He aha te Kōpū Kore? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te kōpū kore te wā e tuwhera rawa ai tō kōpū i te wā hapu, te nuinga o te wā kahore he mamae, kāhore hoki he whakawhāiti. Ko tēnei āhuatanga e pā ana ki te 1 i roto i te 100 o ngā haputanga, ā, ka āhei te arahi ki te ngaro hapu, ki te whānau wawe rānei ki te kore e whakahaere tika.

Whakaarohia tō kōpū hei tatau kaha e tika ana kia noho kati i te wā hapu hei tiaki i tō pēpi i roto. Ki te kōpū kore, ka tīmata tēnei tatau ki te tuwhera ina tika kia noho kati rawa kia tae ra ano koe ki te whānau.

He aha te kōpū kore?

Ko te kōpū kore, e kiia ana hoki ko te kore o te kōpū, ka puta mai ina tīmata te poto me te tuwhera o tō kōpū i te wā tuarua o te haputanga. Ko te tikanga tenei ka puta i waenga i te 16 ki te 24 wiki, i mua atu o te wā e rite ana tō pēpi ki te whānau.

Ko tō kōpū te wāhanga raro o tō kopu e hono ana ki tō tara. I te wā hapu hauora, ka noho roa, mātotoru, me te kati rawa tae noa ki te tīmatanga o te mahi. Ina puta te kore o te kōpū, ka kore e taea e te kōpū te mau i te taumaha o tō pēpi e tipu ana me te wai amniotic.

Ko tēnei āhuatanga te nuinga o te wā e kiia ana he 'ngāwari' no te mea kahore e tino puta ngā tohu o te mahi penei i ngā whakawhāiti mamae. He tokomaha ngā wāhine kahore e mohio kei te he tetahi mea tae noa ki te wā ka kite rātou i te pehanga, i ngā huringa rānei i te wā o te tirotiro haputanga noa.

He aha ngā tōmhanga o te kōpū kore?

Ko te mea uaua mō te kore o te kōpū ko te mea kahore e tino puta ngā tōmhanga marama i ngā wā tīmata. Ka kore pea koe e kite i ngā tohu whakatūpato e tino puta ana me ētahi atu raruraru haputanga.

Ko ēnei ngā tōmhanga ka kite pea koe:

• Te ahua o te pehanga o te riu, te whānuitia rānei
• Te mamae o te tuara e haere ana, e haere ana
• Te toto iti, te pupuhi rānei
• Ngā huringa i te wai o te tara
• Te mamae iti i roto i tō kopu
• Te ahua kei te 'pēhi iho' tō pēpi

I roto i ngā take whanui ake, ka kite pea koe i te mea e rite ana ki ngā whakawhāiti mahi wawe. Ka kite hoki ētahi wāhine i te huringa i te wai o tō rātou tara, ka mātotoru pea, ka rerekē rānei te tae, te kakara rānei.

Ko te kore o te mamae nui te mea e tino awangawanga ai tēnei āhuatanga. Kāore i rite ki te mahi wawe noa, ka haere tonu te kore o te kōpū, nā reira he mea nui ngā tirotiro haputanga noa hei kimi wawe.

He aha ngā take o te kōpū kore?

Ka taea te whanake o te kore o te kōpū mō ngā take maha, ā, i etahi wā kahore e marama te take tika. Ko te mārama ki ēnei take ka taea te āwhina i a koe me tō tākuta ki te aromatawai i tō tūponotanga me te whakatakoto i te tiaki tika.

Ko ngā take tino noa ko ēnei:

• Te whara o mua o te kōpū mai i ngā tukanga penei i te LEEP, te biopsy cone, te maha o ngā tukanga D&C
• Ngā take ira e pā ana ki te whakaputa collagen, e ngāwari ai te kōpū
• Ngā āhuatanga hanganga i whānau koe
• Te whānau wawe o mua, te ngaro haputanga rānei i te wā tuarua
• Te whakamahinga o te DES (diethylstilbestrol) i te wā i roto i te kopu o tō whaea
• Ngā pakaru nui o te kōpū i ngā whānau o mua

Ko ngā take iti ake ko ētahi mate hononga pūtau penei i te mate Ehlers-Danlos, e pā ana ki te hanga collagen e tō tinana. Ka whanake ētahi wāhine i te kore o te kōpū i muri i te maha o ngā tukanga i runga i tō rātou kōpū hei whakaora i ngā pūtau rerekē.

I roto i te nuinga o ngā take, ka puta te kore o te kōpū i roto i ngā whānau, e whakaatu ana i te wāhanga ira. Heoi, ko te whai i ēnei tūponotanga kahore e tikanga ka whanake koe i te āhuatanga - he maha ngā wāhine e whai ana i ngā tūponotanga e whai ana i ngā haputanga noa.

Nōhea te haere ki te tākuta mō te kōpū kore?

Me whakapiri atu koe ki tō kaiwhakarato hauora tonu mena ka kite koe i ētahi tōmhanga rerekē i te wā tuarua, ina koa ki te whai koe i ngā tūponotanga mō te kore o te kōpū. Ka taea e te kimi wawe te whakarereke nui i te hua o tō haputanga.

Waea atu ki tō tākuta tonu mena ka kite koe i te pehanga o te riu e rite ana ki te pēhi iho o tō pēpi, ahakoa kahore koe e whai whakawhāiti. Ko tēnei ahua, ina koa ka whakakotahitia ki te mamae o te tuara, ki ngā huringa rānei i te wai, he mea tika kia tirotirohia tonu.

Mena he hītori tōu mo te ngaro haputanga i te wā tuarua, kōrerohia te kore o te kōpū me tō tākuta i te tīmatanga o tō haputanga. Ka taea e rātou te tūtohutia te tirotiro auau atu, te maimoatanga aukati rānei hei tiaki i tō haputanga o nāianei.

Kaua e tatari kia kino ake ngā tōmhanga. Ki te kore o te kōpū, he mea nui te wā, ā, ka taea e te whakauru wawe te āwhina i te aukati i te ngaro haputanga, i te whānau tino wawe rānei.

He aha ngā tūponotanga mō te kōpū kore?

He maha ngā take ka taea te whakanui ake i ō tūponotanga ki te whanake i te kore o te kōpū, ahakoa ko te whai i ēnei tūponotanga kahore e whakaatu kē koe ka pā ki a koe tēnei āhuatanga. Ko te mārama ki tō tūponotanga whaiaro ka āwhina i tō tākuta ki te whakarato i te tiaki pai rawa atu.

Ko ngā tūponotanga matua ko ēnei:

• Te ngaro haputanga o mua i waenga i te 16-24 wiki kahore he take marama
• Te hītori o te whānau wawe, ina koa ki te tuwhera o tō kōpū kahore he whakawhāiti
• Ngā tukanga kōpū o mua penei i te LEEP, te biopsy cone, te cold knife conization
• Te maha o ngā mutu haputanga, ngā tukanga D&C rānei
• Te whānau mai me ngā āhuatanga o te kopu, o te kōpū rānei
• Te whakamahinga a te whaea o te DES i te wā hapu
• Ngā mate pūtau hononga e pā ana ki te whakaputa collagen

He wāhine ētahi e kiia ana e ngā tākuta he 'whiwhi' te kore o te kōpū, e whanake ana i muri i te whara ki te kōpū. He wāhine ētahi e whai ana i te kore 'whanau', arā, i whānau mai rātou me te kōpū e ngāwari ana, e poto atu rānei i te noa.

Ka nui ake pea tō tūponotanga mena kei te mau koe i ngā maha penei i ngā māhoe, i ngā torutoru rānei, i te mea ko te taumaha atu ka nui ake te pehanga ki tō kōpū. Heoi, he maha ngā wāhine e whai ana i ngā tūponotanga maha e haere tonu ana ki te whai i ngā haputanga angitu me te tirotiro tika me te tiaki.

He aha ngā raruraru pea o te kōpū kore?

Ina kore e kitea, kore rānei e whakahaeretia tonu te kore o te kōpū, ka taea te arahi ki ngā raruraru haputanga nui. Ko te mārama ki ēnei hua pea ka āwhina i te whakamārama he aha i nui ai te kite wawe me te maimoatanga.

Ko ngā raruraru tino nui ko ēnei:

• Te ngaro haputanga o te wā tuarua (te ngaro i muri i te 16 wiki)
• Te whānau tino wawe (i mua i te 28 wiki)
• Te pakaru wawe o ngā kiri (te pakaru wawe o te wai)
• Te mate o te wai amniotic (chorioamnionitis)
• Ngā raruraru tino wawe e pā ana ki tō pēpi

Ko ngā pēpi e whānau ana i te tino wawe ka āhei te whakatau i ngā wero nui, tae atu ki ngā raruraru manawa, ngā raruraru kai, me ngā whakaroa whanaketanga. Ko te wawe o te whānau, ko te nui ake o ēnei raruraru.

I roto i ngā take onge, ka taea e te āhuatanga te arahi ki te mea e kiia ana he 'prolapse kōpū', kei hea ngā kiri e pupuhi ana i roto i te kōpū tuwhera. Ko tēnei āhuatanga he mea nui kia whakawhiti atu ki te rongoā, ā, he maha ngā whakauru āwhāwhā hei whakamātautau ki te whakaora i te haputanga.

Ko te rongo pai ko te mea me te tautuhi tika me te maimoatanga, ka taea te aukati i te nuinga o ēnei raruraru, te whakaiti rānei i tō rātou kino.

Me pēhea te aukati i te kōpū kore?

Ahakoa kahore e taea e koe te aukati i ngā take katoa o te kore o te kōpū, he taahiraa ka taea e koe te tango hei whakaiti i tō tūponotanga, ina koa ki te whai koe i ngā tūponotanga e mohiotia ana. Ko te aukati te nuinga o te wā e aro ana ki te tiaki i tō kōpū mai i te whara koretake me te whiwhi i te tiaki haputanga tika.

Mena ka hiahia koe ki ngā tukanga kōpū mō ngā take hauora, kōrerohia me tō tākuta me pēhea te whakaiti i te pānga pea ki ngā haputanga o muri. I etahi wā, ka taea e ngā maimoatanga rerekē, ngā tikanga whakarereke rānei te whakaiti i te tūponotanga o te ngoikore o te kōpū.

Mō ngā wāhine e whai ana i ngā ngaro haputanga o mua, i ngā tūponotanga e mohiotia ana rānei, he mea nui te tiaki haputanga wawe me te auau. Ka tūtohu pea tō tākuta ki te tirotiro i te roa o te kōpū i te tīmatanga o te 16 wiki hei hopu i ngā huringa i mua i te kino.

Ko te karo i ngā tukanga kōpū koretake me te whakaiti i te maha o ngā mutu haputanga ka taea te tiaki i tō kōpū. Mena ka hiahia koe ki ēnei tukanga, kia mahara kei te mahi rātou e ngā kaiwhakarato wheako e mārama ana ki te whakaiti i te whara kōpū.

Me pēhea te tautuhi i te kōpū kore?

Ko te tautuhi i te kore o te kōpū te nuinga o te wā e whakauru ana i te whakakotahitanga o tō hītori hauora, te tirotiro tinana, me te tirotiro ultrasound. Ka rapu tō tākuta i ngā huringa motuhake i roto i tō kōpū e whakaatu ana kei te tīmata te tuwhera wawe.

Ko ngā taputapu tautuhi matua ko te ultrasound transvaginal, e ine ana i te roa o tō kōpū me te rapu i te funneling (ina tīmata te tuwhera o te wāhanga o roto o te kōpū). Ko te roa o te kōpū iti iho i te 25mm i mua i te 24 wiki e whakaarohia ana he awangawanga, ā, ka whakaatu pea i te kore.

Ka mahi hoki tō tākuta i te tirotiro tinana hei tirotiro mena kei te ngawari, kei te poto, kei te tuwhera wāhanga rānei tō kōpū. Ka ui rātou i ngā pātai taipitopito mō ō tōmhanga me te arotake i tō hītori haputanga mō ētahi tauira e whakaatu ana i te kore o te kōpū.

I etahi wā, ka puta te tautuhi i muri - arā, ka whakatau ngā tākuta i whai koe i te kore o te kōpū i runga i te mea i puta i te haputanga o mua. Ka āwhina tēnei mōhiohio i a rātou ki te tirotiro me te whakahaere i ngā haputanga o muri atu.

He aha te maimoatanga mō te kōpū kore?

Ko te maimoatanga mō te kore o te kōpū e aro ana ki te whakarato i te tautoko atu hei pupuri i tō kōpū kia kati rawa kia tae ra ano tō pēpi ki te whānau. Ko ngā whiringa maimoatanga matua e whakawhirinaki ana ki tō āhuatanga motuhake me te tawhiti o tō haputanga.

Ko ngā maimoatanga matua ko ēnei:

• Te cerclage kōpū - he mahi pokanga e whakanoho ana i ngā ngātahi i te taha o tō kōpū hei pupuri i te kati
• Te tāpiri progesterone hei āwhina i te pupuri i te haputanga
• Te whakahaere mahi, te moe takoto rānei
• Te tirotiro auau me ngā ultrasound
• Te pessary kōpū - he taputapu silicone e whakauruhia ana hei tautoko i te kōpū

Ko te cerclage kōpū te nuinga o te wā te maimoatanga tino whai hua, ā, ko te tikanga ka whakanohoia i waenga i te 12-14 wiki o te haputanga mena he hītori tōu mo te kore o te kōpū. Ko te mahi te nuinga o te wā ka mahia i raro i te mate pūtau, te mate whānui rānei, ā, ka roa te 30 meneti.

Ka tūtohu pea tō tākuta ki ngā tāpiri progesterone, hei suppositories tara, hei whakaurunga rānei. Ko te progesterone e āwhina ana ki te pupuri i te haputanga, ā, ka taea te whakakaha i te kōpū. Ko te whakarereke mahi kahore e tikanga te moe takoto katoa, engari ko te karo i te kawe taumaha me ngā mahi kaha.

Ko te mahere maimoatanga motuhake ka whakawhirinaki ki ō āhuatanga motuhake, tae atu ki tō hītori haputanga, ngā tōmhanga o nāianei, me te ahua o tō kōpū i runga i te ultrasound.

Me pēhea te whakahaere i te kōpū kore i te kāinga?

Ko te whakahaere i te kore o te kōpū i te kāinga e whakauru ana i te whai i ngā tūtohu a tō tākuta me te noho mataara mō ētahi huringa i ō tōmhanga. Ka whakaritea tō mahere tiaki kāinga ki tō āhuatanga motuhake me te huarahi maimoatanga.

Mena ka tūtohu tō tākuta ki te whakarereke mahi, ko te tikanga tenei ko te karo i te kawe taumaha, te tu roa, me ngā mahi kaha. Kahore koe e hiahia ki te moe takoto katoa, engari me whakahaere koe i a koe me te okioki ina ngenge koe, ina kite rānei koe i te pehanga o te riu.

Tirohia ō tōmhanga i ia rā, ā, tuhia ngā huringa i te wai, te mamae, te pehanga rānei o te riu. He maha ngā tākuta e tūtohu ana ki te pupuri i te rārangi ngāwari o te ahua o tōu ia rā, ka taea te āwhina i te kimi i ngā tauira, i ngā huringa rānei.

Noho makuku me te pupuri i te kai pai hei tautoko i tō hauora whānui me tō haputanga. Kaua e whakaae ki te kōpū kōpū ma te kai i ngā kai nui-pūtau me te inu wai nui, i te mea ka taea e te pehanga te whakanui ake i te pehanga ki tō kōpū.

Whai ake ki ngā whakaritenga katoa, ahakoa kei te pai koe. He mea nui te tirotiro auau hei kite i ngā huringa i mua i te kino o ngā raruraru.

Me pēhea te whakarite mō tō whakaritenga tākuta?

Ko te whakarite mō tō whakaritenga e āwhina ana i te whakarite ka whiwhi koe i te tiaki whānui rawa atu, ka whakautu hoki i ō pātai katoa. Haere mai kia kōrerohia ō tōmhanga, ngā awangawanga, me te hītori haputanga.

Tuhia ō tōmhanga katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ai, e kino ake rānei. Tuhia ngā tauira i kite koe, penei i ngā tōmhanga e puta ana i ngā wā motuhake o te rā, i ngā mahi motuhake rānei.

Kawe mai i te rārangi katoa o ō rongoā, ngā tāpiri, me ētahi atu raruraru haputanga o mua. Mena kua whai koe i ngā tukanga kōpū i mua, kawe mai i aua rēkōti, i ngā rā me ngā momo tukanga rānei.

Whakaritea he rārangi pātai mō ō whiringa maimoatanga, ngā whakahaerenga mahi, me ngā tohu whakatūpato hei titiro atu. Kaua e whakaroa ki te ui mō tetahi mea kahore koe e mārama - e hiahia ana tō tākuta kia pai te mōhio koe mō tō āhuatanga.

Whakaarohia te kawe mai i tetahi tangata tautoko ki a koe, ina koa ki te awangawanga koe mō te tautuhi, ngā whiringa maimoatanga rānei. Ko te whai i tetahi kei reira ka taea te āwhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko ngākau.

He aha te tango matua mō te kōpū kore?

Ko te mea nui rawa atu hei mahara mō te kore o te kōpū ko te kite wawe me te maimoatanga tika ka taea te whakapai ake i ngā hua haputanga. He maha ngā wāhine e whai ana i tēnei āhuatanga e haere tonu ana ki te whai i ngā pēpi hauora me te tiaki hauora tika.

Mena he tūponotanga tōu, kua pā rānei ki a koe te ngaro haputanga i te wā tuarua, kaua e whakaroa ki te kōrero mō te kore o te kōpū me tō kaiwhakarato hauora i te tīmatanga o te haputanga. Ko te tirotiro me te maimoatanga whakamua ka taea te whakarereke i ngā mea katoa.

Kia mahara ko te whai i te kore o te kōpū kahore e tikanga kahore e taea e koe te whai i ngā haputanga angitu i muri mai. Me te tiaki hauora tika, he maha ngā wāhine e whai ana i tēnei āhuatanga e whānau ana i ngā pēpi hauora, roa.

Noho hono atu ki tō rōpū hauora, whai i ō rātou tūtohu, kaua hoki e wareware ki ētahi tōmhanga e awangawanga ana. Ko tō huarahi whakamua ki te whakahaere i tēnei āhuatanga tētahi o ngā mea pai rawa atu ka taea e koe te mahi mōu me tō pēpi.

Ngā pātai uiui noa mō te kōpū kore

Ka taea te whakaora tonu i te kōpū kore?

Ko te kore o te kōpū he āhuatanga e pā ana ki ngā haputanga takitahi, kāore i te mea ka taea te 'whakaora' tonu. Heoi, he maha ngā wāhine e angitu ana te mau i ngā haputanga ki te wā me te maimoatanga tika me te tirotiro. Me arotake motuhake ia haputanga, ā, ka taea e ngā maimoatanga penei i te cerclage te whai hua nui ki te aukati i te ngaro haputanga.

Ka ngaro tonu taku haputanga mena he kōpū kore taku?

Kāo, ko te whai i te kore o te kōpū kahore e tikanga ka ngaro tonu tō haputanga. Me te kite wawe me te maimoatanga tika, he maha ngā wāhine e whai ana i tēnei āhuatanga e whānau ana i ngā pēpi hauora. Ko te matua ko te mahi tata ki tō kaiwhakarato hauora hei tirotiro i tō kōpū me te whakauru i ngā maimoatanga ina hiahiatia.

Ka taea e au te whānau noa i muri i te cerclage kōpū?

Ae, he maha ngā wāhine kua whai cerclage kōpū ka taea te whānau tara. Ko te tikanga ka tangohia te cerclage i te 36-37 wiki o te haputanga, ā, ka taea e koe te whānau noa i muri i tera. Ka kōrero tō tākuta i te mahere whānau pai rawa atu i runga i tō āhuatanga motuhake me te haere o tō haputanga.

Nōhea te kite wawe i te kōpū kore i te haputanga?

Ko te tikanga ka tirotirohia te kore o te kōpū i te tīmatanga o te 16-20 wiki o te haputanga, i te mea koinei te wā e tino kitea ai ngā huringa kōpū. Mena he hītori tōu mo te āhuatanga, ka tīmata pea tō tākuta ki te tirotiro i mua. Ka taea e ngā ultrasound transvaginal noa te kite i te poto o te kōpū i mua i tō kite i ngā tōmhanga.

E pā ana te kōpū kore ki te hua, ki te haputanga rānei?

Ko te kore o te kōpū kahore e tino pā ki tō kaha ki te hapu, i te mea he raruraru motuhake tēnei e puta ana i te wā hapu, kāore i te whakaaro. Heoi, ki te whai koe i ngā tukanga kōpū whānui e arahi ana ki te āhuatanga, ka taea pea te pā ki te hua. Kōrerohia tēnei me tō tākuta ina whakarite ana koe mō ngā haputanga o muri atu.