I ka moolelo o ka hanau ana o obstetrics. Normal hanau (mua a me ka lua o ka)

No ka hōʻike 'ana i ka mea pololei kiʻi Aloha Hawaii a me nā mea a pau wā e hiki mai makuahine Research i houluuluia i ka mōʻaukala o ka hanau ana o obstetrics. Normal hanau wahine hilinaʻi loa ma ka anamanaʻo, a ili kāna moʻolelo. A pau i kekahi kauka ma ka hebedoma 40 kākau i loko o kēia palapala. Ua Ua noʻonoʻo pono i ka loio i hana ai me kā lākou mau loio ikaika a me ka mea e pono ai i ka hihia ma nā 'aoʻao' hoole i ka lawe kuleana no lakou iho. E hoʻonā i hoa pāonioni ma mōʻaukala hanau ma luna o noi pū i hiki i ka nānā i ka luna kauka, me kona mau papa kiʻekiʻe'ōnaehana, a ina ka mea, i ka nui e huli mai - ka Ka Loio Hoʻopiʻi.

outlaw

I ka moolelo o ka hanau ana o obstetrics, e like kekahi'ē aʻe mea palapala, i ka degere o ka pilikino. A kauka i mea hapai, ua koiia e noho malie a me ka ole i ke kaʻana like 'ike i ekolu poe e pili ana i ka hānau keiki. Ke koe o ka wā o ka ike ua noi ma ke kānāwai mākaʻi keʻena ma lalo nei.

I mea e pale aʻe 'ana o ke kānāwai o November 21, 2011 N 323-FZ "Ma ke kumu o ka lehulehu ola hoomalu ma ka Russian Hui", pale keiki a me nā limahana o ka' inikua kulanui, e hookolokolo aku la ia hapai na wahine i pāpā mai ka hoʻopiliʻana paha photographing 'inikua hoike, i mālama i hanau mōʻaukala o obstetrics. Normal deliveries i hilinaʻi ma luna o ka hoʻomanawanui. I ka hoopiha ana mai i ka palapala kauka hapai wahine e e loa oluolu. Wale keia obstetricians, e kōkua i ka hookupaa aku maopopo a me ka pololeiʻike. Ole ia ka pilikia noho i ka hewa lapaʻau, a hiki loli i ka holomua o ka hana.

Na rula o ka iie a me ka moʻolelo

Aia i walaʻauʻana rula no ka hoopiha ana i loko o ka palapala, i malama ka holoʻokoʻa moolelo o ka hanau ana o obstetrics.

1. palapala holo'āina'ē lāliʻi :

• Full inoa o ke ahonui;
• Ka lā o ka hanau ana;
• Place o ka hanau ana;
• Place o ka hana (a ao);
• Hoʻokaʻaʻike helu wahi a me ka helu kelepona;
• Launa Male kūlana haʻahaʻa;
• ka hoʻonaʻauao;
• No ka 'ike e pili ana i kana kane, a me kona ihe lāliʻi;
• Manawa o ka hōʻeaʻana i ka haukapila.

Next, ke kauka e wehewehe i nā hoopii a mai hoʻopilikia i ka hoʻomanawanui.

2. Lapaʻau 'ike mai ka hanau ana

Aia E e ho'ākāka 'ia ma' ike e pili ana i hala illnesses a me diagnoses i loaʻa. Ke hoomanawanui Pono e pono e hōʻike 'ia i ka' ike e pili ana i allergic reactions i ka lapaʻauʻia. Inā he mea he hereditary maʻi, ke kauka e ike no ia. ¶ A i loko o keia pauku ka 'ike e pili ana i ka hanana o ke maternity haalele iho.

3. Obstetric Ka Ikepili

Kēia māhele hoʻomōakaaka ike e pili pū ana i ka hāpai keiki, a hānau. Ke kauka nana e hoike aku i nā lāliʻi, a e loli i ka haawi. No kela a me keia hapai ike ua i pākahi, me ka nānā 'ana ma mua pregnancies a me hanau. Ua kekahi mau 'ike ma luna o ke koko: kona poho a me transfusions. Eia, ke kauka i ka auhau o ke ola, ma ke kumu o ka mea ma luna ikepili.

Anamnesis hāpai keiki o 38 pule

Kēia manawa ua manaoia e e maliuʻia no ka haawi, akā, no kakahiaka nui no ke keiki. Ma ka noi komo 'ana i ka haukapila e e piha e like me ka moolelo o ka hanau ana o obstetrics. Normal hānau (38 pule) i kekahi, me ka complications, akā, ma hope o ka hānau, kauka pono alakai examinations ma na mea o ka 'aʻe' ana i loko o ka ulu ana o kekahi mau nā loko keiki.

Ma kekahi mau hihia, i ka wā i e waiho incorrectly. Kēia e loli hou makuwahine paʻewa ai 'ike e pili ana i ka menstrual kalapona a me ka mea mua ultrasound. Ma 38 pule i ke kamaiki i ka pololei kulana i loko o ka opu, a ua makaukau no ka hanau ana. Loa pinepine i keia manawa hiki ke ike hana wahahee i hoomakaukau i ka wahine ka kino i ka makana. E like me ke 'inikua' ikepili helu, ia mea he pono kau i ka haawi, a pinepine hele pono.

Anamnesis hāpai keiki o 39 pule

I kēia manawa i loko o ka wahine hapai e hoʻomaka ka hana i kekahi manawa. Kauka mālama nei i ka pono e ho'āʻo ai, a i laila 'o ia i ka maternity haukapila. Ma 39 pule i ke kamaiki, e hina ia lalo a kaomi i kona chin i kona mau kuli. I ka wa e loaa hou makuwahine i loko o maternity haukapila hanau ana mōʻaukala o ka obstetrics mea ia e hoopihaia.

Normal hānau (39 pule) me ka mōʻaukala maikai ana e holo koke ma, a me ka complications. Ma ka palapala hōʻike no nā mea a pau i ka pono ponopono-ae la a me na laau i hoakaka ia. Hope koke mai ka hanau ana, i ka wahine e hoomakaukau ai no ia ma mua, ma hope o hele e nana, ina ke ano o kekahi loli ma ke kino.

Anamnesis hāpai keiki o 40 pule

Kēia manawa ua manaoia e ia i ka pau 'ana o ka hāpai keiki. Inā hana i ole e hele mai, oe e hele i ka haukapila, no ka mea, kona wa e kaawale aku hiki e ukuia i na hoʻolako 'ole. O ka wahine i hoʻokomo i ka haukapila no kilo, ua hookauwa aku oia ia ia i ka piha ana, maloko, a mawaho. Ma ke kumu o nā mea a pau i kēia mea, ua piha i ka mōʻaukala o ka hanau ana o obstetrics. Normal hānau (40 pule) i manaoia e ia i ka loa maikaʻi - ke kamaiki, ua makaukau no ka hanau ana, harmoniously functioning ana a pau na nā loko. Ke kauka pono responsibly hoʻokokoke ai i ka hana ana ia i ka palapala, e like me ka mōʻaukala o ka hanau ana o obstetrics, mai ka mea e pili kēia hilinaʻi ma luna o ka maʻamau hānau.

4. Pahuhopu Study

Kēia nā i hoʻopaʻa 'ia me he manao la noʻu, mai nā hoʻomalu. Ka mua ana kūpono i ka manaʻoʻike moku'āina o na wahine. Ma na aoao, ka mea hilinaʻi nui ma luna o nā mea o ka hana bila kanawai. Ua i kekahi i kekahi hoailona.

mua hanau

Hāpai keiki, a hānau e hōʻike ma ka mōʻaukala, a ua pili i ka hoike. Ma kekahi alanui ka mea, ua kapaia - i ka moʻolelo o ka hanau ana o obstetrics. Normal ka nahunahu hanau mua he pono kauka akahele noiʻi. Keia mea aie a hiki i ka nui, e hoike ana ia mea hiki ole ke kilokilo i ka papa o kēia kaʻina hana, a me ka naoh o ka meaola.

First hanau pīhoihoi,ʻaʻole wale no kookoo akā, no hoi no ka wahine. Oia nā mea maʻi i emi ka iini, no ka mea, ka mea e ole i mea e hiki mai ana e hiki mai ana, a me ka lanakila lanakila ka makaʻu a me ka pīhoihoi. Ka holoʻokoʻa hānau kaʻina hana , mai ka hoomaka ana mai o ka bout mua, a ma mua o ka kamaiki i loko o ke ao nei ua ho'ākāka 'ia ma ka obstetrician ma ka mōʻaukala. A pau 'ike mua i ka hanana, iloko ona i kakauia i ka mōʻaukala o ka nahunahu hanau. Ka uku no ka hāpai keiki mua - e hānau ai mea no ka manawa o 38 a hiki i 41 pule. Obstetricians hookolokolo aku la ia 'ike ma luna o hoopii a me ka maʻi e ua kaua kipi i hāpai keiki. A pau kēia mauʻikepili i kākau i loko o ke kolamu "Pahuhopu noiʻi".

lua o ka hanau

Lua o ka hanau i ka wahine ma mua o ka mea mua. E like me ka rula, mōʻaukala ua muli maʻikepili o ka hāpai keiki mua, a iloko ona i kakauia i ka mōʻaukala o ka hanau ana o obstetrics. Eutocia hiki hoʻomaka me 38-39 pule. Ma ka mōʻaukala o nā wāhine e e möakäka hou lāliʻi o mua pregnancies a me hanau, a laila, hale kūʻai i ka mōʻaukala o ka hanau ana o obstetrics.

