Inā koho i kahi haukapila a i kahi kūlana hānau paha, he nui nā mea e noʻonoʻo ai nā wahine hāpai i ka wā e hoʻolālā ai no ka hiki ʻana mai o kahi pēpē.
Akā eia kekahi mea hou a lākou e hoʻohui nei i kā lākou papa inoa o nā hopohopo: opioids.
Nui nā kauka e kuhikuhi i nā opioids i nā wahine e hoʻomaha i ka ʻeha postpartum, ʻoi aku ka nui inā hānau lākou ma ka ʻāpana cesarean.
Akā ʻo ka hapa nui o nā makuahine hou - ma kahi o 9 i 10 mau wahine - hopohopo e pili ana i ka lawe ʻana i kēia mau lāʻau i ka wā a ma hope o ka hānau ʻana, e like me kahi noiʻi ʻo Moms Meet hou o 1 mau makuahine hou a me nā moms-to-be.
He kumu ko lakou e hopohopo ai, wahi a Kauka Alyssa Dweck, he OB-GYN ma Scarsdale, New York. Hiki i nā opioids ke loaʻa nā hopena ʻaoʻao e hiki ke hoʻopilikia i ka hiki o ka makuahine ke mālama i kāna hānau hou.
"ʻO ka nui o nā wahine e paʻa loa a hāʻule i loko o ka constipation, kahi e hoʻoikaika nui ai i kahi ʻāpana o ke kino ma hope o ka hānau ʻana," wahi a Dweck. "Makemake nā wahine e hele a mālama pono i kā lākou pēpē. ʻAʻole lākou makemake e noho i loko o kahi kūlana disorientation. »
Hoʻohui hou, ʻoi aku ka addictive o ka opioids a no ka nui o nā wahine hāpai, ʻo ka manawa a ma hope o ka hānau ʻana ʻo ia ka manawa mua e ʻike ʻia ai lākou i kēia mau lāʻau.
Inā makemake ka wahine i nā opioids a i ʻole nā mea hōʻeha ʻeha ʻē aʻe e pili ana i kona ʻike i ka wā a ma hope o ka hānau ʻana.
A ʻokoʻa ka nui o ka ʻeha o ka wahine ma hope o ka hānau ʻana ma muli o ka hānau ʻana ma ka ʻōpū a i ʻole ma ka C-section a inā he mau pilikia.
Akā, ʻaʻole ʻo ka narcotics wale nō ke ala e hoʻoponopono ai i ka ʻeha.
Ka papa o nā mea
Nā koho hoʻomaha ʻeha kahiko a hou
ʻO ka hui pū ʻana o nā lāʻau anti-inflammatory nonsteroidal, e like me ka ibuprofen a me ka acetaminophen hiki ke lawa pinepine e hoʻomaha i ka ʻeha ma hope o ka hānau ʻana, wahi a Dweck.
I ka wā i hoʻohana ai ke Kula Lapaʻau ʻo Dell ma ke Kulanui o Texas ma Austin a me nā halemai āpau o Seton Healthcare Family i ka hui pū ʻana o ka acetaminophen a me ka ibuprofen ma ke ʻano he mea hōʻeha maʻamau no nā wahine hānau hānau hou, ua hōʻike ʻia ko lākou hoʻohana ʻana i nā opioids ma ka haukapila e 40%.
Hiki i nā makuahine ke hilinaʻi i nā ʻano hana ʻē aʻe e kōkua i ka mālama ʻana i ka pilikia o ka hānau ʻana, wahi a Dweck.
Ua hōʻike ʻia kahi haʻawina ma Brazil e hiki i ka ua wela a me nā hoʻomaʻamaʻa perineal ke hōʻemi i ka ʻeha a me ka hopohopo i nā wahine i ka hana.
"He nui nā wahine e hoʻohana i nā ʻenehana hoʻomaha, ʻo Lamaze lāua ʻo Bradley. ʻO ke komo ʻana i kahi ʻāpana noʻonoʻo - me ka hoʻohana ʻana i nā ʻenehana hoʻomaha a me nā ʻiʻo - ua kūleʻa i nā wahine he nui. Hoʻohana pū mākou i ka ʻaila massage therapy ma koʻu haukapila, "wahi āna.
ʻOiai ke hāʻawi maikaʻi nei ka hānau ʻana o ka wahine me ka paʻakikī ʻole i ka hoʻoponopono ʻana i ka ʻeha non-opioid, pono e manaʻo nā wahine hānau ma ka ʻāpana cesarean e loaʻa i nā lāʻau lapaʻau i ka wā a ma hope o ke kaʻina hana.
Ua ʻike ʻia kahi noiʻi he 91% o nā wahine i hānau ʻia e ka ʻāpana cesarean e pono ai i nā opioids e hoʻokō i ka ʻeha.
Ma kāna ʻōlelo aʻoaʻo hou e pili ana i ka mālama ʻana i ka ʻeha ma hope o ka hānau ʻana, ua paipai ka American College of Obstetricians and Gynecologists i nā kauka e haʻi aku i nā maʻi a me ko lākou ʻohana i ka wā e pono ai nā makuahine i nā opioids e pili ana i ka pilikia o kēia mau lāʻau i ke olakino o nā wahine a me nā pēpē.
