Ka taea e koe te whānau he pēpi hauora ahakoa he mate huka tōu? (Te Mate Huka i te Hapūtanga) Me kōrero tātou mō tēnei!

Kia ora! Ki te mea kei te hapu koe i tētahi pēpi i ēnei rā, inā koa he mate huka tōu, tera pea he maha ngā pātai me ngā mataku kei roto i tō hinengaro, tika? "Āe, ka raru pea te pēpi ina he mate huka ahau?" "Ka tika te whakahaere i tēnei?" Tērā pea kei te whakaaro koe ki ngā mea pēnei. Kaua e manukanuka, ehara i te mea ko koe anake. He maha ngā whaea e pāngia ana e tēnei āhuatanga. Ko te mea nui ko te mārama tika me te whai i ngā tohutohu hauora, ka taea hoki e koe te whānau i tētahi pēpi hauora. Me kōrero tātou mō tēnei me ētahi atu taipitopito, me pēhea?

He aha te pānga o te mate huka ki te haputanga?

Ki te kī ngāwari, ki te pāngia koe e te mate huka Momo 1, Momo 2 rānei i mua i tō hapūtanga, ka kiia ko te "mate huka i mua i te hapūtanga." He rerekē tēnei i te mate huka hapūtanga, e puta ana i te wā e hapū ana. Ko te mate huka hapūtanga ka memeha haere i muri i te whānautanga o te pēpi.

Mena kei a koe te mate huka, he uaua pea te whakahaere i ō taumata huka toto i te wā e hapu ana. Kei te mōhio koe? I te wā e hapu ana, ka nui te rerekētanga o ā tātou homoni. Nā ēnei huringa, me whakarerekē pea tō kai, tō mahi whakakori tinana, tae atu ki ō rongoā. He maha ngā wā, me whakarerekē tēnei mahere whakahaere mate huka i ngā wā maha tae noa ki te rā e whānau ai tō pēpi. Nō reira, he mea nui kia kōrero tonu koe ki tō tīma hauora, kia kōrero atu hoki ki a rātou mō tō āhua. Ko reira anake ka taea ai e rātou te whakatau ko ēhea ngā maimoatanga e hiahiatia ana e koe, me te mea me whakarerekē.

Engari kia maumahara ki tēnei, ahakoa he mate huka tōu, ehara i te mea kāore e taea e koe te whānau he pēpi hauora. He uaua ake, engari ehara i te mea kāore e taea. Kei reira tō tīma hauora hei āwhina i a koe.

He mate mōrearea nui te mate huka momo 1 i te wā hāputanga?

Ae, ka piki ake te mōrearea o ngā raruraru i te wā e hapu ana te mate huka momo 1 me te mate huka momo 2. Nō reira, ka aro turukihia e tō tākuta whānau te hauora o tō pēpi me ō taumata huka toto puta noa i tō haputanga kia mau tonu ai tō taumata hauora. Mena ka noho teitei rawa, ka iti rawa rānei ō taumata huka toto, ka tūpono he mōrearea, ā, ka arahi atu ki ngā raruraru.

He maha ngā wā ka mahi tahi koe me tētahi tohunga rongoā whaea-pēpi (MFM). Haunga tō tākuta whānau, kei roto pea i tō tīma hauora:

• Endocrinologist: He tohunga ki ngā mate e pā ana ki ngā homoni.
• Kairangahau kai kua rēhitatia: He tangata ka taea te āwhina i te whakahaere i te mate huka me te tuku tohutohu mō ngā tikanga kai hauora i te wā e hapu ana.
• Kaiako mate huka: He tohunga whai whakangungu me te mōhiotanga whānui ki te whakahaere mate huka.

Me pēhea te whakarite a te tangata mate huka mō te hapūtanga?

Mena he mate huka tōu, ā, kei te ngana koe ki te whānau tamariki, ko te mea tuatahi me mahi ko te kōrero ki tō tākuta. He pai ake te kōrero mō tēnei mea i roto i ngā marama e ono i mua i te tīmatanga o tō whakamātau ki te whānau tamariki.

