He aha te Placenta Accreta? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te placenta accreta he raruraru nui o te hapu e tupu ai te placenta ki te pakitara o te kopu. Ki te kore e wehe noa i muri i te whanautanga, ka piri te placenta ki te uaua o to kopu. Ko tenei ahuatanga e pa ana ki te 1 o te 500 o ngā hapu, me te hiahia kia ata whakahaerehia e te taakuta kia mau ai te ora mōu me tō pēpi.

He aha te Placenta Accreta?

Ka puta te placenta accreta ina tino piri te placenta ki te pakitara o tō kopu i te wā o te hapu. I te nuinga, ka piri te placenta ki te papa o runga o tō kopu, ka wehe ngāwari i muri i te whānautanga o tō pēpi. Ki te placenta accreta, ka tupu te kiko placenta ki te paparanga uaua hohonu o tō kopu, ka uaua te wehewehe, kāore rānei e taea.

Ko tenei ahuatanga kei runga i te whānuitanga o te kino. Ko te ahua ngawari rawa atu ko te piri o te placenta ki te pakitara uaua, engari ko ngā āhua kino ake ka tupu katoa atu ki te pakitara o te kopu, ki ngā whekau tata atu rānei pēnei i tō pūkahukahu.

He aha ngā momo Placenta Accreta?

E toru ngā momo matua o te placenta accreta, e whakaatu ana i ngā taumata rerekē o te tupu o te placenta ki te pakitara o tō kopu. Ko te mārama ki ēnei momo ka āwhina i tō rōpū hauora ki te whakarite i te huarahi haumaru rawa atu mō tō whānautanga.

• Placenta accreta (70% o ngā keehi): Ka piri te placenta ki te uaua kopu, engari kāore e tino tomo ki roto.
• Placenta increta (20% o ngā keehi): Ka tupu te placenta ki te pakitara uaua o te kopu.
• Placenta percreta (10% o ngā keehi): Ka tupu te placenta ki te pakitara o te kopu, ā, ka piri pea ki ngā whekau tata atu pēnei i te pūkahukahu, te whekau rānei.

Ko te placenta percreta te ahua kino rawa atu, me te hiahia kia whakaritehia te pokanga. Ka whakamahi tō rōpū hauora i ngā whakamātautau whakaahua kia kitea te momo kei a koe, me te whakawhanake i te huarahi maimoatanga pai rawa atu.

He aha ngā tohu o te Placenta Accreta?

He tokomaha ngā wāhine e pā ana ki te placenta accreta kāore e kite i ngā tohu mārama i te wā o te hapu. I te nuinga, ka kitea te ahuatanga mā ngā whakamātautau ultrasound noa, ngā whakamātautau hapu atu rānei. Ki te puta mai ngā tohu, ka whakauruhia e rātou te toto.

Ko ēnei ngā tohu ka kite koe:

• Te toto mai i te tara i te toru o ngā marama o te hapu
• Te toto ka whero mārama, pango rānei
• Ngā wāhanga toto e haere mai ana, e haere atu ana
• Te mamae o te kopu, te mamae rānei (kāore i te noa)
• Te ngenge, te ngoikore rānei

He mea nui kia mahara he maha ngā take o te toto i te toru o ngā marama, ā, ko te placenta accreta tētahi noa iho. Ki te pāngia koe e te toto i te wā o te hapu, kōrero atu ki tō kaiwhakarato hauora kia tirotirohia.

He aha ngā take o te Placenta Accreta?

Ka tupu te placenta accreta ina pakaru, kāore rānei i te kitea te arai noa i waenganui i te placenta me te uaua kopu. Ka puta tēnei na te toka, ngā huringa rānei ki te pakitara o tō kopu mai i ngā pokanga o mua, ngā mahi hauora rānei.

