He aha te Spina Bifida? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te spina bifida tētahi āhuatanga whānau e kore ai te tuaiwi e hanga tino i te wā hapu. Ka puta tēnei ina kore te pūnaha neural, arā, te tūāhu me te roro, e kati tika i te marama tuatahi o te hapu.

Ko te ingoa, ko te tikanga pono ‘tuaiwi wehe’ i te reo Latina. Ahakoa ka rongo pea tenei he wehi, he tokomaha ngā tāngata e ora ana i ngā oranga tino whānuitia, mahi, me te tiaki hauora tika me te tautoko. Ka rerekē te pānga o te āhuatanga ki ia tangata, mai i ngā take ngāwari rawa ka kore pea e kitea e koe ki ngā āhuatanga uaua ake e hiahia ana ki te tiaki tonu.

He aha ngā momo Spina Bifida?

Tokorima ngā momo matua o te spina bifida, ka rerekē te pānga ki te tuaiwi. Ko te mārama ki ēnei momo ka āwhina i te whakamārama he aha te rerekētanga o ngā tohumānga mai i te tangata ki te tangata.

Ko te spina bifida occulta te ahua ngāwari. I konei, he iti te waahi i te tuaiwi, engari ko te tūāhu me ngā uaua te nuinga o te wā he noa. He tokomaha ngā tāngata kaore rawa e mōhio kei a rātou nā te mea kaore e tino pāngia. Ka kitea pea e koe i te wā o te X-ray mō tētahi atu mea.

Ko te Meningocele e pā ana ki tētahi putea wai e pēhi ana i roto i te waahi o te tuaiwi. Ko te tūāhu anō kei tōna wāhi, koia tēnei momo ka iti ake te tino pānga. Ka puta te putea hei pupū i te tua e taea ai e ngā tākuta te whakatika me te pokanga.

Ko te Myelomeningocele te ahua tino kino. Ko te tūāhu me ngā uaua e pēhi ana i roto i te waahi, e hanga ana i te putea i te tua. Ko tēnei ahua te nuinga o te wā ka tino pāngia nā te mea ka pakaru pea te tūāhu i te waahi.

He aha ngā tohumānga o te Spina Bifida?

Ko ngā tohumānga ka kitea e koe e whakawhirinaki ana ki te momo spina bifida kei te tangata me te wāhi kei te tuaiwi. Tukua mai kia arahi atu ahau ki ngā mea e kitea pinepine ana e ngā whānau.

Mō te spina bifida occulta, ko ngā tohumānga te nuinga o te wā he ngāwari rawa atu, kāore rānei. He iti pea te pūngāwerewere, te kōpū huruhuru, te tohu whānau rānei i runga i te wāhi o te tuaiwi kei reira te waahi. Ko te nuinga o ngā tāngata e ora ana i tēnei momo ora noa, kāore he raruraru.

Ki te meningocele, ko te tohu tino marama ko te pupū rite ki te putea i te tua, te nuinga o te wā kei te hipoki i te kiri. Ko te hikoi me te mana whakahaere o te pūkau te nuinga o te wā he noa, ahakoa he iti pea ngā raruraru whakahaere, he rerekētanga ako rānei.

Ka whakaatu te myelomeningocele i ngā tohumānga tino kitea e kitea pinepine ana e ngā whānau i te tīmatanga. Ka uru atu ki ēnei te ngoikore, te kore e taea te neke i ngā waewae, te raruraru ki te mana whakahaere o te pūkau me te whekau, me ngā raruraru ki te hikoi. Ko te taumata o te tuaiwi kei reira te waahi e whakatau ana i ngā mahi e pāngia ana.

He tamariki pea e pāngia ana e ngā ahua kino ake ka pāngia hoki e te hydrocephalus, kei reira te wai e hanga ana i te roro. Ka taea e tēnei te nui ake o te matenga i te noa, ā, ka pā pea ki te ako me te whanaketanga.

He aha ngā take o te Spina Bifida?

Ka puta te spina bifida ina kore te pūnaha neural e kati tika i te marama tuatahi o te hapu, te nuinga o te wā i mua atu i te mohiotanga o te maha o ngā wāhine kei te hapu rātou. Ko te take pono e puta ai tēnei kaore i te marama tonu, engari he maha ngā take ka piki ake te tūponotanga.

