Ina pupuri koe i ngā moemoeā me ngā tumanako maha, ko te hunga anake kua pāngia e te mamae o te ngaronga o aua moemoeā ka tino mārama ki te kino o te mamae. I ētahi wā, i roto i ngā huarahi kāore pea koe e whakaaro i ngā wiki tōmua o te hapūtanga , ka taea tēnei te tupu. I tēnei rā, kei te kōrero tātou mō tētahi kaupapa e uaua ana ki te kōrero mō te tini, engari he mea tino nui: te mārama ki te tikanga o te mate pāwera.
He aha tonu te materoto?
I te whakarapopototanga, ko te mate pāwera – e kiia ana he ' mate pāwera ohorere ' – ko te ngaronga ohorere o te hāputanga i roto i ngā wiki 20 tuatahi, i roto rānei i ngā marama 5 tuatahi. Ahakoa e kiia ana e te hauora he ' mate pāwera ', koinei te mea tuatahi me te mea nui kia mārama koe: ehara tēnei i tō he. I te nuinga o te wā, kāore ēnei mea e taea te whakahaere, ā, ka puta mai i te aukati taiao o te whanaketanga o te pēpi .
He aha ngā momo rerekē o te materoto?
Tērā pea kei te whakaaro koe mēnā he rite tonu te puta o ngā materoto katoa. Kāo, ka whakarōpūhia pea ēnei e tō tākuta i ēnei ara e whai ake nei:
Te Matenga o te Whānau
I tēnei āhuatanga, tērā pea kāore koe e mōhio kua puta he materoto nā te mea kāore koe e kite i ngā tohu noa. I te nuinga o te wā, i roto i te matawai ultrasound anake ka whakaūtia kāore he manawa o te pēpi . He tino mamae te rongonga i ēnei momo kōrero.
Te Matenga Katoa
Ka puta tēnei ina kua puta katoa te kiko o te hapūtanga, ā, kua takoto kau tō kōpū . Tērā pea ka pāngia koe e te toto me te putanga o te kiko . Ka taea e tō tākuta te whakaū i tēnei mā te whakamahi i te ultrasound .
Te Mate Hapūtanga Auau
E pā ana tēnei ki te toru ngā matenga o te hāputanga karapīpiti. E kiia ana ka pā ki te 1% o ngā tāne me ngā wāhine. He mea noa te taumahatanga o te tinana nā tēnei.
Te Mate Hapūtanga e Mōrearea Ana
I tēnei āhuatanga, ahakoa kei te kati tonu tō kaki , tera pea ka pāngia koe e te toto me te mamae o raro o te puku, he rite ki ngā mamae o te paheketanga. Heoi, i roto i te nuinga o ngā wā, ka haere tonu te haputanga me te kore he raruraru. Ka tirotirohia koe e tō tākuta i te roanga o te haputanga. He mea nui te noho marino me te whai i ngā tohutohu hauora i konei.
Te Matenga o te Whānau
I konei, ka pāngia pea koe e te toto me te mamae o te puku, i te tīmatanga o te puare o tō kaki. I ētahi wā, ka turuturu te ' wai amniotic ' e karapoti ana i te pēpi. I ēnei wā, he nui te tūponotanga o te materoto katoa.
Me pēhea taku mōhio mēnā kei te pāngia ahau e te materoto? (Ngā tohu)
I ētahi wā ka puta he materoto kāore koe e mōhio. Heoi, ki te puta ngā tohu, koinei ngā tohu tino kitea:
- Te piki haere o te toto o te tara. Tērā pea ka kite koe i ētahi wā i te kiko hina, i ngā toto toto rānei.
- Te mamae o raro o te puku me te kōpiripiri. He kaha ake tēnei i ngā kōpiripiri o te paheketanga noa.
- Mamae tuara. Ka tīmata mārire pea tēnei, ka kaha ake, ka noho rānei ki te taumata taurite mō ētahi.
- He hekenga o ngā tohumate o te hapūtanga. Hei tauira, ka kite pea koe i te hekenga ohorere o te whanoke, te mate pōuri rānei o te ata.
Ki te pāngia koe e tētahi o ēnei tohu, whakapā atu ki tō kaiwhakarato hauora tonu atu.Mā rātou koe e ārahi ki te whakatau mēnā me haere koe ki te whare hauora, me haere rānei ki te wāhanga ohorere. Ahakoa he uaua ki te kore e mataku, he mea nui te mahi tere.
He aha te take o te materoto?
