2012-09-28

產後痔瘡


長這麼大第一次體會到什麼是' 痔瘡 (Hemorrhoids) ' ; 而它居然發生在產後! 後知後覺的我到現在才發現...

痔瘡的症狀是疼痛與出血.

疼痛部分我都以為是當初生產過於用力; 用力到錯地方-->肛門, 所以造成肛門周圍肌肉撕裂.所以當時住院期間坐在床上時尾椎的疼痛被我以為是撕裂痛而忽略. 想說一定會恢復忍忍就過去... 偏偏這個痛來來去去的.開始讓我覺得不對勁。出血部分則是因為產後惡露排得很不順.斷斷續續的.所以我壓根沒有想到原來先前排血不單只有惡露還有因痔瘡排便帶出的血. 我也一直到W7因惡露不斷求診服了一星期的處方藥.到W9才真正告別惡露. 之後才開始真正觀察bowel movement與出血的真正原因. 上網google也因此得到答案: 很不幸的我跟痔瘡報到了!!

便秘與痔瘡對我而言是一體兩面.我總覺得是因便秘引起痔瘡. 話說我懷孕期間bowel movement 一直沒問題. 順順順的沒有任何煩惱.當時還覺得是不是吃太冷了要不怎麼都是'坨' 不是 '條' (敘述的很有畫面喔..) .但這happy time在產後就消失了!! 一直覺得產後黃金先生報到的問題是因 1. 半夜哺乳搞亂的生理時鐘; 2.睡眠不足原本早上起床後固定的如廁時間變成我補眠的時間; 3.也許是坐月子期間吃了太多的薑與麻油燥熱造成腸子蠕動不易且攝取過少蔬果....然月子後.我增加了蔬果/纖維的攝取量.便秘已經不是問題. 但每到bowel movement時間就讓我痛不欲生.感覺是吃了十鍋麻辣鍋後屁股開花的痛感. 讓我不敢用力也害怕排便.

怎麼辦? 如何減輕疼痛?
因我當時不知是產後痔瘡.只靠直覺開始大量喝水/ 出門走路運動/ 增加蔬果纖維攝取 / 盡量早點睡覺降低火氣 / 吃優酪乳幫助排便...就這樣雖然沒辦法根除痔瘡但至少已經沒有灼熱痛感. 希望早日跟它說掰掰...只要baby不要瘡...



閱讀:
1. 關於痔瘡你不可以不知道的事
http://summertint.pixnet.net/blog/post/29441693-%E9%97%9C%E6%96%BC%E7%97%94%E7%98%A1%E4%BD%A0%E4%B8%8D%E5%8F%AF%E4%BB%A5%E4%B8%8D%E7%9F%A5%E9%81%93%E7%9A%84%E4%BA%8B

2. baby home 產後痔瘡討論
http://www.babyhome.com.tw/mboard.php?op=d&sID=3206997&bid=25&r=35&page=2

3. yahoo 知識:產後便秘成痔瘡
http://tw.knowledge.yahoo.com/question/question?qid=1106082101906

痔瘡的徵候與症狀:
1糞便中有鮮血,衛生紙上或馬桶裏有血。
2排便時會疼痛。
3肛門有軟塊,或會痛的腫脹。
4肛門裏或肛門附近會癢。
5肛門流出黏液

你可以做什麼?1試試坐浴。每隔幾小時在溫水中坐8-10分鐘。排便後坐浴最好。
2常常洗澡,清洗肛門部門時要特別注意,不要用力擦洗皮膚,並且要拍乾。
3在肛門中及四周抹些凡士林,以減少排便時的疼痛。
4使用軟便的成藥。
5使用栓劑減輕疼痛,但是避免含有局部麻醉劑成份的藥膏(成份名稱以caine為字尾)。這些藥反而會增加疼痛。
6不要抓癢,否則愈來愈糟。到藥局買痔瘡藥膏止癢。


