He aha te Polyhydramnios? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te polyhydramnios tētahi āhuatanga kei reira te nui o te wai amniotic e karapoti ana i tō pēpi i te wā hapu. Ka taea e tēnei wai atu te whakapakari i tō kopu kia nui rawa atu, ā, ka pēnei pea te pakari, ahakoa he tokomaha ngā wāhine e kore e kite i ngā tohu i ngā keehi ngawari.

Ko te wai amniotic te mahi pērā i te kākahu tiaki mō tō pēpi e tipu haere ana. I te nuinga, ka horomia e tō pēpi tēnei wai, katahi ka tukuna atu e ia mā te mimi, kia taurite ai ngā taumata. Ki te kore e mahi tika tēnei huringa taiao, ka taea te hanga i te wai nui atu i ngā taumata noa.

He aha ngā tohu o te polyhydramnios?

He tokomaha ngā wāhine e kore e kite i ngā tohu o te polyhydramnios ngawari. Ki te puta mai ngā tohu, ka hono atu ki te pehanga atu mai i te nui o te wai.

Ka kite pea koe i ētahi o ēnei tohu noa:

• Ka nui rawa atu tō kopu mō tō wā hapu
• Te uaua ki te manawa, te poto o te manawa
• Te pupū i ō waewae, ō turi, ō ngutu
• Te kore ngāwari ki te takoto
• Te iti haere o te nekehanga o te pēpi e kitea ana e koe
• Ngā whakawhāiti, te pēnei o te kopu
• Te ngakau mumura, te kore ngāwari o te puku

Ka puta ēnei tohu nā te mea ka tangohia e te wai atu te wāhi nui atu i roto i tō kopu, ka pehi i tō diaphragm me ētahi atu whekau. Ko te iti haere o te nekehanga o te pēpi nā te mea he wāhi nui atu mō tō pēpi ki te neke haere, ka iti ake te kitea o ōna whiu me ōna nekehanga ki a koe.

He aha ngā momo o te polyhydramnios?

Ka whakarōpūhia e ngā tākuta te polyhydramnios i runga i te nui o te wai e toe ana. Ka āwhina tēnei ki a rātou ki te mōhio ki te kino me te whakarite i te tiaki pai mōu me tō pēpi.

Ko te polyhydramnios ngawari te momo tino noa, e pā ana ki te 8 o te 10 wāhine e pā ana ki tēnei āhuatanga. He iti noa te piki o ngā taumata wai, ā, he tokomaha ngā wāhine e kore e kite i ngā tohu. Kaore e tino pā te momo nei ki ngā raruraru, ā, ka mutu ake i a ia ano.

Ko te polyhydramnios tūturu te tikanga he nui ake te piki o ngā taumata wai. He nui ake te tūponotanga o te kite i ngā tohu pērā i te uaua ki te manawa, te kore ngāwari o te kopu. Ka tirotirohia koe e tō tākuta kia tata atu, engari he iti tonu ngā raruraru kino.

Ko te polyhydramnios kino te momo tino onge, kei reira ngā taumata wai e piki nui ana. Ka nui ake te tūponotanga o tēnei momo mōu me tō pēpi, tae atu ki te mahi whānau i mua i te wā me ngā raruraru o te whānau. Heoi, mā te tiaki hauora me te tirotiro tika, he tokomaha ngā wāhine e ora ana ngā haputanga hauora ahakoa he polyhydramnios kino.

He aha ngā take o te polyhydramnios?

Kaore e taea te kite i te take tika o te polyhydramnios, ā, ka puta tēnei i te haurua o ngā keehi katoa. Ki te taea e ngā tākuta te tohu i te take, ka hono atu ki te kaha o tō pēpi ki te horomi, ki te tukatuka i te wai amniotic i te tikanga noa.

Ko ēnei ngā take matua e taea ai te whanake o te polyhydramnios:

• Te mate huka o te whaea, ka pā pea ki te hanga wai
• Te mate tārua-ki-tārua i roto i ngā māhoe rite
• Ngā raruraru o te horomi o te pēpi nā ngā āhuatanga neurological
• Ngā aukati o te puku i roto i te pēpi
• Ētahi mate i te wā hapu
• Te mate toto iti o te pēpi, ngā raruraru o te ngakau
• Ngā āhuatanga ira e pā ana ki te whanaketanga o te pēpi

I etahi wa, ka whanake te āhuatanga ina uaua tō pēpi ki te horomi i te wai amniotic nā ngā āhuatanga pērā i te spina bifida, ētahi atu ngoikoretanga o te pūnaha io. I ngā keehi onge, ka taea hoki e ētahi rongoā, ētahi atu mate pūnaha ārai mate te whakauru ki te nui o te wai.

