Whakaora i te mamae o te whānautanga? Me kōrero tātou mō tēnei!

Ki te mea kei te hapu koe, ko tētahi o ngā pātai nui ka pātaihia e koe i ēnei rā ko te pēhea te whakatau i te mamae o te whānautanga, te mamae e puta mai ana i te whānautanga o tō pēpi. Heoi anō, ehara i te mea kotahi te wheako o te katoa. Ko te nui o te mamae e pā ana ki a koe, e whakawhirinaki ana ki ētahi āhuatanga. Hei tauira, ko te rahi o te pēpi, te tūnga o te pēpi, te kaha o ō kōpiritanga kōpū, me tō kaha whānui ki te manawanui ki te mamae.

He aha ēnei mamae whānau ka puta mai? He aha te āhua o aua mamae?

I te whakarapopototanga, ko te mamae o te whānautanga ka puta mai i te kōpeketanga me te whakangāwari o tō kōpū (contracting). Hei āwhina tēnei i te pana i te pēpi ki raro i te awa whānau. I tēnei wā, kei te tīmata te whakatuwheratanga (whanuitanga) me te angiangi (exfacing) o tō kōpū, hei whakarite mō te putanga mai o te pēpi. Tērā pea ka pāngia koe e te mamae i te pēhanga o te pane o te pēpi ki tō pūkahukahu me ō whekau. Ā muri ake nei, tērā pea ka pāngia koe e te mamae i te pēhitanga o te pēpi mā roto i tō tara.

I te nuinga o te wā, ko te mamae tino kaha i te wā whānau ko ngā mamae whakawhānau. He rerekē te āhua o tēnei mamae i ia tangata, i ia tangata. Kāore pea i te rite i tētahi hapūtanga ki tērā i tētahi atu hapūtanga. Ki te tini, he rite ki te mamae koi i te tuara me te puku o raro, me te pēhanga hoki i roto i te tara. E kī ana ētahi he rite ki te paheketanga . Ki ētahi, he rite ki te ngaru kaha o ngā mamae whakawhānau me te mea kua tata te pahū o te kōpū.

I ētahi wā , he nui ake te āwangawanga o te tangata mō te whakamamae i te mamae i te kaha o te mamae, tōna pumau, me tōna roa. E rua ngā huarahi matua hei whakaiti i te mamae o te whānautanga: te rongoā me te kore rongoā.

Ko te mea nui ko te kōrero ki tō kaiwhakarato hapūtanga mō ēnei tikanga whakaora mamae. He painga, he huakore hoki ō ia tikanga. Mā te kōrero mō ēnei i mua i te whānautanga o tāu pēpi ka māmā ake te whakatau ina tae ki te wā.

He tino mamae te whānautanga o te pēpi?

He maha ngā tāngata e pāngia ana e te mamae i te wā e whānau ana, ahakoa he rongoā whakamamae mamae. Ka rerekē te āhua o tēnei mamae, te roa o te mamae, me te wāhi e mamae ai i ia tangata, i ia hāputanga ki ia hāputanga.

He aha ngā kōwhiringa hei whakaiti i te mamae i te wā e whānau ana?

He mea nui kia mōhio koe ki ngā kōwhiringa whakaora mamae e wātea ana i te wā e whānau ana. Kōrerohia tēnei ki tō tākuta i mua i te whānautanga o tō pēpi. Mā te mōhio ki ngā mea hei tumanakohia me ngā painga me ngā huakore o ia rongoā whakaora mamae ka āwhina i a koe ki te whakatau whai whakaaro ina tae ki te wā.

Kia maumahara, ko ngā kōwhiringa whakamamae mamae ka taea e koe te whiriwhiri ka rerekē pea i runga i ngā āhuatanga motuhake o tō whānautanga. I roto i tō whānautanga, ka āwhina tō tākuta i a koe ki te whiriwhiri i te kōwhiringa whakamamae mamae e tika ana māu, i runga i tō āhua me te pai o tō whakamarie.

Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga whakamoe mamae (he tākuta e tohunga ana ki te whakahaere mamae) hei whakamārama i ngā kōwhiringa whakaora mamae, pērā i te whakamoe epidural, te whakamoe tuaiwi rānei. Ka koa te tohunga whakamoe ki te whakautu i ō pātai katoa.

Anei ētahi o ngā rongoā whakamamae mamae e whakamahia whānuitia ana i te wā e whānau ana:

1. Ngā rongoā mamae

Ka hoatu e ngā tākuta ēnei rongoā whakamamae mamae, e kiia nei ko "Analgesics," mā te raina IV (i roto i te uaua) rānei, ki roto rānei i te uaua hei āwhina i te whakaiti i te mamae o te whānautanga. Kāore ēnei rongoā e whakakore katoa i te mamae, engari ka taea e rātou te whakaiti nui. Nā te mea ka pā ēnei "Analgesics" ki tō tinana katoa, ā, ka taea e rātou te whakamoe i a koe me tō pēpi, ko te nuinga o te wā ka whakamahia i ngā wāhanga tōmua o te whānautanga hei āwhina i a koe ki te okioki me te penapena pūngao.

Me pēhea te whakamahinga o ēnei (ngā rongoā mamae mamae) i te wā e whānau ana?

Ka hoatu ēnei hei rongoā mā roto i te uaua, hei werohanga rānei ki roto i te uaua. Ka ārai i tō urupare ki te mamae, ehara i te whakakore. Ko ngā rongoā whakangāwari mamae he momo rongoā e kiia nei ko te opioid.

He aha ngā mōrearea o te whakamahi i ngā opioid i te wā e whānau ana?

Mā te whakamahi i ngā opioids mō te mamae o te whānautanga ka uaua te manawa o te pēpi i muri tonu i te whānautanga, ā, ka taea e ia te whakangenge, te "kore mohio" rānei. Nō reira, me pātai ki tō tākuta, ki tō tohunga whakamoe rānei mō ngā painga me ngā huakore o te whakamahi i ngā rongoā mamae.

2. Te Whakamamae ā-Rohe

Ka whakangāwari te rongoā whakangāwari ā-rohe i tētahi wāhi iti o tō tinana, pērā i tō tara me te rohe e karapoti ana. Ka hoatu tēnei e ngā tākuta ina tata koe te whānau (mēnā rānei e hiahiatia ana he tuitui i muri i te whānautanga o te pēpi).

He aha te tikanga o te rongoā whakamoe ā-rohe mō te whānautanga?

Ka whakamahia tēnei hei whakangā i tētahi wāhi iti o tō tinana i te wā e whānau ana. Ka werohia e te kaiwhakamoe he rongoā whakangā ki roto i ngā io e kawe ana i ngā kare ā-roto ki te wāhi. Hei tauira, ka taea e ia te whakangā i te tara, te vulva me te wāhi i waenganui i te tara me te nono (perineum). He tino whai hua mēnā me whai episiotomy koe, mēnā rānei me whakatika e koe tētahi pakaru o te tara i muri i te whānautanga. He onge ngā pānga taha o te whakangā ā-rohe.

He aha te Poraka Pudendal?

He momo rongoā whakamoe ā-rohe anō hoki te aukati pudendal. Ko te werohanga tēnei ki roto i tō io pudendal. Ka tukuna tēnei e ngā tākuta i te wā tonu e whānau ai tō pēpi. Ka whakaitihia te mamae huri noa i tō tara me tō nono i te mea ka neke tō pēpi i te awa whānau, ka puta mai i tō tara. He pai ki ngā tākuta te whakamahi i te rongoā e kīia ana ko te lidocaine mō te aukati pudendal nā te mea he roa ake te mahi i ētahi atu rongoā.

3. Te Whakamamae ā-Rohe

Ko te rongoā whakamoe ā-rohe te momo whakaora mamae tino noa, tino whai hua hoki i te wā e whānau ana. Ka taea e ia te whakaiti, te whakakore rānei i te mamae o tō tuara o raro. Ka taea hoki te whakamahi mēnā he C-section tōu, he cesarean rānei. E toru ngā momo rongoā whakamoe ā-rohe: te tuaiwi, te epidural, me te whakakotahitanga o ngā mea e rua (te tuaiwi/epidural whakakotahi). I ia o ēnei tikanga, ka werohia e te tohunga whakamoe he rongoā ki roto i ngā io o tō tuara o raro hei "ārai" i te mamae i tētahi wāhi nui o tō tinana i a koe e ara ana.