什麼時候該找醫生?
1當流血持續好幾天時,你可能有更嚴重的問題,例如結腸癌。
2如果疼痛持續或很劇烈,你可能需要以手術去除或縮小痔。

預防之道:
1多吃水果蔬菜、麩皮麥片和全穀麵包。(孕婦在改變飲食習慣前,請尋求醫師意見。)多喝水或水果蔬菜汁(每天至少八大杯)。這些都有助於軟便。
2減少肉類、動物脂肪、酒精的攝取。
3固定排便的時間。最多坐在馬桶上5-10分鐘。
4如果你整天坐在辦公室,隔些時間休息一下,起來走走。長期坐著會減少肛門附近的血液循環。
5不要坐在甜甜圈形的椅墊上,以免血液停留在腫脹的靜脈中。


2012-09-25

產後運動- 初體驗鄭多燕


講到這個人物.其實我一點頭緒也沒有. 實在是太多朋友在FB提到她.我才好奇的google瞧瞧這號響叮噹的人物是誰...

喔...韓國辣媽拉.自創一套減肥瘦身操而爆紅! 我想很多媽媽也想跟她一樣有著魔鬼般的身材. 在好奇心的驅使下我也到youtube去找她的教學帶.找到了15分鐘精華版 http://www.youtube.com/watch?v=DI6lA4rK_nc .

當下原本坐在椅子上的我也興致勃勃的起身跳. 我在影片7分多中跟著一起動到最後.感覺有暖身到.乾脆又重播一遍跟跳一次...我想是太久沒動了.縱使有動也只是走去離家5分鐘的超市買東西而已. 這不間斷的15分鐘有讓我流汗與喘到....齁...終於知道她有名的原因了還真的有全身動到咧--還是我真的老了這麼一動就氣喘呼呼?...讓我想起以前練田徑的靜態伸展操.內容很像只是這15分鐘多了有氧的部分.必須換氣也促進血液的循環. 有了這好的開始且在Molly作息逐漸規律下.我想每天動個15分鐘應該不是難事. 如果天氣好也可以背著Molly到附近湖邊散步. 實在是沒藉口坐/待在家裡一整天.不能再偷懶囉!

不過產後的我尤其第2.5個月後變得超級愛吃餅乾&巧克力. 少量多餐的我攝取的是高熱量的零食.想瘦也很難吧~產後第一個月我的體重降到64kg就一直不動了.現在已經2個多月了! 因餵母乳讓體重降得快但像我不良攝取食物體重也回升的快...anyway.沒有胖女只有懶女人是吧.. 那我繼續加油.把15分鐘的有氧納入作息表.也要慢慢忌口囉! 能回到58kg我就心滿意足了....P:....

2012-09-19

My new kitchen toy- Philips airfryer(氣炸鍋)

講到這個現在在台灣非常紅的氣炸鍋.在我的''黑白買.扣扣買''下居然把它從Target的特賣中扛回來了!!



說來也是無心插柳.昨早翻閱Target型錄看到.然後上網查價(pchome, ebay.au).發現還真的便宜!! 其實家裡對這台的需求可有可無.因家裡已經有烤爐也有油炸專用的鍋,但這台不到台幣六千的價格.能不心動嗎? (有圖有真相! ) 老公聽到我要買.一臉. 想到廚房好像也沒多餘的地方可以擺還是讓我敗了~心裡想著少油帶來的健康利益與少量煮的便利性對小家庭的我們很適合. 而且我們還蠻喜歡吃chips & wedges. 有了它我就不用動用大烤爐(電費貴森森)就只烘那一點點的食物....

我對家用/廚房用品的特價往往會失心瘋.眼睛特雪亮...但對女生打扮的東西就都沒興趣--化妝品.包包.衣鞋等. 我想這是老公總是安心讓我敗的原因...

昨天扛回來今天中午就來給它試用了...分別是wedges & browines(照裡面附的食譜做).
前者是冷凍的就直接倒入放進鍋內.15分.噹噹.完成.
後者其實也不難只要把食材混一混. 把烤籃鋪上baking paper並將食材倒入其中推進烘烤.20分.噹噹.完成
(有參考這個網友的製作過程. 謝拉!! http://qqdcat.pixnet.net/blog/post/30396847-%E6%B0%A3%E7%82%B8%E9%8D%8B%E6%96%99%E7%90%86%E2%95%91%E6%9D%8F%E4%BB%81%E5%B7%A7%E5%85%8B%E5%8A%9B%E5%B8%83%E6%9C%97%E5%B0%BC%E8%9B%8B%E7%B3%95)
--記得先預熱.面板右方有預熱燈熱度達到會熄滅.--

經老公試吃下: 滿意!! wedges 外脆內軟無油.跟以前用炸的還要用吸油紙吸油差很多..brownies因我第一次做.口感算不錯的, 最主要是製作很簡單.不過要注意baking paper的高度不要超過烤籃.要不會像我一樣聞到紙燒焦的味道還 '慶煙'.





機器面板左方還有貼紙.提供六種基本食物的加熱時間&溫度.還蠻貼心的.就不用再去翻使用手冊.對我而言往後準備食物真的方便多了! 還有阿.烤籃可以放進洗碗機洗.真的太棒了! (我還是在廚房找到一個角落放這台氣炸機) 對我而言這台就是小型炫風式烤箱--fan force function of oven. 往後可以試試不同的烘烤料理. anyway, 希望愈用愈上手!

PS: 我在推想為何在澳洲這東東會滯銷透過特價銷售.就連ebay.au 都找不到這東西??可能是因生活/飲食習慣的關係. 大/中箱型烤箱在每個家庭都是必備的廚房裝置之一.因Oz喜歡吃roast beef/ chicken / vegs. 任何烤的食物利用箱型烤箱即可. 這小東西在亞洲暢銷是因普通家庭沒有箱型烤箱.相對覺得實用方便. 我算是因中西融合的生活習慣下撿到便宜囉!

2012-09-07

Oz公民申請&測試

話說PR在去年二月生效. 那時心裡想著:那2012就有機會申請公民. 後來因房屋整新及懷孕.這件事已經被我拋到九霄雲外.直到上個月訂回台機票因護照名字的關係才想到是否有申請澳洲護照的可能 (這得必須申請公民+考試.通過後才有護照可拿阿~) 因我在升格PR後即申請改名把英文名放在我中文名字前+ 夫姓, 假使我想用這名字訂機票前提下是我要有Oz護照. 不然就得依舊使用台灣護照(中文名+Liu )--只是申請的程序趕不上訂購折購機票的時間點.這次只好先以台灣護照訂機票在說!

在我還未搞懂流程前, 小孩子麥的部落格是我參考的依據( 她的部落格真的很有幫助.在我申請配偶簽證的時候也都是參考她的資料.真的非常感激!!) .因此拜讀完流程.在上澳洲官方網搞懂流程與考試資料&測試練習.

公民申請:
1.得確認是否符合申請資格 ---You must:


  • have been living in Australia on a valid Australian visa for four years immediately before applying which must include the last 12 months as a permanent resident, and
  • not have been absent from Australia for more than one year in total, in the 4 year period, including no more than 90 days in the year before applying


2.
填寄申請表格(Form 1300t Australian citizenship - General eligibility)
比起先前填寫過的表格.這個真的簡單多了.唯一需要注意的是其中身分證明部分,需要找一位當地認識你的人幫你作2吋照片比對並在照片背後背書. 所有copy的文件不用到郵局證明與正本同.因只要符合申請資格.移民局會收件並通知在meeting 時帶所有原始文件一併審核!

3.
appointment & test.
4. 通過考試後再等通知參加公民宣示
.
5. 申請護照

移民局連同考試我跑了4趟.
第一趟去帶了所有文件以為移民局會收卻被櫃台拒絕.得make appointment才能遞件要不就郵寄!
第二趟去遞件卻因文件不齊被打回. 因我以為移民局收件的人可作照片背書所以選擇親自遞件,不料對方說: 我不認識妳無法幫妳.且照片後方的文字得請驗證的人寫不是妳填寫. 得另訂appointment 再遞一次! 第三趟去純遞件+付費$260.

遞件完後當天下午我就收到移民局的信件通知:
(前面基本資料:略)
Australian citizenship appointment and test
I am writing regarding your application for Australian citizenship. An appointment has been made for you, during which we will confirm whether you are eligible to sit a citizenship test.

The appointment details are:
Date: Thu 6 September 2012

Time: 10:30:00 AM
Place: ACT and Regions Office 3 Lonsdale Street Braddon ACT 2612
Please bring:
The originals of the identity documents that you submitted with your application. If you do not bring the required original documents we may not be able to verify your identity and you will not be able to sit a citizenship test. If you lodged your application online, you must also bring a completed Form 1195 - Identity declaration, including a correctly endorsed passport sized photo to your appointment (for all applicants including children). Refer to the attached document checklist for further guidance.
It is very important you attend your appointment and bring your original documents with you. If the time does not suit, please telephone our Citizenship Information Line on 131 880 between 8:30 am and 4:30 pm Monday to Friday to make an other appointment. When you contact us, please quote your Client ID number which is located at the top of this letter.

If you included children in your application they are not required to attend this appointment. There are no child care facilities so you will need to make alternative child care arrangements.

If you require a printed receipt for fees paid, you can request it at your appointment.

What will happen at your appointment
We will check the original documents you bring to your appointment against the information and copies of the documents provided in your application. We will verify your identity, confirm that your application is valid, and that you are eligible to sit the citizenship test. If your application is deemed invalid it will be returned to you.

We authorised under the Australian Citizenship Act 2007 to request a photograph and signature from you. These are called personal identifiers. We will take your photo to help verify your identity. The documents and photograph used to verify your identity will be stored electronically in the department's computer system.

The citizenship test
The test is computed-based and conducted in English. You will have 45 minutes to complete the test which consists of 20 multiple choice questions. If you do not complete the test within the time allocated, a result will be given based on the questions completed.
You will not be able to refer to study aids during the test. You may speak to the test administrator but you cannot speak to other people during the test. If you do not follow these rules your test result will be invalid.
If you fail the test you can ask to take the test again. Where possible, you will be allowed to sit the test again on the same day. Otherwise, you may make an appointment to sit the test at another time. If you have difficulty passing the test, we may discuss other options with you.

How to prepare for the test
The Australian citizenship test questions are based on information contained in the book called Australian Citizenship: Our Common Bond which is also available on DVD. Please read this book or watch the DVD to prepare for your citizenship test. You will not be able to refer to this book or DVD when sitting your test but it will assist you to prepare for the test. You can obtain a copy of the resource book or DVD, access a practice test and tutorial, and find additional information about the Australian citizenship test from the website or by telephoning the Citizenship Information Line on 131 880. The book is also available in 37 community languages on the department's website at immi.gov.au.

Processing times
The time taken to process an application varies. As a guide, when all documents are provided, the application should be finalised within 60 days. When applications are more complex, when documents are not provided quickly or when there is doubt about identity, applications may take longer to finalise. You may discuss the processing time for your application at your appointment.

Changes to your circumstances
It is important that you tell us about any changes to your circumstances including your name, contact details, address or children included in your application as soon as possible. You are required to do this in writing. Use Form 929 Change of address and/or passport details if you need to advise us of changes in circumstance.


Yours sincerely
Citizenship Services
Department of Immigration and Citizenship


所以我花了一個多星期趁Molly睡覺的空檔(雖不多)上網練習與準備,由於我付費的網站提供的題庫很簡單且重複性高(同一個問題用不同方式問).後來我乾脆下載指定的考試參考資料閱讀(Australian Citizenship). 考試部份有三: (我以為整本考,全部看完)


Part 1 – Australia and its people

Part 2 – Australia’s democratic beliefs, rights and liberties

Part 3 – Government and the law in Australia

第四趟: 審核+面試. 面試當天審核完成直接考試. 我只花了5分鐘作答就結束20題電腦試題,100%通過喔!! 題目不難都基本題: 原住民的旗幟/ 澳洲有幾省/領地/ Governo-Gerno的職責/ 選舉投票基本/ 宗教信仰(澳洲政府無宗教)/ Australian Day/ 第一批到澳洲的人/時/地....這些是我有印象的其他的我考完就忘記了.真的還蠻簡單的!! 現場移民局並無發給我測試通過證明書,只請我等待通知!

其實整個申請過程讓我疑惑的地方是面試/考試的部分.因我以為面試當天是純面試,考試得另訂時間.結果是文件審核無誤就當天馬上考(還有我有準備). 據審核我的職員說.當天其實還有幾個人有面試的但他們都不知要考試只好另訂時間. 我想不再是預約考試然後遞件...因我是遞件然後 審核+考試. Any way, 終於不用再煩惱身分的問題. YATH ! 就等通知然後一次申請三本護照(我自己.Molly & 老公--他的10月到期囉!)