He aha te Dinoprostone: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Dinoprostone he putanga waihanga o te homoni tūturu e kiia nei ko te prostaglandin E2 e āwhina ana ki te whakarite i tō kaki kōpū me te kōpū mō te whānautanga. Ka tūtohu pea tō tākuta i tēnei rongoā ina tata ana koe ki te wā katoa, e hiahia ana koe ki te āwhina ki te tīmata i te whānautanga i te ara tūturu.

E mahi ana tēnei rongoā mā te whakamāro me te whakatuwhera i tō kaki kōpū i te wā e whakahihiri ana i tō kōpū ki te tīmata i te kōkiri. Whakaarohia he rite ki te tuku i tō tinana i te tūāwhiwhi ngawari ki te tīmata i te tukanga whānautanga e whakarite ana kē.

He aha te Dinoprostone e Whakamahia Ana?

Ko te Dinoprostone te mea nui e whakamahia ana ki te whakaoho i te whānautanga ina rite ana koe me tō pēpi engari kāore anō te whānautanga i tīmata i a ia anō. Ka tūtohu pea tō kaiwhakarato hauora i tēnei rongoā mēnā kua hipa koe i tō rā tika, mēnā rānei ka tūpono te hapū tonu i ngā tūponotanga ki a koe, ki tō pēpi rānei.

Ka whakamahia hoki te rongoā hei āwhina i te maoa, i te whakamāro rānei i tō kaki kōpū i mua i te tīmatanga o te whānautanga. Ko tēnei tukanga, e kiia ana ko te maoa o te kaki kōpū, ka māmā ake te whakatuwhera o tō kaki kōpū i te wā o te whānautanga, ā, ka taea e te tukanga katoa te pai ake mō koe.

I ētahi wā, ka whakamahi ngā tākuta i te dinoprostone mō ngā take rongoā pēnei i ngā raruraru hapū, te pēhanga toto tiketike, i ngā āwangawanga rānei mō te oranga o tō pēpi. Ka āta arotake tō rōpū hauora i tō āhuatanga motuhake i mua i te tūtohu i tēnei maimoatanga.

Me pēhea te Mahi a te Dinoprostone?

E kiia ana ko te Dinoprostone he rongoā ngawari engari whai hua e whai ana i te mea e whakaputaina ana e tō tinana. E mahi ana mā te here ki ngā kaiwhakawhiwhi motuhake i tō kaki kōpū me tō kōpū, e whakaoho ana i ngā huringa rite ka puta i te ara tūturu i te wā e tata ana koe ki te whānautanga.

Ka whakamāro te rongoā i te kiko uaua, muka i tō kaki kōpū, ka pai ake te ngawari me te rite ki te whakatuwhera. I te wā kotahi, ka taea e ia te whakahihiri i ngā kōkiri ngawari i tō kōpū, e āwhina ana ki te tūnga tika i tō pēpi mō te whānautanga.

Te nuinga o nga wahine ka timata ki te kite i nga huringa i roto i etahi haora i muri i te whiwhinga dinoprostone. Ka piki haere nga paanga, ka taea e to tinana te urutau i te taiao ki te mahi whakawhanau, kaua ki te akiaki i nga kirimana kaha, kaha.

Me pehea taku tango i te Dinoprostone?

Ka whakahaerehia te Dinoprostone hei whakauru tara, hei kīkara rānei ka waiho tika e tō kaiwhakarato hauora ki roto i tō tara. E kore koe e hiahia ki te whakauru i tenei rongoa i a koe ano - ka mahia tonu e nga tohunga rongoa whakangungu i roto i te hōhipera, i te whare whanau ranei.

I mua i te tikanga, ka tonohia koe ki te whakawātea i tō pūpū me te takoto i te tūnga pai. Ka ata whakauruhia e tō tākuta, e tō nēhi rānei te rongoa mā te whakamahi i tētahi taputapu motuhake, he rite ki te mahi i te whakamātautau pelvic.

Me noho koe e takoto ana mō te 30 meneti i muri i te whakaurunga kia noho tonu te rongoa ki te wāhi. I tenei wa, ka āta aroturukihia koe me tō pēpi e tō rōpū hauora kia mōhio ai kei te haere pai ngā mea katoa.