He mea nui kia whakahaeretia te taumata huka toto i mua noa atu i te haputanga. Ko te whāinga i te wā e hapu ana kia mau tonu te taumata huka toto i roto i te awhe tino whaiti. Tērā pea ka uaua ake te pupuri i tēnei i muri i te haputanga.

He maha ngā aratohu e taunaki ana kia noho tō A1C ki te 6.5%, ki raro iho rānei i mua i tō hapūtanga . Hei whakaiti i te tūponotanga o ngā raruraru. I mōhio koe? Ka tīmata te hanganga o ngā whekau me ētahi atu kiko nui o te pēpi i te toru marama tuatahi o te hapūtanga. Mena ka noho teitei tonu ō taumata huka toto i taua wā, ka pā ki te whanaketanga o te pēpi.

Ko ngā painga o te hui tahi me tō tīma hauora i mua i te whakamātau ki te whānau pēpi he:

• Ka taea e ngā tākuta te tūtohu i ngā huarahi hei āwhina i te pupuri i ō taumata huka toto ki tētahi taumata hauora.
• Ka taea e te tohunga kai te āwhina i a koe ki te whakatakoto mahere kai e tika ana mō te hapūtanga me te whakahaere mate huka.
• Me huri pea tō rongoā mate huka i muri i tō hapūtanga.
• Tērā pea ka taea e koe te taunga ki te whakamahi i ngā hangarau mate huka hou (hei tauira, he taputapu aroturuki huka tonu - CGM) ka tino whai hua i te wā e hapū ana.
• Ka tūtohu pea tō tākuta kia tirohia ō kanohi (te mōrearea o te retinopathy), ō whatukuhu (te mōrearea o te nephropathy), me tō ngākau i mua i tō hapūtanga, nā te mea ka kino ake pea te hapūtanga, ka puta rānei he raruraru hou mai i te mate huka.

Ka pēhea te rerekētanga o taku whakahaere mate huka i te wā e hapu ana?

He maha ngā āhuatanga matua e pā ana ki te whakahaere i te mate huka i te wā e hapu ana:

• Te hiahia kia noho tonu ngā taumata huka toto ki roto i te awhe whaiti hei whakaiti i te mōrearea o ngā raruraru hāputanga.
• Te whakarerekē ki ngā hiahia insulin e huri haere ana.
• Te whakahaere i ngā matea kai i te wā e hapū ana mā te pupuri i te taurite o ngā taumata huka toto.

Ngā whāinga huka toto i te wā e hapu ana me te mate huka

Ko te tikanga, ko ngā taumata huka toto mō ngā whaea hapū me te mate huka ko ēnei e whai ake nei:

• Nohopuku: I raro i te 95 mg/dL
• Kotahi hāora i muri i te kai: I raro i te 140 mg/dL
• E rua hāora i muri i te kai: iti iho i te 120 mg/dL

Arā, ka taea te whakaaro ki ēnei whāinga hei 'wā i roto i te awhe (TIR)'. Ko te tikanga whānui, ko ngā whāinga 'TIR' mō ngā pakeke e pāngia ana e te mate huka 'Momo 1' i te wā e hapu ana ko:

• Neke atu i te 70% o te wā i waenga i te 63 me te 140 mg/dL (i roto i te awhe whainga)
• I raro iho i te 5% o te wā i raro iho i te 63 mg/dL
• I raro iho i te 25% o te wā neke atu i te 140 mg/dL

Ko te nuinga o ngā aratohu e taunaki ana i te wā e hapu anaMā te pupuri i te uara `A1C` i raro i te 6% ka taea te whakaiti i te mōrearea o ngā raruraru.

Nā ēnei whāinga pakari, ka tūtohu pea tō tākuta kia whakamahia he taputapu aroturuki huka toto tonu (CGM) i te wā e hapu ana. Engari i te whakamahi i ngā maihao, ka hoatu e te CGM he tirohanga pai ake mō te huringa o ō taumata huka toto i roto i te wā, kia māmā ake ai te hanga i ngā huringa tika ki tō whakahaere mate huka.