He tokomaha e whakaaro ana, 'He aha i pā ai tēnei ki ahau?' he 'I hē taku mahi?' Ko te mea pono, ko te nuinga o ngā mate pāwera kāore i puta mai i tētahi mea i mahia e koe. Me titiro tātou ki ngā take matua.
Ngā Āhuatanga Hē o te Ira Tangata
I te toru marama tuatahi o te hapūtanga—tae atu ki te 13 wiki pea o te hapūtanga —tata ki te 50% o ngā mate pāwera i puta mai i ngā āhuatanga rerekē o te ira. Kei roto i ngā ira ō tātou ira, e whakatau ana i ngā āhuatanga pēnei i te tae o te makawe, te tae o ngā kanohi, me te momo toto. Ina honoa te hua manu me te parāoa, ka honoa ō rātou rauemi ira. Mena he nui rawa, he iti rawa rānei ngā ira, kāore pea te kukune e whanake tika. Ko te tikanga ka puta noa mai ēnei raruraru ira , ā, kāore i te mōhiotia te take tuturu.
Ētahi atu āhuatanga whai wāhi
Haunga ngā raruraru ira tangata, he maha atu anō ngā āhuatanga ka whai wāhi ki te materoto:
- Ngā mate urutā.
- Te pānga ki ngā mate TORCH (hei tauira, Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex).
- Ngā taurite kore o ngā homoni.
- Te whakaurunga hē o te hua manu kua whakatōkia ki roto i te pakitara o te kōpū.
- Te pakeketanga o te whaea. Ka piki ake te mōrearea i te pakeketanga.
- Ngā āhuatanga rerekē o te kōpū (hei tauira, ngā rerekētanga hanganga, ngā fibroids).
- Te pūkahukahu koretake (te wāhi e tuwhera wawe ai te pūkahukahu).
- Ngā āhuatanga o te noho pērā i te momi hikareti, te inu waipiro, te whakamahi raau taero turekore rānei.
- Ngā mate pūnaha ārai mate pērā i te Lupus.
- Te mate whatukuhu kino.
- Mate ngakau whānau.
- Te mate huka kāore i te whakahaeretia.
- Te mate tairoi.
- Te pānga ki te irahiko.
- Ko ētahi rongoā , pērā i te Isotretinoin (Accutane®) e whakamahia ana mō te hakihaki.
- Te kore kai pai rawa atu.
Ko te mea nui, kāore he taunakitanga pūtaiao e whakaatu ana ko te ahotea, te whakakori tinana, te moepuku, te whakamahinga roa rānei o ngā pire ārai whānau ka puta ai te mate pēpi. Ahakoa tō āhuatanga, kaua e whakapae i a koe anō. Ko te nuinga o ngā mate pēpi ka puta mai i ngā take kāore e taea e koe te whakahaere. Ko te mārama ki tēnei he taahiraa nui i roto i tō tukanga whakaora.
He aha te mamae o te materoto?
He tino ahurei tēnei wheako ki ia tangata. Tērā pea ka pāngia ētahi e te mamae nui o te puku o raro me te kōpiripiri , ko ētahi ia ka pāngia e te mamae rite tonu ki ngā kōpiripiri o te paheketanga. Ko te kaha o te mamae ka whakawhirinaki ki te momo mate pāwera e pāngia ana e koe. Hei tauira, ki te mea kei te 'mate pāwera katoa' koe i te kāinga, tērā pea ka nui ake te mamae i tō tētahi e pokangahia ana hei tango i te kiko o te kukune i te wā o te 'mate pāwera ngaro'.
He aha te mea ka tupu tuatahi i te wā e mate ana te pēpi, ā, kia pēhea te roa o te wā e pau ana?
He uaua ki te matapae me pēhea te tīmatanga o te mate pāwera nā te mea he rerekē ngā tohu. I ētahi wā, kāore he tohu o waho, ā, ka kitea te mate pāwera i te wā o te whakamātautau ultrasound . Heoi, mō te nuinga o ngā wāhine, ko ētahi taumata o te mamae o te puku o raro me te toto o te tara he tohu tīmatanga noa. Ahakoa pēhea, he rerekē te whanaketanga mō ia tangata, mō ia tangata.
Waihoki, he rerekē te roa o te tukanga. Tērā pea ka roa ake te mamae o ētahi wāhine me te toto nui i ētahi atu. Ko tō tākuta te tangata pai rawa atu hei ārahi i a koe ki ngā mea hei tumanako atu, ā, ka taea e ia te tuku tohutohu motuhake mō te whakahaere i te mamae me te kōpiripiri.
He aha ngā āhuatanga mōrearea mō te materoto?
