He aha te wāhanga C? Te Kaupapa, te Hātepe me te Whakaora

Ko te wāhanga C, he wāhanga cesarean rānei, he hātepe pokanga e whānau ai tō pēpi mā te tapahi i tō puku me tō kōpū, kaua mā te ara tara. Ka mahia tēnei pokanga nui i te wā e mōrearea ai te whānautanga tara mō koe, mō tō pēpi rānei, i te wā rānei ka puta ngā raruraru i te wā o te whānautanga. Tata ki te kotahi i roto i te toru ngā pēpi i te United States e whānau ana mā te wāhanga C, ā, koinei tētahi o ngā hātepe pokanga e tino whānui ana i tēnei rā.

He aha te wāhanga C?

Ko te wāhanga C he whānautanga pokanga e mahia ana e tō tākuta e rua ngā tapahi - tētahi mā tō pūtaiao, tētahi mā tō kōpū - kia whānau pai ai tō pēpi. Ko te tikanga ka roa te hātepe i te 45 meneti ki te hāora mai i te tīmatanga ki te otinga, ahakoa te nuinga o te wā ka whānau tō pēpi i roto i ngā meneti 10-15 tuatahi. Kāore i rite ki te whānautanga tara, me whakamahi rongoā whakamoe i tēnei pokanga, ā, ka roa te wā whakaora.

Ka taea te whakamahere i te pokanga i mua (e kīia ana he wāhanga C whiriwhiri, he wāhanga C rānei kua whakaritea) ka mahia rānei hei hātepe ohorere i te wā ka puta ngā raruraru i te wā o te whānautanga. E rua ngā momo e whai ana i te hangarau pokanga kotahi, engari ka rerekē te wā me te whakarite.

He aha te take e mahia ana te wāhanga C?

Ka tūtohu pea tō tākuta i te wāhanga C i te wā e mōrearea ai te whānautanga tara mō koe, mō tō pēpi rānei. I ētahi wā ka mōhiotia ēnei āhuatanga i ngā wiki i mua i tō rā whānautanga, i ētahi wā ka puta ohorere i te wā o te whānautanga. Ko te whakatau i ngā wā katoa e whai ana i te hauora me te haumaru o koe me tō pēpi.

Ko ngā take rongoā mō te wāhanga C kua whakaritea ka mārama i te wā o tō hapū mā te aroturuki me ngā whakamātautau. Ka kōrero tō rōpū hauora i ēnei āhuatanga ki a koe i mua, ka whai wā koe ki te whakarite i te hinengaro me te tinana mō te hātepe.

Koinei ngā take tino nui e mahia ana ngā wāhanga C:

• He wahanga C o mua: Mēnā kua whai koe i tētahi, neke atu rānei i tētahi wāhanga C i mua, tērā pea ka tūtohu tō tākuta i tētahi atu, ahakoa ka taea te whānau i te ara tūtae i muri i te wāhanga cesarean (VBAC) i ētahi wā
• Te tūnga o te pūtake: Ka tū te pūtake, ngā waewae rānei o tō pēpi ki te puta tuatahi, kaua ki tō rātou upoko
• Ngā raruraru o te pūwhaka: Ka hipoki te pūwhaka i te kaki o te kōpū (placenta previa) ka wehe rānei i te pakitara o te kōpū (placental abruption)
• He maha ngā pēpi: Ko ngā māhanga, ngā toru, me ētahi atu pēpi maha e hiahia ana ki te wāhanga C
• Pēpi nui: Ka whakatauhia te taumaha o tō pēpi neke atu i te 9-10 pauna, ina koa kei a koe te mate huka
• Ngā raruraru o te mahi: Ka mutu te haere o te mahi, ka whakaatu rānei tō pēpi i ngā tohu o te mamae
• Te prolapse o te taura: Ka puta te taura pito i mua i te pēpi, ka tapahi i tō rātou hāora
• Ngā āhuatanga hauora o te whaea: Te toto tiketike nui, te mate ngākau, te mate herpes i te wāhi tūtae

Ka hiahiatia pea ngā wāhanga C ohorere mēnā ka puta ohorere ngā raruraru i te wā o te mahi. Ka whakamārama tō rōpū hauora i te ohorere, ā, ka āwhina i a koe ki te mārama he aha i tika ai te pokanga mō tō haumaru.

