Kāore e taea te whakapuaki i te harikoa e pā ana ki a koe i muri i te whānautanga mai o tō pēpi ki tēnei ao, tika? Engari i tua atu i tēnei harikoa, me mōhio tātou ki ngā huringa o tō tinana hei whaea. He mea noa te toto i muri i te whānautanga o te pēpi . Engari ki te piki haere te toto ki te taumata e kore e taea te whakahaere, ka noho hei āhuatanga morearea. Ko tētahi o ngā raruraru nui ka puta i tēnei wā ko te Uterine Atony. Me kōrero tātou mō tēnei i tēnei rā, me te kore wehi, he māmā noa iho.
He aha te Atony Uterine?
I roto i te roanga o tō hapūtanga, arā, e 9 marama te roa, ka whiwhi tō pēpi i ngā matūkai me te hāora katoa e hiahiatia ana e ia mā roto i ngā uaua toto i roto i tō kōpū. Whai muri i te whānautanga o te pēpi, ina whānau mai te whenua, ka tuwhera ēnei uaua toto.
Ko te mea e tupu ana i te nuinga o te wā, ina whānau mai te pēpi, ka kaha te whakawhāiti o ngā uaua o te kōpū, ka kati i ēnei oko toto tuwhera, ka mutu te toto. Whakaarohia he rite ki te pēhi i tētahi paipa wai ki tō ringa, ā, ka mutu te rere o te wai.
Heoi, i roto i te āhuatanga e kiia nei ko te Uterine Atony , kāore ngā uaua o te kōpū e kōpiripiri pērā i te mea e tumanakohia ana. Ka wetekina, ka "mangere" (koinei te tikanga o te atony). Kātahi ka tīmata te toto o aua uaua toto tuwhera ki te kore e taea te whakahaere.
Ka pā pea tēnei i te wā whānau tara, i te wā rānei e wehea ana te pēpi. Ka pā anō hoki i muri i te materoto. Me mahara koe he mate tino kino tēnei e hiahia ana kia rongoatia wawetia .
He aha ngā āhuatanga e whakapiki ake ai i te mōrearea o tēnei āhuatanga?
Kāore tēnei āhuatanga e pā ki te katoa. Heoi, tera pea ētahi tāngata he nui ake te mōrearea nā ētahi āhuatanga. Koia te take e mōhio tonu ai tō tākuta ki ēnei āhuatanga mōrearea.
| Tauwehenga Mōrearea | He whakamārama ngāwari noa iho |
|---|---|
| He mahi roa, he mahi uaua hoki | Ka ngenge pea ngā uaua o te kōpū i muri i te wā roa o te whānautanga me te whānautanga uaua o te pēpi. |
| Te nui rawa o ngā whakahekenga o te kōpū | Mena he nui te taumaha o te pēpi (hei tauira, neke atu i te 4 kg), mena he mahanga, he nui rānei te wai o te pēpi i roto i te kōpū (polyhydramnios), tera pea kua totoro rawa te kōpū. |
| Te hanga putiputi horihori | Ina whānau he pēpi mā te hoatu i tētahi rongoā pēnei i te oxytocin me te whakaoho i te whānautanga mō te wā roa. |
| Ngā Fibroids | Ka taea e ngā fibroids i roto i te kōpū te aukati i te whakawhāiti tika o te kōpū. |
| Ngā āhuatanga pangia | Te mate o ngā kiriuhi e karapoti ana i te pēpi (chorioamnionitis). |
| Momonatanga | He take mōrearea anō hoki te taumaha rawa. |
He aha ngā tohu o tēnei?
Ko te tohu matua me te tino morearea o tēnei mate ko te toto nui rawa atu kāore e taea te whakahaere i muri i te whānautanga ( Postpartum Hemorrhage ) .
Ahakoa he mea noa te toto iti i muri i te whānautanga, ki te mea kei te kite koe he nui rawa te toto, ki te mea rānei kua mākū katoa te papa e whakamahia ana e koe i roto i te wā poto, pērā i te haora, ki te mea rānei kei te puta he toto toto nui, kaua rawa e whakaaro he mea noa. Me whakamōhio tonu atu ki tō tākuta, ki tō nēhi rānei.
Ina nui rawa te toto e tukuna ana mai i te tinana, ka puta pea ētahi atu tohu.