Karekau he here kai motuhake e hiahiatia ana i mua i te whiwhinga dinoprostone. Heoi, me kai noa koe me te noho wai i te mea ka mahi koe i etahi atu wāhanga o tō hapūtanga.

Kia pehea te roa e tango ai ahau i te Dinoprostone?

He rerekē te roa o te maimoatanga dinoprostone mai i te tangata ki te tangata. Ko etahi wahine ka urupare i roto i etahi haora, ko etahi atu ka hiahia 12-24 haora, he horopeta tuarua ranei hei whakatutuki i te painga e hiahiatia ana.

Ka aroturukihia e tō kaiwhakarato hauora tō ahunga whakamua i ngā wā katoa, ā, ka whakatau i te wā ki te tango i te rongoa, ki te haere tonu rānei ki ētahi atu wawaotanga. Ko te whāinga ko te whakatutuki i te maoa o te kōpū me te tīmatanga o ngā kirimana auau.

Mēnā ka pai te haere o tō mahi whakawhanau i muri i te dinoprostone, kāore pea koe e hiahia ki ētahi atu rongoa. Heoi, ki te kore e noho auau, e kaha rānei ngā kirimana, ka tūtohu pea tō tākuta i ētahi atu tikanga hei āwhina i te whakawhanau kia haere tonu.

He aha ngā pānga taha o te Dinoprostone?

He maha ngā wāhine e pā ana ki ngā pānga taha ngawari e rite ana ki ngā tohumate o te wāhanga mahi. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te pūmau ake, ki te whai māia hoki i te wā o te rongoā.

Koinei ngā pānga taha e tino kitea ana ka pā ki a koe:

• Te mamae o te puku, ngā kirimoko ngawari rānei e rite ana ki te mamae o te wāhine i te wā o te paheketanga
• Te rere mai i te tara, te toto rānei
• Te mamae o te tuara, te pēhanga rānei i te pūpū
• Te whakapairuaki, te pōpō rānei o te puku
• Te mahana i tō wāhi tara
• Te piki ake o te mimi

He mea noa ēnei tohumate, e tohu ana kei te whai hua te rongoā. Mā tō rōpū hauora e āwhina ki te wehe i waenga i ngā pānga e tūmanakohia ana me ngā mea e hiahia ana ki te āwhina hauora.

Ko ngā pānga taha kāore i te kitea noa, engari he nui ake te kino, e hiahia ana ki te āwhina hauora tonu. Ahakoa he uaua ēnei, he mea nui kia mōhio koe ki a rātou kia taea ai e koe te whakamōhio atu ki tō kaiwhakarato hauora tonu.

• Ngā kirimoko kaha rawa atu, auau rānei (nui atu i te 5 i roto i te 10 meneti)
• Te mamae nui o te puku kāore e ngaro i waenga i ngā kirimoko
• Te nui o te toto mai i te tara (e mākū ana i te nui atu i te kotahi papa i te hāora)
• Te kirika, te mākū, ngā tohu rānei o te mate
• Te uaua ki te manawa, te mamae rānei o te uma
• Te mamae nui o te upoko, ngā huringa rānei o te tirohanga

Ka aroturukihia koe e tō rōpū hauora i te wā o te rongoā kia kitea ai ngā raruraru i te wā wawe. Kia mahara he mea noa ngā pānga taha kino, ā, ko ngā painga o te whakaoho i te wāhanga mahi i te wā tika ka nui ake i ngā tūponotanga.

Ko wai kāore e tika kia tango Dinoprostone?

Kāore te Dinoprostone e tika ana mō te katoa, ā, ka āta arotakehia e tō kaiwhakarato hauora tō hītori hauora i mua i te tūtohu. Ko ētahi āhuatanga ka kore e haumaru, ka iti ake rānei te whai hua o tēnei rongoā.

Kāore koe e tika kia whiwhi dinoprostone mēnā he āhuatanga ō:

• He wāhanga cesarean o mua, he pokanga rānei i te kōpū
• Placenta previa, ētahi atu raruraru rānei o te pūhihi
• He mate herpes i te wāhi whakatipu
• He mate huangō nui, he raruraru rānei ki te manawa
• He mate ngākau, he toto tiketike rānei
• He raruraru ki te pūkahukahu, ki te ate rānei
• He mate pānga ki ngā prostaglandins, ki ētahi atu rongoā rite rānei

Ka whakaaro anō tō tākuta ki te tūnga me te hauora o tō pēpi. Mēnā kei te tūnga breech tō pēpi, e whakaatu ana i ngā tohu o te raruraru, mēnā rānei kei te hapū koe i ngā pēpi maha, tērā pea kāore te dinoprostone i te kōwhiringa tika māu.

