He aha te Whakamātatanga o te Whenua? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ka puta te whakamātatanga o te whenua ina wehe te whenua i te pakitara o te kopu i mua i te whānau o tō pēpi. Ka taea e tēnei wehenga te whakaiti i te wāhi, te katoa rānei, ā, tētahi o ngā raruraru haputanga e rangona ana he nui atu te wehi i te mea e tika ana ina mārama koe ki te mea kei te pēhea.

Whakaarohia te whenua hei oranga mō tō pēpi i te wā haputanga. Ka hoatu e ia te hau me ngā kai, me te tango i ngā hua o te pātiki. Ki te wehe atu i te wā, ka pā ki a koe me tō pēpi, engari ko te mohiotanga ki ngā tohu me te whiwhi i te tiaki tere ka puta he rerekētanga nui ki ngā hua.

He aha ngā tohu o te whakamātatanga o te whenua?

Ko te tohu tino noa ko te toto i te tara, engari ehara i te mea ka whakakitea tonu e te whakamātatanga o te whenua te ahua kotahi mō ngā wāhine katoa. Ka wheakohia e ētahi wāhine ngā tohu mārama, ā, ka taea e ētahi atu te whai i ngā tohu iti ake e whanake ana i te wā.

Ko ēnei ngā tohu me titiro koe:

• Te toto i te tara e taea ai te rereke mai i te titiro iti ki te toto nui
• Te mamae o te kopu, te mamae rānei e rerekē ana i te mamae noa o te haputanga
• Te mamae o te tua e mau tonu ana, kāore hoki e ngāwari ki te huri i te tuunga
• Te ngawari o te kopu ina pēhi koe ki tō puku
• Ngā whakawhitinga kopu tere e tata ana te tata
• Te neke iti o tō pēpi i te mea noa, te rerekētanga rānei i ngā tauira nekehanga

I etahi wa ka huna te toto i roto i tō kopu, e kiia ana e ngā tākuta he "whakamātatanga huna." I ēnei take, ka taea pea e koe te kite i tetahi toto i te tara, engari ka taea tonu te wheako i te mamae, te ngawari, te rerekētanga rānei i te nekehanga o tō pēpi.

Ko te kaha o ngā tohu e hono ana ki te nui o te whenua kua wehe. Ka taea e ngā wehenga iti te whakaoho i ngā tohu ngawari, ka taea hoki e ngā mea nui ake te hanga i te mamae nui me te toto e hiahia ana ki te tiaki tere.

He aha ngā momo whakamātatanga o te whenua?

Ka whakarōpūhia e ngā tākuta te whakamātatanga o te whenua i runga i te kaha o te wehenga me te wāhi e puta ai. Ko te mārama ki ēnei momo ka āwhina i te whakamārama he aha te rerekētanga o ngā tohu i waenga i ngā wāhine rerekē.

Ko ngā momo matua ko:

• Te whakamātatanga wāhi: He wāhi noa o te whenua e wehe ana i te pakitara o te kopu
• Te whakamātatanga katoa: Ka wehe te whenua katoa, he mate pēkepeke tēnei
• Te whakamātatanga taha: Ka puta te wehenga i te taha o te whenua
• Te whakamātatanga pokapū: Ka puta te wehenga i waenganui o te whenua

Ka whakarōpūhia hoki e ngā tākuta ngā whakamātatanga hei "whakaatu" ina taea te kite i te toto, te "huna" rānei ina mau te toto i muri i te whenua. He uaua ake te whakatau i ngā whakamātatanga huna, no te mea kaore te tohu mārama o te toto e kitea.

Ko te taumata o te whakamātatanga e rereke ana mai i te ngawari (Taumata 1) ki te kino (Taumata 3), me ia taumata e whakaatu ana i te nui o te whenua kua wehe me te pēhea e pā ana ki a koe me tō pēpi.

He aha ngā take o te whakamātatanga o te whenua?

Ko te take tika o te whakamātatanga o te whenua kaore e mohiotia, engari he maha ngā take ka piki ake te tūponotanga o te putanga. Ko tō tinana me ngā āhuatanga o tō haputanga e hanga ana i te taiao uaua e taea ai te whakauru mai i ngā āhuatanga maha.

Ko ngā take tino nui ko:

• Te toto teitei i te wā haputanga, te toto teitei rānei
• Te whara ki tō puku mai i ngā hinga, ngā aituā waka, te pānga tinana rānei
• Te whakamātatanga o te whenua i mua i ngā haputanga o mua
• Te kai hikareti, te whakamahinga rānei o te raau taero i te wā haputanga
• Ngā mate toto e pā ana ki te rere o tō toto
• Te ngaro tere o te wai amniotic (oligohydramnios)
• Ngā haputanga maha penei i ngā māhoe, ngā torutoru rānei

Ko ngā take iti ake, engari ka taea, ko ētahi āhuatanga hauora penei i te mate huka, te mate whatukuhu, te mate ā-tinana rānei. Ko te pakeketanga o te whaea (neke atu i te 35) me te maha o ngā haputanga o mua ka taea te whakauru.

I te nuinga o ngā wā, ka puta te whakamātatanga o te whenua kaore he take mārama, ka taea te whakaongaonga ina rapu koe i ngā whakautu. Ko te mea nui kia mahara ko te nuinga o ēnei take kei tua atu i tō mana whakahaere.

Nōhea te kite i te tākuta mō te whakamātatanga o te whenua?

Ko tetahi toto i te tara i te wā haputanga e tika ana kia tiaki wawe, ina koa ki te haere tahi me te mamae, te mamae rānei. Kaua e tatari kia pai ake ngā tohu i a rātou anō, no te mea ka taea e te whakamātatanga o te whenua te tere haere.

Karanga atu ki tō tākuta, haere atu rānei ki te rūma urupare ina wheako koe i:

• Tetahi nui o te toto i te tara i muri i te 20 wiki o te haputanga
• Te mamae nui o te kopu, te tua rānei e kore e ngaro
• Tō kopu e pakari ana, e ngawari ana rānei ki te pa
• Ngā whakawhitinga e haere mai ana i te wa, te haere tonu rānei
• Tō pēpi e neke iti ana i te mea noa
• Te mōrearea, te ngoikore rānei, te ngāwari rānei ki te ngaro

Ahakoa kaore koe i tino mohio kei te kino ngā tohu, he pai tonu te tirotiro. Ka tino pai ake ngā kaiwhakarato hauora ki te kite i a koe mō te whakatūpato teka i te ngaro i tetahi mea nui.

Whakawhirinaki ki ō whakaaro mō tō tinana me tō pēpi. Ki te rerekē tetahi mea, te he rānei, he take nui tēnā ki te rapu i te tiaki hauora tonu.

He aha ngā take tūponotanga mō te whakamātatanga o te whenua?

He maha ngā take ka piki ake ō tūponotanga ki te wheako i te whakamātatanga o te whenua, ahakoa ko te whai i ngā take tūponotanga kaore e tino puta ki a koe. Ko te mārama ki ēnei take ka āwhina i a koe me tō rōpū hauora ki te tūpato mō ngā raruraru pea.

Ko ngā take tūponotanga matua ko:

• Te whakamātatanga o te whenua i mua, e piki ake ai te tūponotanga i ngā haputanga o muri
• Te toto teitei i mua, i te wā rānei o te haputanga
• Te pakeke neke atu i te 35, te taitamariki rawa rānei (i raro i te 20)
• Te kai hikareti, te whakamahinga rānei o ngā raau taero ture kore, ina koa te cocaine
• Te whai i ngā pēpi maha (māhoe, torutoru, me ētahi atu)
• Ngā mate toto, te tango rānei i ngā rongoā whakaiti toto
• Te mate huka, te mate whatukuhu rānei
• Te whai i te neke atu i te whā haputanga o mua

Ka piki ake hoki te tūponotanga o ētahi raruraru haputanga, tae atu ki te preeclampsia, te pakaru o mua o ngā kiri, me ngā mate i roto i te kopu. Ko te whara tinana i te wā haputanga, ahakoa mai i ngā take iti, ka taea te whakaoho i te whakamātatanga.

Ko ngā take tūponotanga onge, engari he kino, ko te whai i te taura pito poto, ētahi āhuatanga ira e pā ana ki te toto, me ētahi mate ā-tinana. Ka tirotirohia koe e tō tākuta kia tata ake ki te whai koe i ētahi o ēnei take tūponotanga.

He aha ngā raruraru pea o te whakamātatanga o te whenua?

Ka taea e te whakamātatanga o te whenua te hanga i ngā raruraru mōu me tō pēpi, engari ko te mārama ki ēnei āhuatanga pea ka āwhina i a koe ki te mohio he aha te nui o te maimoatanga tere. Ko te kaha o ngā raruraru e whakawhirinaki ana ki te nui o te whenua kua wehe me te tere o te tīmatanga o te maimoatanga.

Ko ngā raruraru pea mō tō pēpi ko:

• Te whakaiti i te hau me te kai e arahina ana ki ngā raruraru tipu
• Te whānau wawe ki te hiahiatia te whānau
• Te taumaha iti o te whānau mai i te kai kore
• Ngā raruraru manawa ki te whānau wawe
• I ngā take kino, te whara o te roro mai i te kore hau

Ko ngā raruraru e pā ana ki a koe ko:

• Te toto nui e hiahia ana pea ki te whakawhānuitia te toto
• Ngā raruraru toto (disseminated intravascular coagulation)
• Te kore mahi o te whatukuhu mai i te ngaro o te toto
• Te whānau cesarean tere
• Te piki o te tūponotanga o te whakamātatanga i ngā haputanga o muri

Ko ngā raruraru onge, engari he kino, ko te pakaru mai i te ngaro o te toto, me te mea tino kino, te hiahia ki te hysterectomy hei whakahaere i te toto. Heoi, me te tiaki hauora hou me te whakauru tere, he maha ngā wāhine me ngā pēpi e pai ana ahakoa i muri i te wheako i te whakamātatanga o te whenua.

Me pēhea te whakatau i te whakamātatanga o te whenua?

Ko te whakatau i te whakamātatanga o te whenua e whakauru ana i ō tohu me te tirotiro tinana me ngā whakamātau hauora. Ka tīmata tō tākuta mā te whakarongo ki ō awangawanga me te tirotiro i a koe ki te mārama ki te mea kei te pēhea.

Ko te tukanga whakatau e whakauru ana i te nuinga:

• Te tirotiro tinana hei tirotiro i tō puku me te aromatawai i te toto
• Te ultrasound hei titiro ki tō whenua me te āhuatanga o tō pēpi
• Te aroturuki i te tere o te ngākau o tō pēpi mō ngā tohu o te pouri
• Ngā whakamātau toto hei tirotiro mō te mate toto me ngā raruraru toto
• Te tirotiro i tō toto teitei me ngā tohu ora

Kaore te ultrasound e whakaatu tonu i te whakamātatanga o te whenua, ina koa i ngā wā tīmata, i ngā wehenga iti rānei. Ka taea e tō tākuta te whakatau i runga i ō tohu me ngā kitenga tinana ahakoa he noa te ahua o te ultrasound.

I etahi wā ka mārama te whakatau i te wā whānau ina taea e ngā tākuta te kite i te wāhi wehe o te whenua. Koinei te take e aro nui ana tō rōpū hauora ki te aroturuki i a koe me tō pēpi kia tata atu i te whakawhirinaki ki ngā hua whakamātau.

He aha te maimoatanga mō te whakamātatanga o te whenua?

Ko te maimoatanga mō te whakamātatanga o te whenua e whakawhirinaki ana ki ngā take maha, tae atu ki te tawhiti o tō haputanga, te kaha o te wehenga, me te pēhea o tō āhuatanga me tō pēpi. Ka hanga e tō rōpū hauora he mahere e whakarite ana i tō haumaru me te oranga o tō pēpi.

Mō ngā take ngawari me ngā tohu iti:

• Te aroturuki whare hauora hei titiro mō ngā huringa i tō āhuatanga
• Te takoto i te moenga hei whakaiti i te ahotea ki te whenua
• Te aroturuki tonu i te tere o te ngākau o tō pēpi
• Ngā whakamātau toto hei aroturuki i tō āhuatanga hauora
• Ngā weronga steroid ki te mea kei waenga koe i te 24-34 wiki hei awhina i ngā pūkahukahu o tō pēpi ki te whānau

Mō ngā take waenga ki te kino, ka tere ake te maimoatanga:

• Te whānau tere, te nuinga mā te wahi cesarean
• Ngā wai IV me te whakawhānuitia pea te toto mō te ngaro o te toto
• Ngā rongoā hei awhina i te whakahaere i te toto
• Te aroturuki nui i roto i te wāhanga motuhake
• Te tiaki NICU mō tō pēpi ki te whānau wawe

Ko te wā o te whānau e whakawhirinaki ana ki tō wā haputanga me te kaha o te whakamātatanga. Ki te tata koe ki te wā me te pai o kōrua me tō pēpi, ka taea e tō tākuta te tamata ki te whānau i te tara. Heoi, he maha ngā wā e hiahiatia ana te whānau cesarean tere hei tiaki i kōrua.

Me pēhea te whakahaere i te tiaki i te kāinga i te wā o te whakamātatanga o te whenua?

Ko te tiaki kāinga e tika ana mō ngā take ngawari rawa anake e whakatau ana tō tākuta he haumaru, ā, ahakoa i reira, ka hiahia koe ki te aroturuki hauora auau. Ko te nuinga o ngā take o te whakamātatanga o te whenua e hiahia ana ki te noho i te whare hauora, no te mea ka taea e te āhuatanga te tere huri.

Ki te tukuna e tō tākuta te aroturuki kāinga, ka hiahia koe ki te:

• Noho i runga i te takoto moenga katoa e tohutohuhia ana
• Te aroturuki i ngā nekehanga o tō pēpi me te ripoata i ngā huringa
• Te tirotiro mō tetahi toto hou, te mamae nui rānei
• Te haere ki ngā huihuinga hauora katoa
• Te whai i tetahi e waatea ana ki te taraiwa i a koe ki te whare hauora tonu ki te hiahiatia

Tirohia ngā tohu whakatūpato e hiahia ana ki te tiaki hauora tonu, tae atu ki tetahi piki o te toto, te mamae nui, te neke iti o te pēpi, te ngoikore rānei i tetahi huarahi. Ka hoatu e tō tākuta ngā tohutohu motuhake mō te wā ki te karanga, ki te haere rānei ki te whare hauora.

Kia mahara ko te aroturuki kāinga e tika ana mō ngā āhuatanga motuhake, ngawari rawa. Ko te nuinga o ngā wāhine e whai ana i te whakamātatanga o te whenua e hiahia ana ki te noho i te whare hauora kei reira ngā rōpū hauora e taea ai te tere whakautu ki ngā huringa.

Me pēhea te whakarite mō tō huihuinga tākuta?

I te wā e mahi ana ki te whakamātatanga o te whenua, ka kite pea koe i tō tākuta i roto i tetahi āhuatanga tere, te āhuatanga urupare rānei i te huihuinga noa. Heoi, ko te whakarite ka āwhina i a koe ki te korero pai i tēnei wā ahotea.

Mau mai, kia rite rānei ki te whakarato:

• Ngā rēkōta haputanga me ngā hua whakamātau hou
• Te rārangi o ngā rongoā kei te tango koe
• Ngā mōhiohio mō te wā i tīmata ai ō tohu me te pēhea o te huringa
• Ngā mōhiohio mō tō hītori hauora, ina koa ngā haputanga o mua
• Ngā mōhiohio inihua me ngā hononga urupare

Tuhia ngā pātai e hiahia ana koe ki te ui, penei i te pēhea e pā ana tenei ki tō pēpi, he aha ngā whiringa maimoatanga e waatea ana, me te aha e tatari ana ki te haere whakamua. Ko te whai i tetahi tangata tautoko ki a koe ka āwhina i a koe ki te mahara ki ngā mōhiohio nui i ngā kōrero ngākau.

Kia pono ki ō tohu katoa, ahakoa he iti te ahua. Ko ngā mōhiohio mō te wā, te kaha, me ngā huringa i te pēhea o tō ngākau ka āwhina i tō rōpū hauora ki te hanga i ngā whakatau pai mō tō tiaki.

He aha te mea nui mō te whakamātatanga o te whenua?

Ko te whakamātatanga o te whenua he raruraru haputanga nui e hiahia ana ki te tiaki hauora tonu, engari me te tiaki tere, he maha ngā wāhine me ngā pēpi e whai hua ana. Ko te mea nui ko te mohiotanga ki ngā tohu whakatūpato me te rapu awhina tere.

Kia mahara ko te toto i te tara i te wā haputanga e hiahia ana tonu ki te aromatawai hauora, ina koa ki te haere tahi me te mamae, te huringa rānei i te nekehanga o tō pēpi. Whakawhirinaki ki ō whakaaro mō tō tinana, kaua hoki e whakaroa ki te karanga atu ki tō kaiwhakarato hauora ki te rerekē tetahi mea.

Ahakoa ka taea e te whakamātatanga o te whenua te wehi, kua whakapai ake te tiaki hauora hou i te whakahaere i tēnei āhuatanga. Kei a tō rōpū hauora te wheako me ngā taputapu e hiahiatia ana hei tiaki i a koe me tō pēpi i tēnei wā wero.

Ngā pātai e ui pinepinetia ana mō te whakamātatanga o te whenua

Ka taea te puta ano te whakamātatanga o te whenua i ngā haputanga o muri?

Ae, ko te whai i te whakamātatanga o te whenua i tetahi haputanga ka piki ake tō tūponotanga i ngā haputanga o muri, engari kaore e tino puta ano. Ka piki ake tō tūponotanga mai i te 1% ki te 10-15% i ngā haputanga e whai ake nei. Ka tirotirohia koe e tō tākuta kia tata ake, ka taea pea te tūtohutia te whānau wawe, ētahi atu whakamaramatanga rānei hei whakaiti i ngā tūponotanga.

He aha te mea ka taea e au te mahi hei aukati i te whakamātatanga o te whenua?

Ahakoa kaore e taea e koe te aukati katoa i te whakamātatanga o te whenua, ka taea e koe te whakaiti i ētahi take tūponotanga. Kaua e kai hikareti, ngā raau taero ture kore rānei, whakahaere i te toto teitei me te awhina a tō tākuta, kakahu pai i ngā whitiki nohoanga, me te haere ki ngā huihuinga whānau katoa. Heoi, he maha ngā take e puta ana kaore he take ka taea te aukati, na kaua e whakahe ki a koe ki te puta.

E hā te tere o te haere o te whakamātatanga o te whenua?

Ka taea e te whakamātatanga o te whenua te haere i ngā tere rerekē. Ko ētahi take e whanake ana i te wā, i ngā rā rānei, ka taea hoki e ētahi atu te kino i roto i ngā meneti. Ko tēnei kore whakatūpato te take e hiahia ana ngā tohu katoa ki te aromatawai hauora tonu i te tatari kia pai ake rātou i a rātou anō.

Ka pai rānei tō pēpi ki te whai koe i te whakamātatanga o te whenua?

Ko te hua mō tō pēpi e whakawhirinaki ana ki te nui o te whenua e wehe ana, te tere o tō whiwhi i te maimoatanga, me te tawhiti o tō haputanga. He maha ngā pēpi e pai ana, ina koa ina hopukina wawe te āhuatanga me te whakahaere tere. Ka aroturuki tatahia e tō rōpū hauora tō pēpi ka tangohia ngā mahi hei whakapai ake i tōna hauora.

Ka taea te kite i te whakamātatanga o te whenua i ngā haerenga whānau noa?

Ko te whakamātatanga o te whenua e puta ana i te tere i te kite i ngā haerenga noa. Kaore pea ngā ultrasound noa e whakaatu i ngā tohu o mua o te whakamātatanga, koinei te take e nui ai te mohiotanga ki ngā tohu me te rapu i te tiaki tere. Ka titiro tō tākuta ki ngā take tūponotanga ka aroturuki i a koe kia rite ki tō āhuatanga motuhake.