Hei whaea e hapu ana, tera pea koe e mataku ana, e hiahia ana hoki ki te mōhio mō te whānautanga , tika? Kua rongo pea koe i ngā kupu pēnei i te 'torn' me te 'stitched' ina kōrero ana mō ngā mea ka pā ki te whānautanga. He mea tēnei e pāngia ana e te tini o ngā whaea, engari kāore i te tino kōrerohia. Nō reira i tēnei rā i whakaaro mātou me kōrero atu ki a koutou mō tēnei mea i roto i te huarahi hoa. Kei te kōrero mātou mō te roimata perineal e puta ana i te whānautanga, arā, ko te mea e kiia nei e mātou e te hauora ko '(Perineal Tear)'.
He aha rawa te take e puta ai ēnei roimata?
He māmā noa iho, he tukanga taiao whakamiharo te whānautanga. Mā tō tinana e whakarite te ara mō te putanga mai o tō pēpi mā te whakaiti i te kiri me te kiko e karapoti ana i tō tara, kia totoro ake ai. Ko te take o tēnei he whakarite kia puta te upoko o te pēpi me te kore he whara.
Engari i ētahi wā, ina koa he tere rawa te whānautanga, kāore e ranea te wā o tēnei kiri ki te totoro kia rite ki te tika. Koinei te wā ka pakaru te kiko huri noa i te tenetene. He mea tino noa tēnei, ā, he maha ngā whaea e pāngia ana.
I ētahi wā, ka tapahia e ngā tākuta he tapahi iti hei whakanui i te whakatuwheratanga o te tara hei whakahaere i te haehae, hei whānau wawe rānei i te pēpi. Ka kiia tēnei he " episiotomy ". Ka mahia tēnei hei whakahaere i te toto i puta mai i te haehae nui, hei whakaora wawe rānei i te pēpi mēnā he āhuatanga ohorere.
He aha ngā momo raihi matua e whā?
E whā ngā momo matua o ēnei kapiti, e ai ki te hohonu me te kino. Whakaarohia he rite ki te haere mai i tētahi kapiti iti i te rori ki tētahi poka nui. Kia mārama tātou ki ēnei momo.
| Te nui o te roimata | Ngā wāhi kua pakaru | Ngā mea hei mōhio |
|---|---|---|
| Tohu tuatahi | Ko te kiri me te kiko o raro i waenganui i te tara me te nono anake. He haehae tino papatahi. | Tērā pea ka pāngia koe e te wera, e te mamae rānei i a koe e mimi ana. I te nuinga o te wā, kāore e hiahiatia he tuitui, engari i ētahi wā ka hiahiatia kia kotahi, kia rua rānei. Ka ora katoa i roto i ētahi wiki. |
| Tohu tuarua | Haunga te kiri, kua pakaru hoki ngā uaua huri noa i te tenetene, he hohonu ake tēnei i te wāhanga tuatahi. | Koinei te momo whānautanga hapa tino noa . Me tuitui rawa. Ka memeha noa iho ēnei tuitui i muri i tētahi wā. Ka ora i roto i ētahi wiki. |
| Te tohu tuatoru | Ka toro atu te haehae ki ngā uaua huri noa i te nono (anal sphincter). | He mate kino tēnei. Me tuitui rawa. Tērā pea ka roa ake i te torutoru wiki te roa o te ora. Tērā pea ka pāngia ētahi tāngata e ngā raruraru pēnei i te kore e taea te pupuri i te puku me te mamae i te wā e moe tāne ana. |
| Te tohu tuawhā | Koinei te momo tino kino. Ka toro atu te haehae mā roto i ngā uaua huri noa i te nono ki te pakitara o roto o te remu. | Me mahi tēnei i tētahi momo whakatikatika motuhake i roto i te rūma pokanga e tētahi tohunga. Ka roa ake te wā e ora ai. He nui ake te tūponotanga o ngā raruraru, pērā i te wahanga tuatoru. |
He aha ngā āhuatanga ka whakanui ake i te mōrearea o te roimata?
Tērā pea ētahi āhuatanga ka whakanui ake i te mōrearea o te whakawhanake i tēnei momo roimata. Heoi, kāore e tohu ana mēnā kei a koe ēnei āhuatanga ka puta he roimata. He āhuatanga mōrearea noa iho ēnei.
- Mena kei te whānau tō pēpi tuatahi : Ka nui ake te mōrearea i te whānautanga tuatahi nā te mea kāore i te totoro rawa ngā kiko.
- Mena he taumaha rawa te pēpi: Ina puta mai he pēpi nui, ka nui ake te pēhanga ki ngā kiko.
- Mena he tere rawa te whānautanga: Kāore e ranea te wā o ngā kiko ki te whakawhāiti.
- Mena ka whakamahia e koe ngā taputapu hei tango i te pēpi: `(Forc EPSMena me whakamahi koe i tētahi taputapu ``(forceps)`` ``(Vacuum)`` rānei.
