No ka hānauʻana i ka'ōhū hauʻona,ʻo ia ka manawa i makemake nuiʻia ai ka wahine. Akā, ma ke ala i ka pahuhopu, ponoʻo ia e hana i nā papa he nui no ka lāʻau lapaʻau, no ka mea, hiki i nā maʻi a me nā'āpala o ka mumū i loko o ka wahine male ke lilo i mea pale nui i ka hāpaiʻana. No laila, e makemake ana e hoʻomaka i ka hana hoʻohālike, makemake nā wāhine i ka wā hiki iāʻoe ke hāpai ma hope o ka laweʻana i nā lāʻau'alope.
ʻO ka hoʻolālāʻana i ka hānauʻana ma hope o nā lāʻau'alope
ʻO nā lāʻau'aloʻolo he mau mea ia o nā kumu maoli a iʻole ka hapalāʻau, kahi e hiki ai ke hoʻopau i ka hana nui o nā pūnaewele ola (e like me ka bacteria). ʻO ka manawa e hiki ai iāʻoe ke hoʻolālā i ka hanuʻana ma hope o ka laweʻana i nā lāʻau'alopelo, e pili i kekahi mau kumu. ʻO ka meaʻoiaʻiʻo,ʻo nā lāʻau'apikopiko ka waiwai e hōʻiliʻili i ke kino aʻaʻole e hoʻoili i nā kino wale nō, akā,ʻo nā pūnaewele male, e like me ka hua manu i loko o ka wahine. I ka hoʻolālāʻana o ka hāpaiʻana ma hope o nā lāʻau'alopelo, pono e mālama kekahi i keʻano ma muli o ka lawelaweʻana i nā lāʻau lapaʻau i ka spermatozoa o nā kāneʻaʻole i ka hele wale wale nō, akā, aia nō hoʻi i nā maʻi. ʻO kaʻike, kahi e pili ana i nā pūlohelohe pilikino, ke alakaʻi pinepineʻia i ka hāʻuleʻoleʻana i ka manawa ma mua. ʻO ia ke kumu e hiki ai ke hoʻoholo e hāpai i hope o ka laweʻana i nā lāʻau'alopelo i ka manawa e hele ai kekahi wahine ma kahi o hoʻokahi mau māmala hanu. Inā hoʻohana kekahi kanaka i nā lāʻau'alopelo, ponoʻole ka hoʻohuaʻana ma mua ma mua, i loko o nā mahina he 2-3, ke hoʻouka houʻia ka pua. No laila,ʻo ka hānauʻana ma hope o nā lāʻau'alopelo he mea hiki a me ka hopena maikaʻi. ʻO ka mea nuiʻaʻole e wikiwiki, aʻo nā mahina mua o ka mālamaʻana e paleʻia.
Pehea e pili ai nā lāʻau'alopona i ka hāpaiʻana?
ʻO ka hopena ua loaʻa i kekahi wahine i ka maʻi i nā maʻi maʻi, a ua kauka ke kauka iā ia i nā lāʻauʻalo. A ke hopohopo nui neiʻo ia no ka hopena o nā lāʻau'alopelo ma ka hāpaiʻana a me nā hopena kūpono no ka'ōpiopio. ʻO nā hopohopo o ka makuahine i ka wā e hiki mai ana,ʻaʻole loa he kumuʻole. Hiki i kēia mau lāʻau lapaʻau ke loaʻa ka hopena maikaʻiʻole i ka'ōpū. ʻO ka hopena maikaʻi o nā lāʻau'alopelo i nā hebedoma mua o ka hāpaiʻana: hiki i nā maʻi patipona ke kū i kēlā kumu i hāpaiʻoleʻia ai ka manawa maʻamau.
Hoʻopāʻia nā papa hana ma hope nei no ka hāpaiʻana:
- nā'ōpona (eg, doxycycline) e pili ana i ke ake a me ka pūnaewele;
- sulfonamides (sulfademitoxin), e alakaʻi ana i nā hemahema he nui;
- aminoglycosides (amikar), he hopena koʻikoʻi ko lākou i ka lohe;
- ka fluoroquinolones (ciprofloxocin, nolycin, ciprolet), e hōʻino i nā hono.
Ua maopopo he hikiʻole i nā wāhine hāpai a pau ke mālama me nā maʻiʻole i nā malamaʻeiwa. Aia kekahi mau maʻi i ka manawa e pono ai ka lāʻau lapaʻau pono, no ka mea:
- me nā maʻi urogenital (pyelonephritis, cystitis, chlamydia, a me nā mea'ē aʻe);
- me nā maʻi o ka maʻi hanu i hanaʻia e ka bacteria (pneumonia, puʻu'ā'ī);
- i nā maʻi o ka hāpaiʻana (polyhydramnios, hypochlorism);
- nā maʻi e hoʻopilikia ana i ke ola o ka makuahine.
Akā, he aha nā lāʻau āpau e hiki ke hoʻohana i ka wā o ka hāpaiʻana?
- Hoʻokomoʻia ka mums i nā lāʻauʻokoʻa o ka penicillin (ampicillin, amoxicillin, amoxiclav).
- ʻAʻohe hopena maikaʻi ma ka hoʻomākaukauʻana i nā'ōpili o macrolides (erythromycin, rovamycin, vilprafen).
- I nā lāʻau āpau i hoʻokaeʻia i loko o ka'ōpū me nā cphalosporins (cefazolin, supraks, ceftriaxone, cefepime).
- ʻO nā lāʻau'apikopi i ka wā mua o ka hāpaiʻana, ua pāpāʻia ma muli o ka uhakiʻiaʻana i ka hoʻokomoʻana i nā'ōpū fetal. Ma kaʻelua aʻekolu o nā kumukolu, i ka manawa i hoʻokumuʻia ai nā'ōpona, hiki loa ka loaʻaʻana iā lākou (trichopolum, metronidazole, flagel, furadonin).
I kekahi hihia,ʻaʻole pono i nā mākua i ka wā e hiki mai ana i ke aloha. E hoʻomanaʻo he hiki i ke kauka ke kau i kekahi lāʻau lapaʻau, pono eʻikeʻia e pili ana i ka'ōpū o ka maʻi. ʻO ia ka mea nāna e kuhikuhi i nā lāʻauʻaeʻa kūpono no kahi maʻi, aʻo kahi wahine ma ia kūlana, he mea pono loa e mālama i nā lāʻau o ke kauka, me ka ho'ēmiʻoleʻana a me ka hoʻomāhuahuaʻana.