He aha ngā momo rongoā whakamoe ā-rohe e toru e whakamahia ana i te wā e whānau ana?

• Te Ārai Epidural: Ka whakauruhia e tō tākuta whakamoe he ngongo kirihou angiangi, e kiia nei ko te catheter, ki roto i tō tuara. Ka waiho tēnei ngongo kia mau tonu tae noa ki te mutunga o te whānautanga, ā, ka honoa ki te papu. Mā tēnei ka taea e koe te tango i ngā horopeta iti o te rongoā e hiahiatia ana i te wā e whānau ana. Mena me mahi C-section koe, ka taea e tō tākuta te hoatu he horopeta rongoā kaha ake mā roto i tēnei ngongo. Ko te epidural te tikanga rongonui mō te whakamamae mamae i ngā whenua pēnei i te United States. Ka whakangoikore i tō tuara o raro me ō waewae. E 15 meneti pea te roa ka tīmata te mahi a te epidural. Ka taea tonu e koe te neke haere i runga i te moenga me te huri tūranga me te epidural.
• Te Ārai Tuaiwi: He maha ngā wā ka whakamahia te ārai tuaiwi i muri i te pokanga C-section kua whakaritea. Ka whakamahia e te tohunga whakamoe he ngira angiangi hei whakangāwari i te rohe huri noa i tō tuaiwi (te awa tuaiwi). Ka tere te mahi a tēnei tikanga, ā, ka taea te pupuri i a koe kia kore e mamae mō te rua hāora pea. Kāore i rite ki te epidural, kāore te ārai tuaiwi e whakarato i te whakaora tonu.
• Te Whakakotahitanga o te Tuaiwi-Epidural (CSE): He whakakotahitanga tēnei o te epidural me te tuaiwi. Ka tere ake te whakangote o te tuaiwi, ā, ka taea te whakamahi me ētahi atu rongoā mēnā e tika ana.

Āhea ka tukuna te rongoā whakamoe ā-rohe?

Ko te wā pai rawa atu mō te whiwhi i te rongoā whakamoe ā-rohe, kei runga i te urupare a koe me tō pēpi ki te whānautanga. Mēnā ka tono koe i te rongoā whakamoe ā-rohe i te wā e whānau ana, ka waea atu tō tākuta ki tētahi tohunga whakamoe. Kātahi ka haere mai te tohunga whakamoe ki tō rūma ka hoatu te rongoā whakamoe. Ka memeha haere te kaha o te rongoā whakamoe ā-rohe i roto i te wā, nō reira he mea nui te wā. Ka whakarite te tākuta kei te taumata tika o te rongoā whakamoe tō whānau. Heoi, ki te whakaroa koe i te whiwhi i te epidural, tērā pea kāore e taea e koe te whiwhi. Koia te take he mea pai kia ako koe mō ngā kōwhiringa rongoā whakamoe i mua i te whānautanga o tō pēpi. Kāore he ture pakari, ā, ki te huri ohorere tō whakaaro, he kōwhiringa tonu te epidural.

Ki te tono koe i te rongoā whakamoe ā-rohe, ka whiwhi pea koe i te rongoā whakamoe epidural, i te rongoā whakamoe tuaiwi rānei, i te whakakotahitanga rānei o ngā mea e rua. Ka whiriwhiria e ngā tākuta te momo rongoā whakamoe i runga i tō hauora whānui me te ahunga whakamua o tō whānautanga.

He pēhea te mahi a te werohanga epidural?