Ko ēnei ngā take tino noa:

• Ngā whānautanga waewae o mua
• Ngā pokanga kopu atu pēnei i te tango i ngā fibroid, te whakawhanui me te curettage (D&C)
• Placenta previa (ina hipoki te placenta i te cervix)
• Ngā mate kopu o mua
• Ngā hapu maha
• Te pakeke o te whaea (neke atu i te 35)

Ko te placenta previa me te hītori o ngā waewae o mua ka nui ake te tūponotanga. Ko te whakakotahitanga o ēnei take ka hanga he taiao ka tupu ngāwari ai te placenta ki roto i te kiko kopu toka.

Nōhea te haere ki te taakuta mō te Placenta Accreta?

Me whakapiri atu koe ki tō kaiwhakarato hauora inaianei anō ki te pāngia koe e te toto mai i te tara i te wā o te hapu, ina koa i te toru o ngā marama. Ahakoa he maha ngā take o te toto, me tirotirohia tonu e te taakuta kia mau ai tō ora me te ora o tō pēpi.

Rapua te awhina hauora inaianei anō ki te pāngia koe e:

• Te toto nui e ngākau ana i tetahi papa i roto i te haora
• Te toto me te mamae nui o te kopu
• Te wiri, te ngaro o te ngākau, te ngoikore rānei
• Te tere o te ngākau, te poto o te manawa rānei
• Te mamae nui, ngā whakawhānuitanga rānei

Ahakoa he iti te toto, kaua e whakaroa ki te karanga atu ki tō taakuta. Ko te kite wawe me te tirotiro i te placenta accreta ka āwhina ki te aukati i ngā raruraru nui, me te whakarite i te hua pai rawa atu mōu me tō pēpi.

He aha ngā take tūponotanga mō te Placenta Accreta?

He maha ngā take ka nui ake ai tō tūponotanga ki te whanake i te placenta accreta. Ko te mārama ki ēnei take tūponotanga ka āwhina i tō rōpū hauora ki te whakarato i te tirotiro me te tiaki tika i te wā o tō hapu.

Ko ēnei ngā take tūponotanga nui rawa atu:

• Ngā waewae o mua (ka nui ake te tūponotanga me ia waewae)
• Placenta previa i tō hapu o nāianei
• Te pakeke o te whaea (35 tau neke atu rānei)
• Ngā hapu maha o mua
• Ngā pokanga kopu, ngā mahi rānei o mua
• Te hītori o ngā mate kopu
• Ngā mahi dilation me te curettage (D&C) o mua
• Te mate a Asherman (te toka o te kopu)

Ko te whai i tetahi take tūponotanga, kāore e tikanga ka whanake koe i te placenta accreta. Heoi, ka tūtohutia e tō kaiwhakarato hauora ngā tirotiro atu me ngā whakamātautau ultrasound, MRI rānei kia titiro ki ngā tohu o te ahuatanga.

He aha ngā raruraru pea o te Placenta Accreta?

Ka āhei te placenta accreta ki te arahi ki ngā raruraru nui, e pā ana ki te toto nui i te wā o te whānautanga. Ko te mārama ki ēnei raruraru pea ka āwhina i a koe me tō rōpū hauora ki te whakarite mō te whānautanga haumaru rawa atu.

Ko ēnei ngā raruraru matua:

• Te toto nui i te wā o te whānautanga e hiahia ana ki te whakawhānuitia te toto
• Te hiahia ki te hysterectomy ohorere (te tango i te kopu)
• Te pakaru o ngā whekau tata atu pēnei i te pūkahukahu, te whekau rānei
• Ngā raruraru toto
• Te mate
• Te whānautanga wawe
• Te hiahia ki te whakauru i te wāhanga tiaki nui (ICU)

Ahakoa he wehi ēnei raruraru, kia mahara kei te whakahaere tika me te tiaki mai i te rōpū hauora mohio, ka angitu te nuinga o ngā wāhine e pā ana ki te placenta accreta. Ko te kite wawe ka taea e ngā kaiwhakarato hauora te huihuinga i ngā tohunga tika, me te whakarite mō ngā wero pea ka puta mai.

Me pēhea te whakatau i te Placenta Accreta?

