Kia ako tātou i ngā mea katoa e pā ana ki tō paheketanga tuatahi (Menarche) i roto i tētahi huarahi māmā.

He rā tino nui o tō oranga ko te rā ka tae koe ki te pakeketanga, arā, ko te rā ka pā mai tō paheketanga tuatahi. Nā te mea he wheako hou tēnei, tera pea he maha āu pātai mō tēnei. Tērā pea he iti noa te mataku. Kaua e manukanuka, he wāhanga noa iho tēnei o te oranga o te kōtiro. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha te Menarche? Kia mārama tātou.

Ki te kī māmā noa, ko te Menarche te rā ka tīmata tō paheketanga tuatahi . Arā, ko te rā tēnei ka tīmata ai koe ki te whakamahi i ō papa paheketanga mō te wā tuatahi. He tohu tino nui tēnei i roto i tō oranga. Nā te mea koinei te wā ka tīmata ai tō momonatanga, arā, te wā ka taea e koe te whānau tamariki. Ko te tīmatanga o tō paheketanga ko te tikanga, ki te kore koe e pāngia e ētahi atu raruraru hauora, ka taea e koe te hapu me te whānau pēpi . He mea tino taiao tēnei, nō reira kāore he take e manukanuka ai.

He aha te rerekētanga i waenganui i te paheketanga me te menarche?

Inaianei kei te whakaaro pea koe mēnā he rerekē te 'Paheketanga' me te 'Menarche'. Inaa, he wāhanga noa iho te paheketanga o tō huringa paheketanga . Ka puta i ia marama. Ka whakarite tō tinana mō te haputanga i ia marama. Ki te kore e hapu, ka tukuna te arai o tō kōpū (e kiia ana ko te arai kōpū) mā roto i tō tara . Koinei te mea e kiia ana ko te paheketanga, ko te 'mahungatanga' rānei.

Engari ko te menarche te wā e puta ai tō paheketanga tuatahi . Koinei te mea e motuhake ai. Ehara i te mea ko tō paheketanga tuatahi te tīmatanga o ō tau whānau tamariki anake, engari he tohu nui anō hoki kei te neke tō tinana mai i te tamarikitanga ki te pakeketanga, te pakeketanga rānei. I mua i tō paheketanga tuatahi, kua kite pea koe i ēnei huringa i roto i tō tinana:

• Te whanaketanga o ngā ū. (Tērā pea ka nui ake ō ū.)
• He whānui ngā hope.
• Te pikinga ohorere o te teitei (te tere o te tipu).
• Kiri hinuhinu me te hakihaki.
• Te tupu o ngā huruhuru i raro i ngā kēkē.
• Te tupu o ngā huruhuru tūmatanui i te wāhi ira tangata.

Ka taea e tō tinana te tipu tonu i muri i tō paheketanga tuatahi. Engari i te wā ka tae koe ki tō paheketanga tuatahi, kua puta kē ngā huringa maha e puta ana i te wā o te pakeketanga i roto i tō tinana.

Ki a wai ka pāngia e tēnei āhuatanga e kiia nei ko te Menarche?

Ko ngā wāhanga o tō pūnaha whakaputa uri me ngā homoni pēnei i te estrogen me te progesterone te take o tō paheketanga ia marama.Nō reira, ka taea e te tangata whai pūnaha whakaputa uri wahine – arā, he tara, he kōpū, he ngongo fallopian , me ngā ovaries – te pāngia e te paheketanga ia marama. He wāhanga tūturu tēnei o te oranga o te kōtiro.

I tehea tau ka puta te menarche?

I te nuinga o te wā, ka pā mai tō paheketanga tuatahi i waenga i te 11 me te 14 tau te pakeke. E ai ki ētahi pūrongo, ka pā tēnei ki te nuinga o ngā kōtiro i Sri Lanka i te 12, 13 rānei te pakeke. Ko tētahi atu huarahi ki te whakatau tata i te wā ka pā mai tō paheketanga ko te whakaaro ki te wā i kite tuatahi ai koe i ngā huringa i roto i ō ū. Ko te tikanga ka puta te menarche i te 2 ki te 2 1/2 tau i muri i te tīmatanga o te whanaketanga o ngā ū.

Engari ka taea e ētahi tāngata te pāngia e te paheketanga i te 9 tau te pakeke, ko ētahi i te 15 tau te pakeke. He maha ngā āhuatanga e pā ana ki tēnei. Engari i te nuinga o te wā, ka pāngia koe e te paheketanga tuatahi i te tau e tata ana ki te tau i pāngia ai tō whaea e te paheketanga tuatahi . Nō reira, he mea pai kia pātai atu ki tō whaea, ki tētahi pakeke rānei i te kāinga mō tēnei mea.

He aha te pānga o te wā o te menarche ki tō tinana?

Ahakoa kua pā mai tō paheketanga tuatahi , ka taea tonu e koe te hapu mēnā ka moe tāne koe (e kiia ana tēnei e ētahi he moe tāne-i-roto-i-te-tarane/moe tāne-wahine ) mēnā kāore koe e whakamahi ana i ngā tikanga ārai whānau auau. He mea nui hoki kia mahara ka taea tonu e koe te hapu mēnā ka moe tāne koe i a koe e pā mai ana.

Engari, ehara i te mea ko te haputanga anake te take o te paheketanga. Me taunga koe ki ngā huringa o tō tinana i ia marama. Haunga ēnei huringa, me aro atu koe ki ngā hua e whakamahia ana e koe hei whakahaere i tō toto, me ētahi wā ki te mamae e puta mai ana i tō paheketanga.

He aha ngā tohu i mua atu me te wā o te paheketanga?

I te tata mai o tō paheketanga tuatahi, ka pāngia pea koe e ēnei tohu:

• Te mamae o te puku: Tērā pea ka mamae, ka mamae rānei tō puku, tō tuara, ō waewae rānei. Ka karangatia hoki tēnei e mātou ko te 'mamae'.
• Pupuhi: Tērā pea ka pupuhi te puku, ka taumaha hoki.
• Ngā ū ngawari, ngā ū mamae rānei.
• He nui ake ngā hakihaki/ngā whewhe.
• Ngā panonitanga wairua: Te pōuri, te riri rānei i te wā ohorere.
• Ngenge: He ngenge noa iho.

I a koe e pāngia ana e te mate, tera pea ka kite koe i te toto whero, parauri rānei i runga i ō kākahu o roto, i roto rānei i te wharepaku i muri i tō whakamahinga i te wharepaku. Tērā pea he toto iti noa iho, kātahi ka mutu tō pāngia. Tērā pea he toto iti i te tīmatanga, kātahi ka nui ake, kātahi ka nui ake te toto, kātahi ka mutu.

Ko te mea nui, ehara i te mea he rite tonu ngā paheketanga o te katoa. He tino uaua te matapae i te paheketanga tuatahi. Kāore he aha mena he rerekē ō tohumate me tō paheketanga i ō tētahi atu. Kaua e manukanuka.

He aha te take e puta ai te Menarche? He aha ngā take?

Ka pā tō paheketanga tuatahi ina kua pakeke tō tinana mō te huringa paheketanga. Whakaarohia, i ia marama ka puta he hua manu i roto i ō ovaries , ā, ka matotoru te arai o tō kōpū . Ki te moe tāne koe, ka taea te whakamomona i taua hua manu. Kātahi ka haere te hua manu kua whakamomona ki te kōpū, ka whakatō ki te pakitara kōpū, ā, ka whanake hei tamaiti .

Engari ki te kore taua hua manu e whakamomonatia, ka tukuna taua hua manu me te arai matotoru o te kōpū mā roto i tō tara. Koinei te rauemi e puta mai ana i te kōpū i ia marama, ā, e kiia nei e tātou ko te 'toto paheketanga', ko te toto paheketanga rānei.

Ka pāngia te tīmatanga o te menarche e ngā āhuatanga ira me te taiao :

• Ira Tuku Iho: Ka pāngia te wā e puta ai tō paheketanga tuatahi e ō ira. I te nuinga o te wā, ka puta te paheketanga o te tamahine i te wā kotahi me tōna whaea.
• Ngā homoni: Ko ngā homoni i roto i tō roro me ngā homoni i roto i ō whekau whakaputa uri e whakahaere ana i tō huringa paheketanga o ia marama. Ka pā anō hoki ēnei ki te paheketanga.
• Te hanganga o te tinana: Ka pāngia tō paheketanga tuatahi e ngā āhuatanga pēnei i te teitei, te taumaha, me te tohatoha o te ngako.
• Hauora: Mā te ahotea, te kai koretake, me ētahi āhuatanga hauora ka roa te paheketanga me te koretake o te paheketanga.
• Taiao: E whakaarohia ana ko ngā āhuatanga taiao, pērā i te urunga atu ki ngā rauemi, ka pā ki te menopause. Hei tauira, ko te hunga i roto i ngā whenua whakawhanake ōhanga ka tere ake te paheketanga i ērā i roto i ngā whenua ngoikore ake.

Kei te pēhea koe e tiaki ana i a koe anō i tēnei wā?

Kāore koe e hiahia ki te whakamutu i ō mahi o ia rā nā te mea kei te pā mai tō paheketanga. Ā, ki te kore koe e hiahia, kāore koe e hiahia ki te whakamōhio atu ki tētahi kei te pā mai tō paheketanga. Ka taea e koe te whakamahi i ēnei mea hei āwhina i te whakahaere i tō toto:

• Ngā papa, ngā raina tarau poto rānei: Ka whakamahia e ētahi tāngata ngā papa i ngā rā e nui ana te toto, ā, ka whakamahia ngā raina tarau poto i ngā rā e iti ana te toto. Me whakawhiti ēnei i ia whā ki te waru hāora .
• Ngā Tampon: He mea ka tukuna e koe ki roto i tō tenetene te tampon. Ka mimiti i te toto i mua i te wehenga atu i tō tinana. Ka taea e koe te kaukau me te mau i te tampon, ahakoa i roto i tō paheketanga. Me whakawhiti e koe tō tampon i ia whā ki te waru hāora .
• Ngā kapu paheketanga: He maha ngā kapu paheketanga ka taea te horoi me te whakamahi anō. He nui ake te toto ka taea te pupuri i ēnei i te tampon noa. Me whakawhiti tō kapu i ia waru ki te tekau mā rua hāora .
• Ngā kākahu o roto mō te wā pāheketanga: Ka taea hoki te horoi me te whakamahi anō i ēnei. Ka taea e ētahi tāngata te whakahaere i ō rātou toto mā ēnei kākahu anake, ko ētahi ia ka mau me ngā papa, ngā tampon, ngā kapu pāheketanga rānei.

Ko te mea pai ko te tīmata ki te tohu i ngā rā o tō paheketanga ki runga i te maramataka, i tētahi taupānga rānei. Mā tēnei koe e āwhina ki te mārama ki te āhua o tō paheketanga noa, me te mea kei te puta he mea rerekē. Ko te huringa paheketanga noa ka puta i waenga i te 21 me te 35 rā (28 rā te toharite) ā, ka roa i waenga i te toru me te whitu rā (e rima rā te toharite). Engari he rerekē te paheketanga o ia tangata.

Tērā pea ka koretake ō paheketanga mō te tau tuatahi, e rua rānei. Tērā pea ka peke atu tō paheketanga i ētahi marama i te mea ka urutau tō tinana ki tēnei huringa paheketanga hou. I te mea ka tere haere te auau o ō paheketanga, ka taea e koe te ako he aha te tikanga o tō paheketanga. Kātahi ka taea e koe te kite i ngā huringa o te puta o tō toto, ahakoa he toto ia rā, he toto ia rā. Mēnā he toto rerekē tō toto, he tohu tēnā me toro atu koe ki te tākuta.

Me pēhea te whakahaere i te mamae o te paheketanga?

Mena kei te raru koe i te mamae o te uma, he torutoru ngā mea ngāwari hei āwhina:

• Kaukau ki te wai mahana.
• Whakakorikori tinana, totoro iti.
• Whakatakotoria he pounamu wai wera (he papa whakamahana) he kakahu rānei kua rumakina ki te wai wera ki runga i tō puku.
• Tangohia ngā rongoā whakamamae mamae kei roto ko te ibuprofen (pēnei i te Advil©, Motrin©) te naproxen rānei (pēnei i te Aleve©).

Heoi, kaua e tango i te aspirin me te kore e kōrero ki te tākuta . Kua kitea ko te whakamahinga o te aspirin i roto i te hunga kei raro iho i te 18 tau te pakeke ka pā mai he mate onge e kiia nei ko te Reye's syndrome .

Āhea koe me toro atu ki te tākuta?

Ahakoa ka puta wawe mai tō paheketanga tuatahi, ka puta rānei i muri mai, me kōrero koe ki tō tākuta. Ina tīmata tō paheketanga i mua i te iwa o ngā tau, ka kiia ko te 'puāwaitanga wawe' . Mēnā kāore anō kia puta tō paheketanga i te 15 o ngā tau (amenorrhea) , me toro atu koe ki te tākuta kia kitea ai te take. I runga i te take o tō paheketanga tomuri, ka taea e tō tākuta te tohu i te maimoatanga e tika ana.

Waihoki, ki te tino mamae tō paheketanga , ka taea e tō tākuta te tohu rongoā hei āwhina.

He aha ngā pātai me pātai atu koe ki te tākuta?

He wā pai te menarche hei tīmata i tētahi hononga pai ki tētahi tākuta wahine. Ka taea e ia te whakautu i ō pātai katoa mō ēnei huringa hou. Ka taea e koe te pātai pēnei i:

• E hia te nui o te toto e 'noa' ana i te wā o te paheketanga?
• Kia pēhea te roa ka pai ake te auau o taku paheketanga?
• He aha ngā tohu ka taea te whakahaere i te kāinga?
• He aha ngā tohu e hiahia ana kia toro atu ki te tākuta?

Ka taea hoki e te tākuta te whakautu i ō pātai katoa e pā ana ki te hāputanga, te ārai whānau, me ngā mate urutā (STI) .

Karere hei kawe ki te kāinga:

Nō reira, he tohu tino nui te Menarche i roto i tō pakeketanga. I a koe e taunga ana ki tēnei wheako hou, kia aro nui ki ngā huringa o tō tinana. Whai muri i tēnei, ina kite koe i te tākuta, ka pātai pinepine rātou ki a koe i ngā mea pēnei i te wā whakamutunga i pā mai ai tō paheketanga me te āhua o ō paheketanga. Mā ēnei mōhiohio ka āwhina te tākuta ki te aromatawai i tō hauora.

Kia maumahara, he wāhanga tūturu tēnei o tōu ao. Kāore he mea hei wehi, hei whakama rānei.

Kōrero ki tō tākuta, ki tētahi pakeke rānei e whakawhirinaki ana koe (pēnei i te māmā, te pāpā, te tuahine pakeke, te whaea kēkē) mō te tikanga o te menarche mō tō hauora, tō hapūtanga, me tō moe haumaru. Ka taea e rātou te āwhina i a koe. Kāore koe i te mokemoke!

` Te paheketanga tuatahi, te paheketanga o ia marama, te pakeketanga, ngā kōtiro, ngā homoni, te hauora o te taiohi