He āhuatanga tino morearea ka puta i te wā e whānau ana! - Me kōrero tātou mō te Amniotic Water Embolism

He wā tino motuhake tēnei māu, he whaea kei te whānau. I a koe e tatari ana kia tae mai tō pēpi, kāore e kore ka mataku koe. I te nuinga o te wā, ka pai ngā mea katoa, engari i ētahi wā ka puta he raruraru ohorere. I tēnei rā, ka kōrero tātou mō tētahi mate onge engari ka mōrearea pea te ora e kiia nei ko te "Amniotic Fluid Embolism" (AFE). He mea nui kia mōhio koe ki tēnei.

He aha rawa te amniotic fluid embolism (AFE)?

He kupu ngāwari noa iho, he āhuatanga tino onge te embolism wai amniotic (AFE) ā, he āhuatanga mōrearea pea ki te ora. Ka puta mai tēnei ina uru te wai amniotic i roto i te tinana o te whaea ki roto i ōna toto i te wā e hapu ana, i te wā e whānau ana, i muri tata mai rānei i te whānautanga. Inaianei kei te whakaaro pea koe he aha te wai amniotic. Koinei te wai e karapoti ana i tō pēpi i roto i te kōpū. He rite ki te taiao haumaru mō tō pēpi kia mānu ai. Ahakoa he wai te nuinga o tēnei wai, kei roto hoki ngā mea pēnei i ngā pūtau me ngā kiko o tō pēpi. I ētahi wā, ina whakaranua tēnei wai amniotic ki te toto o te whaea, ka tino pāwera te tinana o ētahi whaea ki a ia. Kāore anō kia tino mōhio ngā tākuta he aha tēnei ka puta. Ka taea e te embolism wai amniotic (AFE) te whakararu i te ngākau me ngā pukahukahu o te whaea. Ka taea e tēnei te arahi ki ngā raruraru pēnei i te hopukanga o te ngākau , te wāhi e mutu ohorere ai te ngākau. Ka taea hoki e ngā whaea whai AFE te toto kore e taea te whakahaere mai i te kōpū, mai i te patunga C-section rānei. He āhuatanga tino ohorere, ā, kāore e taea te matapae i te AFE. Nō reira, he tino uaua te rongoā. He āhuatanga hauora anō hoki. Ina hoki, he mea noa te tomo o te wai pēpi iti ki roto i te toto o te whaea i te wā e whānau ana. Kāore he mate pāwera o te nuinga o te tangata ki tēnei. Engari he mea ngaro tonu te take he iti noa iho te mate pāwera kino o ētahi tāngata. E mōhiotia ana hoki te AFE ko te "Anaphylactic Syndrome of Pregnancy".

He pēhea te noa o tēnei āhuatanga?

He tino onge te AFE. I te Hononga o Amerika, ka puta i roto i te kotahi i roto i te 40,000 whānautanga. I Ūropi, ka puta i roto i te kotahi i roto i te 53,800 whānautanga. Ko te tikanga he tino onge. Engari he raruraru anō kei konei. He tino rite ngā tohu o te AFE ki ngā tohu o ētahi atu raruraru ka puta i te wā whānau, hei tauira, te pakaru o te kōpū, te pakaru o te whenua, te eclampsia rānei. Nō reira, he uaua ki te tautuhi i te tino take o tēnei raruraru ko te AFE.

He aha ngā āhuatanga mōrearea mō te AFE?

Nā te mea he tino onge te AFE, ā, he uaua hoki ki te rangahau, he uaua ki te matapae tika i ngā āhuatanga mōrearea ka whai wāhi ki tēnei mate. Heoi, i runga i ngā rangahau o nāianei, e whakaarohia ana ētahi mea ka whai wāhi pea ki tēnei mate:

• Te pikinga ake o te pakeketanga o te whaea: Tērā pea ka paku piki ake tēnei mōrearea mō ngā whaea e hapu ana i te neke atu i te 35 tau te pakeke.
• Te whānau māhanga , neke atu rānei: Mō ngā whaea e hapu ana i te neke atu i te kotahi te tamaiti, pērā i te māhanga, te mātoru rānei.
• Te mamae o te pēpi: Ngā mea pēnei i ngā huringa o te tere o te manawa o te pēpi.
• Ngā raruraru o te whenua whānau : Hei tauira, ngā āhuatanga pēnei i te pakaru o te whenua whānau.
• Te pāngia e te preeclampsia, te eclampsia rānei: He raruraru ēnei e pā ana ki te toto toto tiketike i te wā e hapu ana.
• Polyhydramnios: Ko te tikanga he nui rawa te wai amniotic i roto i te kōpū.
• Ngā roimata o te kaki .
• Te whakaoho whānau: Koinei te wā e whakaohokia ai te whānau hei whakaoho i te whānau.
• Te whānautanga o te pēpi mā te pokanga cesarean (te whānautanga C-section ).
• Ngā whānautanga āwhina ā-pokanga: Koinei ngā wā ka whānau te pēpi mā te whakamahi i te kuku, te tango rānei i te pēpi mā te korehau.

Kia maumahara, ehara i te mea ko te hunga katoa e pāngia ana e ēnei āhuatanga mōrearea ka pāngia e te AFE. He mea noa iho ēnei ka piki ake te tūponotanga o te pāngia e te mate .

He aha ngā tohu o te embolism wai amniotic?

Ka puta ohorere, ka tere hoki te puta mai o ngā tohu o te AFE.E ai ki te kōrero i mua ake nei, he uaua pea te tautuhi tika i te mate nā te mea he rite ēnei tohu ki ērā o ētahi atu raruraru i te wā e hapu ana, e whānau ana hoki. Anei ētahi tohu pea:

• Te uaua ki te manawa : Kātahi ka uaua te manawa, me te mea kei te whakamomori koe.
• Te hekenga ohorere o te toto toto : Ka tino heke ohorere te toto toto.
• Pupuhi pūkahukahu: Kua ngoikore te mahi a ngā pūkahukahu, me te mea kua rukuhia ki te wai.
• Te tere o te manawa ohorere: Ka huri whakarere te tere o te manawa , i ētahi wā ka tīmata te patu tere rawa, ka puhoi rawa rānei te patu.
• Te toto nui mai i te kōpū, te patunga o te pokanga, te wāhi rānei e puta ai te toto i roto i te IV: He toto e kore e taea te aukati.
• Te mamae o te pēpi: Ka rerekē te manawa o te pēpi.
• Te āwangawanga ohorere, te pōhēhē, te manukanuka nui rānei: Ka tīmata whakarere koe ki te tino manukanuka, ki te āwangawanga, ki te kore e mārama ki ngā mea e tupu ana, ā, ka tino mataku pea koe.
• Te mātao me te wiri (Chills).

Ki te puta ohorere mai tētahi, ētahi rānei o ēnei tohu, he āhuatanga ohorere pea tēnei.

He aha ngā raruraru ka puta mai i te AFE?

He mate tino kino te AFE. Ka pā mai pea ngā raruraru kino ki te whaea me te pēpi.

Ngā raruraru pea mō te whaea:

• Te ngoikore o te ngākau me te pūkahukahu.
• Te ngaronga o te māramatanga.
• Ngā hopukanga.
• Te toto nui rawa.
• Ngā raruraru toto totoka (Disseminated Intravascular Coagulation - DIC): Ka puta tēnei ina ka totoka te toto i tetahi taha nā te raruraru o te pūnaha totoka, ā, ka nui te toto i tetahi atu taha.
• Te whiu.
• Te hopukanga o te manawa: Ko te tikanga ka mutu katoa te pao o te manawa.
• Te pakaru o te roro.
• Tae noa ki te mate. Koinei te mea tino pouri.

Ngā tūponotanga mōrearea ki te pēpi i roto i te kōpū:

Ko te mōrearea ki te pēpi e whakawhirinaki ana ki te wā e puta ai te totohu wai amniotic. Mena ka puta ēnei tohu ki te whaea i mua i te whānautanga o te pēpi, me whānau ohorere pea ia. Mena kua tīmata kē te AFE, kei te tūpono te pēpi ki te kore e whiwhi i te nui o te hāora. Mena kāore i te nui te hāora, ka kino pea te pūnaha io, te roro rānei o te pēpi.

