I muri i te whānautanga o te pēpi, ka pāngia koe e te mamae iti i tō puku o raro, pērā i te wā e pāngia ana koe e te paheketanga? Ahakoa kua puta te pēpi, he nui tonu tō puku? Kaua e manukanuka, e māmā, he mea noa tēnei. Nā te mea kei te tīmata te hoki o tō kōpū ki tōna rahi taketake. I roto i ngā kupu hauora, ka kiia tēnei ko te 'uterus involution'. I tēnei rā, ka kōrero tātou mō tēnei tukanga nui, ā-taiao.
He whakarāpopototanga noa iho, he aha te tikanga o tēnei whakaora kōpū?
Ko te involution o te kōpū te tukanga e hoki ai tō kōpū, kua tipu hei whakauru i tō pēpi i te wā e hapū ana, ki tōna rahi o mua i muri i te whānautanga. Whakaarohia he rite ki te pōro. Ka nui haere tō kōpū i roto i ngā marama i muri i te whānautanga o te pēpi. Me hoki whakamuri anō i muri i te whānautanga. Koia mātou i kī ai ko te involution. Ka tīmata tēnei tukanga i muri tata i te whānautanga, ā, e ono wiki te roa. Koinei te wā ka pāngia koe e te toto me te rerenga i muri i te whānautanga e kiia nei ko te lochia.
He wāhanga tino nui tēnei o te tukanga whakaora o tō tinana. Ina whakaarohia te rahi me te nui o ngā panonitanga o tō kōpū i te wā e hapū ana, he mea noa kia roa te wā e hoki ai ki tōna rahi taketake.
He aha te hiranga o tēnei tukanga?
Ko te whāinga matua o tēnei he whakahoki i te kōpū ki tōna rahi i mua i te hapūtanga. I te wā e hapu ana, ka nui haere te kōpū i tōna rahi noa. Ka whakawhanakehia hoki e ia ētahi atu uaua toto me ngā kiko hei whakarato kai mā te pēpi e tipu haere ana. I muri i te whānautanga o te pēpi, kāore te tinana e hiahia ana ki tēnei wāhi, ki tēnei kiko rānei.
Nā reira, ko tā te tukanga "(Involution)" he tango i taua kiko kāore e hiahiatia, he whakaiti i te kōpū, ā, he whakarite i te tinana kia tīmata anō tō huringa paheketanga o ia marama.
Me pēhea te puta o tēnei tukanga?
Ka tīmata tēnei tukanga i muri i te whānautanga o te whenua whānau, koinei te wāhanga tuatoru o te whānautanga. Kātahi ka tīmata anō te kōpiripiri o tō kōpū, te whakaiti rānei. Ka whakaitihia e ēnei kōpiripiri te nui o te toto e rere ana ki te wāhi i piri ai te whenua whānau ki te kōpū. Koinei te tikanga tiaki a te tinana. Koinei te mea e ārai ana i te toto nui (Postpartum Hemorrhage).
Ko ēnei mamae te take e mimiti ai te kōpū, ā, ka puta atu ngā kiko kāore e hiahiatia i kōrerotia e au i mua ake nei i te tinana hei "Lochia". He maha ngā wā ka auau ēnei mamae, ā, he kaha ake i roto i ngā haora 12 tuatahi i muri i te whānautanga o te pēpi. Tērā pea ka pāngia koe e te mamae i tō puku o raro i tēnei wā. Ka kiia ēnei ko ngā "mamae i muri i te whānautanga".
Ko ēnei "mamae i muri i te whānautanga," arā, ko ngā mamae puku e puta mai ana i muri i te whānautanga, he torutoru noa ngā rā e mau ana. Engari ka kaha ake pea i te wā e whāngai ana koe i te u, e pupuhi ana rānei. Ā, mēnā ko tō pēpi tuarua, tuatoru rānei tēnei, tera pea ka kaha ake te mamae i te tuatahi.
E ono wiki te roa o te tukanga "involution". Ia rā, ia rā, ka heke te taumaha o te kōpū, ā, ka heke anō hoki tōna wāhi i roto i te kōhao hope. Koia te take e nui tonu ana tō puku mō tētahi wā i muri i te whānautanga o te pēpi. Ahakoa kei waho te pēpi, he nui tonu te wāhi e nohoia ana e te kōpū i roto i tō puku.
He aha te pānga o te whāngai ū ki tēnei?
Ki te whāngai ū koe i tāu pēpi, ka tere ake te mimiti o tō kōpū. Nā te mea ina ngote tō pēpi, ina pupuhi rānei koe, ka puta he homoni e kiia nei ko te `(Oxytocin).` Ka āwhina tēnei homoni i tō kōpū kia pai ake te mimiti. Koia koe ka mamae ake i te wā e whāngai ū ana koe. Engari he tohu anō hoki tēnei kei te ora tika tō tinana.
Me pēhea te tirotiro a ngā tākuta mēnā ka whai hua tēnei?
I a koe i te hōhipera, ka haere mai te tākuta, te nēhi rānei i ia wā, i ia wā, ki te tirotiro kei te pai te haere o tēnei tukanga.
- Ka whakatakotoria ō rātou ringa ki runga i tō puku, ka pēhi ki raro kia tirohia te tihi o tō kōpū (fundus). Ka kiia tēnei ko te tirotiro i te teitei o te fundal.
- Ka tirohia hoki e rātou mēnā he mārō, he pukupū te kōpū.
- Ka tirohia hoki te nui me te tae o te wai rere o te tara (Lochia) i tēnei wā.
Hei tauira, ki te kore tō kōpū e kōpiripiri ana pērā i te mea e tumanakohia ana, ki te ngawari rānei ki te pā atu, ka nui ake te mōrearea o te toto i muri i te whānautanga. Ki te tupu tēnei, ka mirimiri pea tō tākuta i tō puku ki ōna ringa hei āwhina i te kōpiripiri o tō kōpū. I ētahi wā, ka hoatu pea e rātou he rongoā e kīia ana ko Pitocin, kei roto ko te homoni oxytocin, hei whakaoho i ngā kōpiripiri.
Ka pēhea te hurihanga o te kōpū i tēnei wā?
I te nuinga o te wā, ka heke te taumaha me te rahi o te kōpū o ia tangata i roto i te wā ōrite. Heoi, ka rerekē pea te rahi o tō kōpū i runga i ngā āhuatanga pēnei i te mea kua whānau tamariki koe i mua, te mea he māhanga āu, me te wāhi i whānau ai koe i te wā e hapu ana koe.
Koinei te āhua o te whakaheke taumaha o te kōpū.
| Wā | Taumaha o te kōpū (āhua tata) |
|---|---|
| I muri tonu i te whānautanga | 1,000 karamu (tata ki te 1 kirokaramu) |
| I muri i te wiki | 500 karamu |
| I muri i ngā wiki e rua | 300 karamu |
| I muri i ngā wiki e whā | 100 karamu |
| I muri i ngā wiki e waru | 60 karamu (te rahinga toharite) |
Waihoki, koinei te nekehanga o te kōpū ki roto i te kōhao hope, me te mimiti haere.
| Wā | Te tūranga o te kōpū |
|---|---|
| Tata ki te haora i muri i te whānautanga | Me noho te wāhanga o runga o te kōpū (fundus) ki te taumata o tō cervix. |
| I muri i tērā | Me heke iho kia tata ki te 1 henimita i ia 24 hāora. |
| Tata ki te wiki i muri mai | Ko te wheua hope, kei raro noa iho i tō pito puku, me rite ki te taumata o tō "Wheua Tūpāpaku". |
| I muri i ngā rā 10-14 | Me tuku katoa te kōpū ki roto i te kōhao hope, kaua hoki e mau ki roto i te puku. |
He aha ngā raruraru ka puta ake i roto i tēnei tukanga?
E rua ngā raruraru matua ka puta: Ko te Subinvolution me te Postpartum Hemorrhage.
1. Te whakapūtanga o raro (kāore te kōpū e kuiti tika)
Ko te tikanga o tēnei, kāore tō kōpū e mimiti tere ana pērā i tā tātou e hiahia ana. I ētahi wā ka puta tēnei nā te mea kāore ngā uaua toto i piri ai te whenua whānau e kati tika ana.
