He mea noa te haehae o te tara i te wā e whānau ana? (Roimata Tara) Me kōrero tātou mō tēnei!

Hei whaea e hapu ana, tera pea koe e mataku, e hiahia rānei ki te mōhio mō te whānautanga. He mea noa iho tēnei. Ko tētahi o ngā mea e pātaihia ana, e wehingia ana hoki e te tini o te tangata, ko te mea ka pakaru te rohe huri noa i te tara ina whānau te pēpi. He mea tēnei e pāngia ana e te tini o ngā whaea. Engari i mua i tō mataku, me kōrero mārama, me te ngāwari hoki mō tēnei mea.

He aha te haehae o te tara?

Koinei te mea e kiia nei e mātou i roto i te rongoā he "Perineal Raceration". Ki te kī māmā noa, i te wā e whānau ana, ina puta mai te pēpi i te tara, ka haehae te kiri me te kiko e karapoti ana i tō tara. Ko te wāhi i waenganui i te pūaha o tō tara me tō nono ka kiia ko te "Perineum". I te nuinga o te wā ka pakaru i tēnei wāhi.

Whakaarohia, i te mea ka tata te whānautanga o te pēpi, ka tīmata te totoro o te kiri o tō tara ki te tino angiangi. Kua hangaia ō tātou tinana kia totoro pai tēnei wāhi kia taea ai e te pēpi te puta mai me te kore e whara. Heoi, i ētahi wā ka pakaru te wāhi nei ina puta te upoko o te pēpi. Kaua e manukanuka, he mea tino noa tēnei. Inaa, tata ki te 90% o ngā whaea e whānau noa ana ka pāngia e te pakaru.

Ko te maimoatanga mō tēnei roimata e whakawhirinaki ana ki tōna āhua. I roto i te nuinga o ngā wā, ka taea e ngā rongoā kāinga te āwhina ki te whakaiti i te mamae me te tere ake te whakaora.

E whā ngā momo matua o ēnei Iriyam.

E whā ngā taumata matua o ēnei tohumate, i runga i te kaha o te mate. Kia kite tātou he aha ēnei tohumate.

He aha tēnei ka tupu ai? Ko wai kei te mōrearea nui ake?

Ko te tino take o tēnei haehae i te wā whānau ko te totoro o te tara me te perineum i te putanga mai o te pēpi. He tukanga noa tēnei. Kāore e taea e tātou te whakahaere i ngā mea pēnei i te ngāwari o te kiri o tō tara. Heoi anō, ka taea e ētahi āhuatanga te whakanui ake i te mōrearea o tēnei haehae.

• Mena koinei tō whānautanga tuatahi.
• Mena kei te anga whakarunga te pēpi, kaua ki raro ina puta mai.
• Mena me whakamahi koe i te taputapu "Forceps" me te "Vacuum" rānei hei tango i te pēpi.
• Mena he taumaha rawa te pēpi (neke atu i te 8 pauna).
• Mena ka roa te wā e pau ana i te wāhanga tuarua o te whānautanga, i te pēhi rānei.
• Mena i hoatu he epidural ki a koe hei whakamamae i te mamae.
• Kua kitea e ētahi rangahau he nui ake te mōrearea o ngā wāhine Āhia.

Ka taea e koe te kōrero ki tō tākuta mō tēnei mea, kia kitea ai mēnā kei a koe tētahi o ēnei āhuatanga mōrearea.

He aha ngā raruraru ka pā mai i tēnei?

Ka pā mai pea te mamae me te kore whakamarie i te roimata. Heoi, ko te nuinga o ngā roimata iti ka ora i roto i ngā wiki e rua. Mena he nui ake te roimata, he mea noa te mamae mō te marama, e rua rānei. Mō ngā roimata tuatoru me te tuawhā, he paku teitei ake te tūponotanga o ngā raruraru.

• Mate urutā:Ki te kore te patunga e horoia, ka pangia pea.
• Te toto.
• Mamae i te wā moe tāne: (i muri i te whakaaetanga a te tākuta)
• Te kore e taea te pupuri i te tūtae: Ka pā pea tēnei i ngā wā tino kino.
• Te mamae tonu me te ngaungau.

Ki te pā mai tēnei momo āhua ki a koe, me kōrero ki tō tākuta i tō wā hui i muri i te whānautanga. Kātahi ka taea e ia te kōrero ki a koe mēnā he noa, he hē rānei ō kare ā-roto.

Me pēhea te tiaki i te patunga i te kāinga kia ora ra ano?

I muri i te whānautanga o te pēpi, tera pea ka pāngia koe e te mamae i te wā e ora ana te roimata. He iti noa ngā mea ngāwari ka taea e koe te mahi i te kāinga hei āwhina i te whakaiti i taua mamae. Ka taea ēnei te mahi mō ngā taumata katoa o te roimata.

• Kia tupato ki te horoi: I muri i te whakamahinga o te wharepaku, whakamahia he `(peri-bottle)` (he pounamu pupuhi) hei horoi i te wāhi ki te wai mahana. Kaua e murua ki te pepa wharepaku, engari me ata mirimiri kia maroke.
• Tāpirihia he putea hukapapa: He putea horoi motuhake kei roto he putea hukapapa ka taea e koe te hoko mai i ngā whare rongoā. Mēnā rānei, takaihia ētahi poraka hukapapa ki roto i tētahi kakahu ma, ka whakatakotoria ki te patunga mō te 10-15 meneti. Mā tēnei ka whakaiti i te pupuhi me te mamae.
• Ārai i te mate puku: Kaua e whakamātau i te totohu i tēnei wā. Inuhia he nui te wai. Kai atu hoki i ngā kai he nui te muka (hua rākau, huawhenua, me ngā rau matomato). Ki te tika, pātai atu ki tō tākuta mō te tango i tētahi rongoā whakangawari tūtae.
• Kaukau Noho-ā-roto: Ki te mea he kaukau tāu, whakakīia ki te wai māhana kia torutoru inihi te teitei, ka noho ki roto mō te 10-15 meneti. Mā tēnei ka whakaiti i te mamae, ka āwhina hoki i te tere o te ora o te patunga. He pai ake te mahi i tēnei kia rua, kia toru rānei ngā wā i te rā.
• Whakamahia he Urunga Tōnati: Ki te pēhia tō patunga i a koe e noho ana, noho ki runga i tētahi urunga āhua tōnati me te kōhao i waenganui. Mā tēnei ka whakaiti i te pēhanga ki te patunga.
• Āta karohia ngā tūranga whakararuraru: Kati te mahi i ngā mahi whakakori tinana e whara ai te whara, pērā i te heke i ngā arawhata, te tūpekepeke, me ētahi atu mō tētahi wā.
• Rongoā mamae: Tangohia he rongoā mamae pēnei i te paracetamol e ai ki ngā tohutohu a tō tākuta. Mēnā he kino te haehae, ka tohua pea e ia he rongoā mamae kaha ake.
• Rehu whakamamae mamae: Ka taea e koe te whakamahi i tētahi rehu hei whakaiti i te mamae me te ngoikore o te ngākau, pērā i te ``(Dermoplast®)``, ka taea te hoko mai i ngā whare rongoā. Heoi, he mea whakaaro nui kia pātai atu ki tō tākuta.

Kia pēhea te roa o te wā e ora ai? He aha ngā āhuatanga mōrearea?

Mō te nuinga o ngā whaea, ka tino heke te mamae me te kore whakamarie i muri i te rua wiki pea. Mēnā he nui te haehae, tera pea ka roa ake te wā e ora ai. Ka memeha haere ngā tuitui i muri i tētahi wā, nō reira kāore he take e tapahia ai.

Heoi, me mōhio koe ki ngā tohu o te mate i te wā e ora ana te patunga.

Ka taea e koe te whakaaro mō te whānau anō i tētahi atu pēpi?

Ae, tera pea e taea. Mēnā kua pakaru te kōpū i tētahi whānautanga o mua, ehara i te mea kāore e taea e koe te whānau noa i te wā e whai ake nei. Ahakoa ngā rangahau i whakamahia ai ngā whaea kua pakaru rawa te kōpū, kāore e whakaatu ana i te tika o te pokanga whakawhānau i te wā e whai ake nei.

Waihoki, ahakoa ka pakaru i te wā tuatahi, ehara i te mea ka pakaru i ia wā. Inaa, he iti ake te pakaru o te nuinga o ngā whaea i te whānautanga tuarua, tuatoru rānei. Nō reira kaua e manukanuka. Kōrero ki tō tākuta mō ngā mea katoa e pā ana ki tō hinengaro.

Episiotomy, episiotomy rānei - ko tēhea te mea pai?

I ētahi wā, ki te kore te pēpi e puta wawe mai, ka tapahia e te tākuta he wahi iti ki te taha o te pūaha o te tara. Ka kiia tēnei he "Episiotomy". Ka mahia tēnei hei whakanui i te pūaha o te tara i runga i te tikanga whakahaere, hei ārai hoki i te haehae kore whakahaere.

Heoi, ko te whakaaro hauora o nāianei kāore i te tūtohutia kia mahia he episiotomy i ia wā. E kī ana ngā rangahau hou he pai ake te waiho kia ora noa te roimata. Nō reira, he onge te mahi a ngā tākuta i tēnei tapahi, engari i ngā wā tino hiahiatia.