Ke manaʻo nei ʻoe e lilo i makuahine? A i ʻole ua loaʻa iā ʻoe ka nūhou maikaʻi? Ma hope o nā mea a pau, he manawa kūikawā a nani loa kēia i kou ola. Akā i ka manawa like, he nui nā nīnau a me nā makaʻu liʻiliʻi e hiki mai ana i ka noʻonoʻo, ʻeā? He mea maʻamau loa ka noʻonoʻo ʻana i nā mea e like me "He aha ka mea e hana ʻia i kēia manawa?", "He aha kaʻu e hana ai?", "He mea maʻamau anei kēia manaʻo?" No laila, mai hopohopo, e kamaʻilio mākou e pili ana i kēia huakaʻi kupaianaha i kapa ʻia ʻo ka hāpai ʻana ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka maʻalahi o ka hāpai ʻana?
I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana ka manawa e ulu ana kahi pēpē (fetus) a i ʻole nā pēpē he nui i loko o kou ʻōpū. Hana pinepine kēia ma hope o ka moekolohe, akā hiki ke hana ʻia i kekahi manawa ma o nā kaʻina hana lapaʻau (Assisted Reproductive Technologies - ART).
ʻIke mua ka nui o ka poʻe inā hāpai lākou me kahi hoʻāʻo hāpai ma ka home. Eia nō naʻe, hiki i kahi hoʻāʻo koko ke 100% ʻoi aku ka pololei. ʻO kekahi o nā hōʻailona mua e komo pū ana me ka hala ʻana o kou wā , ka maʻi kakahiaka , a me ka luhi mau .
Hoʻopau ka hapa nui o nā hāpai ʻana i ka hānau ʻana o kahi pēpē olakino. Hiki i kēia ke hānau ʻana ma ke ʻano he vaginal a i ʻole he C-section. Eia nō naʻe, i kekahi manawa hiki ke hoʻopau ʻia ma ke ʻano kaumaha, e like me ka hāʻule ʻana o ka ʻōpū, ka hoʻopau ʻana i ka hāpai keiki, a i ʻole ka hānau make ʻana.
Pehea ʻoe e hoʻomaka ai i kēia huakaʻi kupaianaha?
He hana paʻakikī a kupaianaha ka hāpai ʻana. Akā hoʻomaka ia me ʻelua mau hunaola liʻiliʻi: ka hua manu o ka wahine a me ka sperm o ke kāne. E nānā kākou pehea e hana ai kēia.
- Loaʻa nā hua mai nā ovaries: Loaʻa nā hua i loko o nā ovaries o kou kino. I kēlā me kēia mahina, i ka wā o kāu pōʻaiapuni menstrual, hoʻokuʻu ʻia kahi hua mai kahi ovary. Hele kēia hua i lalo o ka fallopian tube a kali no 12 a 24 mau hola no ka hōʻea ʻana mai o kahi sperm. Ua kapa ʻia kēia kaʻina hana ʻo ovulation .
- Loaʻa ka sperm mai nā testicles: Hoʻopuka nā testicles o ke kāne i ka sperm. I ka wā ejaculation, hoʻokuʻu ʻia nā miliona o ka sperm. I ka wā o ka moekolohe, hele kēia mau sperm ma o ka vagina a hele i nā fallopian tubes.
I mea e hāpai ai, pono e hui ka hua manu a me ka sperm. Ke komo ka sperm i loko o ka hua manu, kapa mākou ia he fertilization . I kēia manawa, māhele ʻia kēia hua manu i loko o kahi puʻu o nā cell, hele i lalo o ka fallopian tube, a hiki i kou uterus ma kahi o ʻekolu lā. A laila kapa ʻia ʻo ia he blastocyst. A laila hoʻopili kēia puʻu o nā cell i ka paia uterine a hoʻokomo iā ia iho. ʻO kēiaUa kapa ʻia kēia he implantation. ʻO kēia ka manawa e hoʻomaka ai ka wā hāpai.
Ma hope o ke kanu ʻana, hoʻomaka kou kino e hana i nā hormones hāpai. Hoʻōki kēia mau hormones i kou wā a kōkua i ka ulu ʻana o ka pēpē.
Inā ʻaʻole ma ke ʻano maoli, aia kekahi mau ʻano hana ʻē aʻe? (ART)
Hiki i kekahi poʻe ke pilikia i ka hāpai ʻana ma ke ʻano kūlohelohe. I kēlā mau hihia, hiki i nā kauka ke kōkua i ka hui ʻana o ka hua manu a me ka sperm. ʻO kēia ka mea a mākou e kapa nei he Assisted Reproductive Technology (ART). ʻElua mau ʻano nui:
- IUI (Intrauterine Insemination): Pili kēia i ke kauka e hoʻokomo i ka sperm mai ke kāne pololei i loko o kou uterus ma o kahi ʻōmole kūikawā (catheter). Hana ʻia kēia i ka lā o ka ovulation.
- IVF (In vitro Fertilization): He hana paʻakikī iki kēia. Maanei, ua hui pū ʻia kāu mau hua a me ka sperm o kāu hoa i loko o kahi lab e hana i kahi embryo. A laila hoʻokomo ke kauka i ka embryo i loko o kou uterus. Hoʻohana ʻia nā lāʻau lapaʻau like ʻole e hoʻonui i ka holomua o kēia kaʻina hana.
ʻEhia ka lōʻihi o ka hāpai ʻana? Pehea e helu ai i ka lā hānau?
ʻO ka awelika o ka wā hāpai he 40 mau pule , a i ʻole ma kahi o 280 mau lā . Eia nō naʻe, hiki i ke ʻano o ka helu ʻana i kēia ke lilo i mea huikau iki no kekahi poʻe.
Hoʻomaulia kāu kauka i ka lōʻihi o kou hāpai ʻana mai ka lā i hoʻomaka ai kou wā menstrual hope loa (LMP) . ʻO kēia kahi e huikau ai ka poʻe he nui. No ka mea, hana ʻia kāu ovulation ma kahi o ʻelua pule ma hope o ka hoʻomaka ʻana o kāu pōʻaiapuni menstrual. ʻO ia hoʻi, ʻelua pule ʻoe i loko o kēia helu ma mua o kou hāpai maoli ʻana.
E noʻonoʻo, ke lawe ʻoe i kahi hoʻāʻo hāpai ʻelua pule ma hope o ka ovulation a ʻike ʻoe he maikaʻi ia, e like me ka helu ʻana a nā kauka, ua hala ʻoe i 4 mau pule. He leo huikau iki, ʻeā? Akā, mai hopohopo, e hana kāu kauka i kahi ultrasound scan e hōʻoia hou aku i kēia.
Aia kekahi ala e helu ai i kou lā palena kokoke:
1. E kākau i lalo i ka lā i hoʻomaka ai kou menstruation hope loa.
2. E hoʻohui i 7 mau lā i kēlā lā.
3. E helu i hope i 3 mahina mai ka lā i hōʻea mai ai.
4. A laila e hoʻohui i hoʻokahi makahiki.
Akā e hoʻomanaʻo, he kuhi wale nō kēia. ʻO ka lā pololei loa ka lā a kāu kauka e hāʻawi ai. Eia kekahi, he hapa liʻiliʻi wale nō o nā pēpē i hānau ʻia i ko lākou lā hānau pololei, ma kahi o 5% .
Kahua ʻekolu o kēia huakaʻi: e nānā kākou i ka mea e hana ʻia
Ua māhele ʻia kēia huakaʻi he 40 pule i ʻekolu mau pae nui. Kāhea mākou i kēia mau trimesters. I kēlā me kēia pae, hele kou kino a me kāu pēpē i nā loli nui. E noʻonoʻo, ʻo kou ʻōpū, ka mea e hoʻomaka ana e like me ka nui o ka lemona, e ulu a hiki i ka nui o ka wai meli i ka hopena!
| Pae (ʻEkolu mahina) | Ka lōʻihi | Nā mea āu e manaʻo ai a me nā loli |
|---|---|---|
| ʻEkolu mahina mua | Mai 1 a 13 mau pule |
|
| ʻElua Trimester | Nā pule 13 a 28 | |
| ʻEkolu o ka mahina | Nā pule 29 a 40 |
E hōʻole pono i kēia mau mea i ka trimester mua!
He manawa koʻikoʻi loa kēia i ka wā e ulu ana nā ʻōpū nui o kāu pēpē. No laila e aʻo aku ai kāu kauka iā ʻoe e pale loa i kēia mau mea:
- ʻO kēlā me kēia mea inu i loaʻa ka waiʻona .
- Nā huahana paka (puhi paka).
- Nā lāʻau lapaʻau i lawe ʻia no ka leʻaleʻa.
- Kekahi mau meaʻai: No ka laʻana, nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia, ka iʻa maka, a me nā iʻa kiʻekiʻe i ka mercury .
He aha ka pēpē "Full-Term"?
Hoʻokaʻawale nā kauka i ka hāpai ʻana ma kekahi ʻano ʻē aʻe. ʻO ke ʻano o "Full-term" ʻo ia hoʻi ka manawa piha o ka pēpē. ʻO ka manawa kūpono loa o kahi pēpē olakino inā hānau ʻia i kēia manawa.
- Piha ka manawa: Hānau ʻia ma waena o 39 mau pule a me 0 mau lā a me 40 mau pule a me 6 mau lā.
- Ka wā hānau mua: Hānau ma waena o 37 mau pule a me 0 mau lā a me 38 mau pule a me 6 mau lā.
- Ka wā hānau hope: Hānau ma waena o 41 mau pule a me 0 mau lā a me 41 mau pule a me 6 mau lā.
- Ma hope o ke kōkō ʻana: Hānau ma hope o 42 mau pule.
No ke aha ʻoe e ʻike ai i ke kauka i ka wā hāpai?
ʻO ka loaʻa ʻana o ka mālama maʻamau i ka wā hāpai ka mea maikaʻi loa hiki iā ʻoe ke hana no kou olakino a me kāu pēpē . Ma ka hele pinepine ʻana i ke keʻena lapaʻau, hiki i kāu kauka ke nānā i kou olakino , ʻike mua i nā pilikia, a e hōʻoia i ka ulu ʻana o kāu pēpē e like me ka mea i manaʻo ʻia.
Ma ke keʻena lapaʻau, hana ke kauka i nā mea penei:
- Ke nānā ʻana i kou kino, umauma, a me ka hoʻokolokolo pelvic.
- Ke nīnau nei i nā nīnau e pili ana i kāu mau hōʻailona, kou nohona, a me nā ʻano maʻamau.
- Ke nānā nei i kou koko a me kou kaumaha.
- Ke hoʻolohe nei i ka puʻuwai o ka pēpē me kahi hāmeʻa kūikawā (fetal Doppler).
- E ana i ka nui o kou ʻōpū (kiʻekiʻe fundal) e loaʻa ai kahi manaʻo o ka ulu ʻana o ke pēpē.
- Ke wehewehe nei i nā hoʻokolohua nānā prenatal e ʻike ai inā he mau kūlana genetic ko ka pēpē, e like me Down syndrome.
- Hana ʻia nā hoʻāʻo koko e nānā i ka anemia a me ka maʻi diabetes gestational.
- Nānā ia i nā maʻi e like me syphilis a me HIV.
- Ke nānā ʻana i ka ultrasound.
- E kamaʻilio lākou e pili ana i ke ʻano o ka hānau ʻana o ke pēpē a me kāu mau makemake.
- E pane aku i kāu mau nīnau.
Papa hana no ka hele ʻana i ke keʻena lapaʻau
ʻO ka maʻamau, i ka wā o ka hāpai olakino me ka ʻole o nā pilikia, e ʻike ʻoe i kāu kauka penei:
- Hoʻokahi i ka mahina a hiki i 28 mau pule.
- Mai 28 pule a i 36 puleHoʻokahi manawa i kēlā me kēia ʻelua pule.
- Hoʻokahi manawa i ka pule mai 36 mau pule a hiki i ka hānau ʻana o ka pēpē.
Leka Lawe-Home
- He huakaʻi lōʻihi ka hāpai ʻana, akā he nani, he 40 pule. He mea nui e makaʻala i kēia manawa.
- ʻO ka mea maikaʻi loa nou a me kāu pēpē, ʻo ia ke hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hahai i nā ʻōlelo a ke kauka. Mai hōʻole i kekahi keʻena lapaʻau.
- Hoʻololi kou kino i kēlā me kēia trimester. ʻO ka hoʻomaopopo ʻana i kēia mau loli e hiki ke kōkua iā ʻoe e pale aku i ka makaʻu pono ʻole.
- E pale loa i ka waiʻona, ka puhipaka, ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻoaʻo lapaʻau, a me kekahi mau meaʻai maikaʻi ʻole i loko o kēia manawa.
- Mai makaʻu e nīnau i kāu kauka e pili ana i nā nīnau liʻiliʻi āu e loaʻa ai. He mea nui loa kou maluhia o ka noʻonoʻo.











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