Mena he whaea hāpu koe, tera pea ka whakaaro tonu koe mēnā kei te pai ngā mea katoa mō tāu pēpi. I ia wā ka tirotirohia koe, ka paku mataku koe. I ētahi wā, i te kore e tūmanakohia, ka whakakitea mai e te tirotiro he hapa whānau tō pēpi. He uaua ki te whakapuaki i te pouri me te mataku e pā ana ki a koe i taua wā. Heoi, kua tino matatau te rongoā i ēnei rā. I mōhio koe ka taea e koe te whakatika i te raruraru mā te mahi pokanga i te wā kei roto tonu te pēpi i te kōpū, me te kore e tatari kia whānau te pēpi? Koinei te mea e kiia nei e mātou ko te 'Pokanga Wheat'.
He aha te Pokanga o te Kēpi i roto i te Kōpū?
Ko te pokanga kōpū, he pokanga e mahia ana ki te pēpi i a ia e whanake tonu ana i roto i tō kōpū. Ka kiia hoki e ētahi tākuta he pokanga i mua i te whānautanga. Kei roto i tēnei ko te wawaotanga me te rongoā i tētahi raruraru ka tūpono ki te ora, ka puta rānei he hauātanga nui ki te pēpi i muri i te whānautanga. Ko te tumanako kia whakaorangia te ora o te pēpi, kia whakanuia rānei te tūponotanga o te pēpi ki te ora hauora, ki te whai hua i muri i te whānautanga.
I roto i ēhea āhuatanga e hiahiatia ai tēnei momo pokanga?
Kāore tēnei momo pokanga e mahia mō ngā whānautanga katoa. Ka mahia anake i roto i ngā take tino kino, motuhake. Whakaarohia pēnei.
- Mena kei te tūpono tonu te ora o te pēpi: Hei tauira, whakaarohia kua puta he pukupuku nui (he ngoikore o te pukahukahu) i roto i ngā pukahukahu o te pēpi, e pēhi ana i te ngākau iti o te pēpi. Mena ka tupu tēnā, ka pāngia te pēpi e te ngoikore o te ngākau i a ia e noho ana i roto i te kōpū, ka tūpono pea te ora. I roto i tēnei āhuatanga, ka taea e ngā tākuta te mahi pokanga hei tango i te pukupuku i a ia e noho ana i roto i te kōpū.
- Te whakaiti i ngā hauātanga i muri i te whānautanga: Tērā ētahi āhuatanga kāore e tino mōrearea ki te ora o te pēpi, engari ka taea te whakararu i ngā hauātanga nui i muri i te whānautanga. Ko tētahi tauira pai ko te spina bifida, he āhuatanga tuaiwi kāore e kati tika te taurakira o te pēpi. Ka taea e tēnei te kino i ngā io, ka uaua ai te haere a te pēpi, te whakahaere rānei i ōna whekau me te pūkahukahu i muri i te whānautanga. Mena ka mahia tēnei pokanga i te wā kei roto tonu te pēpi i te kōpū, ka taea te whakaiti i te kino o ngā io, ā, ka pai ake te oranga o te pēpi i muri i te whānautanga.
Ko te mea nui ko te whakatau kia mahia tēnei pokanga me te tino tupato, whai muri i te whai whakaaro ki ngā āhuatanga maha e pā ana ki te hauora o te whaea me te pēpi.
Ko wai ka mahi i tēnei momo pokanga?
Ehara tēnei i te pokanga noa iho. E hiahiatia ana he rōpū nui o ngā tākuta tino tohunga. He rite ki te rōpū toa. Ko te tikanga kei roto i tēnei rōpū:
- Ngā Taote Tākuta Tamariki: Koinei ngā kiripuaki matua. Kua whiwhi rātou i ngā whakangungu motuhake hei mahi pokanga i ngā pēpi i muri i tō rātou whānautanga, tae noa ki roto i te kōpū.
- Ngā tohunga rongoā mō te whaea me te pēpi: He tohunga ēnei e aro nui ana ki ngā raruraru e pā ana ki te wā e hapu ana. Ka tiaki rātou i te hauora o te whaea me te pēpi.
- Ngā Tohunga Whakamoe: Ko te hunga kua whiwhi whakangungu motuhake ki te tuku whakamoe (te whakangote i te hinengaro) ki te whaea me te pēpi.
- Ngā Tākuta Ngākau o te Pēpi: Ko te hunga e tirotiro ana i te mahi a te ngākau o te pēpi.
- Ngā Tohunga Whakaahua o te Pēpi: Ko te hunga e whakamahi ana i ngā hangarau ultrasound me te MRI hou hei hoatu ki ngā tākuta he tirohanga mārama mō te āhua o te pēpi.
Kei te mahi tahi te katoa kia angitu ai tēnei pokanga uaua.
He aha ngā tikanga matua mō te pokanga i roto i te kōpū?
He maha ngā tikanga a ngā tākuta mō te mahi i tēnei pokanga. Ka whakatauhia te tikanga hei whakamahi i runga i ngā āhuatanga pēnei i te āhua o te pēpi me te hauora o te whaea. Me titiro tātou ki ngā tikanga matua.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Tuwhera o te Kēpi | I roto i tēnei, ka hoatu he rongoā whakamoe whānui ki te whaea. Whai muri i tēnā, ka tapahia e te tākuta te puku o te whaea, ka tangohia te kōpū. Kātahi ka tapahia hoki te kōpū, ā, ka rongoatia te pēpi. Engari kāore te pēpi i tangohia katoatia mai i te kōpū. Kia oti te pokanga, ka tuia marietia te kōpū me te puku kia honoa. Kātahi ka haere tonu te haputanga mō te roa e taea ana. |
| Pokanga Fetoscopic | He rite tēnei ki te 'pokanga kōhao kī'. Engari mō te tapahi nui, he torutoru noa ngā kōhao iti rawa ka hangaia ki te puku me te kōpū. Mā roto i ēnei kōhao, ka whakauruhia he ngongo angiangi me te kāmera iti e piri ana ki a ia, e kiia nei ko te fetoscope. I runga i ngā whakaahua mai i te kāmera, ka whakamahia e te tākuta ngā taputapu angiangi kua whakauruhia mā roto i ētahi atu kōhao hei mahi i te pokanga. He iti ake te mamae o tēnei mō te whaea. |
| Te pokanga i mahia i te wā e whānau ana (Te Tukanga EXIT) | He tikanga tino motuhake tēnei. Ko te tikanga EXIT he tikanga mō te Ex-utero Intrapartum Treatment. Ka mahia tēnei mēnā he pukupuku nui kei te kaki o te pēpi, he aukati rānei kei roto i te ara manawa. I roto i tēnei, ka whakatuwheratia te kōpū pērā i te pokanga tākuta (C-section), ā, ko te upoko me ngā pakihiwi anake o te pēpi ka tangohia. Engari kāore te pito o te kōpū e tapahia. Nā te mea kei te hono tonu te pēpi ki te whenua whānau, ka whiwhi ia i te hāora mai i te whaea. I taua wā, ka whakarite ngā tākuta i te ara manawa o te pēpi, ā, ka taea e ia te manawa ko ia anake. Kātahi ka tapahia te pito o te kōpū, ā, ka tangohia katoatia te pēpi ki waho. |
He aha ngā āhuatanga e rongoatia ana e ēnei pokanga?
- Spina Bifida/Myelomeningocele: He mate whānau mai o te taurakira.
- Ngā Pūkahukahu Hāunga-Whānau: He pukupuku, he tipu rerekē rānei i roto i ngā pūkahukahu.
- Te Hernia Diaphragmatic Congenital (CDH): Ka puta ngā whekau puku ki roto i te uma.
- Ngā raruraru o ngā māhanga Monochorionic: Ngā āhuatanga pēnei i te Twin-to-Twin Transfusion Syndrome e pā ana ki ngā māhanga e noho tahi ana i te whenua whānau kotahi.
- Teratoma Sacrococcygeal (SCT): He pukupuku nui e tupu ana i te pūtake o te tuaiwi o te pēpi.
- Te Mate Ārai Huarahi Tere o te Pēpi (CHAOS): He āhuatanga e āraia ai te ara manawa o te pēpi mai i te whānautanga.
- Te Ārai i te Ara Mimi o Raro (LUTO): Te aukati i te ara mimi o te pēpi.
He aha ngā mea ka tupu i mua atu, ā, i muri mai i te pokanga?
I mua i te pokanga
Mena ka kitea tō pēpi kei te pāngia e tētahi o ēnei raruraru, ka tirotirohia koe me tō pēpi e tō tīma hauora. Ka whakamārama mārama rātou ki a koe mō te āhua o tō pēpi, tōna kaha, me ngā kōwhiringa maimoatanga e wātea ana. He wā tino uaua tēnei mōu me tō whānau. Nō reira, ka mahi tahi tō tīma hauora me koe ki te āwhina i a koe ki te whakatau i te mahere maimoatanga pai rawa atu mō te katoa.
I muri i te pokanga
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā, i runga i te momo pokanga. I taua wā, ka haere tonu te tīma hauora ki te aroturuki i a koe me tō pēpi. I ētahi wā, ka hiahiatia pea he whānautanga wawe. Waihoki, ki te mahia tēnei momo pokanga, ko te nuinga o te wā ka whānau te pēpi mā te pokanga C-section kua whakaritea. I muri i te whānautanga o te pēpi, me tiaki tonu te pēpi i te Wāhanga Tiaki Kaha.
He aha ngā painga me ngā mōrearea?
Pērā i ngā pokanga katoa, he painga, he mōrearea hoki tō tēnei pokanga. He mea nui kia mōhio pai koe ki ngā mea e rua i mua i te whakatau.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ngā painga mō te pēpi | |
| He maha ngā wā ka mahia tēnei pokanga hei whakaora i te ora o te pēpi . I roto i ngā āhuatanga pēnei i te Spina Bifida, ka taea e te pokanga wawe te whakaiti i te kino o ngā io, ka āwhina i te kaha o te pēpi ki te hikoi me te whakahaere i tana pūkahukahu i muri i te whānautanga. | |
| Ngā tūponotanga ki te whaea me te pēpi | |
Ngā tūponotanga ki te whaea:
| Ngā tūponotanga mōrearea ki te pēpi:
|
Ina kitea e koe he whānautanga hapa tō pēpi, he mea noa te pōuri, te pouri, me te mataku. He uaua pea te whakatau i ētahi wā. Engari kia mahara, ehara i te mea ko koe anake. Kei reira tō tākuta me tō rōpū hauora hei āwhina i a koe. Ka taea e rātou te hoatu ki a koe ngā mōhiotanga katoa e hiahiatia ana e koe, me te ārahi i a koe ki te whakatau i ngā kōwhiringa pai rawa atu māu me tō pēpi.
Karere Tangohia ki te Kāinga
- He pokanga motuhake te Pokanga Kēpi e mahia ana i te wā e noho tonu ana te pēpi i roto i te kōpū. Ka mahia tēnei hei whakaora i te ora o te pēpi, hei whakaiti rānei i ngā hauātanga nui.
- Ehara tēnei i te mea e mahia ana mō ngā whānautanga katoa. Ka mahia anake i roto i ngā take tino kino, kua tohua.
- Me whai tautoko tēnei i tētahi tīma hauora tino tohunga.
- He maha ngā tikanga matua, tae atu ki te pokanga tuwhera, te pokanga kōhao kī (fetoscopic), me te pokanga e mahia ana i te wā whānau (EXIT).
- He pai ngā painga o tēnei pokanga, engari he mōrearea anō hoki mō te whaea me te pēpi. I mua i te whakatau i tētahi mea, kōrerohia tēnei ki tō tākuta.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment