He mea noa te mataku me te harikoa ina rongo koe kei te whānau māhanga koe. Kāore pea koe i whakaaro me pēhea te hurihanga ohorere o tō ao. Kaua e manukanuka, he maha ngā mea ka taea e koe te ako mō tēnei haerenga i mua i te taenga mai o āu pēpi. He manaakitanga takirua ngā māhanga, engari he maha atu anō ngā mōrearea ka pā mai i te haputanga o tētahi pēpi kotahi. Me kōrero tātou mō ēnei mea katoa i roto i ngā kupu māmā noa iho.
Meka 1: He nui ake te tūponotanga ka whānau māhanga koe i waenga i ō tau 30 me te 40.
Kua rongo tātou katoa ka heke te kaha ki te hapu i a tātou e pakeke haere ana. Engari ko te mea pono, ka piki ake te tūponotanga o te whānau māhanga i taua tau. E ai ki ngā tohunga, i muri i te 25 tau, inā koa i ō tau 30, kāore tō huringa paheketanga me te whakaputanga o te hua i te tino auau. Ki te kore e ōrite te whakaputanga o te hua, he nui ake te tūponotanga ka tukuna ngā hua e rua i te wā kotahi. Koinā te wā ka taea e koe te hapu māhanga maori me te kore he maimoatanga.
Meka 2: Tērā pea ka nui ake te waikawa folic e hiahiatia ana e koe ina tokorua āu pēpi.
Mēnā he māhanga tāu e whānau ana, tera pea ka nui ake te waikawa folic e hiahiatia ana i te nuinga o te wā hei ārai i ngā hapa whānau o āu pēpi.
Ki te kī ngāwari, ahakoa e taunakitia ana te 0.4 mirikaramu o te waikawa folic ia rā mō te whaea hapū me te tamaiti kotahi, tata ki te 1 mirikaramu te mea e taunakitia ana mō te whaea he māhanga āna.
Ka āwhina tēnei ki te whakaiti i te mōrearea o ngā hapa ngongo io, pērā i te spina bifida . Heoi anō, me kōrero koe mō tēnei horopeta ki tō tākuta .
Meka 3: He nui ake ngā haerenga ki te tākuta i te wā e hapu ana he māhanga
Me nui ake te aroturuki i te haputanga māhanga i te haputanga noa. Ehara tēnei i te mea hei āwangawanga māu, engari hei tiaki i te haumaru o ngā pēpi e rua. Me nui ake te auau o ngā matawai ultrasound i tō te pēpi kotahi. Mā tēnei ka āwhina kia tika te whanaketanga o ngā pēpi e rua.
Waihoki, i a koe e tata ana ki te whānautanga, me tirotiro pea koe i te hauora o tō pēpi e rua ngā wā i te wiki. Kei roto pea i tēnei ko te hono atu i a koe ki tētahi taputapu aroturuki i te tere o te ngakau o te kōpū . Ka mahia ēnei mea katoa hei tiaki i a koe me tō pēpi.
Meka 4: Tērā pea ka tino pāngia te mate pōuri o te ata me ētahi atu mamae.
Ko te mate pōuri o te ata ka puta mai i te pikinga o te homoni human chorionic gonadotropin (hCG) . He tino tiketike tēnei homoni i te wā e hapu ana. Nō reira, ka pāngia pea ngā whaea o ngā māhanga e te whakapairuaki me te ruaki i ngā marama tuatahi e toru. Ko te rongo pai ko te tikanga ka memeha haere tēnei mamae i roto i ngā wiki 12-14.
Ehara i te mea koinā anake, he nui ake te mamae o te tuara, te kore moe, me te mamae o te uma o ngā whaea o ngā māhanga i te whaea hāpu noa. Hei tāpiri, he nui ake te mōrearea o te whaea ki te mate toto me te toto i muri i te whānautanga.
Meka 5: He mea noa te puta o ngā ira i ngā wāhanga tōmua.
He tohu pea te puta o ngā ira i te toru marama tuatahi o te hapūtanga kua pāngia e te mate pēpi. He nui ake te kitea o tēnei momo ira i ngā hapūtanga māhanga, nā te mea he paku teitei ake te mōrearea o te mate pēpi .
Kaua e mataku ina kite koe i tētahi mea pēnei. Mēnā he iti noa te toto e puta mai ana, kāore he mamae, kāore i te kino rawa. Heoi, ki te mamae tō puku, he toto totoka, he toto tonu, he tohu pea tēnei mō tētahi mea kino. Mēnā ka puta tēnā, me whakamōhio tonu koe ki tō tākuta .
Meka 6: Kāore ngā pēpi e rongo i ngā nekehanga i te tīmatanga.
He tokomaha te hunga e whakaaro ana, mā te whānau māhanga ka rongo wawe rātou i te nekeneke o ngā pēpi, engari ehara i te mea pērā. I te nuinga o te wā, ka tīmata koe ki te rongo i te nekeneke o tāu pēpi i waenga i te 18 me te 20 wiki. Kāore taua wā e rerekē ahakoa kei te whānau māhanga koe.
