I te tata mai o te rā e whānau mai ai tō pēpi ki tēnei ao, he mea noa te mataku me te manukanuka mō te mamae ka pā ki a koe i taua wā. Tērā pea kei te whakaaro koe, "Me pēhea taku whakahaere i tēnei mamae?" Tērā pea kei te whakaaro koe he aha tāu e taea ai te whakahaere i te mamae. Ko tētahi o ngā huarahi matua hei whakahaere i taua mamae ko te whakamahi i tētahi momo rongoā whakamamae mamae e kiia nei ko ngā opioid. Me kōrero tātou mō tēnei i tēnei rā.
Hei whakarāpopototanga, he aha ēnei Opioids?
He momo rongoā mamae kaha ngā opioid e whakamahia ana hei whakamamae i te mamae. I te nuinga o te wā ka hoatu hei pire, hei werohanga rānei ki roto i te uaua (IV).
He mea whakamiharo te āhua o te mahi a ēnei i roto i ō tātou tinana. Ki te whakarāpopototanga, ka piri ēnei rongoā ki ō tātou pūtau io, ka aukati i te tohu mamae kia kore e haere ki te roro. He rite ki te aukati i te ara mamae. Ehara i te mea koinā anake, engari ka whakanui ake hoki i te tukunga o ngā endorphins, arā , ngā matū i roto i ō tātou roro e mea ana kia harikoa, kia marino hoki tātou . Nō reira ka tīmata koe ki te marino, kia marino hoki.
He rerekē anō hoki ngā momo opioid .
- Ko ētahi ka riro mai i ngā purapura o te rākau pōpī. Hei tauira, ko te morphine, he rongoā mamae.
- Ko ētahi ka hangaia i roto i ngā taiwhanga mai i ngā opiate tūturu.
- Kei reira anō hoki ētahi he mea hanga katoa, arā, he mea hanga matū i roto i te taiwhanga. Kei roto i tēnei kāwai te Pethidine me te Fentanyl, e whakamahia whānuitia ana i te wā e whānau ana.
Ngā painga me ngā huakore o te whakamahi i ngā opioids i te wā e whānau ana
He maha ngā kōwhiringa hei whakatau i te mamae i te wā e whānau ana. Ko ētahi e pai ake ana ki te whānau i tā rātou pēpi me te kore he rongoā mamae. Ko ētahi e whakamahi ana i ngā tikanga rerekē hei whakahaere i te mamae i raro i te tohutohu a te taote. Ko ngā opioid tētahi o aua tikanga. Ka whakamahia ēnei i ngā wāhanga tōmua o te whānautanga, i te wā e tīmata ana te whānautanga. Me titiro tātou ki ngā painga me ngā huakore o ia mea.
| Ngā Painga | Ngā ngoikoretanga |
|---|---|
| Tīmatanga tere:I runga i te momo kopere, tera pea ka tīmata koe ki te rongo i te whakamamae o te mamae i roto i ētahi meneti. | Te hiamoe: Tērā pea ka hiamoe koe, ka ngenge hoki. Engari ki te whakaaro koe ka roa te whānautanga, ka āwhina tēnei i a koe kia okioki. |
| Roa te pumau: Ka roa te whakamamae mamae mō ngā haora maha. | Whakapairuaki me te ruaki: Tērā pea ka rongo ētahi tāngata kei te huri te puku, ā, ka ruaki. |
| Te noho marino: Kāore ēnei e ngoikore ai ō uaua, engari ka āwhina i a koe kia noho marino, kia taea ai e koe te okioki i mua i te mahi uaua o te whānautanga o tō pēpi. | Pōuriuri: Tērā pea ka pōuriuri koe, ka māuiui hoki tō mahunga. |
| Ngā pānga pea ki te pēpi: Koinei te mea nui rawa atu. Mēnā ka hoatu ēnei rongoā i te wā hē, i te horopeta hē rānei, ka pā ki te hauora o te pēpi. Tērā pea ka pōturi te manawa me te tere o te ngakau o te pēpi. |
Koia te take e hoatu ai ēnei momo rongoā whakamamae mamae i roto i te hōhipera, i raro i te tirotiro tino a ngā tākuta me ngā nēhi.
He tino haumaru te tango i ngā opioids i te wā e whānau ana?
He pātai nui tēnei mā te tini o ngā whaea. Ko te whakautu, āe, he haumaru te tango i ngā opioids mō te mamae i te wā e whānau ana, mēnā ka hoatu tika, ā, i raro i te tirotiro a te rata. Engari, ehara i te mea kāore he mōrearea.
Ko te mea nui ko te wā me te horopeta.
