Kei te whakatere koe i tētahi o ngā upoko tino ataahua o tō ao i tēnei wā. I a koe e moemoeā ana ki te pupuri i tāu tamaiti, he mea noa te whai pātai, te āwangawanga rānei mō te tukanga whānautanga. Ko te whakaaro, "Me pēhea te whānautanga?", "Me mahi C-section?", "He aha ngā painga o te whānautanga tara?" he wāhanga tūturu o tō haerenga. I tēnei rā, me kōrero tātou mō ngā momo tikanga whānau, ngā painga me ngā huakore , me pēhea te whiriwhiri i te ara haumaru me te pai rawa atu mōu me tō pēpi.
Te Whānautanga Tara - Te Kōwhiringa Tino Noa
He māmā noa iho, koinei te tikanga tūturu mō te whānautanga o tō pēpi mā te awa whānau. Koinei te huarahi whānau tino noa, ā, e kiia ana ko te huarahi haumaru rawa atu mō te nuinga o ngā whaea me ngā pēpi. Ko ētahi whaea e whiriwhiri ana ki te whakahaere i te mamae, ko ētahi e pai ake ana ki te whānautanga tūturu me te kore rongoā—e kiia ana ko te "Whānautanga Taiao."
Ko ngā painga matua o te whānautanga ā-tarae ko:
- He iti ake te hiahia mō te whakawhiti toto .
- He iti ake te mōrearea o te mate i muri i te whānautanga.
- Kāore he koha i roto i te kōpū, e pupuri ana i ō whiringa mō ngā hāputanga o muri mai.
Heoi, he mea nui kia mōhio koe ka taea e tēnei tukanga te whakararu i a koengā uaua o te papa hope . I ētahi wā, ka ara ake pea tēnei i ngā raruraru ki te whakahaere i te pūkahukahu, i te puku rānei i muri mai, ā, me wawao atu pea tēnei i roto i te rongoā, i te rongoā tinana rānei.
Āwhina Whakawhānau Tara
I ētahi wā, ki te hiahia tō pēpi ki tētahi āwhina tāpiri mō te whakatere i te awa whānau, me āwhina pea tō tākuta whānau i te whānautanga mā te whakamahi i ngā taputapu hauora motuhake, i ngā tikanga rānei, kia pai ai te hua.
- Te Whānautanga mā te Pūwero: Whakaarohia he taputapu e rite ana ki tētahi takirua pūnu nui, motuhake. Ka āta ārahihia ēnei e tō tākuta ki te mahunga o tō pēpi kia māmā ai te kukume, kia māmā ai te tango i te pēpi ki waho. E mōhiotia ana tēnei ko te whānautanga mā te pūwero.
- Tangohanga Korehau : He rite tonu te mahi a tēnei ki te mahi a te kuku. Ka whakatakotoria he kapu kirihou iti, ngohengohe ki runga i te māhunga o tō pēpi, ā, ka whakamahia he momi hei ārahi mārire i te pēpi mā roto i te awa whānau.
- Episiotomy: He tapahi pokanga iti tēnei i roto i te perineum (te kiko i waenganui i te pūaha o te tara me te nono). I ngā wā o mua, i whakamahia hei ārai i te haehae nui, engari e whakaatu ana ngā rangahau hou kāore i te hiahiatia i ngā wā katoa. I ēnei rā, ka rāhuitia tēnei tikanga e ngā tākuta ina hiahia wawe te whānau o te pēpi.
- Amniotomy: E mōhiotia whānuitia ana ko te "wāwāhi i tō wai." Ka whakamahia e tō tākuta he taputapu kirihou iti, parakore hei hanga i tētahi kōhao iti i roto i te pēke amniotic. Tērā pea ka rongo koe i te rere mahana o te wai i muri tonu i tēnei tikanga.
- Te whānautanga ā-whakawhanau: Ki te kore tō whānautanga e tīmata takitahi, ka whakamahia pea e tō tākuta he rongoā hei whakaoho i ngā mamae. Ka mahia tēnei i te nuinga o te wā mēnā he āwangawanga mō tō hauora, mō te oranga rānei o te pēpi.
Whānautanga Cesarean (C-Section)
Kāore e taea te whānau i te wā katoa. I ētahi wā, me whānau te pēpi mā te taha tara – he pokanga e whānau ai te pēpi mā te tapahi i tō puku – kia noho haumaru ai kōrua ko tō pēpi.
Ko tō haumaru me te hauora o tō pēpi ngā mea matua. Mēnā ka tūtohutia kia whānau he pēpi, nā te mea koinei te kōwhiringa haumaru rawa atu. Kaua e manukanuka; kei te whakapau kaha tō rōpū hauora ki te whakarato i te tiaki pai rawa atu ki a koe.
Me titiro tātou ki ētahi take noa mō te mahi c-section .
| Ngā Take Noa mō te Wāhanga C |
|---|
| Te Tūnga o te Pēpi: Kei te tū te pēpi ki raro (ki mua) ki te taha rānei (ki muri). |
| Hauora o ngā Whaea: Ngā āhuatanga hauora matua e whakararu ana i te whānautanga tara. |
| Rahi o te Pēpi: He nui te pēpi, ā, he uaua ki te puta mā te hope. |
| Te mamae o te pēpi i roto i te kōpū: Ngā tohu e tohu ana kei raro te pēpi i te ahotea i te wā e whānau ana. |
| Ngā tamariki maha: Te whānau i ngā māhanga, ngā tamariki tokotoru, neke atu rānei. |
| Te Wāhanga Previa: He āhuatanga e taupokina ai te kaki o te kōpū e te whenua. |
| Te Mahi Roa: Kāore te mahi e ahu whakamua ana e ai ki te tumanako. |
| Ngā raruraru o te pito: Te hekenga o te taura i te wāhi e taka ai te taura i mua i te whānautanga o te pēpi. |
| Te Pakaru o te Whenua: Ka wehe te whenua i te pakitara o te kōpū i mua i te whānautanga. |
| Te Wāhanga C-section o mua: I runga anō i tō hītori hauora, me mahi anō pea te Wāhanga C-section. |
Whānautanga Tara i muri i te C-Section (VBAC)
Ahakoa kua whānau kē koe i mua mā te C-section, he maha tonu ngā wā ka taea te whānau ā-tinana i te wā e hapu ana i muri mai. Ka kiia tēnei ko te Birth Vaginal After C-section (VBAC). Ko tō tika mō te VBAC ka whakawhirinaki ki:
- Mehemea he tapahi whakararo raro tō tapahi c-section o mua.
- Me e ranea te rahi o tō hope mō te whānautanga.
- E tatari ana kia whānau he pēpi kotahi.
Kia maumahara, i muri i te pokanga c-section o mua, he iti noa te tūponotanga o te pakaru o te kōpū. He mea nui kia kōrero tuwhera koe ki tō kaiwhakarato hauora hei aromatawai i tō āhuatanga motuhake, hei whakatau whai whakaaro hoki.
Kei hea te Whānau?
Me matapaki tātou i ngā kōwhiringa mō te taiao whānau.
1. Whānautanga i te Hōhipera
Ko ngā hōhipera tonu te wāhi whānau tino noa. Mena he haputanga mōrearea nui tōu, kei te whakamātau rānei koe i te VBAC, ko te hōhipera te taiao haumaru rawa atu . Ahakoa mō ngā haputanga iti te mōrearea, he maha ngā whaea e pai ake ana ki ngā hōhipera nā te mea he tere tonu tā rātou uru atu ki ngā hangarau hauora matatau me ngā tohunga ohorere.
E whai ana ngā hōhipera o ēnei rā ki te waihanga i tētahi taiao whakamarie, tautoko hoki. He maha e tuku ana i ngā pōro whānau, ā, ko ētahi e whakarato ana i ngā puna whānau hei āwhina i te whakahaere i te mamae whānau mā te taiao.
2. Ngā Pokapū Whānau Motuhake
Kei roto, kei tata rānei ki te hōhipera ēnei. He āhua kāinga ake ēnei mō te hunga e pai ake ana ki te huarahi taiao. He maha ngā wā ka whakahaerehia e ngā nēhi-whakawhanau whai tiwhikete. Ko te painga nui ko te kaha ki te neke tere ki te hōhipera mēnā ka puta he raruraru. He pai anake ēnei mō ngā hāputanga hauora, iti te mōrearea.
3. Whānautanga i te Kāinga
Ko ētahi o ngā whaea e pai ake ana ki te noho tahi me te whakamarie o tō rātou ake kāinga. Heoi, he whakatau tēnei e tika ana kia āta whakaarohia.E ai ki te American College of Obstetricians and Gynecologists (ACOG), he nui ake te mōrearea o ngā raruraru pēpi hou i ngā whānautanga kāinga ki te whakaritea ki ngā wāhi hōhipera. Me kōrero tonu ki tō kaiwhakarato hauora i mua i te whakatau i te whānautanga kāinga.
Pānui Haumaru Hira: Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike, te haputanga maha (māhanga/mātoru), me ētahi atu āwangawanga hauora mōrearea rānei, kaua e whakaarohia te whānautanga ki te kāinga. He mea nui kia noho tata koe ki tētahi hōhipera me te tari ohorere (ER/ETU) kia tere ai te tiaki mēnā ka puta he āhuatanga ohorere.
Ahakoa te āhua o tāu whiriwhiri mō te whānautanga o tāu pēpi, ko te mahi nui rawa atu ko te kōrero tuwhera, pono hoki ki tō tākuta kia tino mārama ai koe ki ngā painga me ngā mōrearea e pā ana ki ō kōwhiringa.
Nga Taketake matua mai i Nirogi Lanka
- He haerenga ahurei te whānautanga. Whakapaua he wā ki te ako i a koe anō mō ngā momo tikanga whānau, tae atu ki te whānau tara, te whānau āwhina, me te C-section.
- Kōrerohia tō hauora, te whanaketanga o tō pēpi, me ō hiahia whaiaro ki tō tākuta. Mā rātou koe e ārahi ki te mahere haumaru, tika hoki mō tō āhuatanga.
- Ahakoa kei te whakamahere koe kia whānau tūturu, kia rite tō hinengaro mō te tūponotanga o te pokanga tākuta mēnā ka rerekē ngā hiahia hauora.
- Hei whakamutunga, ko te whāinga he hua haumaru, he hua hauora hoki mōu me tō pēpi. Me whai i te aratohu hauora ngaio i ngā wā katoa.
- Kia maumahara he motuhake ia hāputanga me ia whānautanga. Kaua e whakataurite i tō haerenga ki ētahi atu; arotahi ki te mea pai mōu me tō whānau e tipu haere ana.
Whānautanga, Wāhanga Cesarean, Whānautanga tara, Wāhanga C-section, VBAC, Hapūtanga, Ngā kōwhiringa Whānau