Ka hoatu e te tākuta whakamoe he epidural ki a koe i a koe e noho ana, e takoto ana rānei i tō taha. Tuatahi, ka whakangoioi ia i tētahi wāhi i tō tuara o raro mā te whakamahi i te whakangoioi ā-rohe. Kātahi ka werohia he ngira motuhake ki te wāhi ngoioi hei kimi i te wāhi tika hei wero i te whakangoioi. Whai muri i te werohanga o te whakangoioi, ka tangohia e te tākuta whakamoeoi te ngira. Ka waihohia he ngongo kirihou iti e kiia nei ko te catheter epidural ki tōna tūranga i muri i te tangohanga o te ngira, hei hoatu i te rongoā mamae ki a koe ina hiahiatia kia mutu rā anō te whānautanga.

Ka pāngia taku pēpi e te mate whakamoe ā-rohe?

He maha ngā rangahau kua whakaatu he haumaru te rongoā whakamoe ā-rohe mōu me tō pēpi.

Kia pēhea te tere o te pānga o te rongoā whakamoe ā-rohe, ā, kia pēhea te roa o tōna pānga?

Ka tīmata te mahi a te rongoā whakamoe epidural i roto i te 10 ki te 20 meneti i muri i te werohanga. Ka roa te whakamamae mamae mai i te epidural tae noa ki te mutunga o tō whānautanga, nā te mea ka taea te hoatu he rongoā anō mā te catheter i ngā wā katoa.

Ka tīmata tonu te mahi a te rongoā whakamoe tuaiwi i muri i te werohanga. E rua hāora te roa o te whakamamae mamae. Mena e whakaarohia ana ka roa ake tō whānautanga, ka whakauruhia e tō tākuta he catheter epidural ka hoatu he rongoā ki a koe hei whakaora tonu i te mamae mō te roa e hiahiatia ana.

Kia pēhea te nui o te mamae ka pā ki ahau i te rongoā whakamoe ā-rohe?

Ahakoa kua tino marino te mamae, tera pea ka pēhia tonutia koe e te mamae o tō kōpū. Tērā pea ka pēhia koe e te tākuta ina tirohia koe. Tērā pea kāore e taea e koe te hikoi i te nuinga o te wā. Me ara koe, me mataara, me te kaha ki te rongo i te mamae ina tae ki te wā e pēhi ai.

Me noho tonu ahau ki te moenga i muri i te whiwhinga o te rongoā whakamoe ā-rohe?

Kāore rawa. Ka taea e tō tākuta whakamoe te whakarite i te whakamoe kia taea ai e koe te noho ki runga i te tūru, te hikoi rānei. Tērā pea ka āwhina te hikoi, te noho rānei ki te tere ake i te whānautanga. Ki te hiahia koe, pātai atu ki tō tākuta whakamoe mō te "epidural hikoi".

Ka whakaroahia taku whānautanga e te epidural?

Mō ētahi tāngata, ka pōturi pea te whakahekenga o te kōpū mō te wā poto i muri i te rongoā whakamoe ā-rohe. Engari mō te tini tāngata, ka āwhina te rongoā whakamoe ā-rohe i a rātou kia whakangā, ā, mā te tuku i a rātou kia whakangā, ka pai ake te āhua o te whakahekenga.

Ki te whiwhi ahau i te epidural, ka taea e au te pēhi?

Āe. Mā te rongoā whakamoe ā-rohe ka taea e koe te okioki pai tae noa ki te tuwhera o tō pūkahukahu. Ina tino whānui tō pūkahukahu, ā, kua tae ki te wā ki te pēhi, ka nui ake tō kaha e toe ana. Kaua te rongoā whakamoe ā-rohe e pā ki tō kaha ki te pēhi. Me māmā ake te pēhi māu.

He pānga taha anō kei te pā mai o te rongoā whakamoe ā-rohe?

Ka āta tupato tō tākuta whakamoe hei ārai i ngā raruraru. Ahakoa he onge ngā raruraru, ko ētahi o ngā pānga taha ko:

• Te toto toto iti: Ka hoatu he wai ki a koe mā roto i te uaua (ngā wai IV), ā, ka aroturukihia tō toto e tō tākuta kia kore ai e tino heke iho.
• Te mākati ngawari i te wā e whānau ana: Ki te hoha te mākati, ka taea e te tohunga whakamoe te rongoā.
• Ānini: Mā te inu wai me te tango i te rongoā mamae i muri i te rongoā whakamoe ā-rohe ka āwhina i te ānini. Ki te mau tonu te ānini, kōrero ki tō tākuta.
• Te mate pāwera: Ahakoa he onge ngā mate pāwera ki ngā rongoā whakamoe ā-rohe, ka taea e rātou te kino rawa.

