Me pēhea te whakatau i te mamae o te whānautanga? Me kōrero tātou mō tēnei.

Ina tata te taenga mai o tētahi manuhiri hou ki roto i tōu ao, ka kī tonu tō ngākau i te tini o ngā mea, tika? Tērā pea he harikoa, he tumanako, he mataku anō hoki kei te kokonga o tōu ngākau. Ko te pātai nui rawa atu a te tini o ngā whaea, "Me pēhea te whakatau i te mamae o te whānautanga?" Me kōrero taipitopito tātou mō tēnei i tēnei rā.

Ko te mea tuatahi kia mārama ko te whānautanga he wā mamae. Engari he uaua ki te matapae tika he aha te mamae me te nui o taua mamae. He rerekē i ia tangata, i ia tangata . Ahakoa kua whānau he pēpi i mua, tera pea he rerekē rawa tēnei wheako. He maha ngā āhuatanga e pāngia ana, mai i te kōpiripiri o ngā uaua o tō tinana i a tō pēpi e ngana ana ki te tomo ki te ao tae atu ki te pēhanga o te whānautanga o te pēpi.

Ko te mea pai rawa atu, he maha ngā huarahi hei whakatau i tēnei. Kōrero ki tō tākuta mō tēnei, kia mārama hoki ō hiahia me ō whiringa. Engari kia maumahara, i ētahi wā ka rerekē te mahere whānautanga e hangaia ana e tātou. Arā, ki te puta he raruraru i te wā e whānau ana te pēpi, ki te puta rānei tētahi mea kāore i te tumanakohia, me whakarerekē pea te mahere.

Ngā Huarahi Kore-Rohe ki te Whakahaere Mamae

Ko te mea pai rawa atu ka taea e koe te mahi i te wā e hapu ana ko te noho kaha me te whakaae a te taote . Arā, me whakakorikori tinana . Mā tēnei ka whakapakari i tō tinana, ka whakanui hoki i tō manawanui. I ētahi wā, ki te roa te whānautanga mō ngā hāora, ka tino whai hua tēnei kaha.

Hei tāpiri, ka taea hoki e koe te rapu tikanga motuhake hei ako i te whakahaere mamae.

• Ngā mahi manawa: Mā ngā tikanga pēnei i te manawa hōhonu me te manawa puhoi ka āwhina i te whakaiti i te kare o te mamae.
• Ngā tikanga whakangā: Ngā huarahi hei āwhina i te whakamarie i te hinengaro, hei tauira, te whakarongo ki tētahi waiata e pai ana ki a koe, te whakaaroaro rānei ki tētahi mea e whakamarie ana i te wairua.
• Te huri i ngā tūranga: Mā te hikoi haere me te huri i ngā tūranga ka āwhina i te whakamamae i te mamae.
• Mirimiri: Ka taea e tō hoa rangatira, e tētahi atu rānei, te mirimiri i tō tuara me ō pakihiwi i ia wā, i ia wā. He tino whakangā tēnei.
• Kaukau wai wera: Kei ētahi hōhipera he wāhi mō tēnei. Mā te kaukau wera, te kaukau rānei i roto i te kaukau wera ka āwhina i te whakangāwari i ngā uaua.Ka whakangāwari, ka whakaiti hoki i te mamae.

Ka taea e koe te kōrero ki tō tākuta mō ēnei tikanga, me te whakatau ko tēhea te mea pai mōu.

Ngā rongoā mamae (Rongoā)

I ētahi wā, kāore e ranea ngā tikanga taiao anake. I roto i ēnei āhuatanga, ka taea te hoatu he rongoā hei whakahaere i te mamae. Ka taea te wehewehe i ēnei ki ngā wāhanga e rua.

Ko ētahi o ngā tikanga whakamoe e whakamahia whānuitia ana mō te mamae whānau ko te epidural, te spinal, me te whakakotahitanga o ngā mea e rua. Ka whakamahia ēnei hei whakamamae i te mamae mai i te tuara o raro ki raro.

