He aha te Whakawhanau Hauora? Te Whāinga, te Hātepe & ngā Hua

Ko te whakawhanau hauora he huarahi haumaru, ehara i te pokanga hei whakamutu i te hapū wawe mā te whakamahi rongoā rongoā. E pā ana tēnei tikanga ki te tango pire motuhake e mahi ngātahi ana ki te aukati i te hapū kia haere tonu, ā, ka āwhina i tō tinana ki te pana i ngā kiko hapū māori.

He rerekē rawa atu i te aukati ohorere, i ngā "pire i muri i te pō". Ka whakamahia te whakawhanau hauora i muri i te whakapūmautanga o te hapū, i te nuinga o te wā i roto i ngā wiki 10 tuatahi o te hapū. He maha ngā tāngata e whiriwhiri ana i tēnei kōwhiringa nā te mea ka taea te mahi i te kāinga i te tūmataiti, ā, he māori ake i te hātepe pokanga.

He aha te whakawhanau hauora?

E whakamahi ana te whakawhanau hauora i ngā momo rongoā e rua hei whakamutu i te hapū wawe. E whai ana te hātepe i ngā mea e pā ana i te wā o te whanautanga māori, engari e āta whakahaerehia ana, ā, e aroturukihia ana e ngā kaiwhakarato hauora.

Ko te rongoā tuatahi, ko te mifepristone, e aukati ana i te homoni progesterone e hiahiatia ana hei pupuri i te hapū. Ki te kore tēnei homoni, e kore e taea e te hapū te haere tonu ki te whakawhanake. Ko te rongoā tuarua, ko te misoprostol, e pā ana ki te kōpū ki te kirimana me te pana i ngā kiko hapū.

He tino whai hua tēnei tikanga, ā, e mahi ana mō te 95-98% o ngā tāngata e whakamahi tika ana. Kua whakamahia haumaru i te ao katoa mō ngā tekau tau, ā, e taunakitia ana e ngā whakahaere rongoā nui hei kōwhiringa maimoatanga paerewa.

He aha te take i mahia ai te whakawhanau hauora?

Ka whiriwhiria te whakawhanau hauora mō ngā momo take whaiaro, rongoā, me ngā āhuatanga. He ahurei te āhuatanga o ia tangata, ā, he tino whaiaro te whakatau.

Ko ētahi o ngā take noa ko te hapū kāore i whakamaherehia, te rahunga o te aukati, te huringa rānei i ngā āhuatanga o te ora. Ko ētahi atu ka whiriwhiri i te whakawhanau hauora nā te mea he hē i te pēpi i kitea i te wā o te whakamātautau i mua i te whānautanga, i ngā tūponotanga hauora nui rānei ki te tangata hapū.

He mea nui hoki te pūtea, te kore tautoko, te wā rānei i roto i te whakatau. E whakaaro ana ētahi tāngata kāore anō rātou kia rite mō te whakatipu tamariki, kua oti rānei i a rātou ngā whānau. Ahakoa te take, he mea nui kia mōhio ko te rapu i te whakataunga hauora he whakatau tika.

He aha te tikanga mō te whakataunga hauora?

Ko te tikanga o te whakataunga hauora e toru ngā tūpono, ā, ka puta i roto i ngā rā maha. Mā tō kaiwhakarato hauora koe e ārahi i ia wāhanga kia mōhio ai te haumaru me te whai hua.

I te wā o tō haerenga tuatahi, ka whai koe i te ultrasound hei whakapūmau i te wāhi me te tau o te hapū. Ka arotake hoki tō kaiwhakarato i tō hītori hauora, ā, ka kōrero mō ngā mea e tūmanakohia ana i te wā o te tukanga.

Koinei te mea ka pā i te wā o te tukanga:

1. Ka tango koe i te rongoā tuatahi (mifepristone) i te whare haumanu, i te tari tākuta rānei
2. Ka tatari koe i te 24-48 haora i mua i te tango i te rongoā tuarua (misoprostol)
3. Ko te misoprostol te nuinga ka tangohia i te kāinga, mā te waha, mā te whakauru rānei ki roto i te tara
4. Ka tīmata te mamae me te toto i roto i ngā haora ruarua i muri i te tango i te misoprostol
5. Ka peia te kiko o te hapū i roto i ngā haora maha ki ngā rā

Ko te nuinga o te tāngata ka pā te toto nui me te mamae i roto i ngā haora 3-5 i muri i te tango i te misoprostol. Ka roa te tukanga ki te 24 haora ki te whakaoti, ahakoa te nuinga ka oti wawe.

