He aha te mea ka pā ki tō kōpū i muri i te whānautanga o te pēpi? (Uterus Involution)

Ahakoa kua marino koe i te whānautanga o tētahi pēpi, he mea noa kia ngenge tō tinana mō ētahi rā, tika? Ina koa ko tō kōpū, kua roa nei e kawe ana i te pēpi, me whakaiti anō ki tōna rahi taketake. I tēnei rā, ka kōrero tātou mō tēnei tukanga nui.

He aha te Involution o te Uterine?

Ki te kī ngāwari, ko te involvement o te kōpū ko te wā e hoki ai tō kōpū ki tōna rahi i mua i tō whānautanga. Ka puta tēnei i muri tata mai i te whānautanga o tō pēpi, ā, e ono wiki pea te roa. Koinei te wā ka pāngia koe e te toto me te putanga mai i muri i te whānautanga, arā, te lochia .

Whakaarohia, kua roa te tipu o tō kōpū, kua rite ki te tiaki me te whāngai i tō pēpi. Nō reira, i muri i te putanga mai o te pēpi, he mea noa kia roa te wā e hoki ai ki tōna rahi taketake. He wāhanga nui tēnei whakaiti o te kōpū i roto i te tukanga whakaora i muri i te whānautanga .

Nā, he aha te take o tēnei? Ka tīmata anō tō huringa paheketanga ina hoki anō tō kōpū ki te āhua noa. Ka āwhina hoki tēnei tukanga ki te tango i ngā toto me ngā kiko tāpiri katoa i kohia i roto i tō kōpū i te wā e hapu ana.

Me pēhea te puta o tēnei tukanga?

Ka tīmata tēnei tukanga o te whakahekenga o te kōpū i te wā tonu ka whānau te whenua whānau. Arā, i te tuatoru o ngā wāhanga o te whānautanga. Kātahi ka tīmata anō te whakahekenga o tō kōpū. Whakaarohia, ko ēnei whakahekenga te mea e whakaiti ana i te toto mai i te wāhi i piri ai te whenua whānau ki te kōpū. He tikanga parepare whakamiharo tēnei kei roto i tō tātou tinana, hei aukati i te toto nui (te toto i muri i te whānautanga) .

Ka whakaiti anō te kōpū i ēnei mamae, ā, ka puta te kiko tāpiri, e kiia nei ko te lochia . He tino auau, he kaha hoki ēnei mamae kōpū mō ngā haora 12 tuatahi i muri i te whānautanga. I tēnei wā, ka pāngia pea koe e te mamae i tō puku o raro, e kiia nei ko ngā 'mamae i muri i te whānautanga' .

Ka memeha haere tēnei 'mamae o te papa' i roto i ētahi rā. Heoi, tera pea ka nui ake te mamae i a koe e whāngai ana i te ū, e pūhia ana rānei. Waihoki, ki te mea kua whānau āu pēpi i mua, tera pea ka nui ake te mamae.

E ono wiki pea te roa ka hoki katoa te kōpū ki tōna rahi noa. I te hekenga o te taumaha o tō kōpū, ka heke anō hoki te āputa i roto i tō kōhao hope. Tērā pea ka rite tonu tō āhua ki te 'puku' mō ētahi rā i muri i te whānautanga. Nā te mea he nui tonu te āputa o tō kōpū i roto i tō puku, ahakoa kua puta tō pēpi.

He pānga anō tō te whāngai ū ki tēnei?

Āe, tino tika! Ki te mea kei te whāngai ū koe i tāu pēpi, ka tere ake te kōpiri o tō kōpū. Nā te mea ina ngote ū tāu pēpi (ina pupuhi rānei koe i te waiū), ka tere ake te kōpiri o tō tinana.Ka puta te homoni oxytocin. Mā tēnei homoni ka kōpiri te kōpū. Nō reira, he āwhina nui te whāngai ū i tēnei tukanga.

Me pēhea te tirotiro a ngā tākuta kei te hoki anō te kōpū ki te āhua noa?

I a koe i te hōhipera, ka haere mai te tākuta, te nēhi rānei ki te tirotiro i te āhua o te kōpiritanga o tō kōpū. Ka whakatakotoria ō rātou ringa ki runga i tō puku, ka titiro ki te tihi o tō kōpū, e kiia nei ko te 'teitei o tō fundal' . Ka tirohia hoki e rātou mēnā he mārō tō kōpū. Ka aro atu hoki rātou ki tō lochia (ware pi) i tēnei wā.

Hei tauira, ki te kore tō kōpū e kōpiripiri ana pērā i te mea e tumanakohia ana, ki te ngawari rānei te āhua, tera pea ka nui ake tō tūponotanga ki te toto i muri i te whānautanga . I tēnei wā, ka mirimiri pinepine tō tākuta i tō kōpū (mirimiri fundal) hei āwhina i te kōpiripiri. I ētahi wā, ka hoatu pea he rongoā ki a koe ko Pitocin® te ingoa, he homoni hangai, hei whakaoho i ngā kōpiripiri kōpū.

He aha te rerekētanga o te kōpū i tēnei wā? (Rahi me te taumaha)

Ahakoa he rite tonu te wā e kōpiripiri ai te kōpū o te katoa, ka rerekē pea te rahi me te taumaha o tō kōpū i mua i tō hapūtanga. He maha ngā āhuatanga ka pā ki tēnei:

• Ahakoa kua whānau tamariki koe i mua (he nui ake te kōpū o te nuinga o ngā wāhine i muri i te whānautanga o mua).
• E hia āu pēpi, pērā i ngā māhanga?
• I tehea wā o tō hapūtanga i whānau ai te pēpi?

I te nuinga o te wā, ka rerekē te taumaha o te kōpū i muri i te whānautanga penei:

• I muri tonu i te whānautanga: Tata ki te 1000 karamu (tata ki te 2 pauna).
• I roto i te wiki: tata ki te 500 karamu.
• I roto i ngā wiki e rua: tata ki te 300 karamu.
• I roto i ngā wiki e whā: tata ki te 100 karamu.
• I te waru wiki: tata ki te 60 karamu (tata ki te 2 auneke).

Kei te mārama koe? I roto i tēnei whakawhāititanga, ka whakaiti te kōpū mai i te rahi o te karepe , i whakakī i te kōhao hope katoa, ki te rahi o te pea . Ko te kaupapa mō te hekenga o te kōpū ki roto i te kōhao hope koia tēnei:

• Tata ki te haora i muri i te whānautanga, me noho te tihi o te kōpū (fundus) ki tō pito puku.
• Whai muri i tēnā, me heke te tihi o te kōpū ki roto i te puku i ia 24 hāora, tata ki te 1 henimita te matotoru.
• I muri i te wiki pea, me tata te tihi o tō kōpū ki te wheua pubic (symphysis pubis) i tō puku o raro.
• I ngā rā 10 ki te 14, kua hoki te tihi o te kōpū ki roto i te kōhao hope.

He aha ngā raruraru ka puta ake i roto i tēnei tukanga?

E rua ngā raruraru matua ka puta ake i te wā e ora ake ana te kōpū: te kore e piri tika te kōpū me te toto nui i muri i te whānautanga.

Te nekehanga iti o te kōpū

Ko te subinvolution te wā kāore tō kōpū e kuiti tika, arā, kāore e kuiti. I ētahi wā ka kiia tēnei e ngā tākuta ko te "placental subinvolution." Koinei te wā kāore e kati tika ngā uaua porowhita, te wāhi i piri ai te kōpū ki te kōpū.

Tērā pea ka whakapae tō tākuta i tēnei i muri i te tirotiro i te tihi o tō kōpū (whakamātautau fundal). Waihoki, ko te toto whero pouri ( lochia rubra ) e roa ana i te wiki neke atu i muri i te whānautanga he tohu mō tēnei mate. Mēnā ka tupu tēnei, ka tono pea tō tākuta i tētahi ultrasound hei tirotiro i te āhua o te mea e tupu ana.

I ētahi wā, kāore pea te kōpū e kaha ki te whakawhāiti tonu, ka raru rānei tēnei tukanga i ētahi atu raruraru. Anei ētahi take e puta ai te subinvolution :

• Ngā mate urutā o te kōpū, pērā i te endometritis .
• Ngā mea pēnei i ngā wahi o te whenua uri e toe ana i roto i te kōpū.
• Te whānautanga roa, te roa rānei o te whakamahinga o te Pitocin®, ka whakawhāiti ai te kōpū.
• Te whānautanga mā te pokanga tākihi (C-section) .
• Te hoatu i te rongoā whakamoe whānui, pērā i te pokanga tākihi ohorere.

Te Toto i Muri i te Whānautanga (PPH)

Ko te toto i muri i te whānautanga (PPH) he toto nui rawa mai i te kōpū i muri i te whānautanga. Tērā pea ka mate koe i tēnei, nō reira me tino tupato koe.

Tata ki te 80% o ngā mate PPH ka puta nā te kore e kaha o ngā kōpiritanga o te kōpū i muri i te whānautanga. I te nuinga o te wā ka puta te PPH i roto i ngā haora 24 o te whānautanga. Heoi, ka taea pea te puta tae atu ki te 12 wiki i muri i te whānautanga.

I a koe e ora ana i te hōhipera, ka tirotirohia koe e ngā kaimahi hauora mō te toto ( lochia ). Mena he nui te toto e puta mai ana i a koe, ka rongoā tonutia e rātou.

Ko te mea nui, ki te nui tō toto e rere ana i te kāinga, me haere koe ki te Tari Ohotata (ETU) o te hōhipera tata rawa atu.

Me pēhea koe e tiaki ai i a koe anō? (Te whakahaere i te mamae o te tuara)

I muri i te whānautanga o te pēpi, he mea nui kia tiakina koe e koe anō me te okioki, me te tiaki anō hoki i tāu pēpi. Kimihia he wā hei whakaaroaro mōu anō, me te tono āwhina mai i te whānau me ngā hoa hei tiaki i te pēpi.

Ko te 'mamae tuara' e puta mai ana i te whakawhāititanga o te kōpū ka kaha rawa i ētahi wā, inā koa i te wā e whāngai ū ana. E rima meneti pea te roa o te mamae, kātahi ka memeha haere. Anei ētahi mea ka taea e koe te mahi hei whakahaere i tēnei mamae tuara:

• Ngā mahi manawa me ngā mahi whakangā (pēnei i ngā mahi mō ngā mamae whānau).
• Takoto ki runga i tō puku me te urunga i raro i tō puku o raro.
• Te tango i tētahi rongoā mamae kāore i te tūtohutia e tō tākuta. Tērā pea ka pai ake te mahi a te Ibuprofen i te acetaminophen .
• He hikoi iti.

Hei whakamutunga, ko te mea tino nui (Karere hei tango i te kāinga)

He tukanga tino nui, he tukanga taiao te hokinga mai o te kōpū ki tōna rahi noa. Heoi, i ētahi wā ka hiahia pea tō kōpū ki te āwhina i tēnei haerenga. Koia te take ka tirotirohia koe e ngā kaimahi hauora i muri i te whānautanga o tō pēpi. Ahakoa te āhua nei he raruraru ēnei tirotiro i a koe e tīmata ana ki te taunga ki tō mema hou o te whānau, he mea nui ēnei hei kite wawe i ngā raruraru pēnei i te toto i muri i te whānautanga . Mena he āwangawanga ā rātou mō te āhua o te kōpiri o tō kōpū, ka whakamōhio atu rātou ki a koe. Nō reira, kaua e manukanuka, ka pai ngā mea katoa!

Ngā whakahekenga o te kōpū, muri i te whānautanga, lochia, toto i muri i te whānautanga, te whāngai ū, te rahi o te kōpū, te whakaoranga