Ke loaʻa nei iā ʻoe nā māhoe? (Hapai Nui) E kamaʻilio kākou e pili ana i nā mea āpau!

Inā ʻōlelo koke kāu kauka, "ʻIke wau i ʻelua mau puʻuwai liʻiliʻi e kuʻi ana ma ʻaneʻi," i ka wā o ka ultrasound scan, pehea kou manaʻo? Kahaha, ka hauʻoli, malia paha he makaʻu iki a me ka pīhoihoi ... He mea maʻamau ke manaʻo i kēia mau mea āpau i ka manawa hoʻokahi. ʻO ka loaʻa ʻana o ʻelua a ʻekolu mau pēpē ma kahi o hoʻokahi ʻo ia hoʻi ua pālua ka hauʻoli, akā me ia e hele mai ke kuleana a me nā mea e pono ai ʻoe e ʻike. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia wā o ka hāpai ʻana i ka wā e loaʻa ai iā ʻoe nā māhoe a ʻoi aku paha nā keiki (Multiple Pregnancy).

He aha ke ʻano o ka 'Hapai Nui'?

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka 'hāpai lehulehu' ʻo ia hoʻi ka loaʻa ʻana o nā pēpē he nui i loko o kou ʻōpū, ʻo ia hoʻi ʻelua, ʻekolu, a ʻoi aku paha nā pēpē e ulu ana i ka manawa like.

• Māhoe: Ka hāpai ʻana o ʻelua pēpē i ka wā hāpai hoʻokahi.
• Nā keiki ʻekolu: Ka hāpai ʻana o ʻekolu mau pēpē i ka wā hāpai hoʻokahi.

Ma kēia ʻano, ke hāpai ʻoe i nā pēpē he nui, hiki i ka wā hāpai ke lilo i mea pilikia iki ma mua o ka hāpai ʻana i hoʻokahi pēpē wale nō. Akā, ʻaʻohe pono e makaʻu i kēlā. Inā ʻoe e hahai pono i nā ʻōlelo a kāu kauka a noho olakino, hiki iā ʻoe ke hoʻopau pono i kēia wā.

Pehea lā e hānau ʻia ai nā māhoe penei?

ʻElua ala nui e hāpai ai i nā māhoe. ʻO kēia mau ʻano ʻelua ka mea a mākou e kapa nei he "māhoe like" a i ʻole "māhoe fraternal."

1. Ka māhele ʻana o kahi hua manu hoʻokahi i hoʻoulu ʻia: ʻO kēia ka wā e hoʻoulu ʻia ai kahi hua manu hoʻokahi e kahi sperm hoʻokahi a māhele ʻia ka embryo hopena i ʻelua (a ʻoi aku paha) mau ʻāpana ma mua o ke kanu ʻia ʻana i loko o ka ʻōpū. Loaʻa i nā pēpē e ulu ana ma kēia ʻano ka ʻike genetic like loa.

2. Hoʻoulu ʻia nā hua manu ʻelua kaʻawale: ʻO kēia ka wā e hoʻokuʻu ʻia ai nā hua manu he nui (e.g. ʻelua hua manu) mai ka ovary o ka makuahine i ka manawa like, a hoʻoulu ʻia kēlā mau hua manu ʻelua e nā sperm ʻelua kaʻawale. He ʻokoʻa ka ʻike genetic o kēia mau pēpē.

E hoʻomaopopo pono kākou i ka ʻokoʻa ma waena o nā māhoe i hānau ʻia me ka hoʻohana ʻana i kēia mau ʻano ʻelua.

Ke hāpai ʻia nā ʻekolu a ʻoi aku paha, hiki i nā pēpē ke like like, lilo i mau hoahānau a pau, a i ʻole he hui pū ʻana o nā mea ʻelua.

He aha nā kumu e hoʻonui ai i ka manawa kūpono e loaʻa ai nā māhoe?

Ma keʻano laulā, hiki i kekahi ke loaʻa nā māhoe, akā hoʻonui iki kekahi mau mea i kēia manawa kūpono.

• Makahiki: ʻOi aku ka nui o ka manawa o nā wāhine i ko lākou mau makahiki 30 e hoʻokuʻu i nā hua he nui i ka manawa hoʻokahi. No laila, inā hoʻokuʻu ʻia ʻelua hua, ʻoi aku ka nui o ka manawa e loaʻa ai nā māhoe fraternal.
• Moʻolelo ʻohana: Inā he mau māhoe i loko o kou ʻohana, ʻoi aku hoʻi ma ka ʻaoʻao o kou makuahine, ʻoi aku ka nui o ka loaʻa ʻana o nā māhoe iā ʻoe.
• Nā Lapaʻau Hoʻouluulu: Hiki i kekahi mau lāʻau lapaʻau hoʻouluulu ke hoʻokuʻu i nā hua he nui mai nā ovaries i ka manawa hoʻokahi. Eia kekahi, hiki i nā lāʻau lapaʻau e like me IVF (In Vitro Fertilization) ke hoʻonui i ka manawa kūpono o ka loaʻa ʻana o nā māhoe ma ka hoʻoili ʻana i nā embryo he nui i ka uterus e hoʻonui i ka helu holomua.
• Ke kiʻekiʻe a me ke kaumaha: Ua hōʻike kekahi mau noiʻi ʻo nā wahine i ʻoi aku ke kiʻekiʻe ma mua o ka awelika a i ʻole he kiʻekiʻe aʻe ko lākou helu helu kino (BMI) e loaʻa iki nā māhoe.

Aia kekahi mau hōʻailona e loaʻa ana iā ʻoe nā māhoe?

ʻO ka ʻoiaʻiʻo, ʻo ke ala wale nō e ʻike pono ai i ka nui o nā pēpē āu e hānau nei, ʻo ia ke kiʻi ʻana i kahi ultrasound. Eia nō naʻe, i kekahi manawa hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona ma mua o ka loaʻa ʻana o hoʻokahi pēpē.

• Maʻi kakahiaka pinepine: Hiki ke koʻikoʻi loa ka luaʻi a me ka nausea ma muli o ke kiʻekiʻe o ka hormone.
• Ka piʻi wikiwiki ʻana o ke kaumaha i ka trimester mua.
• Hoʻonui ʻia ka ʻeha a me ke koʻikoʻi ma nā umauma.
• Ke kiʻekiʻe loa o ka hormone 'hCG' (human chorionic gonadotrophin) i loko o ke koko a me ka mimi.
• Ke lohe nei i nā puʻuwai he nui ma mua o hoʻokahi ke hoʻolohe ke kauka i ka puʻuwai o ka pēpē (fetal Doppler scan).

He aha nā pilikia e hiki mai ana o ka hāpai māhoe?

Hiki ke loaʻa nā pilikia i ka wā o kēlā me kēia hāpai ʻana. Akā i ka wā e hāpai ana ʻoe i nā māhoe a ʻoi aku paha, manaʻo nā kauka he "kiʻekiʻe ka pilikia" ka hāpai ʻana. ʻO ia no ka mea ʻoi aku ka kiʻekiʻe o nā pilikia ma mua o hoʻokahi pēpē. Akā, mai hopohopo. ʻAʻole manaʻo ka "kiʻekiʻe ka pilikia" e loaʻa iā ʻoe kahi pilikia. ʻO ia hoʻi, e nānā pono ana nā kauka iā ʻoe a me kāu pēpē a ʻoi aku ka pinepine .

Eia kekahi o nā pilikia maʻamau:

• Ka hānau mua ʻana: ʻO kēia ka pilikia maʻamau i ʻike ʻia i nā hāpai māhoe. ʻO ka pahuhopu maʻamau ka hoʻopau ʻana i 37 mau pule. Inā hānau ʻia nā pēpē ma mua o kēlā, ʻoi aku ka nui o ko lākou kaumaha hānau haʻahaʻa a me nā pilikia olakino ʻē aʻe.
• ʻO ke koko kiʻekiʻe o ka wā hāpai a me ka Preeclampsia: ʻOi aku ka nui o ka pilikia o nā makuahine me nā māhoe i ke koko kiʻekiʻe i ka wā hāpai . Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke lilo i kūlana weliweli i kapa ʻia ʻo "Preeclampsia."
• Maʻi diabetes Gestational: ʻOi aku ka kiʻekiʻe o ka pilikia o kēia maʻi ma muli o ka nui o nā hormones i hoʻokuʻu ʻia e ka placenta.
• Ka Hoʻopau ʻana o ka Placenta: ʻO kēia ka manawa e kaʻawale ai ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē. He pilikia kēia.
• Ka Pale ʻana o ka Ulu ʻana o ka Hānau (IUGR): ʻAʻole ulu kekahi a i ʻole nā ​​pēpē āpau i ka wikiwiki kūpono. Hiki i kēia ke kumu i ka hānau ʻana o nā pēpē me ke kaumaha hānau haʻahaʻa.

Nā pilikia e pili ana i nā māhoe like

Inā like ka placenta o nā māhoe like (monochorionic), hiki iā lākou ke loaʻa kekahi mau pilikia e pili pono ana iā lākou.

• ʻO ka maʻi hoʻoili ʻana o nā pēpē ʻelua (TTTS): Hana ʻia kēia i ka wā e hele nui ai ke koko mai kekahi pēpē a i kekahi ma o nā kīʻaha koko i loko o ka placenta. ʻO kēia ke kumu o ka loaʻa ʻole o ke koko a me nā meaʻai i kekahi pēpē, aʻo ka nui o nā meaʻai a kekahi pēpē e loaʻa ana i kekahi pēpē. Hiki ke lilo i mea weliweli no nā pēpē ʻelua.
• ʻO ka Maho Anemia Polycythemia Sequence (TAPS): He ʻano like kēia me ka ``(TTTS)``. I kēia hihia, loaʻa i kekahi pēpē ka anemia (helu koko haʻahaʻa) aʻo ka pēpē ʻē aʻe he nui nā hunaola koko ʻulaʻula i loko o ko lākou koko.
• IUGR Koho: Ulu maikaʻi kekahi pēpē aʻo ka pēpē ʻē aʻe e ulu lohi loa ana.

Nānā ke kauka i kēia mau kūlana a pau ma o nā kiʻi ultrasound a kuhikuhi iā lākou no ka lāʻau e pono ai.

He mea pono anei ke hana ʻoki ʻoki cesarean (C-section) i ka wā e loaʻa ai nā māhoe?

ʻAʻole pono ia, akā aia kekahi mau kumu e ʻoi aku ai ka hana ʻia ʻana o ka ʻoki caesarean i nā hānau māhoe.

• I ka manawa pinepine, ʻaʻole i kūpono ke kūlana o nā pēpē ʻelua ( ke poʻo i lalo) no ka hānau ʻana.
• Hiki i ka hānau maʻamau ke lilo i mea pilikia no ka makuahine a i ʻole ke pēpē ma muli o nā pilikia i ka wā hāpai.

I kou hoʻokokoke ʻana aku i kou lā hānau, e nānā kāu kauka iā ʻoe a kūkākūkā me ʻoe i ke ʻano hana palekana loa no ʻoe a me kāu pēpē.

Pehea e noho ai i ke olakino i loko o kēia hāpai ʻana?

ʻO ka loaʻa ʻana o nā māhoe, pono ʻoe e noʻonoʻo hou e pili ana i kou kino.

• ʻAi: Pono ʻoe i ka meaʻai ʻoi aku ma mua o kahi makuahine hoʻokahi. Ma ke ʻano he lula maʻamau, pono kekahi pēpē ma kahi o 300 mau calorie keu i kēlā me kēia lā. ʻO ia hoʻi, inā ʻoe e hāpai ana i nā māhoe, pono ʻoe ma kahi o 600 mau calorie keu i kēlā me kēia lā. E ʻai i ka nui o nā meaʻai waiwai i ka protein, nā mea kanu, a me nā huaʻai. A inu i ka nui o ka wai i ka lā a pau.
• Hoʻomaha: E luhi loa ʻoe. No laila e hoʻomaha nui e like me ka hiki. E hiamoe i ke ao. Inā pehu kou mau wāwae, e hoʻokiʻekiʻe iā lākou.
• Nā hoʻokolohua lapaʻau: Pono ʻoe e ʻike i ke kauka a loaʻa nā scans pinepine ma mua o kahi makuahine me hoʻokahi pēpē. Mai poina i kekahi o kēia mau keʻena lapaʻau a hele pinepine. He mea nui loa ia no kou palekana a me kāu pēpē.
• Hoʻoikaika Kino: Maikaʻi ka hoʻoikaika kino, akā pono ʻoe e nīnau i kāu kauka e pili ana i ia mea. ʻO ka hoʻoikaika kino māmā e like me ka ʻauʻau a me ka hele wāwae he mea maikaʻi ia. Akā he mea naʻauao ke pale aku i ka hoʻoikaika kino ikaika e like me ka holo a me ka lele ʻana.