I ēnei rā, he tokomaha te hunga e pukumahi ana ki ngā mea pēnei i te mātauranga me te mahi, nō reira ka roa ake te whakaaro mō te marena me te tamariki. Tērā pea kei te tata koe ki te 40 tau te pakeke, kei te tumanako rānei koe kia noho hei whaea i muri i te 40 tau. "Ka taea te whānau pēpi i tēnei tau?", "He tūponotanga kei reira?", "Me aha ahau?" He maha ngā pātai kei roto i tō hinengaro. Kaua e manukanuka, me kōrero mārama, me ngāwari hoki ngā mea katoa.
He aha te tikanga o te haputanga i te 40 tau?
I roto i te rongoā, ko te haputanga i muri i te 35 tau te pakeke e kiia ana ko te "pakeketanga whaea pakeke." Engari ehara i te mea kāore e taea e koe te whānau he pēpi hauora. Inaa, kua piki haere te reiti whānau mō ngā wāhine 40-44 tau te pakeke puta noa i te ao mai i te tekau tau atu i 1990.
Engari me mārama anō hoki tātou ki te ao tūturu. Whakaarohia, kotahi i roto i te whā o ngā wāhine hauora kei roto i ō rātou tau 20 me te 30 (25%) he tūponotanga ka hapu i roto i te huringa paheketanga o ia marama. Engari i te 40 tau te pakeke, ka heke taua tūponotanga ki te kotahi i roto i te tekau (10%). Ko te tikanga he uaua ake, engari ehara i te mea kāore e taea .
Waihoki, ka paku piki ake te mōrearea o te mate pāwera i te pakeketanga. Mēnā ka hapu te wahine i te 40 tau te pakeke, tata ki te 40% te mōrearea o te mate pāwera. Engari mō te tangata kei roto i ōna tau 20, he iti iho i te 15% tēnei mōrearea. Kaua e mataku ki ēnei tatauranga. He mea hei whakatūpato ēnei, ehara i te mea hei wehi.
He aha i heke ai te momonatanga i te kaumātuatanga?
He maha ngā take matua mō tēnei. Kia tirohia tātou he aha ēnei.
1. Te iti o te rahinga me te kounga o te hua manu
Hei whakarāpopototanga, i a koe e pakeke haere ana, ka pakeke haere hoki ō hua. Whakaarohia, ina whānau mai he kōtiro, ka tae mai ia ki tēnei ao me te tata ki te miriona hua, te maha e hiahiatia ana e ia mō tōna oranga katoa. I te wā e pakeke haere ana ia, kua heke taua maha ki te tata ki te 300,000. I te 37 o ōna tau, e tata ana ki te 25,000 anake e toe ana. Ko te hekenga o te whakaputa hua he tikanga ka heke tōna kaha ki te hapu.
Ehara i te mea koinā anake, engari ko ngā hua tawhito e toe ana he nui ake te tūponotanga kia rerekē ngā ira. Koinei te take matua e piki ake ai te mōrearea o te materoto me ētahi raruraru mō te pēpi i ngā hāputanga pakeke.
2. Ētahi atu raruraru hauora
I waenganui i te 25 me te 40 tau te pakeke, ka pāngia ētahi wāhine e ngā mate pēnei i te endometriosis me te uterine fibroids, ka ārai hoki i te haputanga o te tamaiti.
3. Te āhua o te parāoa o te hoa
Ahakoa kāore i te kōrerohia pinepinetia tēnei, he mea nui anō hoki te pakeke o te hoa. I te pakeketanga o ngā tāne, ka rerekē pea te tere me te āhua o ā rātou parāoa. Heoi, kāore tēnei huringa e tere te puta pērā i te tere o ngā hua manu a ngā wāhine. I te nuinga o te wā ka nui haere tēnei āhuatanga i muri i te 60 tau te pakeke.
He aha ngā mōrearea o te haputanga i muri i te 40 tau?
Ko te mōhio te parepare pai rawa atu. Nō reira, kia tūpato tātou ki ngā tūponotanga hauora ka puta i tēnei wā. Ehara i te mea ka pā ēnei ki te katoa, engari he tino teitei te tūponotanga.
| Mōrearea/Uauatanga | He whakamārama ngāwari noa iho |
|---|---|
| Te preeclampsia | He pikinga ohorere o te toto toto i te wā e hapu ana, e whakaatu ana i ngā tohu o te pakaru o ngā whekau o roto. He mea morearea tēnei mō te whaea me te pēpi. |
| Mate huka hāputanga | He mate huka tēnei e pā ana ki te wā e hapu ana anake. Ka piki ake te taumata huka toto. |
| Te Wāhanga o mua o te Whenua | Ka taupokina katoatia, ka kapi rānei te pūwero i te whakatuwheratanga o te kōpū (cervix) e te whenua whānau. Ka nui rawa te toto i te wā e hapu ana, e whānau ana rānei. |
| Te Wāhanga Cesarean (C-Section) | Ko ngā whaea e hapu ana i muri i te 40 tau te pakeke ka nui ake te tūponotanga ka pokaina te pēpi i te whānautanga noa. |
| Ngā tūponotanga mōrearea ki te tamaiti | Ka piki ake te mōrearea o te whānautanga o tētahi pēpi he taumaha nui i te whānautanga (macrosomia) me ngā āhuatanga rerekē o te ira tangata pērā i te Down Syndrome i te pakeketanga. (Hei tauira, ka piki ake te mōrearea mai i te kotahi i roto i te 1,480 pēpi i te 20 tau ki te kotahi i roto i te 85 pēpi i te 40 tau.) |
Engari kāore i te kore ōna painga!
Kāore i te pai te titiro noa ki te taha pōuri o ngā mea katoa. He painga anō hoki te noho hei whaea i te wā tōmuri.
- Te pumau o tō mahi me tō pūtea: I tēnei tau, tera pea kei te pumau tō mahi, ā, kei te kaha hoki tō pūtea. Nō reira, kei te pai tō tūnga ki te tohatoha i te wā me te moni mō tētahi tamaiti.
- Te pakeketanga hinengaro: I a koe e pakeke haere ana, ka nui ake tō rite hinengaro ki te kawe i ngā kawenga o te tamaiti nā runga i ngā wheako o te ao kua riro i a koe.
- Ngā putanga mātauranga pai ake: Kua whakaatuhia e ētahi rangahau he teitei ake ngā putanga mātauranga o ngā tamariki a ngā whaea e whānau ana i muri mai.
Nā, me pēhea tāu whakarite mō tēnei haerenga?
Ki te whakaaro koe kia whānau he tamaiti i muri i te 40 tau te pakeke, he mea tino nui kia whakamaheretia i mua.
Ko te mea tuatahi, ko te mea nui rawa atu hoki me mahi e koe, i mua i te whakaaro ki te whānau tamariki, ko te toro atu ki tō tākuta whānau me te kōrero mōna. Ka taea e ia te tirotiro i tō hauora me te hoatu i ngā tohutohu e tika ana ki a koe.
Hei tāpiri, kia mōhio ki ēnei mea:
1. He momo noho hauora: Kati rawa te whakamahi i te waipiro, te hikareti, me ētahi atu raau taero. Kai i te kai taurite.
2. Ngā Huaora i te Whānautanga: Tīmata ki te tango i ngā huaora kei roto ko te '(Waikawa Folic)' e ai ki ngā tohutohu a tō tākuta. Ka āwhina ēnei ki te ārai i ētahi mate i roto i te pūnaha io o te pēpi.
3. Rapua he tohutohu hauora: Kōrerohia ki tō tākuta mō tō taumaha, tō kai, me ētahi atu āwangawanga hauora.
4. Kia tūpato ki ngā tikanga hou: Mena he uaua ki a koe te hapu ā-tūturu, ka tūtohu pea tō tākuta i ngā maimoatanga hou.
- Te Whakatōnga In Vitro (IVF): E mōhiotia ana ko te "whakatōnga in vitro," he tikanga tēnei e whakatōngia ai ngā hua manu me ngā parāoa i roto i te taiwhanga, ā, ka whakatōkia te kukune ki roto i te kōpū.
- Te Tiakitanga o ngā Hua Manu: Koinei te whakatio i ngā hua manu. Ka taea e koe te tiki mai i ō hua manu i a koe e tamariki ana, ka rongoa ki roto i te pouaka tio, ka whakamahi i muri mai mō te IVF ina hiahiatia.
Kōrero ki tō tākuta mō ēnei tikanga, kia pai ake ai tō māramatanga.
Karere Tangohia ki te Kāinga
- He mea noa te noho hei whaea i muri i te 40 tau te pakeke i ēnei rā. Ehara i te mea kāore e taea, engari he uaua ake i te wā taitamariki.
- Ka piki ake te mōrearea o te materoto me ngā mōrearea hauora ki te pēpi me te whaea i te pakeketanga. He mea nui kia mōhio ki tēnei, kaua e mataku.
- Ko te mahi tino nui me mahi e koe ko te toro atu ki te tākuta me te whiwhi tohutohu i mua i te haputanga i mua i te whakaaro ki te whānau tamariki.
- He mea tino nui te whai i te oranga hauora, me te whai i ngā tohutohu a tō tākuta.
- Mena he uaua ki a koe te hapu ā-taiao, kōrerohia ki tō tākuta ngā tikanga hauora hou pēnei i te IVF.
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