I te nuinga, ka whakatauhia te placenta accreta mā ngā whakamātautau whakaahua i te wā o te hapu. Ka whakamahi tō kaiwhakarato hauora i te ultrasound hei waahanga tuatahi, ka whai muri pea i te MRI mō ngā korero taipitopito atu mō te nui o te ahuatanga.

Ko te tukanga whakatau i te nuinga e whakauru ana i:

• Te whakamātautau ultrasound taipitopito e te tohunga hauora mō te whaea me te pēpi
• Te whakamātautau MRI hei kite pai ake i te placenta me ngā kiko e karapoti ana
• Te arotake i tō hītori hauora me ngā take tūponotanga
• I etahi wā ngā whakamātautau whakaahua motuhake atu

Ka āwhina ēnei whakamātautau i tō rōpū hauora ki te whakatau i te momo me te kino o te placenta accreta. He mea nui tēnei mō te whakarite i tō whānautanga, me te whakarite kei te wātea ngā tohunga tika ina whānau koe.

He aha te maimoatanga mō te Placenta Accreta?

Ko te maimoatanga mō te placenta accreta e arotahi ana ki te wā tika o tō whānautanga, me te whai i te rōpū hauora tika. Ko te huarahi maimoatanga matua ko te waewae ohorere me te hysterectomy pea, kei runga i te kino o tō ahuatanga.

Ko tō mahere maimoatanga ka whakauru pea i:

• Te waewae ohorere i waenganui i te 34-36 wiki o te hapu
• Te rōpū maha-tohunga tae atu ki ngā tohunga hauora mō te whaea me te pēpi, ngā tohunga anesthetic, me ngā tohunga pūtea toto
• Te whakarite mō te hysterectomy pea ki te kore e taea te whakahaere i te toto
• Ngā hua toto e wātea ana mō te whakawhānuitia ki te hiahiatia
• Te whakanoho pea i ngā catheter porowhita wā poto hei whakahaere i te toto

I etahi wā, ka ngana pea tō rōpū hauora ki te tiaki i tō kopu mā ngā tikanga motuhake. Heoi, ki te nui te toto, ka hiahiatia pea te hysterectomy kia ora koe. Ka kōrero tō rōpū hauora ki a koe mō ēnei kōwhiringa katoa i mua atu o te whānautanga.

Me pēhea te tiaki i a koe i te wā o te hapu me te Placenta Accreta?

Ki te whakatauhia koe ki te placenta accreta, ka nui ake te hiahia ki te tiaki i a koe. Ka hoatu e tō rōpū hauora ngā aratohu motuhake, engari he mahi whānui ka taea e koe te mahi hei tautoko i tō hauora me te whanaketanga o tō pēpi.

Koinei te huarahi ka taea e koe te tiaki i a koe:

• Haere ki ngā whakaritenga hapu katoa, whai i ngā tūtohu a tō kaiwhakarato
• Tangohia ngā huaora hapu, ina koa te rino ki te tūtohuhia
• Okioki ina ngenge koe, kaua e mahi uaua
• Kia makuku, kai kai hauora
• Tirohia ngā tohu toto, ngā tohu rerekē rānei
• Whai mahere mō te haere tere ki te hōhipera ki te hiahiatia

Ka tūtohu pea tō kaiwhakarato hauora i ngā taumata mahi rerekē, te okioki moenga rānei kei runga i tō ahuatanga motuhake. Ko te whai i ēnei tūtohu ka āwhina ki te whakaiti i tō tūponotanga ki ngā raruraru, me te tautoko i te hua pai rawa atu mōu me tō pēpi.

Me pēhea te whakarite mō ō whakaritenga taakuta?

Ko te whakarite pai mō ō whakaritenga ka āwhina ki te whakarite ka whiwhi koe i te painga nui rawa atu i tō wā me tō rōpū hauora. Ko te whai placenta accreta te tikanga ka maha atu ō haerenga, ka kite pea koe i ngā tohunga maha.

