He aha te Mate Pēpi Mai i te Waipiro? Tohutohu, Take, me te Maimoatanga

Ko te mate pēpi mai i te waipiro (FAS) tētahi āhuatanga e puta ana ina pā te pēpi ki te waipiro i roto i te kopu i te wā hapu. Ka pā pea tēnei ki te whanaketanga o te roro me te tinana o te pēpi, ā, ka āhei ai ngā wero hauora, whāinga, me te ako mō te ora katoa.

Ko te FAS tētahi o ngā āhuatanga e kiia nei ko ngā mate pēpi mai i te waipiro (FASDs). Ahakoa ka āhei pea te whakaaro nui mō ngā whānau, ko te mārama ki te āhuatanga ka āhei ai te arahi i te huarahi ki mua me te aroha me ngā pūnaha tautoko tika.

He aha te Mate Pēpi Mai i te Waipiro?

Ka puta te mate pēpi mai i te waipiro ina pā te waipiro mai i te toto o te wahine hapu ki te pēpi e whanake ana mā te kōpū. Kāore te ate o te pēpi i te pakeke hei tukatuka i te waipiro pēnei i te ate o te pakeke, no reira ka roa ake te noho o te waipiro i roto i te tinana o te pēpi.

Ka whakaroa tēnei whakamahinga roa i te whanaketanga noa, ā, ka pā nui ki te roro me te pūnaha io. Ko te wā, te nui, me te auau o te whakamahinga waipiro i te wā hapu katoa ka pā ki te kaha o te āhuatanga ki te tamaiti.

Ko te FAS te ahua tino kino o ngā mate pēpi mai i te waipiro. Ko ngā tamariki FAS e whakaatu ana i te whakakotahitanga o ngā āhuatanga kanohi motuhake, ngā raruraru tipu, me ngā raruraru e pā ana ki te roro e haere tonu ana i o rātou oraraa.

He aha ngā Tohutohu o te Mate Pēpi Mai i te Waipiro?

Ko ngā tohutohu o te FAS kei roto i ngā kāwai e toru e mahi tahi ana hei hanga i te whakaahua katoa o tēnei āhuatanga. Ka kitea pea ēnei tohu i te wā pēpi me te wā tamariki, ahakoa kaore pea e kitea kia tae ra ano ki te tau kura.

Tāea tatou e haere mā ēnei tohutohu kia mārama ai koe ki te mea me rapu me te āhua o te pānga ki te oranga o ia rā:

Ngā Āhuatanga Tinana me te Mata

• Te iti o te rahi o te upoko (microcephaly) e whakaatu ana i te puhoi o te tipu o te roro
• Ngā āhuatanga kanohi motuhake tae atu ki te rohe maeneene i waenganui i te ihu me te ngutu o runga, te ngutu o runga angiangi, me ngā kanohi iti
• Te iti o te taumaha whānau me te puhoi o te tipu i te wā tamariki
• Ngā raruraru hono me ngā waewae ka pā pea ki te nekehanga me te whakahaere
• Ngā hapa ngakau, ngā hapa atu rānei o ngā whekau ka hiahia pea ki te tiaki hauora

Ngā Pānga o te Roro me te Pūnaha Io

• Ngā ngoikoretanga hinengaro ka taea te iti ki te kino
• Ngā raruraru ako, ina koa ki te pāhekoheko, te mārama panui, me te whakaaro whakarōpū
• Te iti o te mahara me te raruraru ki te aro ki ngā wā roa
• Te whakaroa o te kōrero me te whanaketanga reo
• Ngā raruraru whakahaere me te raruraru ki ngā pūkenga motuka pai penei i te tuhituhi, te pihi rānei i ngā kakahu

Ngā Wero Whāinga me te Whānau

• Te hyperactivity me te impulsive ka taea te whakaroa i te kura me ngā whānau
• Te raruraru ki te mārama i ngā tohu whānau me te pupuri i ngā hoa
• Te iti o te whakaaro me te raruraru ki te mārama i ngā hua o ngā mahi
• Ngā huringa ngākau me te raruraru ki te whakahaere i ngā kare-a-roto
• Ngā raruraru moe ka pā pea ki te whāinga me te ako i te rā

Ko ēnei tohutohu e maha ana te taunga me te pānga ki a rātou ano. Hei tauira, ka taea e ngā raruraru aro te whakaroa i te ako, ka āhei pea te arahi ki ngā wero whāinga i ngā wā kura.

He aha ngā Take o te Mate Pēpi Mai i te Waipiro?

Ko te mate pēpi mai i te waipiro i puta katoa mai i te whakamahinga waipiro i te wā hapu. Ina inu koe i te waipiro i te wā hapu, ka whiti atu ki te kōpū ka tae atu ki tō pēpi e whanake ana i roto i ngā meneti.

Ko te roro me ngā whekau e whanake ana o tō pēpi he tino ngāwari ki ngā pānga o te waipiro. Kāore i rite ki tō ate kua pakeke, ka taea te wawahi i te waipiro tere, ko te ate o tō pēpi kei te whanake tonu, ā, ka tukatuka i te waipiro tino puhoi.

Ko te kino o te FAS e whakawhirinaki ana ki ngā take maha. Ko te nui o te waipiro i inu, te auau o te inu, me te wā o te wā hapu e pā ana te whakamahinga katoa he mahi nui. Ko ngā wā inu nui ka tino kino pea, na te mea ka hanga e rātou ngā taumata waipiro teitei i roto i te toto o te pēpi.

He wā nui kei te wā hapu ka taea e te whakamahinga waipiro te mahi i te kino rawa. Ko te toru tekau mā tahi o te wā hapu he mea nui mō te whanaketanga o ngā āhuatanga kanohi, ā, ko te whanaketanga o te roro e haere tonu ana i te wā hapu katoa.

Nōhea te Tiro ki te Taakuta mō te Mate Pēpi Mai i te Waipiro?

Me ui atu koe ki te kaiwhakarato hauora mena ka kite koe i ngā tohu o te whakaroa whanaketanga, ngā āhuatanga rānei e hono ana ki te FAS i roto i tō tamaiti. Ko te whakatau wātea ka taea te whakarite i te tautoko me ngā mahi tika.

Whakamahia he wā whakarite mena ka whakaatu tō tamaiti i ngā tohu maha penei i te whakaroa kōrero, ngā raruraru ako, ngā raruraru aro, ngā āhuatanga kanohi motuhake rānei. Ko te nuinga o ngā mātua ka kite tuatahi i ngā āwangawanga ina tīmata te kura o tō rātou tamaiti, ā, ka whawhai ki ngā mahi e ngāwari ana ki ētahi atu tamariki.

Mena kei te hapu koe, ā, kua inu waipiro, he mea nui kia kōrero tika koe ki tō kaiwhakarato hauora. Ka taea e rātou te whakarato i te aratohu me te tautoko hei tiaki i te whanaketanga o tō pēpi ki mua, kāore he whakahe.

Kaua e tatari mena kei a koe ngā āwangawanga mō te whanaketanga o tō tamaiti. Ka taea e ngā tākuta tamariki te arotake i ngā tohutohu, te whakarato i ngā tohutoro ki ngā tohunga, me te awhina i te whakarite i te tiaki e hiahia ana tō tamaiti kia tae atu ki tōna kaha katoa.

He aha ngā Take Pānga mō te Mate Pēpi Mai i te Waipiro?

Ko te mārama ki ngā take pānga ka āhei te whakamārama i te take he aha ētahi pēpi e whanake ana i te FAS, ētahi atu rānei kaore, ahakoa te whakamahinga waipiro rite. Ko ēnei take e mahi tahi ana i ngā huarahi uaua e ako tonu ana ngā kairangahau.

Ko ngā take pānga nui rawa atu ko:

• Te nui o te whakamahinga waipiro, te auau rānei o te whakamahinga waipiro i te wā hapu, ina koa ngā wā inu nui
• Te inu i te toru tekau mā tahi o te wā hapu ina puta te whanaketanga whekau nui
• Te pakeketanga o te whaea, ka pā pea ki te tukatuka o te tinana i te waipiro
• Te iti o te kai o te whaea, ka taea te whakakino i ngā pānga o te waipiro ki te whanaketanga o te pēpi
• Ngā haputanga o mua i pā ki te waipiro, e whakaatu ana i ngā take ira rānei, āhuatanga ora rānei
• Ētahi rerekētanga ira e pā ana ki te tukatuka waipiro i roto i te whaea me te pēpi
• Te whakapa i te hikareti, te whakamahinga rānei i ētahi atu mea i te wā hapu, ka taea te whakakino i ngā pānga kino o te waipiro

He mea nui te mārama kāore he nui o te waipiro e haumaru ana i te wā hapu. Ahakoa ngā iti, ka taea pea te whakaeke i ngā raruraru, ahakoa te nui o te morearea e piki ana me te nui me te auau o te inu.

