Hei whaea e hapu ana, tera pea he maha ngā pātai me ngā mataku kei a koe. He mea noa te mataku, inā koa ka rongo koe i ngā kōrero pēnei i te "tapahi" me te "tuitui" i te wā e whānau ana. He maha ngā tāngata e mataku ana ki tēnei, engari ina mōhio koe he aha te mea, āhea te wā e oti ai, me pēhea te tiaki i muri mai, ka ngaro katoa ō mataku. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea e kiia nei ko te episiotomy.
He aha tonu te tikanga o te episiotomy?
He whakarāpopototanga noa iho, he tapahi iti te episiotomy ka mahia e tō tākuta ki te rohe i waenganui i te whakatuwheratanga o tō tara me tō nono (e kiia ana tēnei rohe e te rongoā ko te perineum) kia māmā ake ai te putanga mai o tō pēpi. Mā tēnei tapahi ka nui ake te whakatuwheratanga o tō tara, kia māmā ake ai te putanga mai o tō pēpi.
Engari ehara tēnei i te mea e pā ana ki te katoa. I ētahi wā, me te kore he tapahi, ka pakaru te perineum ina puta mai te pēpi. Ka kiia tēnei he pakaru tūturu `(Perineal tear)` `(laceration)` rānei.
I mua, i whakaarohia he mea noa te mahi episiotomy, engari i nāianei e whakapono ana ngā tākuta he pai ake te karo i tēnei tapahi mēnā kāore e tino tika ana, me te tuku kia puta noa te haehae.
Nō reira, āhea te wā e hiahiatia ai te episiotomy?
Ahakoa kāore i te maha ngā wā ka tapahia tēnei tapahi, i ētahi wā he mea tika kia haumaru ai kōrua ko tāu pēpi. Ka whakatau noa te tākuta i tēnei whakatau mēnā ki tāna whakaaro koinei te kōwhiringa haumaru mō kōrua ko tāu pēpi.
Anei ētahi o aua take:
- Mena kei roto te pēpi i te raruraru: I roto i tētahi āhuatanga ohorere, pērā i te hekenga o te tere o te manawa o te pēpi, me tere te tango i te pēpi ki waho. Ka taea te tapahi i tēnei tapahi hei whakahaere i te mahi.
- Mena kei te tino ngenge koe: Mena kei te tino ngenge koe i muri i te pēhi mō ngā hāora, ā, kāore he kaha ki te pēhi anō, ka taea e koe te mahi i tēnei hei āwhina i te pēpi kia puta mai.
- Mena me whakamahi koe i ngā kuku, i ngā taputapu whakakorekore rānei: I ētahi wā me whakamahi ēnei taputapu hei tango i te pēpi. Mena kāore i te nui te wāhi i roto i te tara hei whakauru i ngā taputapu, me tapahi tēnei hei hanga wāhi.
- Mena kei tētahi atu tūranga te pēpi: mena he kōpū whakamuri te pēpi, he mau rānei ngā pakihiwi o te pēpi (shoulder dystocia), me tapahi pea tēnei kia nui ake ai te whakatuwheratanga mō te pēpi kia puta mai.
- Mena he taumaha rawa te pēpi (pēpi nui): Mena he nui ake te pēpi i te tikanga, kāore pea he wāhi e ranea hei puta ki waho.
- Ki te kore e taea e koe te whakahaere i tō pana:I ētahi wā, ina tere rawa te pana, ā, kāore he mana whakahaere, ka tino pakaru te perineum. I roto i ēnei āhuatanga, ka whakatau pea te tākuta ki te tapahi i tētahi tapahi iti hei whakahaere i te kino.
He aha te pai ake o te haehae i a ia anō i te motu?
I ngā wā o mua, i whakaaro ngā tākuta mā te tapahi i tētahi mea, ka ora pai, ā, ka ārai i te haehae nui. I whakaponohia anō hoki ka whakaitihia ngā raruraru o muri mai pērā i te kore e taea te pupuri i te mimi.
Engari kua kitea e ngā rangahau hou, ina mahia he episiotomy, he nui ake te tūponotanga ka haehae te tapahi i te mea e tumanakohia ana . Waihoki, he iti ake te kino o te wā e ora ai te haehae tūturu. Koia te take e ngana ana ngā tākuta ki te tuku i te tukanga kia puta noa i te taiao.
