Ko ētahi o ngā wheako o te ao he rite ki te aue hōhonu, he mea ārai e huna ana i roto i te ngākau. Ko te mate pāwera tētahi o aua wheako—he mamae e uaua ana ki te whakapuaki ki ngā kupu, he tino mamae, ā, he maha ngā wā ka noho mokemoke koe. Ki te pānui koe i ēnei rārangi, tera pea kei te raru koe i taua pātai taumaha: "He aha i pā ai tēnei ki ahau?" Kaua e whakaaro pēnei. Ehara tēnei i tō he. Ko te taumaha i roto i tō ngākau, ko taua mamae, ko aua pātai—he mea tika katoa, he mea tangata hoki i tēnei wā.
Mā roto i tēnei tuhinga, e hiahia ana ahau ki te whakamārama i ngā pātai e huna ana i roto i tō ngākau, ki te āwhina i a koe kia mōhio kāore koe i te mokemoke, me te tuku i tētahi kaha hei āwhina i a koe ki te whakatere i tēnei haerenga uaua. Me kōrero tāua mō ēnei mea katoa, taahiraa i ia taahiraa, mā te ata noho?
Ko te pono huna i muri i te kupu "Matenga"
Ahakoa e whakamahia ana e tātou te kupu " mate pāwera ", he maha atu anō ngā mea kei raro i te mata hei mārama.
Me pēhea te whakamārama a ngā tākuta i tēnei?
E kīia ana tēnei e ngā tākuta he "Whakatahe Ātaahua." Ki te kī māmā noa, ko tōna tikanga i mua i te whanaketanga o tō tamaiti iti—te kukune—kia ora ai i waho o te kōpū (i mua i te 20 wiki o te hāputanga), ka mutu te haerenga i a ia anō, me te kore he pokanoa mai i a koe, i tētahi atu rānei. He rite ki te putiputi e pihi ana ka taka ki te whenua i te kore e tūmanakohia. Mēnā ka puta tēnei āhuatanga pouri i muri i te 20 wiki, ka kiia e te hauora he "Whānautanga Mate," he āhua rerekē tēnei.
He rerekē ngā momo materoto?
Āe, pērā i ngā upoko rerekē o tētahi kōrero, he rerekē anō hoki ngā huarahi e puta ai te mate pāwera. Ka whakarōpūhia ēnei e ngā tākuta penei:
He whakamataku noa iho rānei? – Te Whakamate Whānau
I tēnei āhuatanga, tera pea ka pāngia koe e te toto iti i te tīmatanga o te hapūtanga. Heoi, he mea miharo, kei te kati tonu te kaki o te kōpū. Ko te tikanga o tēnei, ahakoa te wehi tuatahi, kei te mau tonu te tumanako, ā, he maha ngā wā ka haere tonu te hapūtanga me te angitu.
Kāore e taea te whakaora i tēnei wā? – Te Mate Hapūtanga Kāore e Āraia
I konei, me te toto me te mamae o te puku, kua tuwhera kē te kaki o te kōpū. He rite ki te tatau e kore e taea te kati ina whakatuwheratia, ka whakatauhia e ngā tākuta, i tēnei wā, he uaua ki te whakaora i te haputanga.
He toenga kiko anō kei te toe? – Te Mate Hapūtanga Korekore
Ka puta tēnei ina puta noa tetahi wāhanga o te kiko hapūtanga, te whenua rānei, i te mea ka toe ētahi ki roto i te kōpū .
Kua mutu katoa? – Te Mate Hapūtanga Katoa
E ai ki te ingoa, ka tukuna katoatia te kukune, te whenua whānau, me ngā kiko hapūtanga katoa mai i te kōpū. He rite ki te whakaoti i te whārangi whakamutunga o tētahi pukapuka.
I puta puku mai? – Te Mate Hapūtanga i Ngarohia
He ahua uaua ake tēnei. Kua mutu te whanaketanga o te kukune, engari kei roto tonu i te kōpū, kāore koe e kite i te toto nui, i ētahi atu tohu mārama rānei. He maha ngā wā ka kitea noa i roto i te matawai noa.
Kei te puta anō tēnei? – Te Mate Hapūtanga Auau
E pā ana tēnei ki ngā matenga hāputanga e toru, neke atu rānei, i te karapīpiti. Mēnā ka puta tēnei, he rite tonu ki te noho tonu i roto i te moemoeā kotahi. Me whai rangahau hauora motuhake kia kitea ai te pūtake.
