E lilo ana ʻoe i makuahine? E aʻo kākou i nā mea āpau e pili ana i ka hāpai ʻana ma ke ʻano maʻalahi!

Aloha! Ke kali nei ʻoe i kahi pēpē hou i kēia mau lā? Inā pēlā, pono ʻoe e hauʻoli nui, ʻeā? He mea maʻamau iā ʻoe ke loaʻa nā nīnau he nui a me nā makaʻu liʻiliʻi i kēia manawa. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka hāpai ʻana, nā mea e hana ʻia i kēia manawa, a me nā mea āu e pono ai e ʻike. E hoʻomaopopo maʻalahi kākou i kēia mau mea a pau, me he mea lā e kamaʻilio ana ʻoe me kāu hoaaloha maikaʻi loa.

He aha ka hāpai ʻana? Pehea e hana ʻia ai?

I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana ka manawa e ulu ai kekahi a ʻoi aku paha nā ʻōpū i loko o kou ʻōpū. Hana pinepine kēia ma hope o ka moekolohe. Eia nō naʻe, i kekahi manawa hiki ke hāpai ʻia nā hāpai ʻana ma o nā ʻenehana kōkua hānau (ART) . ʻO ke ala maʻalahi loa e ʻike ai inā hāpai ʻoe, ʻo ia ke lawe i kahi hoʻāʻo hāpai ma ka home. Eia nō naʻe, hiki i kahi hoʻāʻo koko ke hōʻoia i kēia. ʻO nā hōʻailona mua a ka poʻe he nui e ʻike ai he hala ka wā, ka maʻi kakahiaka, a me ka luhi.

Hoʻopau ka hapa nui o nā hāpai ʻana i ka hānau ʻana o kahi pēpē olakino. Hiki i kēia ke hānau maʻamau ʻia ma ka ʻōpū a i ʻole he ʻoki C. Eia nō naʻe, pono kākou e hoʻomanaʻo i kekahi manawa, hiki ke hewa nā mea, e like me ka hāʻule ʻana o ka ʻōpū, ka hoʻopau ʻana i ka hāpai keiki, a i ʻole ka hānau make ʻana.

I kēia manawa, e nānā kākou pehea e hana ai kēia kaʻina hana paʻakikī i kapa ʻia ʻo ka hāpai ʻana. Hoʻomaka ia me ka hui ʻana o ka hua manu a me ka sperm. E noʻonoʻo i kēia ʻano ...

• Nā hua: Loaʻa kēia mau mea i loko o kāu mau ovaries. I kēlā me kēia mahina i ka wā o kāu pōʻaiapuni menstrual, hoʻokuʻu ʻia kekahi hua mai kekahi o kāu mau ovaries. Hele mālie kēia hua i lalo o ka fallopian tube, e kali ana i ka hiki ʻana mai o kahi sperm. Ua kapa ʻia kēia kaʻina hana he ovulation . He 12 a me 24 mau hola kēia.
• Sperm: Loaʻa ka sperm mai nā testicles o ke kāne. I ka wā ejaculation, hoʻokuʻu ʻia nā miliona o ka sperm mai ka penis. I ka wā o ka moekolohe, hele kēia mau sperm ma o kou vagina a i loko o kāu mau fallopian tubes.

I mea e hāpai ai, pono e hui ka sperm a me ka hua manu a hui pū. Ua kapa ʻia kēia he 'conception' . Hoʻohui ka sperm i ka hua manu a hana ʻia ka 'fertilization'. I kēia manawa, māhele ʻia kēia hua manu i nā ʻāpana hou aʻe a hele i lalo o ka fallopian tube ma ke ʻano he 'blastocyst' . Ma hope o ʻekolu lā, hiki kēia 'blastocyst' i kou uterus. Ma laila, hoʻokomo ia iā ia iho i loko o ka paia o ka uterine. Ua kapa ʻia kēia he 'implantation'.I kēia manawa, lilo ia i embryo. Ma hope o ke kanu ʻana, hoʻomaka ka placenta e hana. I loko o kekahi mau lā, e loli hou kēia embryo a lilo i fetus , ʻo ia ka mea a nā kauka e kapa ai a hiki i ka hānau ʻana o ka pēpē.

Ma hope o ke kau ʻana, hoʻomaka kou kino e hoʻokuʻu i nā hormones hāpai. ʻO kēia mau hormones ka mea e pale ai iā ʻoe mai ka loaʻa hou ʻana o kou wā. Kōkua pū lākou i ka ulu ʻana o ka fetal.

E aʻo iki anei kākou e pili ana i ke Kōkua Hana Hou ʻana (ART)?

I ka wā paʻakikī i kekahi poʻe ke hāpai maoli, aia nā ala e hoʻokō ai i ka hānau keiki me ke kōkua o nā kauka. ʻO kēia ka mea a mākou e kapa nei he `(Assisted Reproductive Technology - ART)`. Maanei hoʻi, ʻo nā mea nui ka hua manu a me ka sperm. Eia naʻe, ma kahi o ka hāpai maoli ʻana, kōkua ke kauka i kēia mau mea ʻelua e hui pū me ka maʻalahi. E nānā kākou i kekahi o nā ʻano hana `(ART)` i hoʻohana pinepine ʻia:

• ʻO ka hoʻokomo ʻana i loko o ka ʻōpū (IUI): ʻO kēia kahi e hoʻokomo pololei ai ke kauka i ka sperm i loko o kou ʻōpū me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi (catheter). Hana ʻia ka IUI a puni ka manawa o ka ovulation. Hāʻawi ʻia kekahi mau wahine i ka lāʻau lapaʻau hānau e hoʻonui i ko lākou manawa kūpono e ovulate.
• In Vitro Fertilization (IVF): Ma kēia ʻano hana, hoʻohui ke kauka i nā hua manu a me ka sperm i loko o kahi keʻena hoʻokolohua e hana i kahi embryo. A laila hoʻokomo ʻia ka embryo i loko o kou ʻōpū. I ka wā o kahi pōʻaiapuni IVF, hāʻawi paha kāu kauka iā ʻoe i nā lāʻau lapaʻau like ʻole. Kōkua kēia i ka kaohi ʻana i ke kaʻina hana a hoʻonui i nā manawa kūpono o ka hāpai ʻana holomua.

ʻEhia pule o ka hāpai ʻana?

ʻO ka lōʻihi o ka hāpai ʻana maʻamau ma kahi o 40 mau pule, a i ʻole 280 mau lā . Eia nō naʻe, hiki ke huikau iki ke ʻano o ka helu ʻana.

ʻO ka hapa nui o ka manawa, e helu kāu kauka i ka lōʻihi o kou hāpai ʻana ma muli o ka lā o kou menstruation hope loa (LMP) . Hiki ke huikau iki kēia, no ka mea, ʻo ka ovulation maʻamau e hana ʻia ma kahi o ʻelua pule ma hope o ka hoʻomaka ʻana o kou menstruation. No laila, inā ʻoe e lawe i kahi hoʻāʻo hāpai ʻelua pule ma hope o ka ovulation, ua hāpai ʻoe i ʻehā pule!

Mai noʻonoʻo nui i kēia mau helu ʻana. E wehewehe kāu kauka iā ʻoe. E hana pū ʻo ia i kahi scan ultrasound a hāʻawi iā ʻoe i ka lā palena.

ʻOiai inā ʻoe e hāpai ma o IVF, ua like nō ka helu o nā pule o ka hāpai ʻana. Eia nō naʻe, ʻokoʻa iki paha ke ʻano o ka helu ʻana a kāu kauka. ʻO kēia no ka mea e hōʻalo ana ia i kekahi o nā ʻanuʻu e lawe ai ma kahi o ʻelua pule i ka hāpai kūlohelohe a kau pololei i ka embryo i loko o ka ʻōpū.

Pehea ʻoe e ʻike ai i ka lā palena pau?

Aia i kēia manawa nā "helu helu" pūnaewele e ʻike ai i kou lā hānau. ʻO kekahi ala ʻē aʻe penei:

• E kākau i lalo i ka lā o kou menstruation hope loa (`LMP`).
• E hoʻohui i ʻehiku lā i kēlā.
• E helu i hope i ʻekolu mahina mai kēlā lā mai.
• A laila e hoʻohui i hoʻokahi makahiki.

ʻOiai inā ʻoe e helu i kou lā hānau ma kēia ʻano, e hōʻoia kāu kauka i ka lā a hāʻawi paha iā ʻoe i kahi lā hou e pili ana i nā hopena o ka ultrasound scan ke hele ʻoe i ke keʻena lapaʻau. E like me ka hele ʻana i nā keʻena antenatal, hiki i kāu kauka ke nānā i ka pololei o kou lā hānau.

Akā e hoʻomanaʻo, he 5% wale nō ka manawa e loaʻa ai kahi pēpē i ka lā i hāʻawi ʻia iā ʻoe!

He aha kēia 'makahiki hāpai'?

ʻO ka Makahiki Hāpai ka lōʻihi o ka manawa e hāpai ai. Hiki ke huikau iki kēia, no ka mea, ua helu ʻia mai kou wā menstrual hope loa (LMP). ʻO ia hoʻi, ua hoʻokomo pū ʻia ka manawa ma mua o kou hāpai ʻana. I ka pololei, ʻo ia ka manawa ma mua o ka ovulation, i ka wā e hoʻomākaukau ai kou kino no ka hāpai ʻana.

ʻO ka makahiki hāpai he hui pū ʻana o nā pule a me nā lā. No ka laʻana, ua ʻōlelo ʻia ka hāpai ʻana he 22 pule a me 3 lā hāpai. Hiki iā ʻoe ke ʻike i kēia i kākau ʻia he 22 3/7, a i ʻole hiki ke ʻōlelo ʻia he "22 pule hāpai".

ʻO kēia "makahiki hāpai" e pili ana i ka hāpai ʻana, ʻaʻole ka makahiki o ka ʻōpū. ʻAʻole ka makahiki o ka ʻōpū kahi ana a nā kauka e hoʻohana mau ai. ʻO ke kumu nui o kēia, pono lākou e ʻike pono i ka manawa i hāpai ai. He mea paʻakikī loa ke ʻike pololei.

He aha nā trimesters o ka hāpai ʻana?

Ua māhele ʻia ka hāpai ʻana i ʻekolu mau ʻāpana nui, i kapa ʻia ʻo 'trimesters' : ʻo ka trimesters mua, ka lua, a me ke kolu. ʻEkolu mahina kēlā me kēia trimester, a i ʻole ma kahi o 13 pule, ka lōʻihi.

He aha ka mea e manaʻo ai i kēlā me kēia trimester?

He ʻokoʻa kēlā me kēia trimester. He ʻokoʻa nō hoʻi nā hōʻailona āu e ʻike ai. Hoʻololi a ulu nui kou kino (a me ke pēpē) i kēlā me kēia trimester. E noʻonoʻo, e ulu ana kou ʻōpū mai ka nui o ka lemona a i ka nui o ka wai meli!

ʻO ka Trimester mua (a hiki i ka 13 mau pule)

Pau ka trimester mua i ka wā he 13 pule o kou hāpai ʻana. E ʻike koke i ke kauka ke ʻike ʻoe ua hāpai ʻoe.

Eia kekahi mau mea hiki iā ʻoe ke manaʻo i ka wā o ka trimester mua:

• Luhi mau.
• ʻO ka maʻi kakahiaka (hiki ke hana i kēia i kēlā me kēia manawa o ka lā!)
• ʻEha a me ka pehu ʻana o ka umauma.
• Manaʻo makemake i kekahi mau meaʻai a hoʻopailua ʻia e nā meaʻai ʻē aʻe ('makemake i ka meaʻai a i ʻole hoʻowahāwahā i ka meaʻai').
• ʻĀhaʻi puʻuwai.
• Ka paʻa ʻana o ka ʻōpū.
• Nā loli koke o ka naʻau.
• ʻEha poʻo.

E haʻi aku kāu kauka iā ʻoe e lawe i kahi huaora prenatal kūikawā. E hāʻawi pū lākou iā ʻoe i kahi papa inoa o nā mea āu e pale aku ai i ka wā hāpai. ʻO kekahi o kēia mau mea:

• Nā mea inu ʻona.
• Nā huahana paka (e like me nā cigarettes).
• Nā lāʻau lapaʻau (me ka mariuana). Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka mariuana lapaʻau.
• ʻO kekahi mau meaʻai: nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia, iʻa maka, iʻa kiʻekiʻe i ka mercury.

ʻElua Trimester (13 a 28 mau pule)

Hoʻomaka ka lua o ka trimester i ka pule 13 a hoʻopau i ka pule 28.

He nui nā wāhine i loaʻa i ka luaʻi a me ka luhi i ka trimester mua e ʻoi aku ka maikaʻi o ko lākou kaumaha i ka trimester ʻelua. Eia nō naʻe, hiki ke ʻike ʻia kekahi o nā hōʻailona o ka trimester mua i kēia manawa. Hoʻomaka ka nui o nā wāhine e ʻike i ka neʻe ʻana o ke pēpē ('fetus movement') i ka trimester ʻelua. Ma kahi o 17 mau pule, ua loaʻa i ka hapa nui o nā wāhine ma ka liʻiliʻi he 10 paona.

ʻEkolu mau hōʻailona e hiki ke manaʻo ʻia i ka trimester ʻelua:

• ʻEha kino, ʻeha ʻiʻo.
• Piʻi ke kaumaha.
• Ka ʻeleʻele ʻana o ka ʻili kala a puni ka nipple (areolas).
• Ke ʻano o kahi laina ʻeleʻele (`linea nigra`) e holo ana i waenakonu o ka ʻōpū.
• ʻIke ʻia nā kiko ʻeleʻele ma ka ʻili.

ʻEkolu o ka hapaha (29 a 40 mau pule)

ʻO kēia ke kahua hope loa! Hoʻomaka ka trimester ʻekolu i 29 mau pule a hoʻopau i 40 mau pule. Hiki iā ʻoe ke manaʻo i kekahi mau ʻeha a me nā ʻehaʻeha i ka wā e hoʻomau ai kāu pēpē (a me kou ʻōpū) i ka ulu ʻana. E loaʻa iā ʻoe ke kaumaha hou aʻe i ka wā e loaʻa ai i kāu pēpē ka momona keu e noho mahana ma hope o ka hānau ʻana.

Eia kekahi mau mea e manaʻo ai i ka trimester ʻekolu:

• Ka hanu ʻole.
• ʻEha kua. (He mea maʻamau kēia no ka mea e ʻūmiʻi maoli ke kua i ka ulu ʻana o ka ʻōpū).
• Pono pinepine e mimi.
• Ka paʻakikī o ka loaʻa ʻana o kahi kūlana hiamoe ʻoluʻolu.
• ʻO Colostrum - ke ʻano mua o ka waiū umauma - e kahe ana mai nā umauma mai.
• Ka hoʻomāmā ʻana . ʻO ke ʻano kēia ua mākaukau ke pēpē e hānau ʻia a ke neʻe nei i lalo i loko o ka pelvis.
• Ke hōʻike nei i nā hōʻailona o ka hānau ʻana . Eia kekahi laʻana, ka loaʻa ʻana o nā ʻūlū a i ʻole ke kahe ʻana o ka mucus plug.

He aha ka 'Hapai Keiki Piha'?

Kamaʻilio pū nā kauka e pili ana i ka "term" ke kamaʻilio lākou e pili ana i ka hāpai ʻana. ʻO ka hāpai piha ka hāpai ʻana ma waena o 39 mau pule a me 0 mau lā (39w0d) a me 40 mau pule a me 6 mau lā (40w6d). ʻOi aku ka maikaʻi o ke olakino o nā pēpē i hānau ʻia i ka wā piha. Aia kekahi mau huaʻōlelo ʻē aʻe a nā kauka e hoʻohana ai:

• ʻO ka wā hānau mua: Hānau ʻia kāu pēpē ma waena o 37 mau pule a me 0 mau lā (37w0d) a me 38 mau pule a me 6 mau lā (38w6d).
• Ka wā hāpai hope: Hānau ʻia kāu pēpē ma waena o 41 pule a me 0 lā (41w0d) a me 41 pule a me 6 lā (41w6d).
• Ma hope o ke kau ʻana: Hānau ʻia kāu pēpē ma hope o 42 mau pule.

He aha ke ʻano o ka mālama olakino āu e pono ai i ka wā hāpai?

He mea nui loa ka mālama ʻana i ka wā hāpai no kou olakino a me ke olakino o kāu pēpē. Ma ka hele ʻana i kāu mau hālāwai maʻamau no ka wā hāpai, hiki i kāu kauka ke nānā i kou olakino a ʻike i nā pilikia o ka hāpai ʻana i ka wā mua. Hiki iā lākou ke nānā e ʻike inā e ulu ana kāu pēpē e like me ka mea i manaʻo ʻia.