Ko te kore o te waikawa folic te take tino mārama. Ko tēnei hua B he mea nui mō te whanaketanga tika o te pūnaha neural. Ina kore rawa te waikawa folic i te wā hapu o te tīmatanga, ka piki haere te tūponotanga o te spina bifida. Koia te take e tūtohutia ana e ngā tākuta ngā taapiri waikawa folic mō ngā wāhine ka hapu pea.

He wāhi anō te ira, ahakoa kaore te spina bifida i whakawhiwhia tika penei i te tae kanohi. Ki te whai koe i tētahi tamaiti e pāngia ana e te spina bifida, ko te tūponotanga o te whai i tētahi atu tamaiti e pāngia ana he iti ake i te noa. Ko te whai i te hītori whānau o ngā hapa pūnaha neural ka piki ake hoki te tūponotanga.

Ka taea e ētahi rongoā te whakakore i te whakamahinga o te waikawa folic e te tinana. Ka taea e ngā rongoā anti-seizure, inā te waikawa valproic, te piki ake o te tūponotanga. Ki te inu koe i ēnei rongoā, kei te whakaaro koe ki te hapu, korero ki tō tākuta mō ngā kōwhiringa haumaru.

Ko ētahi atu take ka āwhina pea ko te mate huka kaore i te pai te whakahaere i te wā hapu, te momona, me te pāmahana tinana teitei mai i te kirika, te whakamahinga o te puku wera rānei i te wā hapu o te tīmatanga. Engari, he maha ngā pepeha e whānau ana me te spina bifida ki ngā whaea kaore he take morearea.

He aha ngā take morearea mō te Spina Bifida?

Ko te mārama ki ngā take morearea ka taea te āwhina i a koe ki te whakatau i ngā whakatau whakamārama, inā kei te whakaaro koe ki te hapu. Kia mahara kei te whai koe i ngā take morearea kaore e tino puta te spina bifida.

Ko te take morearea nui rawa ko te kore o te waikawa folic i mua i te wā hapu me te wā hapu o te tīmatanga. Me whai hua tenei hua tōu tinana hei āwhina i te kati tika o te pūnaha neural. Ko ngā wāhine kaore e inu i ngā taapiri waikawa folic, kāore rānei e kai i ngā kai e whai hua ana i te folate he nui ake te tūponotanga.

Ko te hapu o mua me te hapa pūnaha neural ka piki ake tō tūponotanga mō ngā hapu o muri. Ki te whai koe i tētahi pepeha e pāngia ana e te spina bifida, ka tūtohu pea tō tākuta i ngā rongoā nui ake o te waikawa folic mō ngā hapu o muri, ā, ka tūtohu pea i ngā whakamātautau atu.

Ka taea hoki e ētahi āhuatanga hauora te piki ake o te tūponotanga. Ko te mate huka kaore i te pai te whakahaere i te wā hapu e pā ana ki te whanaketanga o te pepeha. Ko ētahi āhuatanga ira e pā ana ki te tukatuka o tō tinana i te folate ka taea te āwhina ki te piki ake o te tūponotanga.

Ko te tau me te iwi he iti ake te wāhi. Ko ngā wāhine kei raro i te 20 me te 35 neke atu he iti ake te tūponotanga, ā, he nui ake te nui o ngā hapa pūnaha neural ki ngā wāhine Hispanic i te whakataurite ki ētahi atu rōpū iwi. Engari, ko ēnei take he iti rawa atu i te kai waikawa folic.

Nōhea te kite i te tākuta mō te Spina Bifida?

Ki te hapu koe, ko te tiaki hapu noa e whakauru ana ki te tirotiro mō te spina bifida. Ka tukuna e tō tākuta ngā whakamātautau toto me ngā ultrasound ka taea te kite i ngā hapa pūnaha neural i te wā hapu o te tīmatanga, te nuinga o te wā i waenga i te 15-20 wiki.

Mō ngā whānau e whai ana i tētahi tamaiti e pāngia ana e te spina bifida, he mea nui te tiaki hauora noa. Me kite koe i te rōpū hauora o tō tamaiti ki te kite koe i ngā huringa i te nekehanga, te ngoikore hou i ngā waewae, te raruraru rānei ki te mana whakahaere o te pūkau, te whekau rānei e rerekē ana i te noa.

Ko ngā tohu e hiahia ana ki te tiaki hauora tonu ko ngā mamae o te upoko nui, te ruaki, ngā huringa i te tirohanga, te moe rānei e kore e noa. Ka taea e ēnei te tohu i ngā raruraru penei i te hydrocephalus, ngā raruraru shunt rānei e hiahia ana ki te maimoatanga tere.

Ki te whakaaro koe ki te hapu, kei te whai koe i ngā take morearea, korero ki tō tākuta i mua i tō tīmatanga ki te whakaaro ki te whānau. Ka taea e rātou te āwhina i a koe ki te whakapai ake i tō hauora, kia mohio hoki kei te whiwhi koe i te nui o te waikawa folic.

He aha ngā raruraru pea o te Spina Bifida?

Ahakoa te whakaaro ki ngā raruraru ka rongo pea he nui rawa, ko te mārama ki a rātou ka āwhina i a koe ki te matawai me te āhua e taea ai e ngā rōpū hauora te whakahaere pai i a rātou.

Ko te hydrocephalus tētahi o ngā raruraru tino noa, e pā ana ki te 80% o ngā tamariki e pāngia ana e te myelomeningocele. Ka puta tēnei ina hanga te wai i te roro, ka taea te pānga ki ngā whakaroa whanaketanga, ngā raruraru ako rānei. Ka taea e ngā shunt i whakatūria e te pokanga te whakahaere pai i tēnei āhuatanga i te nuinga o ngā take.

Ka rerekē te raruraru nekehanga i runga i te wāhi e pāngia ana te tuaiwi. Ko ētahi tamariki e hikoi ana, ko ētahi e whakamahi ana i ngā pūtau, ngā kaihaere rānei, ko ētahi e whakamahi ana i ngā wīra. Ko te rongoā tinana me ngā taputapu whakarite ka āwhina i te whakanui i te motuhake ahakoa te taumata nekehanga.

Ko ngā raruraru mana whakahaere o te pūkau me te whekau he mea noa ki ngā ahua kino ake. Ka puta tēnei nā te mea ka pāngia pea ngā uaua e whakahaere ana i ēnei mahi. He maha ngā rautaki whakahaere, tae atu ki ngā rongoā me te catheterization, ka taea te āwhina i ngā tāngata kia ora marie, kia maia hoki.

Ka puta ngā rerekētanga ako ki ētahi tamariki, inā rātou e whai ana i te hydrocephalus. Ka uru atu ki ēnei te raruraru ki te aro, te tukatuka i ngā korero, te whakarite mahi rānei. Ko te whakauru i te tīmatanga me te tautoko mātauranga ka taea te whakarereke nui ki te angitu mātauranga.

Ko ngā raruraru iti ake ko ngā raruraru kiri mai i te iti o te āhua, ngā raruraru orthopedic penei i te scoliosis, ngā raruraru huha rānei, me ngā mate pāwera latex mai i ngā mahi hauora maha. Ka tirotirohia e tō rōpū hauora ēnei, ka hoatu te tiaki tika ina hiahiatia.

Me pēhea te aukati i te Spina Bifida?

Ko te huarahi tino whai hua ki te aukati i te spina bifida ko te tango i te waikawa folic i mua i te wā hapu me te wā hapu o te tīmatanga. Ka taea e tēnei mahi ngāwari te whakaiti i te tūponotanga o ngā hapa pūnaha neural ki te 70%.

Me tango e ngā wāhine katoa e taea te whānau tamariki te 400 micrograms o te waikawa folic ia rā, ahakoa kaore e whakaaro ana ki te hapu. Nā te mea ka puta te whanaketanga o te pūnaha neural i te tīmatanga, te nuinga o te wā i mua atu i tō mohiotanga kei te hapu koe, he mea nui te whai i ngā taumata waikawa folic tika i mua.

Ki te whai koe i tētahi hapu o mua e pāngia ana e te spina bifida, ka tūtohu pea tō tākuta i te rongoā nui ake o te waikawa folic, te nuinga o te wā 4,000 micrograms ia rā, e tīmata ana i te iti rawa kotahi marama i mua i te whakaaro ki te whānau. Ko tēnei rongoā nui ake e whakaiti nui ana i te tūponotanga o te puta mai anō.

Ko te kai i ngā kai e whai hua ana i te folate ka āwhina hoki, ahakoa he uaua ki te whiwhi i te nui mai i te kai anake. Ko ngā puna pai ko ngā huawhenua kakaho, ngā hua citrus, ngā pi, me ngā witi whakakikī. He maha ngā hua witi inaianei kua whakakikītia ki te waikawa folic hei āwhina i te aukati i ngā hapa pūnaha neural.

Ko te whakahaere i ētahi atu āhuatanga hauora i mua i te hapu he mea nui hoki. Ki te whai koe i te mate huka, mahi tahi me tō tākuta ki te whiwhi i te mana hauora o te huka i mua i te whakaaro ki te whānau. Kaua e inu i ngā rongoā e whakakore ana i te waikawa folic ki te kore rawa e hiahiatia, korero atu ki tō kaiwhakarato hauora mō ngā kōwhiringa atu.

Me pēhea te whakatau i te Spina Bifida?

Ko te spina bifida te nuinga o te wā ka whakatauhia i te wā hapu mā te tirotiro hapu noa, ahakoa ka kitea pea i te wā whānau, i muri mai rānei i te ora mō ngā take ngāwari.

I te wā hapu, ka tukuna e tō tākuta te whakamātautau toto e kiia nei ko te AFP (alpha-fetoprotein) i te wā 15-20 wiki. Ko ngā taumata teitei atu i te noa ka tohu pea i te hapa pūnaha neural. Ki te whakaatu tēnei whakamātautau i ngā taumata teitei, ka tūtohu pea tō tākuta i ngā whakamātautau atu hei whiwhi i te whakaahua marama ake.

Ka hoatu e te whakaahua ultrasound ngā tirohanga taipitopito o te tuaiwi o tō pepeha e whanake ana, ā, ka taea pea te kite tika i te spina bifida. Ka taea e ngā ultrasound teitei te whakaatu i te waahi i te tuaiwi, ā, ka āwhina i te whakatau i te momo me te kino o te āhuatanga.

Ko te amniocentesis, kei reira te iti o te wai amniotic e whakamātautauhia ana, ka taea te whakau i te whakatau, ka hoatu ētahi atu korero mō te āhuatanga o te pepeha. Ko tēnei whakamātautau te nuinga o te wā ka tukuna ina tohu ētahi atu whakamātautau tirotiro i ngā raruraru pea.

I muri i te whānau, ka taea e ngā tākuta te whakatau i te spina bifida mā te tirotiro tinana. Ka titiro rātou ki ngā tohu e kitea ana penei i te putea i te tua, ngā huringa kiri rānei i runga i te tuaiwi. Ko ngā whakamātautau atu penei i te MRI, ngā CT scan rānei ka āwhina i te whakatau i te nui o te āhuatanga, te whakarite rānei i te maimoatanga.

He aha te maimoatanga mō te Spina Bifida?

Ko te maimoatanga mō te spina bifida e whakawhirinaki ana ki te momo me te kino, engari ko te whāinga tonu ko te āwhina i ngā tāngata kia ora motuhake, kia mārie hoki.

Mō te spina bifida occulta, ko te maimoatanga te nuinga o te wā kaore e hiahiatia nā te mea kaore e tino pāngia tēnei ahua ngāwari. Ka tūtohu pea tō tākuta i te tirotiro i te wā tamarikitanga hei matawai i ngā huringa, engari ko te nuinga o ngā tāngata kaore e hiahia ki te maimoatanga motuhake.

Ko te meningocele te nuinga o te wā e hiahia ana ki te pokanga hei kati i te waahi, hei tango i te putea kī wai. Ko tēnei pokanga te nuinga o te wā he angitu, ā, ko ngā tamariki te nuinga o te wā e whanake ana i muri mai me ngā pānga roa iti.

Ko te myelomeningocele e hiahia ana ki te tiaki whānui ake e tīmata ana i muri i te whānau. Ko te pokanga i roto i ngā rā tuatahi o te ora ka kati i te waahi hei aukati i te mate, te kino atu rānei o ngā uaua. Ko ētahi pokapū hauora inaianei e tuku ana i te pokanga fetal i te wā hapu, ka taea te whakapai ake i ngā hua mō ētahi pepeha.

Ki te puta te hydrocephalus, ka whakatū ngā tākuta i tētahi pūnaha shunt hei whakaheke i te wai nui mai i te roro. Ko tēnei pūtau iti e arahi ana i te wai ki tētahi atu wāhi o te tinana kei reira ka taea te tango haumaru. Ko te tirotiro noa e whakarite ana i te mahi tonu o te shunt.

Ko te rongoā tinana e tīmata ana i te tīmatanga, ka haere tonu i te wā tamarikitanga me te muri atu. Ka āwhina ngā kaiwhakaora i ngā tamariki ki te whanake i te kaha, te whakahaere, me ngā pūkenga nekehanga. Ka whakaako hoki rātou ki ngā whānau ngā whakakori me ngā tikanga hei tautoko i te whanaketanga o tō rātou tamaiti i te kāinga.