Mena kua pokanga nui koe i tō tuara o raro i mua, ki te mea rānei he mate hauora tōu, kāore pea e taea te whakamahi i te aukati epidural, i te aukati tuaiwi rānei. Kōrero ki tō tākuta mō ngā mōrearea o te aukati epidural, i te aukati tuaiwi rānei, i runga i tō hītori hauora.

4. Whakamamae Whānui

Mā te rongoā whakamoe whānui koe e moe rawa. Ahakoa he haumaru, ko te tikanga o te rongoā whakamoe whānui kāore koe e kite i tō pēpi i muri tonu i te whānautanga. He maha ngā wā ka whakamahia i ngā wā ohorere.

Āhea te wā e whakamahia ai te rongoā whakamoe whānui i te wā e whānau ana?

Ko te tikanga o te rongoā whakamoe whānui kei te moe katoa koe i te wā e whānau ana tō pēpi. Ka tere te mahi, engari he kōwhiringa noa iho mō ngā mahi C-section ohorere, me ētahi atu āhuatanga ohorere rānei, pērā i te toto nui i te wā e whānau ana.

He aha ngā mōrearea o te whakamoe i te pēpi i te wā e whānau ana?

Ko tētahi mōrearea o te mate whakamoe whānui ko te urunga o te kai ki roto i ō pukahukahu (`(te mimiti)`). Ko te tikanga o tēnei, i a koe e moe ana, ka puta mai te kai mai i tō puku i roto i tō waha ka manawahia. Koinei te mōrearea matua o te mate whakamoe whānui, ehara i te mea mō te whānautanga anake, engari mō ngā pokanga katoa.

5. Waikura Hauota

Ko te hauota hauota, te "hau kata" rānei, he hau kāore he kakara, kāore he reka. Ka hongihia e koe mā te kopare. Ka āwhina i te whakaiti i te manukanuka i te wā e whānau ana, engari kāore e whakakore katoa i te mamae.

He aha ngā painga me ngā huakore o te hau kata?

Kāore i te tino whānui te whakamahinga o te hauota hauota i te Hononga o Amerika, pērā i ētahi atu whenua. He hau e manawahia ana e koe mā te waha ina tata koe te mamae. Ka tere tana mahi, engari ka tere hoki te memeha. Kei te rangahau tonu ngā kairangahau hauora i ngā pānga roa o te hauota hauota. Ka pā te hauota hauota ki tō manawa, ā, ka pāngia hoki koe e te whakapairuaki, te ruaki, me te whanoke.

He aha ngā huarahi taiao hei whakaiti i te mamae o te whānautanga?

He maha ngā huarahi hei whakahaere i te mamae i te wā e whānau ana, me te kore rongoā. Ko te whānautanga tūturu, kāore e whakamahia he rongoā. Engari, ka whakamahia e te tangata ngā mahi manawa me ngā tikanga whakangā hei āwhina i a rātou ki te whakatau i te whānautanga.

Anei ētahi tauira o ngā huarahi hei whakaiti i te mamae me te kore rongoā:

• Te tiki mirimiri.
• Kāore he aha te kaukau i te wai wera, te ua rānei.
• Te whakarongo ki ngā waiata marino, māmā.
• Te piu i runga i te pōro whakakori tinana (`(pōro whānau)`).
• Te mahi i ngā mahi manawa hōhonu.
• Te whakaaroaro, te whakamahi rānei i te hipnosis / hypnobirthing.
• Te mahi i ētahi atu tikanga whakangā.
• Te Whakamātautau Wero (`(Te Whakamātautau Wero)`).

