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Noho maternity: ka mea e kali ai
ʻO ka noho ʻana ma ka haukapila hānai e ʻae mua i ka makuahine ʻōpio e ola kino. Ma kahi o 4 mau lā, e hoʻāʻo ʻo ia e hoʻomaha, ʻoiai e hoʻololi i ke kani o kāna pēpē hānau hou. Na nā limahana kūpono e kōkua iā ia e mālama. I ka hiki ʻana i ke keiki mua, hoʻohana ʻia kēia mau lā liʻiliʻi e kiʻi i nā manaʻo koʻikoʻi e mālama i kāu pēpē a hoʻomaka i ka hānai ʻana. Makemake nui nā kahu e kōkua i ka makuahine ʻōpio e ʻoluʻolu i kāna hana hou. ʻOi aku ka hana a ka hui lapaʻau ma mua o ka hāʻawi ʻana i ka hahai kino a me ka naʻau. Kōkua ʻo ia iā ia i kāna mau kaʻina hana hoʻomalu, aʻo iā ia i nā ʻano o ka haʻi ʻana i ke kūlana kīwila. Hana pū ʻo ia ma kahi pūnaewele me nā kahu hānai o ka Maternal and Child Protection (PMI), i ka hihia o nā pono kūikawā o ka makuahine. Akā ʻo ke kumu nui o kēia noho ʻana, ʻo ia ka nānā ʻana i ke olakino o ka wahine ʻōpio a me kāna pēpē. ʻOiaʻiʻo, ʻoiai inā hele mālie ka hapa nui o ka hānau ʻana a hoʻi nā mea a pau i ka maʻamau me ka wikiwiki, hiki nō nā pilikia.
Maternities: ʻokoʻa loa nā kūlana i kēia lā
Ua loli nui ke ola maternity i nā makahiki i hala iho nei, ʻoiai i kekahi mau mea e like me ka hale maʻi maʻamau.
Ma hope o ke ala ʻana i ke kakahiaka nui (6 am a i ʻole 30 am), noi ke kahu hānai a i ʻole ka pale keiki i ka makuahine e lawe i kona wela, e nānā i ke kahe koko a me ka puʻuwai a laila hoʻomau, inā pono, e mālama i nā ʻōpala. Mālama ʻia ka ʻauinalā no nā kipa ʻana. Mālama nā kōkua mālama keiki i ka pēpē, inā aia kona makuahine a ʻaʻole paha. Haʻalele kekahi mau makuahine iā ia i loko o ka lumi o kona makuahine no ka pō, a hāʻawi kekahi e lawe iā ia. Inā hānai ʻoe, ʻoi aku ka maikaʻi o ka mālama ʻana i kāu pēpē ma kahi kokoke iā ʻoe. Loaʻa ka nānā ʻana i nā lāʻau lapaʻau. Hele mai ka hui mālama ola i ʻelua manawa i ka lā, kakahiaka a me ke ahiahi, e lawe i ka mahana o ka makuahine ʻōpio, ke kahe koko, e nānā i ka hoʻi ʻana o ka ʻōpū i kona nui maʻamau, ka perineum, ka mokuʻāina (ma muli o nā pilikia o ka phlebitis i loko o 7 mau hola. o ka hānau ʻana), nā ū, ka ʻili episiotomy ...
Ma nā hoʻonohonoho he nui, aia ka holomua maoli i ka hoʻomaha ʻana i ka ʻeha postpartum. He kipi ia e like me ka nui o ka hānau ʻana me ka ʻeha ʻole. ʻAʻole hiki i ka hapalua ʻelua o ke kenekulia iwakālua ka ʻike ʻana i ka puka ʻana a me ka laulā o nā ʻano hana hānau hānau mua ʻole. Akā i ka hānau ʻana o ka pēpē, ʻaʻohe mea i manaʻo i ka pono o ko lākou makuahine. ʻO ka mea pōmaikaʻi, ʻaʻole kēia ka hihia i kēia lā.
Aia nā protocols kākoʻo. ʻO ka pinepine, ʻo ka hui pū ʻana o nā analgesic, paracetamol type, a me nā anti-inflammatory e lawa ai ka ʻeha ma hope o ka hānau ʻana; kūpono kēia lāʻau lapaʻau me ka hānai ʻana. Paipai nā poʻe pōʻai mai nā luna olakino i nā keiki hānau hou e pōmaikaʻi mai ia mea. Ma mua o kou kau inoa ʻana, e nānā me kāu haukapila hānai e ʻike inā pili lākou iā lākou no ka mea e hoʻololi ia i kou ola. E emi ana ʻoe i ka luhi a loaʻa i kāu keiki a me ka poʻe kokoke iā ʻoe.
Hoʻonui ʻia ka mālama pilikino, He kūʻokoʻa pinepine ka makuahine hou i loko o kona lumi. No laila, i ka pau ʻana o nā hopena o ka epidural, ua hoʻōla hou ʻoe a hiki iā ʻoe ke alakaʻi i kahi ola maʻamau. E ʻike e ʻōlelo ʻia e hele wikiwiki e hoʻoulu i ke kahe o ke koko i ka wā hāpai, pale i ka pilikia o ka phlebitis a hoʻomaʻamaʻa i ka hana o nā puʻupaʻa.
Hiki iā ʻoe ke ʻauʻau i ke kakahiaka. A laila, inā ʻae kou kūlana, a kokoke i nā manawa a pau, ʻaʻohe mea e pale iā ʻoe mai ka ʻaʻahu ʻana a me ka hoʻokomo ʻana i ka make-up. No ka hookipa ana i na malihini, ua oi aku ka oluolu. Inā luhi ʻoe, makemake ʻoe e heluhelu, e nānā i ka TV a makemake paha e mālama i kou pilikino, i ka wā e hānai ai i kāu pēpē no ka laʻana, mai hoʻokaʻulua e noi i ka hui mālama ola ʻaʻole e ʻae i nā malihini e komo i kou lumi.
Ke ʻimi nei ka nui o nā halemai hānai e hoʻopili i ka makuakāne i ka malama ana i ke keiki. Hāʻawi kēia mau ʻoihana iā ia i ka hiki ke kaʻana like i ka lumi o ka makuahine a me kāna ʻai. I kekahi mau hihia, hiki iā ʻoe ke koho i kāu mau menus a kono i kekahi o kāu poʻe aloha e hele i ka ʻaina awakea a i ʻole ka ʻaina ahiahi.
Mālama ʻaoʻao pēpē
Ke nānā nei mākou i kona kaona kaumaha, ma hope o ka hāʻule maʻamau, hoʻomaka e ala hou i ke kolu o ka lā. Hoʻomaikaʻi pū ka hānau hou mai ka nānā ʻana i kekahi helu o nā maʻi (Guthrie test) pono e mālama ʻia i ka wā hiki loa: hypothyroidism, phenylketonuria, cystic fibrosis, etc.
Hāʻawi nā limahana mālama keiki a me nā mea kōkua mālama keiki iā ia i ka mālama pono, a lākou e aʻo ai i ka makuahine ʻōpio inā makemake ʻo ia.
Inā hānau ʻia ka pēpē ma ka cesarean, ʻoi aku ka luhi o ka makuahine ; e like me ma hope o kekahi oki, pono ʻoe e hoʻōla mālie. Ke kono nei mākou i ka makuakāne e lawe i kona wahi e aʻo ai, e mālama i kāna keiki, e hoʻololi iā ia, e holoi iā ia.
Mākaʻikaʻi ʻaoʻao o ka makuahine
I loko o nā lā mua ma hope o ka hānau ʻana, hoʻokahe koko ka mea i kapa ʻia ʻo lochia. ʻO kēia hoʻoheheʻe ʻulaʻula ʻulaʻula he hui ʻia o nā ʻōpala liʻiliʻi o ke koko a me ka uhi o ka ʻōpū. ʻAʻole liʻiliʻi lākou ma hope o ka hānau ʻana i ka cesarean no ka mea ua wehe ʻia ka placenta me ka lima. I nā hihia a pau, hoʻihoʻi lākou, hoʻokahi ʻelua pule a huli mai ka ʻulaʻula ʻulaʻula a i ʻeleʻele. ʻO ka hoʻihoʻi ʻana o nā diapers, ʻo ia hoʻi, ka hoʻomaka ʻana o ka menstruation, hiki mai 6 a 8 mau pule ma hope. I kēlā me kēia kakahiaka e nānā ka palekeiki i ka lochia a, me ka gynecologist, ʻimi pū ʻo ia e pale i nā pilikia.
Ma hope koke o ka hānau ʻana, hōʻike ʻia ka hoʻokuʻu kaumaha loa a lōʻihi paha ka hemorrhage. ʻO ia ke kumu nui o ka make makuahine ma Farani i kēia lā. Ma muli o ka hemo ʻole ʻana o ka placenta, ka ʻoki ʻana o ka ʻōpū, ka waimaka o ka ʻōpū a i ʻole nā mea ʻē aʻe, pono ka hemorrhage i ka reactivity nui o ka hui obstetric.
Hiki ke ʻike ʻia nā pilikia venous ma hope. Mai ka hānau ʻana, hoʻopuka ke kino i nā anticoagulants kūlohelohe e pale i ka pilikia o ke koko. I kekahi manawa, puka mai nā ʻōpala liʻiliʻi ma nā lālā haʻahaʻa a hiki ke hoʻoulu i ka phlebitis e mālama ʻia i ka lāʻau lapaʻau. E hōʻike i ka ʻeha, ka ʻulaʻula a i ʻole ka edema ma nā lālā haʻahaʻa a e hoʻomanaʻo ʻo ke ala ʻana a me ka hele ʻana i ke kakahiaka nui ma hope o ka hānau ʻana ʻo ia ka pale maikaʻi loa, ke ʻole he lāʻau lapaʻau.
He hōʻailona paha ke kuni o ka maʻi ʻōpū, pili i ka involution maikaʻi ʻole o ka ʻōpū i lohi i ka loaʻa hou ʻana o kona nui ma mua o ka hāpai ʻana. ʻO ka maʻi i loaʻa i ka ʻala ʻino o ka lochia. Pono ia i ka palapala kuhikuhi kūpono.
ʻO nā maʻi maʻi urinary, ʻoi aku ka cystitis, he mea maʻamau i loko o kēia manawa ma muli o ka hoʻomaha ʻana o nā sphincters, distension o ka ʻōpū a me nā catheters urinary hou, ʻoi aku ka nui ma hope o ka pauku cesarean, akā i kekahi manawa i ka wā hānau. Inā manaʻo ʻoe i ka manaʻo ikaika e mimi e pau ana i kahi ʻeha ʻeha, pono ʻoe e haʻi i ka hui mālama ola, nāna e kuhikuhi i ka lāʻau lapaʻau.
Ma hope o ka hānau ʻana o ke keiki ʻekolu a i ʻole ma hope o ka pauku cesarean, ʻoi aku ka ʻeha o ka ʻōpū o ka ʻōpū
Kapa ʻia kēia ʻo nā ʻauwaha, kahi ʻano kūlohelohe e pili pū ana me ka hoʻihoʻi ʻana o ka ʻōpū a me ka kipaku ʻana i nā clots. Hoʻomaka lākou i loko o 24 mau hola ma hope o ka hānau ʻana maʻamau, a i ʻole i loko o 12 mau hola ma hope o ka casarean, a maʻa mau no ʻekolu a ʻehā lā. Inā ʻeha ʻoe, e haʻi aku i ke kahu hānai a i ʻole ka palekeiki nāna e kuhikuhi i ka lāʻau kūpono. ʻOiai e kali ana iā lākou e hoʻokō, aia kekahi mau ala maʻalahi e hāʻawi iā ʻoe i ka hoʻomaha:
– E moe ma kou ʻōpū a ma kou ʻaoʻao. Ke manaʻo ʻoe e hiki mai ana nā ʻokiʻoki, e hoʻoluʻolu iā ʻoe iho e like me ka hiki ma ke kaomi ʻana i kahi uluna i kou ʻōpū. He ʻeha iki i ka wā mua, akā ʻike koke ʻoe i ka hōʻoluʻolu.
- Hoʻomaha. Ke hiki mai ka spasm, e pani i kou mau maka, e hoomaha e like me ka hiki, a e hanu hohonu no ka loihi o ke ku ana.
– Lomilomi i kou ʻōpū me nā neʻe pōʻai liʻiliʻi. Pono ʻoe e manaʻo e ʻokiʻoki ana ma lalo o kou mau manamana lima. E hana hou i kēlā me kēia ʻehā hola a ʻoi aku ka maikaʻi ma mua o ka hānai ʻana. Hoʻonui pinepine ʻo Lochia ma hope o kēia ʻano lomilomi, e haʻi i ka pale keiki i ʻole ʻo ia e hopohopo no ke kumu ʻole.
Ma hope o ka hānau ʻana o ke keiki ʻekolu a i ʻole ma hope o ka pauku cesarean, ʻoi aku ka ʻeha o ka ʻōpū o ka ʻōpū
Kapa ʻia kēia ʻo nā ʻauwaha, kahi ʻano kūlohelohe e pili pū ana me ka hoʻihoʻi ʻana o ka ʻōpū a me ka kipaku ʻana i nā clots. Hoʻomaka lākou i loko o 24 mau hola ma hope o ka hānau ʻana maʻamau, a i ʻole i loko o 12 mau hola ma hope o ka casarean, a maʻa mau no ʻekolu a ʻehā lā. Inā ʻeha ʻoe, e haʻi aku i ke kahu hānai a i ʻole ka palekeiki nāna e kuhikuhi i ka lāʻau kūpono. ʻOiai e kali ana iā lākou e hoʻokō, aia kekahi mau ala maʻalahi e hāʻawi iā ʻoe i ka hoʻomaha:
– E moe ma kou ʻōpū a ma kou ʻaoʻao. Ke manaʻo ʻoe e hiki mai ana nā ʻokiʻoki, e hoʻoluʻolu iā ʻoe iho e like me ka hiki ma ke kaomi ʻana i kahi uluna i kou ʻōpū. He ʻeha iki i ka wā mua, akā ʻike koke ʻoe i ka hōʻoluʻolu.
- Hoʻomaha. Ke hiki mai ka spasm, e pani i kou mau maka, e hoomaha e like me ka hiki, a e hanu hohonu no ka loihi o ke ku ana.
– Lomilomi i kou ʻōpū me nā neʻe pōʻai liʻiliʻi. Pono ʻoe e manaʻo e ʻokiʻoki ana ma lalo o kou mau manamana lima. E hana hou i kēlā me kēia ʻehā hola a ʻoi aku ka maikaʻi ma mua o ka hānai ʻana. Hoʻonui pinepine ʻo Lochia ma hope o kēia ʻano lomilomi, e haʻi i ka pale keiki i ʻole ʻo ia e hopohopo no ke kumu ʻole.
Ke nānā pono ʻia nei ka hoʻōla ʻana o perineal.. I ka wā hānau mua, ʻoi aku ma mua o ka hapalua o nā wahine i loaʻa i ka waimaka o ka mucous membrane a me nā ʻiʻo perineal. Inā he haʻalulu liʻiliʻi, humuhumu ʻia i loko o kekahi mau minuke, hoʻōla ʻo ia i loko o 48 mau hola, ua nui ka wai. ʻOi aku ka lōʻihi o ka maʻi episiotomy. Inā ʻeha ka ʻili, e haʻi i ka pale keiki nāna e loaʻa ka lāʻau kūpono a nānā i ka holomua.
Ma hope o ka cesarean
Pili kēia hana i ka 20% o nā hoʻopuka ma Farani. Ke hānau ʻia ke keiki ma ka ʻāpana cesarean, ʻokoʻa iki nā hopena. Ma muli o ka hoʻokumu ʻana, e noho ka makuahine i 4 a 9 mau lā i ka hale hānai. ʻO ke kaʻina hana, hiki i ka ʻāpana caesarean ke hana i kekahi pilikia, e like me ka paʻakikī o ka neʻe ʻana no 48 mau hola no ka hānai ʻana a me ka mālama ʻana i ka pēpē. Hiki i ka morphine intolerance ke hoʻoulu i ka ʻili a i ʻole ka ʻili. Pono e hoʻolaha ʻia ka hui mālama ola, nāna e lawelawe koke i ka lāʻau lapaʻau.
ʻO nā lā mua loa, noho ka makuahine ʻōpio i kahi moe ma mua o ka hiki ʻana ke kū i luna me ke kākoʻo o ka pale keiki. I kēia manawa, ʻo ka moe ʻana ma kou kua e hoʻoikaika i ke kahe koko a me ka ho'ōla. No kekahi mau hola hou, e kōkua nā mea lapaʻau iā ia, ʻoiai e holo hou ana kona kino.
- Ka infusion. ʻAʻole hiki ke hoʻomaka hou i kahi meaʻai maʻamau ma hope koke o ka pauku cesarean. ʻO kēia ke kumu e haʻalele ai mākou i ka infusion e hydrates i ka makuahine ʻōpio. Hiki ke hoʻohana ʻia e hoʻopuehu i nā lāʻau lapaʻau a me nā antibiotic.
– ʻO ka catheter mimi. Hiki ke hoʻokuʻu ʻia ka mimi; wehe ʻia i ka wā e lawa ai lākou a me ka waihoʻoluʻu maʻamau, ma hope koke o ka hānau ʻana.
– Ka epidural catheter. I kekahi manawa waiho ʻia e ka mea anesthesiologist ma kahi o 24 a 48 mau hola ma hope o ke kaʻina hana e mālama ai i kahi anesthesia māmā.
I kekahi mau halemai hānai, e pale i ka pilikia o ka phlebitis ma hope o ka pauku cesarean, hoʻokomo pū mākou i nā anticoagulants. He mau lā kēia mālama ʻana. Ma nā hale ʻē aʻe, mālama ʻia kēia mālama ʻana no nā makuahine me nā kumu pilikia.
Hoʻololi ke kahu hānai a pale keiki paha i ka lole i hoʻokahi manawa i ka lā a nānā i ka ho'ōla. ʻO ka maʻamau, hoʻōla koke ka ʻeha. I ka hihia o ka maʻi, hiki mau akā kakaikahi, hoʻi koke nā mea āpau i ke kauoha mahalo i ka lawe ʻana i nā lāʻau antibiotic. Inā ʻaʻole i humuhumu ʻia ka ʻoki ʻana me ka suture hiki ke hoʻopaʻa ʻia, e hoʻoneʻe ʻia nā humuhumu a i ʻole nā paʻa koʻikoʻi 5 a 10 mau lā ma hope o ke kaʻina hana. No ka lua, ua ʻae ʻia e lawe i kahi ʻauʻau liʻiliʻi mai ka lua o ka lā. Ma ka ʻaoʻao ʻē aʻe, no ka ʻauʻau, paipai mākou e kali i ʻelua pule.
He hui hoʻolohe
ʻAʻole i kaupalena ʻia ke kuleana o ka hui i ka nānā ʻana i ke olakino o ka makuahine ʻōpio a me kāna pēpē hānau hou.
Hoʻohana ʻia kona makaʻala ma ka pae psychic a hoʻoikaika i ka ulu kūpono o ka pilina makuahine a me ke keiki. Pēlā nō, hana ʻo ia i nā mea a pau e hāpai i ke kuleana o ka makua kāne i ka mālama ʻana i ke keiki hānau hou. I ka pilikia a i ʻole nā blues, mai kānalua e kamaʻilio e pili ana iā ia, me ka hilinaʻi. Inā pono, hiki iā ʻoe ke pōmaikaʻi mai ke kōkua ʻana o nā kahu hānai mai PMI, ka mea maʻamau e hana ma kahi pūnaewele me nā halemai hānai, a i ʻole e hui pū me kahi psychologist.
Hāʻawi ka hui i ke kākoʻo koʻikoʻi i ka wā e hānai ai i ke pēpē. ʻOiaʻiʻo, hoʻomaka ka hoʻokumu ʻana i ka hānai i nā hola ma hope o ka hānau ʻana. ʻO ke kūpono, pono e hoʻokomo koke ʻia ka pēpē hou i ka umauma ma hope o ka hānau ʻana. Ke koho ka makuahine ʻaʻole e hānai i kāna keiki, kōkua ka hui iā ia e hoʻōki i ka kahe ʻana o ka waiū ma o ka lawe ʻana i nā lāʻau e pale ai i ka lactation. E makaʻala i kekahi manawa ke kumu o ka nausea a me ka hōʻoluʻolu. E makaʻala, ʻoi aku ka maikaʻi o kēia mau lāʻau inā ʻaʻole ʻoe e hānai i ka umauma. ʻAʻole hiki i kekahi mau lā, e hāʻawi i kāu keiki i nā pono o ka colostrum, kēia waiu hānai mai nā lā mua loa.