Normal hanau hope hilinaʻi nui ma luna o ka pololeiʻike, ma kou kauka. Eia hou, o ka mua i ho'ākāka 'ia ka' ike e hanau i ke keiki i ka, kona ulu ana a me ka congenital maʻi, ina kekahi e pili ana. A pau i kēia, e kōkua obstetricians pono e hana wale aku o na wahine, a hoʻomaka hou hanauna.

5. Obstetric kūlana haʻahaʻa

Kēia wahi i ke kumukuai o ka hahai ana i loko o ka hanau ana mōʻaukala. Eia na ana o ka uterus a me pelvis, i ke Kal o ka fetus a me kona kulana mua hanau i loko o ka opu. Inā ke kauka i kekahi manao ola ana o ka wahine a me fetus, i hiki i ka manawa o ka hanau ana, kauka e mau kanaka hoʻoponopono i ke ahonui, a me ka hopena he hoʻonui i keia pauku. I ka wā i loaʻa ai i ka haukapila i ka wahine, ka mea, ua nānā 'ia ai no ka dilatation a me ka hoakaka i ka degere o ka mākaukau e haʻalele.

6.ʻike, a me Rationale

Ma muli o nā mea a pau o ka luna ikepili ke kahuna lapaau e pono 'ia nā pūʻulu ka pololeiʻike. Kona moʻolelo,ʻo ia kākau, mau ho'āpono a me keʻae i ka Ka Ikepili a me ka nana. Obstetrician heluʻai i loko o keia pauku, i ka lā o ka 'inikua kipa mua a me ka' ike e pili ana i ka hope menstrual pōʻaiapuni. Eia hou, e ho omaulia i ke a me na mooolelo i ka huina kaumaha ka waiwai a me ka Hōʻike prospective ano o ka haawi.

7. Ka haawi papahana

Obstetricianʻo tentative kumumanao haawi kaʻina. Mau nā analgesia aeaiiua, puʻe a me ka holo ana o ke poo o ka fetus. E e ho'ākāka 'ia ma kekahi hihia o ka pilikia ka anu u ma ka anu u me nā mea a pau i ka hiki laau. Ma keia kolamu i hoakaka ia lapaʻauʻia i hoakaka ia no ka malama a me ka hoʻokomo o ka hana.

8. ka papa o ka hānau

Kēia kolamu wehewehe ana i ka manawa o ka haawi. Here, kēlā haka kahi o. Ka pahuhopu nui alualu ma ka mōʻaukala o ka hanau ana o obstetrics - maʻamau deliveries. E e malamaia Women o ke keiki-hua ana i hana no ka wā e hiki mai ola. I ho'ākāka 'ia ma kēia wahi manipulation o Obstetricians nona ma ka hoopakele ana i nā nā loko nui o ka hoʻomanawanui. Once hoʻolaunaʻikepili i hanau, o ka hope e komo aku ai i ma luna o ka hanau ana o ke keiki a me kona mea kiko'î. Pauku hōʻike 'ike e pili ana i ka auhau o ke ola o ka makuahine, a me ka bebe. Ua wehewehe i au mamuli o ka anuu, koi 'ia e hoomakaukau i ke keiki no ka postnatal ka hoʻololiʻana a me kona hou aaioee.

9. Postpartum

Kēia māhele he i ka mālamaʻana o ka hānau keiki no, elua no hora. E hōʻoia i ka leo o ka uterus, a me ka mau manaʻoʻike moku'āina. Inā postpartum wahine? Ac? Complications, keia ua kākau ma ka mōʻaukala. Nō hoʻi nāʻikepili ma luna o ka lāʻau ikiʻai wale a me ke koko,.

10. Epicrisis

hanau mōʻaukala o obstetrics Epicrisis welau. Ua kekahi mau 'ike e pili ana i ka lā a me ka manawa o ka loaʻa' ana o ka makuwahine, a me kona hanau ana. I loko iho hōʻikeʻano ka hoʻololiʻana manawa, a me ka loaa ana o ke kino. Eia hou, ka mea i kākau 'ike e pili ana i ke keiki, i ka manawa a me ka la o kona hanau ana, e like me ka pono i hookuuia mai ka haukapila. No ka mea, he mea 'ike e pili ana i ka hoakaka lapaau, a kuhikuhi ai'.