Me pēhea te mahi a tēnei tukanga tapahi?
Ka mahia tēnei i te wāhanga tuarua o te whānautanga, arā, te wā ka tīmata te puta o te māhunga o te pēpi i te tara (te karauna).
1. Ngā rongoā whakamamae: Tuatahi, ka hoatu he rongoā whakamamae hei whakangāwari i te mamae. Mena kua whiwhi kē koe i te epidural, kāore koe e hiahia ki ētahi atu rongoā whakamamae nā te mea kua ngenge kē tō tuara o raro. Ki te kore, ka werohia e te tākuta he iti o te rongoā whakamoe ā-rohe ki roto i te perineum hei whakangāwari.
2. Te tapahi: Ina pēhi te māhunga o te pēpi ki te perineum, ka tapahia e te tākuta mā te whakamahi i ngā kutikuti episiotomy motuhake.
3. Te tango i te pēpi me te whenua whānau: Whai muri i te tapahi, ka puta mai te pēpi, kātahi ka tangohia te whenua whānau.
4. Ngā Tuitui: Hei whakamutunga, ka whakamahia e te tākuta tētahi momo tuitui ka memeha aunoa hei kati i te tapahi. I taua wā anō, ka tirohia e ia te rahi o te tapahi me te mea he raruraru anō kei reira.
He aha ngā momo tapahi?
E rua ngā momo tapahi matua.
| Momo tapahi | Whakaahuatanga |
|---|---|
| Tapahi Waenga/Raina Waenga | He tapahi tika tēnei, mai i runga ki raro. Ka tapahia tika mai i te pūaha o te tara ki te nono. He māmā noa iho te whakauru, engari he nui ake te tūponotanga ka haehaea te nono. |
| Tapahi taha waenga | He tapahi tēnei i te nono. Ka tapahia i te koki 45-tohu mai i te whakatuwheratanga o te tenetene. Mā tēnei ka whakaiti i te tūponotanga o te kino ki te nono. Heoi, he uaua ake te tuitui, he nui ake te toto, ā, ka mamae ake i te wā e whakaora ana. |
He aha ngā 'nekehanga' o te motu, o te haehae rānei?
Ahakoa he haehae tūturu, he motu episiotomy rānei, ka whakarōpūtia mai i te 1 ki te 4 i runga i tōna kaha.
- Teitei tuatahi: He haehae iti e pā ana ki te paparanga kiri angiangi o runga o te tenetene.
- Te tohu tuarua: He haehae e toro atu ana ki roto i te kiko i raro i te kiri. Ko te nuinga o ngā tapahi episiotomy ka taka ki tēnei wāhanga.
- Te taumata tuatoru: He haehae e toro atu ana mā roto i te kiko o te tara ki roto i te sphincter anal.
- Te taumata tuawhā: Koinei te taumata tino kino. I tēnei wā, ka toro atu te haehae mā roto i te uaua o te pūkahukahu, ā, ka uru ki roto i te pakitara o te pūkahukahu.
He aha te mamae o te episiotomy?
Kaua e manukanuka, kāore koe e mamae i te wā e tapahia ana nā te mea kua korekore noa te wāhi i taua wā.
Heoi, i muri i te memeha haere o te ngoikore, he mea noa te mamae i te wāhi i tuituihia ai mō ētahi rā, me te kore whakamarie i a koe e hikoi ana, e noho ana rānei.
He aha ngā mōrearea me ngā raruraru o te episiotomy?
Pērā i ngā pokanga katoa, kei reira ētahi mōrearea. Engari kia maumahara, ka puta pea ētahi o ēnei mōrearea ahakoa he pakaru tūturu.
- Te toto
- Te pangia o te patunga tuitui
- Te mamae i te wā o te moe tāne i muri i te whakaoranga (dyspareunia)
- Te kino ki ngā uaua o te rectum
- Ka waiho he koha
- Te uaua ki te whakahaere i te mimi
- Ka roa ake te wā e ora ai
Ngā mea ka taea e koe te mahi i te kāinga hei āwhina i te tere o te whakaora o ngā tuitui
He mea noa te mamae me te kore whakamarie mō ētahi wiki i muri i te tango i ō tuitui. Tērā ētahi mea ngāwari ka taea e koe te mahi i te kāinga hei āwhina i te whakaiti i tēnei mamae me te tere ake i tō whakaoranga.