He aha ngā Raru pea o te Mate Pēpi Mai i te Waipiro?

Ka taea e te FAS te arahi ki ngā wero ora katoa e pā ana ki ngā āhuatanga maha o te oranga o te tangata. Ko te mārama ki ēnei raruraru ka āhei ai ngā whānau te whakarite me te rapu i ngā ratonga tautoko tika i te wātea.

Koinei ngā wāhi matua e puta ana ngā raruraru:

Ngā Raru Ako me te Ako

• Te raruraru ki ngā whakaaro whakarōpū penei i te pāhekoheko me te mārama panui
• Ngā raruraru ki te mahi whakahaere, tae atu ki te whakarite me te whakarite
• Te hiahia ki ngā ratonga mātauranga motuhake me ngā mahere ako takitahi
• Ngā wero whakawhiti i waenganui i ngā taumata mātauranga rerekē

Ngā Raru Whāinga me te Whānau

• Te raruraru ki te pupuri i ngā hoa me te mārama i ngā rohe whānau
• Te piki o te morearea o te whanaketanga i ngā āhuatanga hauora hinengaro penei i te pouri, te manukanuka rānei
• Ngā raruraru ki te whakahaere i te whakaaro ka taea te arahi ki ngā whāinga kino
• Te ngoikore ki te tangohia te painga na te iti o te whakaaro

Ngā Wero Ora Motuhake

• Te raruraru ki te whakahaere i te moni me te whakatau i ngā whakatau putea
• Ngā raruraru ki te mahi na te aro me ngā raruraru whānau
• Ngā wero ki ngā pūkenga ora o ia rā penei i te tunu kai, te horoi, me te tiaki whaiaro
• Te piki o te morearea o ngā raruraru ture na te iti o te whakatau

Ngā Raru Rara, engari Nui

• Ngā ngoikoretanga hinengaro nui e hiahia ana ki te tiaki me te aroturuki ora katoa
• Ngā hapa ngakau nui, ngā raruraru whekau rānei e hiahia ana ki te maimoatanga hauora haere tonu
• Ngā mate hopu ka taea te whanake i te wā tamariki, te taiohi rānei
• Ngā raruraru tirohanga, whakarongo rānei e whakakino ana i ngā raruraru ako

Ahakoa ka āhei pea ēnei raruraru te whakaaro nui, he maha ngā tāngata FAS e ora ana i ngā oranga whai hua me te tautoko tika, te mahi wātea, me ngā hapori e mārama ana ki a rātou.

Me pēhea te Awaroa i te Mate Pēpi Mai i te Waipiro?

Ko te mate pēpi mai i te waipiro ka taea te awaroa katoa mā te karo i te waipiro i te wā hapu. Ko te tikanga kāore he waina i te tina, kāore he pia i ngā hui, kāore hoki he waipiro i ngā whakanui i te wā e tatari ana koe.

Mena kei te whakamahere koe ki te hapu, he pai te mutu i te inu i mua i tō tīmatanga ki te ngana ki te hapu. He maha ngā haputanga kāore i te whakamaheretia, ā, kaore pea koe e mōhio kei te hapu koe mō ngā wiki maha, i te wā e puta ana te whanaketanga nui.

Ko te awaroa e whai ana hoki ki te whiwhi tautoko mena kei te whawhai koe ki te whakamahinga waipiro. Ka taea e ngā kaiwhakarato hauora te hono atu ki a koe ki ngā ratonga tohutohu, ngā rōpū tautoko, me ngā kaupapa maimoatanga e haumaru ana i te wā hapu.

Ko te whānau me ngā hoa he mahi nui hoki i te awaroa. Ko te hanga i ngā taiao tautoko e pai ai ngā wāhine hapu te karo i te waipiro ka āhei te whakaiti i te morearea o te FAS i roto i te hapori.