Hei pupuri i te taumata huka toto iti i roto i tēnei taumata, me whai koe i ētahi tikanga:

• Tātaihia marietia te nui o ngā warowaihā kei roto i ō kai me ō paramanawa.
• Te tango i te insulin 10-15 meneti i mua (i mua atu rānei) i te kai.
• Te whakamahi i ngā mahi ā-tinana hei whakahaere i ngā taumata huka toto.

Ka kōrero tō tākuta ki a koe mō ēnei tikanga me ētahi atu rautaki.

Te hurihanga o ngā hiahia insulin i te wā e hapu ana

Me tumanako ka rerekē haere ngā hiahia o tō insulin i te wā e hapu ana. Ko te take nui o tēnei ko ngā homoni rerekē i roto i tō tinana. Pērā i te pānga o te mate huka ki te katoa, ka rerekē anō hoki te pānga o te haputanga. Nō reira, he mea nui kia mahi tahi koe me tō tīma hauora ki te hanga i ngā whakarerekētanga e tika ana mō tō mahere whakahaere mate huka. Ka motuhake ēnei huringa ki a koe me ō hiahia.

Mena he mate huka momo 1 tōu, he mea noa te iti o te hiahia ki te insulin i te toru marama tuatahi o te hapūtanga – engari kāore e pērā te katoa. I te wiki 16 pea o te hapūtanga, ka tīmata te piki haere o ō hiahia ki te insulin. Nā te mea ka whakaputa te whenua whānau i ngā homoni e whakanui ake ana i te ātete ki te insulin. Ka puta tēnei i ngā hapūtanga katoa, ehara i te mea ko te hunga he mate huka anake.

Tērā pea ka nui ake te insulin e hiahiatia ana e koe tae noa ki te wiki 36, 37 rānei o te hapūtanga. I taua wā, kua tau te ātete ki te insulin. He maha ngā tāngata e hiahia ana kia rua, kia toru rānei te nui o te insulin i tangohia e rātou i mua i te hapūtanga.

Ka mahi tahi koe me tō tākuta ki te mahi i ngā whakarerekētanga insulin e tika ana i te wā e hapu ana. Kei roto pea i tēnei:

• Tō inihurini 'pānga', tō inihurini mahi roa rānei (pāmuri) ('inihurini mahi roa')
• Te ōwehenga o te insulin-ki-warowaihā (ICR)
• Tauwehenga aro ki te insulin (ISF)

He mea nui, kia whānau mai te whenua whānau, ka tino heke te hiahia mō te insulin. I roto i te 30 meneti pea o te whānautanga o te whenua whānau, ka hoki anō ō hiahia mō te insulin ki ōna taumata i mua i te hapūtanga – he iti iho rānei. Ka kōrero tō tākuta ki a koe mō te whakarerekē i tō tikanga insulin i muri i te whānautanga. He mea nui kia whai mahere mō tēnei.

Te mate huka me ngā matea kai i te wā e hapu ana

He mea tino nui te kai tika mō te hapūtanga hauora. He uaua pea te whakataurite i ngā matea kai o te hapūtanga me te pupuri i te taumata huka toto iti. Mēnā ka pāngia koe e te whakapairuaki me te ruaki rānei i te wā e hapū ana, ka nui ake te uaua.

Ka taea e te tohunga kai kua rēhitatia, he tohunga ki ngā wāhine hapū me te mate huka, te āwhina i a koe ki te hanga i tētahi mahere kai. Mā rātou koe e ārahi ki te nui o ngā `matūkai nui` (ngā matūkai matua) – arā, ngā `warowaihā` (ngā warowaihā), te `pūmua` (pūmua) me te `ngako kai` (ngako kai) – me kai e koe i ia rā. Tērā pea he rerekē ā rātou taunakitanga i ngā taunakitanga whānui mō ngā wāhine hapū kāore he mate huka. Ka tūtohu anō hoki rātou i ngā kai me ngā paramanawa he taurite te `matūkai nui` hei āwhina i te pupuri i te pumau o ngā taumata huka toto.