- Tāpirihia he putea hukapapa: Hei whakaiti i te pupuhi me te mamae, tāpirihia he hukapapa iti kua takaihia ki te kakahu ma ki te wāhi i whakatakotoria ai ngā tuitui mō te 10-15 meneti. Me mahi tēnei i ētahi wā i te rā.
- Kaukau noho-noho: He tino āwhina tēnei. Whakakīia tētahi peihana nui ki te wai mahana, ka noho ki roto mō te 15-20 meneti pea. Mā tēnei ka whakaiti i te mamae, ka whakapai ake i te rere o te toto, ā, ka tere ake te ora o te patunga. He pai ake te mahi i tēnei kia rua, kia toru rānei ngā wā i te rā.
- Whakamahia he pounamu peri: Ka hoatu e te hōhipera tētahi o ēnei ki a koe. Ka taea rānei e koe te whakamahi i tētahi pounamu wai ma. I muri i te whakamahinga o te wharepaku, whakakīia te pounamu ki te wai mahana, ka horoi mārie i te wāhi kei reira ngā tuitui. Mā tēnei ka noho ma te wāhi, ka whakaiti i te werawera ina mimi koe.
- Rongoā mamae: Tangohia he rongoā mamae, pērā i te paracetamol, e ai ki te whakahau a tō tākuta.
- Noho ki runga i te urunga tōnati: Ka mamae pea te nohoanga ki runga i te urunga tōnati i te mea ka mirimiri ngā tuitui ki a ia. Mā te nohoanga ki runga i te urunga he kōhao kei waenganui ka whakaiti i te pēhanga ki te wāhi kei reira ngā tuitui.
- Kia ma: Whakakapia ō paraikete i ngā wā katoa, kia maroke hoki, kia ma hoki te wāhi.
Āhea ahau ka taea ai te moe anō?
I te nuinga o te wā ka ora te patunga i roto i te ono wiki pea. Heoi, i muri i tō haerenga mai i muri i te whānautanga i te ono wiki, me toro atu koe ki tō tākuta, ā, me moe anō i muri i tana whakaaetanga. He mea noa te mamae, te kore whakamarie rānei i ngā marama tuatahi. Mā te whakamahi i te hinu whakahinuhinu wai ka āwhina i te whakaiti i tēnei kore whakamarie.
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.
Mena kua pokaia tō puku, ā, kua pāngia koe e tētahi o ngā tohu i raro nei, me toro atu koe ki tō tākuta tonu atu .
| Ngā tohu hei tūpato |
|---|
| - Mena kei te kino haere te mamae, kaua e heke iho i ia rā, i ia rā. |
| - Mena he rerenga kakara kino, he pūhā rānei e puta mai ana i te wāhi i tuituihia ai. |
| - Mena he whero, he pupuhi hoki te kiri huri noa i te wahi i tapahia. |
| - Te toto mai i ngā tuituiNgā ingoa. |
| - Mena kei te pāngia koe e te kirika, te makariri, te mamae rānei o te tinana . |
Karere Tangohia ki te Kāinga
- Ehara te episiotomy i te mahi a te katoa i ēnei rā. Ka mahia anake mēnā he tino tika mō te haumaru o koe me tō pēpi.
- Kāore koe e mamae i te wā e tapahia ana nā te mea kua mārō te wāhi.
- E rua wiki pea te roa o te ora o ngā tuitui. I tēnei wā, he mea nui kia noho ma, kia whai hoki i ngā tohutohu a te tākuta.
- Ki te pāngia koe e ngā tohu pēnei i te mamae nui, te pupuhi, te pupuhi rānei i muri i te whakatakotoranga o ngā tuitui, me toro atu ki te tākuta tonu.
- Mena kei a koe tonu ētahi wehi, ētahi feaa rānei mō tēnei mea, kōrerotia marietia ki tō tākuta i tō whare hauora i mua i te whānautanga o tāu pēpi. Tikina ngā whakautu ki ō pātai katoa mai i a ia.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero