I roto i tō hapūtanga, kua rongo pea koe mō tō 'pahūtanga wai'—he kaupapa e whakaoho ana i te hiahia me te manukanuka pea. Kei te whakaaro koe ki ngā wāhanga whakaari o ngā kiriata e puta whakarere mai ana he wai nui, e ohorere ana te katoa? Ko te mea pono, kāore e tupu tonu pērā mō te katoa. I ētahi wā, he maturuturu puhoi, he maturuturu tonu. Nō reira, kāore he take e manukanuka ai; me mārama tātou ki ngā tohunga o Nirogi Lanka he aha te mea e tupu ana.
He aha te tikanga o te 'pākarukaru wai'?
I roto i tō hapūtanga, ka noho humarie tō pēpi i roto i te kōpū i roto i tētahi kiriuhi kī tonu i te wai e mōhiotia ana i roto i te rongoā ko te 'pukoro amniotic'. Ko te wai i roto i tēnei pukoro e kiia ana ko te 'waikoro amniotic'. Ka tiaki tēnei wai i tō pēpi mai i te pānga tinana, ā, ka tiaki hoki i a ia mai i ngā mate pea.
Nō reira, ko te tikanga o te 'pahū wai' ko te pakaru o te kiriuhi tiaki e karapoti ana i tō pēpi, e tuku ana i te wai amniotic kia turuturu haere, mā te āta haere, mā te tere rānei. He tohu matua tēnei kei te tata mai te whānautanga. Ka puta pea i mua i te tīmatanga o te whānautanga, i te wā e whānau ana, i te wā tata rānei e whānau ana koe. I ētahi wā, ka mahi pea tō tākuta i te pakaru horihori o ngā kiriuhi, e mōhiotia ana ko te Amniotomy .
Me pēhea koe e tino mōhio ai kua pakaru tō wai?
He uaua pea te wehewehe i waenga i te iti o te mimi, te rere o te tara, te pakaru rānei o te wai. Kia tūpato mēnā ka pāngia koe e ēnei e whai ake nei:
- He kare o te 'pahū', ā, muri iho ka puta te wai e rere ana mai i te tenetene.
- Ko te kare o te wai e maturuturu iho ana i ō waewae, e mākū ana rānei ō kākahu o roto. Ka rerekē pea tēnei mai i te makuku puhoi, pumau ki te tukunga nui ake.
- Ko te wai i te nuinga o te wākāore he kakara, ā, he mārama, he kōwhai mārama rānei te āhua.
- He turuturu wai kāore e taea te whakahaere, he turuturu tonu, kāore e taea te pupuri, he rerekē ki te mimi.
- He angiangi, he waiwai te matotoru, kaua i te kakano matotoru e kitea ana i te rerenga mai o te tara.
- Ko te tukunga o te wai ka haere tahi me te tīmatanga o ngā mamae kaha ake, kaha ake.
Ki te whakapae koe kei te turuturu te wai, kia marino. Kia ma ngā kākahu o roto, ā, kia whakamahia he paraikete horoi. Kaua rawa e whakamahia he tampon. Takoto mō te 15-30 meneti pea, kātahi ka tū ake. Ki te turuturu tonu te wai, tera pea he wai amniotic.
He wai ā-pūkahukahu tēnei, he mimi rānei? Me pēhea te wehewehe?
I ngā wāhanga whakamutunga o te hapūtanga, he mea noa te pāngia e te turuturu iti o te mimi nā te mea ka pēhia tō pūkahukahu e tō mimi. Nā tēnei, he ngāwari ki te whakapoauau i ngā mea e rua. Mā tēnei ripanga koe e āwhina ki te wehewehe i waenga i a rāua.
| Āhuatanga | Te Putanga o te Wai Āniota (Te Pakaru o te Wai) | Mimi |
|---|---|---|
| Kakara | Kāore he kakara i te nuinga o te wā, he kakara reka paku rānei. | He kakara āhua rite ki te haukini. |
| Tae | He kōwhai mārama, he kōwhai māwhero rānei (he māwhero, he parauri rānei ētahi wā). | He kōwhai hohonu ake te tae i te nuinga o te wā. |
| Whakahaere | Kāore e taea te whakahaere, te aukati rānei i te rere. Ka turuturu haere tonu. | He maha ngā wā ka taea e koe te aukati mā te whakapiko i ngā uaua o tō hope. |
| Te nui | Ka nui te rōrahi nā te turuturu tonu, ā, ka piki haere i te nuinga o te wā i te wā e whakaheke ana. | Ka mutu i muri i te tukunga kotahi; e kore e turuturu anō kia whakakīia rā anō te pūkahukahu. |
Ahakoa rā, ki te mea he ruarua āu, he pai ake te whakapā atu ki tō tākuta tonu. Ka taea e rātou te whakahaere i tētahi whakamātautau hei whakaū ko tēhea te wai.
