Ngā mea e tika ana kia mōhio koe mō te pokanga Caesarean (C-Section)

Hei whaea, he maha ngā moemoeā ka whānau tāu pēpi i te ara noa, arā, mā te whānautanga tara. Engari i ētahi wā, kāore ngā mea katoa e rite ana ki tā tātou e whakaaro nei. Hei haumaru mōu me tāu pēpi, me whakatau pea ngā tākuta ki te mahi i te pokanga tākihi, i te mea e mōhiotia ana e tātou katoa, he pokanga-c. He mea noa te mataku me te manukanuka ina rongo koe i tēnei. Engari ki te mōhiotia tika koe mō tēnei mea, ka taea e koe te wikitoria i taua mataku. I tēnei rā, me kōrero tātou mō ngā mea katoa e pā ana ki tēnei pokanga pokanga-c.

He aha te tikanga o te c-section?

Ko te pokanga tākuta (C-section) he tikanga pokanga e whai wāhi ana ki te tapahi i ētahi tapahi i roto i tō puku me tō kōpū hei whānau i tāu pēpi. Ka mahia tēnei mēnā kāore e taea te whānau noa, mēnā rānei ka whakatauhia e tō tākuta he mea morearea mōu, mō tāu pēpi rānei. He whakatau hauora tino nui tēnei hei whakaora i te ora o te whaea me te pēpi.

Āhea te wā e hiahiatia ai te mahi c-section?

E rua ngā wāhanga matua o te pokanga c-section. Ko tētahi ko te pokanga kua mōhiotia, kua whakamaheretia i mua. Ko tētahi ko te pokanga kāore i whakamaheretia nā te mea he raruraru ohorere i te wā e whānau ana.

Ngā take hei whakamahere i mua me te mahi C-section

I ētahi wā, i te tīmatanga o tō hapūtanga, ka whakatau tō tākuta ko te c-section te kōwhiringa pai rawa atu, me te haumaru hoki mōu. Anei ētahi take mō tēnei.

Ngā take mō te whānautanga o tētahi c-section kāore i whakamaheretia

I ētahi wā, ina pai te haere o ngā mea katoa, ā, e tatari ana koe kia whānau noa te pēpi, ka puta he raruraru ohorere, ā, me whānau koe me te pokanga c-section.

• Te whānautanga roa: Mena ka mutu te whakatuwheratanga o te kaki o te kōpū i waenganui, ka mutu rānei te heke iho o te pēpi.
• Te Pehitanga o te Taura o te Pēpi: Mēnā ka takai te taura o te pēpi ki te kaki, ki te tinana rānei o te pēpi, ka mau rānei i waenganui i te māhunga o te pēpi me te hope o te whaea.
• Te Pōturitanga o te Umbilical Cord: He āhuatanga ohorere tino kino tēnei. Mēnā ka puta te umbilical cord i te tara i mua i te whānautanga o te pēpi, tera pea ka ngaro te hāora i te pēpi.
• Te Pakaru o te Whenua: Ki te wehe te whenua i te pakitara kōpū i mua i te whānautanga o te pēpi, he mōrearea nui tēnei mō te whaea me te pēpi.
• Te mamae o te pēpi: Mena ka rerekē te tere o te manawa o te pēpi i te wā e whānau ana, ko te tikanga kāore e taea e te pēpi te aro atu ki te taumahatanga o te whānautanga. I taua wā, me whānau wawe te pēpi mā te c-section.

He aha ngā mea ka tupu i mua i te pokanga?

Mena kei te whakaritea he pokanga c-section, ka tupu ēnei mea i mua i te pokanga.

• Te hainatanga i ngā puka whakaaetanga: Me whakaū e koe mā te tuhituhi tō whakaae ki te pokanga.
• Te kōrero mō te rongoā whakamoe: Ka kōrero te tohunga whakamoe ki a koe mō te āhua o te hoatutanga o te rongoā whakamoe ki a koe. I te nuinga o te wā, he ārai epidural, he ārai tuaiwi rānei . Mā tēnei ka whakangāwari koe mai i tō uma ki raro, engari ka mōhio tonu koe.
• Te Whakarite: Ka tangohia te huruhuru mai i te wāhi pokanga (te puku o raro). Ka whakaurua he catheter. Ka tāpirihia he taputapu hei ine i ngā mea pēnei i te tere o te manawa me te toto toto.
• Te werohanga tote: Ka werohia he cannula ki roto i te uaua i te ringa, i te ringaringa rānei, hei hoatutanga i ngā rongoā me ngā wai e tika ana (te tote).