Te Whakahaere i te Mate Huka Momo 1 i te Wā e Hapū ana

He maha ngā tāngata e pāngia ana e te mate huka momo 1 e kite ana he maha ngā huringa o ā rātou hiahia insulin – i ia wiki ki ia wiki – i te wā e hapu ana. Mā te aroturuki i ō taumata huka me te tautuhi i ngā au ka āwhina i a koe me tō tākuta ki te hanga i ngā huringa tika ki tō mahere maimoatanga.

Mena he maha ngā werohanga o ia rā (MDI), ka tūtohu pea tō tākuta kia huri ki te papu insulin kia nui ake ai te ngāwari ki te whakarerekē i ō tautuhinga insulin. Heoi anō, ka taea tonu e koe te hapu hauora me te MDI. Mena i tangohia e koe ētahi atu rongoā i mua i tō haputanga, kia mahara ki te kōrero mēnā ka taea tonu e koe te whakamahi i aua rongoā i te wā e hapu ana.

He mea nui kia tere te whakahaere i te huka toto tiketike me te huka toto iti. Mena kei te pāngia koe e te huka toto tiketike, iti rānei, kōrero ki tō tākuta.

Te Whakahaere i te Mate Huka Momo 2 i te Wā e Hapū ana

Ko te nuinga o ngā rongoā ā-waha me ngā werohanga kore-insulin mō te mate huka momo 2 kāore e pai mō te whakamahi i te wā e hapu ana. Ko te metformin anake te mea rerekē. Nō reira, me whakamahi pea koe i te insulin mō te wā tuatahi hei whakahaere i ō taumata huka toto i te wā e hapu ana. Waihoki, ka piki ake pea ō hiahia mō te insulin i te haere tonu o tō haputanga.

Ka mahi tahi tō tīma hauora me koe ki te whakawhanake i tētahi mahere whakahaere. Mena kāore anō kia whakamahia e koe tētahi, ka tūtohu pea rātou kia whakamahia he CGM (he aroturuki huka toto tonu).

He aha ngā mea ka taea e koe te tumanako i te wā e hapu ana me te mate huka?

Mena he mate huka tōu, tera pea ka nui ake ō haerenga me ō whakamātautau hapūtanga i tō wā e hapu ana. He mea tēnei kia taea ai e tō kaiwhakarato hapūtanga te aroturuki tata i te whanaketanga o tō pēpi me tō hauora whānui. Haunga ngā whakamātautau hapūtanga noa (pēnei i ngā whakamātautau toto me te matawai tinana), tera pea ka tumanakohia ēnei whakamātautau "tāpiri":

• Te echocardiogram o te fetal: Ka tūtohu pea tō tākuta i tēnei whakamātautau hei tirotiro i te hanganga o te ngākau o tō pēpi, nā te mea ka nui ake te tūponotanga o te whakawhanake i ngā mate ngākau whānau mā te mate huka.
• Ngā matawai tipu (ultrasound): Ka tūtohu pea tō tākuta kia mahia he matawai i ia wiki torutoru hei tirotiro i te tipu o tō pēpi. He mea nui rawa tēnei nā te mea he nui te tūponotanga ka nui ake tō pēpi i te mea noa. Engari kia maumahara, he whakatau tata noa iho ēnei matawai ultrasound. Tērā pea ka nui ake, ka iti iho rānei tō pēpi i te mea e whakaatuhia ana i te matawai.
• Ngā whakamātautau kore-taumahatanga (NST): I te toru o ngā marama o te hapūtanga, ka tūtohu pea tō tākuta kia whakahaerehia ngā NST ia wiki. Ka tirohia e ēnei whakamātautau te tere o te manawa me ngā nekehanga o te pēpi.
• Ngā kōtaha koiora-tinana (BPP): Ka tūtohu pea tō tākuta i ngā BPP ia wiki. He ultrasound ēnei e tirotiro ana i ngā tauira manawa o te pēpi, te kaha o te uaua, me te nekehanga. Ka ine hoki i te nui o te wai amniotic.