He aha te tikanga mō te wāhanga C?

E whai ana te tikanga wāhanga C i tētahi tukanga tūpato, taahiraa-i-taahiraa i hangaia hei whānau i tō pēpi i runga i te haumaru, me te whakaiti i ngā tūponotanga. Ka whakamārama tō rōpū pokanga i ia taahiraa, ā, ka whakarite kia pai koe i te wā o te tukanga. Ko te tikanga katoa e 45 meneti ki te hāora, ahakoa ka mau koe i tō pēpi i mua atu i tērā.

I mua i te tīmatanga o te pokanga, ka whiwhi koe i te rongoā hei whakarite kia kore koe e rongo i te mamae i te wā o te tukanga. Ko te nuinga o ngā wāhanga C e whakamahi ana i te rongoā tuarā, i te rongoā epidural rānei, e whakapōuri ana i a koe mai i te uma ki raro, i te wā e noho ana koe kia tūpono ki te whānautanga o tō pēpi.

Koinei te mea ka tupu i te wā o te pokanga:

1. Te whakahaere rongoā: Ka whiwhi koe i te rongoā tūāwhiwhi, i te rongoā epidural rānei, i ngā wā ohorere onge, i te rongoā whānui rānei
2. Te whakarite i te wāhi pokanga: Ka horoia tō puku, ka hipokina ki ngā pepa horoi, ka whakauruhia he katita kia kore ai tō pūpū e ki tonu
3. Te hanga tapahi: Ka hanga e tō tākuta pokanga he tapahi whakapae puta noa i tō puku o raro, i runga noa i tō raina makawe pubic
4. Te tapahi kōpū: Ka hanga he tapahi tuarua ki tō kōpū, te tikanga whakapae puta noa i te wāhanga o raro
5. Te whānautanga o te pēpi: Ka whakaarahia tō pēpi, te tikanga i roto i te 10-15 meneti i muri i te tīmatanga o te tikanga
6. Te tango i te pūwhaka: Ka tangohia ngā pūwhaka me ngā kiriuhi mai i tō kōpū
7. Te kati i ngā tapahi: Ka katia ngā tapahi kōpū me te puku ki ngā tuitui, ki ngā tūkena rānei

Ka tirotirohia tō pēpi i muri tonu i te whānautanga, ā, ki te pai ngā mea katoa, ka taea e koe te pupuri i a rātou tonu. Ko te toenga o te wā ka whakapaua ki te kati i ō tapahi me te whakarite kia kore he toto.

Me pēhea te whakarite mō tō C-section?

Ko te whakarite mō te C-section e hāngai ana ki te taha tinana me te taha kare-ā-roto, ahakoa he mea whakamahere tō pokanga, ka tupu ohorere rānei. Ki te mōhio koe i mua ka hiahia koe ki te C-section, ka nui ake te wā ki te whakarite i te hinengaro me te mahi. Ka hoatu e tō rōpū hauora ngā tohutohu taipitopito i hangaia mō tō āhuatanga motuhake.

Ka āwhina te whakarite tinana kia pai te pokanga, ā, ka tīmata tō whakaora i te waewae tika. Ka hoatu e tō tākuta ngā aratohu motuhake mō te kai, te inu, me ngā rongoā i ngā rā me ngā hāora i mua i tō tikanga.

Mō ngā C-section kua whakamaherehia, me whai koe i ēnei mahi whakarite:

• Te nohopuku: Kaua e kai, e inu rānei i tētahi mea mō te 8-12 hāora i mua i te pokanga hei ārai i ngā raruraru mai i te rongoā whakamoe
• Arotake rongoā: Kōrerohia ki tō tākuta mō ngā rongoā katoa e inu ana koe, tērā pea me whakamutu ētahi i mua i te pokanga
• Te whakarite kaukau: Kaukau ki te hopi patu huakita i te pō i mua i te pokanga, i te ata rānei o te pokanga
• Te tango i te peita whao: Tangohia ngā peita whao katoa me ngā whakapaipai kia taea e te rōpū hauora te aroturuki i tō rerenga toto
• Ngā kākahu pai: Whakauruhia ngā kākahu whānui, ngā kākahu pai mō muri i te pokanga, tae atu ki ngā pōtae u mēnā kei te whakamahere koe ki te whāngai u
• Tangata tautoko: Whakaritea kia noho tō hoa, tō tangata tautoko rānei i te wā o te tikanga

He mea nui te whakarite ā-whatumanawa, nā te mea ka pōuri te pokanga ahakoa kua whakamaherehia. Kōrerohia ki tō rōpū hauora mō ngā āwangawanga katoa kei a koe, me te whakaaro ki te hono atu ki ētahi atu mātua kua whai C-sections kia ako mō ō rātou wheako.

Me pēhea te pānui i tō whakaora C-section?

Kei roto i te whakaora C-section te aroturuki i tō ahunga whakamua o te whakaora me te mātakitaki i ngā tohu e haere ana ngā mea katoa i te tikanga. Ka aroturukihia tō whakaora mā ngā tohu me ngā tohumate tinana e whakaatu ana ki tō rōpū hauora te pai o te whakaora o tō tinana. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te whai māia i tēnei wā nui.

Ka tirohia e tō rōpū hauora ētahi tohu matua hei whakarite kia tika tō whakaora. Kei roto i ēnei ko te whakaora o tō tapahi, ngā taumata mamae, te kaha ki te neke haere, me te mahi tinana whānui.

Koinei ngā tohu matua o te whakaora C-section noa:

• Te whakaora o te tapahi: Me mā, maroke te tapahi, me te whakaora haere mā te kore whero nui, te pūhi, te rerenga rānei
• Te whakahaere mamae: Me taea te whakahaere te mamae mā ngā rongoā kua tohua, me te heke haere i te wā
• Te toto: He mea noa te toto mai i te waha (lochia), me te heke haere i roto i te 4-6 wiki
• Te neke: Me taea e koe te haere i ngā tawhiti poto i roto i te 24 hāora, me te whakanui haere i te mahi
• Te whāngai ū: Ki te whiriwhiri koe ki te whāngai ū, me tīmata te hanga miraka i te tikanga ahakoa te whānautanga mā te pokanga
• Te whakatikatika aronganui: He mea noa ētahi huringa o te ngākau i a koe e ora ana, e whakatikatika ana ki te ora me tō pēpi hou

Ko te tikanga ka 6-8 wiki te whakaora, engari ka pai ake pea koe i roto i ngā wiki 2-3 tuatahi. Ka aroturuki tō tākuta i tō haere mā ngā tūpono whai muri, ā, ka whakamōhio atu ki a koe ka taea e koe te hoki ki ngā mahi noa.

Me pēhea te tautoko i tō whakaora i te C-section?

Ko te tautoko i tō whakaora i te C-section ko te whai i ngā mahi motuhake hei āwhina i tō tinana kia ora i te wā e tiaki ana i tō pēpi hou. Ko te whakaora mai i te pokanga nui i te wā e whakatikatika ana ki te mātua ka pōuri, engari he huarahi whaihua hei whakamāmā i tēnei wā, kia pai ake hoki. Kei te whakawhirinaki tō whakaora ki te manaaki tinana me te tautoko aronganui.

Ko ngā wiki tuatahi i muri i te pokanga te mea nui mō te whakatū i ngā tauira whakaora pai. E hiahia ana tō tinana i te wā me te pūngao ki te whakatika i ngā wāhi pokanga i te wā e ora ana hoki mai i te hapūtanga me te whānautanga.

Koinei ngā huarahi nui hei tautoko i tō whakaora:

• Okioki me te moe: Kia nui te okioki ka taea, ka moe i te wā e moe ana tō pēpi hei whakatairanga i te whakaora
• Neke marie: Haere i ngā hīkoi poto ia rā hei ārai i ngā toto toto, me te whakatairanga i te rerenga toto, engari karo i te hiki taumaha
• Te tiaki i te tapahi: Kia mā me te maroke tō tapahi, me te karo i te horoi, te rānei i te wai kia whakamāramatia e tō tākuta
• Kai: Kai i te kai taurite e whai rawa ana i te pūmua, te huaora, me ngā kohuke hei tautoko i te whakatikatika o te kiko
• Te wai: Inu i te wai nui, ina koa kei te whāngai ū koe
• Whakaae ki te āwhina: Tukua ngā whānau me ngā hoa ki te āwhina i ngā mahi o te whare, te whakarite kai, me te tiaki pēpi
• Whaia ngā here: Kaua e hiki i tētahi mea taumaha ake i tō pēpi mō te 6-8 wiki
• Tautoko aronganui: Kōrero mō ō kare-ā-roto ki ngā hoa pono, te whānau, te kaiwhakatakoto whakaaro rānei mēnā e tika ana

Kia mahara he haere haere te whakaora, ā, he pai ake ētahi rā i ētahi atu. Kia manawanui ki a koe anō, kaua e whakaroa ki te whakapā atu ki tō kaiwhakarato hauora mēnā he āwangawanga ō mō tō whakaora.

He aha ngā āhuatanga tūpono mō ngā raruraru C-section?

Ko ētahi āhuatanga ka piki ake te tūponotanga o ngā raruraru i te wā, i muri rānei i te C-section, ahakoa he iti noa ngā raruraru nui. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i tō rōpū hauora ki te whakamahere i te huarahi haumaru mō tō pokanga me te whakaora. Ko te nuinga o ngā C-section ka oti me te kore raruraru nui, engari mā te mōhio ki ngā tūponotanga ka taea te whakarite me te aroturuki pai ake.

Ko ētahi āhuatanga tūpono kei mua i te hapū, i te wā rānei e tupu ana i te hapū, i te wā rānei o te whānautanga. Ka arotake tō rōpū hauora i ō āhuatanga tūpono takitahi, ka mahi i ngā mahi hei whakaiti i ngā raruraru pea.

Ngā āhuatanga tūpono ka piki ake te tūponotanga o ngā raruraru C-section ko:

• Te pokanga puku o mua: Ka taea e te kiko kiko mai i nga pokanga o mua te uaua ake te tikanga
• Te momomo: Ka taea e te taumaha tinana teitei ake te whakanui i nga tuponotanga o te mate, te toto toto, me nga raruraru whakaora
• He maha nga C-sections o mua: Ko ia C-section e whai ake nei he paku teitei ake nga tuponotanga
• Te mate huka: Ka taea te pa ki te whakaora patunga me te whakanui i te tuponotanga o te mate
• Te toto toto tiketike: Ka taea te whakanui i nga tuponotanga toto me te pa ki te haumaru o te rongoa
• Nga mate toto toto: Ka taea te whakanui i nga tuponotanga o nga toto toto kino
• Nga ahuatanga ohorere: Ko nga C-sections ohorere ka nui ake nga tuponotanga i nga tikanga kua whakamaherehia
• Te kai paipa: Ka raru te whakaora patunga me te whakanui i te tuponotanga o te mate
• Te pakeke o te whaea: Ko nga wahine neke atu i te 35 tau te pakeke ka nui ake te reeti raruraru

Ko te whai i nga mea morearea ehara i te mea ka pa koe ki nga raruraru. Ka mahi tahi to roopu pokanga ki te whakaiti i nga tuponotanga me te aro turuki i a koe i roto i te tikanga me te whakaora.

He aha nga raruraru ka puta mai i te C-section?

Ahakoa he tikanga haumaru te C-sections, penei i etahi pokanga nui, i etahi wa ka uru mai nga raruraru. Ko te nuinga o nga C-sections ka oti me te kore he raruraru, engari he mea nui kia mohio ki nga raruraru ka puta kia mohio ai koe ki nga tohu whakatupato me te rapu awhina wawe. He maha nga whakatupatotanga ka mahia e to roopu pokanga hei aukati i nga raruraru, a kua rite ki te whakahaere i a raatau mena ka puta.

Ka puta nga raruraru i te wa o te pokanga, ka puta ranei i te wa o to wa whakaora. Ko etahi he iti noa iho, he ngawari te rongoa, ko etahi he nui ake, engari he onge te waimarie.

Ko nga raruraru noa ka puta ko:

• Te mate: Ka puta pea ki te wāhi tapahi, i roto i te kōpū, i te ara mimi rānei
• Te toto: He mea noa te toto, engari ko te nui o te toto ka hiahia pea ki te rongoā atu
• Ngā pūhui toto: Ka puta pea i ngā waewae, i ngā pūkahukahu rānei, ina kore koe e neke nui
• Ngā tauhohenga ki te rongoā whakamoe: Ka uru pea te whakapairuaki, te ruaki, i ngā wā onge, ngā tauhohenga mate pāwera nui ake
• Ngā raruraru whakaora patunga: Ka puhoi pea te whakaora o te tapahi, ka wehe rānei
• Te whara o te whekau, te pūpū rānei: He onge rawa engari ka taea i te wā o te pokanga nā te tata o ēnei okana
• Ngā piri: Ka puta pea te kiko kiko, ka piri ngātahi ngā okana

Ko ngā raruraru onge engari nui ka uru pea te nui o te toto e hiahia ana ki te whakawhitinga toto, te whara o ngā okana e tata ana, ngā raruraru rānei mai i te rongoā whakamoe. Kua whakangungua tō rōpū pokanga ki te whakahaere i ēnei āhuatanga, ā, ka āta aroturukihia koe kia kite wawe i ngā raruraru.

Āhea au e kite ai i te tākuta i muri i taku C-section?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ētahi tohu whakatūpato i muri i tō C-section e tohu ana i ngā raruraru. Ahakoa he mea noa te nuinga o ngā tohumate whakaora, ko ētahi tohu e hiahia ana kia āta rongoā kia kore ai e puta ngā raruraru nui. Whakapono ki ō whakatau - mēnā kāore tētahi mea i te tika, he pai ake tonu te waea atu ki tō kaiwhakarato hauora.

Ka whakarite tō tākuta i ngā hui whai muri hei aroturuki i tō whakaora, te tikanga i te 1-2 wiki, ā, anō i te 6-8 wiki i muri i te pokanga. Heoi, kaua e tatari mō ngā hui kua whakaritea mēnā kei te pā ki a koe ngā tohumate e pā ana.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Ngā tohu o te mate: Te kirika i runga ake i te 100.4°F, te wiri, ngā tohu rite rewharewha rānei
• Ngā raruraru o te tapahi: Te whero nui ake, te puku, te mahana, te pūhi rānei a tawhio noa i te tapahi
• Te nui o te toto: Te mākū i te nui atu i te kotahi papa ia hāora, te tuku rānei i ngā toto nui
• Te mamae nui: Te mamae e kino haere ana, e kore rānei e pai ake, e kore rānei e taea te whakahaere e ngā rongoā kua tohua
• Ngā tohu o te waewae: Te puku, te mamae, te mahana rānei i tō pōtae waewae, e tohu ana i te pūpū toto
• Ngā raruraru manawa: Te poto o te manawa, te mamae o te uma, te uaua rānei ki te manawa
• Ngā raruraru mimi: Te kore e taea te mimi, te wera i te wā e mimi ana, te mimi rānei he kaha te kakara
• Ngā huringa nui o te ngākau: Te pōuri nui, te āwangawanga, ngā whakaaro rānei ki te whara i a koe anō, i tāu pēpi rānei

Kaua e māharahara ki te "whakararuraru" i tō rōpū hauora - e hiahia ana rātou ki te rongo mai i a koe mēnā e māharahara ana koe mō tō whakaora. Ko te rongoā wawe i ngā raruraru ka pai ake ngā hua, ka tere ake te whakaora.

Ngā pātai auau mō te C-section

Q.1 He haumaru te whānautanga C-section mō ngā hapū ā muri ake nei?

Āe, ko te whai C-section i te nuinga o te wā kāore e aukati i a koe ki te whai hapū me te whānautanga hauora ā muri ake nei. He maha ngā wāhine ka whai hapū angitu i muri i te C-section, ahakoa ka whai wāhi pea te hapū i muri mai ki te aroturuki me ngā whakaaro anō. Ka kōrero tō tākuta i ngā kōwhiringa whānautanga pai rawa atu mō ngā hapū ā muri ake nei i runga i ō āhuatanga takitahi.