- Te Wā: Ka hoatu ēnei rongoā whakamamae mamae i mua i te tīmatanga o te wāhanga kaha o te whānautanga. Ki te kī māmā noa, kāore e hoatu i muri i te 6 henimita te whānui o tō kōpū, ā, kua tīmata te puta mai o ō mamae mamae i roto i te āhua pumau, auau . Ko te take o tēnei, kāore e tino whakaora i te mamae i taua wāhanga, ā, hei whakaiti i te pānga pea ki te pēpi.
- Inenga: TākutaMe whakamahi noa i te horopeta kua tohua. Mēnā he nui rawa te horopeta, ka heke pea te manawa me te tere o te ngakau o te whaea me te pēpi.
Ka taea e koe te waranga ki tēnei?
Ina rongo koe mō te 'mate urutā opioid' o te ao, e mārama ana te wehi pea koe ki te tango i tētahi momo rongoā pēnei. Engari ko te pono, e kore koe e whakawhirinaki ki tētahi rongoā mamae pēnei ka hoatu kotahi i te wā e whānau ana. Ka whakawhirinaki te tangata ki tētahi rongoā nā te mea ka taunga tōna tinana ki taua rongoā i roto i te wā. E kore tēnei e tupu me te horopeta kotahi i hoatu i te wā e whānau ana. Ki te kore koe i mua i te wā e pāngia ana e te tarukino, kaua e mataku rawa ki tēnei.
He aha ētahi atu kōwhiringa mō te mamae?
Haunga ngā opioid, he maha atu anō ngā huarahi rongonui me te whai hua hei whakahaere i te mamae i te wā e whānau ana. Ka taea e koe te kōrero mō ēnei katoa ki tō tākuta, me te whiriwhiri i te mea e pai ana mōu.
| Tikanga whakaora mamae | Hei whakarāpopototanga... |
|---|---|
| Te aukati epidural | Koinei te mea e kiia nei e te tini o te tangata i tō tātou whenua he "spinal tap." Ka whakauruhia e te tohunga whakamoe he ngongo angiangi (catheter) ki roto i te wāhi epidural huri noa i tō taurakira, ā, ka hoatu he wai whakamamae mamae mā roto. I roto i te 10-20 meneti, ka ngoikore tō tuara o raro. Kāore e taea e koe te hikoi i te wā e mau ana tēnei. |
| Poraka tuaiwi | He werohanga anō hoki tēnei ki te tuaiwi, pērā i te epidural. Heoi, ka werohanga tika te rongoā ki roto i te wai tuaiwi. Kotahi noa te hoatutanga. Ka memeha te mamae i roto i ngā haora e rua. He tikanga tēnei mō ngā mahi tākihi (C-sections) me ngā whānautanga uaua. |
| Te rongoā whakangote ā-rohe | Ka whakamahia tēnei hei whakangāwari i tētahi wāhi iti noa iho. Hei tauira, mēnā ka tapahia he wahi iti (episiotomy) hei whakawhanui i te tara, ka tukuna tēnei werohanga hei whakangāwari i taua wāhi. |
| Waikura hauota | Ka kiia hoki tēnei ko te "hau kata." Ka hongia tēnei hau mā roto i te kopare ina tata koe te pāngia e te mate haurangi. Kāore e whakakorea katoatia te mamae, engari ka māmā ake te manawanui. Ka taea e koe te hikoi me te neke haere i a koe e whakamahi ana. |
Nō reira, tera pea koe e whakaaro ana, he maha ngā huarahi hei whakahaere i te mamae. Ko te mea pai ko te kōrero māhorahora mō ēnei huarahi katoa ki tō tākuta i mua i tō whānautanga, i te wā e haere ana koe ki te whānau. Kātahi ka taea e koe te waihanga i tētahi mahere whānau e pai ana mō tō hauora, mō ō hiahia , me te āhua o tō pēpi.
Karere Tangohia ki te Kāinga
- He rongoā mamae kaha ngā opioid hei rongoā mō te mamae i te tīmatanga o te whānautanga . Kāore i te nuinga o te wā e hoatu ana i te wā e kaha ana te whānautanga.
- Ahakoa ka tere te whakamamae i te mamae, ka pā mai pea ngā pānga taha pēnei i te hiamoe me te whakapairuaki. Ko te mea nui, ka pā kino pea ki te pēpi mēnā ka whakamahia hē, nō reira me hoatu noa i raro i te tirotiro a te taote.
- E kore koe e waranga ki tētahi horopeta Opioid i tangohia i runga i te tohutohu a te taote i te wā e whānau ana. Kaua e mataku noa i taua mea.
- Haunga ngā opioid, tera atu anō ngā tikanga whakamamae mamae tino whai hua, pērā i ngā epidural me ngā aukati tuaiwi.
- Hei whakamutunga, me kōrero tonu ki tō tākuta kia whiriwhiria te tikanga whakahaere mamae e whakarato ana i te wheako haumaru me te pai rawa atu mōu me tō pēpi.
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