Me pēhea te whakarite mō tō whakataunga hauora?

Ko te whakarite mō te whakataunga hauora e hāngai ana ki ngā whakaaro whaitake me te kare-ā-roto. Ka hoatu e tō kaiwhakarato hauora ki a koe ngā tohutohu motuhake, engari koinei ētahi wāhanga whakarite whānui.

Whakarite kia whai tangata hei tautoko i a koe i te wā o te tukanga, ahakoa mā te waea. Me noho koe i roto i tētahi wāhi pai, tūmataiti, ka taea e koe te okioki me te uru noa ki te wharepaku.

Anei me pēhea te whakarite:

• Whakaritea ngā papa paheketanga nui (kaua e whakamahi i ngā tampon i te wā o te tukanga)
• Tikina ngā rongoā mamae e hokona ana i te tatau, pērā i te ibuprofen, te acetaminophen rānei
• Whakaritea ngā kākahu pai me te papa whakamahana mō te kōpū
• Whakaritea ngā kai ngawari ki te keri me te nui o te wai
• Whakaritea te wā okioki i te mahi, te tiaki tamariki rānei, ki te hiahiatia
• Me mōhio kei a koe he waka pono ki te haere ki te rongoā, ki te hiahiatia

Ka tohutohu pea tō tākuta kia kaua e inu waipiro, aspirin, me ētahi atu rongoā i mua i te tukanga. Whaia ngā tohutohu motuhake a rātou kia pai ai te hua.

Me pēhea te pānui i ngā hua o tō pūngao rongoā?

Mā te mōhio ki ngā mea e tūmanakohia ana ka āwhina i a koe ki te mārama kei te pai te mahi o te pūngao rongoā. He rite ngā tohu o te pūngao rongoā angitu ki ērā o te wā paheketanga nui, te whakatahe rānei.

Ka mōhio koe kei te mahi te rongoā i te wā e pā ana te kōpū me te toto. Ka kaha ake pea te kōpū i ngā kōpū paheketanga noa, ā, ka nui ake te toto i te wā paheketanga noa.

Ngā tohu e tohu ana kei te pai te mahi o te tukanga ko:

• Te kōpū e haere mai ana, e haere ana i roto i ngā ngaru
• Te toto e nui ake ana i te wā paheketanga noa
• Te tuku i ngā toto toto, i ngā kiko rānei
• Te whakapairuaki, te ruaki, te korere rānei (he pānga taha noa ēnei)
• Te ngenge, te ngoikore rānei

Ko te nuinga o te wā ka haere tonu te toto mō te 1-2 wiki i muri i te tukanga, ka iti haere. Ka whai koe i tētahi hui whai muri hei whakapūmau kua oti te pūngao, te nuinga o te wā i roto i te 1-2 wiki.

He aha te hua pai mō te pūngao rongoā?

Ko te hua pai he pūngao oti me te iti o ngā raruraru me te whakaora pai. Ko te nuinga o ngā tāngata ka pā ki tēnei hua pai i te wā e whai ana rātou i ngā tohutohu a tō rātou tākuta.

Ko te whakatāpui rongoā angitu ko te tikanga kua peia katoatia ngā kiko hapū i te kōpū. Ka ngaro haere ō tohu hapū, ā, ka hoki ō taumata homoni ki te noa i roto i ngā wiki ruarua.

Ko te whakaora pai ko te mea e taea ana te whakahaere i te mamae me te toto e heke haere ana i roto i te 1-2 wiki. Ka taea e te nuinga o te tangata te hoki ki ngā mahi noa i roto i ngā rā ruarua, ahakoa me karo koe i te hiki taumaha me te whakakori tinana kaha i te tīmatanga.

He mea nui te whakaora ā-whatumanawa. He mea noa te rongo i te whānuitanga o ngā kare-ā-roto i muri mai, mai i te whakamāramatanga ki te pōuri. Ko te tautoko mai i ngā hoa, te whānau, te hunga tohutohu rānei e whakawhirinaki ana koe, ka āwhina i a koe ki te tukatuka i ēnei kare.

He aha ngā āhuatanga tūpono mō ngā raruraru whakatāpui rongoā?

Ahakoa te whakatāpui rongoā he tino haumaru, ka taea e ētahi āhuatanga te whakanui i te tūponotanga o ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō kaiwhakarato hauora ki te whakatau i te whakatau pai mō tō āhuatanga.

Ko te āhuatanga tūpono nui ko te tau hapū neke atu i te 10 wiki. Ka iti ake te whai hua o te whakatāpui rongoā, ā, ka nui ake te tūponotanga ki te pā mai ngā raruraru i te wa e haere ana te hapū.

Ngā āhuatanga tūpono noa ko:

• Te wāhanga cesarean o mua, te pokanga kōpū rānei
• Ngā mate toto, te tango rongoā whakaheke toto rānei
• Te anemia nui, ētahi atu āhuatanga toto rānei
• Ētahi āhuatanga ngākau, tākihi, ate rānei
• Te mate mumura puku kaha
• Te mate pāwera ki ngā rongoā e whakamahia ana

Ngā āhuatanga tūpono onge ko te hapū ectopic (te hapū i waho o te kōpū) te taputapu intrauterine (IUD) rānei kei te wāhi. Ka tirohia e tō kaiwhakarato ēnei āhuatanga i mua i te tūtohu i te whakatāpui rongoā.

He aha ngā raruraru ka puta mai i te whakatāpui rongoā?

Ka haere pai te nuinga o ngā whakatāpui rongoā, engari he mea nui kia mōhio ki ngā raruraru ka puta mai kia taea ai e koe te rapu āwhina ki te hiahiatia. He onge ngā raruraru nui, ka puta i roto i te iti iho i te 1% o ngā keehi.

Ko te raruraru tino noa ko te whakatahe kore, kei te toe tonu etahi kiko hapūtanga i roto i te kōpū. Ka puta tēnei i roto i te 2-5% o ngā keehi, ā, ko te tikanga me whakamahi rongoā anō, he mahi pokanga iti rānei hei whakaoti.

Ngā raruraru ka puta:

• Te whakatahe kore e hiahia ana ki te rongoā anō
• Te nui o te toto e hiahia ana ki te āwhina hauora
• Te mate o te kōpū, o ngā kiko huri noa rānei
• Te pānga mate pāwera ki ngā rongoā
• Te whakapairuaki, te ruaki, te korere rānei e kaha ana, e mau tonu ana rānei
• Kāore te rongoā i whai hua (he tino onge)

Ngā raruraru tino onge ko te nui o te toto e hiahia ana ki te whakawhitinga toto, ki te pokanga ohorere rānei. Ko ēnei raruraru nui ka puta i roto i te iti iho i te 0.1% o ngā keehi ka mahia te whakatahe rongoā i te tika.

Āhea ahau e kite ai i te tākuta i muri i te whakatahe rongoā?

Me whakapā atu koe ki tō kaiwhakarato hauora tonu mēnā ka pā ki a koe ētahi tohu whakatūpato e tohu ana i ngā raruraru. Kaua e whakaroa ki te waea atu mēnā e māharahara ana koe mō ētahi tohu.

Ka ora te nuinga o ngā tāngata i te whakatahe rongoā kāore he raruraru, engari he mea nui kia mōhio ki te wā e hiahiatia ana te āwhina hauora. Ka hoatu e tō kaiwhakarato ki a koe ngā tohutohu motuhake mō te wā e rapu āwhina ai.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Te toto e mākū ana i ngā papa matotoru e rua i te hāora mō ngā hāora e rua tonu
• Te mamae nui o te puku kāore e pai ake ki te rongoā mamae
• Te kirika i runga ake i te 100.4°F (38°C) e mau ana mō te neke atu i te 24 hāora
• Te rere o te tara e hongi kino ana
• Kāore he toto i roto i te 24 hāora i muri i te tango i te misoprostol
• Ngā tohu o te hapūtanga tonu pērā i te whakapairuaki tonu, i te ngawari rānei o te ū

Me rapu hoki koe i te āwhina hauora tonu mēnā ka mōhio koe he kirimō, he ngoikore, he ānini rānei, ina koa ki te mea e haere tahi ana me te nui o te toto. Ko ēnei pea ngā tohu o te nui o te ngaronga toto e hiahia ana ki te rongoā wawe.

Ngā pātai auau mō te whakataunga hapū rongoā

Pātai 1: He haumaru te whakataunga hapū rongoā mō ngā hapū ā muri ake nei?

Āe, kāore te whakataunga hapū rongoā e pā ki tō kaha ki te hapū i ngā wā e haere ake nei. E whakaatu ana ngā rangahau he ōrite te reiti whānau o ngā tāngata i whakatau i te hapū rongoā ki ērā kāore i pērā.

Kāore ngā rongoā e whakamahia ana e huri pūmau ana i tō pūnaha whakaputa uri. Ko te tikanga ka hoki mai anō tō huringa paheketanga i roto i ngā wiki 4-6, ā, ka taea e koe te hapū anō i roto i te wā poto ki te kore koe e whakamahi i te aukati hapū.

Pātai 2: Ka pā mai ngā raruraru hauora mō te wā roa i te whakataunga hapū rongoā?

Kāore, kāore te whakataunga hapū rongoā i mahia tika e pā mai ngā raruraru hauora mō te wā roa. Ka ngaro katoa ngā rongoā i tō pūnaha i roto i ngā rā torutoru, ā, ka hoki mai tō tinana ki tōna āhua i mua i te hapū.

E whakaatu ana ngā rangahau i ngā tau tekau kāore he pikinga o te mōrearea o te mate pukupuku ū, te kore whānau, rānei ngā raruraru hapū i ngā hapū ā muri ake nei. Kua hangaia te tukanga kia haumaru i te mea ka taea mō tō hauora mō te wā roa.

Pātai 3: Kia pēhea te whai hua o te whakataunga hapū rongoā?

He tino whai hua te whakataunga hapū rongoā, e mahi angitu ana i roto i te 95-98% o ngā tūāhua i te wā i mahia i roto i ngā wiki 10 tuatahi o te hapū. Ko te reiti angitu teitei rawa i te wā e tangohia ana ngā rongoā i te tika tonu i te mea i whakaritea.

Ki te kore te rauna tuatahi o te rongoā e mahi katoa, ka tūtohu pea tō kaiwhakarato i te horopeta tuarua o te misoprostol, i tētahi tikanga pokanga iti rānei hei whakaoti i te whakataunga hapū.

Pātai 4: Ka taea e au te tango rongoā mamae i te wā o te whakataunga hapū rongoā?

Āe, ka taea e koe, me tango hoki e koe te rongoā mamae hei whakahaere i te kōpū i te wā o te whakataunga hapū rongoā. He maha ngā wā e tūtohu ana te ibuprofen nā te mea ka āwhina hoki i te whakaiti i te mumura, ā, ka waiho pea te tukanga kia pai ake.

Ka hoatu e tō kaiwhakarato hauora ki a koe ngā tohutohu motuhake mō ngā rongoā mamae e haumaru ana ki te whakamahi me te nui hei tango. Kaua e tango i te aspirin, nā te mea ka taea e ia te whakanui i te mōrearea o te toto.

Q5: E hia te roa o te whakaora mai i te materoto rongoa?

Ko te nuinga o nga tangata ka ora tinana i roto i nga ra torutoru ki te wiki i muri i te materoto rongoa. Ko te toto ka roa te 1-2 wiki engari ka mama haere i te wa.

Ka taea e koe te hoki ki nga mahi noa i roto i nga ra torutoru, ahakoa me karo koe i te hiki taumaha, te korikori kaha, me te mahi moepuku mo te wiki kotahi, i runga ranei i nga tohutohu a to kaiwhakarato. He rerekē te whakaora aronganui mai i te tangata ki te tangata.