Nōhea te haere ki te tākuta mō te polyhydramnios?

Whakapa atu ki tō kaiwhakarato hauora ki te kite koe i tō kopu e tupu haere ana atu i te tumanako, ki te kite rānei koe i te kore ngāwari nui. Whakawhirinaki ki ō whakaaro mō ngā huringa i roto i tō tinana i te wā hapu.

Rapua te awhina hauora ki te kite koe i te poto nui o te manawa, ina koa ina takoto, ki te kite rānei koe i te heke tere o ngā nekehanga o tō pēpi. Ka taea e ēnei tohu te tohu kei te pā ngā taumata wai ki a koe, ki te oranga o tō pēpi.

Karanga atu ki tō tākuta tonu ki te whai koe i ngā tohu o te mahi whānau i mua i te wā, pērā i ngā whakawhāiti noa, te pehanga o te upoko, te rere o te wai mai i tō tara. Ka taea e te whakauru hauora wawe te āwhina i te aukati i ngā raruraru, te whakarite i ngā hua pai mōu me tō pēpi.

He aha ngā take tūponotanga mō te polyhydramnios?

He maha ngā take ka taea te whakanui i ō tūponotanga ki te whanake i te polyhydramnios, ahakoa ko te whai i ngā take tūponotanga kaore e tikanga ka whanake tonu koe i te āhuatanga. Ko te mōhio ki ēnei take ka āwhina i tō tākuta ki te whakarato i te tiaki pai ake me te tirotiro.

Ko ēnei ngā take tūponotanga tino nui:

• Te whai i te mate huka i mua i te haputanga, te whanake rānei i te mate huka haputanga
• Te mau i ngā māhoe, ngā torutoru, ētahi atu maha
• Te haputanga o mua me te polyhydramnios
• Te pakeke o te whaea neke atu i te 35
• Ētahi mate pērā i te parvovirus B19, te cytomegalovirus
• Te hītori whānau o ngā āhuatanga ira
• Te kore taurite o te Rh i waenganui i te whaea me te pēpi

He nui ake te tūponotanga o ngā wāhine e mate huka ana, nā te mea ka taea e ngā taumata huka toto teitei te whakanui i te hanga wai amniotic. He nui ake te tūponotanga o ngā haputanga maha nā te uaua o te whakahaere i te taurite wai me te neke atu i te kotahi pēpi.

He aha ngā raruraru pea o te polyhydramnios?

Ko te nuinga o ngā wāhine e whai ana i te polyhydramnios ngawari kaore e kite i ngā raruraru kino, engari he mea nui kia mōhio koe ki te aha ka puta kia taea ai e koe te mahi tahi me tō rōpū hauora ki te aukati i ngā raruraru.

Mōu hei whaea, ko ngā raruraru pea e whai ake nei:

• Te mahi whānau i mua i te wā, te whānau
• Te wehewehe o te placenta (te wehewehe wawe o te placenta)
• Te nui o te toto i muri i te whānau
• Te uaua ki te manawa nā te pehi i te diaphragm
• Te roa o te mahi whānau nā te ngoikore o ngā whakawhāiti o te kopu

Mō tō pēpi, ko ngā raruraru pea e whai ake nei:

• Te whānau i mua i te wā
• Te heke o te aho i te wā whānau
• Te tūnga koretake i roto i te kopu
• Te mate i ngā keehi kino

Ko te rongo pai, mā te tirotiro me te tiaki tika, ka taea te aukati, te whakahaere pai rānei i te nuinga o ēnei raruraru. Ka mahi tahi tō rōpū hauora me koe ki te whakaiti i ngā tūponotanga, ki te whakarite i te hua hauora pai rawa atu mōu me tō pēpi.

Me pēhea te aukati i te polyhydramnios?

Ahakoa kaore e taea e koe te aukati katoa i te polyhydramnios, ina koa ina puta mai i ngā āhuatanga o te pēpi, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga, hei whakapiki i te haputanga hauora.

Ko te whakahaere i ō taumata huka toto tētahi o ngā rautaki aukati tino nui. Ki te whai koe i te mate huka, mahi tahi me tō rōpū hauora kia mau tonu ō taumata huka ki roto i ngā āhuatanga e whai ana. Ka whakaiti nui tēnei i tō tūponotanga ki te whanake i te polyhydramnios.

Ko te haere ki ō hui whakatūpato katoa ka taea ai e tō tākuta te tirotiro i tō haputanga kia tata atu, te hopu i ngā raruraru i mua i te kino.

Ko te noho tonu ki ngā inopere, te mahi i te horoi pai ka taea te āwhina i te aukati i ngā mate ka taea te whakauru ki te polyhydramnios. Ka tūtohutia pea e tō tākuta ngā inopere motuhake, ngā tupato rānei i runga i ō take tūponotanga motuhake.

Me pēhea te whakatau i te polyhydramnios?

Ka tino whakaaro pea tō tākuta ki te polyhydramnios i te wā o te haerenga whakatūpato noa ki te nui atu o tō kopu i te tumanako mō tō wā hapu. Ko tēnei aromatawai tuatahi te karanga i te ine i tō teitei fundal.

Ko te ultrasound te taputapu matua e whakamahia ana ki te whakatau i te polyhydramnios. I te wā o tēnei whakamātautau kore mamae, ka ine tō tākuta te wai amniotic i ngā putea rerekē e karapoti ana i tō pēpi. Ka whakamahi rātou i te ine e karangatia ana ko te amniotic fluid index (AFI) ki te whakatau mena he noa, he tata, he piki ngā taumata wai.

Ki te whakau i te polyhydramnios, ka tūtohu pea tō tākuta i ngā whakamātautau atu hei rapu i ngā take pea. Ka uru pea ēnei ki ngā ultrasound taipitopito hei tirotiro i te hanganga o tō pēpi, ngā whakamātautau toto hei tirotiro i te mate huka, ngā mate rānei, te whakamātautau ira ki te whakaarohia ngā āhuatanga motuhake.

I etahi wā, ka tūtohu pea tō tākuta i te amniocentesis, kei reira te tango i te iti o te tauira wai amniotic hei whakamātautau. Ka taea e tēnei whakamātautau te āwhina i te tohu i ngā āhuatanga ira, ngā mate rānei e taea te whakauru ki te nui o te wai.

He aha te maimoatanga mō te polyhydramnios?

Ko te maimoatanga mō te polyhydramnios e whakawhirinaki ana ki te kino o tō āhuatanga, ki te aha rānei e puta mai ana. Ko te nuinga o ngā keehi o te polyhydramnios ngawari kaore e hiahia ana ki te maimoatanga motuhake atu i te tirotiro ata.

Mō ngā keehi tūturu ki te kino, ka tūtohu pea tō tākuta i:

• Ngā haerenga whakatūpato, ngā ultrasound maha atu
• Te takoto moe, te whakaiti i te mahi
• Ngā rongoā hei whakaiti i te hanga wai
• Amnioreduction (te tango i te wai nui mā te ngira)
• Te whānau wawe ki te nui rawa ngā tūponotanga

Ki te mate huka te take o tō polyhydramnios, ko te whakahaere i ō taumata huka toto ka āwhina i te whakaiti i te hanga wai. Ka mahi tahi tō tākuta me koe ki te whakarite i tō kai, te mahi whakakori tinana, ngā rongoā rānei e hiahiatia ana.

I ngā keehi kino, ka hiahiatia pea te tukanga e karangatia ana ko te amnioreduction. I te wā o tēnei tukanga, ka whakamahi tō tākuta i te ngira angiangi hei tango i te wai amniotic nui, ka taea te whakarato i te whakaora tere mai i ngā tohu, te whakaiti i ngā tūponotanga o ngā raruraru.

Me pēhea te whakahaere i te polyhydramnios i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga kia pai ake ai tō ngāwari, kia tautoko ai i tō hauora i te wā hapu me te polyhydramnios.

He mea nui te okioki mō te whakahaere i ngā tohu, te aukati i ngā raruraru. Whakamātauria te moe ki tō taha maui, ka pai ake te rere o te toto ki tō pēpi, ka taea te āwhina i te whakaiti i te pupū. Whakamahia ngā urunga hei tautoko i tō kopu, kia kitea ngā tūnga ngāwari.

Tirohia ngā nekehanga o tō pēpi i ia rā, whakamōhiotia ngā huringa nui ki tō tākuta. Ahakoa ka rerekē pea te nekehanga me te wai atu, me kite tonu koe i ngā mahi noa mai i tō pēpi i te rā katoa.

Noho makuku, kaua e whakaiti i tō kai wai ki te kore e tūtohu motuhake tō tākuta. Ko te kai i ngā kai iti, ngā wā maha ka taea te āwhina i te ngakau mumura, te uaua ki te manawa e hono ana ki te polyhydramnios.

Aro atu ki ngā tohu o te mahi whānau i mua i te wā, pērā i ngā whakawhāiti noa, te pehanga o te upoko, ngā huringa rānei i te rere o te tara. Ko te whai i te polyhydramnios te tikanga kei te nui ake tō tūponotanga mō te mahi whānau i mua i te wā, no reira he mea nui te noho mataara ki ēnei tohu.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia ngā tohu katoa kua pā ki a koe, tae atu ki te wā i tīmata ai rātou, me pēhea te huringa i te wā. Ka āwhina tēnei mōhiohio i tō tākuta ki te mōhio pai ake ki tō āhuatanga.