Ko te rongoā mahi e aro ana ki ngā pūkenga ora o ia rā, e āwhina ana i ngā tamariki ki te ako ki te kakahu, te kai, te whakahaere rānei i ngā mahi tiaki whaiaro motuhake. Ka tūtohu hoki ngā kaiwhakaora i ngā taputapu whakarite e ngāwari ake ai, e whakahaeretea ai rānei ngā mahi o ia rā.

Me pēhea te whakahaere i te Spina Bifida i te kāinga?

Ko te whakahaere i te spina bifida i te kāinga e whakauru ana ki te hanga i ngā mahi e tautoko ana i te hauora me te motuhake o tō tamaiti me te pupuri i te ora whānau noa.

Ko te tiaki kiri he mea nui rawa mō ngā tamariki e ngoikore ana te āhua o ō rātou waewae. Tirohia ia rā mō ngā kotinga, ngā whara, ngā pupū pehanga rānei, inā kei te whakamahi tō tamaiti i ngā pūtau, i te wīra rānei. Kia ma, kia maroke te kiri, kia tika te noho o ngā hu hei aukati i ngā whara.

Ko te whakahaere o te pūkau me te whekau ka waiho hei wāhanga o tō mahi o ia rā. He maha ngā tamariki e ako ana ki te whakamahi i ngā catheter, ki te whai rānei i ngā kaupapa wharepaku. Mahi tahi me tō rōpū hauora ki te kimi i te huarahi e pai ana mō tō tamaiti me te āhuatanga whānau.

Ko te whakakori me te mahi tinana he mea nui mō te pupuri i te kaha me te aukati i ngā raruraru. Ko te kauhoe te nuinga o te wā he whakakori pai mō ngā tamariki e pāngia ana e te spina bifida, nā te mea e hanga ana i te kaha kaore e whakatū te ahotea ki ngā hononga. Whakatenatenahia ngā mahi e tika ana mō te tau e pai ana tō tamaiti.

Matawaihia ngā tohu ka tohu pea i ngā raruraru, penei i ngā huringa i te whāinga, te ngoikore hou, te raruraru rānei ki te mahi shunt ki te whai tō tamaiti i tētahi. Whakawhirinaki ki ō tūmanako hei mātua – ko koe te tino mohio ki tō tamaiti, ā, ka taea pea te kite i ngā huringa i mua i te kite atu a ētahi.

Pupurihia ngā whakaritenga hauora noa ahakoa kei te haere pai ngā mea katoa. Ka taea e te rōpū hauora o tō tamaiti te hopu i ngā raruraru pea i te tīmatanga, te whakarite rānei i ngā maimoatanga i te wā e tipu ana, e whanake ana tō tamaiti.

Me pēhea te whakarite mō tō whakaritenga tākuta?

Ko te whakarite mō ngā whakaritenga hauora e āwhina ana ki te whakarite kei te whiwhi koe i te nuinga o tō wā me te rōpū hauora, kāore hoki e wareware i ngā pātai, ngā āwangawanga nui rānei.

Pupurihia te rārangi o ngā huringa katoa kua kitea e koe i te āhuatanga o tō tamaiti, tae atu ki ngā tohumānga hou, ngā huringa i te nekehanga, ngā rerekētanga rānei i ngā tauira pūkau, whekau rānei. Ahakoa ngā huringa iti ka taea te hoatu i ngā korero nui ki tō rōpū hauora.

Kawe mai i te rārangi o nāianei o ngā rongoā katoa, tae atu ki ngā rongoā me te maha o ngā wā e tangohia ana. Whakauruhia ngā taapiri rongoā rānei e tangohia ana e tō tamaiti ia rā.

Tuhia ngā pātai i mua i tō haerenga ki te whakaritenga. He ngāwari te wareware i te mea i hiahia koe ki te ui ina aro koe ki te mea e kōrero ana te tākuta ki a koe. Kaua e whakaroa ki te tono whakamārama ki te kore koe e mōhio ki tetahi mea.

Ki te whai tō tamaiti i tetahi shunt, kia rite ki te kōrero i ngā tohumānga ka tohu pea i ngā raruraru, penei i ngā mamae o te upoko, te ruaki, ngā huringa rānei i te whāinga. Ko ō tirohanga i te kāinga he mea utu nui mō te tirotiro i te mahi shunt.

