Kei te tata koe ki te whānau? Kei te whakarite rānei tētahi o tō whānau ki te noho hei whaea? He wā whakamiharo te hapūtanga, e kī ana i te nui o te tumanako, engari i tēnei rā ka kōrero tātou mō tētahi mate onge, engari he tino morearea, he mate morearea ka puta i tēnei wā. Ka kiia tēnei ko te amniotic fluid embolism . Kaua e mataku ki te ingoa, he mate tino onge tēnei. Engari he mea tino nui kia mōhio koe ki tēnei.
He aha rawa te amniotic fluid embolism (AFE)?
Hei whakarāpopototanga, koinei te wā e uru ai te wai o te pēpi e karapoti ana i te pēpi i a ia e noho ana i roto i te kōpū, ngā pūtau rānei o te pēpi, ngā makawe, me ērā atu mea, ki roto i te toto o te whaea. Whakaarohia, he arai taiao kei waenganui i ngā pūnaha toto o te whaea me te pēpi. I tēnei āhuatanga, ka pakaru taua arai, ā, ka whakaranua te toto o te pēpi ki te toto o te whaea.
Ka puta he mate pāwera nui i roto i te tinana o te whaea. Kātahi ka tīmata te maha o ngā pūnaha o te tinana ki te hē, kāore he whakatūpato . Ka puta pea tēnei āhuatanga i mua tata atu, i te wā whānau, i muri rānei i te whānautanga o te pēpi.
He tino onge tēnei āhuatanga, e pā ana ki te 1 ki te 12 i roto i te 100,000 whānautanga ora. Engari ki te puta, he tino mōrearea ki te ora o te whaea, ā, me tere tonu te rongoā .
He aha ngā take me ngā āhuatanga mōrearea mō tēnei āhuatanga?
Ina hoki, kāore anō kia tino mōhio ngā tākuta he aha te take. Nā te mea ka puta ohorere mai, he uaua ki te kī tika he aha te take. Heoi, kua kitea e ētahi rangahau ētahi āhuatanga mōrearea e whakanui ake ana i te tūponotanga o te whakawhanaketanga o te mate.
Kia kite tātou he aha te mea.
| Tauwehenga Mōrearea | Whakamārama Māmā |
|---|---|
| Tau | Ko te pakeke o te whaea i te wā e whānau ana he 35 tau, neke atu rānei. |
| Te Whakaputa Taapiri | Mēnā ka whānau te pēpi mā te pokanga whakawhānau, te kuku, te korehau rānei, ka pāngia pea te arai i waenganui i te whaea me te pēpi. |
| Te whakaoho i te whānautanga (Te Whakawhanau Whakaoho) | Ahakoa te whakapono kei te piki ake te mōrearea o ētahi tikanga e whakamahia ana hei whakaoho i te whānautanga, kei te haere tonu ngā rangahau mō tēnei. |
| Ngā Āhuatanga Hē o te Wāhanga | Ko ngā āhuatanga pēnei i te whakanoho o te whenua ki raro i te kōpū, e kapi ana i te cervix (placenta previa) te wehenga rānei o te whenua i te pakitara o te kōpū i te wā e whānau ana (placental abruption). |
| Te preeclampsia | He āhuatanga e puta ana i te wā o te mutunga o te hapūtanga, ā, e tohuhia ana e ngā tohu pēnei i te toto toto tiketike, te pūmua i roto i te mimi, me te pupuhi o ngā peka. |
| Te nui haere o te wai amniotic (Polyhydramnios) | He nui rawa atu te nui o te wai amniotic e karapoti ana i te pēpi i te mea noa. |
He aha ngā tohu o tēnei?
Ko te mea tino mōrearea mō tēnei mate ko te puta ohorere mai o ngā tohu , kāore anō kia whai wā ki te whakaaro. Ko ngā tohu matua ko:
- Te tīmatanga ohorere o te uauatanga nui ki te manawa .
- He hekenga ohorere, mōrearea hoki o te toto toto (hypotension).
- Te toto nui rawa, kāore hoki e taea te whakahaere, mai i te kōpū, i te patunga rānei i te pokanga tākihi .
- Te tino mataku, te manukanuka , te manukanuka rānei.
- He tino puhoi, he rerekē rānei te pā o te ngakau o te pēpi.
- Te makariri me te wiri me te hopuhopuTe tūnga.
- Te ngoikore o te ngākau, te ngaro ohorere rānei o te māramatanga (Te Hopu Manawa).
Ko te take o tēnei toto nui ko te pakaru o te pūnaha katoa e āwhina ana i te tinana ki te toto totoka. I roto i te rongoā, ka kiia tēnei ko te Disseminated Intravascular Coagulation (DIC) . Ko te mea ka tupu i roto i tēnei ko te ngaro o te kaha o te toto ki te totoka. Nō reira, ka tino kaha te toto, kāore e taea te aukati. Waihoki, ka puta te uaua ki te manawa, te kino o ngā pukahukahu me te kore e taea te manawa, e kiia nei ko te Acute Respiratory Failure .
Me pēhea te rongoā mō tēnei mate?
I te mea he āhuatanga ora, mate rānei tēnei, ka tīmata te maimoatanga i roto i ngā hēkona. Ka whakahaerehia i roto i te wāhanga tiaki nui (ICU) o te hōhipera, i te rūma pokanga rānei. I konei, ehara i te maimoatanga kotahi, engari he huinga o ētahi maimoatanga i runga i te āhua o te tūroro.
- Te Whānau Tonu: Ka whakatau ngā tākuta kia whānau wawe tonu te pēpi, me te whai whakaaro ki te ora o te whaea me te pēpi.
- Maimoatanga whakaora ora (Whakaoraora): Mēnā ka kore e mōhio te whaea, ka hoatu he hāora i te wā e mahi ana i te Whakaoraora Manawa Pūkahukahu (CPR) .
- Te Whakahauora Ā-Mīhini: Mena he uaua ki a koe te manawa, ka honoa koe ki tētahi mīhini e kiia nei ko te ventilator hei āwhina i a koe ki te manawa.
- Te aroturuki i te toto me te ngākau: Ka whakauruhia ngā katitere motuhake ki roto i ngā uaua me ngā uaua nui o te tinana hei aroturuki tata i ngā mea pēnei i te toto me te mahi o te ngākau, ia hēkona i ia hēkona.
- Te Whakawhiti Toto: Nā te nui o te toto e ngaro ana, ka hoatu he nui te toto me ngā wāhanga toto hei whakakapi i te toto i ngaro, hei whakarato hoki i ngā pūmua (ngā mea totoka) e hiahiatia ana mō te totoka.
- Ngā rongoā motuhake: Ka hoatu he maha ngā rongoā hei whakaora i te toto toto iti, hei whakapai ake i te mahi a te ngākau, hei whakamutu hoki i te toto mā te whakawhāiti i te kōpū.
Ko te whāinga matua o tēnei mahi ko te whakaora i te ora o te whaea. Ahakoa he iti te ora o te whaea i tēnei āhuatanga, mā te maimoatanga wawe ka piki ake te tūponotanga o te ora. He nui ake te tūponotanga o te whakaora i te ora o te pēpi (tata ki te 70%).
Karere Tangohia ki te Kāinga
- He mate onge engari he tino morearea te embolism wai amniotic (AFE) ka puta i te wā e hapu ana.
- Koinei te wā e uru ai te wai amniotic e karapoti ana i te pēpi ki roto i te toto o te whaea. Kāore anō kia kitea te tino take o tēnei.
- Ka puta whakarere mai ngā tohu kino pērā i te uaua ki te manawa, te toto toto iti, te toto nui, me te ngaronga o te māramatanga.
- He āhuatanga ohorere hauora tēnei. Me whakauru tonu ki te Wāhanga Tiaki Kaha (ICU) me te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera hei rongoā, ā, me tīmata tonu te rongoā whakaora ora.
- Kaua e mataku i tēnei mate, he tino onge hoki. Heoi, he mea nui kia whakamōhio atu koe ki tō tākuta mō ngā tohu rerekē katoa e pā ana ki a koe i te wā e hapu ana.
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