Te Whakaora Mamae i te Whānautanga: Ngā Mea Me Mōhio Koe!

I te whakatata mai o te pēpi, ko te pātai nui me te wehi e puta ake ana i roto i te hinengaro o ia whaea, 'Me pēhea taku whakahaere i tēnei mamae?' Kua rongo pea koe i ngā kōrero a ō hoa me ō whanaunga, engari kei te pēhia tonutia koe. Kaua e manukanuka, he mea noa iho. Ko te mea nui ko te mōhio tika ki tēnei. I tēnei rā, ka kōrero tātou mō te mamae o te whānautanga me ngā huarahi hei whakaiti i tēnei mamae i roto i tētahi huarahi māmā e mārama ai koe.

He aha te āhua o te mamae whānau?

Ko te mea tuatahi kia mārama ko te whānautanga o te katoa he rerekē. Nō reira, ka rerekē te mamae e pā ana ki a koe i ia tangata, i ia tangata. He maha ngā āhuatanga e pā ana ki te nui o te mamae e pā ana ki a koe. Hei tauira, ko te rahi o tō pēpi, te tūnga o tō pēpi, te kaha o ō mamae, me tō kaha whānui ki te manawanui ki te mamae.

Ki te kī ngāwari, ko te mamae o te whānautanga ka puta mai i te whakawhāititanga o tō kōpū, kātahi ka whakangāwari (contracting). Ka kiia ēnei he contracting. Ka puta tēnei hei āwhina i te pana i te pēpi ki raro i te tara. Mā te pana ka huaki (whanui) tō kōpū, ka angiangi (delete). Tērā pea ka mamae koe nā te mea kei te pēhi te pane o te pēpi i tō pūkahukahu me ō whekau. Tērā pea ka mamae koe i te totorotanga o tō tara i te putanga mai o te pēpi.

Ko te wā tino mamae o te whānautanga ko te wā e puta mai ai ēnei mamae. Kāore e rite te āhua o te mamae mō te katoa. I ētahi wā, he rerekē te mamae e pā ana ki a koe me tō pēpi tuarua i te mamae i pā ki a koe me tō pēpi tuatahi. E whakaahua ana ētahi whaea i tēnei he mamae puku koi pērā i te wā e pāngia ana e te paheketanga . E kī ana ētahi he rite ki te ngaru mamae e haere mai ana, e haere atu ana, pērā i te mamae e pā ana ki a koe i te wā e takoto kau ana tō puku .

I ētahi wā, ka nui haere te mamae, ka uaua ake te manawanui, ka roa hoki. Koia te take e rapu ai te tini o te tangata i te rongoā mamae.

He aha ngā kōwhiringa hei whakaiti i te mamae?

Ko te mea pai rawa atu, ehara i te mea ko koe anake kei te pāngia e tēnei mamae. He maha ngā huarahi hei āwhina i a koe. E rua ngā huarahi matua:

1. Ngā kōwhiringa rongoā hei whakaiti i te mamae

2. Ngā kōwhiringa kore rongoā mō te whakahaere mamae

He mea nui kia kōrerohia ēnei kōwhiringa ki tō tākuta i mua i te whānautanga o tāu pēpi, ahakoa i a koe e toro ana ki te tākuta mō te whānautanga. Ina mōhio pai koe ki ngā painga me ngā huakore o ia tikanga, ka māmā ake māu te whakatau ina tae ki te wā.

I ētahi wā ka haere mai tētahi tohunga whakamoe ki te whakamārama i te whakamoe epidural, te whakamoe tuaiwi rānei ki a koe. Pātai atu ki a koe ō pātai i taua wā.

Ngā huarahi matua hei whakaiti i te mamae me te rongoā

Kia titiro tātou inaianei ki ngā tikanga e whakamahia ana hei whakamahi i te rongoā.

1. Ngā rongoā whakamamae mamae (Ngā rongoā mamae mamae)

He rongoā whakamamae mamae ēnei e tukuna ana ki roto i tētahi uaua (mā te `IV`) ki roto rānei i tētahi uaua. Kāore ēnei rongoā e whakakore katoa i te mamae, engari ka tino whakaiti i te kare o te mamae. Nā te mea ka pā ēnei rongoā ki tō tinana katoa, ka hiamoe pea koe me tō pēpi. Koia te take e whakamahia pinepine ai i te tīmatanga o te whānautanga. Ka āwhina i a koe ki te okioki me te tiaki i tō pūngao. He momo "Opioid" ēnei rongoā whakamamae mamae. Hei pānga taha, ka pā paku pea ki te āhua manawa o te pēpi i muri i te whānautanga, nō reira kōrero ki tō tākuta i mua i te whakamahinga kia mārama ai koe ki ngā painga me ngā huakore.

2. Te rongoā whakamoe ā-rohe

Ko te tikanga o tēnei ko te whakangā i tētahi wāhi iti o tō tinana, pērā i te tara me te rohe e karapoti ana i a ia (te 'vulva' me te 'perineum'). He maha ngā wā ka mahia tēnei ina tata te whānautanga o te pēpi, mēnā rānei me tuia he patunga i muri i te whānautanga o te pēpi (pērā i te 'episiotomy', i te haehae rānei i te tara).

Ko tētahi momo motuhake o tēnei ko te aukati pudendal . I roto i tēnei, ka werohia te io pudendal. Mā tēnei ka whakakorea te mamae e pā ana ki roto, ki te taha hoki o te tara i te putanga mai o te pēpi i te tara.

3. Te Whakamamae ā-Rohe

Koinei te tikanga tino rongonui, tino whai hua hoki mō te whakamamae i te mamae i te wā e whānau ana. Ka whakaitihia, ka whakakorea rawatia rānei te mamae o tō tuara o raro. Ka taea hoki e koe te whakamahi i tēnei tikanga mēnā me whānau wawe koe me te tākuta. Kua tino ara ake koe i tēnei wā, ā, ko te mamae anake ka whakamama.

E toru ngā momo matua o tēnei. Kia kite tātou he aha ēnei.

Ngā whakautu ki ō pātai mō ngā epidural!

He maha ngā pātai a te iwi mō te epidural. Me whakautu tātou.

• Ka pā tēnei ki taku pēpi?

Kāo. He maha ngā rangahau kua whakaū he haumaru tēnei tikanga mōu me tō pēpi.

• Kia pēhea te roa o te pānga o tēnei?

Ka roa te whakamamae i te mamae mai i te epidural tae noa ki te mutunga o tō whānautanga, nā te mea ka taea te hoatu i ētahi atu rongoā i ngā wā katoa mā te catheter.

• Kia pēhea te nui o taku ngoikore?

Ahakoa kāore koe e rongo i te mamae, tera pea ka rongo tonu koe i te "pēhi" ina puta te mamae. Tērā pea ka rongo koe i te pēhanga ina tirohia koe e te tākuta. Kāore pea koe e kaha ki te hikoi nui. Engari kei te ara tonu koe, kei te mōhio hoki. Ina tae ki te wā hei pēhi, ka rongo koe i te mamae.

• Ka whakaroa rānei taku whānautanga mā te werohanga epidural?

Tērā pea ka pāngia ētahi e te puhoi o te mamae o te uma i muri i te werohanga epidural. Engari mō te nuinga o te tangata, ina ngaro te mamae, ka marino, ā, ka pai ake te āhua o te mamae. Ka whai wāhi hoki koe ki te okioki.

• Ka taea e au te pana i te pēpi?

He tino taea. Ko te epidural te mea hei hoatu i a koe he okiokinga kore mamae tae noa ki te tuwhera o tō kōpū. Ina tae ki te wā ki te pēhi, ka whiwhi koe i te kaha e hiahiatia ana e koe. Kāore e pā ki tō kaha ki te pēhi.

• He pānga taha anō kei tēnei?

He tino onge ngā raruraru kino. Ka āta tupato te tohunga whakamoe kia kore ai e pāngia. Heoi anō, tera pea ka puta ētahi pānga taha iti:

• Te whakahekenga o te toto toto:Hei ārai i tēnei, ka hoatu he rongoā tote (IV) ki a koe, ā, ka aroturukitia tonutia tō toto toto.
• Mākūkū iti: Ki te mea he hoha, ka taea te hoatu rongoā.
• Ānini: Ki te pāngia koe e te ānini i muri i te werohanga epidural, he pai te inu wai me te tango i te rongoā mamae. Ki te mau tonu, kōrero ki tō tākuta.

4. Whakamamae Whānui

Ko te tikanga o tēnei ko te whakamoe i a koe kia moe rawa. Ka whakamahia noa tēnei i ngā wā ohorere, pērā i te whānautanga ohorere a C-section. Ahakoa he tere te mahi, ko te ngoikoretanga matua ko te kore e taea e koe te kite i te pēpi i muri tonu i tōna whānautanga.

5. Waikura Hauota - Hau Kata

He hau kore reka, kore kakara tēnei. Ka hongihia e koe mā te kopare ina tata koe te mamae. Kāore e mutu te mamae, engari ka whakaiti i te wehi me te manukanuka o te mamae. Kāore i te whakamahia whānuitia i Sri Lanka.

Ngā huarahi taiao hei whakaora i te mamae me te kore rongoā

Ko ētahi o ngā whaea e pai ake ana ki te aro atu ki tēnei wero mā te taiao, me te kore rongoā. He maha ngā huarahi hei āwhina i tēnā. I ētahi wā, ka taea e koe te whakamātau i ēnei tikanga ahakoa kei te whakamahi rongoā koe.

• Mirimiri: Me mirimiri tō hoa rangatira, tō hoa tata rānei, i tō tuara me ō pakihiwi.
• Te kaukau i te wai wera: Mā te kaukau wera, te tuku rānei i te wai wera kia rere i tō tuara, ka āwhina i te whakangāwari i ngā uaua me te whakamamae i te mamae.
• Te whakarongo ki ngā waiata marino: Whakarongo ki ngā waiata e pai ana ki a koe, ā, e whakamarie ana i tō hinengaro.
• Te Whakamahi i te Pōro Whānau: Mā te noho i runga i tētahi pōro whakakori tinana nui me te rūrū haere whakamua, whakamua hoki ka taea te whakaora i te tuara o raro.
• Ngā mahi manawa: Whakaharatauhia ngā tauira manawa hōhonu me te manawa whakapū. Ina puta he mamae, mā te arotahi ki taua mea ka āwhina i a koe ki te tahuri ke atu i te mamae.
• Whakaaroaro, Hypnobirthing rānei: He tino āwhina ngā tikanga aroātahi me te 'Hypnobirthing' ki te whakahaere i te mamae.
• Te noho tata mai o tētahi ki a koe: He mea nui te tautoko i tō hinengaro mā te noho tahi me tō tāne, hoa rangatira, whaea, tuahine, hoa pono rānei, hei whakatenatena i a koe.