Ko te momo tapahi i a koe me te pai o tō whakaora ka pānga ki ngā whakatau mō ngā whānautanga ā muri ake nei. Ka taea e ētahi wāhine te whānau i te ara tara i muri i te C-section (VBAC), ētahi atu rānei me whai C-section anō mō ngā take haumaru.

Q.2 E pānga ana te C-section ki te whāngai ū?

E kore te wāhanga C e ārai i te whāngai ū angitu, ahakoa ka roa pea te wā ki te puta mai o tō waiu i te whānautanga i te ara tara. Ka tukuna ngā homoni e whakaoho ana i te hanga waiu ahakoa te āhua o te whānautanga o tō pēpi. Ka taea e koe te tīmata i te whāngai ū i roto i ngā hāora i muri i tō wāhanga C, i te wā e tūpato ana koe, e pai ana hoki.

He haumaru ētahi rongoā mamae e whakamahia ana i muri i te pokanga mō te whāngai ū, engari whakamōhio atu ki tō tākuta e hiahia ana koe ki te whāngai ū kia taea e rātou te whiriwhiri i ngā kōwhiringa e tika ana. Ko te kimi i ngā tūnga whāngai ū e pai ana ka hiahia ētahi auahatanga i te wā e ora ana tō tapahi.

Q.3 Kia pēhea te roa o te whakaora i te wāhanga C?

Ko te whakaora katoa i te wāhanga C ka 6-8 wiki te roa, ahakoa ka pai ake pea koe i roto i te 2-3 wiki. Ko ngā rā tuatahi i muri i te pokanga te mea uaua, engari ka taea e te nuinga o ngā wāhine te haere i ngā tawhiti poto i roto i te 24 hāora, ā, ka piki haere te taumata o ā rātou mahi. Ka ora te katoa i tō rātou ake tere, no reira kaua e māharahara mēnā he tere ake, he puhoi ake rānei tō whakaora i ētahi atu.

Ka whakaae tō tākuta ki a koe mō ngā mahi noa, tae atu ki te taraiwa, te whakakori tinana, me te hiki i ngā here, i runga i te pai o te ora o tō tapahi me te ahunga whakamua o tō whakaora.

Q.4 Ka taea e au te whiriwhiri kia whai wāhanga C?

Ahakoa ka mahia ngā wāhanga C mō ngā take rongoā, ka whiriwhiri ētahi wāhine ki te whai wāhanga C whiriwhiri mō ngā take whaiaro. Me āta whakatau tēnei whakatau me tō kaiwhakarato hauora, me te whakatau i ngā painga me ngā tūponotanga. Ka kōrero tō tākuta mēnā he tika te wāhanga C mō tō āhuatanga, ā, ka āwhina i a koe ki te mārama ki ō kōwhiringa katoa.

E taunaki ana ngā whakahaere rongoā i te whānautanga i te ara tara i te wā e taea ana, nā te mea he iti ake ngā tūponotanga me te whakaora tere. Heoi, kei reira ētahi āhuatanga ka waiho pea te wāhanga C whiriwhiri hei kōwhiringa pai mō ō āhuatanga takitahi.

Q.5 Ka oho au i te wā o taku wāhanga C?

Ko te nuinga o ngā wāhanga C ka mahia mā te whakamahi i te rongoā ā-tuarā, ā-epidural rānei, ko te tikanga ka oho koe engari kāore koe e rongo i te mamae i te wā o te mahi. Mā tēnei ka rongo koe i te tangi tuatahi o tāu pēpi, ā, ka taea e koe te pupuri i a rātou i muri tonu i te whānautanga. Ka rongo pea koe i ētahi pēhanga, i ētahi tōnga rānei i te wā o te pokanga, engari kāore ēnei e tika kia mamae.

Ka whakamahia te rongoā whānui, arā, ka kore rawa koe e mōhio, i ngā wā ohorere noa iho, ina kāore he wā mō te rongoā ā-tuarā, ā-epidural rānei. Mā tō tākuta rongoā e whakamārama te momo rongoā e whakamaherehia ana mō tō āhuatanga, ā, ka whakautu i ō pātai katoa.