Me pēhea te Whakatau i te Mate Pēpi Mai i te Waipiro?

Ko te whakatau i te FAS e hiahia ana ki te arotake whānui e ngā tohunga hauora e mōhio ana ki ngā mate whanaketanga. Kāore he whakamātautau toto, te karapa rānei e taea te whakatau i te āhuatanga.

Ko te tukanga whakatau e whai ana i ngā kaupae maha. Tuatahi, ka tango tō taakuta i te hītori taipitopito, tae atu ki ngā pātai mō te whakamahinga waipiro i te wā hapu. Ka mahi hoki rātou i te arotake tinana whānui e rapu ana i ngā āhuatanga kanohi motuhake me ngā tauira tipu.

Ko te whakamātautau whanaketanga me te hinengaro e āhei ana te aromatawai i ngā kaha hinengaro, ngā pūkenga ako, me ngā tauira whāinga. Ka taea pea tēnei te whakauru i ngā whakamātautau IQ, ngā aromatawai mātauranga, me ngā aromatawai aro me te mahara.

I etahi wā ka uru atu ētahi atu tohunga, penei i ngā tohunga ira, ngā neurologist, ngā tohunga tamariki whanaketanga rānei. Ka taea e rātou te awhina i te whakakore i ētahi atu āhuatanga ka taea te whakaeke i ngā tohu rite, me te whakau i te whakatau FAS.

Ko te tukanga aromatawai ka taea te tango i ngā whakaritenga maha, ā, ka āhei pea te roa, engari ko te whiwhi i te whakatau tika he mea nui mō te whiwhi i ngā ratonga me te tautoko tika.

He aha te Maimoatanga mō te Mate Pēpi Mai i te Waipiro?

Ahakoa kāore he rongoā mō te FAS, he maha ngā maimoatanga me ngā mahi ka taea te whakapai ake i te kounga o te ora me te awhina i ngā tāngata kia tae atu ki tō rātou kaha. Ko te maimoatanga e aro ana ki te whakahaere i ngā tohutohu me te hanga i runga i ngā kaha o nāianei.

Ko ngā ratonga mahi wātea te huarahi tino pai. Ko ēnei kaupapa e mahi ana me ngā tamariki mai i te wā pēpi tae noa ki te wā kura hei whakahaere i ngā whakaroa whanaketanga me te hanga i ngā pūkenga nui.

Tautoko Mātauranga

• Ngā Kaupapa Mātauranga Takitahi (IEPs) e whakahaere ana i ngā hiahia ako motuhake
• Ngā ratonga mātauranga motuhake e aro ana ki ngā wāhi raruraru
• Te ako me te tautoko mātauranga i ngā kaupapa wero
• Te mahi whakaora mahi hei whakapai ake i ngā pūkenga motuka pai me ngā kaha ora o ia rā

Maimoatanga Whāinga me te Hauora Hinengaro

• Te rongoā whāinga hei whanake i ngā rautaki whakahaere me ngā pūkenga whānau
• Te tohutohu mō te whakahaere kare-a-roto me te tautoko hauora hinengaro
• Te rongoā mō ngā raruraru aro, ngā mate ngākau rānei ina tika
• Te rongoā whānau hei whakapai ake i te kōrero me te whakaiti i te ahotea

Whakahaere Hauora

• Te aroturuki tonu o te tipu me te whanaketanga
• Te maimoatanga o ngā āhuatanga hauora e hono ana penei i ngā hapa ngakau
• Ngā aromatawai tirohanga me te whakarongo me ngā tikanga whakatika mena e hiahiatia ana
• Te whakarite i te tiaki i waenganui i ngā tohunga rerekē

Ko ngā mahere maimoatanga e hiahia ana kia takitahi, na te mea ka pā te FAS ki ia tangata. Ko te mea e pai ana mō tētahi tamaiti ka hiahia pea ki te whakarite mō tētahi atu, ahakoa i roto i te whānau kotahi.

Me pēhea te Tautoko Whare i te Wā Mate Pēpi Mai i te Waipiro?

Ko te hanga i te taiao whare tautoko ka taea te whakarite i te rereketanga nui ki te awhina i tetahi me te FAS kia ora. Ko te hanganga, te manawanui, me te mārama te turanga o te tiaki whare whai hua.