Whakaarohia te kawe mai i tētahi mema whānau atu, hoa rānei ki ngā whakaritenga nui. Ka taea e rātou te āwhina i a koe ki te mahara ki te mea i kōrerohia, te hoatu rānei i te tautoko i ngā haerenga pea ka tino pēhia.

He aha te mea nui mō te Spina Bifida?

Ko te spina bifida tētahi āhuatanga e taea te whakahaere e rerekē te pānga ki ia tangata, ā, me te tiaki hauora tika me te tautoko, ka taea e ngā tāngata e pāngia ana e te spina bifida te ora i ngā oranga whai hua, motuhake.

Ko te mea nui rawa hei mahara ko te aukati ka taea. Ko te tango i te waikawa folic i mua i te wā hapu me te wā hapu o te tīmatanga ka taea te whakaiti nui i te tūponotanga o ngā hapa pūnaha neural. Ki te whakaaro koe ki te hapu, tīmatahia te tango i ngā taapiri waikawa folic inaianei.

Mō ngā whānau e ora ana me te spina bifida, kia mahara kei te noho tahi koe. Ko ngā whakapainga hauora e haere tonu ana te whakapai ake i ngā hua, ā, he rōpū tiaki whānui kei reira hei tautoko i a koe me tō tamaiti. Ko te whakauru i te tīmatanga me te tiaki hauora tonu e whakarereke nui ana i ngā hua roa.

He kaha me ngā wero motuhake ia tamaiti e pāngia ana e te spina bifida. Aro ki te mea ka taea e tō tamaiti te mahi i te wāhi o ngā whakawhitinga, mahi tahi me tō rōpū hauora hei whakanui i te motuhake me te kounga o te ora.

Ngā pātai e ui pinepinetia ana mō te Spina Bifida

P1: Ka taea e ngā tāngata e pāngia ana e te spina bifida te whānau tamariki?

Ae, he tokomaha ngā tāngata e pāngia ana e te spina bifida ka taea te whānau tamariki. Ko te hua te nuinga o te wā he noa, ahakoa he āhuatanga pea o te hapu me te whānau ka hiahia pea ki te tiaki hauora motuhake. Me mahi ngātahi ngā wāhine e pāngia ana e te spina bifida me ō rātou rōpū hauora ina whakaaro ana ki te hapu hei whakarite i ngā hua pai mō te whaea me te pepeha.

P2: Ka taea e taku tamaiti e pāngia ana e te spina bifida te hikoi?

Ko te kaha ki te hikoi e whakawhirinaki ana ki te momo me te wāhi o te spina bifida. He maha ngā tamariki e whai ana i ngā ahua ngāwari e hikoi ana, ko ētahi atu pea e whakamahi ana i ngā pūtau, ngā kaihaere rānei, ngā wīra rānei. Ko te rongoā tinana me ngā taputapu whakarite ka taea te āwhina i te whakanui i te nekehanga me te motuhake ahakoa te kaha ki te hikoi.

P3: E hā roa ngā tāngata e ora ana me te spina bifida?

Me te tiaki hauora tika, ko te nuinga o ngā tāngata e pāngia ana e te spina bifida he roa noa te ora, he tata noa rānei. Ko ngā whakapainga i te maimoatanga, inā te whakahaere i te hydrocephalus me te aukati i ngā raruraru, kua tino whakapai ake i ngā hua roa i ngā tekau tau kua pahure.

P4: Ka taea te whakaora i te spina bifida?

Kaore te spina bifida e taea te whakaora, engari ka taea te whakahaere pai. Ka taea e te pokanga te kati i te waahi i te tuaiwi, te whakaora rānei i ngā raruraru penei i te hydrocephalus. He maha ngā rongoā me ngā maimoatanga e āwhina ana i ngā tāngata e pāngia ana e te spina bifida kia ora motuhake, kia whakahaere rānei i ngā wero e puta mai ana.

P5: He ira te spina bifida?

Kaore te spina bifida i whakawhiwhia tika penei i ētahi āhuatanga ira, engari he iti te piki ake o te tūponotanga ki te rere i roto i tō whānau. Ki te whai koe i tētahi tamaiti e pāngia ana e te spina bifida, ko te tūponotanga mō ngā hapu o muri he nui ake i te noa, engari ko te tango i te waikawa folic nui ka taea te whakaiti nui i tēnei tūponotanga.