Ke loaʻa nei iā ʻoe nā māhoe a i ʻole nā ​​​​​​mākolu paha? (Hapai Nui) E kamaʻilio kākou e pili ana i kēia!

Ke haʻi aku ke kauka iā ʻoe e loaʻa ana iā ʻoe ma mua o hoʻokahi pēpē, ʻo ia hoʻi, nā māhoe a i ʻole nā ​​triplets (hāpai keiki he nui), pono ʻoe e manaʻo i ke kahaha a me ka hauʻoli loa, ʻeā? Akā i ka manawa like, he mea maʻamau ka loaʻa ʻana o kahi makaʻu iki a me kekahi mau nīnau e hiki mai ana i kou manaʻo. Ke noʻonoʻo nei paha ʻoe i nā mea e like me, "Pehea wau e mālama ai i ʻelua?", "E hiki anei iaʻu ke lawelawe i kēia?" Mai hopohopo, ʻaʻole ʻoe hoʻokahi. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia "hāpai keiki he nui" ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha kēia hāpai keiki he nui?

I ka ʻōlelo maʻalahi, ʻo ka hāpai keiki he nui ke hāpai ʻoe ma mua o hoʻokahi pēpē i ka manawa hoʻokahi. Inā ʻoe e hāpai ana i ʻelua pēpē, kapa mākou iā lākou he māhoe . Inā ʻoe e hāpai ana i ʻekolu pēpē, kapa mākou iā lākou he triplets . I kekahi manawa, hiki iā ʻoe ke hāpai i nā pēpē hou aʻe i ka hāpai hoʻokahi, ka mea i kapa ʻia he high-order multiples . ʻOi aku ka nui o nā pilikia i ka hāpai keiki he nui ma mua o ka hāpai hoʻokahi. Akā, mai hopohopo, me ka nānā pono ʻana o ke kauka, hiki ke mālama maikaʻi ʻia kēia mau mea āpau.

Pehea ka hānau ʻana o kēia mau māhoe a me nā triplets?

ʻElua ala nui e hiki ai kēia:

1. Ka māhele ʻana o hoʻokahi hua manu/ovum i hoʻoulu ʻia: Hoʻokahi hua manu i hoʻoulu ʻia e hoʻokahi sperm e māhele ʻia i ʻelua a ʻoi aku paha ma mua o ke kanu ʻana i loko o ka paia o ka ʻōpū.

2. Hoʻoulu pinepine ʻia: Hoʻoulu ʻia nā hua he nui e ka sperm kaʻawale i ka manawa like.

Hoʻoholo kēia mau ʻano ʻelua inā like nā māhoe a he hoahānau paha .

ʻO wai nā māhoe like?

E noʻonoʻo, hoʻomoe ʻia kahi hua hoʻokahi e kahi sperm hoʻokahi, a laila māhele ʻia i ʻelua (a ʻoi aku paha). ʻO nā pēpē e hana ʻia e like me kēia ua kapa ʻia he mau māhoe like. Ua like loa kā lākou mea hoʻoilina. ʻO ia hoʻi , ua like ko lākou ʻano a he like ko lākou kāne (he kaikamahine nā kaikamahine, he keikikāne nā keikikāne) . Ua like ia me ke kope kalapona!

ʻO wai nā māhoe fraternal?

ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻoulu ʻia ʻana o ʻelua (a ʻoi aku paha) hua manu kaʻawale e ka sperm kaʻawale. I kēia manawa, e nānā, ʻokoʻa nā hua manu, ʻokoʻa ka sperm. No laila, ʻokoʻa nō hoʻi ka ʻike genetic o nā pēpē i hānau ʻia. ʻO ia ke kumu ʻaʻole like ke ʻano o kēia mau pēpē, a hiki ke hui pū ʻia lākou he kāne a he wahine. E like me nā hoahānau ma ka ʻohana hoʻokahi, i hānau wale ʻia i ka lā hoʻokahi.

I ka hāpai ʻana me nā triplets a ʻoi aku paha, hiki i nā pēpē ke like like, dizygotic a pau, a i ʻole ka hui ʻana o nā mea ʻelua. ʻO ke ʻano kēia, inā hoʻokuʻu kou kino i nā hua he nui, ua hoʻoulu ʻia ma mua o hoʻokahi o lākou, a ua māhele hou ʻia kekahi a ʻoi aku paha o kēlā mau hua i hoʻoulu ʻia, hiki ke hana ʻia kēia.

He wahine like anei nā māhoe like?

ʻAe! No ka mea, ua hānau ʻia nā māhoe like mai ka hua like a me ka sperm, loaʻa iā lākou ka ʻike genetic like. Hoʻoholo ʻia ke kāne o kahi pēpē e ke ʻano o ka chromosome i loko o ka sperm i hoʻoulu ʻia. Loaʻa i ka hua o ka makuahine kahi chromosome X. Inā loaʻa i ka sperm o ka makuakāne kahi chromosome X, ʻo ka pēpē he XX (wahine), a inā loaʻa iā ia kahi chromosome Y, ʻo ka pēpē he XY (kāne). No laila, no ka mea, ua māhele ʻia ka hua like, e loaʻa i kēlā me kēia pēpē ka hui pū ʻana o ka chromosome e like me ma mua.

He aha nā mea e hoʻonui ai i ka pilikia o ka hāpai ʻana he nui?

Aia kekahi mau kumu e hoʻonui ai i kou manawa e loaʻa ai nā māhoe a ʻoi aku paha nā pēpē. Hiki i kēia mau mea ke hoʻopilikia iā ʻoe:

• Makahiki: ʻO nā wāhine i ko lākou mau makahiki 30, he ʻano ko lākou e hoʻokuʻu i nā hua he nui i ka manawa hoʻokahi.
• Moʻolelo ʻohana: Inā he māhoe ʻoe, a inā he mau māhoe i loko o kou ʻohana (ʻoi aku hoʻi ma ka ʻaoʻao o kou makuahine), ʻoi aku ka nui o kou mau māhoe. He mea kēia e holo ana i loko o kou mau genes.
• Nā lāʻau lapaʻau a me nā lāʻau lapaʻau no ka hānau keiki ʻana: ʻO kekahi mau lāʻau lapaʻau no ka hānau ʻole ʻana, e like me ka In Vitro Fertilization (IVF) , e hoʻonui i ka manawa kūpono o ka loaʻa ʻana o nā māhoe ma ka hoʻoili ʻana i nā hua manu i hoʻomoʻa ʻia ma mua o hoʻokahi i loko o ka ʻōpū e hoʻonui i ka manawa kūpono o ka hāpai keiki holomua.
• Ke kiʻekiʻe a me ke kaumaha: Hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o ka hāpai ʻana i nā keiki he nui i nā wāhine ʻoi aku ke kiʻekiʻe a ʻoi aku ke kaumaha ma mua o ka awelika.

I kēia mau lā iho nei, i ka nui ʻana o ka poʻe e ʻimi nei i ka lāʻau lapaʻau no ka hānau keiki ʻana, ua piʻi iki aʻe ka nui o nā hānau keiki he nui.

Pehea e ʻike ai au inā he mau māhoe kaʻu? He aha nā hōʻailona?

ʻO ke ala wale nō e ʻike pono ai inā he nui kāu pēpē, ʻo ia ke ʻike i ke kauka a loaʻa kahi scan ultrasound. Hiki i kēia hoʻāʻo ke ʻike maopopo i ka nui o nā pēpē i loko o kou ʻōpū.

Eia nō naʻe, i kekahi manawa hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona ma mua o ka hāpai ʻana o ka wahine hoʻokahi. Eia kekahi laʻana:

• Ka maʻi kakahiaka nui a me ka luaʻi ʻana.
• Ka piʻi wikiwiki ʻana o ke kaumaha i nā mahina mua ʻekolu o ka hāpai ʻana.
• Ke manaʻo nei i ka ʻeha nui a i ʻole ka palupalu i loko o nā umauma.
• Ke kiʻekiʻe o ka hormone i kapa ʻia ʻo Human Chorionic Gonadotrophin (hCG) i loko o ke koko a i ʻole ka mimi. ʻIke ʻia kēia hormone e kahi hoʻāʻo hāpai.
• Ke kiʻekiʻe o ka protein i kapa ʻia ʻo Alpha-fetoprotein i loko o ke koko.

Eia kekahi, inā lohe ke kauka i nā puʻuwai he nui ma mua o hoʻokahi i ka wā e hana ana i kahi scan Doppler fetal , hiki paha iā ia ke manaʻo he māhoe paha.

He aha nā pilikia e pili ana i ka hānau ʻana o nā māhoe?

Hiki i kekahi ke loaʻa nā pilikia i ka wā hāpai, me ka nānā ʻole i ka nui o nā pēpē a lākou e hāpai nei. Eia nō naʻe, manaʻo nā kauka he nui nā hāpai ʻana he nui ka pilikia ma mua o nā hāpai hoʻokahi. ʻAʻole kēia manaʻo e loaʻa i nā makuahine āpau e hāpai ana i nā māhoe nā pilikia. Eia nō naʻe, inā ʻoe e hāpai ana i nā māhoe, e nānā mau kāu kauka iā ʻoe a e makaʻala i nā pilikia hiki. E wehewehe lākou i nā pilikia āpau iā ʻoe.

ʻO kekahi o nā pilikia e pili ana me nā hāpai keiki he nui:

• Ka hānau mua ʻana a me ka hānau ʻana: ʻO kēia ka pilikia maʻamau i ʻike ʻia i nā hānau he nui. ʻO ia hoʻi, hiki ke hānau ʻia nā pēpē ma mua o ka hebedoma 37 o ka hāpai ʻana. I ke ʻano o nā māhoe, ʻo ka hoʻopau ʻana i nā hebedoma 37 ka pahuhopu o ka hapa nui o nā makuahine. A laila ʻoi aku ka nui o ka hānau ʻana o nā pēpē i ke olakino a me ke kaumaha maikaʻi. Loaʻa pū nā pēpē i hānau mua ʻia i kahi pilikia ʻē aʻe i kapa ʻia he kaumaha hānau haʻahaʻa.

• ʻO ka Preeclampsia a i ʻole ke koko kiʻekiʻe o ka wā hāpai: Ua kapa ʻia ke koko kiʻekiʻe i ka wā hāpai he hypertension. E nānā pinepine kāu kauka i kou koko e ʻike inā loaʻa iā ʻoe ke koko kiʻekiʻe o ka wā hāpai. I kekahi manawa hiki i kēia ke alakaʻi i kahi kūlana weliweli i kapa ʻia ʻo preeclampsia . ʻO ka makuahine me nā māhoe he pālua ka nui o ka loaʻa ʻana o kēia kūlana ma mua o ka makuahine me kahi pēpē hoʻokahi. Eia kekahi, hiki ke loaʻa kēia kūlana i ka wā mua o ka hāpai ʻana a i ʻole hiki ke ulu wikiwiki.

• ʻO ka maʻi diabetes gestational: Hiki ke ulu ka maʻi diabetes i ka wā hāpai. ʻO kēia ma muli o ka nui o nā hormones i hoʻopuka ʻia e ka placenta. Hiki i ka nui o ka placenta ke hoʻopilikia i kēia. Inā loaʻa iā ʻoe ʻelua placenta, piʻi aʻe kou kūʻē ʻana i ka insulin.

• ʻO ka hoʻopau ʻana o ka placenta: He pilikia kēia. ʻO ia ka wā e kaʻawale ai ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē. ʻOi aku ka nui o kēia kūlana e hiki mai ana i nā makuahine e hāpai ana i nā māhoe.

• Ka palena o ka ulu ʻana o ka pēpē: ʻIke ʻia hoʻi ʻo ka palena o ka ulu ʻana o ka pēpē i loko o ka ʻōpū (IUGR) a i ʻole ka liʻiliʻi no ka makahiki hāpai (SGA) , ʻo ia ka wā e ulu pono ʻole ai kekahi a ʻoi aku paha o kāu mau pēpē. Hiki i kēia ke hana i nā pēpē e hānau mua ʻia a i ʻole me ke kaumaha hānau haʻahaʻa. Loaʻa kēia pilikia ma kahi o ka hapalua o nā hāpai keiki he nui.

ʻElua mau placenta ko nā māhoe fraternal. Ua like nā pilikia o ka hāpai ʻana me lākou me nā pilikia o ka hāpai ʻana me hoʻokahi pēpē, akā ʻoi aku ka kiʻekiʻe.

Hiki i nā māhoe like ke loaʻa i hoʻokahi placenta (70% o ka manawa) a i ʻole ʻelua placenta (30% o ka manawa). Ua like nā pilikia o nā māhoe like me nā placenta ʻelua me nā māhoe fraternal.

Nā pilikia kūikawā o nā māhoe like e kaʻana like ana i hoʻokahi placenta (Monochorionic)

ʻO nā māhoe like e kaʻana like ana i hoʻokahi placenta (kapa mākou i kēia monochorionic) he mau pilikia kūikawā ko lākou:

• ʻO ka maʻi hoʻoili ʻana o nā māhoe (TTTS): Loaʻa kēia maʻi ma 5% a 15% o nā hihia. ʻO kēia ma muli o ke kamaʻilio ʻana o nā vascular ma waena o nā māhoe ma ka pae placental. Ma muli o kēia pilina, kaʻana like nā māhoe i ko lākou koko. Inā hana ʻia kēia, inā ʻaʻohe mea i hana ʻia, aia kahi pilikia 90% e make nā māhoe i loko o ka ʻōpū. Aia nā kaʻina hana i loko o ka ʻōpū e hōʻemi i kēia pilikia.

• ʻO ke kaʻina o ka Anemia-Polycythemia Twin (TAPS): He ʻano kēia kahi e kahe ai ke koko mai kekahi māhoe a i kekahi ma muli o ka pilina placental. I kēia, ke anemia kekahi pēpē (haʻahaʻa nā hunaola koko ʻulaʻula), lilo kekahi pēpē i polycythemic (kiʻekiʻe nā hunaola koko ʻulaʻula). Ke hana ʻia kēia, hoʻohana ʻia nā ʻano lapaʻau/hana like ʻole.

• IUGR Koho: ʻO kēia kekahi ʻano ʻē aʻe i ʻike ʻia i nā māhoe like e kaʻana like ana i hoʻokahi placenta. ʻOiai ke ulu maikaʻi nei kekahi pēpē, ua emi nui ka ulu ʻana o kekahi pēpē.

• ʻO ka maʻi (Twin-Reversed-Arterial-Perfusion - TRAP): Ma kēia ʻano, hoʻopuka ka puʻuwai o kekahi pēpē i ke koko i nā pēpē ʻelua. ʻAʻohe puʻuwai o kekahi pēpē a no laila ʻaʻole ola ma hope o ka hānau ʻana. Hiki ke ʻokoʻa ke olakino o ka pēpē me ka puʻuwai maʻamau. ʻO ka mea pōmaikaʻi, he mea kakaikahi loa kēia maʻi (ma kahi o 1 i loko o 20,000 a 40,000) a hiki ke mālama ʻia i loko o ka ʻōpū.

• Monoamniotic: Hiki i nā māhoe like e kaʻana like i hoʻokahi placenta ke noho i loko o ka ʻeke hāpai hoʻokahi. Ua kapa ʻia kēia ʻo Monochorionic-Monoamniotic . Loaʻa kēia ʻano ma kahi o 1% o nā hāpai keiki he nui. I kēia hihia, ʻoi aku ka nui o ka pilikia no hoʻokahi a i ʻole nā ​​​​pēpē ʻelua.

Hoʻoponopono kāu kauka i kēia mau maʻi a pau ma o ke kiʻi ultrasound.

Aia kekahi mau manawa kūpono e hānau ai i ka pēpē ma o ka ʻoki cesarean (C-section) i ka wā e loaʻa ai nā māhoe?

ʻO ka ʻoki ʻoki cesarean kahi hana e hānau ai i kahi pēpē ma o kahi ʻoki ʻana i loko o ka ʻōpū. Hiki ke hana ʻia kēia no nā kumu like ʻole, akā hana pinepine ʻia i nā hānau ʻana he nui. ʻOi aku ka nui o ka hana ʻia ʻana o ka ʻoki cesarean i ka hāpai māhoe ma mua o ka hāpai hoʻokahi. Eia nō naʻe, ʻoiai i ka hāpai hoʻokahi, ʻo ka ʻoki cesarean kekahi manawa ke ala palekana loa e hānau ai i kahi pēpē.

ʻO ka hapa nui o ka manawa, hānau ʻia nā pēpē ma ke kūlana breech (poʻo i lalo). Eia kekahi, inā loaʻa iā ʻoe kekahi mau pilikia i kou wā hāpai, a ʻaʻole palekana ka hānau ʻana ma ke ʻano he wahine nou a i ʻole kāu pēpē, pono paha ʻoe e hana i kahi ʻoki cesarean. E nānā pono kāu kauka iā ʻoe a hiki i kou mākaukau e hānau a kamaʻilio pū me ʻoe e pili ana i ke ala maikaʻi loa e hānau ai i kāu pēpē.

He aha kaʻu e hana ai e noho olakino ai i ka wā e hāpai ana i nā māhoe?

ʻO ka ʻai ʻana i nā meaʻai momona, ka hoʻomaha lawa, a me ka ʻike pinepine ʻana i kāu kauka he mea nui ia no ka hāpai kino olakino no kekahi makuahine hāpai. ʻOi aku ka nui o kēia mau mea no ka makuahine e hāpai ana i nā māhoe.

Inā ʻoe e hāpai ana i nā māhoe, pono ʻoe e makaʻala loa i kāu ʻai. He mea nui e loaʻa ka lawa o ka protein a me nā wai (wai). Pono nō hoʻi ʻoe e ʻai i nā calorie keu e kākoʻo i kāu pēpē e ulu ana. Ma ke ʻano he kānāwai maʻamau, pono kēlā me kēia pēpē ma kahi o 300 mau calorie keu i ka lā . ʻO ia hoʻi, inā ʻoe e hāpai ana i nā māhoe, pono ʻoe ma kahi o 600 mau calorie keu i ka lā. E kamaʻilio me kāu kauka e pili ana i kāu ʻai a me nā nui kikoʻī āu e pono ai no ka hāpai olakino.

Hiki i nā makuahine o nā māhoe ke ʻike i kekahi o nā ʻeha maʻamau o ka hāpai ʻana (e.g., ʻeha kua, luhi). He mea nui e mālama pono iā ʻoe iho a loaʻa ka nui o ka hoʻomaha.

I kekahi mau hihia, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi loea i loaʻa ka ʻike me nā hānau keiki he nui. E hōʻoia kēia e loaʻa iā ʻoe a me kāu pēpē ka mālama maikaʻi loa. He mea nui loa ka loaʻa ʻana o ka mālama antenatal mau a koʻikoʻi i ka wā o ka hāpai keiki he nui. E noi i kāu kauka ʻohana a i ʻole OBGYN no ka ʻōlelo aʻoaʻo no kēia.

Hiki iā ʻoe ke hoʻoikaika kino ke loaʻa iā ʻoe nā māhoe?

He mea nui ka hoʻoikaika kino i ka wā o ka hāpai ʻana. I ka hapanui o nā hihia, hiki nō iā ʻoe ke hoʻoikaika kino i kou wā hāpai. ʻOi aku ka maikaʻi o ka hoʻoikaika kino māmā a haʻahaʻa hoʻi . Eia kekahi laʻana:

• ʻAuʻau ʻana
• Ka hele wāwae
• Yoga ma mua o ka hānau ʻana

ʻOiai he maikaʻi ka hoʻoikaika kino, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā hoʻoikaika kino kūpono iā ʻoe. ʻAʻole paha maikaʻi kekahi mau hoʻoikaika kino ikaika iā ʻoe i ka wā hāpai me nā māhoe. Eia kekahi laʻana:

• Holo wāwae
• ʻO nā Aerobics e komo pū ana me ka lele ʻana

Eia kekahi, e hoʻomanaʻo inā loaʻa iā ʻoe kekahi mau pilikia, pono paha ʻoe e hoʻololi i kāu papa hana hoʻoikaika kino.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

He hoʻomaikaʻi maoli ka loaʻa ʻana o nā māhoe a i ʻole nā ​​māhoe ʻekolu! ʻAe, aia paha kekahi mau pilikia, akā hiki iā ʻoe ke lanakila ma luna o lākou āpau.

ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka a hele i nā keʻena lapaʻau i ka manawa kūpono. E mālama pono lākou iā ʻoe a me kāu pēpē.

• E ʻai a inu maikaʻi, ʻoiai me ka protein a me nā calorie keu.
• E hoʻomaha nui. He mea nui ka hoʻomaha no ka mea e hoʻokau ia i ke kaumaha hou aʻe ma kou kino.
• E hana i ka hoʻoikaika kino māmā, akā e hoʻomaka wale ma hope o ke kūkākūkā ʻana me kāu kauka.
• Inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha, e haʻi koke aku i kāu kauka. Mai hoʻowahāwahā i ka mea liʻiliʻi loa.
• E kamaʻilio me kāu kāne, ʻohana, a kauka paha e pili ana i kou mau makaʻu a me kou hopohopo. Mai hoʻopaʻa iā lākou i loko o ka pahu.

ʻAʻole ʻoe e hele wale ana ma kēia huakaʻi. Nui ka poʻe e kōkua iā ʻoe a mālama iā ʻoe. E hauʻoli i kēia ʻike kupaianaha!

Māhoe , mākolu, hāpai keiki he nui, olakino hāpai keiki, pilikia hānau keiki, māhoe like, māhoe fraternal