- Te toto toto iti (hypotension)
- Te pikinga o te tere o te ngakau
- Ka mātao, ka kōwhai te tinana
- Te pōuriuri, te kikorangi o ngā kanohi
- Te hekenga o te putanga mimi
- Te ngaronga o te māramatanga i ngā wā tino kino
Me pēhea te mōhio o te tākuta ki tēnei?
Tō tākuta.Ko te nuinga o te wā ka kitea tēnei mate mā te tirotiro i te kōpū.
I muri i te whānautanga noa, ka whakatakotoria e te tākuta tōna ringa ki tō puku, ka tirohia tō kōpū. Mēnā i whānau koe i te pokanga, ka mahia tēnei tirotiro i te mutunga o te pokanga. I te nuinga o te wā, i muri i te whānautanga, kua mimiti tō kōpū, ā, kua rite ki te toka te pakeke. Heoi, i roto i ngā take o te uterine atony, he tino nui te kōpū, ā, he ngawari te pā atu.
Ka tirohia anō hoki e te tākuta mēnā he take kē atu mō tēnei toto nui. Hei tauira:
- He whara, he haehae rānei kei te kaki o te kōpū, kei te tara rānei?
- Kei te toe tonu ētahi wāhanga o te whenua i roto i te kōpū (he whenua i puritia)?
Ka whakaū te tākuta i te āhua o te uterine atony i muri i te tirotiro i ēnei katoa.
He aha ngā maimoatanga mō tēnei?
He āhuatanga ohorere tēnei, nō reira me tīmata tonu te maimoatanga. Ko te whāinga matua kia tere te whakamutu i te toto. I tēnei wā, ka hoatu he tote ki a koe hei whakakapi i ngā wai i ngaro i roto i tō tinana, me te hāora hoki mēnā e tika ana. Mēnā he nui te toto i ngaro, me whakawhiti toto pea.
He maha ngā tikanga maimoatanga.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Maimoatanga Hauora | |
| Oxytocin (Pitocin) | He homoni e āwhina ana i te kōpiri o te kōpū. Ka hoatu tēnei mā roto i te uaua me te tote. |
| Ētahi atu rongoā (hei tauira, Methylergonovine, Prostaglandins) | He rongoā ēnei e hoatu ana hei whakapakari i te kōpiri o te kōpū. Ko ētahi ka werohia, ko ētahi ka hoatu hei pire ka werohia ki roto i te tara, ki te pūkahukahu rānei. |
| Ngā Tukanga Pokanga me Ētahi Atu | |
| Te Tākai/Poihau Kōpū | Ka whakatakotoria he rōra miro, he poihau rānei ki roto i te kōpū, hei pupuri i ngā uaua toto mai i roto, hei aukati i te toto. |
| Te Herenga o te Arorangi Kōpū | He pokanga iti tēnei. Ka herea te uaua toto matua e tuku toto ana ki te kōpū, kia mutu ai te toto. |
| Te tango i te histerekore | Ki te kore he huarahi kē atu e taea ai te aukati i te toto, hei huarahi whakamutunga , me tango katoa tō kōpū hei whakaora i tō ora. He pokanga nui tēnei. |
Ka mahia anake te tango pokanga i roto i ngā take e whakaora ai te ora, ina kāore he huarahi kē atu, nō reira kaua e wehi.
Karere Tangohia ki te Kāinga
- Ko te atony o te kōpū he āhuatanga e kore ai e pai te whakawhāiti o ngā uaua o te kōpū i muri i te whānautanga, ka hua ake he toto nui. He āhuatanga ohorere hauora tēnei e hiahia ana kia rongoatia tonutia.
- Ki te whakapae koe kei te toto nui rawa koe i muri i te whānautanga (ka tere te mākū o te papa, ka puta ngā toto toto nunui), me kōrero tonu atu ki tō tākuta, ki tō nēhi rānei. Kaua e whakaroa.
- Ahakoa he maha ngā āhuatanga mōrearea mō tēnei mate, ka taea e te tangata te pā ki tēnei mate, nō reira he mea tino nui kia whānau i roto i te hōhipera me ngā kaimahi whakangungu.
- He tino whai hua ngā maimoatanga mō tēnei. He maha ngā tikanga e whakamahia ana e ngā tākuta, mai i ngā rongoā ki te pokanga, hei whakamutu i te toto.
- Kōrerohia mā te mahorahora ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tō tinana, i mua atu, i muri mai hoki i te whānautanga.
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