Inā ʻoe e kali ana i nā keiki ʻekolu , ke manaʻo nei paha ʻoe i kahi pīhoihoi iki, akā he hoihoi iki nō hoʻi, a malia paha he makaʻu iki, ʻeā? He mea maʻamau kēlā. No ka mea, he mea kūikawā ka loaʻa ʻana o nā keiki ʻekolu. No laila i kēia lā, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo, e like me ka hoaaloha. E ʻike ʻoe i nā pane i nā nīnau he nui āu e noʻonoʻo nei ma kēia ʻatikala.
He aha nā triplets? I ka ʻōlelo maʻalahi...
ʻO nā triplets he ʻekolu mau pēpē i hāpai ʻia i ka manawa like i ka wā hāpai hoʻokahi a ulu pū. E noʻonoʻo, ʻekolu mau pēpē ma kahi o hoʻokahi! He mea kākaʻikahi kēia, akā ʻaʻole hiki ʻole.
Pehea ka hānau ʻana o kēia mau triplets?
ʻElua ala e hiki ai kēia. E nānā kākou i ke ʻano o ia mau mea.
1. ʻEkolu hua manu, ʻekolu sperm: Hoʻokuʻu kāu mau ovaries i nā hua i kēlā me kēia mahina, a mākou e kapa nei he " Ovulation" . I kekahi manawa, inā hoʻokuʻu ʻia ʻekolu hua manu i ka manawa hoʻokahi, a hoʻomomona ʻia nā hua manu ʻekolu e ka sperm kaʻawale, a laila hiki ke hānau ʻia nā triplets.
2. Hoʻokahi hua manu, e māhele ana i ʻekolu: ʻO ke ʻano hana ʻē aʻe, ʻo ia ka hua manu i hoʻoulu ʻia, i hana ʻia ma ka hui ʻana o hoʻokahi hua manu me hoʻokahi sperm, a laila e māhele ʻia i ʻekolu mau embryos. He hana paʻakikī iki kēia.
Aia kekahi mau ʻano triplets like ʻole?
ʻAe, hiki i nā ʻekolu ke loaʻa i nā ʻano like ʻole. E aʻo pū kākou e pili ana i kēlā.
1. Nā ʻEkolu Pākahi
ʻO kēia ka mea e hana ʻia ma ke ʻano mua i ʻōlelo ʻia ma luna, ʻo ia hoʻi, ke hoʻoulu ʻia ʻekolu mau hua kaʻawale e ʻekolu sperm kaʻawale. ʻO kēia mau keiki ʻekolu paha he kāne like a ʻaʻole paha. Hiki ke ʻokoʻa ko lākou helehelena. E like me nā hoahānau ma ka ʻohana hoʻokahi, ua like ko lākou "(DNA)".
2. Nā Triplets like
Hana ʻia kēia i ka wā e māhele ai kahi hua manu hoʻokahi i ʻekolu mau embryo. ʻO kēia mau pēpē ʻekolu he kāne like. A no ka mea ua like loa ko lākou "DNA", hiki iā lākou ke nānā like loa. Eia nō naʻe, he mea kakaikahi iki nā triplets like e like me kēia.
3. Nā Triplets Hui Pū ʻia
ʻO kēia ka manawa e like ai nā keiki ʻelua (mai ka hua like), ʻoiai ʻaʻole he kaikaina kekahi (mai kahi hua ʻokoʻa).
E nānā pū kākou pehea e kaʻana like ʻia ai ka placenta a me ka ʻeke hāpai?
Ma muli o ke ʻano a me ka wā e hāpai ai ka triplet, hiki ke ʻokoʻa ke ʻano o ka kaʻana like ʻana o nā pēpē i ka placenta a me ka ʻeke gestational a lākou e noho nei.
- `(Monochorionic)`: Ma kēia, kaʻana like nā pēpē ʻekolu i ka placenta like a me ka ʻeke amniotic like.
- `(Dichorionic)`:Maanei, ʻelua mau pēpē e kaʻana like i kahi placenta a me kahi ʻeke hāpai. Loaʻa i ke kolu o ka pēpē kāna placenta a me ka ʻeke hāpai ponoʻī. Ua hoʻokaʻawale ʻia kēia mau ʻeke ʻelua e kahi membrane lahilahi.
- `(Trichor ION ic)`: ʻO kēia ka ʻāpana maikaʻi loa. Loaʻa i nā pēpē ʻekolu nā placentas kaʻawale a me nā ʻeke amniotic kaʻawale.
ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o nā triplets?
Ma keʻano laulā, ʻoi aku ka nui o ka hāpai ʻana o ka triplets i ka poʻe me kēia mau kumu:
- Inā ʻoe ma luna o 35 mau makahiki: Hiki ke piʻi aʻe kēia pilikia, ʻoiai inā ua loaʻa iā ʻoe kekahi mau keiki.
- Inā he moʻolelo o nā hāpai keiki he nui i loko o kou ʻohana a i ʻole i loko o kou moʻolelo ponoʻī: ʻO ia hoʻi inā he māhoe a he ʻekolu paha i loko o kou ʻohana.
- Inā ʻoe e hana nei i nā lāʻau lapaʻau hānau keiki: ʻOi loa aku i ka wā e hoʻohana ai i nā lāʻau lapaʻau e like me `(IVF - in vitro fertilization)`.
Pehea e ʻike ai inā he triplets kaʻu e hāpai nei?
Aia kekahi mau hōʻailona mua āu e ʻike ai inā ʻoe e hāpai ana ma mua o hoʻokahi pēpē. Eia kekahi laʻana, ka ʻeha o ka umauma, ka piʻi wikiwiki o ke kaumaha, a i ʻole ka maʻi kakahiaka nui.
E ʻike paha kāu kauka i kekahi mau hōʻailona o kēia i kou wā e nānā ai i ka wā hāpai. Eia kekahi o lākou:
- ʻO ke kiʻekiʻe o nā hormones hāpai i loko o kou koko, ʻoiai ka hormone "Human Chorionic Gonadotropin (HCG)" he kiʻekiʻe loa ia.
- Ka piʻi ʻana o nā pae o ka "Alpha-fetoprotein", kahi protein i hana ʻia i loko o ke akepaʻa o ke pēpē.
- ʻO ka mea e lohe ana i nā puʻuwai o ka naʻau ma mua o hoʻokahi.
- Hiki ke hōʻoia ʻia kēia mau mea a pau me kahi ultrasound. Hoʻohana kēia i nā nalu kani e ʻike i nā kiʻi o nā pēpē i loko o kou ʻōpū i ka manawa maoli. Inā he ʻekolu kāu mau pēpē, hiki iā ʻoe ke ʻike maopopo iā lākou.
He ʻokoʻa anei ka mālama ʻana i ka wā hāpai ma mua i ka wā hāpai triplet?
ʻAe, ʻoiaʻiʻo nō. ʻO ka mālama ʻana i ka wā hānau mua he mau nānā mau ʻana e nānā i ka ulu ʻana o nā pēpē. ʻOi aku ka nui o ka pilikia o nā pilikia i ka hāpai ʻana o ka triplet. No laila e nānā mau ana kāu kauka i kou olakino.
Ma muli o kēia pilikia, pono paha ʻoe e ʻike pinepine i kāu kauka ma mua o kahi wahine hāpai maʻamau. Ma muli o kou pae o ka hāpai ʻana, hiki i kēia mau manawa ke komo pū me:
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* ʻO ka hapaha mua (a hiki i 12 mau pule o ka hāpai ʻana): I kēlā me kēia ʻelua a ʻekolu pule.
* ʻO ka lua o ka trimester (nā pule 13 a 26): I kēlā me kēia ʻelua pule.
* ʻO ke kolu o ka trimester (mai 27 mau pule a hiki i ka hānau ʻana): Hoʻokahi manawa i ka pule.
Pono anei au i kahi papaʻai kūikawā inā ke kali nei au i nā triplets?
ʻAʻohe pono no kahi papaʻai "kūikawā". Akā ʻo ka mea nui loa, ʻo ia ka loaʻa ʻana o nā calorie lawa e kākoʻo i ka ulu ʻana o ʻekolu mau pēpē . Na kāu kauka hānau keiki (OB/GYN) e haʻi iā ʻoe i ka nui o nā calorie āu e pono ai a inā pono ʻoe e hoʻololi i kāu papaʻai.
He mea nui hoʻi e lawe i kahi huaora prenatal e hōʻoia i ka loaʻa ʻana o nā meaolaola koʻikoʻi āu e pono ai. Pono kēia e komo pū me:
- Kalipuna
- ʻAkika Folic `(ʻAkika Folic)`
- Hao
Pehea ka hopena o ka loaʻa ʻana o nā triplets i koʻu hāpai ʻana?
Ke hāpai ʻoe ma mua o hoʻokahi pēpē, ua manaʻo ʻia kēlā hāpai ʻana he pilikia kiʻekiʻe . ʻO ke ʻano kēia, ʻoi aku ka nui o kou loaʻa ʻana i nā pilikia ma mua o ka hāpai ʻana maʻamau.
ʻO kekahi o kēia mau pilikia hiki ke hana ʻia:
- Anemia: Ua emi ka nui o nā ʻāpana koko ʻulaʻula.
- ʻO Cholestasis o ka hāpai ʻana: He hōʻiliʻili ʻana o ka bile i loko o ke ake, e hoʻoheheʻe ana i ka waikawa i loko o ke koko a i ʻole nā ʻiʻo ʻē aʻe.
- ʻO ka maʻi diabetes gestational: Ke kiʻekiʻe o ke kō koko i ka wā hāpai, ʻoiai inā ʻaʻole ʻoe i loaʻa i ka maʻi diabetes ma mua.
- Hyperemesis gravidarum: ʻO ka maʻi kakahiaka nui a me ka nausea, ka nausea mau, a i ʻole ka luaʻi pinepine ʻana.
- Polyhydramnios: Ka nui o ka wai amniotic.
- Ka hānau mua ʻana: Ka hoʻomaka ʻana o ka hānau ʻana ma mua o 37 mau pule.
- Preeclampsia: Ke koko kiʻekiʻe ma hope o 20 mau pule o ka hāpai ʻana.
- Ka hānau mua ʻana: Ka hānau ʻana o ke keiki ma mua o ka hiki ʻana i ka manawa piha.
He aha nā pilikia i ka pēpē i ka wā hāpai triplet?
Hiki i nā pilikia ke hoʻopilikia i hoʻokahi keiki a i ʻole kekahi mau keiki. ʻO lākou pū kekahi:
- Nā kūlana hānau: Hiki i nā keiki ke hānau ʻia me nā kūlana e hoʻopilikia ai i ke ʻano a me ka hana o nā ʻāpana like ʻole o ko lākou kino. Hiki i kēia mau mea ke hana ma nā wahi e like me ka puʻuwai, ka lolo, ka maka, a me nā lālā.
- ʻO ka maʻi hoʻoili koko māhoe-a-māhoe: He ʻano koʻikoʻi kēia. Ke kaʻana like nā pēpē ʻelua a ʻekolu paha i ka placenta like a me ka lako koko, ʻaʻole e māhele like ke koko, e hoʻoulu ai i kekahi pēpē e loaʻa i ka nui o ke koko a ʻo kekahi e loaʻa i ka liʻiliʻi.
- Kaumaha hānau haʻahaʻa: ʻO nā pēpē i emi ke kaumaha ma mua o 2.5 kilokani (5 paona, 8 auneke) i ka wā hānau ua manaʻo ʻia he kaumaha hānau haʻahaʻa. Hoʻonui kēia iā lākou i ka pilikia o nā pilikia olakino, e like me nā pilikia hanu.
- Ka haki ʻana o ka placenta:Hoʻokaʻawale ka placenta mai ka ʻōpū, e ʻoki ana i ke koko a me ka lako o nā meaʻai i ka pēpē. He pilikia kakaikahi kēia e pono ai ka mālama lapaʻau ulia pōpilikia.
He aha e hana ai inā loaʻa nā pilikia?
Inā kū mai kekahi mau pilikia, pono ʻoe e ʻike i kahi loea lapaʻau makuahine-keiki .
Hāʻawi kēia ʻano loea i nā lawelawe kūikawā no nā hāpai keiki kiʻekiʻe, me:
- Ka hoʻāʻo prenatal holomua a me ka nānā ʻana i ka fetal.
- Ka ʻike ʻana i ke kūlana noʻonoʻo.
- Hoʻolālā hānau a me nā lawelawe hānau kūikawā.
- Hoʻonohonoho ʻana i ka mālama ulia pōpilikia ma hope o ka hānau ʻana (inā pono).
Pono anei au e hoʻomaha i ka moena?
Inā kiʻekiʻe ka pilikia o nā pilikia i ka wā hāpai, ʻo ka hoʻomaha ʻana ma kahi moe he palena ia o ka hana kino. Pono nā wahine he nui e manaʻo ana i nā triplets e hoʻomaha ma kahi moe i ka hapa hope o ko lākou hāpai ʻana.
ʻElua ʻano o kēia:
- Hoʻomaha moe i hoʻololi ʻia: Pono ʻoe e noho ma kahi moe no ka hapa nui o ka manawa, akā hiki iā ʻoe ke noho, kū, a hele paha no kekahi manawa.
- Hoʻomaha piha i kahi moe: Pono ʻoe e noho ma kahi moe i nā manawa a pau koe wale nō ka hele ʻana i ka lua a me ka holoi ʻana i kou kino.
Pehea ke ʻano o ka hānau ʻana o nā triplets?
Hoʻopuka pinepine ʻia nā hānau ʻekolu ma o ka ʻoki cesarean (C-section) . Pono kēia ʻano ʻoki no:
- Inā kūlou ke pēpē i lalo a i ʻole kekahi kūlana ʻē aʻe ma mua o ke poʻo i lalo.
- E hoʻomākaukau i nā loea inā pono ʻoe a i ʻole kāu mau keiki i ka mālama ulia pōpilikia ma muli o kahi pilikia.
He mea maʻamau ka hānau mua ʻana i waena o nā triplets, ʻoiai:
- Inā loaʻa iā ʻoe nā ʻeha hānau mua a ʻaʻole hana ka lāʻau lapaʻau i hāʻawi ʻia e hoʻōki iā lākou.
- Inā he nui kou koko koko kiʻekiʻe a i ʻole nā pilikia ʻē aʻe e hoʻomaikaʻi ʻia ma hope o ka hānau ʻana.
- Inā e pau ka ulu ʻana o ke keiki.
He mea nui e hoʻomanaʻo he pōkole ka manawa hāpai no nā hāpai he nui (ʻoi aku ma mua o hoʻokahi pēpē) ma mua o nā hāpai hoʻokahi (hoʻokahi pēpē). ʻO ka awelika o ka manawa hāpai no kahi hoʻokahi ma waena o 37 a me 40 mau pule. E emi ana ka manawa hāpai i ka piʻi ʻana o ka nui o nā pēpē. ʻO ka awelika o ka manawa hāpai no nā triplets ma waena o 32 a me 35 mau pule.
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Inā ʻoe e kali ana i nā keiki ʻekolu, ʻo ia hoʻi ke hāpai nei ʻoe i ʻekolu mau pēpē i loko o kou ʻōpū. ʻOiai he mea hoihoi loa kēia, pono ʻoe e hoʻomaopopo he nui aʻe ka pilikia o nā pilikia i ka wā hāpai a me ka hānau ʻana.
Akā, mai hopohopo. ʻO ka hele pinepine ʻana i nā keʻena hoʻomaʻamaʻa hāpai, e ʻimi ana i ka ʻōlelo aʻo mai kahi loea lapaʻau makuahine-keiki inā pono, a me ka hahai ʻana i nā ʻōlelo a kāu kauka e kōkua iā ʻoe e noho olakino e like me ka hiki.Ke hoʻāʻo mau nei kāu hui lapaʻau e hāʻawi i ka mea maikaʻi loa nou a me kāu pēpē. No laila, e noho mālie a lawe pū i kēia huakaʻi me ʻoe. Nā manaʻolana maikaʻi loa!
ʻO nā keiki ʻekolu, hāpai keiki, mālama hānau keiki, hānau keiki he nui, hānau keiki ʻōpiopio, ʻoki ʻoki cesarean, nā lāʻau lapaʻau hānau keiki











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