Te Manaaki Kaiwhakawhanau i roto i ngā Take Whakatahe
Ko te whakatahe, te mate pēpi rānei, ko te whakamutu i te hāputanga i mua i te kaha o te tamaiti ki te ora i waho o te kōpū, i mua i te 20 wiki o te hāputanga. He tino teitei te maha o ngā whakatahe, e ai ki te 10-20% o ngā hāputanga katoa e mōhiotia ana ka mutu ki te mate pēpi. He mea nui te tiaki a te kaiwhakawhanau i ngā wā whakatahe hei whakaiti i ngā raruraru me te tautoko i te hauora tinana me te hinengaro o te whaea.
Ngā momo whakatahe
Ka taea te wehewehe i te whakatahe ki ētahi momo i runga i te wā me te take:
1. Te Whakatahe Pōrearea: E pā ana tēnei āhuatanga ki te whakatahe pōrearea, arā, kei te puta te toto o te tara, engari kāore i te whānui te kaki o te kōpū. Kei te ora tonu te tamaiti i roto i te kōpū, ā, kua oti pai te whakatō.
2. Te Whakatahe Tīmatanga: He whakatahe kei te haere tonu i reira he toto nui, ā, he whānui te kaki o te kōpū.
3. Whakatahe Kore-oti: He whakatahe kore-oti, ka toe tonu ētahi o ngā kiko hapūtanga ki roto i te kōpū.
4. Whakatahe katoa: Ka peia katoatia ngā kiko hapūtanga mai i te kōpū, ā, ka kiia kua oti te tukanga whakatahe.
5. Te Whakatahe i Ngaro: Ka mate te tamaiti i roto i te kōpū engari kāore he tohu o te whakatahe (pēnei i te toto, te mamae rānei).
6. Whakatahe Pōrearea: He materoto e haere tahi ana me te mate o te kōpū, o tētahi atu ara whakaputa uri rānei.
Te Whakahaere Whakatahe
1. Aromatawai
Ka tīmata te aromatawai mā te tango i ngā kōrero mō te hītori o te hapūtanga, ngā amuamu katoa, me te āhua o nāianei. Ko ētahi o ngā mea hei whakaaroaro ko:
– Te toto: Te rahinga, te tae, te aroaro, te ngaro rānei o te kiko.
– Mamae: Te kaha, te wāhi, me te āhua o te mamae.
– Hītori Whānautanga: Kua whakatahe koe i mua, te maha o ngā tamariki, ngā tikanga ārai hapūtanga i whakamahia.
– Ngā mate e pā tahi ana me te hītori: Ngā mate mau tonu ka pā ki te hāputanga pērā i te mate huka, te toto toto tiketike.
– Whakamātautau Tinana me te Whakamātautau Tautoko: Kei roto i te whakamātautau tinana te tirotiro i ngā tohu ora, te whakamātautau mimi, te hemoglobin, me te whakamātautau ultrasound hei aromatawai i te āhua o te pēpi me te kōpū.
2. Te Tātaritanga Tapuhi
Ko ētahi o ngā mate nēhi e pā ana ki ngā tūroro e whakatahe ana ko:
– E pā ana te mōrearea o te mate ki ngā kiko hapūtanga e toe ana i roto i te kōpū.
– Ngā mamae whakapeka e pā ana ki te pupuhi o te kōpū me te pana o te kiko.
– Te mōrearea o te ohorere hypovolemic e pā ana ki te toto nui.
3. Te Wawaotanga
Ka rerekē pea ngā wawaotanga whānau mō te whakahaere i te whakatahe i runga i te momo whakatahe me te āhua o te whaea. Ko ētahi o ngā tikanga noa ko:
Te Whakatahe Tata
– Okiokinga Katoa: Tohutohutia te whaea kia okioki i runga i te moenga, ā, kaua e mahi i ngā mahi taumaha.
– Rongoā: Te whakamahi i ngā rongoā pēnei i te progesterone hei āwhina i te pupuri i te hāputanga.
– Ngā tirotiro auau: Te aro turuki tata mā te whakamātautau ultrasound hei whakarite i te āhua o te pēpi.