Engari kei te āhua o tō haputanga tuatahi tēnei. Mena kua whānau he pēpi i mua, e mōhio ana koe ki te āhua o te nekehanga o te pēpi . Engari mō te wā tuatahi, he uaua ki te wehewehe i te mea pērā i te hau.
Meka 7: He nui ake te pikinga o te taumaha i te haputanga noa
He mea mārama tēnei. Mēnā e rua ngā pēpi, e rua ngā whenua, me te nui o te wai amniotic, ka nui ake tō taumaha i te mea noa. Me nui ake hoki ngā kaora e hiahiatia ana ina whānau māhanga koe.
I te toharite, ka piki ake te taumaha o te whaea kotahi āna pēpi i te 11-12 kg (25 lbs), ā, ka piki ake te taumaha o te whaea māhanga i te 13-16 kg (30-35 lbs). Heoi, kei te ripanga i raro nei ngā taunakitanga mārama.
| Te taumaha o tō tinana (i mua i te haputanga) | Te pikinga taumaha e taunakitia ana |
|---|---|
| Taumaha noa | 17 - 24.5 kirokaramu (37-54 pauna) |
| Taumaha rawa | 14 - 22.5 kirokaramu (31-50 pauna) |
| Momona | 11 - 19 kirokaramu (25-42 pauna) |
Engari he tohutohu whānui noa iho ēnei . Kōrero ki tō tākuta mō te nui o te taumaha e hiahiatia ana e koe kia rite ki tō tinana.
Meka 8: He nui ake te mōrearea o te whakawhanake i te mate huka hapūtanga i te wā e hapū ana.
He nui ake te mōrearea o te mate huka hāpu i te wā e hapu ana koe ina he māhanga tōu. I ētahi wā ka taumaha rawa ngā pēpi i tēnei āhuatanga, ā, me whānau he tākuta. Heoi, ehara ngā māhanga i te pēpi tino rahi. Heoi, he mea nui te whakahaere i tēnei āhuatanga mō tō hauora ā muri ake nei, nā te mea ka piki ake te mōrearea o te mate huka momo 2 i muri mai i te oranga.
Meka 9: Te pikinga ake o te mōrearea o te preeclampsia
Kāore i te mōhiotia te tino take o te preeclampsia, engari e mōhiotia ana he nui ake te kitea i roto i ngā wahine hapu e whānau ana i ngā māhanga. Ko ngā tohu matua ko te toto toto tiketike, te pūmua i roto i te mimi, me te pupuhi o ngā ringa me ngā waewae i ētahi wā . He tohu tēnei mō te mate kino rawa atu, arā , te eclampsia . Koia te take ka tirohia e tō tākuta tō toto toto, ka tangohia hoki he tauira mimi i ia haerenga mai.
Meka 10: Tērā pea ka whānau wawe te whānautanga.
Ko te nuinga o ngā whaea he māhanga ā rātou, ka whānau i waenga i te 36-37 wiki. Ko te roa o te hāputanga noa ka tae ki te 40 wiki. I ētahi wā ka taea te wawe ake.
E ai ki ngā tohunga, kāore he raruraru nui mēnā ka whānau mai he pēpi i muri i te 34 wiki. Heoi anō, he pēpi whānau wawe tonu te pēpi.
He nui ake te mōrearea o ngā pēpi māhanga ki te whānau wawe. Nā tēnei, tera pea ka pāngia rātou e ngā raruraru manawa. He nui ake hoki te tūponotanga ka whānau mai rātou me te taumaha iti i te whānautanga. Engari he tino pai ngā whare o ā mātou hōhipera hei whakahaere i ēnei mea.
Meka 11: He nui ake te tūponotanga kia pokaia te whānautanga (C-section).
I roto i te haputanga o ngā māhanga, he nui ake te tūponotanga kia pokaia te pēpi. Ko te take matua mō tēnei ko te tūranga o ngā pēpi. He nui ake te tūponotanga ka noho tētahi o ngā māhanga i te tūranga whakarunga . I roto i tēnei āhuatanga, he pai ake te pokaia hei haumaru mōu me tō pēpi.
Karere Tangohia ki te Kāinga
- E kiia ana te hāputanga māhanga he hāputanga "tino mōrearea". Nō reira, he mea tino nui kia tirohia tō tākuta i ia wā, i ia wā. Hei oranga mōu, mō te haumaru hoki o āu pēpi.
- Kaua e wehi, kaua e whakamā ki tētahi mea rerekē ka pā ki a koe (pēnei i te ira, te mamae o te puku), ā, kōrero ki tō tākuta.
- Kia ata whai i ngā tohutohu a tō tākuta mō te waikawa folic, te kai totika, me te whakanui taumaha.
- Kia tūpato ki ngā tohu whakatūpato o ngā mate pēnei i te mate huka hapūtanga me te preeclampsia.
- Kia maumahara tera pea ka whānau wawe mai ngā pēpi, ā, me mahi pokanga pea, ā, kia rite tō hinengaro mō tēnā.
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