Ua lohe paha ʻoe ua loaʻa i kekahi nā māhoe. He nūhou maikaʻi kēlā. Akā ke lohe mākou e pili ana i nā triplets, ua kahaha iki mākou, ʻeā? ʻOiai he mea kakaikahi kēia, ʻaʻole hiki ʻole. No laila, pehea ka manaʻo o kahi makuahine e hāpai ana i nā triplets i kēia wā hāpai? He aha kekahi mau mea e makaʻala nui ai? E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi i kēia lā.
ʻEā, pehea lā e hāpai ai i nā triplets?
Aia kekahi mau ala e hiki ai kēia. I ka ʻōlelo maʻalahi, penei.
- ʻAno Hana 1: Hoʻokuʻu ʻia ʻekolu mau hua mai nā ovaries o ka makuahine i ka manawa like, a hoʻomomona ʻia nā hua ʻekolu e ka sperm kaʻawale.
- ʻAno 2: ʻO ka zygote, i hoʻokumu ʻia e ka hui ʻana o hoʻokahi hua manu a me hoʻokahi sperm, ua māhele ʻia i ʻekolu mau embryos.
- ʻAno 3: Hoʻomomona ʻia nā hua ʻelua ma kahi kaʻawale, a māhele hou kekahi o lākou i ʻelua mau embryos (waiho wale ʻia kekahi, a aneane like nā mea ʻelua ʻē aʻe).
Hoʻoholo kēia mau ʻano i ke ʻano, nā ʻano, a inā like nā keiki.
He aha nā ʻano o nā triplets?
E like me kā mākou i kūkākūkā ai ma luna, aia ʻekolu ʻano nui o nā keiki ma muli o ke ʻano o ko lākou hāpai ʻia ʻana. ʻO ka hoʻomaopopo ʻana i kēia e hoʻomaopopo ai i nā mea he nui iā ʻoe.
| Nā ʻekolu | He wehewehe maʻalahi |
|---|---|
| Nā ʻEkolu Hoahānau | He mau keiki kēia i hoʻoulu ʻia e 3 mau hua like ʻole a me 3 sperm like ʻole. Ua like ia me nā hoahānau i hānau ʻia i ka lā hoʻokahi. No laila , ua like paha lākou a ʻaʻole paha . Malia paha he ʻelua keikikāne a me hoʻokahi kaikamahine, a i ʻole ʻekolu kaikamahine, a i ʻole kekahi mea ʻē aʻe. |
| Nā Triplets like | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka māhele ʻana o kahi hua manu i hoʻopōmaikaʻi ʻia i ʻekolu mau embryos like. He mea kākaʻikahi loa kēia. No ka mea, like ka DNA o kēia mau keiki, ua like loa ko lākou ʻano.A no ke kāne hoʻokahi lākou ʻekolu (wahine a kāne paha). |
| Nā Triplets i hui pū ʻia | ʻO kēia ka manawa e hoʻomoe ʻia ai nā hua ʻelua, a māhele hou kekahi o nā embryo i ʻelua. ʻO ke ʻano kēia, ua hānau like ʻia nā keiki ʻelua, a he hoahānau kekahi . |
He mea nui nō hoʻi ke ʻano o ka māhele ʻia ʻana o ka placenta!
He mea nui loa nō hoʻi ke ʻano o ka kaʻana like ʻana o nā pēpē i ka placenta a me ka ʻeke hāpai ʻana i ko lākou wā i loko o ka ʻōpū. Hoʻolohe nui nā kauka i kēia.
- Trichorionic: Loaʻa i nā pēpē ʻekolu nā placentas a me nā ʻeke hāpai kaʻawale. ʻO kēia ke kūlana palekana loa .
- Dichorionic: ʻElua mau pēpē e kaʻana like i hoʻokahi placenta, aʻo ke kolu he placenta kaʻawale.
- Monochorionic: Hoʻokaʻawale like nā pēpē ʻekolu i ka placenta hoʻokahi. He kūlana pilikia iki kēia, no ka mea, aia paha nā pilikia me ka kaʻana like ʻana i nā meaʻai.
ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o nā triplets?
ʻOiai hiki ke hana kēia i kekahi, hiki i kekahi mau kumu ke hoʻonui iki aʻe i kēia hiki.
- Ma luna o 35 mau makahiki: Ma muli o nā loli o ka hana hormonal me ka makahiki, piʻi ka manawa e hoʻokuʻu ai i nā hua manu he nui i ka manawa hoʻokahi.
- Moʻolelo ʻohana: Inā he moʻolelo o nā māhoe a ʻekolu paha i loko o kou ʻohana (ʻoi aku hoʻi ma ka ʻaoʻao o kou makuahine), ʻoi aku ka nui o ka loaʻa ʻana o lākou iā ʻoe.
- Nā lāʻau lapaʻau hānau keiki: ʻO kekahi mau lāʻau lapaʻau hānau keiki, e like me ka hoʻoulu ʻana i loko o ka vitro (IVF), hiki ke hoʻoulu i nā hāpai keiki he nui ma ka hoʻoili ʻana i nā embryo he nui i loko o ka ʻōpū i ka manawa like a i ʻole ma ka hoʻoulu ʻana i nā ovaries.
Pehea ʻoe e ʻike ai inā he triplets kāu?
Hiki iā ʻoe ke loaʻa kahi manaʻo iki e pili ana i kēia mai kekahi o nā hōʻailona i nā pule mua o ka hāpai ʻana. Akā no ka ʻike pono ʻana i kēia, pono ʻoe e ʻike i ke kauka.
Hiki i nā hōʻailona ke komo pū me ka ʻeha nui o ka umauma ma mua o ka wahine hāpai maʻamau, ka piʻi wikiwiki o ke kaumaha , a me ka maʻi kakahiaka nui .
Ke hele ʻoe e ʻike i ke kauka, hiki iā ia ke kānalua i kēia.
- Nā pae kiʻekiʻe loa o ka hormone hāpai "HCG - human chorionic gonadotropin" i loko o kou koko.
- Ka hoʻonui ʻia ʻana o ka pae o kahi protein i kapa ʻia ʻo "alpha-fetoprotein", ka mea i hana ʻia i loko o ke akepaʻa o ke pēpē.
- Ke lohe nei i nā puʻuwai he nui ma mua o hoʻokahi i ka wā e hoʻokolokolo ai.
Eia nō naʻe, ua hōʻoia paʻa ʻia kēia mau mea a pau e kahi scan ultrasound . Hōʻike maopopo ka scan he ʻekolu mau keiki.
He ʻokoʻa anei ka mālama ʻana i ka wā hāpai ma mua i ka wā hāpai triplet?
ʻAe, he ʻokoʻa maoli nō ia. ʻO ka hāpai ʻana o nā keiki ʻekolu he hāpai 'kiʻekiʻe-pilikia' . ʻO ke ʻano kēia he kiʻekiʻe aʻe ka pilikia o nā pilikia ma mua o ka hāpai maʻamau. No laila e nānā pono kāu kauka iā ʻoe a me nā pēpē . No laila pono paha ʻoe e hele pinepine i ke keʻena ma mua o ka maʻamau.
Penei ka hoʻolālā pinepine ʻana o nā lā lapaʻau:
- ʻO ka hapa mua o ka ʻōpū (a hiki i 12 mau pule): I kēlā me kēia ʻelua a ʻekolu mau pule.
- ʻO ka lua o ka trimester (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): I kēlā me kēia pule.
He aha nā pilikia i ka makuahine a me ke pēpē?
I loko o kahi hāpai pilikia kiʻekiʻe e like me kēia, aia kekahi mau pilikia e hiki ke loaʻa no ka makuahine a me ke pēpē. ʻAʻohe pono e makaʻu i kēia mau mea, akā he mea nui loa ka makaʻala . I hiki iā ʻoe ke mākaukau no kekahi mea.
| ʻO wai ka mea i hoʻopilikia ʻia e ka pilikia? | Nā pilikia hiki ke loaʻa |
|---|---|
| No ka makuahine hāpai |
|
| No nā pēpē i loko o ka ʻōpū |
ʻO ka mea nui loa, ʻo ia ke nānā mau nei kāu kauka i kēia mau mea a pau. No laila, he mea nui e pale aku i ka hopohopo a hahai pono i kāna mau kuhikuhi.
Pehea e hana ʻia ai ka hānau ʻana?
Hoʻohana pinepine ʻia ka ʻoki ʻoki cesarean (C-section) no ka hānau ʻana o nā triplets. Aia kekahi mau kumu no kēia.
- Ke kūlana o nā keiki (e laʻa, e moe ana ma ke keʻa o nā wāwae a i ʻole nā wāwae i lalo me ke poʻo ʻole i lalo).
- E maʻalahi ai i ka hui lapaʻau ke hoʻoponopono i kekahi pilikia e kū mai ana i ka wā hānau.
- Ke hōʻoiaʻiʻo nei i ka palekana o ka makuahine a me nā keiki ʻekolu.
Eia kekahi, he mea kakaikahi ka hāpai ʻana o ka triplet i nā pule he 40 piha e like me ka hāpai ʻana maʻamau.
- ʻO ka hāpai hoʻokahi ke mau ma waena o 37-40 mau pule.
- Akā ʻo ka hāpai ʻana o ka triplet maʻamau ka lōʻihi ma waena o 32-35 mau pule .
ʻO ke ʻano kēia, ʻoi aku ka nui o ka hānau ʻia ʻana o nā pēpē me ka wā ʻole o ka manawa. No laila, pono paha nā pēpē e noho ma ka Neonatal Intensive Care Unit (NICU) no kekahi manawa ma hope o ka hānau ʻana . ʻO kēia ke hāʻawi ʻana i ka mālama lapaʻau kūikawā a hiki i ka wā e ikaika ai ko lākou kino.
Leka Lawe-Home
- He kūlana kūikawā a kiʻekiʻe hoʻi ka hāpai ʻana o nā keiki ʻekolu, no laila ʻo ka hahai ʻana i ka ʻōlelo aʻoaʻo lapaʻau ka mea mua .
- Pono ʻoe e hele i nā hoʻokolohua lapaʻau a me nā keʻena lapaʻau i nā manawa he nui ma mua o kahi makuahine hāpai maʻamau. No kou palekana kēia a no kāu mau keiki.
- He mea nui e ʻai i ka meaʻai kaulike a lawe i nā wikamina (ʻoiai ka hao a me ka folic acid) i kauoha ʻia e kāu kauka.
- E makaʻala i nā pilikia, akā, mai makaʻu pono ʻole iā lākou. Ua mākaukau kāu hui lapaʻau e mālama iā lākou āpau.
- E mākaukau noʻonoʻo, e hoʻomanaʻo he hānau pinepine ʻia ka ʻoki cesarean a hiki ke hana ma mua o ka lā palena.
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