Whakaritea tētahi rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākuta. Ka hiahia pea koe ki te mōhio mō ō take tūponotanga motuhake, te aha te tirotiro e hiahiatia ana, ngā tohu rānei e whai ake ai koe ki te karanga i te tari.

Kawea mai tētahi tangata tautoko ki a koe ki te taea, ina koa ki te awangawanga koe mō te whakatau. Ko te whai i tētahi kei reira hei āwhina i a koe ki te mahara i ngā mōhiohio, ki te ui i ngā pātai ka tino āwhina.

Ki te whai koe i te mate huka, kawea mai ō rōpū huka toto ki te whakaatu ki tō tākuta te pai o te whakahaere o ō taumata. He mea nui tēnei mōhiohio mō te whakahaere pai i te polyhydramnios.

He aha te mea nui mō te polyhydramnios?

Ko te polyhydramnios tētahi āhuatanga e taea te whakahaere e pā ana ki te 1-2% o ngā haputanga, ā, ko te nuinga o ngā wāhine e whai ana i tēnei whakatau ka haere tonu ki te whai i ngā pēpi hauora. Ahakoa e hiahia ana ki te tirotiro ata, ko te nuinga o ngā keehi he ngawari, kaore e tino pā ki ngā raruraru.

Ko te mea nui rawa atu ka taea e koe te mahi tahi me tō rōpū hauora, te haere ki ō hui whakatūpato katoa. Ko te kite wawe me te whakahaere tika ka pai ake ngā hua mōu me tō pēpi.

Kia mahara ko te whai i te polyhydramnios kaore e tikanga he he i a koe, kāore rānei koe i mahi i tetahi mea hei whakauru. Ka puta te nuinga o ngā keehi mō ngā take kaore i te mohiotia, ā, mā te tiaki tika, ka taea tonu e koe te whai i te wheako haputanga pai.

Whakawhirinaki ki ō whakaaro mō ngā huringa i roto i tō tinana, kaua e whakaroa ki te whakapiri atu ki tō tākuta me ngā pātai, ngā awangawanga rānei. Kei reira tō rōpū hauora hei tautoko i a koe i tēnei haerenga, hei whakarite i te hua pai rawa atu mō tō whānau.

Ngā pātai e ui pinepinetia ana mō te polyhydramnios

Ka taea te whakauru o te polyhydramnios i te mate autism ki taku pēpi?

Kaore he mōhiohio putaiao e whakaatu ana ko te polyhydramnios te take o te mate autism. Ahakoa kua tirotirohia e etahi rangahau ngā hononga pea i waenganui i ngā raruraru haputanga me te tūponotanga o te mate autism, ko te polyhydramnios ano kaore e whakaarohia he take tika o ngā mate autism spectrum.

Me hiahia ahau i te waewae C ki te whai ahau i te polyhydramnios?

Kāo reira. He tokomaha ngā wāhine e whai ana i te polyhydramnios ka taea te whānau i ngā whānau tara, ina koa ki te ngawari te āhuatanga. Ka whakaaro tō tākuta ki ngā take pērā i te tū o tō pēpi, te kino o te āhuatanga, tō hauora katoa i te wā e whakarite ana i tō tikanga whānau.

Ka taea te puta ano o te polyhydramnios i ngā haputanga o muri mai?

Ae, he nui ake te tūponotanga o te puta mai ano o te polyhydramnios i ngā haputanga o muri mai, ina koa ki te whai koe i ngā āhuatanga e noho ana pērā i te mate huka. Heoi, ko te whai i te kotahi kaore e whakamana ka puta mai ano, ā, he motuhake ia haputanga.

Me manukanuka ahau ki te neke iti ake taku pēpi me te polyhydramnios?

Ko te nekehanga iti o te pēpi ka noa ki te polyhydramnios nā te mea he wāhi nui atu mō tō pēpi ki te neke haere. Heoi, me kite tonu koe i ngā tauira nekehanga noa. Whakapa atu ki tō tākuta ki te kite koe i te heke nui o ngā taumata mahi o tō pēpi.

Ka taea te awhina o te inu wai iti i te whakaiti i te wai amniotic?

Kāo reira, ko te whakaiti i tō kai wai kaore e āwhina i te whakaiti i ngā taumata wai amniotic, ā, ka taea te kino ki a koe me tō pēpi. Ko te hanga wai amniotic e whakahaeretia ana e ngā tukanga ira tino uaua, ehara i te nui o te wai e inu ana koe. Noho makuku tonu i te wā hapu.