Ko ētahi raruraru hapū pēnei i te preeclampsia nui, te toto e rere ana, ngā āwangawanga rānei mō te oranga o tō pēpi, tērā pea ka kore e tika te dinoprostone. Ka āta whakatau tō rōpū hauora i ēnei mea katoa i mua i te whakatau i ngā tūtohutanga.

Ngā Ingoa Waitohu o Dinoprostone

Kei te wātea te Dinoprostone i raro i ētahi ingoa waitohu, ko Cervidil me Prepidil ngā mea e mōhiotia ana. E rua ngā mea kei roto i te whakauru kotahi engari he rerekē te hanganga mō ngā whakamahinga motuhake.

Ka tae mai a Cervidil hei whakauru angiangi, ngāwari e tuku ana i te rongoā i te wā roa i te 12-24 haora. Ko te nuinga o te wā ka pai ake tēnei āhua nā te mea ka taea te tango māmā mēnā e hiahiatia ana, ā, ka tuku i te rongoā i te wā roa, i te ara whakahaere.

Kei te wātea a Prepidil hei hārearea e whakamahia ana ki tō kaki kōpū. Ka tere ake te mahi o tēnei āhua engari kāore e taea te tango i te wā i muri i te whakamahinga, nō reira ka whakamahia i te nuinga o te wā mēnā e hiahiatia ana he whakautu tere.

Ngā Kōwhiringa kē mō Dinoprostone

He maha ngā kōwhiringa kē mō te dinoprostone mō te whakauru i te mahi whānau, ā, ka kōwhiria e tō kaiwhakarato hauora te kōwhiringa pai rawa atu i runga i ō āhuatanga takitahi. He painga me ngā whakaaro tōna ake i ia tikanga.

Ko ngā tikanga miihini pēnei i te pōro katetā Foley ka āwhina i te maoa o tō kaki kōpū me te kore e whakamahi rongoā. Kei roto i tēnei huarahi te whakatakoto i tētahi pōro iti ki tō kaki kōpū e toro haere ana i te wā e pupuhi ana.

Ko te Misoprostol tētahi rongoā ka taea te whakaoho i te whānautanga, ā, i ētahi wā ka whakamahia hei whakakapi mō te dinoprostone. He iti ake te utu, engari ka kaha ake pea ngā kōpū e hiahia ana kia kaha te aroturuki.

Ko ngā tikanga māori pēnei i te horoi i ngā membrane, e wehea ana e tō tākuta te pūpū wai mai i tō pūwaha, ka whakamātauhia i te tuatahi. Ko te hikoi, te whakaihiihi i te ū, ētahi atu tikanga māori rānei ka āwhina i te whakatairanga i te whānautanga i ētahi wāhine.

He Pai Anei te Dinoprostone i te Pitocin?

He rerekē te mahi a te Dinoprostone me te Pitocin (oxytocin), ā, he maha ngā wā ka whakamahia i ngā wā rerekē o te whakaoho i te whānautanga. Ko te Dinoprostone te tikanga ka whakamahia i te tuatahi hei whakarite i tō pūwaha, i te wā e whakamahia ana te Pitocin i muri mai hei whakakaha i ngā kōpū.

Ko te Dinoprostone te tikanga e whakaarohia ana he ngawari ake nā te mea e whai ana i te whakarite māori o tō tinana mō te whānautanga. Ka āwhina i te whakangohengohe me te whakatuwhera i tō pūwaha i te wā, ka taea te whakamaarama me te āhua māori o te whānautanga katoa.

Ko te Pitocin te tikanga ka whakaurua i muri i te rite o tō pūwaha, ā, ko te mahi tuatahi ko te whakakaha me te whakatika i ngā kōpū. He maha ngā wāhine ka whiwhi i te dinoprostone i te tuatahi, ka whai i te Pitocin ki te hiahiatia hei pupuri i ngā kōpū pai.

Ka whakatau tō kaiwhakarato hauora ko tēhea rongoā te mea pai rawa atu i runga i te rite o tō pūwaha, te tūnga o tō pēpi, me te ahunga o tō whānautanga. I ētahi wā ka whakamahia ngā rongoā e rua i te raupapa mō ngā hua pai rawa atu.

Ngā Pātai Auau mō te Dinoprostone

Q1. He Haumaru te Dinoprostone mō ngā Hapū Tino-Mōrearea?

Ka taea te whakamahi haumaru i te Dinoprostone i roto i te maha o ngā hapū tino-mōrearea, engari e hiahia ana tēnei whakatau kia āta arotakehia e tō rōpū hauora. Ko ngā āhuatanga pēnei i te mate huka, te toto tiketike, ētahi atu āwangawanga rānei mō te tipu o tō pēpi ka waiho te whakaoho i te whānautanga ki te dinoprostone hei kōwhiringa haumaru ake.

Ka whakatauritea e tō tākuta ngā tūponotanga o te haere tonu o tō hapūtanga ki ngā tūponotanga o te whakaoho. I te nuinga o ngā wā, he nui ake ngā painga o te tīmatanga o te whānautanga i te wā tika i ngā raruraru ka puta mai i te tatari roa.

Q2. Me Pēhea Taku Mahi Mēnā Ka Pātai Au i ngā Kōpū Nui Rawa?

Mēnā kei te pātai koe i ngā kōpū e tino kaha ana, e auau ana, e mamae ana rānei, whakamōhiotia tō kaiwhakarato hauora tonu. Ka taea e rātou te aromatawai mēnā he whakautu noa tēnei, mēnā rānei me tango te rongoā.

Ka aroturukihia e tō rōpū hauora ō kōpū i ngā wā katoa, ā, ka taea te tango tere i te whakauru dinoprostone mēnā e tika ana. Kia mahara he mea noa te kore mārie, engari ko te mamae nui, ko ngā kōpū auau rānei e hiahia ana kia aro tonu.

Q3. He Aha te Mea Ka Pā Mēnā Kāore a Dinoprostone e Mahi?

Mēnā kāore a dinoprostone e whakatōtō i tō kaki kōpū, e tīmata rānei i te whānautanga i muri i te wā e tūtohutia ana, he maha ngā kōwhiringa a tō kaiwhakarato hauora. Ka whakamātau pea rātou i te horopeta tuarua, ka huri ki tētahi rongoā rerekē, ka whakamahi rānei i ngā tikanga miihini hei āwhina i tō kaki kōpū kia tuwhera.

I ētahi wā, he pai ake te whakakotahi i te dinoprostone me ētahi atu huarahi i te whakamahi noa. Ka kōrerohia e tō tākuta ngā mahi e whai ake nei i runga i te āhua o te urupare o tō tinana ki te maimoatanga tuatahi me tō āhua hauora whānui.

Q4. Āhea e Tāea ai te Whānautanga te Tīmata i Muri i te Dinoprostone?

He rerekē te wā o te whānautanga i waenga i ngā wāhine e whiwhi ana i te dinoprostone. Ka tīmata ētahi ki te pātai i ngā kōpū auau i roto i te 6-12 haora, i te mea ka hiahia ētahi atu ki te 24 haora, neke atu rānei kia kite i ngā huringa nui.

Ka aroturukihia e tō rōpū hauora tō ahunga whakamua, ā, ka āwhina i a koe ki te mārama ki ngā mea e tūmanakohia ana i runga i tō urupare takitahi. Kia mahara he rerekē te urupare o te tinana o ia wāhine, ā, kāore he wā tika hei tīmatanga o te whānautanga.

Q5. Ka Tāea e Au te Hīkoi Awhio i Muri i te Whiwhinga i te Dinoprostone?

Me takoto tonu koe mō te 30 meneti i muri i te whakaurunga o te dinoprostone kia noho te rongoā ki te wāhi tika. I muri i tēnei wā tuatahi, ka whakamōhio tō tākuta ki a koe i te wā e pai ana ki te ara ake me te hīkoi.

He maha ngā wāhine e kite ana ka āwhina te hīkoi marie i te haere o te whānautanga i te wā i whakaaetia ai rātou ki te hīkoi. Ka akiaki tō rōpū hauora i te neke haumaru i te wā e mātakitaki tika ana i a koe me tō pēpi i roto i te tukanga.