Whakatahe Kāore i Oti, i Mahue rānei
– Te Whakawhanui me te Whakawete (D&C): Ko te tikanga o tēnei tikanga he tango i ngā kiko hapūtanga e toe ana mai i te kōpū.
– Rongoā: Te whakamahinga o te rongoā misoprostol hei whakaoho i ngā whakaheke o te kōpū kia taea ai te whakaputa maori i ngā kiko e toe ana.
– Ngā rongoā paturopi: Ka hoatu ngā rongoā paturopi ārai mate hei ārai i te mate.
Whakatahe Matepukupuku
– Ngā rongoā paturopi: Me tīmata tonu te rongoā paturopi kaha.
– Te Whakahaere Wai me te Irahiko: Te werohanga wai hei pupuri i te nui o te toto me te taurite o ngā irahiko.
– Tangohanga Kiko: Tērā pea e hiahiatia ana ngā tikanga pokanga pēnei i te D&C hei tango i te kiko pangia.
– Aroturuki Tata: Te aro turuki i ngā tohu ora me te mahi a ngā okana hei kite i te sepsis wawe, i te kino haere rānei o te mate.
Whakatahe Katoa
– Te Tirotiro: Te aroturukitanga kia tino puta katoa ngā kiko i te kōpū, ā, kia kore ai he raruraru anō.
– Tautoko Hinengaro: He wheako tino mamae te whakarato tautoko kare ā-roto me te tuku tohutohu i te mea ka mate te hāputanga.
4. Mātauranga me te Tohutohu
He wāhanga nui te mātauranga o te mahi a te kaiwhakawhanau mō te whakatahe. Ko ētahi o ngā kaupapa mātauranga hei aro atu ko:
– Te akuaku: Kia mau tonu te akuaku o ngā taihemahema hei karo i te mate.
– Ngā Here Mahi: Āta karohia te moe tāne me te mahi uaua i te wā whakaora.
– Ngā Tohu Mōrearea: E whakamōhio ana i te wā tika kia haere tonu ki te hōhipera, pēnei i te mea he toto nui, he kirika, he mamae nui rānei.
– Te ārai hapūtanga: Te kōrero mō ngā mahere hapūtanga ā muri ake nei me te whakamahinga haumaru o ngā ārai hapūtanga.
– Tautoko Hinengaro: Ka whakarato i ngā mōhiotanga e pā ana ki ngā rauemi tautoko hinengaro e wātea ana.
5. Tautoko Hinengaro
He wheako kare ā-roto, he wheako mamae hoki te whakatahe mō te tini o ngā wāhine. Nō reira, he wāhanga nui o te tiaki a te kaiwhakawhanau te tautoko hinengaro. Ko ngā mahi ka taea te mahi ko:
– Te Whakawhitiwhiti Kōrero Aroha: Te hanga whakawhitiwhiti kōrero tairongo, aroha hoki hei whakarongo ki ngā kare ā-roto me ngā amuamu a ngā tūroro.
– Te Tohutohu: Hoatu he tohutohu hinengaro mēnā e tika ana, ā, me tuku atu ki tētahi tohunga hinengaro, ki tētahi tohunga hinengaro rānei mēnā ka kitea ngā tohu o te pouri, te manukanuka nui rānei.
– Tautoko Whānau: Whakamōhiotia te whānau mō te āhua o te tūroro me te hiranga o te tautoko matatika mai i ngā mema o te whānau.
Whakamutunga
Me whai huarahi whānui, whānui hoki te tiaki i te whakatahe e te kaiwhakawhanau. Mā te aromatawai taipitopito, te wawaotanga hauora tika, te mātauranga, me te tautoko hinengaro, ka taea e ngā kaiwhakawhanau te whai wāhi nui ki te whakaiti i ngā raruraru me te āwhina i te whaea ki te whakaora tinana me te hinengaro. He mea nui te maimoatanga tika me te tere hei whakarite i te hauora me te oranga o te whaea, me te whakarato i te tautoko e hiahiatia ana e ia hei whakatau i tēnei wheako mamae.