He aha te take o te embolism wai amniotic?

Kāore anō kia mōhiotia te tino take o te AFE. E whakaarohia ana ko te urupare ārai mate o ētahi whaea ki te pakaru o te whenua whānau i te wā e whānau ana te tamaiti te take. Heoi, kāore i te mārama he aha i pā ai ki ētahi tāngata anake, kāore ki ētahi atu.

Ka taea te puta he AFE i te wā e pokaia ana te whānautanga (C-section)?

Āe, ka taea. Ka puta te totohu wai amniotic i te wā e whānau noa ana, me te wā e wehea ana (cesarean section).

Me pēhea te tautuhi a ngā tākuta i te embolism wai amniotic?

He uaua te tautuhi i te emboli wai amniotic. E ai ki te kōrero i mua ake nei, he rite ngā tohu ki ērā o ētahi atu mate hauora kino. Nō reira, ina whakapae ngā tākuta he AFE, ka whakakorea tuatahitia e rātou ētahi atu take pea. Ko te tikanga ka puta te emboli wai amniotic i te wā e whānau ana, i roto rānei i te 30 meneti i muri i te whānautanga. Mena kei a koe te AFE, me whiwhi tonu koe i te maimoatanga hei karo i ngā raruraru e morearea ana ki te ora. Ka whakapae pea tō tākuta he AFE mena kei a koe tētahi o ēnei tohu:

• Te hekenga ohorere o te toto toto.
• Te uaua ki te manawa.
• Te pā o te manawa kāore i te tika, te aukati katoa rānei o te manawa.
• Te toto nui rawa atu, kāore he take.

E rua ngā wāhanga o te kimi AFE

E rua ngā wāhanga o te embolism wai amniotic e whakarōpūhia ana e ngā tākuta:

• Wāhanga tuatahi: Ko te tohu o tēnei wāhanga ko te tere o te ngoikore o te manawa (te korenga o te hāora me te kore e taea te manawa) me te aukati o te ngakau. Ko te nuinga o ngā mate e pā ana ki tēnei wāhanga.
• Wāhanga tuarua: Koinei te wā whakaheke toto. I tēnei wā, tera pea ka puta he toto nui e kore e taea te whakahaere, mai i te patunga o te pokanga whānau, mai i te kōpū rānei (te wāhi i piri ai te whenua whānau).

Ngā whakamātautau hei mahi mēnā ka ora koe

Nā te mea he āhuatanga ohorere hauora te AFE, kāore he wā o ngā tākuta ki te whakawhirinaki ki ngā whakamātautau whakaahua, ki ngā whakamātautau toto rānei hei whakatau i te mate. Engari, ka taea e rātou te whakarato i te maimoatanga whakaora ora i te wā tere. Heoi, ki te ora koe i te mate wai amniotic, ka tono pea tō tākuta i ngā whakamātautau penei:

• Electrocardiogram (EKG): Ka tirohia te mahi me te manawataki o te ngakau.
• Pūorooro manawa: Tirohia te taumata hāora i roto i te toto.
• X-ray o te uma: Hei tirotiro mēnā he wai kei te taha o te ngākau.
• Echocardiogram: Tirohia te mahi a te ngākau.

Me pēhea te rongoā i te embolism wai amniotic?

He āhuatanga ohorere te totohu wai amniotic. Me tere te rongoā.Koinei te huarahi hei tiaki i a koe me tō pēpi. Anei ētahi tikanga ka taea e ngā tākuta te whakamahi hei mahi i tēnei:

• Te whānau tonu i te pēpi.
• He maha ngā whakawhiti toto, plasma me ngā pereti toto.
• Te tango i te tākihi hei whakamutu i te toto (ka mahia anake tēnei mēnā kāore he huarahi kē atu hei whakamutu i te toto).
• Te hoatu i ngā steroids, i ētahi atu rongoā rānei hei whakahaere i te toto totoka, i te mahi rānei o te ngākau.
• Te whakarato i te whakaora manawa me te manawa (CPR).
• Ka tukuna te hāora mā roto i te ngongo trachea, mā roto rānei i te mīhini (whakahauora ā-ringa).
• Aroturukihia te toto mā te whakauru i tētahi catheter uaua pūkahukahu, i tētahi catheter uaua pokapū rānei.

