Kāore te kōpū e kōpiri tika i muri i te whānautanga o te pēpi? Me kōrero tātou mō (Uterine Atony)!

Ko te noho hei whaea tētahi o ngā wheako tino ataahua, tino kawenga hoki o te ao. Heoi, i roto i tēnei harikoa, ka puta ake pea ngā raruraru hauora ohorere i ētahi wā. I tēnei rā, ka kōrero tātou mō tētahi mate kino engari ka taea te rongoā e pā ana ki ētahi whaea i muri i te whānautanga. Ka kiia tēnei ko te uterine atony, i roto rānei i ngā kupu hauora , ko te uterine atony .

He aha te Uterine Atony? He māmā noa iho...

Ki te kī māmā noa, ko te Uterine Atony te wā kāore tō kōpū e kōpiri tika, e whakakī rānei i muri i te whānautanga. I te nuinga o te wā, i muri i te whānautanga o te pēpi, ka pai te kōpiri o te kōpū, ā, ka whakahaere i te toto i muri i te whānautanga o te whenua. Heoi, i roto i tēnei āhuatanga, kāore ngā uaua kōpū e mahi tika, arā, he wetekina, kāore hoki i te tino piri. He tino morearea tēnei nā te mea ka puta he toto nui ka tūpono ki te ora .

Whakaarohia, i te wā e tipu ana tō pēpi i roto i te kōpū i te wā e hapu ana, ka whiwhi te pēpi i te toto katoa, te hāora, me te kai e hiahiatia ana e ia mā te whenua whānau. He maha ngā uaua toto e tuku toto ana ki tēnei whenua whānau. I muri i te whānautanga o te pēpi, ka kōpeke te kōpū hei pana i te whenua whānau. Ina kōpeke, ka piri aua uaua toto, ā, ka mutu te toto. Nō reira, ki te kore te kōpū e kōpeke tika, arā, ki te mea kei reira (uterine atony), ka tīmata tonu te toto o aua uaua toto. Koinei te mea e kiia nei e tātou he toto muri i te whānautanga .

Ka puta pea tēnei āhuatanga (uterine atony) i muri i te materoto, i tētahi atu pokanga rānei e pā ana ki te kōpū. Ka puta pea i te wā whānautanga noa, i te wā hoki e pokangahia ana. Ahakoa e pā ana tēnei āhuatanga ki te 2% o ngā whānautanga katoa, kāore i te puta he toto nui i ngā wā katoa. Heoi, he āhuatanga tēnei e hiahia ana kia arohia tonutia e te rata. Ki te rongoatia wawetia, ka taea te ora katoa.

He aha te mea ka tupu mēnā kāore te kōpū e kōpiri i muri i te whānautanga o te pēpi?

Ki te kore e pai te kōpiri o ngā uaua o te kōpū i muri i te whānautanga, he nui te tūponotanga o te toto. E ai ki tā mātou i kōrero ai i mua ake nei, i muri i te whānautanga, me wehe te whenua i te pakitara o te kōpū. Mā tēnei ka huaki ngā oko toto i reira. Mā ngā kōpiri o te kōpū ka whakakīkī aua oko toto, ka mutu te toto. Nō reira, ki te kore e pai te kōpiri o ngā uaua, ka haere tonu te toto. He āhuatanga ohorere hauora tēnei, nā te mea ka tūpono pea te ora.

He aha ngā āhuatanga ka whakanui ake i te mōrearea o tēnei mate?

He maha ngā āhuatanga mōrearea mō te uterine atony. Ka taea e ēnei āhuatanga te whakararuraru i te kōpiritanga o tō kōpū i muri i te whānautanga:

• Mena ko tāu pēpi tuatahi tēnei, mena rānei he nui atu i te rima āu tamariki .
• Mena kei te tatari koe kia whānau he māhanga, he tokotoru, he maha atu rānei .
• Tō pēpiMena he nui ake i te tikanga (e kiia ana tēnei e ngā tākuta ko te Fetal Macrosomia) .
• Mena kua neke atu i te 35 tau tō pakeke .
• Mena he nui rawa te wai o te pēpi (te wai e karapoti ana i te pēpi) (e kiia ana tēnei he polyhydramnios) .
• Mena he momona koe.
• Mena he fibroids uterine tōu .

E whakapono ana hoki ngā tākuta mēnā ka puta ēnei mea i te wā e whānau ana, tērā pea kāore te kōpū e kōpiri i muri i te whānautanga:

• Mena he roa rawa te mamae o te whānautanga , he tere rawa rānei te whānautanga .
• Mehemea i uaua tō whānautanga .
• Mehemea i whakaohokia tō whānautanga .
• Mena kua pāngia koe e te mate e kiia nei ko te Chorioamnionitis (he mate pāwera o ngā kiriuhi e karapoti ana i te pēpi).
• Me i tukuna koe ki te rongoā whakamoe whānui .
• Mena he nui te kōpū o tōu .

He mea nui: Mena he nui atu i te rua o ēnei āhuatanga mōrearea kei a koe, he nui ake tō tūponotanga ki te pāngia e te mate pukupuku o te kōpū. Ka tautuhia wawetia e ngā tākuta te hunga e mōrearea ana, ā, ka whakarite i mua i te whānautanga, kia tere ai te whakatinanatanga.

He aha tēnei e tupu nei? He aha ngā take?

Ka puta te atony o te kōpū ina kore ngā uaua o te kōpū e aro tika ki te homoni (oxytocin) e hangaia ana e tō tinana hei whakaoho i ngā whakawhāiti kōpū i mua atu me te wā e whānau ana. He rite tonu ki te mea "kāore te kōpū e whakarongo."

He aha ngā tohu o tēnei?

Ko te tohu nui rawa atu, me te tohu tino nui o te toto totoka o te kōpū ko te toto totoka tonu, nui rawa rānei mai i te kōpū . I te nuinga o te wā, ka kitea tēnei āhuatanga e tō tākuta i muri tonu i tō whānautanga i tō pēpi. Hei tāpiri, i muri i te whānautanga, ka ngoikore pea tō kōpū, ka kore e mārō, ka kore e pakari.

Ko ētahi atu tohu ko:

• Te toto toto iti .
• Te Tere o te Manawa .
• Te pōuri, te ngoikore rānei .
• Te āhua mā .
• Te ngaronga o te māramatanga .
• Te kore e taea te mimi .
• Te mamae, ina koa te mamae o te tuara .

Me pēhea te mōhio o ngā tākuta ki tēnei?

Kua whakangungua ā mātou tākuta ki te tātaritanga me te rongoā tere i te Uterine Atony. Ko te tikanga ka tātaritangahia tēnei mā te tirotiro ā-ringa i te rahi me te ngawari o tō kōpū i muri i te whānautanga. Ka whakatakotoria e te tākuta tētahi ringa ki runga i tō puku, ka whakauru i ngā maihao o tētahi atu ringa ki roto i tō tenetene hei tirotiro i tō kōpū. Ka paunatia hoki e ētahi tākuta ngā papa, ngā kākahu rānei i whakamahia hei mimiti i te toto hei whakatau tata i te nui o te toto kua ngaro i a koe.

Mena he uterine atony tōu, he nui, he ngohengohe, he ngoikore hoki tō kōpū. I roto i te whānautanga noa, me whakawhāiti te kōpū (me whakapakeke, me whakakeke rānei) ā, ka tīmata te whakaiti i muri i te whānautanga o te pēpi.

I te mea ko te uterine atony te tino take o te toto nui i muri i te whānautanga, ka tirohia hoki e tō tākuta ngā mea e whai ake nei:

• He roimata kei roto i tō kaki, i tō tara, i tō kōpū rānei ?
• Mēnā kei te mau ētahi wāhanga o te whenua whānau (Te Kiko Whenua Pupuri) ki roto i te kōpū.

Ka aroturuki tonu tō tākuta i tō toto toto me tō tere o te manawa mō ngā huringa. Tērā pea ka whakahaerehia e rātou he whakamātautau toto hei tirotiro i te maha o ngā toto whero me te toto totoka.

He aha ngā maimoatanga?

He āhuatanga ohorere te mate pūkahukahu, nō reira me mahi tonu tō tīma hauora. Ko te whāinga matua o te maimoatanga he whakamutu i te toto i te wā e taea ai, me te whakakapi i te toto, i ngā wai rānei i ngaro . Ahakoa kua whakahaeretia te toto, me whiwhi pea koe i te whakawhiti toto, i ngā wai IV rānei hei whakakapi i te mea kua ngaro.

Ko te tikanga ka tīmata te maimoatanga a tō tākuta whānau mā te mirimiri i te kōpū kia kaha ake te kōpiri. I runga anō i te kaha o te mate, tera pea ka āwhina tēnei ki te whakaora i te uterine atony.

Haunga te mirimiri i te kōpū i muri i te whānautanga, ka whakamahia pea e tō tākuta ētahi rongoā hei āwhina i te whakawhāiti i tō kōpū. Kei roto i ēnei rongoā:

• (Oxytocin) (ingoa waitohu Pitocin®)
• (Methylergonovine) (ingoa waitohu Methergine®)
• Ko ngā prostaglandin , hei tauira ko te 15-methyl-PGF2 (Hemabate®), te misoprostol (Cytotec®) te dinoprostone rānei .
• Ngā momo Alkaloid Ergot , hei tauira (Ergometrine) .

Te pēhi i ngā pakitara o te kōpū (Ngā Tikanga Tamponade)

Me pēhi pea tō tākuta i tō kōpū kia iti ai te toto e puta. Kei roto i ēnei tikanga ko te tākai i te kōpū ki te kākahu miro, te pupuhi rānei i tētahi poihau ki roto i te kōpū. Mā ēnei tikanga, ka pēhi tika te tākuta i te pakitara kōpū hei whakamutu i te toto.

Te maimoatanga mā te pokanga

Ki te kore e taea e ngā tikanga katoa te aukati i te toto, me mahi pea he pokanga. Ko ngā tikanga pokanga e whakamahia ana hei rongoā i te uterine atony ko:

• (Te Whakaweto i te Kōpū): I tēnei mahi, ka waruhia e te tākuta te toto, ngā kongakonga whenua rānei e mau ana i roto i te kōpū (he rite ki te D&C).
• Te Here i te Arorangi Uterine: He tikanga e herea ai ngā uaua toto e tuku toto ana ki te kōpū.
• (Whakapūtanga o te uaua o roto o te kōpū): He tikanga e whakamahi ana i ngā matūriki iti, rite ki te onepu hei aukati i te toto i roto i te kōpū.
• Tākihi: Hei huarahi whakamutunga, ki te kore e angitu ngā huarahi katoa, ko te tango i te kōpū.

He aha atu ngā raruraru ka puta mai i tēnei?

Ka taea e te atony uterine te whakararuraru i ngā raruraru pēnei i:

• Te kore toto i roto i te toto - ko te tikanga he kore toto.
• Te ngenge rawa, te nui rawa rānei o te mahi .
• Te pōuri, te ngoikore rānei nā te iti o te toto toto.
• Ka piki ake te mōrearea o te toto i ngā hāputanga o muri mai.

Ka taea te ārai i tēnei?

I te nuinga o te wā, kāore e taea te ārai i te mate uterine. Engari ki te mea kei roto koe i te mōrearea, ka taea e tō tākuta te mahi i ngā mahi hei whakarite mō te toto nui. Hei tauira, mā te whai kaiawhina tāpiri, taputapu rānei i roto i te rūma whānau, mā te whānau rānei i tāu pēpi i tētahi atu hōhipera, ka taea te āwhina. Ka taea e koe te mahi i ngā mahi hei whai i tētahi hāputanga hauora. Kei roto i tēnei ko te tango i ngā huaora hapūtanga , te pupuri i ō wā whakarite hapūtanga , me te pupuri i te taumaha hauora i te wā e hapū ana.

Mena he nui te toto i pā mai ki a koe i te whānautanga o mua, me whakamōhio atu koe ki tō tākuta whānau me tō tākuta wahine.

Tērā pea ka tupu anō tēnei?

Āe, tera pea ka pāngia koe e te mate pukupuku o te kōpū neke atu i te kotahi. Mena kua pāngia koe i mua, he nui ake te tūponotanga ka pāngia anō koe.

Hei whakamutunga, me kī atu ahau ki a koe... (Karere hei tango ki te kāinga)

He raruraru nui te mate pūkahukahu ka puta i muri i te whānautanga. Mena kei a koe tēnei mate, me tere te rongoā a tō rōpū hauora i a koe kia kore ai e nui te toto. Kōrero ki tō tākuta mō te mate pūkahukahu me te mea kei te tūpono koe ki te pā mai. Mā te mōhio ki ngā tūponotanga i mua i te wā ka āwhina i a koe kia rite mō te maimoatanga ohorere mena e tika ana. Kia maumahara, ko te mōhio ki ēnei mea ehara i te take e wehi ai, engari he whai wāhi ki te tiki āwhina tere mena e tika ana. Kāore koe i te mokemoke, ā, kei te rite tonu ngā tākuta ki te āwhina i a koe.

Te Whakaiti i te Kōpū, Te Mate o te Kōpū, Te Toto i Muri i te Whānautanga, Te Whānautanga, Te Kōpū, Te Hauora o ngā Wahine, Te Whenua