"ʻAʻohe mea e manaʻo e loaʻa iā ʻoe kahi hōʻoki nui me ka ʻole o ka lāʻau ʻeha - he mea ʻole ia," wahi a Dweck. "Akā, kūpono ke hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe i hui pū ʻia me nā opioids. »
Hoʻohana mau ʻo ia i kahi maʻi maʻi injectable, i kapa ʻia ʻo bupivacaine, ma ke kahua o ka ʻoki C-section e hāʻawi i nā mea maʻi i ka hoʻomaha ʻeha ma hope o ka hana ʻana no kekahi mau lā. ʻO ka hopena o ka lāʻau lapaʻau i kahi hōʻemi 78% o ka hoʻohana ʻana i ka opioid, e like me ka lāʻau lapaʻau ʻo Pacira Pharmaceuticals.
Eia kekahi, ʻo ka mālama ʻana i nā manaʻolana o nā maʻi a me nā kauka e pili ana i ka ʻeha postpartum hiki ke hele i kahi ala lōʻihi i ka hōʻemi ʻana i ka hilinaʻi opioid, wahi a Dweck.
“I ka lā, ua aʻo ʻia mākou i ʻole e pilikia nā kānaka. ʻO ka pahuhopu he ʻeha ʻole. Akā i kēia manawa, ʻōlelo mākou i nā poʻe maʻi e manaʻo i ka ʻeha olakino. He ʻokoʻa ka manaʻo o ka poʻe hele i ke kula olakino i kēia lā ma mua o koʻu mau makahiki he 20 i hala aku nei - e ulu ana ia i ka manawa, "wahi āna.
E kamaʻilio me ke kauka
ʻAʻohe kumu hoʻokahi no ka hoʻopau ʻana i ka ʻeha wahine ma hope o ka hānau ʻana. He hoʻoholo pilikino kēia e pono ai nā wahine e hana me kā lākou kauka.
ʻOiai ka nui o ka hopohopo o nā makuahine e pili ana i nā lāʻau lapaʻau, ʻo 11% wale nō o ka poʻe pane noiʻi i ʻōlelo ua kūkākūkā lākou i nā hoʻonā hoʻoponopono ʻeha non-opioid me kā lākou kauka ma mua o ka hānau keiki.
“He mea kapu ia. Makaʻu paha nā wahine e nīnau i nā nīnau e pili ana i ka mālama ʻana i ka ʻeha. A he manawa liʻiliʻi nā wahine a me nā kauka, hiki iā ia ke pana i nā mea i lalo, "wahi a Dweck. "Akā ke hoʻomaka nei mākou e kamaʻilio pinepine. »
Hiki i ke kamaʻilio maʻalahi ke kōkua i ka hōʻemi ʻana i ka nui o nā opioids i hāʻawi ʻia i nā kānaka, hiki ke hoʻopakele i nā ola.
Wahi a ka National Institute on Drug Abuse, ʻoi aku ka make o ka opioid overdoses ma mua o 115 mau kānaka ma United States i kēlā me kēia lā. ʻO ka hoʻohaʻahaʻa ʻana i ka hoʻohana ʻana i ka opioid i waena o nā makuahine hiki ke hana i kahi ala kūpono i ka hakakā ʻana i kēia pilikia, wahi a Dweck.
ʻIke ʻia nā ʻikepili mai kekahi mau mokuʻāina, e like me Virginia a me Maryland, ʻo ka hoʻohana ʻana i ka lāʻau lapaʻau a me ka overdoses he kumu nui i ka make ma waena o nā wahine hāpai a i loko o hoʻokahi makahiki.
"ʻO ka hānau keiki ʻana i kekahi mau hihia ʻo ia ka ʻike mua ʻana o ka wahine i nā lāʻau ʻeha, no ka mea ʻo ka hapa nui o nā wahine ʻōpio olakino ʻaʻole i hele pinepine i loko o ka lumi hana," wahi āna.
Ua ʻike kekahi haʻawina ma kahi o 1 i loko o 300 mau wahine ʻaʻole i hoʻohana i ka narcotics hiki ke lilo i mea hoʻohana opioid mau ma hope o ka hānau ʻana i ka cesarean.
Hiki i nā pilikia o ka opioids ke hoʻopilikia i ka poʻe i kauoha ʻole ʻia i ka lāʻau lapaʻau. Ma kahi noiʻi, ʻoi aku ma mua o 95% o nā wahine i kauoha ʻia i ka opioids ma hope o ka pauku cesarean ʻaʻole i loaʻa i nā lāʻau lapaʻau keu, waiho lākou a me nā lālā o ko lākou ʻohana i nā pilikia i ka hoʻohana hewa ʻana a i ʻole ka hana ʻino.
"Eia kekahi, ʻo nā wahine ke komo i ka honua o ka mālama olakino no ko lākou ʻohana. ʻO lākou ka mea e hoʻoholo ai no kā lākou mau keiki a me nā hoa. No laila ʻoi aku ka nui o ka hoʻonaʻauao ʻana iā lākou e pili ana i ka pōʻino o ka opioids, "wahi a Dweck.
ʻAʻole manaʻo ka maʻi maʻi opioid e ʻalo loa nā makuahine hou i kēia lāʻau hōʻeha maikaʻi. Eia nō naʻe, ʻo ka hōʻemi ʻana i ka nui o nā opioids i kuhikuhi ʻia a me ka hoʻohana ʻana i nā ʻenehana hoʻokele ʻeha ʻē aʻe paha ke ʻano o ka liʻiliʻi o nā wahine i hilinaʻi i nā opioids a i ʻole e hana i nā hopena ʻaoʻao o kēia mau lāʻau.
