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He aha te mahi pokanga tākihi (C-section)?
I te whakarapopototanga, he mahi pokanga te pokanga cesarean hei whānau i te pēpi mā roto i ngā tapahi iti i roto i tō puku me tō kōpū. He tikanga noa iho tēnei mā ngā tākuta ki te whānau pēpi i tēnei ara ina uaua te whānau noa, ina rānei he mōrearea ki te whaea, ki te pēpi rānei. Kia mahara, i ētahi wā ka taea tēnei te whakaora i te ora. Mā ngā tākuta whānau me ngā tākuta wahine ēnei pokanga e mahi – i roto rānei i te hōhipera kāwanatanga, mā ngā tākuta matua o taua mara (i raro i te tirotiro a ngā tākuta whānau me ngā tākuta wahine).He aha i ētahi wā e tika ai te mahi pokanga cesarean?
He maha ngā take e taea ai te mahi i te pokanga tākihi. Ko ētahi kua whakaritea i mua, ko ētahi ia ka mahia i roto i te āhuatanga ohorere. Me titiro tātou ki ngā mea e rua.Ngā Wāhanga C-Section kua Whakaritea
I ētahi wā ka mōhio te tākuta i mua i te wā he tūponotanga kei te whānau noa te pēpi. I roto i ēnei āhuatanga, ka whakaritea he pokanga tākihi i te rā i mua i te wā. Anei ētahi o aua āhuatanga:- Te tūranga o te pēpi: Kei te tūnga whakarunga, whakarunga, whakararo rānei te pēpi. Heoi, i ētahi wā ka taea te huri i te pēpi i mua i te whānautanga, ka taea rānei te whakamahi i ngā tikanga motuhake hei āwhina i te pēpi kia whānau noa.
- Ngā hapa whānau o te pēpi: Mena he hapa whānau kino tō te pēpi pērā i te "Hydrocephalus" (he wai kei roto i te upoko).
- Ngā raruraru o te whenua whānau: Mena he raruraru tō te whaea ki tōna whenua whānau. Hei tauira, he āhuatanga e kiia nei ko te "Placenta Previa", ko te tikanga kei raro rawa te whenua whānau i roto i te kōpū, e kapi ana i te cervix .
- Ngā āhuatanga hauora o te whaea: Mena he mōrearea te whānautanga noa mō te whaea, mō te pēpi rānei nā te āhua hauora o te whaea (hei tauira, he nui te taumata o te huaketo HIV i roto i te tinana, he herpes taihemahema rānei).
- Te haputanga maha: I ētahi wā ka maha ngā haputanga, pērā i te whānautanga māhanga.
- Ngā pokanga o mua:Mena kua pokanga kōpū te whaea i mua, kua pokanga kētia rānei ia i mua. Heoi, me mārama ki konei ka taea e te nuinga o ngā whaea te whānau i tā rātou pēpi e whai ake nei i te tikanga noa, ahakoa kua pokanga kētia rātou i mua. Ka kiia tēnei e mātou ko te 'VBAC (Whānautanga Tara i muri i te Pokanga)'.
Ngā Wāhanga C-Section ohorere
Ko ētahi o ngā mahi whakawhānau ka mahia ohoreretia, ā, kāore i te tūmanakohia. Ka puta pea tēnei i te wā e hapu ana, i te wā e whānau ana, i te wā rānei e raru ana te whaea, te pēpi rānei. Anei ētahi tauira:- Ka mutu, ka pōturi rānei ngā mamae o te whānautanga: Mena kāore te mamae o te whānautanga e puta tika mai ana, te āhua nei kua mutu, te puhoi rānei, ā, kāore ngā rongoā i hoatu e āwhina.
- Te pakaru o te whenua: Ki te wehe wawe te whenua i te pakitara o te kōpū, ka kiia tēnei ko te "Placental Abruption".
- Ngā raruraru o te pito: Mena ka kōpiko te pito (ka pā pea tēnei ki te tuku hāora o te pēpi) mena rānei ka uru te pito ki te tara i mua i te whānautanga o te pēpi ( te hekenga o te pito ).
- Te mamae o te pēpi: Ko ngā huringa o te tere o te manawa o te pēpi e tohu ana kāore te pēpi e whiwhi ana i te nui o te hāora.
- Te rahi o te pēpi: Mena he nui rawa te upoko, te tinana rānei o te pēpi, kāore e taea te puta mai i te awa whānau.
Ki te mea mai tō tākuta me pokanga koe, ka taea e koe te tiki whakaaro tuarua mai i tētahi atu tākuta, ki te kore e pāngia e te āhuatanga ohorere. Engari i te mutunga, he pai ake te whakawhirinaki ki te whakatau a te tākuta.
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Check Availability →Me pēhea te mahi i te pokanga cesarean (C-section)?
Me titiro tātou ki ētahi o ngā mea e tupu ana i te wā e whakaritea ana te pokanga tākihi. Ka taea e tō hoa tautoko (tāne, mema o te whānau) te noho tahi me koe i roto i te kākahu pokanga. (Heoi, kāore pea tēnei e taea i roto i te pokanga tākihi ohorere.) I mua i te tīmatanga o te pokanga, ka kōrero te tohunga whakamoe ki a koe mō ngā mea ka mahia kia kore ai koe e mamae. I te nuinga o te wā, ka whakamahia e rātou te mea e kiia nei ko te "Anestesia Rohe". Ko te tikanga o tēnei he wāhi motuhake o te tinana ka whakangā. Ka whakamahia tēnei hei whakaiti i te mamae i te wā e whānau ana te pēpi me te pokanga tākihi. Anei ētahi mea ka mahia e rātou hei whakarite i a koe mō te pokanga:- Kua tāutahia ngā taputapu maha (ngā Aroturuki) hei aroturuki i ngā mea pēnei i te tere o te manawa, te tere o te manawa me te toto toto .
- Ka whakamahia he kopare hāora, he ngongo iti rānei ka whakanohoia ki roto i ō ihu hei hoatu hāora ki a koe.
- Ka whakaurua he ngongo iti (catheter) ki roto i tō urethra hei tango i te mimi (tērā pea ka ahua kore whakamarie tēnei, engari kāore e mamae).
- Ka whakatakotoria he aho ā-uaua (IV) ki tō ringa, ki tētahi uaua rānei i tō ringa hei hoatu i te tote ki a koe.
- Ka horoia pai tō puku, ā, ka tangohia ngā huruhuru o tō pito me tō puku o raro.
- Ka whakatūria he ārai hei taupoki i tō puku.
Ka pāngia koe e tetahi mea i te wā o te pokanga?
Kāore koe e rongo i te mamae i te wā e wehea ana te pēpi. Heoi, tera pea ka rongo koe i te kare o te kukume, o te pēhi rānei. He maha ngā whaea e ara ana i te wā e wehea ana te pēpi nā te mea he mate whakamoe ā-rohe (he aukati epidural me/ranei he aukati tuaiwi) e whakangāwari ana i te rohe i raro i te hope anake. Mā tēnei, ka taea e rātou te kite me te rongo i tā rātou pēpi e whānau ana. Ka whakatakotoria he mata ki tō puku i te wā e mahia ana te mahi, engari ka taea e koe te titiro ake ka kite i te pēpi e tangohia ana i roto i tō kōpū. I ētahi wā, me hoatu he mate whakamoe whānui ki te whaea e wehea ana te pēpi ohorere. Ko te tikanga o tēnei kei te kore mōhio te pēpi (kei te "moe" rānei) i te wā e whānau ana, ā, kāore e mahara, e rongo rānei i te mamae.He aha ngā mōrearea o te pokanga cesarean?