I roto i te wāhanga C-section ohorere, kāore he nui o te wā mō ēnei mea. He tere rawa te mahi a ngā mea katoa hei whakaora i tō oranga me tō pēpi. I roto i tēnei āhuatanga, ka tukuna pea he rongoā whakamoe whānui ki a koe, ka moe rawa koe, nā te mea he tere ake i te werohanga tuaiwi.

He aha tonu te mea e tupu ana i te wā o te pokanga?

Kia oti te rongoā whakamoe, ka horoia tō puku ki te wai patu paturopi. Kātahi ka whakatakotoria he ārai i waenganui i a koe me te tākuta.

Muri iho, ka tapahia e te tākuta tō kiri me tō pakitara puku. Tērā pea ka tapahia tēnei tapahi ki te taha whakararo (he tapahi bikini) ki raro rānei. Kātahi ka tapahia he tapahi 3-4 inihi te roa ki roto i te kōpū, ā, ka tangohia marietia te pēpi mā roto i tēnei tapahi.

I muri i te whānautanga o te pēpi, ka tapahia te pito o te kōpū, ka tangohia te whenua whānau, ā, ka tuituia ngā tapahi o te kōpū me te puku ki ngā tuitui.

Nā, he aha te āhua o tēnei pokanga?

Kāore koe e rongo i te mamae nā te mea kei raro koe i te rongoā whakamoe. Heoi, he maha ngā whaea e kī ana ka rongo rātou i te paku kukume, i te pēhi rānei ina tangohia te pēpi i roto i tō rātou kōpū. He mea noa tēnei.

He aha ngā mea ka tupu i muri i te pokanga c-section? Kia pēhea te roa o te wā e ora ai?

Me noho koe ki te hōhipera mō te 2-3 rā i muri i te pokanga. I te memeha haere o te rongoā whakamoe, ka tīmata koe ki te rongo i te mamae o te motu. Mō ngā rā tuatahi, me āwhina pea koe ki te ara ake i te moenga.

E whā ki te ono wiki pea te roa hei whakaora tino. Me tino tupato koe i tēnei wā.

• Okiokinga: Kia nui te okiokinga e taea ana. Kaua e mangere ki te tono āwhina ki te whānau me ngā hoa mō ngā mahi whare, te māra, me te tunu kai.
• Kaua e hiki i ngā mea taumaha: Kaua e hiki i tētahi mea taumaha atu i te taumaha o te pēpi.
• Ngā rongoā whakamamae: Tangohia ngā rongoā whakamamae kua tohua e tō tākuta i te wā tika.
• Kia tupato ki te tapahi: Kia ma, kia maroke hoki te tapahi. Whaia ngā tohutohu a te tākuta.
• Taraiwa: Kaua e taraiwa kia taea rā anō e koe te huri i tō tinana me te parai i te pēke me te kore he uauatanga.
• Te moe tāne me te wahine: Kaua e moe tāne mō ngā wiki e ono, kia whakaaetia rānei koe e tō tākuta.

He mea noa te toto o te tara (lochia) mō ētahi wiki i muri i te pokanga. Ka whero i te tīmatanga, kātahi ka huri kowhai, ā, ka memeha haere. Whakamahia he tauera horoi mō tēnei, kaua he tampon.

He aha ngā mōrearea me ngā painga?

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei te wā e hapu ana (C-section). Engari kia maumahara, ka whakatau te tākuta i tēnei whakatau i muri i tana mōhio he nui ake ngā mōrearea o te korenga o te pokanga i ēnei mōrearea.

Āhea ahau me waea atu ki te tākuta?

Ki te pāngia koe e tētahi o ēnei tohu i a koe e ora ana, me whakapā atu koe ki tō tākuta tonu . He tohu pea ēnei nō te mate urutā.

• Mena he whero, he pupuhi hoki te wāhi i tapahia.
• Mena kei te maringi te wai, te wai rānei i te motu.
• Ki te mea he kirika tōu .
• Mena ka piki haere te mamae o te tapahi i ia rā, i ia rā, kaua e heke iho.
• Mena he nui rawa te toto o te tara, he haunga kino rānei.

Ka taea anō te whānau pēpi i muri i te pokanga c-section i te āhua noa?

Āe, i te nuinga o te wā ka taea e koe. Whai muri i te pokanga C-section, ko te whānautanga o tō pēpi e whai ake nei mā te tara ka kiia ko te Birth Vaginal After Cesarean (VBAC) . Engari mā tō tākuta e whakatau mēnā ka taea tēnei, kāore rānei. Ka whakaarohia e rātou ētahi āhuatanga, tae atu ki te momo tapahi i mahia i te pokanga o mua me te rahi o tō hope. Kōrero ki tō tākuta mō tēnei i tō haputanga e whai ake nei.