Kua tae koe ki tētahi wā wātea ake, wātea ake hoki i roto i tō hapūtanga. Ko te toru marama tuarua tēnā . Koinei te wā kua memeha haere ngā mamae o ngā marama tuatahi e toru, ka taea e koe te kai me te inu kia pai ake, ā, ka kaha ake tō wairua. I tēnei wā, ka whakahaerehia e tō tākuta ētahi whakamātautau hei tirotiro i te oranga o kōrua ko tāu tamaiti i roto i tō kōpū. Kaua e wehi i ēnei whakamātautau. Ka mahia ēnei hei whakarite kei te ora kōrua. Kia kite tātou he aha ēnei?
Ngā whakamātautau e mahia ana i roto i ngā whare hauora katoa
He iti noa ngā mea ka mahia e koe i ia wā ka haere koe ki te whare hauora mō tō paheketanga. Ko te nuinga o ēnei he mea kua taunga kē koe ki te mahi.
- Te tātaritanga mimi: Ka tangohia he tauira o tō mimi, ka tirohia mēnā he pūmua, he huka, he tohu rānei o te mate.
- Taumaha me te toto toto: Ka taea e tō tākuta te whakatau pai mō tō hauora mā te ine i tō taumaha me te tirotiro i tō toto toto .
Engari e rua ngā mea e tino tumanakohia ana e koe, nui atu i ēnei mea katoa.
1. Te ine i te teitei o tō puku: Ka ine te tākuta i te teitei o tō puku ki te rīpene ine. Ka kiia tēnei ko te ine 'teitei o te puku'. He huarahi māmā tēnei ki te kite mēnā kei te tipu tika tō kōpū, me te pēpi hoki.
2. Ngā oro o te ngākau o te pēpi: Mā te taputapu ultrasound iti ka taea e koe te whakarongo ki te ngākau o tō pēpi (ngā oro o te ngākau o te pēpi). Kāore e taea te kōrero i te harikoa o te rongonga i taua ngākau iti, kāore?
Ko te matawai ultrasound e tino tatarihia ana
Ko tēnei matawai te mea tino nui hei mahi i te toru marama tuarua o te hapūtanga. I te nuinga o te wā ka mahia i te 20 wiki pea o te hapūtanga . E kiia ana hoki e ētahi he 'matawai rerekē'. Ehara i te mea ko te titiro noa ki te pēpi tēnei. He maha ngā kōrero nui ka taea te whakarato.
Mā tēnei matawai ka tirohia mārama mēnā kei te whanake pai ngā whekau nui katoa o te tinana o te pēpi, pērā i te roro, te ngākau, ngā whatukuhu, me ngā peka, me mēnā he hapa kei roto.
| Ngā mea matua hei tirotiro mā te matawai 20-wiki | |
|---|---|
| Te whanaketanga o te pēpi | Ka whakarite rātou kua tika te tipu o te pēpi mō te maha o ngā wiki kua tohua. |
| Te wāhi me te whanaketanga o ngā whekau | Ka tirotirohia ngā mea pēnei i te roro, te ngākau, te tuaiwi, ngā whatukuhu, me ngā wāhanga o te kanohi (hei tauira, ngā āhuatanga pēnei i te waha ngatata). |
| Te wāhi o te whenua | Ka tirohia e rātou tētahi āhuatanga mōrearea pērā i te placenta previa, arā, kei raro rawa te placenta i roto i te kōpū. |
| Te nui o te wai ā-hinengaro | Te tirotiro mēnā he rawaka te nui o te wai (wai ā-hinengaro) e karapoti ana i te pēpi. |
| Ngā māhanga | Ka whakamahia hei whakaū mēnā he nui atu i te kotahi te tamaiti kei roto i te kōpū. |
I ētahi wā, ki te kitea he mea whakapae i tēnei matawai, ka tukuna pea koe e tō tākuta ki tētahi tohunga mō ētahi atu whakamātautau. I ētahi wā, ka mahia pea he matawai Doppler. Ka mahia tēnei hei tirotiro mēnā he pai te rere o te toto i waenga i te whenua whānau me te pēpi.
Whakamātautau Tirotiro Mate Huka Hapūtanga
He whakamātautau tino nui anō hoki tēnei ka mahia i te toru marama tuarua o te hapūtanga. I te nuinga o te wā ka mahia i waenga i te 24 me te 28 wiki .