Ko te whakatū i ngā mahi auau e āhei ana te whakahaere i ngā wero aro me te mahara e puta ana i te FAS. Ko te tikanga ko ngā wā kai auau, ngā wā moe, me ngā mahi o ia rā kāore e whakarerekētia.

Ngā Rautaki Ora o Ia Rā

• Wawahia ngā mahi ki ngā kaupae iti, ngāwari ki ngā tohutohu marama
• Whakamahia ngā awhina tirohanga penei i ngā tūtohu me ngā pikitia hei whakau i te ako
• Whakarato i te tini o te whakaunga pai mō ngā whiringa pai me te kaha
• Hangaia ngā wāhi mārama, whakarite e whakaiti ana i ngā whakaroa
• Whakamahia ngā pūkenga nui kia maha i ngā āhuatanga rerekē

Kōrero me te Tautoko Whāinga

• Kōrero marama me te hoatu i tetahi tohutohu i te wā kotahi
• Tukua te wā atu mō te tukatuka me te whakautu ki ngā pātai
• Noho marino i ngā whāinga wero me te karo i ngā pakanga mana
• Awhina i a rātou ki te mārama i ngā hua mā te hono atu i ngā mahi ki ngā hua
• Whakanuia ngā angitu iti me te whakaae i ngā whakapaitanga

Kia mahara pea te tere o te whakapainga i te iti iho i ētahi atu tamariki, ā, he pai tēnā. Aro ki te hanga i runga i ngā kaha, kāore i te noho ki ngā raruraru, ā, kaua e whakaroa ki te tono awhina ina hiahia koe.

Me pēhea te Whakarite mō tō Whakaritenga Taakuta?

Ko te whakarite mō ngā whakaritenga e āhei ana te whakarite kia whiwhi koe i te nuinga o tō wā me ngā kaiwhakarato hauora. Ko te kawe mai i ngā korero whakarite ka āhei te mahi tere me te whānui o te tukanga aromatawai.

I mua i tō whakaritenga, kohikohia ngā rēkōta kei a koe mō te haputanga, tae atu ki ngā tuhi tiaki hapu mena e wātea ana. Tuhia ngā āwangawanga motuhake kua kite koe mō te whanaketanga, te whāinga, te ako rānei.

Ngā Korero hei Kawe Mai

• Te hītori whānau me te hauora taipitopito, tae atu ki te whakamahinga waipiro i te wā hapu
• Rārangi o ngā tohutohu o nāianei me ngā tauira motuhake me te wā e puta ana
• Ngā ripoata kura, ngā tirohanga kaiako rānei mō te ako me te whāinga
• Ngā aromatawai o mua, ngā hua whakamātautau rānei mai i ētahi atu kaiwhakarato hauora
• Ngā rongoā o nāianei me ngā maimoatanga kua whakamātauhia

Ngā Pātai hei Ui

• He aha ngā whakamātautau, ngā aromatawai rānei motuhake e hiahiatia ana mō te whakatau?
• Me pēhea e taea ai e tatou te whiwhi i ngā ratonga mahi wātea, ngā ratonga mātauranga motuhake rānei?
• He aha ngā maimoatanga, ngā rongoā rānei ka tino pai?
• Me pēhea e taea ai e tatou te tautoko i te whanaketanga me te ako i te kāinga?
• He aha tātou e tumanako ana i te tipu me te whanaketanga o tā tātou tamaiti?

Kaua e manukanuka ki te whai i ngā whakautu tino pai ki ia pātai. Ko ngā kaiwhakarato hauora e mārama ana ko tēnei tukanga ka taea te ngākau nui me te whakapohehe, ā, kei reira rātou hei arahi i a koe.

He aha te Tākutake Matua mō te Mate Pēpi Mai i te Waipiro?

Ko te mate pēpi mai i te waipiro he āhuatanga nui, engari ka taea te awaroa e puta mai ana i te whakamahinga waipiro i te wā hapu. Ahakoa ka āhei pea te whakaaro nui o te whakatau, ko te mārama ko te FAS he wāhanga o te whānuitanga e āhei ai ngā whānau te aro ki te whiwhi i te tautoko tika, kāore i te ngākau pouri.

Ko te mea nui rawa atu hei mahara ko te mahi wātea me te tautoko haere tonu ka taea te whakarite i te rerekētanga nui i ngā hua. He maha ngā tāngata FAS e ora ana i ngā oranga whai hua ina whai rātou i ngā whānau e mārama ana, te tautoko mātauranga tika, me te uru atu ki ngā ratonga e hiahiatia ana.

Mena kei te hapu koe, kei te whakamahere rānei ki te hapu, ko te whiringa haumaru rawa atu ko te karo katoa i te waipiro. Mena kei te whakahaere koe i te FAS i roto i tō whānau, aro ki te hanga i runga i ngā kaha, te uru atu ki ngā ratonga tautoko, me te hanga i te taiao aroha, whakarite.

Kia mahara kāore te FAS e whakatau i te uara, te kaha rānei o te tangata. Me te manawanui, te mārama, me ngā pūnaha tautoko tika, ka taea e ngā tāngata FAS te whanake i ō rātou kaha me te hoatu i te whakapau kaha nui ki ō rātou hapori.

Ngā Pātai Nui e Uihia ana mō te Mate Pēpi Mai i te Waipiro

Q1: Ka taea te inu iti o te waipiro i te wā hapu te whakaeke i te FAS?

Kāore he nui o te waipiro e haumaru ana i te wā hapu. Ahakoa te inu nui ake e piki ana te morearea, ahakoa ngā iti ka taea pea te pā ki te whanaketanga o te pēpi. Ko te huarahi haumaru rawa atu ko te karo katoa i te waipiro i te wā hapu, na te mea ka rerekē te whakautu o ia haputanga me ia pēpi ki te whakamahinga waipiro.

Q2: Ka taea e taku tamaiti FAS te noho motuhake hei pakeke?

He maha ngā pakeke FAS ka taea te noho motuhake, te iti rānei o te tautoko, ina koa me te mahi wātea me te awhina haere tonu. Ko te taumata o te motuhake e whakawhirinaki ana ki te kino o ngā tohutohu me te tautoko i whiwhi i te wā tamariki. Ko ētahi ka hiahia pea ki te awhina atu ki te whakatau, ngā putea, ngā pūkenga ora o ia rā rānei, ētahi atu rānei ka mahi motuhake.

Q3: Ka taea te kite i te FAS i te wā hapu me ngā ultrasound, ngā whakamātautau toto rānei?

I tēnei wā, kāore he whakamātautau hapu e taea te whakatau tika i te FAS i mua i te whānau. Ko ētahi whakaroa tipu, ngā hapa whekau rānei ka kitea pea i runga i ngā ultrasound, engari kāore ēnei tohu e motuhake ki te FAS, ā, ka taea te whai i ētahi atu take. Ko te whakatau e puta ana i muri i te whānau i runga i ngā āhuatanga tinana, ngā tauira whanaketanga, me te hītori whakamahinga waipiro kua whakau.

Q4: Ko ngā tamariki katoa i whānau mai ki ngā whaea i inu i te wā hapu e whanake ana i te FAS?

Kāore ngā tamariki katoa i whakaeke ki te waipiro i roto i te kopu e whanake ana i te FAS, engari he morearea te whakamahinga waipiro. Ko ētahi tamariki ka whai pea i ngā āhuatanga iti o ngā mate pēpi mai i te waipiro, ētahi atu rānei kaore pea e whakaatu i ngā tohutohu marama, engari ka whai pea i ētahi pānga. Ko te wā, te nui, me te auau o te whakamahinga waipiro, me ētahi atu take, e pā ana ki te āhua me te kaha o te pānga ki te tamaiti.

Q5: Ka taea te whakapai ake i ngā tohutohu o te FAS i te wā roa me te maimoatanga?

Ahakoa he āhuatanga ora katoa te FAS, ka taea te whakapai ake i ngā tohutohu me ngā mahi tika me te tautoko. Ko te rongoā wātea, ngā ratonga mātauranga motuhake, me ngā mahi whāinga ka taea te awhina i te whanake i ngā rautaki whakahaere me te hanga i ngā pūkenga nui. Ko te kino o te roro mai i te FAS he mau tonu, engari ka taea e ngā tāngata te ako ki te mahi i runga i ō rātou wero me te whanake i ō rātou kaha i o rātou oraraa.