Ko te āhuatanga mōrearea he āhuatanga, he whanonga rānei e whakanui ake ana i te tūponotanga o tētahi mate hauora motuhake. Anei ngā āhuatanga mōrearea matua e pā ana ki te mate whānau:
- Tō Tau: E whakaatu ana ngā rangahau ahakoa kei waenganui i te 12% me te 15% te mōrearea o te materoto mō ngā wāhine kei roto i ō rātou tau 20, ka piki ake ki te 25% i te 40 tau. He maha ngā materoto e pā ana ki te pakeketanga e puta mai ana i ngā hapa ira tangata , arā, he hē te maha o ngā ira tangata o te kukune.
- Te Matenga o te Pēpi o Mua: Mena kua matenga koe i tētahi wā o mua, ko te mōrearea o tētahi atu pēpi he tata ki te 25% (he paku teitei ake tēnei i te tangata kāore anō kia matenga).
- Ngā Āhuatanga Hauora: Ka taea e te mate huka kāore i te whakahaeretia, ētahi mate pāwera, ētahi raruraru hanganga motuhake rānei o tō kōpū, o tō kaki rānei te whakanui ake i tō mōrearea.
Kōrerohia ēnei āhuatanga mōrearea ki tō kaiwhakarato hauora. Ka arotakehia e rātou tō hītori hauora hei whakarato i tētahi aromatawai whaiaro mō tō mōrearea.
He pēhea te auau o ngā materoto, ā, me pēhea te rerekētanga o te mōrearea i roto i te wā?
E ai ki te whakatau tata, 10% ki te 20% o ngā hāputanga e mōhiotia ana ka mutu ki te whakatahe . Ko te nuinga (tata ki te 80%) ka puta i roto i te toru marama tuatahi (ngā wiki 13 tuatahi). He onge ngā whakatahe i muri i te 20 wiki, ā, he iti iho i te 5% o ngā wā ka puta.
I ētahi wā, ki te tatauhia ngā ngaronga wawe rawa i muri tata i te whakatōnga, ka teitei ake te ōrau. I ēnei wā, nā te mea he maha ngā wā ka taurite te toto ki te huringa paheketanga auau, kāore pea te tangata e mōhio kei te hapu ia. E mōhiotia ana tēnei ko te 'hapūtanga matū' .
Ko te rongo pai ko te hekenga o tō tuponotanga ki te mate pēpi i ia wiki o tō hapūtanga . Ahakoa he tata ki te 15% te mōrearea whānui, ka heke te mōrearea i te rua o ngā toru marama (wiki 13 ki te 19) ki waenga i te 1% me te 5%. Ahakoa he mea nui tō tau me tō hauora whānui, ki te kore he āwangawanga hauora kei roto i a koe, ka heke tonu te mōrearea o te mate pēpi i te haere tonu o tō hapūtanga.
Me pēhea te tautuhi i te mate pāwera?
Hei whakaū i te materoto, ka whakahaerehia pea e tō tākuta ngā whakamātautau e whai ake nei:
- Whakamātautau Ultrasound: Ka tirohia te manawa o te pēpi i roto i te kōpū, te kitea rānei o ngā hanganga pēnei i te 'yellow sac' , e kitea whānuitia ana i te tīmatanga o te hapūtanga.
- Ngā Whakamātautau Toto: Ka ine ēnei i ngā taumata o te human chorionic gonadotropin (hCG) , he homoni e hangaia ana e te whenua whānau. Mā te iti tonu, te heke tonu rānei o ngā taumata hCG ka taea te whakaū i te materoto.
- Whakamātautau Pelvic: Ka whakamahia tēnei hei tirotiro mēnā kua tīmata te whānui (te tuwhera) o tō cervix.
Me pēhea te rongoā i ngā mate pāwera?
Ki te pāngia koe e te materoto, he mea nui kia tino horoia te kōpū. Ki te toe tonu he kiko e pā ana ki te hāputanga, tera pea ka pāngia koe e te mate urutā, te toto nui, me ētahi atu raruraru .
Mena kua 'oti' te materoto—arā, kua puta noa ngā kiko katoa o te kukune—kāore e hiahiatia he maimoatanga anō. Mā tō tākuta tēnei e whakaū mā te whakamahi i te ultrasound .
Heoi, ki te mea kāore anō kia puta katoa te kiko, kāore anō rānei kia tīmata te toto, ka tūtohu pea tō tākuta i te rongoā, i te pokanga rānei hei whakakore i te kiko.