Me kōrero tonu koe ki tō tākuta hinengaro, ki tō kaiako mate huka rānei. Mā rātou e whakaaro he huarahi me he huringa hei āwhina i a koe kia tata tonu ō taumata huka ki tō awhe whāinga.

He aha ngā mōrearea me ngā raruraru o te pāngia e te mate huka momo 1, momo 2 rānei i te wā e hapu ana?

He mea nui kia mahi i ngā mahi hei whakahaere i te mate huka i te wā e hapu ana. Mēnā ka noho teitei rawa ō taumata huka toto, ka nui ake te tūponotanga ki te pāngia e ētahi raruraru. Ka taea hoki e te iti haere o ngā taumata huka toto i te nuinga o te wā, i te kino rānei, te mōrearea.

He nui ake te mōrearea o ēnei tāngata ki ngā raruraru nā te mate huka i mua i te hapūtanga:

• Te kukune me te haputanga
• Tō pēpi i muri i te whānautanga
• Koe

Ngā raruraru i mua i te whānautanga me muri i te whānautanga

Mā te mate huka i te wā e hapu ana ka nui ake te tūponotanga o ngā raruraru ki te pēpi, pēnei i:

• Ngā hapa whānautanga (ngā āhuatanga whānau): Ka puta ngā hapa whānautanga i roto i te 6% ki te 12% o ngā hāputanga me te mate huka hāputanga o mua. Ko ngā hapa manawa whānau te mea tino noa, engari ka puta anō hoki ngā hapa ngongo io me ētahi atu āhuatanga rerekē.
• Makrosomia o te pēpi: Koinei te wā e neke atu ana te taumaha o te pēpi hou i te 9 pauna me te 15 aune. Mā te whānautanga o tētahi pēpi nui ka nui ake te mōrearea o te whara i te wā e whānau ana mōu me tō pēpi.
• Polyhydramnios: He pikinga tēnei o te nui o te wai amniotic i roto i te pēke amniotic. Ka taea e tēnei te arahi ki te whānautanga wawe me te whānautanga mate.
• Whānautanga wawe:Ki te puta he raruraru, he nui ake te mōrearea o te whānautanga o mua i te wā, nā te mea ka whakatau pea tō tākuta ko te whānautanga te kōwhiringa haumaru ahakoa kāore anō kia tae ki te wā tika.
• Whānautanga mate: Mā te pāngia o te pēpi e te mate huka hāputanga i mua ka nui ake te mōrearea o te whānautanga mate.

I muri i te whānautanga, ka nui ake te tūponotanga o tō pēpi ki te pāngia e ētahi mate hauora. Ahakoa he maha ngā tāngata e pāngia ana e te mate huka e whānau ana i ngā pēpi hauora, he paku teitei ake te tūponotanga o ēnei mea:

• Te iti o te huka toto i muri i te whānautanga
• Ngā uauatanga manawa
• Te kiriuhi

Mena kei tō pēpi tētahi o ēnei raruraru, me rongoatia pea ia ki te NICU (te wāhanga tiaki nui o ngā pēpi hou ).

Ko ngā pēpi i whānau mai i te hunga mate huka, ka nui ake te tūponotanga ka momona rawa atu i te wā e pakeke haere ana.

Ngā raruraru ka pā pea ki a koe

Mā te pāngia e te mate huka i te wā e hapu ana ka piki ake tō tūponotanga ki:

• Preeclampsia: Ko te Preeclampsia he āhuatanga e tohuhia ana e te toto toto tiketike me te pūmua i roto i te mimi. Ko te mate huka tetahi o ngā take mōrearea nui mō te preeclampsia. Hei whakaiti i te mōrearea o te preeclampsia, ka tūtohu pea tō tākuta kia tangohia he aspirin iti te horopeta i muri i te 12 wiki o te hapūtanga.
• Te hiahia mō te pokanga tākihi (`C-section`): Ko te take matua mō tēnei ko te mōrearea o te pēpi kia nui rawa i te whānautanga.
• Te iti o te huka toto: Nā te mea kei te ngana koe ki te pupuri i ō taumata huka toto i roto i te awhe whaiti, ka nui ake tō tūponotanga ki te iti pinepine me/ranei te tino iti o ngā taumata huka toto.
• Ketoacidosis e pā ana ki te mate huka (DKA): He nui ake te mōrearea ki te whakawhanake i te DKA i te wā e hapu ana nā te pikinga o te ātete ki te insulin. Ka taea hoki e te ruaki nā te mate o te ata te whai wāhi ki te DKA.
• Ngā raruraru e pā ana ki te mate huka: Ka kino ake pea ngā raruraru hou o te mate huka i te wā e hapu ana (pēnei i te retinopathy, te nephropathy, me te neuropathy).

He aha te pānga o te mate huka ki te whānautanga me te whānautanga?

I te nuinga o te wā, ka tūtohu ngā tākuta i tētahi whakaurunga kua whakaritea ('whakaurunga kua whakaritea') mō ngā wāhine hapū me te mate huka. Ko te roa o te wā e tūtohu ana rātou i tētahi whakaurunga ka whakawhirinaki ki ētahi āhuatanga, engari i te nuinga o te wā ka puta i te 39 wiki o te hapūtanga, i mua atu rānei. He rerekē ia hapūtanga, ia hapūtanga. Mā kōrua ko tō tākuta e whakatau tahi ko tēhea te mea pai mōu.

Nā ngā huringa homoni me ngā huringa tinana i te wā e whānau ana, ka piki, ka heke rānei ō taumata huka toto – he uaua ki te kī pono. I runga i ngā kaupapa here a tō tākuta me te hōhipera, ka taea pea e koe te whakahaere i a koe anō me te papu insulin, ngā werohanga rānei i te wā e whānau ana, ka hiahia pea koe ki te maturuturu insulin IV.

I muri i te tangohanga o te whenua whānau, ka tino heke te hiahia mō te insulin – i te nuinga o te wā ka rite ki te taumata i mua i te haputanga, ka iti iho rānei. Kōrero ki tō tākuta mō te whakarite i tētahi mahere hei whakarerekē i tō mahere whakahaere mate huka i muri i te whānautanga.

Me pēhea taku aro atu ki ngā huringa e puta mai ana i te mate huka me te hapūtanga?

Ka taea e te mate huka me te hapūtanga te kawe mai i ngā wero hou. Tērā pea he rerekē tō hapūtanga i tō whakaaro, ā, tera pea he pātai āu mō tō mahere whakahaere mate huka. Ahakoa he rerekē te haerenga o te katoa, ka taea e te tangata whai mate huka te whai i ēnei tohutohu hei whakapai ake i tō rātou hauora ina hapū rātou:

• Tirohia tō huka toto i ia wā (kia rite ki ngā tohutohu a tō tākuta).
• Kia mau tonu te taumata huka o tō toto ki roto i te awhe ūnga.
• Whāia ngā tohutohu a tō tākuta mō te insulin, ngā rongoā, me ētahi atu maimoatanga.
• Haere ki ngā wā tirotiro me ngā tirotiro hauora mō tō whare hauora hapūtanga.
• Kia kaha tonu te tinana. Kōrero ki tō tākuta mō tō taumata mahi, me te mea me whakarerekē.
• Kai i ngā kai hauora, taurite hoki, me ngā paramanawa.
• Āta karohia ngā inu kei roto ko te waipiro me ngā hua tupeka.
• Kia tiakina tō hauora hinengaro. He mea noa te pāngia e te ahotea i tēnei wā. Kaua e wehi ki te kōrero mō tēnei mea, me te tono āwhina.

Āhea ahau me toro atu ki taku tākuta?

Mena he mate huka tōu, ā, ka kite koe i tētahi o ēnei āhuatanga, kōrero ki tō kaiwhakarato tiaki hapūtanga:

• Ki te kore e taea e koe te pupuri i te taumata huka toto ki te awhe whainga ahakoa ō mahi tino pai. (Mēnā he iti rawa, he teitei rawa rānei.)
• Mena ka piki ohorere, ka rerekē rānei ngā taumata huka i roto i tō toto mō ngā take kāore koe e mārama.
• Ki te mea kei te iti haere te nekeneke o te kukune i roto i te pēpi.
• Mena he wai, he toto rānei e puta mai ana i roto i tō tenetene.
• Mena he pōuri tō tirohanga, he nui rawa rānei tō matewai.
• Kāore he aha mēnā kei te ruaki koe, kāore he aha mēnā kāore e taea e koe te pupuri i te kai me te inu kia iti.

Kia maumahara, he pai ake te noho haumaru i te pouri, me te pātai atu. Haunga te manukanuka mō te haputanga, ka taea e te manukanuka mō te whakahaere i te mate huka te whakararuraru. Kaua e ruarua i ō kare ā-roto, kaua hoki e wareware ki a rātou – kōrero ki tō tākuta mō te tohutohu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena he mate huka tōu, ā, ka hapu koe, me pātai atu koe ki tō tākuta mō ēnei mea:

• Kia pēhea te auau o taku tirotiro i ngā taumata huka toto?
• He aha te whānuitanga o taku whāinga?
• He aha ngā raruraru ka pā mai mēnā kāore te taumata huka toto e mau tonu ki te awhe ūnga?
• Me whakarerekē rānei taku horopeta insulin?
• Me mutu, me tīmata rānei ahau i ētahi atu rongoā?
• E taunaki ana koe i ngā huringa o te āhua noho?
• Kia pēhea te auau o taku haerenga mai mō te tirotiro whai muri?
• Me whai tākutatanga wawe?

Ka taea e te hunga mate huka momo 1 te whānau tamariki hauora?

Ae, he tokomaha ngā tāngata e pāngia ana e te mate huka momo 1 (me te mate huka momo 2) ā rātou pēpi hauora. Ko te whakahaere i ō taumata huka toto me te pupuri i te whakawhitiwhiti kōrero tata ki tō tīma hauora ngā kī ki te hāputanga hauora.

He tino uaua te whakahaere i te mate huka i te wā e hapu ana, ahakoa mō te hunga kua roa e noho tahi ana me te mate huka. He mahi uaua pea te pupuri i ō taumata huka toto ki te awhe hauora i a koe e hapu ana, arā, he mahi uaua ki te hinengaro me te tinana. Engari mā te pūnaha tautoko tika me te mahere whakahaere mate huka, ka taea e koe te wikitoria i ngā wero e pā mai ana i te mate huka ki te wā e hapu ana.

Kia mau tonu te kōrero ki tō tīma hauora. Kōrero atu ki a rātou ina pōuri koe. I roto i ngā āhuatanga katoa, arotahi ki te māramatanga kei te pito o te kauhanga – te tūtaki ki tō pēpi.

He karere whakamutunga hei kawe ki te kāinga

Āe, mai i tā tātou i kōrero ai, me mārama koe mō te haputanga me te mate huka. Kāore he take e mataku ai, engari me tūpato koe.

• Whakamaherehia i mua: Ki te whakaaro koe ki te whānau tamariki, rapua he tohutohu hauora i ētahi marama i mua.
• Te whakahaere i te huka toto: Me whakapau kaha koe ki te pupuri i ō taumata huka toto kia rite ki ngā whāinga kua whakatakotoria e tō tākuta māu i tō wā hapūtanga. Ka taea e ngā mea pēnei i te 'CGM' te āwhina i tēnei.
• Mahi tahi me te tīma hauora: kōrero ki a rātou i ngā wā katoa, pātai atu, me te whakapuaki i ō kare ā-roto.
• He oranga hauora: he mea tino nui te kai pai, te whakakori tinana mēnā e tika ana (e ai ki ngā tohutohu a te tākuta), me te oranga hinengaro.

Kia maumahara, ahakoa he mate huka tōu, mā te whakahaere tika me te tirotiro hauora, ka taea hoki e koe te whānau mai i tētahi pēpi hauora, harikoa ki tēnei ao. Kia kitea e koe te kaha me te māia e hiahiatia ana e koe ki te mahi i tēnā!

` Mate huka, haputanga, huka toto, insulin, whānautanga, raruraru, pēpi hauora