Hei whakaora i te ora o te whaea me te pēpi ēnei mahi katoa. Nō reira, ka whakatau te tīma hauora i runga i te āhuatanga o taua wā.

He ara anō hei ārai i tēnei?

Engari, kāore anō kia kitea he huarahi hei ārai i te embolism wai amniotic i tēnei wā . Kāore anō kia tino mārama ngā tākuta he aha te take o te AFE, me te take rānei. Heoi, ko tētahi huarahi hei whakarite mō tētahi āhuatanga ohorere hauora ko te mahi tahi me tō whānau me ngā tākuta ki te whakawhanake i tētahi mahere. Pātai atu ki tō tākuta mō ngā āhuatanga ohorere me te āhua o te urupare a tō rōpū hauora ki aua āhuatanga. Tērā pea he wāhanga tēnei o tō "mahere whānau," he mahere i hangaia e koe i mua i te whānautanga o tō pēpi. Engari kia mahara, ko tō mahere whānau te mea pai rawa atu. Mena ka puta he āhuatanga ohorere, me mahi tō rōpū hauora i runga i te tikanga hei tiaki i a koe me tō pēpi.

He aha ngā tūponotanga ka ora ai koe i te AFE?

Nā te mea he uaua te tautuhi i te AFE, ā, he maha ngā āhuatanga e pā ana ki tēnei mate, he uaua ki te hoatu i te ōrau tika o te tokomaha o ngā tāngata e mate ana i tēnei mate. Ahakoa he rerekē ngā rangahau i runga i te āhua o te kohikohinga raraunga, e kī ana ētahi pūrongo ka eke te reiti mate ki te 60%. E whakaatu ana tēnei i te kino o tēnei mate.

He aha ngā pānga mō te hunga i ora mō te wā roa?

Kei runga i te kaha o tō urupare ki te AFE tēnei, me tō hītori hauora whānui. Ka pāngia pea koe e te mate wai amniotic embolism e ngā pānga taha tinana me te hinengaro. Ko ētahi o ngā pānga roa ka pā mai ko:

• Te kino o te pūnaha io e pā ana ki te mahara, ki te kaha rānei ki te maumahara ki ngā kupu.
• Te kino tuturu ki te ngākau.
• Mena ka puta he whiu, ko ngā raruraru ka ara ake.
• Ngā raruraru whatukuhu.
• Te manukanuka, te pouri, me ngā kare ā-roto o te hara.
• Te Mate Āwangawanga Whai Muri i te Whara (PTSD). Nā te mea he wheako tino mamae tēnei, ka roa pea te wā e ora ai te hinengaro.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He raruraru morearea te mate o te embolism wai amniotic (AFE) ka puta i te wā e whānau ana, ā, i te wā e whānau ana. He tino onge, ā, ka taea te puta ohorere me te tere. Nā te mea kāore i te tino mārama te mate, kāore he mea ka taea e koe te mahi hei ārai. Kāore anō kia tino mārama ngā kairangahau hauora he aha i pā ai ki ētahi tāngata anake.

Mena kei te hapu koe, he iti rawa te tūponotanga ka pāngia koe e te AFE. Nō reira kaua e mataku noa. Heoi, kōrero ki tō kaiwhakarato tiaki whānau mō ngā āwangawanga, ngā pātai rānei e pā ana ki tēnei mate onge. Ka taea e rātou te āwhina i a koe ki te whakamama i ō mataku.

Mena he morehu koe nō te AFE, tera pea he raruraru hauora tinana, hinengaro rānei mō te wā roa. Kōrero ki tō tākuta, ki tō hoa rangatira, ki ō hoa rānei mō tēnei. Ka taea e rātou te tautoko i a koe kia ora ai koe i tēnei mate. Kia maumahara, ehara i te mea ko koe anake.