He maha ngā wā, mā te noho mai o tō tāne, tō hoa rangatira rānei, he doula whānau, he hoa rānei i te taha o te whānautanga ka taea te whakarato i te tautoko nui me te whakatenatena pai. Ka kiia tēnei ko te tautoko whānau tonu . Ko ētahi tāngata ka whiriwhiri ki te whakamahi i ēnei tikanga taiao me te rongoā.

He aha te momo whānautanga te mea tino mamae?

He pātai uaua tēnei ki te whakautu nā te mea he maha ngā mea hei whakaaroaro. Ko ētahi o ēnei mea ko te rahi o tō pēpi, te whānui o tō hope, mēnā kua whānau kē koe i mua, me te momo tikanga whānau e hiahia ana koe.

Ahakoa he mea pai kia mōhio koe ki ngā huarahi hei whakaora i te mamae i mua i te whānautanga o tō pēpi, he mea uaua te whānautanga kia mōhiotia. Kōrero ki tō tākuta mō ō āwangawanga, ā, mā rātou koe e āwhina ki te whakatau ko tēhea te mea pai mōu.

He rongoā whakamamae mamae mō te mamae whānau?

Ka taea e ētahi momo narcotics (narcotics/opioids) te āwhina i te whakaiti i te mamae e pā ana ki a koe i te wā e whānau ana. Ahakoa kāore e taea te whakakore katoa i te mamae, ka taea e rātou te āwhina ki te whakahaere i tō urupare ki te mamae. Ka hoatu ēnei e tō tākuta mā te werohanga uaua (IV) mā te werohanga rānei, i te nuinga o te wā i te tīmatanga o te whānautanga (koinei te mea haumaru). Kōrero ki tō tākuta mō ngā pānga taha o ngā opioids, nā te mea kua whakaatuhia ka puta he pānga taha pēnei i te hiamoe me ngā huringa o ngā tauira manawa.

Ka taea e au te whānau tamariki me te kore mamae?

Kāore pea he whānautanga kore mamae. Heoi, he maha ngā kōwhiringa hei āwhina i te whakaiti, i te whakahaere rānei i tō mamae i te wā e whānau ana. He rerekē te mamae o te whānautanga o te katoa. Ko te mea pai rawa atu māu ko te kōrero ki tō tākuta whānau, ki tō tākuta whakamoe rānei mō ō kōwhiringa. He maha ngā wā kāore e taea te matapae i te whānautanga me te whānautanga, ā, me ngāwari pea koe, engari he mea āwhina kia mōhio koe ki ngā mea e hiahiatia ana e koe i mua i te whānautanga o tō pēpi.

He aha ngā huarahi kē atu hei whakakapi i te epidural?

Ko te epidural te momo whakamamae mamae e kōrerohia ana, e rongonui ana hoki mō te whānautanga. Ki te kore koe e whakaaro he epidural tō hiahia, kei reira ētahi atu kōwhiringa hei āwhina i te whakaiti i tō mamae. Tērā pea he āwhina te aukati io pudendal, te acetaminophen rānei (paracetamol) mēnā kāore koe e pai ki te whakaaro o te epidural. Mēnā rānei, ka taea e koe te tirotiro i ngā kōwhiringa kore-rongoā, pērā i ngā akomanga whānau.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

He wheako mamae pea te whānautanga. Nō reira, mā te ako i ngā kōwhiringa katoa e wātea ana hei whakaiti i te mamae ka āwhina i a koe ki te whakatau whai whakaaro mō te mea tika māu. Pātai atu ki tō tākuta kia whakamārama mai i te mahi a ia tikanga me tā rātou e taunaki ana i runga i tō hītori hauora. He huarahi pai te whai mahere mō ngā mea hei tumanakohia me te whakahaere i te mamae me te kore whakamarie o te whānautanga hei whakarite i a koe mō tēnei. Kaua e manukanuka, ehara i te mea ko koe anake, kei reira ngā tākuta me ngā nēhi hei āwhina. Kia harikoa tō whānautanga!

Mamae whānau, whānautanga, whakamamae mamae, epidural, aukati tuaiwi, whānautanga tūturu, hapūtanga