Hei whakarāpopototanga, ka inu koe i tētahi wai motuhake mō te huka, ā, i muri i te haora, ka tangohia tō tauira toto hei tirotiro i tō taumata huka. Hei tirotiro mēnā kei a koe te mate huka gestational , he mate e puta ana i te wā e hapu ana anake.
Ki te kore tēnei āhuatanga e whakahaeretia, ka nui rawa pea te pēpi, ka uaua pea te whānautanga, ā, ka pāngia koe e ngā raruraru hauora ā muri ake nei. Nō reira, he mea nui tēnei whakamātautau. Ki te kitea he teitei te taumata huka toto, ka tukuna koe ki tētahi whakamātautau tairongo ake (Whakamātautau Manawanui Huka) hei whakaū. Kaua e manukanuka, mā tō tākuta koe e hoatu ki a koe ngā tohutohu e tika ana.
Ngā whakamātautau motuhake hei rapu i ngā āhuatanga ira o te pēpi
Kāore ēnei whakamātautau e hiahiatia ana mō ngā wahine hapu katoa . E taunakihia ana ēnei mō te hunga whai āhuatanga mōrearea. Hei tauira:
- Mena kua neke atu i te 35 tau te pakeke o te whaea.
- Mena he mate ira tō tetahi o te whānau pērā i te Down syndrome .
- Mena kua whakaatuhia he mōrearea i roto i ngā whakamātautau i mahia i te toru marama tuatahi.
I mua i te whakahaere i ēnei whakamātautau, he mea nui kia kōrerohia ngā painga me ngā huakore me tō tākuta, kātahi ka whakatau.
| Ingoa o te whakamātautau | Whakaahuatanga |
|---|---|
| Te Tirotiro Tohu Maha (Whakamātautau Takitoru/Whā) | He whakamātautau tēnei e mahia ana ki tō toto. Ka tirohia ngā taumata o ētahi pūmua (MSAFP) me ngā homoni e whakaputaina ana e te pēpi, ā, ka tatau i te mōrearea ka pāngia te pēpi e te Down syndrome, e te neural tube complaint rānei. Ahakoa he tohu mōrearea tēnei, ehara i te mea he taurangi 100%. |
| Te whakamātautau i te ine i te ira tangata | Ka mahia tēnei hei whakaū mēnā he mōrearea te tohu a te whakamātautau i runga ake nei. Ka mahia he matawai, ā, ka tukuna he ngira angiangi rawa mā roto i te puku, ā, ka tangohia he iti noa o te wai amniotic e karapoti ana i te pēpi hei whakamātautau. Ka taea e tēnei te tautuhi i ngā āhuatanga ira me te neke atu i te 99% te tika. Heoi, he iti noa te mōrearea o te materoto (tata ki te 0.2% - 0.5%). |
| Whakamātautau Whānau Kore-Whakaekenga (NIPT) | He whakamātautau hou tēnei, he tino tika hoki, e whakamahi ana i te toto o te whaea. Ka taea e ia te kite i ngā āhuatanga pēnei i te Down syndrome me te 99% te tika mā te tirotiro i te DNA o te pēpi (DNA fetal kore-pūtau) i roto i te toto o te whaea. |
Ko te mea nui, ki te mea he ruarua, he mataku, he pātai rānei āu mō ngā hua o tētahi whakamātautau ira pēnei, kaua e mangere ki te kōrero ki tō tākuta. Māna e whakamārama ngā mea katoa ki a koe, ā, māna anō hoki e tautoko i a koe te hinengaro e hiahiatia ana e koe.
Karere Tangohia ki te Kāinga
- He wā nui te hauwhā tuarua o te hapūtanga hei aroturuki i te hauora o koe me tō pēpi.
- Ko ngā whakamātautau o ia rā e mahia ana i ngā wāhi hauora katoa, pērā i te taumaha, te toto totoka, me ngā whakamātautau mimi, hei mea haumaru mā kōrua.
- He whakamātautau tino nui te matawai anomaly 20-wiki hei tirotiro i te whanaketanga o te pēpi me te hauora o ngā whekau.
- Kaua e wareware ki te whakamātautau mō te mate huka hapūtanga. Ka taea e ia te ārai i ngā raruraru maha a muri ake nei.
- Kāore e hiahiatia ana ngā whakamātautau motuhake mō ngā mate ira (Amniocentesis, NIPT) mō te katoa. Ka mahia ēnei mēnā he mōrearea, ā, i runga anō i ngā tohutohu a te rata.
- Mena he pātai, he āwangawanga rānei āu mō tētahi whakamātautau, kōrero mārire ki tō tākuta.
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