Eia kekahi o nā mea a kāu kauka e hana ai:

• E hana ʻia kahi hoʻokolohua kino, hoʻokolohua umauma, hoʻokolohua vaginal, a i ʻole ka hoʻokolohua Pap (inā kūpono ka manawa nou e hana ai).
• Nīnau lākou e pili ana i kou mau hōʻailona, ​​​​​​kou nohona, a me nā ʻano maʻamau.
• Ke nānā ʻia nei kou koko a me kou kaumaha.
• Hoʻohana ʻia kahi Doppler fetal e ana i ka helu o ka puʻuwai o ke pēpē.
• No ke nānā ʻana i ka ulu ʻana o kāu pēpē, ua ana ʻia ka nui o kou ʻōpū ('fundal height').
• Ke kamaʻilio nei mākou a ke paipai nei i nā nānā ʻana ma mua o ka hānau ʻana i hiki ke hoʻoholo inā paha i ka pēpē ka pilikia o ka loaʻa ʻana o nā maʻi hānau e like me Down syndrome.
• Hana ʻia nā hana koko e nānā ai no ka anemia a me ka maʻi diabetes gestational, a nānā ʻia nā pae hormone.
• Nānā lākou i nā maʻi e like me ka syphilis a me ka HIV.
• Hana ʻia nā scan ultrasound. I ka hāpai ʻana me ka pilikia kiʻekiʻe, hana pinepine ʻia nā scan ultrasound i ʻelua manawa.
• E kamaʻilio mākou me ʻoe e pili ana i ka hānau keiki ʻana, ka hānau ʻana, a me nā ʻano ʻē aʻe o kou mālama ʻana.
• E pane aku au i kāu mau nīnau.

Papa Kuhikuhi Hoʻonohonoho Prenatal

ʻOkoʻa ka nui o nā kipa āu e loaʻa ai i kou wā hāpai. Pono paha nā wāhine me kekahi mau kūlana olakino a i ʻole nā ​​pilikia e ʻike pinepine i kā lākou kauka. Inā olakino kou hāpai ʻana a ʻaʻohe pilikia, e ʻike pinepine kāu kauka iā ʻoe:

• I kēlā me kēia ʻehā pule a hiki i 28 mau pule o ka hāpai ʻana.
• I kēlā me kēia ʻelua pule mai 28 a i 36 mau pule.
• Hoʻokahi manawa i ka pule mai 36 mau pule a hiki i ka hānau ʻana o ka pēpē.

ʻEhia ke kaumaha e pono ai ke hoʻonui i ka wā hāpai?

ʻAʻohe nui kikoʻī no kēia, no ka mea, he ʻokoʻa ke kino o kēlā me kēia kanaka. Manaʻo ka hapa nui o nā kauka e loaʻa i ka wahine hāpai ma waena o 25 a me 35 paona (ma kahi o 11 a me 16 kilokani) .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He manawa ka hāpai ʻana o ka hāpai ʻana i nā loli he nui i kou ola, a hiki ke kaumaha i kekahi manawa. Hiki iā ʻoe ke manaʻo i ka hui pū ʻana o ka hauʻoli, ka makaʻu, a me ka manaʻolana. Ke hele nei kou kino i nā loli he nui! No laila, hiki ke paʻakikī ke ʻike i ka mea e manaʻo ai a me ka mea e manaʻo ʻole ai. He mea maʻamau ka loaʻa ʻana o nā nīnau he nui e pili ana i ka mea e hana ai a me ka mea e manaʻo ai no ka hāpai olakino.

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana i ka wā hāpai, ʻo ia ke ʻike i kāu kauka i ka manawa kūpono. ʻO ia kāu kumuwaiwai maikaʻi loa i kou wā e kū nei i ka loli nui loa i kou ola. E kamaʻilio me ia e pili ana i nā hopohopo a i ʻole nā ​​makaʻu āu e loaʻa ai, a e ʻoi aku ka maikaʻi o kou manaʻo. Mai makaʻu e nīnau!

Ke makemake nei iā ʻoe a me kāu keiki liʻiliʻi i ke olakino maikaʻi!

ʻO ka hāpai ʻana, ka hānau keiki ʻana, ka pēpē, ka makuahine, ke olakino, ka hapa ʻekolu mahina, ka mālama ʻana i ka wā hāpai