Paku O Te Puku

Ko te dimple sacral he kohanga, he rua ranei i roto i te kiri o te tuara o raro e kitea ana i te whanautanga i etahi pepeke. Kei runga noa iho i te kiko i waenganui i nga huha. Ko te nuinga o nga dimple sacral kaore he kino, kaore hoki e hiahiatia te maimoatanga.

Ka taea e te dimple sacral te tohu o te raruraru o te tuaiwi nui i roto i te peepi hou mena he nui te dimple, he tata ranei ki te putiputi o te makawe, te tohu kiri, te puku, te rohe tae ranei. I enei take, ka taea e te kaiwhakarato hauora o to tamaiti te taunaki i te whakamatautau whakaahua. Mena ka kitea tetahi raruraru o te tuaiwi, ka whakawhirinaki te maimoatanga ki te take o raro.

Ko te dimple sacral he keri, he rua ranei i roto i te kiri o te tuara – te nuinga o te waa i runga noa iho i te wahi e kopiko ai nga kauae. Ko te nuinga o nga dimple sacral he iti, he papaku.

Kaore he uauatanga

Kāore he take e mohiotia ana mō te rua o te pūwheo. He āhuatanga whānau, arā, kei te noho mai i te wā whānau.

Ko ngā take morearea mō ngā dimples sacral kei roto i te whānau mai me te raruraru o te rōpū tuaiwi, pēnei i te mate tethered cord. I roto i tēnei āhuatanga, kāore te rōpū tuaiwi e tau noa i roto i te kauae tuaiwi. Ka taea hoki te kite i ngā dimples sacral i ngā pēpi hou kāore hoki i ētahi atu āhuatanga hauora.

Ko te nuinga o te wā, ka hono ngā dimples sacral ki te āhuatanga kino o te tuawhenua, o te rongoā rānei. Ko ētahi tauira:

• Spina bifida. He ahua ngawari rawa atu tēnei āhuatanga, e kiia nei ko te spina bifida occulta, ka puta mai ina kore te tuawhenua e kati tika i te taha o te rongoā, engari kei roto tonu te rongoā i roto i te kauae o te tuawhenua. I te nuinga o ngā take, kaore te spina bifida occulta e pāngia e ngā tohu, ā, kaore hoki e hiahiatia te rongoā.
• Tethered cord syndrome. Ko te tikanga ka tau noa te rongoā i roto i te kauae o te tuawhenua. Ko te tethered cord syndrome he mate ka puta mai ina whakakorehia te nekehanga o te rongoā e te kiko e piri ana ki te rongoā. I roto i ngā tohu, ka uru pea te ngoikore, te mumura rānei o ngā waewae, me te kore-mana o te pūkahukahu, o te kopu rānei.

Ka piki ake ngā tūponotanga o ēnei raruraru o te tuawhenua ki te whai hoa te dimple sacral i tetahi puehu o te makawe, te tohu kiri rānei, te pūngāwerewere rānei, me ētahi momo tae kiri.

Kaore he uauatanga

Ko te taumanutia o te rua o te pūeke ka mahia mā te whakamātautau tinana, i te nuinga o te wā i te whakamātautau tuatahi o te pēpi. Ki te nui te rua o te pūeke, ki te puta rātou me tetahi kaupapa makawe tata atu, tohu kiri, ranei pūngāwerewere, momo kiri rerekē rānei, ka taea e tō kaiwhakarato hauora te kōrero mō ngā whakamātautau whakaahua hei tirotiro i ngā raruraru o te rongoā.

Ka uru pea ēnei whakamātautau ki:

• Ultrasound. Ko tēnei tikanga kore-whakauru e whakamahi ana i ngā ngaru oro hei whakaputa i ngā whakaahua o ngā hanganga o te tinana.
• Magnetic resonance imaging (MRI). Ki te hiahiatia atu ngā kōrero, ka taea e tō kaiwhakarato hauora te tūtohutia he MRI, e whakamahi ana i ngā ngaru reo me tetahi mara hiko kaha hei hanga i ngā whakaahua tapawhā o te tinana. Ko tēnei tikanga e hiahia ana ki te rongoā hei ārai i te nekehanga o te tamaiti i te wā o te karapa. Ka kiia tēnei ko te whakangāwari.

Kāo te maimoatanga mō te rua ngawari o te puku tapu.

Kaore he uauatanga