Hei whaea e hapu ana, he mea utu nui ia nekehanga o tō pēpi i roto i tō kōpū, ia whakaahua e kitea ana e koe i roto i te matawai. Engari i ētahi wā, ina titiro te tākuta ki te matawai ka mea, "Te āhua nei he raruraru iti tō te pēpi," he uaua ki te whakapuaki i te wehi me te manukanuka e pā ana ki a koe. Kaua e manukanuka. I ēnei rā, kua tino matatau te rongoā . Ka taea te rongoā i ētahi hapa whānau me ngā āhuatanga hauora i mua i te taenga mai o te pēpi ki tēnei ao, arā, i roto i tō kōpū. Ko taua tikanga hauora whakamiharo ko tā mātou e kī nei ko te "Pokanga Pēpi." Me kōrero noa iho tātou mō tēnei.
He aha te Pokanga o te Kēpi?
Ki te kī māmā noa, ko te pokanga fetal he pokanga e mahia ana ki tō pēpi i a ia e noho tonu ana i roto i te kōpū. E kiia ana hoki e ētahi he 'pokanga in-utero' he 'pokanga prenatal' rānei.
Whakaarohia, mēnā he pēpi whānau he hapa, ka piki haere te kino o taua hapa i a ia e tipu ana i roto i te kōpū. Engari mā tēnei tikanga, ka taea e tētahi rōpū tohunga te rongoā i te hapa i mua i te whānautanga o te pēpi, me te whakaiti i tōna pānga. I ētahi wā, he mea tika tēnei hei whakaora i te ora o te pēpi, hei whakapai ake hoki i tōna hauora ā muri ake nei. I ngā wā kāore i te tino kino , ka kiia hoki tēnei e ngā tākuta ko te "wawaotanga o te pēpi".
I runga i te āhua o te pēpi, ka taea te mahi i ēnei pokanga i te 16 wiki te pakeke. Heoi, ko ngā pokanga uaua ake ka mahia i waenga i te 22 me te 26 wiki o te hapūtanga.
He aha koe i hiahia ai ki tēnei momo pokanga?
Ko te whāinga matua o tēnei he āwhina i te pēpi kia tipu hauora. Ka taea e ētahi o ngā hapa whānau te whakararu i te ora. Ko ētahi, ahakoa kāore e whakararu i te ora, ka pāngia pea te pēpi e ētahi hauātanga i muri i te whānautanga.
I te nuinga o te wā, ka rongoatia ēnei momo mate i muri i te whānautanga o te pēpi. Heoi anō, tera ētahi āhuatanga ka pai ake ngā hua mēnā ka rongoatia i te wā e noho tonu ana te pēpi i roto i te kōpū. Mā te rongoā wawe ka taea te whakaiti i te kino ki ngā whekau o te pēpi, ā, ka āwhina i a rātou kia noho hauora mō te wā roa.
He mara tino motuhake tēnei. Ka whakatauhia te mahi pokanga pēnei mēnā ka tino whakapono ngā tākuta kāore he huarahi kē atu, ā, he mea tino nui tēnei mō te heke mai o te pēpi.
He aha te momo tīma tohunga e mahi ana i ēnei pokanga?
Ehara tēnei i te mea mā te tangata kotahi e mahi. Me whai rōpū tohunga kua tino whakangungua, he maha ngā momo mahi. Ko te tikanga, kei roto i te rōpū:
- Ngā Tohunga i te Rongoā Whaea me te Pēpi (ngā tohunga rongoā whaea-pēpi ): Ngā tākuta e tiaki ana i te hauora o te whaea me te pēpi.
- Ngā taote pokanga tamariki: Ngā tākuta e tohunga ana ki te pokanga pēpi.
- Ngā tohunga whakamoe mō ngā whaea me ngā tamariki: Ka ata hoatu e rātou te rongoā whakamoe ki te whaea me te pēpi i te wā e pokanga ana.
- Ngā Tākuta Ngākau o te Pēpi: Ngā tohunga e tirotiro ana i ngā raruraru o te ngākau o te pēpi.
- Ngā tohunga whakaahua i te pēpi: Ko te hunga e tirotiro mārama ana i te āhua o te pēpi mā te whakamahi i ngā mīhini matawai hou.
- Ētahi atu taote pokanga e whakatutuki ana i ngā hiahia o te pēpi.
He aha ngā mate matua e rongoatia ana e ēnei pokanga?
He maha ngā āhuatanga ka taea te rongoā mā te pokanga i te kukune . Kei te ripanga i raro nei ētahi o aua āhuatanga me tētahi whakamārama māmā mō aua āhuatanga.
| Āhua | He whakamārama māmā |
|---|---|
| Te Tuaiwi Bifida | Ka noho tuwhera tonu te tuaiwi me te taurakira o te pēpi, engari kāore e kati tika. |
| Te mate whakawhiti toto māhanga-ki-māhanga (TTTS) | Kāore i te ōrite te rere o te toto ki roto i te whenua whānau i waenga i ngā māhanga. He nui ake te toto e whiwhi ana tetahi pēpi, he iti iho i tetahi. |
| Hernia Diaphragmatic Congenital (CDH) | He kōhao kei roto i te diaphragm e wehe ana i te uma me te puku, ka puta ai ngā whekau o te puku ki roto i te uma. |
| Teratoma Sacrococcygeal (SCT) | He pukupuku e puta mai ana i te pito o raro rawa o te tuaiwi o te pēpi (i te papa). |
| Te Ārai o te Ara Mimi o Raro (LUTO) | Mā te aukati i te ara mimi o te pēpi ka nui haere te pūkahukahu, ka kino hoki ngā whatukuhu. |
He aha ngā tikanga hei whakahaere i te pokanga?
I runga i tō hauora me te hauora o tō pēpi, ka whiriwhiria e te taote pokanga te tikanga tino tika. E toru ngā tikanga matua.
1. Pokanga Fetoscopic
He rite tēnei ki te "pokanga kōhao kī". Ka whakaurua e te tākuta he kāmera iti (fetoscope) me ngā taputapu pokanga mā roto i tētahi tapahi iti rawa i roto i tō kōpū. Ka iti ake te kiripaka e toe ana, ā, ka poto ake te wā whakaora.
2. Pokanga Tuwhera
I roto i tēnei, ka tukuna he rongoā whakamoe whānui ki a koe. Kātahi ka tapahia e te taote pokanga tō puku me tō kōpū, ka haere ki te wāhi kei reira te pēpi. He mea nui, ka noho tonu te pēpi i roto i te kōpū i te wā e pokangahia ana. Whai muri i te pokanga, ka katihia anō te kōpū me te puku, ā, ka haere tonu te haputanga pērā i te tikanga.
3. Ngā pokanga i mahia i te wā e whānau ana (Ngā Tukanga EXIT)
He tikanga tino motuhake tēnei. Ka mahia te pokanga i te wā e pokangahia ana te pēpi. Ka hoatu he rongoā whakamoe ki a koe, ā, ka whakangāwarihia tō kōpū. Kātahi ka whakatuwheratia te kōpū, ā, kāore e tangohia katoatia te pēpi, engari he wāhanga noa iho. I mua i te tapahi i te pito o te kōpū, mēnā kua āraia te ara manawa o te pēpi, ka whakatikahia, ka tangohia rānei tētahi mea pērā i te pukupuku nui. Kia tau te noho o te pēpi, ka tapahia te pito o te kōpū, ā, ka whānau katoa te pēpi.
He aha ngā mōrearea o tēnei momo pokanga?
Pērā i ngā pokanga katoa, he tūponotanga anō hoki kei roto i te pokanga kōpū. Ka pā pea ēnei tūponotanga ki te whaea me te pēpi. He mea nui kia tuwhera, kia mōhio hoki ki ēnei tūponotanga.
| Ngā tūponotanga o te pokanga | |
|---|---|
| Ngā tūponotanga ki te whaea | |
| • | Me whānau tēnei tamaiti me ā rātou tamariki ā muri ake nei mā te pokanga tākuta. |
| • | Me tuku toto nā te nui o te toto e hiahiatia ana. |
| • | Tērā pea ka angiangi, ka tūwhera anō rānei te koha o te kōpū, ka noho hei mōrearea mō ngā hāputanga a muri ake nei. |
| Ngā tūponotanga mōrearea ki te pēpi | |
| • | Ka taea e te motumotu o te whenua te aukati i te pēpi ki te whiwhi i te kai e hiahiatia ana e rātou. |
| • | Te mōrearea o te whānautanga o mua i te wā (te whānautanga o mua i te wā) nā te pokanga. |
| • | Te kōrioamnionitis (he mate o te wai amniotic) (he tino onge tēnei). |
He tino uaua te whakatau mō tētahi momo pokanga. Me whai whakaaro nui ki te hauora o te whaea me te pēpi. He mea nui kia matapakihia ia whakatau me tō tīma hauora.
Karere Tangohia ki te Kāinga
- He pokanga tino motuhake te pokanga kōpū e rongoā ana i ngā hapa whānau i roto i te kōpū, i mua i te whānautanga o te pēpi.
- Ko te whāinga matua he whakaora i te ora o te pēpi, me te whakapai ake i tōna hauora mō te wā roa.
- Ehara tēnei i te mea e mahia ana e te tākuta kotahi, engari e te rōpū tohunga hauora tino whakangungua i ngā momo mara.
- He maha ngā huarahi hei mahi i te pokanga (te pokanga kī, te pokanga tuwhera, me te wā e whānau ana), ā, ko te tikanga tino tika ka whakatauhia e ngā tākuta.
- Pērā i ngā pokanga katoa, he tūponotanga kei reira mō te whaea me te pēpi. Nō reira, me matapakihia ngā whakataunga katoa me tō tākuta me te tīma hauora.
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