Koinei te huarahi ki te whakarite mō ō whakaritenga:

• Tuhia ō pūrongo katoa i mua i te haerenga
• Mau mai he rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Tūhonohia ngā tohu, ngā wāhanga toto, ngā āwangawanga rānei
• Mau mai tētahi tangata tautoko ki te taea
• Pātai mō ngā tohutohu tuhituhi, ngā korero rānei hei kawe atu ki te kāinga
• Mārama ki tō mahere whānautanga me ngā mea e tatari ana

Kaua e whakaroa ki te tono atu ki tō rōpū hauora kia whakamārama i tetahi mea kāore koe e mārama. Ko te mārama ki tō ahuatanga me tō mahere maimoatanga ka āwhina i a koe kia whakapono me te whakarite mō ngā mea kei mua.

He aha te mea nui mō te Placenta Accreta?

Ko te placenta accreta he raruraru nui o te hapu, engari ka taea te whakahaere ina kitea wawe, ka maimoatia e te rōpū hauora mohio. Ahakoa ka rongohia he nui, kia mahara he mano ngā wāhine e angitu ana i tēnei ahuatanga ia tau mā te tiaki tika me te whakarite.

Ko te mea nui rawa atu ko te mahi tata atu ki tō rōpū hauora hei whakawhanake i te mahere whānui mō tō whānautanga. Mā te kite wawe, te tirotiro ata, me te tiaki hauora pūkenga, ka angitu te nuinga o ngā wāhine e pā ana ki te placenta accreta.

Whakapono ki te pūkenga o tō rōpū hauora, kaua e whakaroa ki te pātai, ki te kōrero rānei i ngā āwangawanga. Ko tō whakauru whai hua ki tō tiaki, me te whakahaere hauora pūkenga, ka hoatu ki a koe te tupono pai rawa atu mō te whānautanga haumaru me te ora.

Ngā Pātai Nui e Pā ana ki te Placenta Accreta

Ka taea e au te whānautanga tara me te placenta accreta?

Kāore i te tūtohutia te whānautanga tara me te placenta accreta na te tūponotanga nui o te toto nui. Ka whakarite pea tō rōpū hauora i te waewae ohorere me ngā tohunga e tu ana hei whakahaere i ngā raruraru pea ka puta mai.

Me hiahia ahau ki te hysterectomy ki te whai placenta accreta ahau?

Kāore ngā wāhine katoa e pā ana ki te placenta accreta e hiahia ana ki te hysterectomy. Ka ngana tuatahi tō rōpū hauora ki te whānau i tō pēpi, ki te tango haumaru i te placenta. Heoi, ki te kore e taea te whakahaere i te toto, ka hiahiatia pea te hysterectomy kia ora koe. Ka kōrero ō taakuta ki a koe mō tēnei tūponotanga i mua.

Ka taea te aukati i te placenta accreta?

Kāore he huarahi tino pai ki te aukati i te placenta accreta na te mea e pā ana ki ngā pokanga kopu o mua, te toka rānei. Heoi, ko te karo i ngā waewae ohorere ki te taea, me te wehe i ngā hapu kia tika pea ka āwhina ki te whakaiti i te tūponotanga i ngā hapu o muri.

He aha te pānga ki taku pēpi ki te whai placenta accreta ahau?

Kāore i te pāngia tika tō pēpi e te placenta accreta. Ko te take nui ko te wā tika o te whānautanga hei taurite i te whanaketanga o ngā manawa o tō pēpi me te tūponotanga o te toto. Ko te nuinga o ngā pēpi i whānau ki ngā whaea e pā ana ki te placenta accreta ka ora pai, ahakoa ka hiahia pea rātou ki ētahi atu tiaki ki te whānau i mua i te 37 wiki.

Ka taea e au te hapu anō i muri i te placenta accreta?

Ki te tiakina tō kopu i te wā o te maimoatanga, ka taea pea ngā hapu o muri, engari ka whakaarohia he nui te tūponotanga. Ki te hiahia koe ki te hysterectomy, kāore koe e taea te mau i ngā hapu o muri. Kōrerohia ngā kōwhiringa whānau ki tō rōpū hauora kei runga i tō ahuatanga motuhake.