Me ako tātou mō te aukati epidural.

Koinei te tikanga e whakamahia whānuitia ana mō te whakamamae i te mamae o te whānautanga i Sri Lanka me te ao katoa. He tokomaha e mōhio ana ki tēnei ko te "werohanga tuaiwi". Ka whakamahia i te wā e whānau ana i te tara me te wā e wehea ana te pēpi (C-section).

• Me pēhea te hoatu? Ka werohia tēnei rongoā e te tohunga whakamoe ki roto i te wāhi epidural e karapoti ana i tō taurakira, i roto i tō tuara o raro.
• Te wā e pā ai: Ka pā tēnei i waenga i te 10 me te 20 meneti.
• Ngā Painga: Ka taea e koe te noho mataara tonu i te roanga o te whānautanga, me te kore mamae. He painga nui tēnei.
• Ngā pānga taha :
• Tērā pea ka heke te toto toto mō tētahi wā poto, ka pōturi ake pea te tere o te manawa o te pēpi (engari he onge noa iho tēnei e tupu).
• Kāore pea koe e hiahia ki te mimi, ā, me whakauru pea he catheter.
• Tērā pea ka pāngia ētahi tāngata e te kirika me te mamae o te tinana.
• He tino onge te puta o te mamae nui o te upoko i ētahi rā i muri i te whānautanga.

Te Poraka Tuaiwi me te CSE

• Te aukati tuaiwi: He werohanga anō hoki tēnei e tukuna ana ki te tuara o raro. Heoi, he tere ake tana mahi (i roto i ngā meneti) i te epidural. Heoi, he poto noa te pānga, e 1-2 hāora te roa. Nō reira, he maha ngā wā e whakamahia ana mō ngā mahi tākihi.
• CSE (Whakakotahitanga Tuaiwi-Epidural): He whakakotahitanga tēnei o ngā tikanga e rua kua whakahuatia ake nei. Ahakoa ka taea e te tuaiwi te whakaora wawe i te mamae, ka taea e te ngongo epidural te whakahaere i te mamae mō te wā roa mēnā e tika ana. He painga anō hoki tēnei, arā, he iti ake te horopeta rongoā e hiahiatia ana.

Ētahi atu rongoā kāore i te tino whakamahia

Haunga ngā tikanga o runga ake nei, ka whakamahia ētahi atu momo rongoā mēnā e tika ana.

• Ngā rongoā whakamarie: Kāore ēnei e whakamahia nuitia ana i ēnei rā. Engari i ētahi wā ka taea te hoatu ki roto i te uaua, ki roto rānei i te uaua (IV) hei whakaiti i te manukanuka. Ka taea e ēnei te whakamoe i a koe. Ā, tera pea ka hiamoe tō pēpi i muri i te whānautanga.
• Ngā Narcotics/Opioids: Kei roto i tēnei kāwai ngā rongoā pēnei i te Pethidine. Ka hoatu ēnei mā roto i te uaua (IV) hei whakaiti i te mamae. Engari kāore e whakakore katoa i te mamae. Ka taea e rātou te whakamoe me te whakapairuaki. I ētahi wā ka hoatu ēnei ki te hunga kāore e hiahia ana ki te epidural engari e hiahia ana ki te whakamamae i te mamae.
• Pudendal block: He werohanga tēnei hei whakangāwari i te rohe i waenganui i te tara me te nono (te perineum). Ka āwhina tēnei ki te whakaiti i te mamae o te putanga mai o te pane o te pēpi, ā, hei whakamama hoki i te mamae mēnā e hiahiatia ana he tuitui.

He mea nui kia mōhio koe ki ēnei mea katoa, engari me whakatau te whakatau whakamutunga i muri i te kōrero ki tō tākuta, i runga i tō āhua hauora me te āhua o tō whānautanga.