- Te tūranga o te pēpi: Te whakaaturanga o te kōpū ina anga ake te mata o te pēpi.
- Mena kua pakeke ake te whaea.
- Te noho hei wahine Āhia: Kua whakaatuhia e ngā rangahau he nui ake te mōrearea o ngā wāhine Āhia nā te āhua o ō rātou kiko.
- Episiotomy: Tērā pea ka pakaru tonu te kiri, inā koa me te episiotomy o te raina waenga.
He aha ngā raruraru ka puta mai i tēnei pupuhi?
Ko te mea nui, ka taea te ārai, te whakahaere rānei i ēnei raruraru mā te maimoatanga hauora me ngā tohutohu tika.
Kāore e tino pāngia te tinana e ngā wāhanga tuatahi me te tuarua, engari ka pāngia pea te tinana e ngā wāhanga tuatoru me te tuawhā kino.
- Te toto: I te wā e haehae ana, ā, i muri hoki i te roimata.
- Mate urutā: Ka pā mai te mate urutā mēnā kāore te wāhi i tuituihia e noho ma.
- Mamae: Ina koa i ngā wiki tuatahi.
- Mamae i te wā moe tāne: Tērā pea ka pāngia ētahi e tēnei raruraru ahakoa kua ora.
- Te kore e taea te pupuri i te mimi: Te turuturu o te mimi, pērā i te wā e maremare ana, e kata ana rānei.
- Te kore e taea te pupuri i te puku: Ka hono pea tēnei ki te mate korere kino.
- Te whakaroa o te whakaora: Tērā pea ka whakaroa te whakaora nā ngā āhuatanga pēnei i te whati anō o ngā tuitui.
Me pēhea te rongoā, ā, me aha koe?
Ko te maimoatanga e whakawhirinaki ana ki te momo haehae kei a koe. Tērā pea kāore e hiahiatia he tuitui mō te haehae taumata tuatahi. Heoi, ko ngā haehae taumata tuarua, tuatoru, me te tuawhā me tino hiahiatia he tuitui hei whakatika.
Ko te mea pai rawa atu, ka memeha haere ngā tuitui e whakamahia ana mō tēnei tikanga i roto i te wā . Nō reira, kāore koe e hiahia ki te hoki ki te hōhipera kia tangohia. Ko te tikanga ka memeha ēnei tuitui i roto i ngā wiki e ono.
Ka memeha haere te mamae o te haehae i muri i te rua wiki pea . Ka hoatu e te tākuta he rongoā whakamamae ki a koe.
Ngā mea hei mahi māu
- Te Ma: Kia ma, kia maroke te wāhi i tuituihia ai ngā tuitui. Horoia ki te wai mahana i muri i te whakamahinga o te wharepaku, whakamarokehia ki te kakahu ma, kātahi ka whakamaroke.
- Okiokinga:Kia okioki rawa. Kaua e noho roa i te tūnga kotahi.
- Kai: Hei ārai i te mate puku, kainga ngā kai he nui te muka, pērā i ngā kākano matomato, ngā huawhenua me ngā hua rākau, ā, inu nui i te wai.
- Tohutohu hauora: Me whai i ngā tohutohu a tō tākuta .
Mena kei a koe ēnei tohu, me toro atu ki te tākuta tonu:
- Ki te mea he kirika tōu.
- Mena he haunga kino, he wai rite ki te pūhā rānei e puta mai ana i te wāhi i tuituihia ai.
- Mena ka piki haere tonu te mamae ahakoa te tango i ngā rongoā whakamamae.
- Mena kei te pupuhi te wāhi i tuituihia ai ngā tuitui, he whero, ā, he tino mamae.
Ki te mamae tonu koe i te wā e moe ai, kaua e whakama, kaua hoki e wehi ki te kōrero ki tō tākuta mō tēnei mea. He maha ngā mea ka taea e koe te mahi hei ārai i tēnei.
Karere Tangohia ki te Kāinga
- He mea tino noa te toto tara i te wā e whānau ana. Kāore he mea hei whakama, hei wehi rānei.
- Ka ora katoa te nuinga o ngā weranga (te wāhanga tuatahi me te wāhanga tuarua) mā te tiaki me te maimoatanga tika.
- He mea nui te tino tiaki i te wāhi kia ma hei ārai i te mate.
- Ki te pāngia koe e te mamae nui, ngā tohu o te mate (kirika, haunga kino), ngā raruraru rānei ki te whakahaere i te pūkahukahu/puku, me toro atu ki tō tākuta i taua wā tonu.
- Kōrerohia mā te mahorahora ki tō tākuta mō ngā raruraru e mau tonu ana i muri i te whakaoranga, inā koa te mamae i te wā e moe tāne ana. He tika ki a koe te rapu i ngā otinga e tika ana.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero