I whānau pēpi koe? I pāngia rānei koe e tētahi wheako mamae pēnei i te materoto? I muri i tētahi huihuinga pēnei, ka roa te wā e ora ai te tinana. Nō reira, he mea noa te pāngia e te toto o te tara me te mamae ngawari mō ētahi rā. Heoi, ki te nui rawa atu tēnei toto i te mea noa, ki te puta he toto toto nui, ki te kore rānei he whakapainga i muri i ētahi rā, ehara i te mea pai kia mutu noa. Tērā pea nā tētahi āhuatanga e kiia nei ko te "kiko uterine i puritia," e kōrerohia ana e tātou i tēnei rā.
He aha te wāhanga o te kōpū e puritia ana (RPOC)?
Tērā pea he ahua uaua tēnei ina rongo koe i te ingoa, engari he tino māmā noa iho.
I muri i te mutunga o te wā hapūtanga, arā, i muri i te whānautanga o te pēpi, i muri i te materoto, i muri rānei i te whakatahe, kei te toe tonu ngā wāhanga kiko i roto i te kōpū e pā ana ki taua wā hapūtanga, koinei te mea e kiia nei e tātou i roto i te rongoā he `(Ngā Hua Pupuri o te Hapūtanga - RPOC)`. Whakaarohia, i te wā e hapū ana, ka whanake tētahi atu mea nui e kiia nei ko te whenua whānau i roto i te kōpū me te pēpi, tika? Ka whiwhi te pēpi i te kai me te hāora e hiahiatia ana e ia mā roto i tēnei whenua whānau. I muri i te whānautanga o te pēpi, me wehe katoa tēnei whenua whānau i te kōpū ka puta ki waho. Engari i ētahi wā, kāore pea e tangohia katoatia ngā wāhanga iti o tēnei whenua whānau, ngā wāhanga kiko o te kukune, o te tamaiti rānei, ētahi atu wāhanga kiko rānei e pā ana ki te wā hapūtanga, ā, ka noho tonu ki roto i te kōpū. Koia mātou i karanga ai i tēnei āhuatanga.
Nō reira, he rite tonu tēnei ki te "Whenua Pupuri"?
Kāo, he rerekē paku nei. Ka kiia ko "Retained Placenta" ina kore te whenua katoa e puta mai i te kōpū i roto i te 30-60 meneti o te whānautanga. I taua wā, kei te kōrero tātou mō
te whenua katoa . Engari he āhua whānui ake te `(RPOC)`. I konei, ehara i te whenua katoa, engari
he wāhanga iti o te whenua, he wāhanga kiko fetal, he mea rānei e toe ana i roto i te kōpū. Ki te kī noa, ka taea te kī ko te `(Retained Placenta)` he momo `(RPOC)`.
He aha ngā tohu o tēnei mate? Me pēhea te mōhio ki tēnei?
Nā te maha o ngā huringa o tō tinana i muri i te whānautanga o te pēpi, he ngāwari noa iho te whakaaro he mea noa iho ēnei tohu. Engari he mea nui kia mōhio koe ki tēnei.
Kia maumahara, he mea noa te whakaheke toto mō ētahi wiki i muri i te whānautanga o te pēpi, i te materoto rānei. Engari me heke haere. Ki te kore, he mea hei aro atu.
Ko te tohu matua, ko te tohu tino kitea, ko
te toto rerekē, te toto nui rānei o te tara. Me whakamārama atu anō tēnei:
- Te toto nui : Ki te nui tō toto e mākū katoa ai te papa i ia rua hāora.
- Te puta o ngā toto toto nui: Mēnā ka puta mai he toto toto nui atu i te mea noa.
- Te toto whakatārewatanga: Mena ka mutu te toto mō ētahi rā, kātahi ka tīmata anō te toto nui.
- Te rerenga mai o te tara he kakara kino: Mena he kakara kino te rerenga mai o te tara, he tohu pea tēnei nō te mate pukupuku.
Haunga tēnei tohu matua, ka kitea anō hoki ētahi atu tohu.
| Tohu | Whakaahuatanga |
|---|
| Te kirika me te makariri | Mena ka puta he mate i ngā wāhanga e toe ana i roto i te kōpū, ka pā pea te kirika. |
| Mamae o raro o te puku | Tērā pea ka rite ki te mamae koi, pumau, ki te kōpiri rānei i te puku o raro. |
| Te kōpū kua nui, kua tairongo hoki | I te wā e tirotirohia ana, tera pea ka kitea e te tākuta he nui ake te kōpū i tō te whakaaro, ā, he mamae hoki ki te pā atu. |
| Te korenga e tīmata anō te paheketanga o ia marama | Ki te kore koe e whāngai ū, me tīmata anō tō paheketanga i roto i ngā wiki 6-8. Ki te kore, he tohu pea tēnei mō tēnei mate. |
He aha tēnei e tupu nei? He take motuhake kei reira mō tēnei?
He uaua te tautuhi i tētahi take kotahi. Heoi, kua tautuhia e ngā tākuta ētahi āhuatanga e whakanui ake ana i te mōrearea o te whakawhanake i tēnei mate.
Ko te āhuatanga mōrearea matua ko te mea kua pāngia koe e tēnei mate (RPOC) i tētahi hāputanga o mua,He nui hoki te mōrearea o tēnei mea anō i ngā hāputanga o muri mai. Hei tāpiri, ka piki ake pea te mōrearea e ngā āhuatanga e whai ake nei.
| Tauwehenga mōrearea | He whakamārama māmā |
|---|
| Te Wāhanga Āketata | He āhuatanga tēnei e piri tika ana te whenua ki te pakitara kōpū. Kātahi, i muri i te whānautanga o te pēpi, kāore e ngāwari te tango. He nui te tūponotanga ka toe tonu ētahi wāhanga. |
| Neke atu i te 35 tau te pakeke | Ka paku piki ake te mōrearea mēnā neke atu i te 35 tau te pakeke o te whaea i te wā e hapu ana. |
| Tukunga Āwhina | Mena me whakamahi koe i ngā taputapu pēnei i te kuku, i te mīhini mimiti rānei hei tango i te pēpi. |
| Te mate pāwera, te whānautanga mate rānei i te rua o ngā marama o te hapūtanga (wiki 13-26) | I tēnei wā, he nui te tūponotanga kāore e tangohia katoatia te whenua whānau, ā, ka toe tonu ētahi wāhanga. |
| Te Kore e Ahunga Whakamua i te Whānautanga | I te haere tonu o te whānautanga, ka ngenge pea te kōpū, ā, kāore e kaha ngā mamae e tika ana hei pana katoa i te whenua whānau. |
| Te pokanga kōpū o mua | Mena kua mahia he pokanga tākihi (C-section) me te D&C rānei i mua, ka taea e te kiko koha i roto i te kōpū te mea kia piri hohonu te whenua. |
| He kōpū āhua koretake te āhua | He rerekē te āhua o te kōpū o ētahi wāhine mai i te whānautanga, ā, ahakoa i taua wā, ka noho tonu ētahi wāhanga. |
Ka aha mēnā kāore ēnei wāhanga e tangohia? Ka puta he raruraru nui?
Āe. Ki te kore tēnei mate e rongoatia, ka arahi pea ki ngā raruraru nui. Koia mātou e kī ana kia tūpato ki ēnei tohu.
- Te kore toto toto : Ka heke te nui o te toto i roto i te tinana i te nui o te toto, ka puta ai ngā tohu pēnei i te ngenge me te whanoke .
- Ngā Mate Pukupuku: Ko te toenga o te kiko i roto i te kōpū he wāhi tino pai mō te tipu o ngā huakita . Ka horapa pea tēnei mate ki ngā ngongo fallopian me ngā ovaries , ka pā ki tō āheinga ki te whānau tamariki ā muri ake nei. I ētahi wā, ka horapa tēnei mate puta noa i te tinana, ka puta he mate morearea pērā i te sepsis .
- Mamae Pūmau o te Kōpae: Tērā pea ka roa te mamae o te puku o raro.
- Te Mate Asherman: He mate onge tēnei. Mā te mate, mā te maimoatanga rānei i roto i te kōpū (ina koa he D&C) ka piri ngā pakitara o te kōpū. Ka arahi pea tēnei ki te paheketanga koretake, te mate pāwera, me te uaua ki te hapu ā muri ake nei.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
He uaua ki te tino mōhio kei a koe tēnei mate i runga i ngā tohumate anake. Ka kitea anō hoki ēnei tohumate i roto i ētahi atu mate hauora. Nō reira, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei whakaū i tēnei.
| Tikanga whakamātautau | He aha tāu e ako ai i tēnā? |
|---|
| Matawai Ultrasound Transvaginal | Mā tēnei matawai, e whakaurua ai he pūwero iti mā roto i te tenetene, ka kitea mārama mēnā kua matotoru te pakitara o roto o te kōpū, mēnā rānei he puranga kiko kei roto. |
| Te Ine-orooro Doppler Tae | He momo matawai anō hoki tēnei. Ka taea te kite mēnā kei te toe tonu te toto i roto i te kiko e toe ana i roto i te kōpū. Mēnā he toto kei roto, ko te tikanga he wāhanga o te whenua whānau. |
| Whakamātautau toto HCG (Whakamātautau Gonadotropin Chorionic Tangata) | He homoni te HCG e hangaia ana e te whenua i te wā e hapū ana. Mena kei te teitei tonu te taumata o tēnei homoni i roto i te toto i ētahi wiki i muri i te mutunga o te hapūtanga, he tohu tēnei kei te noho tonu ētahi wāhanga o te whenua i roto i te kōpū. |
| Histeroscopy | I roto i tēnei, ka tukuna he ngongo angiangi me te kāmera e piri ana mā roto i te tenetene ki roto i te kōpū, ā, ka tirohia tika te roto i runga i te mata. Mā tēnei ka taea e koe te kite tika i ngā wāhanga e toe ana. |
He aha ngā maimoatanga mō tēnei?
Mena ka whakaūtia tēnei āhuatanga, me tango ngā wāhanga e toe ana. E rua ngā kōwhiringa maimoatanga matua mō tēnei. Mā tō tākuta e whakatau te maimoatanga tino tika mōu i runga i tō āhuatanga, te kaha o ō tohumate, me te nui o te kiko e toe ana. 1.
Te Whakahaere Hauora:- Misoprostol: He rongoā tēnei e tangohia ana hei pire, e whakanohoia rānei ki roto i te tara. Ka whakawhāiti (ka whānui) te kōpū. Ina whakawhāiti te kōpū, ka panaia ki waho ngā toenga o roto.
2.
Te Whakahaere Pokanga:- Te Whakawhanui me te Whakatōtō (D&C): He pokanga iti tēnei. I te reo Sinhala, ka kiia hoki ko te "horoi i te kōpū." I konei, ka whakatuwheratia te kōpū, ka whakauruhia he taputapu motuhake (he ngongo momi te nuinga o te wā), ā, ka horoia, ka tangohia ngā toenga paru e piri ana ki ngā pakitara o te kōpū. I te nuinga o te wā ka mahia tēnei i raro i te rongoā whakamoe.
He tūponotanga kei roto i ēnei maimoatanga?
Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea o ēnei tikanga. Ka pā pea ngā āhuatanga pēnei i te toto nui me te mate pāwera ki ngā mea e rua, engari he iti noa te tūponotanga. He tino onge te D&C.
Ka puta pea he poka i roto i te kōpū, engari he maha ngā wā ka ora ake. Ko te mea nui ko te kōrero tuwhera ki tō tākuta mō ēnei maimoatanga me ō rātou painga me ō rātou huakore. Kātahi ka taea e koe te whakatau whai whakaaro.
He aha ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta?
I muri i te mutunga o tō hapūtanga, ki te puta mai ētahi o ngā tohu e whai ake nei i a koe, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera, whakamōhio atu rānei ki tō tākuta.- Te uaua ki te manawa
- He toto nui rawa te toto o te tara (he nui ake i te kotahi te mākū i te hāora)
- Te kirika nui
- Whakapairuaki me te ruaki
- Te mamae nui o te puku o raro e kore e taea te whakamanawanui
I roto i tēnei āhuatanga, kaua e tatari ki te kāinga. Ko te mea tino haumaru ko te rapu tohutohu hauora tonu. E mōhio ana ahau he tino uaua te tū atu ki tēnei āhuatanga, tae atu ki te hinengaro. Ki te hiahia koe ki te wheako i te harikoa o te whānautanga o tētahi pēpi, ki te ngana rānei koe ki te whakakore i te mamae o te mate pāwera, he mea noa te rongo i te taumahatanga nui ina kīia atu me whai maimoatanga anō koe. Engari kia mahara, he āhuatanga tēnei ka taea te whakaora katoa mā te maimoatanga. He maha ngā wāhine ka taea te hapu anō me te kore he raruraru i muri i tēnei maimoatanga, ā, ka whānau tamariki hauora. Kōrerohia marietia ki tō tākuta, ki tō tāne, me tō whānau mō ō pātai, ō wehi, me ō kare ā-roto. He tino whakamarie tēnei mōu. Karere Tangohia ki te Kāinga
- Ko te noho mai o ngā toenga o te kiko o te kōpū i muri i te mutunga o te hapūtanga (whānautanga, whakatahe) ka kiia ko te toenga o te kiko kōpū (RPOC) .
- Ko ngā tohu matua ko te toto nui, te kirika, me te mamae o te puku o raro .
- Ki te kore te toto e heke haere i muri i te whānautanga, i te materoto rānei, engari ka piki ake, ka tīmata anō rānei, me toro atu ki te tākuta tonu.
- Ki te kore tēnei āhuatanga e rongoatia, ka arahi pea ki te mate toto iti me ngā mate kino.
- Ka taea tēnei te kite mā te matawai i te ultrasound me ngā whakamātautau toto, ā, ka taea te whakaora katoa mā te rongoā, mā te pokanga iti rānei (D&C).
- I muri i te whiwhinga o te maimoatanga tika, kāore he pānga ki ngā hāputanga hauora a muri ake nei.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero