He tino piri rawa tō whenua ki te kōpū? Me kōrero tātou mō te Whenua Accreta!

Hei whaea, he iti noa iho ō mataku mō ngā mea i ētahi wā, kāore? Ina koa ka tata koe ki te whānau pēpi, mō te whenua whānau. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka pā ki ētahi whaea i te wā e hapu ana, engari me tūpato koe, ā, ka taea hoki te mōrearea. He āhuatanga tēnā e kiia nei ko (Placenta Accreta) .

He aha te (Placenta Accreta)? He māmā noa iho...

Ki te kī māmā noa, ko te Placenta Accreta te wā e piri hohonu rawa ai te whenua, e whakarato ana i ngā matūkai me te hāora ki tō pēpi, ki te pakitara o tō kōpū. I roto i te hāputanga noa, ka ngāwari te wehe o tēnei whenua i te pakitara kōpū i muri i te whānautanga o te pēpi. Heoi, i roto i te take o te Placenta Accreta, he tino piri te whenua ki te pakitara kōpū, kāore e ngāwari te wehe i muri i te whānautanga o te pēpi.

Whakaarohia pēnei, pērā i te wā e whakatōkia ana he tipu ki te whenua, ka horapa noa ōna pakiaka, i roto i te haputanga hauora ka piri te whenua ki te pakitara o te kōpū. Heoi, i roto i te Whenua Accreta, ka hohonu ake ngā pakiaka o taua tipu i te mea i whakaarohia, me te mea nei kua uru tika atu ki roto i tētahi mea mārō pērā i te raima, ā, kua uru te whenua ki te paparanga uaua o te pakitara o te kōpū, ā, kua piri pūmau.

I ngā wā tino kino, ka taea e tēnei te arahi ki te toto nui o te tara. Ka taea te whakararu i te ora. I tēnei wā, me whai toto pea koe (arā, he toto toto) me te tango i te kōpū. Ko ngā tākuta e whakarato ana i te tiaki hapūtanga ka tātaritatia te mate i te wā e hapu ana, i ētahi wā i te wā whānau. Ko te tikanga o te maimoatanga ko te whānautanga o te pēpi mā te whānautanga kua whakaritea (C-section) hei whakaiti i te tūponotanga o ngā raruraru nui, ā, muri iho ka tango i te kōpū.

He rerekē ngā momo Placenta Accreta?

Ae, e toru ngā momo matua o te Placenta Accreta. Ka whakatauhia ēnei momo e ngā tākuta i runga i te hohonu o te piri o te placenta ki tō kōpū.

1. Te Wāhanga Āketa: Koinei te momo tino kitea. I konei, ka piri pū te whenua ki te pakitara o te kōpū, engari kāore e toro atu mā roto i te pakitara, ā, kāore e pā nui ki ngā uaua o te kōpū.

2. Te Wāhi Whakatō: I tēnei momo, ka piri hohonu ake te whenua whakatō ki roto i te pakitara o te kōpū, ki roto i te paparanga uaua. Kāore anō kia tino uru ki roto i te pakitara, engari kua piri pūmau ki ngā uaua o te kōpū. Ka puta tēnei i roto i te 15% o ngā take katoa o te Wāhi Whakatō.

3. Te Wāhi Whakatō: Koinei te take tino kino, tino morearea hoki. I konei, ka uru katoa te whenua ki roto i te pakitara o te kōpū. Ka taea e ia te haere ki tua atu o te kōpū, ka pā ki ētahi atu okana o tō tinana, pērā i te pūkahukahu me ngā whekau, ka piri rānei ki a rātou. He iti noa iho te tokomaha o ngā tāngata ka pā tēnei, tata ki te 5%.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te Placenta Accreta?

He nui ake tō tūponotanga ki te whakawhanake i te Placenta Accreta mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:

• Mena kua whānau kē koe i mua i te pokanga me te tākuta: He nui ake te mōrearea, ina koa mena he maha āu whānautanga tākuta, nā te mea ka puta pea te koha o te kōpū i te wāhi i pokangahia ai.
• Mena kei tētahi tūranga rerekē te whenua i roto i tō kōpū: Hei tauira, mena he mate tōu e kīia nei ko te "Placenta Previa", arā, kei te wāhanga o raro o te kōpū te whenua, e kapi ana i te kaki o te kōpū.
• Mena kua pokangahia tō kōpū i mua: Mena kua pokangahia koe pēnei i te tango i ngā fibroids uterine, i te D&C rānei (te whakawhānui me te curettage), ka puta pea tēnei āhuatanga nā te mea he koha kei aua wāhi.
• Mena kua maha ō hāputanga ('neke atu i te kotahi te hāputanga') i mua.
• Mena kua hapu koe mā te IVF (whakatō horihori).

Whakaarohia, he hoa tōu, me kī ko Nimali. E rua ngā pēpi kua whānau i mua i a Nimali mā te pokanga tākihi. Nā te mea kua hapu ia i tana pēpi tuatoru, ka kī atu te tākuta me āta tupato ia ki te tūranga o te whenua whānau. Nā te mea kua pokanga tākihi ia i mua, tera pea he koha iti kei te kōpū i mahia ai te pokanga. Koia te take ka piki ake te mōrearea o te Placenta Accreta.

Ka pā kino te Placenta Accreta ki te pēpi?

Kāore te Placenta Accreta e pā kino tika ki te pēpi. Heoi, he maha ngā wā ka taea e tēnei āhuatanga te arahi ki te whānautanga o mua i te wā (whānautanga o mua i te wā). Ko te tikanga ka taea te whānau o te pēpi i mua i te 37 wiki. He mōrearea ngā pēpi i whānau wawe i mua i te wā pērā i te uaua ki te manawa me te uaua ki te piki taumaha. Waihoki, he nui ake te tūponotanga ka whakaurua te pēpi ki te Neonatal Intensive Care Unit (NICU) mō te maimoatanga motuhake.

He aha ngā mōrearea ki te whaea nā te Placenta Accreta?

Ahakoa he āhua whakamataku tēnei, he mea nui kia mōhio koe. Tērā pea ka pāngia te whaea e te Placenta Accreta e ēnei tūponotanga:

• Whānautanga wawe.
• Te kino ki te kōpū me ngā whekau e karapoti ana pērā i te pūkahukahu me ngā whekau.
• Te ngaronga o te momonatanga nā te tangohanga o te kōpū.
• Te nui rawa o te toto e puta mai ana, e hiahiatia ana he whakawhiti toto.
• Ngā raruraru toto totoka.
• Te ngoikore o te pūkahukahu, te whatukuhu rānei.
• I ētahi wā tino onge, ka taea te mate. Koia te take e kiia ai tēnei mate he tino kino.

He pēhea te noa o te Placenta Accreta?

E kiia ana ka pā te Placenta Accreta ki te 1 i roto i te 533 hāputanga. Heoi,Kua piki ake te maha o ngā tāngata e pāngia ana e tēnei mate i ngā tau tata nei, nā te pikinga ake o te maha o ngā mahi pokanga (C-sections).

He aha ngā take o te Placenta Accreta?

Ko te take nui o te mate placenta acreta ko ētahi āhuatanga rerekē o te arai o tō kōpū. Tērā pea kua pakaru, kua whara hoki te arai o tō kōpū nā ngā pokanga tango i te kōpū o mua. Engari i ētahi wā ka pā anō tēnei āhuatanga ki te hunga kāore anō kia tangohia te kōpū, tika?

Ko ngā tino take mōrearea mō te Placenta Accreta ko:

• Ngā Wāhanga Cesarean o Mua ('Ngā Wāhanga Cesarean Maha'): Ko ngā wāhine kua maha ngā wā i mahia ai ngā mahi Cesarean he nui ake te mōrearea ki te pāngia e te Placenta Accreta. Nā te mea he kino rawa ngā koha e puta ana i te kōpū mai i aua pokanga. Ka piki ake te mōrearea me te maha o ngā wā i mahia ai ngā mahi Cesarean i roto i te wā. Neke atu i te 60% o ngā take Placenta Accreta kua whai wā Cesarean o mua.
• Ngā pokanga kōpū o mua: Mena kua pokangahia koe hei tango i ngā fibroids uterine (he pukupuku ehara i te matepukupuku), ka taea e te whara te arahi ki te placenta accreta. Waihoki, ko ngā pokanga pēnei i te curettage (D&C) me te endometrial ablation ka taea hoki te whakaputa whara, ka arahi ki tēnei mate.
• Te Wāhi Tāne: I roto i tēnei āhuatanga, kei te uhi te whenua i te kaki o te kōpū. Mō te hunga whai Wāhi Tāne me te hunga kua whānau kētia, ka piki ake te tūponotanga o te whānautanga o te Wāhi Tāne Accreta me te maha o ngā whānautanga e mahia ana.

He aha ngā tohu o te Placenta Accreta?

I te nuinga o te wā, kāore he tohu motuhake e whakaatuhia ana e te hunga whai Placenta Accreta. He mea tēnei hei whakaaroaro māu. Heoi anō, ka pāngia pea ētahi tāngata e te toto tara i te toru o ngā toru marama o te hapūtanga (arā, mai i ngā wiki 28 ki te 40), ka pāngia rānei rātou e te mamae o raro o te puku i te pēhitanga o te whenua ki te pūkahukahu, ki ētahi atu okana rānei.

Me pēhea te mōhio ki te (Placenta Accreta)?

Ka taea te tātaritanga o te Placenta Accreta mā te matawai ultrasound i te wā e hapū ana. I ētahi wā , ka taea te whakahaere i te whakamātautau Magnetic Resonance Imaging (MRI) hei tirotiro i te hohonu o te urunga o te placenta ki roto i te pakitara o te kōpū.

I ētahi atu wā, ka kitea e ngā tākuta te Placenta Accreta i muri i te whānautanga o te pēpi. I te nuinga o te wā, ka kōpiri te kōpū, ā, ka puta te whenua i roto i te 30 meneti i muri i te whānautanga o te pēpi. Ki te kore tēnei e tupu, tera pea ka whakapae te tākuta kei te Placenta Accreta.

He pēhea te hiranga o te kitenga wawe i te Placenta Accreta?

He mea tino nui kia mōhio wawe ki tēnei āhuatanga.

Nā te mea, i te wā e hapu ana koe, ā, i muri i te whānautanga o tō pēpi, ka taea e ngā kaiwhakarato hauora rerekē, arā, ngā tohunga rerekē, te huihui tahi ki te whakamahere i te maimoatanga pai rawa atu māu me tō pēpi. Hei tauira, tera pea ka uru atu tētahi tohunga whānau hou ki te tiaki i tō pēpi, tera pea ka uru atu tētahi tohunga perinat ki te tiaki i a koe. Ka tino aroturukihia koe e tō tākuta, ā, ka mahi ki te whakarato i te putanga pai rawa atu māu me tō pēpi.

Mā te whakauru i te tīma hauora tika, ka taea pea e koe te karo i te tango i te kōpū, te ārai rānei i te toto nui e morearea ana ki te ora. I ētahi wā tino kino, kāore pea e taea e te kitenga wawe te aukati i te tango i te kōpū, te whakawhiti toto rānei. Heoi, mā te kitenga wawe ka taea te whakaiti i te mōrearea o ētahi atu raruraru.

Me pēhea te rongoā mō te Placenta Accreta?

Ka rerekē pea te maimoatanga mō tēnei i ia tangata, i ia tangata. Mēnā ka kitea e tō tākuta i mua i te whānautanga o tō pēpi, ka tirotirohia koe e rātou puta noa i tō hapūtanga. Tērā pea ka tonoa koe kia noho ki te hōhipera, kia okioki rānei i te kāinga hei āwhina i te ārai i te whānautanga o mua.

Ka whakaritea e tō tākuta he wāhanga C (sesarean section) hei whānau i tō pēpi, i waenganui i te 34 me te 37 wiki o te hapūtanga. Hei ārai i te toto nui ka puta mai i ngā kōpeketanga o te kōpū, i te whānautanga rānei. Mena kei te whakaaro koe kia whānau mai anō he tamariki, ka ngana tō tākuta ki te whakaora i tō kōpū.

Heoi, i ngā wā tino kino ina tino hohonu te whenua, ina tino piri te whenua, ina pāngia rānei ētahi atu okana, ko te tango i te kōpū te kōwhiringa haumaru rawa atu. Ko te tango i te kōpū he tikanga e tangohia ai te kōpū i te wā kotahi e whānau ai te pēpi mā te pokanga-c. I roto i tēnei tikanga, ka tangohia e te tākuta te pēpi me te kōpū me te whenua i te wā kotahi. Mā te tango i te kōpū i te wā e piri tonu ana te whenua ka tino whakaiti i te tūponotanga o te toto nui.

Ka whiriwhiri ētahi tākuta ki te waiho i ngā wahi iti o te whenua whānau ki roto i te kōpū, nā te mea ka memeha te whenua whānau i roto i te wā. Heoi, he tūponotanga anō hoki tēnei pērā i te toto nui o te tara, te mate, me te toto totoka. Ka uaua hoki te hapu ā muri ake nei.

Kia pēhea te wawe o te whānautanga o te pēpi ina kei a koe te (Placenta Accreta)?

Ko te nuinga o ngā tākuta e taunaki ana kia whānau he whānautanga i waenga i te 34 me te 37 wiki o te hapūtanga , ki te kore he raruraru kē atu. Hei ārai i a koe kei mamae koe, kei tīmata rānei te whānautanga, ka nui rawa te toto e puta ai. Tērā pea ka hoatu e tō tākuta he rongoā e kiia nei ko ngā corticosteroids hei āwhina i te whanaketanga o ngā pukahukahu o tō pēpi.

Ka taea te ārai i te Placenta Accreta?

Kāore rawa he huarahi hei ārai katoa i te mate (Placenta Accreta).Heoi, ki te mea he maha ngā wā i whānau ai koe i mua, ki te mea rānei he placenta previa tōu (placenta previa), he nui ake tō tūponotanga. Kōrero ki tō tākuta mō tō hītori hauora me te mōrearea o te whakawhanake i te placenta accreta.

He aha te heke mai mō te hunga whai (Placenta Accreta)?

Ki te kitea wawe te Placenta Accreta i te wā e hapu ana, he pai te hua. Heoi, ka arahi pea ki ngā raruraru pēnei i te whānautanga wawe me te tango i te kōpū. Ki te tangohia tō kōpū e tō tākuta, kāore e taea e koe te hapu anō. Ka taea e tēnei mate te whakaheke toto nui, te kino o ō whekau, o tō pūkahukahu rānei, tae noa ki te mate. Koia te take he mate e hiahia ana kia nui te tiaki.

Ka taea te whānau anō i muri i te Placenta Accreta?

Kei runga i tēnei mēnā kua tangohia tō kōpū (he pokanga tango i tō kōpū). Ki te hiahia koe kia nui ake ngā tamariki a muri ake nei, kōrero ki tō tākuta mō tēnei. Tērā pea ka taea e ia te karo i te tango i te kōpū hei pupuri i tō kaha ki te whānau tamariki.

He aha te tūponotanga ka ora mai i te Placenta Accreta?

He pai te nuinga o te wā mō te oranga o te Placenta Accreta. I te nuinga o te wā, me tango te hysteria hei ārai i te toto i muri i te whānautanga, i ētahi atu raruraru kino rānei.

Āhea ahau me waea atu ki taku tākuta?

He mate mōrearea nui te Placenta Accreta i te hāputanga. Ka tirotirohia koe e tō tākuta, ā, ka whakamōhio atu hoki ki a koe mō te toenga o tō hāputanga, te whānautanga, me te whakaoranga. Mena he pātai āu mō tēnei mate, pātai atu ki a rātou. Kei reira rātou hei āwhina i a koe.

Ki te tīmata ohorere koe i te toto nui (kia nui rawa te toto ka mākū te wāhi i roto i te iti iho i te haora) ki te mamae nui rānei tō puku o raro, waea atu ki te 911 tonu, haere rānei ki te hōhipera tata tonu.

He aha ngā pātai me pātai atu e au ki taku tākuta whānau me taku tākuta wahine?

He mea noa te maha o ngā pātai ina kitea he Placenta Accreta tōu. Anei ētahi pātai noa ka taea e koe te pātai ki tō tākuta:

• Me whānau wawe ahau i te pēpi?
• Me pēhea te rongoā mō tēnei mate?
• Me takoto ahau ki te moenga, me whakarerekē rānei i taku mahinga o ia rā?
• Me pēhea taku mōhio āhea me haere ahau ki te hōhipera?
• Ka taea te whānau i te pēpi mā te tikanga tūturu (mā te tara)?
• Ka taea e au te whānau anō i tētahi atu pēpi ā muri ake nei?
• Me tango taku kōpū i te tākihi?

Me tango te kōpū nā te mea kua pāngia te Placenta Accreta?

Ka whakapau kaha te tākuta ki te whakaora i tō kōpū, engari tera pea ka nui ake ngā mōrearea o te mahi pera.(Placenta Accreta) He maha ngā tāngata e pāngia ana e ngā mate kino me tango te kōpū hei ārai i te toto e morearea ana ki te ora. Kōrero ki tō tākuta mēnā he mea tika te tango i te kōpū mō tō āhuatanga.

He aha tā tātou e ako ai i tēnei? (Karere hei tango ki te kāinga)

Ko te Placenta Accreta he mate e kore e puta he tohu i te wā e hapu ana, engari ka taea te whakararu i te ora. Heoi, mā te kitenga wawe me te aroturuki tupato mā te matawai ultrasound ka taea te whakaiti i te tūponotanga o ngā raruraru. I ētahi wā ka kitea te mate i muri i te whānautanga o te pēpi. Mena kei a koe te Placenta Accreta, kōrero ki tō tākuta mō ngā mea ka tūpono atu. Kia maumahara, kei reira rātou hei tiaki i a koe me tō pēpi kia haumaru, kia ora hoki. Nō reira kaua e wehi ki te kōrero ki a rātou mō ō āwangawanga me ō whakaaro.

` Whenua, Kōpū, Hapūtanga, Wāhanga Cesarean, Whānautanga, Toto, Whenua Accreta, Hauora o ngā Wahine, Ngā raruraru o te Hapūtanga