Ke hikis nā pule hope o kou hāpai ʻana E nīnau paha kāu palekeiki a wahine paha iā ʻoe e pili ana i ka hiki ke hana i kahi maneuver i hoʻohuli hana kūlohelohe. ʻIke ʻia kēia ʻo la la Manuahi ʻo Hamilton.
Nui nā makuahine i loaʻa i nā pēpē ʻē aʻe, ke hiki lākou i ka hopena o kā lākou hāpai ʻana, a noi pū iā ia e hoʻāʻo e hoʻopōkole i ka hāpai keiki ʻana.
I kēia lā e ʻike ana mākou i ka hana a ka hana manuahi o Hamilton a me nā pilikia e hiki ke loaʻa.
ʻO
He moʻolelo nui
Loaʻa he mau hānau hānau paʻakikī e "hoʻomaka". Hele mai nā hāpai keiki i ka manawa mai ka hebedoma 37, akā ʻaʻole kūpono ke kali me ka palena ʻole ka manawa a hiki i ka hoʻomaka ʻana o ka hana.
Ma loko o ka mōʻaukala, ua aʻo ʻia ke kūlana maikaʻi loa no nā pēpē, ke nānā nei i nā pilikia e hōʻike ʻia i ka hānau keiki a i nā pēpē ke lōʻihi ka hāpai ʻana ma mua o 42 mau pule.
Ma kahi o ka manawa ua koho ʻia ia ke kūlana kūpono hānau ʻia ka pēpē ma waena o ka pule 37 a 42. ʻO ka mea hope loa, ua loaʻa kahi ʻae a me nā ʻōnaehana ʻepekema āpau e aʻoaʻo i ka hana he ʻumi mau lā ma hope o ka waiho ʻana i nā waihona kālā, ʻo ia hoʻi ma 41 pule a ʻekolu lā.
ʻAʻole ia a hiki i ke kenekulia iwakālua i hoʻomaka ai ke loaʻa nā hormones synthetic, like loa me nā mea kūlohelohe a hiki iā lākou ke hoʻohana me ka palekana, i nā makahiki i hala iho nei i loli i ke ʻano o ka noi, a hiki i ka loaʻa ʻana nā pūnaewele palekana kiʻekiʻe, ʻelua no ka makuahine a me ka pēpē.
Ma kekahi ʻaoʻao, a hiki i ka waena o ke kenekulia i hala i hānau ʻia ai ma ka home a ʻaʻohe ʻenehana i loaʻa. No laila pono mākou e ʻimi i nā ala e kōkua ai i nā hānau hānau e hoʻomaka i kahi ala ʻoi aku ka maʻamau a wikiwiki hoʻi, me kekahi ʻano maʻalahi a ʻoluʻolu hoʻi e hana i kēlā, me ka hoʻohui ʻaʻole pono i nā ʻenehana a i ʻole nā hoʻoili i nā haukapila, ʻaʻole hiki i ka hapa nui o ka lehulehu.
ʻO ka maneuver ʻo Hamilton kekahi o ia ʻano hana a ua hoʻohana ʻia ia no nā makahiki he nui i ke ʻano hoʻokomo.
He aha ka manuahi ʻo Hamilton?
ʻO ka Spanish Spanish of Gynecology and Obstetrics (SEGO) papa inoa o kēia maneuver ma ke ʻano he hana hoʻokomo i ka hana.
Aia ka manuahi ʻo Hamilton i ka hana ʻana i kahi nīele a ma o ka cervix hoʻāʻo e kiʻi i kahi haʻahaʻa o ka ʻeke o ka wai a huli mālie i ka manamana lima. e hoʻāʻo e ʻili i nā membrane o ka ʻeke amniotic o ka paia o ke kumu o ka kōpū.
Kuhi ʻia kēia e hoʻonāukiuki i ko mākou kino i hoʻokuʻu kūlohelohe hormones, prostaglandins, ma ka pae o ka cervix a me nā hana i ka ulu ʻana o ka ʻōpū pono no ka hana e hoʻomaka.
Hiki ke hana ʻia i kēlā me kēia manawa?
He mea nui e maopopo ai iā mākou ʻaʻole hoʻāʻo ʻia e hoʻolahalaha lima i ka cervix, he hiki ʻokoʻa kēlā.
I mea e hiki ai ke hoʻokō i ka manuahi ʻo Hamilton he mea nui ia he "ʻoluʻolu" ka cervix. ʻO kēia ka manaʻo e loaʻa kekahi dilation, ma ka liʻiliʻi hoʻokahi kenimika, e ʻae iā mākou e hoʻolauna i ka uterus ma o ka cervix me ka ʻole o nā pilikia. Hoʻohui, pono ka cervix ua palupalu kekahi mea, inā ʻaʻole kēia ka hihia, ke hana nei i kēia maneuver paʻakikī no ka ʻoihana a me ka huhū maoli no ka makuahine.
ʻO kekahi kūlana koʻikoʻi ʻē aʻe piha ka hāpai ʻana. ʻO ia, ua hala mākou ma mua o 37 mau pule. ʻOiai, ma ke ʻano laulā, ʻaʻole hana maʻamau ka manuahi ʻo Hamilton ma mua o ka pule 38, ʻo ka mea maʻamau ka hana ma waena o 38 a 39 mau pule.
Na wai e hana a ma hea?
Kēia maneuver hana mau ʻia e ke kauka wahine. Lawe ʻia ka mea maʻamau i loko nā kipa hāpai hope loa, ma hope o kāu loiloi hope loa i hana ai ma mua o ka lawe ʻana.
ʻAʻole pono kahi hoʻomākaukau kūikawā. E hana maoli lākou i ka mea nānā a ma hope o ka loiloi ʻana i nā hopena e hana lākou i kahi nīele. No laila inā lawa ke ʻano o ka cervix e hāʻawi lākou iā ʻoe i ka hiki ke hana i kēia maneuver.
Hiki iā lākou ke hana me ka ʻae ʻole iaʻu?
Ma ke ʻano he rula laulā, nā hana a pau a mākou e hana ai pono me kā mākou ʻae, ʻAʻole pono ia ma ke kākau ʻana, akā he mea nui e wehewehe iki lākou i ka mea a lākou e hana ai pēlā hāʻawi ʻoe i kou ʻae waha.
He mea nui iā mākou e wehewehe pono i ke ʻano hana, He manawa paʻa loa ia, akā ʻaʻole ia he mea keakea i ka wehewehe pōkole. ʻO ka ʻoihana hana iā ia e haʻi iā ʻoe i ka mea inoa maneuver, e mōakāka ʻo kēia ka manuahi ʻo Hamilton, he aha ia mea, he aha ka hana no, inā he mau koho ʻē aʻe, He aha ka hana inā ʻaʻole i hana ʻia a he aha nā pilikia e loaʻa iā ia
He maikaʻi paha? E hele wau i ka hana?
I ke kumumanaʻo e hoʻonāukiuki ia i nā mea hōʻemi ma waena o 12 a me 24 mau hola ma hope o ka hoʻokō ʻana o ka maneuver.
Akā ʻaʻole kona 100% ka hopena. Nui nā manawa ke kēia ʻAʻohe hopena o kēia maneuver a ʻo ka hopena, pono ia e hoʻohana i kahi ʻano hoʻokomo lāʻau.
No laila no ke aha e hana ai?
Inā palena kona hopena a ʻaʻole hiki iā mākou ke hōʻoia e holo, no ke aha e hoʻohana ai ia? Maʻalahi ka pane, no ka mea he hana hoʻoweliweli loa, me ka liʻiliʻi loa o nā hopena a me nā pilikia ma mua o nā ʻano hana ʻē aʻe me ia hiki iā mākou ke hoʻāʻo e hoʻohuli i ka hana.
He koho maikaʻi e hoʻāʻo i kēlā hoʻomaka maoli ka hana ke hiki mai ka lā a me he mea lā ʻaʻole pau ko mākou kino i ka hoʻoholo ʻana nona iho ...
ʻO ka hana manuahi ʻo Hamilton hana ʻia ia i ke kūkākūkā ʻana a ʻike ka makuahine hiki iā ʻoe ke hoʻi i ka home me ka maʻalahi. He mea huhū ia, hiki ke hōʻeha iki a laulā kumu o kekahi kahe ʻana o ke koko hana mākou i kekahi manawa i ka makaʻu iki a makaʻu iā mākou.
Kū maʻamau kēia kahe ʻana ke kō i nā hola he 24 e hiki mai ana e nānā i ka ʻōpū, inā hele pū ʻia me ka maneuver ʻo Hamilton a i ʻole he pā maʻalahi ia e loiloi inā loaʻa iā ʻoe kahi dilation o ka cervix.
ʻO ke kala o ke koko mai ʻulaʻula ikaika o nā hola mua ma hope o ka paʻi ʻana i ka brown brown i ka hopena a e ʻike nō ʻoe i ka kipaku ʻia o ka plug mucous aiʻole nā koena i koe o kēia plug mucous.
I ke kūkākūkā ʻana ma mua o ka haʻalele ʻana iā ʻoe ua wehewehe i nā kumu kūpono no ka piʻolokeInā ʻaʻole ʻoe e ʻike aku i kekahi, e mālie ʻoe.
ʻO ka mea maʻamau e haʻalele ʻoe i ke kūkākūkā ʻana ʻano pīhoihoi, malia paha me ke kahe koko liʻiliʻi, akā ʻaʻole ʻoe e loaʻa hou i kekahi mau ʻōuli. E ʻike ʻia nā ʻaelike ma ka lā holoʻokoʻa.
Inā, ʻo ka hopena, maikaʻi ʻole ka maneuver o Hamilton a hoʻomaka ʻole ka hana ma mua o 41 mau pule a me ʻekolu mau lā, ʻaʻohe koho ʻē aʻe. e ʻae i kahi hana hoʻokomo ʻē aʻe.
Nā pilikia i hiki
He kakaikahi loa lākouInā kū kekahi o kēia mau mea, ʻo lākou ka pinepine:
- Ka haki ʻana o ka ʻeke o ka wai
- Wehe hapa o ka placenta
- Uterine hyperdynamia. ʻO ia, pane ka uterus me ka hoʻonāukiuki nui a me nā kuʻikahi e ʻike ʻia i ukali ʻia a ikaika loa hoʻi.
- Maʻi kīnā.
- Kaumaha kahe mai ka cervix.
Nā kumu o ka pū waikaua
- Kahe nui ke koko, e like me ka menstruation a ʻoi paha.
- ʻO ka manaʻo o ke kahe ʻana o ka wai mai nā genital, manaʻo paha ia iā ʻoe haki ka ʻeke o ka wai.
- ʻO ka ʻeha koʻikoʻi ʻaʻole hāʻawi kēlā i ka ʻōpū lalo.
- ʻO nā kuʻikahi pinepine, me ka manawa kokoke i ka hoʻomaha ʻole ma waena o kekahi a me kekahi.
- Ke nānā nei i ka neʻe ʻana o ka pēpē. Inā ʻoe e hoʻonāukiuki iā ia ma ke kamaʻilio pū ʻana me ia, ke milimili ʻana iā ia a ʻaʻole ia e pane, he kumu ia e hele i ka lawelawe kūikawā o kou makuahine.
- Fiva a me ka malaise
E hoʻomanaʻo, inā i ka hopena o kou hāpai ʻana, inā hoʻāla lākou i ka hiki ke hana i kahi nīele wahine, nīnau inā makemake lākou e hana i kēia maneuver.. E hoʻolohe i nā kumu o ka ʻoihana e hana ia a inā ʻaʻole ia e pau i ka hoʻohuli ʻana e wehewehe ʻoe iā ia a maopopo e ʻaʻohe ou makemake ua hana ʻia pēlā nou.
E lilo i mea mua e wehewehe