He nui ake te noa o ngā mate pāwera i tō whakaaro
I a koe e mamae ana i tēnei mamae, ka pātai pea koe, "He aha ahau anake i pēnei ai?" Ko te pono, he maha ngā whānau e pāngia ana e ngā mate pāwera. E ai ki ngā tatauranga, e ai ki ngā tākuta, tata ki te 10% ki te 20% o ngā hāputanga e mōhiotia ana ka mutu ki te mate pāwera. Inaa, he nui ake pea te maha, nā te mea ka puta wawe ētahi mate pāwera, ā, kāore pea te wahine e mōhio kei te hāpu ia, he maha ngā wā ka pohehe te toto mō te paheketanga paku rerekē. Ko te nuinga o ngā mate pāwera ka puta i roto i ngā marama tuatahi e toru (ngā wiki tuatahi 12).
Ngā tohu e kōrerotia ana e tō tinana: Me pēhea te tautuhi i aua tohu
Tērā pea ka ngana tō tinana ki te tohu kei te puta, kua puta rānei he materoto. He mea nui kia mōhio ki ēnei tohu.
Ngā tohu matua hei tirotiro māu
Ko ngā tohu noa o te mate pāwera ko:
- Te toto o te tara: Koinei te tohu wawe tino kitea. Tērā pea he ira iti noa iho, he nui ake rānei i te toto o te paheketanga noa.
- Te mamae o raro o te puku, te kōpiripiri rānei: Tērā pea ka rite tēnei ki te kōpiripiri nui o te paheketanga, ki tētahi atu mea kaha ake rānei.
- Te tuku kiko mā roto i te tara: Tērā pea ka kite koe i te kiko, i ngā totoka rānei e puta mai ana me te toto.
- Mamae tuara: Ko ētahi ka pāngia e te mamae o te tuara o raro me te mamae o te puku.
- Te memeha haere o ngā tohu o te hapūtanga: Te ngaro haere o ngā tohu pērā i te mamae o te ū, te ruaki rānei i te ata.
Me pēhea te whakaū a ngā tākuta i tēnei?
Mena ka pāngia koe e ēnei tohu, ka mahia e te tākuta ngā mahi e whai ake nei:
- Whakamātautau Pelvic: Hei tirotiro mēnā kei te tuwhera, kei te kati rānei te cervix, me te aromatawai i te toto.
- Matawai Ultrasound: Koinei te whakamātautau tino whai hua hei tirotiro i te manawa o te pēpi me te āhua o te kōpū.
- Ngā whakamātautau toto: Ka whakamātauhia ēnei mō te homoni hCG , e piki ana i te wā e hapu ana. Mena kāore ngā taumata e piki ana e ai ki te tumanako, e heke ana rānei, tera pea he tohu kei te whānau tamariki koe. Tērā pea ka tirohia hoki ngā taumata o te progesterone.
Te pātai whakapouri o te ngākau, "He aha?": Ngā take o te whakatahe
Koinei te pātai nui rawa atu mā te nuinga: "He aha i pā ai tēnei ki ahau?" Ko te pono, ko te nuinga o ngā mate pāwera kāore i puta mai i te he o tetahi.
Ko te take tino noa: Ngā āhuatanga ira
E ai ki ngā tohunga hauora, tata ki te haurua o ngā mate pāwera katoa i puta mai i ngā rerekētanga iti, matapōkere o te hanganga ira - inā koa ko ngā chromosomes - i te wā tonu o te haputanga. He rite ki tētahi putiputi ataahua e puāwai ana me tētahi hapa iti, ehara tēnei i te he o te whaea, o te pāpā rānei; he mea noa iho e kore e taea te matapae, he mea tupu noa iho.
Ngā āhuatanga hauora o ngā whaea me ngā āhuatanga o te noho
I ētahi wā anō, ko ētahi āhuatanga hauora, ko ētahi āhuatanga noho rānei o te whaea ka whai wāhi ki te whakatahe.
- Te pakeke o te whaea: Te mōrearea o te materotoka paku piki haere ina neke atu koe i te 35 tau te pakeke.
- Ngā āhuatanga mau tonu: Ngā raruraru hauora kāore i te whakahaeretia pērā i te mate huka , ngā mate tairoi , te toto toto tiketike , ngā mate pūnaha ārai mate rānei (hei tauira, te Systemic Lupus Erythematosus).
- Ngā āhua rerekē o te kōpū: Ko ngā āhua rerekē, ko te hanganga rānei o roto o te kōpū (hei tauira, te septum uterine, ngā fibroids rānei) ka ārai i te whakatō, i te whanaketanga tika rānei o te kukune.
- Ngā taurite kore o ngā homoni: Ngā āhuatanga pēnei i te korenga o te progesterone, te PCOS rānei (Polycystic Ovary Syndrome).
- Ngā mate urutā: Ngā mate huakita, ngā mate huaketo rānei pērā i te listeriosis, te toxoplasmosis, te rubella, te cytomegalovirus rānei.
- Ngā āhuatanga o te noho: Te kai hikareti, te inu waipiro, te whakamahi rānei i ngā raau taero turekore.
- Ngā āwangawanga mō te taumaha: Te tino taumaha rawa, te kore rānei e tino taumaha (te kore kai pai).
- He hītori o ngā materoto auau.
Te Hua Manu Pōuri (Haputanga Kore-Ira)
Ko tētahi atu take e mōhiotia ana mō te mate pāwera tēnei. I tēnei wā, ka whakatōkia he hua manu kua whakatōkia ki roto i te pakitara kōpū, ā, ka puta he pēke hāpu, engari kāore he kukune e whanake i roto. He maha ngā wā ka puta mai tēnei i ngā āhuatanga rerekē o te ira tangata.
Ngā raruraru tinana me ngā pānga kare ā-roto i muri i te materoto
He wheako te materoto e kore e pā ki tō tinana anake, engari ki tō oranga ngākau anō hoki.
Ngā raruraru ā-tinana
- Te whānautanga kore oti: Mena ka noho tonu te kiko o te hapūtanga, te whenua rānei i roto i te kōpū, ka arahi pea ki te toto tonu, ki te mate rānei.
- Mate urutā: Tērā pea ka pāngia koe e te mate urutā i roto i te kōpū, i te rohe hope rānei e karapoti ana (pēnei i te Pelvic Inflammatory Disease).
- Te toto: Ahakoa he onge, ka puta pea te toto nui, ā, me rapu awhina hauora ohorere.
Te taumahatanga kare ā-roto me te pānga hinengaro
He mate nui te pāngia e te materoto, he rite ki te tangihanga o tētahi atu huringa nui o te ao. He mea noa te pōuri, te riri, te hara, te wehi, te manukanuka, te pouri rānei. E hiahiatia ana te wā me te tautoko hei whakatere i ēnei kare ā-roto.
Me pēhea te āwhina a tō tākuta: Te whakahaere i te mate pāwera
Ko te huarahi hauora e tangohia ana ka whakawhirinaki ki ngā āhuatanga pēnei i te momo materoto, te wāhanga o te hāputanga, te kaha o ō tohumate, tō hauora whānui, me ō manakohanga whaiaro.
Te Whakahaere i te Tūmanako
Ko te tikanga o tēnei, me tuku tō tinana kia tukuna noa te toenga o te kiko hapūtanga, me te kore he wawaotanga hauora, he pokanga rānei. Ka roa pea tēnei tukanga mō ētahi rā, wiki rānei, ā, ka tirotirohia koe e tō tākuta i roto i taua wā.
Whakahaere Hauora
Tērā pea ka tohua e tō tākuta he rongoā (hei tauira, misoprostol), ka tangohia, ka werohia rānei mā te tara, hei āwhina i te kōpū kia kōpiri me te whakaputa i ngā kiko e toe ana.
Ngā Wawaotanga Pokanga
Tērā pea ka taea te mahi i tētahi tikanga iti, pērā i te Dilation and Curettage (D&C) te Dilation and Evacuation rānei (D&E), hei tango haumaru i ngā kiko e toe ana i te kōpū. He mea tino taunaki tēnei mēnā kei te pāngia koe e te toto nui, ngā tohu o te mate, kāore rānei i angitu ētahi atu tikanga.
Ngā whakaaro mō te take Rh
Mena he Rh-kino koe, ā, he Rh-pai tō hapūtanga, tera pea ka puta he paturopi i roto i tō tinana ka pā ki ngā hapūtanga o muri mai. Hei ārai i tēnei, ka werohia e tō tākuta he immunoglobulin Anti-D.
Te whakaora i tō tinana me tō hinengaro: Te tiaki i a koe anō i muri i te materoto
He roa te wā e hiahiatia ana hei whakaora. Mā ēnei mahi ka āwhina i a koe ki te whakaora tinana me te whakaora hinengaro:
- Whakaritea te okiokinga ki te taumata matua: Hoatu he wā ki tō tinana me tō hinengaro kia ora ai.
- Whakahaerehia te mamae: Whakamahia te rongoā whakamamae mamae e ai ki ngā tohutohu a tō tākuta.
- Aroturukihia ngā tohumate: Ki te pāngia koe e te kirika nui, te mamae nui o te puku, te putanga mai rānei o te wai i te haunga kino, rapua tonutia he awhina hauora i te tari whawhati tata.
- Āraia ngā mea whakapataritari: Kaua e moe tāne me te wahine, kaua hoki e whakamahi i ngā tampon mō te roanga o te wā i tohua e tō tākuta hei whakaiti i te tūponotanga o te mate.
- Me tīmata mārire te mahi: Kaua e hohoro te hoki ki ngā mahi uaua.
Te titiro whakamua: Te whakarite mō te hāputanga hauora
He mea maori te manukanuka mō te heke mai i muri i te materoto.
Ngā Matenga Auau
Kāore te kotahi o ngā mate hāpuku e whakanui ake i te tūponotanga o tētahi atu. Heoi, ko te toru, neke atu rānei o ngā mate hāpuku karapīpiti ka kiia he "mate hāputanga auau." I roto i ēnei āhuatanga, he mea tika kia kōrero ki tētahi tohunga hei tirotiro i ngā tino take.
Te kimi anō i te tumanako
Mena kei te whakamahere koe i tētahi atu haputanga, whakaarohia te kōrero ki tō tākuta i mua i te haputanga. Mā te pupuri i tētahi momo noho hauora—te kai taurite, te whakakori tinana auau, te tango i ngā tāpiringa waikawa folic, te whakahaere i ngā mate mau tonu, me te whakaiti i te ahotea—ka tino whakapai ake i ō tupono ki te haputanga hauora.
Te whakaora i ō patunga kare ā-roto: Te kimi tautoko
He tika, he mea noa hoki ngā kare ā-roto o te pouri, te pōuri, me te riri i muri i te whānautanga o te pēpi. Kia atawhai ki a koe anō i a koe e whakahaere ana i ēnei kare ā-roto, ā, rapua he tautoko ngaio, he tohutohu rānei mēnā kei te pēhia koe.
- Whakaaetia, ā, whakaaturia ō kare ā-roto: Tukua kia tangi koe. Ahakoa me tangi koe, me whakapuaki noa rānei i ō kare ā-roto, he mea nui te tuku i ēnei kare ā-roto hei taahiraa whakaora.
- Whakawhirinaki ki tō pūnaha tautoko: Whakapā atu ki tō hoa rangatira, ki tō whānau, me ō hoa tata. Mā te mōhio kāore koe i te mokemoke ka nui te kaha e homai ki a koe i tēnei wā uaua.
- Rapua he arataki ngaio mēnā e tika ana: Ko te hono atu ki tētahi kaiwhakatakoto whakaaro, ki tētahi kaiwhakaora hinengaro rānei, he tohu māia, ehara i te ngoikore. He huarahi whai hua te kōrero mō tō mamae ki tētahi tohunga hei tīmata i te whakaora i te kare ā-roto.
- Hono atu ki ngā rōpū tautoko: He tino whakamana te mahi tahi me ētahi atu kua rite ō rātou wheako. Mā te noho hei mema o tētahi hapori ka maumahara koe kei te tautokona koe, ā, kāore koe e tino mokemoke.
Kia maumahara, ahakoa he upoko mamae tēnei mate, kāore e tautuhi i tō haerenga katoa. I Nirogi Lanka, e hiahia ana mātou kia mōhio koe he tokomaha ngā tāngata e rite ana ki te tautoko i a koe, e haere tahi ana hoki i a koe i roto i tēnei tukanga whakaora.
