# Ngā raruraru i te whānautanga
He tukanga taiao te whānautanga o te nuinga o ngā wāhine. Ahakoa he pai te haere o te nuinga o ngā whānautanga, ka puta pea ngā raruraru i ētahi wā. Ka rerekē ngā raruraru i te wā whānautanga, ā, he pānga nui ki te hauora o te whaea me te pēpi. Ka matapakihia e tēnei tuhinga ētahi momo raruraru ka puta i te wā whānautanga, ō rātou take, me pēhea te whakahaere i aua raruraru.
## Ngā Momo Whakararuraru i te Whānautanga
### 1. Te Preeclampsia me te Eclampsia
Ko te preeclampsia he mate hauora e tohuhia ana e te toto toto tiketike me te kino o ngā okana, ko te nuinga o ngā whatukuhu, ka puta i muri i te 20 wiki o te haputanga. Ka taea e tēnei mate te whanake hei eclampsia, tae atu ki ngā tohu pēnei i te haurangi, ā, ka morearea pea te ora mō te whaea me te tamaiti i roto i te pēpi.
Ngā Take me ngā Take Mōrearea:
– Ngā āhuatanga ira
– Hītori whānau mō te preeclampsia
– Te haputanga tuatahi
– Te pakeketanga nui rawa o te whaea, he taitamariki rawa, he kaumātua rawa rānei
Te whakahaere:
Ko te whakahaere i te preeclampsia ko te aroturukitanga tata o te whaea me te tamaiti i roto i te pēpi, ngā rongoā hei whakaheke i te toto toto tiketike, me te whakatau kia whānau wawe mēnā ka kino haere te āhua.
### 2. Te Toto i Muri i te Whānautanga (PPH)
Ko te toto i muri i te whānautanga he āhuatanga e pāngia ai te whaea e te toto nui i muri i te whānautanga. Ko tētahi o ngā tino take o te mate o ngā whaea puta noa i te ao.
Ngā Take me ngā Take Mōrearea:
– Te mate pūkahukahu (he āhuatanga kāore te pūkahukahu e kōpiri tika i muri i te whānautanga)
– Te pupuri i ngā wāhanga o te whenua whānau
– Te mamae o te whānautanga
– Ngā raruraru toto totoka
Te whakahaere:
Ko te whakahaere i te PPH ko te hoatu rongoā hei āwhina i te hukihuki o te kōpū, ngā tikanga ā-ringa hei tango i te whenua e puritia ana, ā, i ngā wā tino kino, ko te pokanga.
### 3. Te ngoikore o te pakihiwi
Ka puta te dystocia pakihiwi ina mau te pakihiwi o te pēpi ki muri i te wheua tūtae o te whaea i te wā e whānau ana. He āhuatanga ohorere tēnei e hiahia ana kia rongoatia tonutia hei ārai i te whara o te pēpi.
Ngā Take me ngā Take Mōrearea:
– Pēpi nui (macrosomia)
– He hītori o te dystocia pakihiwi i tētahi hāputanga o mua
– Te mate huka hāputanga
Te whakahaere:
Ko te whakahaere i te dystocia pakihiwi he maha ngā mahi whānau hei tuku i ngā pakihiwi o te pēpi. I ētahi wā, me mahi he episiotomy, he pokanga tākihi rānei.
### 4. Mahi Matatau (He Roa Rawa te Mahi)
Ka roa rawa te whānautanga, ka roa rānei te whānautanga, ka ngenge te whaea, ka pāngia hoki te tamaiti e te ahotea nui. Ka puta tēnei āhuatanga mō ngā take maha, pērā i te ngoikore o ngā hononga, te tūnga kino rānei o te tamaiti e te koretake.
Ngā Take me ngā Take Mōrearea:
– Ngā whakahekenga kōpū koretake
– Te tūnga rerekē o te kōpū
– Te ngoikore o te hope o te whaea
Te whakahaere:
Ko ngā huarahi whakahaere ko te hoatutanga o te oxytocin hei whakaoho i ngā mamae, ngā tikanga whakanoho i te whaea, i te tamaiti rānei i roto i te kōpū, ā, i ētahi wā, ko ngā mahi pokanga pērā i te korehau, te forceps rānei, te pokanga cesarean rānei.
### 5. Tūnga Rerekē o te Pēpi
Kei roto i te tūnga hē o te kōpū te maha o ngā tūnga rerekē pērā i te kōpū whakamuri, te kōpū whakapae rānei, ka uaua ai te whānautanga noa.
Ngā Take me ngā Take Mōrearea:
– Te āhua rerekē o te kōpū
– Te whānautanga o mua o te whenua
– Te haputanga māhanga
Te whakahaere:
Ko te maimoatanga he ngana ki te whakarerekē i te tūranga o te kukune i mua i te whānautanga (putanga o waho), he whakamahere rānei i te pokanga whakawhānau kia taea ai te whānautanga haumaru.
### 6. Ngā raruraru o te kōpeketanga o te pito
Ka taea e ngā raruraru o te pito, pērā i te hekenga o te pito (te putanga mai o te pito i mua i te pēpi), te whakararu i te tohatoha o te hāora ki te pēpi.
Ngā Take me ngā Take Mōrearea:
– Te whānautanga wawe
- Te pakaru wawe o ngā kiriuhi
– Te tūnga rerekē o te kōpū
Te whakahaere:
Ko te maimoatanga ohorere mō te aukati o te pito ko te neke i te tūranga o te whaea, te whakaiti i te pēhanga ki runga i te pito, me te whānau tonu i te pēpi mā te pokanga.
## Te Ārai me te Whakahaere i ngā Whakararuraru o te Whānautanga
He mea nui te ārai i te mate hei whakaiti i te tūponotanga o ngā raruraru whānau. Mā ēnei mahi e whai ake nei ka āwhina:
1. Te Tiaki i te Wā Hapūtanga e Rawa Ana:
Mā ngā tirotiro hauora auau e te tohunga hauora ka taea te kite wawe i ngā āhuatanga ka arahi pea ki ngā raruraru.
2. Te Kōrero ki tētahi Tohunga:
I ngā take mōrearea nui pēnei i te hītori o te preeclampsia, te mate huka, te haputanga maha rānei, mā te kōrero ki tētahi tākuta whānau ka āwhina i te whakamahere pai ake i te whakahaere whānautanga.
3. Mahere Whānau:
He mea āwhina te whakarite i tētahi mahere whānau me tō tākuta, me tētahi mahere tāpiri mēnā ka puta he raruraru.
4. Mātauranga me te Whakangungu:
He mea nui te mātauranga mō ngā tohu o ngā uauatanga me te whakangungu i ngā mahi taketake mō te whānautanga mā ngā kaimahi hauora.
## Whakamutunga
He nui ngā raruraru i te wā e whānau ana, ā, ka tūpono pea ki te hauora me te haumaru o te whaea me te pēpi. Ko ētahi o ngā raruraru noa ko te preeclampsia, te toto i muri i te whānautanga, te dystocia pakihiwi, te whānautanga tere, te tūnga hē o te kōpū, me ngā raruraru o te pito o te kōpū. He mea nui te mārama ki ngā take, ngā āhuatanga mōrearea, me te maimoatanga tika hei ārai me te whakahaere i ēnei raruraru.
Mā te tiaki pai i te wā e hapu ana, te aroturuki tata, me te mahi tahi a te whaea e hapu ana me ngā tohunga hauora ka āwhina i te whakaiti i te mōrearea o ngā raruraru me te whakarite i te whānautanga haumaru me te hauora. Mā te arahi hauora tika, ka taea te whakahaere pai i ngā raruraru maha, ā, ka puta he hua pai mō te whaea me te pēpi.
