I te Tūrei whakamutunga, i haere mai a Kavya (28 tau te pakeke), he āpiha peeke kua kotahi tau te marena, ki taku whare hauora me tana tāne.
"E Tākuta Priya, kei te whakamahere māua kia whānau he pēpi i te tau e tū mai nei. I mutu taku tango pire ārai whānau i te marama kua taha ake nei. I ako ahau me pēhea te whakarite i ō tātou tinana i mua i te haputanga, he aha ngā whakamātautau hei mahi, me ngā huaora hei tango," te pātai a Kavya mō āna whakaritenga.
I manaaki ahau i a rātou me te harikoa nui, ā, i whakamārama atu ahau: "E Kavya, he tino mihi nui ki a koe mō tō haerenga mai ki te tiki i tēnei momo tohutohu hauora i mua i te haputanga. I roto i ngā kupu hauora, ko te tikanga o tēnei ko te Tiaki i mua i te Hapūtanga / Te Whakamahere i mua i te Hapūtanga . Tērā pea ka roa te wā e 3 ki te 6 marama ki te hoki anō ki te whakaputa uri i muri i te whakamutu i ngā pire ārai whānau. Me tīmata hoki koe ki te tango i ngā papa waikawa folic i ia rā, i te iti rawa i te kotahi marama i mua i te haputanga. Ka taea e tēnei te ārai i ngā hapa ngongo io kino (NTD) i roto i te roro me te taurakira o te pēpi (hei tauira, te spina bifida) . I tēnei rā, me kōrero tātou mō te whakarite i tō tinana mō te whānautanga hauora."
🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu
Mena ka pāngia koe e ēnei tohu i a koe e whakamahere ana kia hapu, i te tīmatanga rānei o te haputanga, me toro atu koe ki tētahi tākuta whānau me te tākuta wahine tonu:
- Ahakoa kua roa tō paheketanga, tera pea ka pāngia koe e te mamae nui i te taha kotahi o tō puku o raro me te toto o te tara (he tohu pea tēnei o te hāputanga ectopic, arā, he hāputanga i waho o te kōpū).
- He pupuhi, he mamae hononga rānei me te kirika nui i ngā wiki tuatahi o te hapūtanga (tērā pea he tohu o te rubela, o tētahi atu mate huaketo kino rānei).
- E toru, neke atu rānei ngā wā kua pāngia koe e te materoto karapīpiti.
- Te ngana ki te hapu i a koe e pāngia ana e ngā mate mau tonu kāore i te taea te whakahaere pērā i te mate huka, te mate haurangi, te mate ngakau, te mate tākihi rānei.
He mahere kai matua i mua i te haputanga
Kia ora ai te tamaiti i roto i te kōpū, me tino pai te kai e whakaratohia ana e te tinana o te whaea:
- Te Whakamahinga o te Waikawa Folic: Ko ngā whaea he mate huka, he mate haurangi, he hītori rānei o ngā mate pūnaha io i roto i tā rātou tamaiti o mua, me tango hoki i ngā papa 5mg ia rā, tīmata i te marama kotahi i mua i te haputanga, e ai ki ngā tohutohu a te tākuta. Ko ētahi atu whaea noa me tango i te 0.5mg (400mcg rānei) ia rā, tīmata i te 4 wiki i mua i te haputanga, ā, ka haere tonu tae noa ki ngā wiki 12 tuatahi o te hapūtanga.
- Ngā Waikawa Ngako Omega-3: Kai ika i te iti rawa kia rua ngā wā i te wiki kia whiwhi ai koe i tēnei hinu hauora, he mea nui hoki mō te whanaketanga o te roro me ngā kanohi o tāu pēpi.
- Iodine:Me kai tonu i te tote whai iodine, he mea nui hoki te iodine mō te whanaketanga o te roro o tāu pēpi me te mahi a te tairoi.
- Huaora D me te Konupūmā: Kia whiti te rā ki te wāhi ngawari i ia rā kia whiwhi ai tō pēpi i te huaora D e hiahiatia ana e ia mō te whanaketanga o te wheua.
Te whakataurite i ngā matea kai hei whakarite mō te hapūtanga
| Ngā matūkai | Te horopeta o ia rā (i te wā e whakamahere ana) | Te take e hiranga ai | Ngā kai taiao kei roto |
|---|---|---|---|
| Waikawa folic | 0.5 mg - 5 mg (i runga i te tohutohu a te taote) | Hei ārai i ngā hapa o te ngongo io. | Pīnihi, huawhenua rau matomato, pīni, rēneti. |
| Rino | Ngā tāpiringa o ia rā, ngā kai hauora rānei | Hei ārai i te mate toto iti (anemia) i te wā e hapu ana. | Mīti whero, pī, pīnihi, pīnihi. |
| Konupūmā | 1000 mg | Hei tiaki i ngā wheua o te whaea me te whanaketanga wheua o te pēpi. | Miraka, miraka kawa, tīhi, pīni. |
| Omega-3 | Mā te kai, mā ngā tāpiringa rānei | Hei āwhina i te whanaketanga o ngā kiriuhi roro me ngā kanohi o te pēpi. | Ngā ika hinuhinu pērā i te sardine, te makarela, me te nati. |
Ngā mate kino me te werohanga
Me tango ngā werohanga i mua i te hapūtanga hei ārai i ētahi mate ka mate pea te tamaiti i roto i te pēpi mēnā ka pāngia i te wā e hapū ana:
1. Rubella (Rubella / German Measles): Ki te pangia koe e te rubella i a koe e hapu ana, e 30-50% te tūponotanga ka whānau mai tō pēpi he matapo, he turi, he mate ngākau rānei. Me whiwhi koe i te kano kano rubella i mua i te haputanga, ā, me whakaroa te haputanga kia 3 marama i muri i te whiwhinga o te kano kano.
2. Rewharewha (Rewharewha / Varicella): Mena kāore koe i te ātete ki tēnei i mua i te haputanga, me whiwhi koe i te kano kano.
3. Te karo i te Listeria me te Toxoplasmosis:
- Āta karohia te kai i te mīti mata, te ika mata, te miraka kāore anō kia whakamātaotia, me te whakapiri mīti.
- Me karo ngā whaea hapū me te hunga e whakaaro ana kia hapū i te horoi i ngā paru o ngā ngeru kāinga (he mōrearea ki te Toxoplasmosis).
- Horoia rawatia ngā huawhenua me ngā otaota i mua i te kai.
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Me mutu rawa te kai paipa a ngā hoa tokorua i te iti rawa i te 3 marama i mua i te haputanga. | Kaua e whakamahi i ngā rongoā ka hokona kore-tohutohu me te kore he whakahaunga a te tākuta. |
| Tirohia te momo toto o kōrua ko tō hoa rangatira me te tauwehenga Rhesus (Rh) (ina koa mēnā he Rh Kino te whaea). | Āta karohia te inu waipiro me te whakamahi i ngā raau taero turekore (ka pāngia pea te kukune e te mate). |
| Kia mau ki te taumaha hauora o te tinana mā te mahi i ngā korikori tinana ngāwari pērā i te hikoi me te kaukau i ia rā. | Kaua e inu i te neke atu i te 2 kapu kawhe i te rā (ka whakaitihia te momonatanga ki te nui rawa te kawheine). |
❓ Ētahi atu pātai pea āu (FAQ)
Ka taea te hapu tonu i muri i te whakamutu i te tango pire ārai whānau? ▼
He rerekē tēnei i ia wahine, i ia wahine. Ka hapu ētahi wāhine i te marama tuatahi i muri i te whakamutu i te pire, ko ētahi ia e 3 ki te 6 marama pea ka hoki anō ō rātou taumata homoni ki te āhua noa, ā, ka puta he hua i ngā wā katoa.
He aha te pānga o te Rh Rhesus Factor (Rh factor i roto i te toto) ki te haputanga? ▼
Mena he Rh Negative (-) te momo toto o te whaea, ā, he Rh Positive (+) te momo toto o te pāpā, ā, he Rh Positive te momo toto o te pēpi, ka puta pea he paturopi hei ārai i te pēpi i roto i te tinana o te whaea. Ehara tēnei i te raruraru i te hāputanga tuatahi, engari i te hāputanga tuarua, he mea nui kia tautuhia te momo toto me te werohanga i mua i te hāputanga, nā te mea ka taea e ia te whakangaro i ngā toto o te pēpi.
Āhea koe me whakamātautau mō ngā mate ira? ▼
Mena he whanaunga tata kei roto i te whānau he mate ira pēnei i te Thalassemia, te Haemophilia, te Down syndrome rānei, mā te tohutohu ira me te whakamātautau ira i mua i te hāputanga ka taea te tautuhi i te mōrearea o te tuku iho i aua mate ki te tamaiti.
Kia pēhea te tere me rapu āwhina hauora ina hiahia koe kia hapu ?
Ko te tikanga, me rapu awhina hauora te tokorua hauora kei raro iho i te 35 tau te pakeke mēnā kua moe tāne, wahine rānei, e 3-4 ngā wā i te wiki mō te tau, ā, kāore anō kia hapu. Heoi, mēnā kua neke atu i te 35 tau te pakeke o te whaea, he huringa paheketanga koretake rānei, me rapu awhina hauora i muri i te 6 marama.
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