He raruraru ngākau i te wā e hapu ana, i muri rānei i te whānautanga? Me ako tātou mō te Peripartum Cardiomyopathy (PPCM)!

He mea tino harikoa te hapūtanga. Heoi, i ētahi wā ka puta ake ngā raruraru hauora ohorere. I tēnei rā, ka kōrero tātou mō tētahi mate ngākau onge ka puta i te mutunga o te hapūtanga, i roto rānei i ētahi marama i muri i te whānautanga. Ko te ingoa o tēnei mate ko te Peripartum Cardiomyopathy.

He aha te Peripartum Cardiomyopathy (PPCM)?

Ki te whakarapopoto, he mate onge te Peripartum Cardiomyopathy (PPCM) e ngoikore ai te uaua o te ngākau. Ka ngaro te kaha o te ngākau ki te pupuhi toto ki te toenga o tō tinana. Ka taea e tēnei te whakararu i te ora i ētahi wā . He maha ngā wā ka pā tēnei mate ki ngā wāhine i te marama whakamutunga o te hapūtanga, tae atu ki te rima marama i muri i te whānautanga rānei. Koia te take e kiia ai e ētahi ko te "postpartum cardiomyopathy." Ahakoa ka taea te pā ki ngā tau katoa, he mea noa iho i roto i ngā wāhine neke atu i te 30 tau te pakeke.

Ka pāngia te puku maui o te ngākau e te mate ngakau o te wā whānautanga, arā, te ventricle maui . Ko te mahi nui a tēnei ventricle maui ko te pupuhi i te toto whai hāora puta noa i tō tinana. Nō reira, ina ngoikore, kāore e mahi tika i tana mahi.

Tērā pea kua rongo koe i tō tākuta e whakamahi ana i te kupu 'left ventricular ejection fraction' 'left ventricular ejection fraction (LVEF)' rānei. Ka inehia tēnei mā te 'echocardiogram'. He ine tēnei LVEF mō te pai o te pupuhi toto i roto i tō ngākau e tō ventricle maui. Ka whakaatuhia hei ōrau, nō reira, ko te teitei ake o te ōrau, ko te pai ake. Ko te LVEF o te tangata hauora kei waenganui i te 50% me te 70%. Heoi, mō te tangata whai Peripartum Cardiomyopathy, ka taea te heke ki raro i te 45% . Ko te iti iho o te LVEF, ko te kino ake o te mate.

He mea tino nui te tautuhi wawe i tēnei mate . Mā reira anake ka piki ake te tūponotanga ka whiwhi maimoatanga tika, ka tere hoki te ora.

He pēhea te noa o tēnei āhuatanga?

Ehara te Peripartum Cardiomyopathy i te mate tino noa. Engari he uaua ki te kī tika i tōna onge. He rerekētanga nui kei roto i ngā tatauranga mō tēnei mea, ehara i te mea i te United States anake, engari i te ao katoa. I te United States, e kīia ana ka pā tēnei mate ki te kotahi i roto i te 1,000 ki te 4,000 hāputanga. E whakaatu ana ētahi rangahau he paku noa ake i ngā rohe tonga o te United States i ērā atu rohe.

He aha ngā tohu o te Peripartum Cardiomyopathy?

Kāore e kitea ngā tohu o te Peripartum Cardiomyopathy i ētahi wā. He rite tonu te nuinga o ēnei tohu ki ngā mea e pā ana ki a koe i te wā e hapu ana. Engari nā te mea he tino kino tēnei mate, he mea nui kia aro nui ki ēnei tohu:

• Te uaua ki te manawa (dyspnea) – ina koa kei te ngana koe ki te moe, ki te takoto, ki te mahi rānei i tētahi atu mahi ā-tinana.
• Te ngenge.
• Te pupuhi o ngā waewae me ngā pona (edema) .
• Te ahua o te tere o te ngakau .
• Maremare maroke .
• Ngā uaua kaki pupuhi .
• Te pōuriuri o te upoko ('Māmā te upoko') .
• Te toto toto iti (hypotension) , te heke rānei o te toto toto ina tū ohorere koe.
• Te mamae o te uma .

Ko te mate ngakau i muri i te whānautanga ka tīmata i te marama whakamutunga o te hapūtanga, i muri mai rānei. Engari i ētahi wā ka tīmata wawe. Waihoki, ka nui ake te taumahatanga o te hapūtanga ki te ngākau, ā, ka kino ake pea ngā mate ngākau kāore anō kia kitea i mua. Nō reira, he mea nui kia aro ki ngā tohu puta noa i te hapūtanga , kaua ko ngā wiki kua taha ake nei anake.

He aha ngā take o te mate ngakau o te pēpi?

Kāore anō kia kitea e ngā kairangahau tētahi tino take mō te Peripartum Cardiomyopathy. Heoi, e whakapono ana rātou ko ngā huringa homoni i te wā e hapu ana me ētahi atu āhuatanga, pērā i te preeclampsia, te take pea. Tērā pea he maha ngā āhuatanga ka hono tahi hei take mō tēnei āhuatanga.

Tērā pea he tuku iho te Peripartum Cardiomyopathy, engari kāore anō kia whakaūtia tēnei hononga e ngā rangahau. E kiia ana kei waenganui i te 15% me te 20% o ngā wāhine he peripartum cardiomyopathy he ira whakarerekētanga ka taea te whakaputa i te cardiomyopathy. Mena kei a koe tētahi o ēnei ira whakarerekētanga, ka taea e te ahotea o te hāputanga me te whānautanga te whakaputa i ngā tohu o te cardiomyopathy. He mea nui kia mōhio koe me tō tākuta ngakau ki tētahi hītori whānau o te mate ngakau, inā koa te cardiomyopathy, te ngoikore rānei o te ngakau.

He aha ngā āhuatanga mōrearea mō te Peripartum Cardiomyopathy?

He maha ngā āhuatanga mōrearea ka pā ki te mate ngakau pōrearea i te wā e hapu ana. Mēnā he nui ake ō āhuatanga mōrearea, ka nui ake tō tūponotanga ki te whakawhanake i te mate ngakau pōrearea i te wā e hapu ana. Ka nui ake te tūponotanga o ēnei āhuatanga mōrearea i tētahi āhuatanga kotahi anake.

Ngā āhuatanga mōrearea pea i mua i te haputanga

• Te toto toto tiketike (te toto toto tiketike) .
• Mate huka .
• Te momonatanga .
• Te korenga o te selenium me te konutea .
• Te mate whakamahi matū (SUD) .

Ngā āhuatanga mōrearea e pā ana ki te haputanga

• Te haputanga mō te wā tuatahi .
• Te whānautanga o ngā māhanga, o ngā tamariki tokotoru rānei .
• Kua kitea kētia kei te pāngia ahau e te Peripartum Cardiomyopathy .
• Te whakamahi i ngā tikanga pēnei i te `IVF` (whakatōkī in vitro) hei whakatutuki i te hāputanga.

Ngā mōrearea o ngā raruraru i te wā e hapu ana

• Te preeclampsia me te eclampsia .
• Te mate toto iti .
• Te mate o te tairoi .
• Te whakanui ake i te mate huango, te mate pūnaha ārai mate rānei .
• Mena kei te pāngia koe e ngā mamae o te uma i mua i te whānautanga, me whakamahi roa i ngā rongoā hei whakaroa i te whānautanga .

Ngā meka motuhake mō ngā wāhine pango (i runga i ngā rangahau)

E hangai ana tēnei wāhanga ki ngā rangahau i mahia mō ngā wāhine mangu o Amerika. Nō reira:

• He mea noa ake te tautuhi i te Peripartum Cardiomyopathy i waenga i a rātou.
• Ka nui ake te kino o te kino ki te ngākau i tēnei āhuatanga, ā, ka heke te kaha o te manawa ki te pupuhi.
• He nui ake te tūponotanga o ngā raruraru kino atu .
• Ka kitea te mate i te wā taitamariki (tata ki te 27 tau te pakeke, ko ētahi i te 31 tau te pakeke) .
• Tērā pea kua kino haere te raruraru nā te tōmuri o te tautuhi i te mate i muri i te whānautanga.
• He nui te mōrearea o te mate mai i tēnei āhuatanga .

I ahu mai ēnei kōrero i ngā rangahau i mahia i te Hononga o Amerika, ā, kia maumahara he rerekē pea ngā āhuatanga mōrearea i waenga i ngā taupori rerekē. He pai ake te kōrero ki tō tākuta mō tō mōrearea whaiaro.

He aha ngā raruraru ka pā mai i te Peripartum Cardiomyopathy?

Ina ngoikore, ina ngenge hoki tō pūkahukahu maui, kāore e taea e ia te pupuhi tika i te toto, inā koa ki ngā whekau e whakawhirinaki ana ki a ia, pērā i ngā pukahukahu me te ate. Ka pāngia te tinana katoa e tēnei puhoi. Ka arahi pea ki te ngoikore o te ngakau , me te whakanui ake i te tūponotanga o te toto totoka me te thrombosis .

Ko ētahi raruraru e morearea ana ki te ora ko:

• Ngā pāorooro o te ngakau rerekē (arrhythmias) .
• Te ohorere o te ngākau .
• Te ngoikore nui o te ngākau .
• Ngā raruraru i puta mai i te toto totoka .
• Te pakaru o te roro .

Me pēhea te tātaritanga o te Peripartum Cardiomyopathy?

Mā tō tākuta koe e whakatau kei a koe te Peripartum Cardiomyopathy mēnā kei a koe ēnei āhuatanga e toru :

• Kua pāngia koe e te ngoikore o te ngākau i te mutunga o tō hapūtanga, i roto rānei i ngā marama e rima i muri i te whānautanga o te pēpi.
• Kāore e taea e te tākuta te kimi i tētahi atu take mō tō ngoikore o te ngākau. (Arā, me whakakore katoa ngā mea e pā ana ki ō tohumate.)
• Me iti iho i te 45% te wāhanga ejection fraction o tō ventricle maui (`LVEF`).

Mō tēnei tātaritanga, ka kōrero te tākuta ki a koe mō tō hītori hauora me tō hītori hauora whānau.

I te wā e tātaritanga ana, ka whakarōpū pea tō tākuta i tō āhua ki te Akomanga I, II, III, IV rānei. Ko te teitei ake o te tau, ko te kino ake o te āhua . Mā te kitenga wawe o te cardiomyopathy peripartum ka taea te whakaiti i te mōrearea o te mate, ā, ka taea te tīmata wawe i te maimoatanga. Mēnā ka tātaritatia te āhua i muri i te kino haere, ka teitei ake te mōrearea o ngā raruraru nui, pērā i ngā raruraru ngākau tonu.

He aha ngā whakamātautau tātaritanga?

Kāore he whakamātautau motuhake hei tātaritanga i te mate ngakau i muri i te whānautanga. Engari, ka whakamahia e tō tākuta ētahi atu whakamātautau me ngā mōhiohio e homai ana e koe. Ka whakahaerehia e ia he whakamātautau tinana hei tirotiro i te nui o te wai i roto i te tinana. Whai muri i tēnā, ka whakahaerehia ngā whakamātautau pēnei i:

• Ngā whakamātautau toto .
• Te hiko o te manawa (ECG/EKG) .
• He hihi-X o te uma .
• He whakamātautau echocardiogram (`Echocardiogram - echo`) . Mā tēnei ka taea te tirotiro i tō uara `LVEF`. He mea tino nui tēnei mō te tautuhi mate.
• Whakamātautau MRI (whakaahua aukume) o te ngākau .
• Te whakaurunga o te kāteter o te ngākau .
• Ko te koiora o te uaua ngākau (he tino onge tēnei mahi) .

Ka taea hoki e ēnei whakamātautau te whakaatu mēnā he raruraru ngākau tōu i mua i tō hapūtanga. Kua roa ētahi tāngata e pāngia ana e te mate ngākau engari kāore e kite i ngā tohu tae noa ki te tīmatanga o te puta i te wā e hapū ana. Mā ngā hua o tō whakamātautau ka āwhina tō tākuta ki te whakatau tika i te mate.

He aha ngā maimoatanga mō te Peripartum Cardiomyopathy?

Ko te maimoatanga o te Peripartum Cardiomyopathy he whakahaere i ngā tohu o te ngoikore o te ngākau me te āwhina i te whakaora o tō ngākau. Kāore tēnei mate e ora ake i a ia anō . Mena ka kitea te mate i te wā e hapū ana, ka whakarite tō tākuta kei te haumaru ngā rongoā katoa e tangohia ana e koe mō tō pēpi. Ka kōrero rātou ki a koe mō ō whiringa maimoatanga me ngā pānga taha pea. Ka mahi tahi anō hoki koe me tētahi rōpū tohunga hei tohutohu i a koe mō ngā hapūtanga mōrearea nui me te pānga o te mate ngākau ki tō hapūtanga.

Ka hoatuhia ngā rongoā ki a koe i ngā wā katoa, pērā i ērā e whakamahia ana mō ētahi atu momo ngoikore o te ngākau. Hei tauira:

• Ngā aukati whākōkī tahuri-angiotensin (ACE) .
• Ngā aukati i ngā kaiwhakawhiwhi Angiotensin II (ARB) .
• Angiotensin receptor/neprilysin inhibitors (ARNIs) .
• Ngā aukati-beta .
• Ngā rongoā whakaheke toto (ngā pire wai) .
• Hydralazine/nitrates.
• Ngā kaitukino kaiwhakawhiwhi mineralocorticoid (MRA) .
• Ngā aukati kawe-rua konutai-kurukose-2 (SGLT2) .
• Ngā rongoā whakaheke toto (ngā rongoā whakangawari toto) .

I runga anō i te pai o te mahi a tō ngākau, me hiahia pea koe ki ētahi atu maimoatanga. Kei roto i ēnei ko:

• He mea pērā i te taputapu ngakau ka taea te mau, te mea rānei kua whakatōkia (he taputapu whakamātao ngakau) .
• He taputapu āwhina mō te ventricle maui (LVAD) .
• Te whakawhitinga ngākau . He tikanga tēnei mā te hunga kua tino horapa te mate, kua tino iti te LVEF, ā, kāore e aro ki te maimoatanga.

Ngā raruraru me ngā pānga taha o te maimoatanga

Ka rerekē ngā pānga taha o te maimoatanga i runga i te maimoatanga me te mea kei te hapu koe i taua wā. Mā te tango i ngā beta-blockers i te wā e hapu ana ka iti te taumaha o tō pēpi i te whānautanga, ka iti te huka toto (hypoglycemia), ka puhoi te tere o te ngakau (bradycardia), ka aukati rānei i te ngakau.

Kāore ētahi rongoā – pērā i ngā aukati ACE, ngā ARB, ngā ARNI, ngā MRA me ngā aukati SGLT2 – e haumaru ana ki te whakamahi i te wā e hapu ana. Heoi, he haumaru te nuinga o te wā ki te tango i te wā e whāngai ana i te u, nā te mea he iti noa iho ngā wāhanga ka uru ki te waiū u. He mea nui kia kōrero koe ki tō tākuta mō te wā, ngā mōrearea me ngā pānga taha o ia rongoā.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Neke atu i te 50% o te hunga e pāngia ana e te mate ngakau pōrearea o te whānautanga ka ora anō ki te mahi noa o te ngākau – he maha ngā wā i roto i te iti iho i te ono marama o te maimoatanga. Ka ora anō ētahi i roto i ētahi rā, wiki rānei. Mō ētahi atu, ka roa pea ngā tau ki te ora anō.

Heoi, ahakoa kua hoki anō te mahi a tō ngākau ki te āhua noa, me tango tonu e koe te rongoā mō te tau kotahi pea te roa .

Me pēhea te whakaiti i te mōrearea o te cardiomyopathy peripartum?

Ko te huarahi pai hei ārai i te mate ngakau i muri i te whānautanga ko te mahi i ngā mea katoa hei pupuri i te hauora o tō ngākau. Ahakoa kāore e taea te karo i ngā āhuatanga mōrearea katoa, ka taea e koe te whakahaere i ētahi atu mā te:

• Te kai i ngā kai hauora mō te ngākau .
• Te whai wāhi ki te whakakorikori tinana i ia wā .
• Te karo i ngā hua tupeka me te waipiro .
• Mahi tahi me tō tākuta ki te whakahaere i ngā āhuatanga pēnei i te taumaha rawa, te momona rānei .
• Tirohia tō toto toto i ia wā, ā, rapua he maimoatanga mēnā e tika ana .

Mena i pāngia koe e te ngoikore o te ngākau i tētahi hapūtanga o mua, kōrero ki tō tākuta mō ngā āhuatanga mōrearea e pā ana ki a koe mēnā kei te whakaaro koe ki te hapū anō.

He aha ngā mea ka taea e koe te tumanako mēnā kei te pāngia koe e te Peripartum Cardiomyopathy?

Mena kei a koe te Peripartum Cardiomyopathy, me mahi tahi koe me tō tākuta me tētahi rōpū tohunga ki te aroturuki i tō hauora. Mena kei te hapu tonu koe, ka aroturukihia hoki e tō rōpū hauora te āhua o tō pēpi.

Mā rātou anō hoki e whakarite tō whānautanga. Mena kei te pumau tō ngoikore o te ngākau, tera pea ka hiahia tō tākuta kia whānau koe i te taha tara. Heoi anō, me whakamahi pea koe i te epidural, i te episiotomy, i te whakamahi rānei i te forceps hei whakahaere i te whānautanga.

Mena kei a koe te Peripartum Cardiomyopathy, he nui ake te tūponotanga ka whānau wawe koe i te pēpi (C-section) . He mea nui kia kōrero koe ki tō tākuta mō ō kōwhiringa me ngā mōrearea.

I muri i te whānautanga o tāu pēpi, me mahi tonu koe me tō tākuta ki te whakahaere i tō tiaki me te maimoatanga. Ka whakawhirinaki te āhua o ō kare ā-roto me te tere o tō ora ki ngā āhuatanga maha, engari ko te mea nui ko tō haurua ejection fraction ventricular maui (LVEF) . Mena he iti iho i te 30% tō LVEF i te wā i tātaritatia ai, he nui ake te tūponotanga ki te whakawhanake i ngā raruraru nui.

He mate pumau te Peripartum Cardiomyopathy?

Mō ētahi tāngata, he mate pumau te ngakau pōuri i muri i te whānautanga. Mō ētahi atu, ka taea e te maimoatanga te whakahaere i ngā tohu me te whakahoki i te mahi o te ngakau ki te āhua noa, ki te āhua noa rānei.

Mena kei te 50% ki te 55% pea tō LVEF, ka whakaarohia e tō tākuta kua ora katoa koe i te cardiomyopathy peripartum. Ko te nuinga o ngā rangahau e titiro ana ki tēnei tau i roto i ngā marama e ono i muri i te tātaritanga. He rerekē rawa ngā reiti whakaora i ia rohe, i ia iwi hoki. I te Hononga o Amerika, ko te reiti whakaora i muri i ngā marama e ono kei waenganui i te 44% me te 63%, i ētahi whenua he iti iho i te 21% ki te 36%.

I kitea i roto i tētahi rangahau e 4 o roto i te 5 o ngā wāhine mangu e pāngia ana e te mate ngakau pōrearea o te whānautanga kāore e tino ora, ā, 1 o roto i te 10 kāore e ora. (Kia mahara anō, he rangahau tēnei nō Amerika).

Ahakoa kua hoki anō te mahi a tō ngākau ki te āhua noa, me aro turuki tonu koe i tō hauora, me mahi tahi hoki me tō tākuta. Nā te mea kotahi i roto i te rima o ngā wāhine e ora ake ana i te mate ngakau i muri i te whānautanga ka hoki anō te ngoikore o te ngākau. Waihoki, ahakoa kua hoki anō tō LVEF ki tōna taumata hauora, tera pea ka pāngia koe e ngā pānga roa, pērā i te hekenga o tō kaha ki te whakakorikori tinana.

He aha te roanga o te oranga mō te Peripartum Cardiomyopathy?

Ko te roanga o te oranga mō te mate ngakau pōrearea i te wā e hapu ana, e whakawhirinaki ana ki tō āhua, ki te pai o te mahi a tō maimoatanga, me ētahi atu āhuatanga e pā ana ki tō hauora whānui. Ko te iti o tō haurua ejection ventricular maui (LVEF), ko te teitei ake o tō tūponotanga ki te mate. Waihoki, kāore te tirohanga whānui i te pai mō te hunga e hiahia ana ki ngā taputapu hauora hei āwhina i te mahi a ō rātou ngākau.

E ai ki ngā whakatau tata a ngā kairangahau ko te reiti mate o te ao kei waenga i te 2.5% me te 32%. Ko te Hononga o Amerika kei te pito iti rawa o tēnei awhe, me te reiti mate i waenga i te 6% me te 10%.

Me pēhea taku tiaki i ahau anō?

Ko te mea tino nui ka taea e koe te mahi hei tiaki i a koe anō ko te toro atu ki tō tākuta i ia wā, i ia wā . Whai i te mahere a tō tākuta, me te kōrero ki tō tākuta mō ngā raruraru, ngā huringa rānei ka kitea e koe.

Anei ētahi whakarerekētanga māmā ka taea e koe te mahi i ia rā:

• Whakaitihia te nui o te tote e kainga ana e koe . Kimihia ētahi atu huarahi hei tāpiri i te reka ki te kai me te kore tote.
• Paunatia tō taumaha i ia wā, i ia wā, kia tirohia ai mēnā kei te pupurihia te wai . Mēnā ka piki ake tō taumaha ki te 3-4 pauna (tata ki te 1.3 - 1.8 kg) i roto i ngā rā e rua, e toru rānei, kōrero ki tō tākuta.
• Te whakamutu i te kai paipa . Pātai atu ki tō tākuta mō ngā rauemi hei āwhina.
• Te whakaiti i te inu waipiro, te whakamutu rānei i te inu katoa .

Mena kei te whāngai u koe, kōrero ki tō tākuta mō ngā mōrearea, pērā i te tuku rongoā ki tō pēpi mā roto i tō waiū ū. I te nuinga o te wā, ko ngā painga o te whāngai u – pērā i te hononga ki tō pēpi – he nui ake i ngā mōrearea. Akene he pai ki te mahi tahi me tētahi kaitohutohu i muri i te hapūtanga hei āwhina i a koe ki te whakatau he aha te mea pai mōu me tō pēpi.

Te Matepukupuku o te Rākau me te Hauora Hinengaro i te Wā Whakawhanau

He mate whakarerekē oranga pea te Peripartum Cardiomyopathy. I a koe e tiaki ana i tāu pēpi hou, tera pea ka rongo koe i ngā kare ā-roto maha i te wā kotahi. Ka taea te taumaha ki te whakahaere i ēnei mea katoa i te wā kotahi.

Ka taea e te ahotea e puta mai ana i te mate ngakau i te wā e hapu ana te whakanui ake i te tūponotanga o te whakawhanake i ngā mate hinengaro. Neke atu i te 50% o te hunga whai mate ngakau i te wā e hapu ana ka pāngia e te manukanuka whānui, te manukanuka rānei mō te āhua o tō rātou ngākau.

I te Hononga o Amerika, tata ki te kotahi i roto i te 10 ngā wāhine ka pāngia e te pouri muri i te whānautanga, ā, tata ki te kotahi i roto i te 3 ngā wāhine ka pāngia e te pouri i muri i te tātaritanga kua pāngia rātou e te Peripartum Cardiomyopathy.

Ki te mea kei te pōuri koe, kei te manukanuka, kei te taumaha rānei, ehara i te mea ko koe anake. Ki te mea kāore anō koe kia mahi tahi me tētahi kaiwhakatakoto whakaaro, me tono atu ki tō tākuta mō tētahi tohutoro.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ētahi tohu o te Peripartum Cardiomyopathy, waea atu ki tō tākuta tonu atu.Ka whai wā whakarite auau koe i te wā e rongoatia ana. Kia pai anō te mahi a tō ngākau (me te LVEF noa), me toro atu koe ki te tākuta kotahi i te tau, neke atu rānei i te wā, kia tirohia tō ngākau. Koinā te wā ka taea e koe te kite mēnā ka hoki mai anō te mate. Ki te hoki mai anō, mā ngā tirotiro auau ka taea te kite wawe.

Āhea koe me haere ki te rūma whawhati tata?

Ki te pāngia koe e te mamae o te uma, te tere o te manawa, te hemo o te ngākau, te puta rānei o tētahi tohu hou, waea atu ki te 911 (ki tō nama urupare ā-rohe rānei), haere rānei ki te rūma urupare (ER) .

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

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Ka taea e au te rongoā, me whakamahi rānei i tētahi taputapu hauora?
• Me pokanga tākuta (C-section)?
• Kia pēhea te auau o taku haerenga mai mō ngā wā whakarite whai muri?

Ka taea e au te hapu anō mēnā he Peripartum Cardiomyopathy tōku?

He maha ngā wāhine ka pāngia e te mate ngakau pōrearea o te whānautanga neke atu i te kotahi. Mēnā ka pāngia koe i te kotahi hāputanga, he nui ake te tūponotanga ka pāngia anō koe. Tata ki te 1 i roto i te 3 ngā wāhine ka pāngia anō i te hāputanga e whai ake nei.

Ka taea e koe te kōrero ki tō tākuta mō te haumaru o te haputanga anō. Mena he tino mōrearea, me whakaaro pea koe ki te ārai whānau. Me hiahia koe ki tētahi tikanga ārai whānau kāore he estrogen, nā te mea ka whakanui ake te rongoā estrogen i te mōrearea o te toto totoka me te thrombosis.

Ki te hapu anō koe, me aroturukitia koe me ngā tirotiro auau kia kitea ai ngā tohu tōmua o te ngoikore o te ngakau.

Ina whakarite koe ki te whānau pēpi, kāore koe e whakaaro ka pāngia koe e te mate manawa. He uaua rawa te whakahaere i tētahi mate manawa hou i a koe e tiaki ana i tētahi pēpi hou. Ka tautokohia koe e tō rōpū hauora i ia taahiraa, ka mahia e rātou ngā mea katoa hei whakapakari i tō manawa. Mena kei te hapu koe, ā, he take mōrearea tō mate ngakau peripartum, kōrero ki tō tākuta. He mea nui kia wawe te tautuhi i te mate hei whakaiti i te mōrearea o ngā raruraru nui mōu me tō pēpi, ā, kia whiwhi ai koe i te maimoatanga e hiahiatia ana e koe .

He aha ngā mea tino nui hei ako mā tātou i tēnei pūrākau?

Ko te Peripartum Cardiomyopathy he mate e ngoikore ai te ngākau, ka puta pea i te mutunga o te hapūtanga, i roto rānei i ētahi marama i muri i te whānautanga. He rite ngā tohu ki ērā o te hapūtanga noa, nō reira kia tūpato ki ngā mea pēnei i te poto o te manawa, te ngenge rerekē, me te pupuhi o ngā waewae . Mā te kitenga wawe me te maimoatanga ka nui ake te tūponotanga o te ora. Mena he āwangawanga āu, kia kite i te tākuta.He mea tino nui hoki te tiaki i tō hauora hinengaro. Kia maumahara, ehara i te mea ko koe anake, ā, he tokomaha ngā tāngata ka taea te āwhina.

` Te Mate Manawa o te Whānautanga, Te Mate Manawa o te Whānautanga, Te Korenga o te Manawa, Te LVEF, Ngā Whakararuraru o te Whānautanga, Ngā Tohumate o te Mate Manawa, Te Hauora o Muri i te Whānautanga