He whaea whānau koe? Kua rongo pea koe i te kupu 'tapahi' ina kōrero ana mō te whānautanga. He mea noa ki te nuinga o ngā whaea te mataku me te manukanuka ina rongo rātou i ēnei kupu. He aha rawa tēnei tapahi? I roto i te rongoā, ka kiia e mātou he episiotomy. He mahi tēnei mā te katoa? He aha i mahia ai? I tēnei rā, ka whakautua e mātou ō pātai katoa mō tēnei i roto i tēnei tuhinga.
He aha te episiotomy?
He whakarāpopototanga noa iho, he tapahi iti te episiotomy ka mahia e tō tākuta ki te kiri me te uaua i waenganui i tō tara me tō nono (e kiia nei ko te perineum) hei hanga i te ara mō tō pēpi kia māmā ake te puta mai i te wā e whānau ana.
I ētahi wā, ina puta mai te pēpi, ka pakaru noa iho tēnei wāhi, kāore he tapahi. Ka kiia tēnei he pakaru perineal. I mua, he mea noa te episiotomy i te wā e whānau ana, engari i ēnei rā, e whakapono ana ngā tākuta he pai ake te tuku noa i te pakaru kia pakaru mēnā kāore e tino hiahiatia .
Nā, he aha i tika tonu ai kia mahia he episiotomy?
Ahakoa ehara tēnei i te mea e mahia whānuitia ana i ēnei rā, i ētahi wā motuhake, me tapahi e te tākuta tēnei hei haumaru mō te whaea me te pēpi. Whakaarohia, he rite ki te whakamutu ohorere i tētahi motuka hei karo i tētahi aituā i a ia e taraiwa ana i te rori. Koinei ngā wā tino nui:
- Mena kei te pāngia te pēpi e te mamae (te mamae o te kōpū) ā, me tango wawe tonu e koe te pēpi ki waho.
- Ina tino ngenge te whaea i muri i te mamae roa o te whānautanga, ā, kāore he kaha ki te pana atu.
- Ki te mea me whakamahi koe i te kuku, i te taputapu whakakorekore rānei hei tango i te pēpi, me nui ake te tenetene kia taea ai te whakauru i ēnei taputapu.
- Mena kei roto te pēpi i tētahi tūranga rerekē, hei tauira, mena kei te piko tōna hope, kei te mau rānei ngā pakihiwi o te pēpi (shoulder dystocia).
- Mena he nui ake te rahi o te pēpi i te toharite.
- Ina pēhi te whaea mō te wā roa engari kāore te pēpi e puta mai.
Ko te mea nui, ka whakatau noa te tākuta i tēnei whakatau mēnā kāore he huarahi kē atu, ā, he mea tino tika mō te haumaru o te whaea me te pēpi.
Me pēhea te hanga i tēnei tapahi, ā, he aha ngā momo tapahi?
Kāore koe e mamae ina whakamahia he epidural. Mena kua whakamahia kētia he epidural, kāore koe e hiahia ki tētahi rongoā mamae i raro i te hope. Ki te kore, ka werohia e te tākuta he rongoā whakamoe ā-rohe ki te wāhi e tapahia ai. Kātahi, i te tīmatanga o te putanga mai o te pane o te pēpi i te tara (korona), ka tapahia te wāhi ki ngā kutikuti motuhake (kutikuti episiotomy). Whai muri i te whānautanga o te pēpi, ka whakatikahia te wāhi ki ngā tuitui ka taea te rewa.
E rua ngā momo tapahi matua.
| Momo tapahi | Whakaahuatanga |
|---|---|
| Tapahi waenga (raina waenga) | He tapahi poutū, tika tēnei mai i te tara ki te nono. He māmā noa iho te mahi, ā, he iti ake te mamae i te wā e whakaora ana. Heoi, he nui ake te tūponotanga ka haehaea te nono. |
| Tapahi taha waenga | He tapahi tēnei i te koki 45-tohu mai i te tara ki te taha. He iti ake te tūponotanga o te pakaru ki te nono. Heoi, he uaua ake te tuitui, he nui ake te toto, ā, he mamae ake i te wā e whakaora ana. |
Ngā Nekehanga o te Roimata
Ahakoa he haehae tūturu, he episiotomy rānei, ka wehea kia 4 ngā nekehanga i runga i tōna kaha.
- Teitei tuatahi: He haehae iti o te kiri anake i runga ake i te tenetene.
- Te tohu tuarua: He haehae e toro atu ana mā roto i te kiri o te tara me te kiko o raro. Ko te nuinga o ngā tapahi episiotomy ka taka ki tēnei wāhanga.
- Te taumata tuatoru: Te haehae o te kiko o te tara me te uaua huri noa i te nono (anal sphincter).
- Te taumata tuawhā: Ko te taumata tino kino me te tino uaua, me te haehae e toro atu ana ki te tōu.
He aha ngā mea ka taea e koe te mahi ki te kāinga hei āwhina i te tere o te whakaora i te motu?
He mamae pea ngā wiki tuatahi i muri i te tapahi. Engari mā te tiaki tika, ka tere te ora. E tata ana ki te kotahi marama te roa ki te tino ora. He nui te āwhina o ēnei mea i a koe.
| Tikanga | Whakaahuatanga |
|---|---|
| Te tāpiri i tētahi kete hukapapa | Whakatakotoria he putea hukapapa kua takaihia ki te kakahu ma ki te wāhi i tuituihia ai ngā tuitui mō te 10-15 meneti. Mā tēnei ka tino whakaiti i te pupuhi me te mamae. |
| Kaukau Noho | Whakakīia tētahi peihana iti (kaukau sitz) tētahi peihana nui rānei ki te wai mahana, ka noho ki roto mō te 15 meneti pea. Me mahi tēnei e rua, e toru rānei ngā wā i te rā hei pupuri i te patunga kia ma, kia pai ake te rere o te toto, kia tere ake ai te ora. |
| Pounamu Peri | Whakakīia te pounamu e homai ana e te hōhipera ki a koe ki te wai mahana, ka horoi i te wāhi i muri i tō mimi me te whakamahi i te wharepaku. Mā tēnei ka whakaiti i te mumura, ā, ka āwhina hoki kia noho ma te patunga. |
| Ngā rongoā whakamamae | Tangohia ngā rongoā whakamamae mamae (hei tauira, Paracetamol) i tūtohutia e tō tākuta i te wā kua whakaritea. Mēnā ka pāngia koe e te mamae e kore e taea te whakamanawanui, me kōrero ki tō tākuta. |
| Urunga Tōnati | Hei whakaiti i te mamae i a koe e noho ana, whakamahia he urunga āhua tōnati. Mā tēnei ka whakaiti i te pēhanga ki te wāhi tuitui. |
Āhea koe me toro atu ki te tākuta tonu?
Kia tino aro ki tō tinana i a koe e ora ana. Mena kei a koe tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera i taua wā tonu .
- 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 te wāhi huri noa i te patunga, he pupuhi, ā, he wera hoki ina pā atu .
- Mena kei te toto te toto mai i ngā tuitui.
- Mena kei te pāngia koe e te kirika, te makariri, te mamae rānei o te tinana .
He tohu pea ēnei o te mate urutā, nō reira he mea nui kia rapu wawe i te rongoā.
Karere Tangohia ki te Kāinga
- Ehara te episiotomy i te mea e mahia ana i ngā whānautanga katoa i ēnei rā. Ka mahia anake ina tino tika mō te haumaru o te whaea me te pēpi.
- E mōhio ana te rongoā hou, i te nuinga o te wā, he pai ake te tuku i te roimata kia ora noa.
- Mena he āwangawanga, he ruarua rānei āu mō tēnei mea, kōrero noa ki tō tākuta i a koe e hapū ana.
- Ahakoa he motu, he haehae tūturu rānei tō patunga, he mea nui te tiaki tika i te patunga kia tere ai te ora. Me ata whai i ngā tohutohu a tō tākuta.
- Ki te puta mai ētahi tohu rerekē i a koe e ora ana, kaua e wehi ki te rapu tohutohu hauora tonu atu.
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