Ko ngā mahi pokanga e mahia ana i ēnei rā he mea haumaru mō te whaea me te pēpi. Heoi, pērā i ngā pokanga katoa, he tūponotanga kei reira. Ko ētahi o ngā tūponotanga ka puta mai i te pokanga:- Te toto nui rawa (he onge noa iho, tera pea e hiahiatia he whakawhiti toto)
- Te pangia o te patunga (Ka hoatu ngā paturopi hei ārai i tēnei)
- Te kino ki te pūkahukahu, ki ngā whekau rānei
- Ngā urupare kino ki ngā rongoā
- Ngā toto totoka
- Mate (tino onge)
- Ngā whara pea ki te pēpi
Mēnā he pokanga whānau ohorere, he nui ake ngā painga i ngā mōrearea. He oranga pea te pokanga whānau.
He aha te wā whakaora i muri i te mahi cesarean?
Pērā i ngā pokanga katoa, he mamae me te kore whakamarie i muri i te pokanga whānau. He roa ake te wā whakaora i muri i te whānautanga noa. Ko ngā whaea e pokanga whānau ana ka noho ki te hōhipera mō te 3 ki te 4 rā. I muri tonu i te pokanga, ka mamae pea koe, ka whakapairuaki, ka mamae rānei – he tauhohenga noa katoa ki te rongoā whakamoe me te pokanga. Mena i hiahiatia he rongoā whakamoe whānui mō te pokanga whānau ohorere, ka hiamoe pea koe, ka pōhēhē, ka makariri, ka mataku, ka manukanuka, ka pouri rānei. Ka hoatu e ō kaimahi hauora he rongoā ki a koe hei āwhina i te whakamamae i te kore whakamarie, i te mamae rānei. I ngā rā tuatahi tae atu ki ētahi wiki, ka pāngia pea koe e:- Te ngenge.
- Te mamae huri noa i te motu (ka tohua e te tākuta ngā rongoā whakamamae mamae, ka kōrero atu rānei ki a koe mō ngā rongoā whakamamae mamae ka taea te hoko kore utu, ā, he haumaru te whakamahi mēnā kei te whāngai u koe).
- Te pupuhi me te mate pāwera.
- He uaua ki te nekeneke haere me te hiki i te pēpi.
He aha tāu e mahi ai mēnā kāore koe e pai wawe ana?
Mena kei a koe tētahi o ēnei tohu , waea atu ki tō tākuta tonu:- Te kirika.
- Ngā tohu o te mate pāwera huri noa i te wāhi i tapahia (pupuhi, whero, mahana, pupuhi).
- He mamae ohorere, ka piki haere hoki i te taha o te tapahi, i te puku rānei.
- He rerenga mai i te tara, he kakara kino.
- Te mamae i te wā e mimi ana.
- Te uaua ki te tūtae.
- Te toto nui rawa o te tara.
- Te mamae, te pupuhi, te whero rānei o ngā waewae.
- Te uaua ki te manawa, te mamae rānei o te uma.
- Te mamae i te ū kotahi, i ngā ū e rua rānei.
- Ngā kare ā-roto pērā i te pouri.
- Ngā whakaaro ki te whara i a koe anō, i te pēpi rānei.
Karere Tangohia ki te Kāinga
He tikanga hauora nui te pokanga whānau e mahia ana hei oranga mō te whaea me te pēpi. I ētahi wā kua whakaritea, i ētahi wā he āhuatanga ohorere.Kāore koe e mamae i te wā e pokangahia ana, ā, i te nuinga o te wā ka taea e koe te kite i te pēpi i muri tonu i tōna whānautanga.He roa te wā e ora ai i muri i te pokanga, ā, he mea nui kia okioki pai koe, kia whai hoki i ngā tohutohu a tō tākuta i tēnei wā. Mēnā ka kite koe i tētahi mamae, i tētahi tohu mōrearea rānei, me toro atu ki tō tākuta tonu. Hei whakamutunga, ahakoa he pokanga tākihi, he whānautanga noa rānei, he wheako whakamiharo te noho hei whaea. Ngā mihi nui mō tō haerenga!
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