Ka taea e tō wai te pakaru wawe?
Āe, ka taea tēnei. Ina pakaru tō wai i mua i te wiki 37 o te hapūtanga, e mōhiotia ana ko te Premature Rupture of Membranes (PROM). Ka puta tēnei i roto i te 8% ki te 10% o ngā hapūtanga. Ka whakanui ake ētahi āhuatanga i tēnei mōrearea:
- Te momi hikareti
- Te toto o te tara i te rua, i te toru rānei o ngā marama o te hapūtanga
- Ngā mate urutā i roto i te tinana, i te ara tara rānei
- He hītori o te pakaru wai o mua i ngā hāputanga o mua
- He poto te kaki o te kōpū
I roto i ēnei āhuatanga, ka arotakehia e tō tākuta tō hapūtanga, ā, ka whakatau i te huarahi mahi pai rawa atu:
- Mena kua hipa koe i te 34 wiki: Ko te whānautanga te kōwhiringa haumaru rawa atu.
- Mena kei mua koe i te 34 wiki: Ka ngana pea tō tākuta ki te pupuri i te pēpi i roto i te kōpū mō te roa rawa atu mā te:
- Te hoatu i ngā rongoā paturopi hei ārai i te mate.
- Te whakarato i ngā werohanga steroid hei āwhina i te tere o te pakeketanga o ngā pukahukahu o te pēpi.
- Te hoatu i te konupora whanariki hei tautoko i te whanaketanga o te roro o te pēpi.
Ka whakaratohia ēnei manaakitanga katoa i raro i te tirotiro tata i roto i te hōhipera.
Āhea koe me whakapā atu ki tō tākuta mēnā ka pakaru tō wai?
Ki te whakaaro koe kua pakaru tō wai, whakapā atu ki tō tākuta, haere rānei ki te rūma whawhati tata tonu. Kaua e whakaroa.
He ārai tiaki te wai amniotic mō tō pēpi. Kia ngaro atu, ka piki ake te tūponotanga o te mate, koia te mea nui kia aro tonu ki te hauora.
Ina waea atu koe, ka pātai pea tō tākuta i ēnei pātai e whai ake nei:
- E hia te nui o te wai i tukuna?
- He aha te tae? (Mēnā he kākāriki te tae, whakamōhio atu tonu atu).
- I puta mai he haunga?
- Kei te pāngia koe e ngā mamae o te uma i tēnei wā?
- Kua whakamātauhia koe he pai mō te Group B Streptococcus (GBS)?
- E hia wiki koe e hapu ana?
Kia rite ki te whakautu i ēnei pātai. Engari, kia marino, kia arotahi hoki ki te haere haumaru ki te ratonga tiaki e whakaratohia ana e Nirogi Lanka, e te hōhipera tata rānei ki a koe.
Ngā Kaupapa Matua (Karere hei Whakahoki ki te Kāinga)
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te 'Water Breaking' (PROM) i te wā e hapu ana?
Ka tipu tō pēpi i roto i tētahi 'Pūkete Āmiotika' kī tonu i te wai tiaki. Ka puta te 'pakaru wai' ina pakaru tēnei pēke (pakaru o ngā kiriuhi) i a koe e whakatata ana ki tō rā whānau, ka puta he rere mahana, kāore e taea te whakahaere o te wai mai i te tara. He rerekē tēnei i te mimi, ā, he tohu tēnei kei te rite tō pēpi ki te tomo ki te ao.
💬 He aha te Pēhanga o ngā Kiriuhi i te Wā o te Pēpi (PPROM), ā, he aha te take he kino rawa atu?
Ko te mea pai, me pakaru tō wai i muri i te 37 wiki. Heoi, ki te pakaru te pēke i mua i te 37 wiki, ka kiia ko PPROM. He āhuatanga hauora tino nui tēnei. He maha ngā wā ka puta mai i ngā mate o te tara, o te ara mimi rānei e ngoikore ai te kiriuhi. Ki te tupu tēnei, ka taea te whānau wawe me ngā raruraru pea mai i te mate, e hiahia ana kia tere te wawaotanga hauora.
💬 He aha ngā mahi me mahi e koe mēnā ka pakaru tō wai, ā, he aha ngā tohu whakatūpato?
Ahakoa te wā o tō hapūtanga, ki te whakapae koe kei te turuturu te wai, whakamahia he paraikete horoi, ka haere ki te wāhanga Whakawhanau o te hōhipera i roto i te haora kotahi. Ko tētahi āhuatanga ohorere onge engari he nui ko te 'puku o te taura', arā, ko te paheke o te taura me te wai, ka pēhia. Ka tapahia te hāora o te pēpi, ā, me tere tonu te pokanga C-Section. Ki te ruarua koe, waea atu ki te 911, ki tō ratonga hauora ohorere rānei.
