Ka taea e ngā wāhanga o te kōpū te toe i muri i te whānautanga o te pēpi? (Ngā Hua o te Hapūtanga i Pupuritia)

Kua whānau pea koe, kua mate pāwera rānei koe. Heoi, ka roa te wā e ora ai tō tinana i muri i taua huihuinga. He mea noa te pāngia e te toto i tēnei wā. Heoi, i ētahi wā ka nui atu tēnei āhuatanga i te awhe noa. Ko tētahi take mō tēnā ko te āhuatanga e kōrerohia nei e tātou i tēnei rā.

He aha rawa te tikanga o tēnei mō ngā wāhanga o te kōpū kua puritia (RPOC)?

Ki te kī ngāwari, ko te Pupuri Hua o te Hapūtanga (RPOC) ko te noho tonu o te kiko o te kukune, o te whenua rānei ki roto i tō kōpū i muri i te mutunga o te hapūtanga. He maha ngā huarahi e taea ai tēnei:

• I muri i te whānautanga noa
• I muri i te pokanga cesarean (C-section)
• I muri i te materoto
• I muri i te whakatahe

Ko te nuinga o ngā mea e toe ana he wāhanga o te whenua whānau, engari i ētahi wā ka toe anō ētahi wāhanga o te kukune.

Me pēhea koe e mōhio ai mēnā kei a koe tēnei āhuatanga?

He maha ngā huringa o tō tinana i muri i te hapūtanga. He mea noa te puta o ētahi toto me te rerenga o te tara. Heoi, ki te nui te toto e pāngia ana e koe, e nui rānei ngā toto kua totohu, he tohu pea tēnei me rapu awhina hauora koe.

Ko te tohu matua me te tohu tino kitea o te RPOC ko te toto nui, te toto koretake rānei . Hei tāpiri, ka puta pea ēnei tohu.

He aha tēnei e tupu ai? He aha ngā āhuatanga mōrearea?

He uaua ki te tohu i te tino take e toe tonu ai te kiko o te kōpū i muri i te hapūtanga. Heoi anō, tera pea ētahi āhuatanga ka whakanui ake i te mōrearea o tēnei mate.

• Mena kua pāngia koe e tēnei mate i mua: Mena kua pāngia koe e te RPOC i tētahi whānautanga o mua, he nui ake te tūponotanga ka pāngia anō koe e tēnei mate.
• Ngā raruraru o te whenua whānau: I roto i tētahi āhuatanga e kīia nei ko te "Placenta Accreta", arā, ina piri hōhonu te whenua whānau ki te pakitara o te kōpū, kāore pea te whenua whānau e tino wehea, e puta mai rānei.
• Tau: He paku teitei ake te mōrearea mēnā neke atu i te 35 tau te pakeke i te wā e hapu ana koe.
• Te whānautanga mā te whakamahi i ngā taputapu: Ka piki ake pea tēnei mōrearea ina whānau te pēpi mā te whakamahi i ngā taputapu pēnei i te "Forceps" me te "Vacuum".
• Te mate pōrearea o te toru marama tuarua: Mena ka whānau, ka mate pōrearea, ka mutu rānei te hāputanga i waenga i te 13 me te 26 wiki o te hāputanga.
• Pokanga o mua: Mena kua mahia he pokanga C-section, he whakawhānui me te curettage (D&C) rānei i mua, ka raru pea te pakaru o te whenua nā te whara i roto i te kōpū.
• Ngā āhua rerekē o te kōpū: Tērā pea ka whānau mai ētahi wāhine me te āhua rerekē o te kōpū. I roto i ēnei āhuatanga, kei reira anō hoki tēnei mōrearea.

Ka aha mēnā kāore ēnei wāhanga e tangohia?

Ki te toe tonu ngā wāhanga e toe ana o te kōpū, ka ara ake pea he maha ngā raruraru, ko ētahi he tino kino.

• Te mate toto kore toto: Ka heke te nui o te toto i roto i te tinana i te nui o te toto, ka arahi ki te ngenge me te hemo.
• Mate urutā: Ka pā mai ngā mate urutā ki ngā toenga o te kōpū. Mēnā kāore ēnei mate urutā e rongoatia tika ana, ka kino pea te pūnaha whakaputa uri, ā, ka puta pea hei āhuatanga kino e kiia nei ko te 'sepsis '.
• Mamae mau tonu o te puku o raro: Tērā pea ka puta pinepine te mamae o te puku o raro.
• Te mate a Asherman:He āhuatanga onge tēnei. Ko te hanganga o ngā kiko whara (piripiri) i roto i te kōpū. Ka raru pea te hāputanga ā muri ake nei me te koretake o te paheketanga.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

He uaua ki te kī mēnā kei a koe te RPOC mā te titiro noa ki ngā tohu. He rite tonu ēnei tohu ki ētahi atu mate ka puta i muri i te whānautanga. Nō reira, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei whakaū i te mate.

He aha ngā maimoatanga mō tēnei?

Mena ka whakaūtia te RPOC, ka whakahaerehia he maimoatanga hei tango i ngā wāhanga e toe ana. E rua ngā tikanga maimoatanga matua.

1. Ngā Rongoā: He rongoā te Misoprostol ka tangohia, ka whakaurua rānei ki roto i te tara. Ko te mahi a tēnei rongoā mā te mea kia kōpiri te kōpū, kia puta ai te kiko ki roto.

2. D&C (Whakawhanui me te Whakaweto): He pokanga iti tēnei. I tēnei, ka whakatuwheratia te kaki o te kōpū, ā, ka whakamahia he taputapu motuhake hei waru i ngā kiko katoa i roto i te kōpū.

He mōrearea kei roto i ēnei maimoatanga?

Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea. He iti noa te tūponotanga o te toto nui, te mate rānei. He tino onge te mōrearea o te poka o te kōpū i te wā o te D&C. Heoi, i te nuinga o te wā ka ea noa iho tēnei.

Āhea koe me rapu tohutohu hauora tonu?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te whānautanga, te whakatahe, te whakamutu rānei i te hāputanga, haere tonu ki te Tari Ohotata (ETU) o te hōhipera , tirohia rānei tō tākuta.

• Te uaua ki te manawa
• He toto nui rawa (te mākū i te neke atu i te kotahi tauera horoi i ia hāora)
• Te kirika nui
• Whakapairuaki me te ruaki
• Te mamae nui o te puku o raro e kore e taea te manawanui

I muri i te whānautanga o te pēpi, i te materoto rānei, me whai wā koe ki te okioki me te whakaora, i te taha tinana me te taha hinengaro. He mea noa te pouri me te pouri ina kīia atu me whai maimoatanga anō koe. Engari kia maumahara, mā te waiho i tēnei mate kia kore e rongoatia ka arahi pea ki ngā raruraru roa. Nō reira kaua e wehi ki te kōrero ki tō tākuta. Mā te kōrero tuwhera mō ō kare ā-roto me ō āwangawanga ka āwhina i a koe kia pai ake te ahua.