Maimoatanga Kore-Pokanga
Tērā pea ka tūtohu tō tākuta kia tatari kia puta noa te kiko i roto i tō tinana, inā koa mēnā he 'mate whānau i ngaro'. Heoi, ka roa pea tēnei tukanga mō ētahi rā. Mena kāore e haumaru te tatari i te taha hauora, ki te hiahia rānei koe ki te tere ake i te tukanga, ka taea e tō tākuta te tohu rongoā hei āwhina i te whakawātea i te kōpū. Ko ēnei kōwhiringa ka wātea noa mēnā kei raro iho i te 10 wiki tō hapūtanga.
Ahakoa kāore anō kia whakaūtia te materoto engari kei te whakaatu koe i ngā tohu, ka tūtohu pea tō tākuta kia okioki koe i runga i te moenga.mō ētahi rā, mō te noho hōhipera mō te pō kotahi hei tirotiro. Kia mutu te toto, ka taea e koe te hoki anō ki ngā mahi o ia rā. Mena ka kitea kei te tuwhera wawe tō kaki, ka taea te kī he 'kaki koretake' tēnei, ā, ka taea te mahi i tētahi tikanga pokanga e mōhiotia ana ko te 'cervical cerclage' hei pupuri i tōna kati.
Te Maimoatanga Pokanga
Mena kei roto tonu te kiko i te kōpū, kei te toto nui rānei koe, ka mahi pea tō tākuta i te D&C (Dilation and Curettage) i te D&E rānei (Dilation and Evacuation) . Mena kua hipa koe i te 10 wiki o te hapūtanga, ko te pokanga te mea pai rawa atu. I roto i ēnei tikanga, ka whakawhanuitia te kaki o te kōpū, ā, ka tangohia te kiko e toe ana mā te momi, mā te waru mārie rānei. Ka mahia ēnei tikanga i roto i te hōhipera i raro i te mate whakamoe.
He aha ngā tohu e whai ake nei i te materoto, ā, āhea koe me rapu āwhina?
I muri i te whānautanga o te pēpi, he mea noa te puta o ngā ira me te mamae iti .
Heoi, me whakapā atu tonu koe ki tō tākuta mēnā ka pāngia koe e tētahi o ēnei e whai ake nei, nā te mea he tohu pea ēnei o te mate urutā:
- Te toto toto nui e piki haere ana, e kore rānei e mutu.
- Te kirika.
- Ngā makariri.
- Te mamae nui, te mamae kino rānei.
Whai muri i te materoto, kaua e whakauru i tetahi mea ki roto i te tara mō te iti rawa i te rua wiki . Kei roto i tēnei ko te karo i te whakamahi i ngā tampon, te moepuku, te whakamahi rānei i ngā taonga takaro moepuku. Ka whakaritea e tō tākuta he wā tirotiro anō kia pai ai tō ora, kia kore ai hoki he raruraru.
He aha ngā whakamātautau e mahia ana mō ngā mate pāwera auau?
Mena kua toru, neke atu rānei ngā matenga o tō hāputanga karapīpiti (he āhuatanga e mōhiotia ana ko te 'mate whānautanga anō'), ka tūtohu pea tō tākuta i ngā whakamātautau toto, i ngā whakamātautau ira rānei. Ko ētahi o ēnei ko:
- Ngā Whakamātautau Ira: Ka taea e kōrua ko tō hoa te whakahaere i ngā whakamātautau toto, pērā i te Karyotyping , hei tautuhi i ngā hapa ira tangata. Mena kei te wātea he kiko mai i te hāputanga, ka taea hoki te whakamātautau mō ēnei hapa.
- Ngā Whakamātautau Toto: Ka taea e tō tākuta te tono whakamātautau toto hei tirotiro i ngā āhuatanga ārai mate o te tinana , i ngā taurite kore rānei o ngā homoni ka arahi pea ki te ngaronga o te hāputanga.
Tērā pea ka tūtohu tō tākuta i tētahi o ngā tikanga tātaritanga e whai ake nei hei tirotiro i tō kōpū:
- Hysterosalpingogram: He tikanga hihi-X motuhake e whakamahi ana i te tae rerekē hei tiro i tō kōpū me ngā ngongo fallopian.
- Hysteroscopy: He tikanga e whakamahia ai e tō tākuta he taputapu angiangi, rite ki te karu tiro hei tirotiro i roto i tō kōpū.
- Laparoscopy: He tikanga e whakamahia ai e tō tākuta he taputapu rama hei tirotiro i ō whekau pelvis.
Ka taea e koe te hapu anō i muri i te materoto? Kia pēhea te tere?