Mena kei te whakapae tō tākuta i tēnei āhuatanga i te wā e tirotirohia ana tō puku, ka tūtohu pea rātou kia whakamahia he matawai ultrasound. Waihoki, ki te puta he toto whero pouri mō te neke atu i te wiki i muri i te whānautanga, he tohu pea tēnei mō tēnei mate. He maha ngā take mō tēnei:
- Ngā mate urutā o te kōpū, hei tauira ko te '(Endometritis)'.
- Ngā mea pēnei i ngā wahi o te whenua uri e toe ana i roto i te kōpū.
- Kua nui rawa te mamae o te whānautanga.
- I muri i te pokanga tākihi (C-section).
2. Te Toto i Muri i te Whānautanga - PPH (Te Toto i Muri i te Whānautanga)
He mate kino tēnei, ā, ka mate pea. Ko te PPH he toto nui rawa mai i te kōpū i muri i te whānautanga. He maha ngā wā ka puta mai ina kore e tino kaha ngā whakawhāiti kōpū i muri i te whānautanga.
I te nuinga o te wā ka puta te PPH i roto i ngā haora 24 tuatahi i muri i te whānautanga, engari i ētahi wā ka roa pea te mōrearea tae atu ki te 12 wiki.
I a koe i te hōhipera, ka aroturukihia tonutia e ngā tākuta me ngā nēhi tō toto e ngaro ana. Engari, ki te nui atu tō toto i te mea noa i muri i tō taenga ki te kāinga (hei tauira, ki te nui atu i te kotahi te papa e rumakina ana e koe i te hāora), ki te nui ngā toto e pupuhi ana, ki te pōuri rānei koe, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata. Ehara tēnei i te mea me whakaroa e koe.
Me pēhea te tiaki i a koe anō i tēnei wā?
Ko te wā i muri i te whānautanga o te pēpi, arā, te wā i muri i te whānautanga, he wā e hiahia ana koe ki te tiaki i a koe anō me tō pēpi. Kia nui te okiokinga. Rapua he āwhina mai i tō whānau me tō tāne ki te tiaki i te pēpi.
Ko aua "mamae i muri i te whānautanga" i kōrerotia e au i mua ake nei ka tino kaha, inā koa i te wā e whāngai ana i te u. Tērā pea ka pāngia koe e te mamae nui mō te 5 meneti pea, kātahi ka rite ki te memeha haere. Anei ētahi mea ka taea e koe te mahi hei āwhina i te whakahaere i tēnei mamae:
- Mahia ngā mahi manawa me ngā mahi whakangā mō te mamae whānau.
- Whakatakotoria he urunga ki raro i tō puku, ka takoto papatahi ki runga i tō tuara.
- Haereere.
- Tangohia he rongoā mamae e taunakitia ana e tō tākuta. Tērā pea he pai ake te mahi a tētahi mea pēnei i te ibuprofen i te paracetamol, engari kia mōhio koe ki te kōrero ki tō tākuta i mua i te tango i tētahi mea.
He tukanga tino nui, he tukanga taiao te hokinga mai o te kōpū ki tōna āhua noa. Engari i ētahi wā, me āwhina te kōpū i tēnei haerenga. Koia te take ka tirotirohia koe e te tīma hauora i te hōhipera i muri i te whānautanga o tō pēpi. Tērā pea he raruraru ēnei tirotiro ki a koe, nā te mea e hiahia ana koe kia noho noa me tō mema hou o te whānau. Engari he mea nui ēnei tirotiro hei kite wawe i ngā raruraru pēnei i te PPH.
Karere Tangohia ki te Kāinga
- He tukanga tino noa, he tukanga taiao hoki te nekenekehanga o te kōpū i muri i te whānautanga.
- He mea noa te mamae o te puku ("after pains") mō ētahi rā i muri i te whānautanga o te pēpi. Ka kitea nuitia tēnei i te wā e whāngai ana i te u.
- E ono wiki pea te roa o tēnei tukanga katoa.
- Mena he nui atu tō toto i te mea noa, he nui ngā toto kua pupuhi, he pōuri rānei i a koe e noho ana i te kāinga, haere tonu ki te Tari Urupare (ETU) o te hōhipera.
- Mena he pātai, he ruarua rānei āu mō tēnei mea, kaua e wehi ki te kōrero ki tō tākuta.
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