He aha ka ka mea maʻamau haawi

Ka manaʻo o "maʻamau hanau" Ua controversial. Kekahi hiki ole e hai aku ia ma ka 'ikamu i pili i ka maʻamau haawi. Nō hoʻi ka mea hiki ole ke equated e hoʻomaʻa a me nā wāhine ma lalo o kēia ho'ākāka 'ana. Ka nahunahu hanau - he maikaʻi ke kino kaʻina hana, i meaʻaneʻane impervious i ka pololei Time]. Ma ke Kulanui o KSMU mea obstetrical hooponopono, a lawe mai hānau i ka maʻamau. A laila, hoʻomaka i ka piha 'ana i ka hoʻopau ÷ ino i hiki hoeha a haʻalele i hānau. Ma hope o ka ho'āʻo ma, a pau ka nānā 'ana piha moʻolelo o ka hanau ana o obstetrics.

Normal hanau (KSMU) i paa ma lalo o ka hooponopono ana o kauka o ka mea kiekie loa waeʻano, ka mea akahele kanaka hoʻoponopono i nā loli i loko o ka wahine o ka kino i hānau. Poe akamai i huli moe a me ka urinary nā loko, e like me Loiloi i ka pono o ko lākou mau ho okumu. Kauka ho oholo i ka moku'āina o ke ano nā loko, a me ka ua'emi nenoaia. A wahine i hānau Kahalaopuna kaumaha wahie,ʻaʻole wale kāohi, akā, emotionally, no laila, e nele akahele ninaninau. Kēia kōkua e pale ia ai kekahi hou complications e hiki ke pilikia i ke keiki a me kona makuwahine.

Wahi a ka 'ikepili helu, "maʻamau hanau" Ua hiki ia mea, e ike like me ka maʻamau' inikua ina hana. Kēia kōkua i maopopo ma waena o ahonui a me ka lapaau kamaʻilio, e hana kēlā i ka mea ia manawa a pau i i pono no ia ia. Dr. loaʻeleu ma maternity a, e hoʻouka i hele pono i ka piha kiʻi o kona kulana a hiki i hanau. Ka wahine, ma ka huli, pono e unquestioning ma ka mea, e hoʻokō i nā koi o ka Obstetricians a kālele ana ma luna o ke kaʻina iho.

kekahi mau 'ikepili helu

Inā 'oe e nānā i ka' ikepili helu, ka pakeneka o ka maʻamau deliveries mea haʻahaʻa, wale 10-20%. E hoʻomanaʻo i ka mea pili i ke kaʻina hana ma i kauka i ole intervene. Inā ma ka mōʻaukala o nā pale keiki i loaʻa contraindications a maʻi, e koi 'ia ka mea, e intervene i loko o ka hana. I kēia lā, he nui na 'inikua kulanui, a i kākoʻo' ia e kulanui. Ua hoano e palapala hōʻoia no kauka a me ka 'Oihana opiopio komo i loko o ka hana a me ka wahine ho'āʻo i ka i kā mākou, no laila, na mea a pau i hele pono no ka makuahine, a me ka bebe. Hōʻuluʻulu i, ua hiki ke olelo aku i ka mea nui wale palapala makuwahine - ka mea, ke i kona hanau mōʻaukala o obstetrics.

Eutocia mea hiki wale ina pono lawelawe a me kona mau mana o ke kauka. Inā ka hopena 'ikepili helu ma ka hoohanau, ma ka 37% o nā wāhine, ka poe i ole hoʻolako' ike e pili ana i kou ola a me ka haawi ia,ʻaʻole loa, ka hānau keiki me complications.

ka hopena

I ka moolelo o ka hanau ana o obstetrics - keia mea nui he palapala e pono e pau me ka palena mamao malama. Hilinaʻi ma luna o ka mea hou hanana. e komo kēia palapala e wale ike loea, a hōʻoiaʻikepili. He pono e pau loa hoʻopono a me ka akahele, no ka mea, e loli ai i ka ola o ka makuahine, a me ka bebe.

i aʻo aku lapaau makahiki pehea e pono hoʻopiha mai i ka palapala, o ka oi aku e like me ka moʻolelo o ka hanau ana o obstetrics. Normal hana maʻamau o ka iie i koe i loko o nā mea a pau i pili ola mālama? Iae. Ma ka hana ana i kaʻike,, pono i koi 'ia ke kauka ia ma ka mōʻaukala a me ka hoʻopili aku i ka maopopo ana o keia, e like me ka hai aku i ka hoʻomanawanui e pili ana i na nuances a pau o ka papa o kona hāpai keiki.