Āe, tino tika. He maha ngā wāhine (tata ki te 87%) ka hapu hauora, ka whānau he pēpi i muri i te matekiri. Ahakoa he matekiri, ehara i te mea he raruraru whānau tōu. Kia mahara, ko te nuinga o ngā matekiri ka puta mai i ngā āhuatanga rerekē o te ira tangata - ehara i te mea nā tetahi mea i mahia e koe, i kore rānei i mahia e koe.
Me whakatau koe i te wā e whakamātau ai koe ki te hapu anō me te kōrero ki tō tākuta. He maha ngā wāhine ka taea te hapu anō i muri i te huringa paheketanga 'noa'.
Ko te mea nui ko te tuku i te wā ki a koe anō kia ora ai, i te taha tinana me te taha hinengaro.Kei te wātea ngā ratonga tohutohu hei āwhina i a koe ki te whakahaere i tēnei mate. Ko ngā rōpū tautoko, hei wāhi e taea ai e koe te kōrero ki ētahi atu kua pāngia e te mate ōrite, he rauemi nui pea māu me tō hoa. Pātai atu ki tō kaiwhakarato hauora mō ngā kōwhiringa tohutohu me ngā rōpū tautoko. I runga ake i ngā mea katoa, kaua e whakapae i a koe anō. Hoatu te wā e hiahiatia ana e koe ki te pouri.
Mena kua toru, neke atu rānei ō mate whānautanga karapīpiti, pātai atu ki tō tākuta mō ētahi atu whakamātautau hei tautuhi i ngā tino take. He mea tika kia whakamahia he ārai whānau kia puta rā anō ngā hua o ēnei whakamātautau, ā, i taua wā ka ārahi tō tākuta i a koe ki te wā e tika ana kia mutu te ārai whānau, ka ngana anō ki te hapu.
Ka taea te ārai i tētahi atu materoto?
Ko te pono, kāore e taea te ārai i te nuinga o ngā mate pāwera. Mena kua pāngia koe e te mate pāwera, ehara i te mea nāu i mahi. Ko te mea pai rawa atu ka taea e koe ko te arotahi ki tō oranga. Anei ētahi huarahi hei tiaki i a koe anō:
- Kia pono te haere ki ō wā tiaki hapūtanga katoa.
- Kia mau ki te taumaha hauora e tika ana mōu.
- Āta karohia ngā āhuatanga mōrearea e mōhiotia ana, pērā i te inu waipiro me te momi hikareti.
- Tangohia ō huaora hapūtanga kua tūtohutia.
- Whakakorikori tinana auau, taurite hoki, me te pupuri i tētahi kai hauora, taurite hoki.
Me pēhea te whakatau i te mamae o te materoto? ( Hei whakamutunga, kia maumahara ki ēnei kōrero )
He wheako tino uaua, tino kino hoki te ngaronga o te hāputanga, ā, ka taea e ia te whakaoho i ngā momo kare ā-roto uaua. He roa ake te tukanga whakaora kare ā-roto, ā, he uaua ake i te whakaora tinana. Tukua he whakaaetanga ki a koe anō kia tangihia tō mate. Tuhia ō kare ā-roto ki tō hoa rangatira, ki ō hoa, ki tō whānau rānei. Tērā pea ka kitea e koe he whakamarie i roto i tētahi rōpū tautoko hāputanga ipurangi. Karapotia koe ki tētahi pūnaha tautoko kaha, rapua rānei te āwhina a tētahi kaitohutohu ngaio hei āwhina i a koe ki te whakatere i tēnei wā uaua.
He wā tino pākiki te mate pēpi mō ngā mātua e hiahia ana ki te whānau, ā, he tika rawa tō pouri. Kia maumahara, kāore e taea te ārai i te mate pēpi, ehara hoki i te he nāu. Ehara i te mea kāore e taea e koe te whānau tamariki ā muri ake nei, ehara hoki i te mea he mate pēpi anō e kore e taea te karo. He mea noa te pouri. Whakapā atu ki ō whanaunga, ki ngā rōpū tautoko, ki tētahi kaitohutohu whai raihana rānei mō te tautoko. Ina rite koe ki te whakamahere i tō haputanga e whai ake nei, whakaritea he wā hui ki tō tākuta hei matapaki i ō mahi e whai ake nei, te wā, me ō pātai katoa.
Nirogi Lanka | Te Mate Hapūtanga, Te Hapūtanga, Te Hauora o ngā Wahine, Ngā Tohu, Ngā Take, Te Maimoatanga, Te Ngaronga o te Hapūtanga
