā, ua hoʻouna ʻia kā mākou faila lapaʻau iā ia a e ʻike ʻo ia i kā mākou hihia ma waho!