Ke loaʻa nei iā ʻoe nā māhoe? E aʻo kākou i nā mea āpau e pili ana i ka hāpai ʻana o nā māhoe!

Aloha! Ke hoʻomanaʻo nei ʻoe i kekahi manawa e kamaʻilio kākou, 'Auē kuʻu akua, ke hānau māhoe nei kekahi'? Ke lohe ʻoe i ia mau lono, ʻike ʻoe i ka hauʻoli a me ke kahaha, ʻeā? No laila i kēia lā e kamaʻilio mākou e pili ana i kēia hāpai māhoe. Loaʻa paha iā ʻoe nā nīnau e pili ana i kēia, malia paha ke kali nei ʻoe i nā māhoe, a i ʻole ke kali nei ʻoe i nā māhoe. E nānā maʻalahi kākou i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka hāpai māhoe?

I ka ʻōlelo maʻalahi, ʻo ka hāpai māhoe ka wā e ulu ana ʻelua mau pēpē (fetuses) i loko o kou ʻōpū i ka manawa hoʻokahi. ʻO ka maʻamau hoʻokahi wale nō pēpē, akā ma ʻaneʻi he ʻelua. E noʻonoʻo, ʻelua e noho ana i loko o hoʻokahi ʻōpū! ʻAʻole anei he mea kūikawā kēlā? Hana wale kēia ma kahi o hoʻokahi o 250 mau hāpai ʻana. He mea kākaʻikahi kēlā.

He aha nā manawa kūpono e loaʻa ai nā māhoe?

Haʻahaʻa loa ka hiki ke loaʻa nā māhoe. Hāpai kūlohelohe ʻia nā māhoe ma kahi o hoʻokahi i loko o 250 mau hāpai ʻana. ʻO ia hoʻi, ʻaʻole nā ​​​​kānaka a pau he māhoe. Akā aia kekahi mau mea e hiki ke hoʻonui i kēia manawa. E kamaʻilio mākou e pili ana i kēlā ma hope.

He aha nā hōʻailona o ka hāpai māhoe? Loaʻa iā ʻoe kēia mau mea pū kekahi?

Inā ʻoe e hāpai ana i nā māhoe, hiki iā ʻoe ke hōʻike i kekahi mau ʻano kūikawā. Akā, no ka mea he mau ʻano kēia āu, ʻaʻole ia he manaʻo he mau māhoe kāu, ʻeā? Pono ʻoe e ʻike i ke kauka e ʻike pono ai.

Eia kekahi mau hōʻailona, ​​​​hiki ke ʻike ʻia kekahi o ia mau mea i nā pule mua o ka hāpai ʻana:

• Ke manaʻo nei i ka neʻe ʻana o kāu pēpē i ka wā mua: E manaʻo paha ʻoe i ka neʻe ʻana o kāu pēpē ma mua iki o ka maʻamau.
• Ke manaʻo nei i ka neʻe ʻana o ka pēpē ma nā wahi he nui o ka ʻōpū: Inā ʻoe e manaʻo i nā neʻe ʻana ma ʻelua mau wahi ma mua o hoʻokahi, he hōʻailona paha kēlā.
• ʻOi aku ke kiʻekiʻe o ka waihona pēpē ma mua o ka mea i manaʻo ʻia no ka makahiki hāpai: Ke nānā ke kauka i kou ʻōpū, hiki iā lākou ke ʻōlelo ua ʻoi aku ka nui o kou ʻōpū ma mua o kou no ka pule āu e noho nei. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻoi aku ka nui o kou ʻōpū ma mua o ka mea i manaʻo ʻia.
• Piʻi wikiwiki o ke kaumaha: Manaʻo paha ʻoe e piʻi wikiwiki ana kou kaumaha ma mua o nā poʻe ʻē aʻe.
• Nā pae kiʻekiʻe o ka hormone hCG a i ʻole alpha-fetoprotein (AFP): He mau mea kūikawā kēia i hoʻokuʻu ʻia i ka wā hāpai. ʻO ka `hCG` kahi hormone hāpai. ʻO ka `AFP` kahi protein i hana ʻia e ke akepaʻa o ka pēpē. Inā ʻoi aku ke kiʻekiʻe o kēia mau pae ma mua o ka maʻamau, hiki nō hoʻi ke lilo i hōʻailona o nā māhoe.
• ʻO ka lohe ʻana i nā puʻuwai he nui ma ka Doppler fetal: Inā lohe ke kauka i nā puʻuwai he nui i ka wā e hoʻolohe ana i ka puʻuwai o ka pēpē, he hōʻailona nui nō hoʻi kēlā.

He aha nā hōʻailona o ka hāpai māhoe?

Ua like nā hōʻailona o ka hāpai māhoe me nā hōʻailona o ka hāpai hoʻokahi. Eia nō naʻe, ʻoi aku ka koʻikoʻi o kēia mau hōʻailona.

Hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻO ka palupalu o ka umauma: ʻOi aku ka palupalu o kou mau umauma ma mua o ka maʻamau, e like me ma mua o kou wā, akā hiki ke manaʻo iki aʻe i ka palupalu.
• Luhi: E ʻoi aku paha kou luhi ma mua o ka makuahine hāpai maʻamau no ka mea ke hānai nei ʻoe i ʻelua ola i loko o kou kino.
• Ka mimi pinepine ʻana: I ka ulu ʻana o ka ʻōpū, piʻi aʻe ke kaomi ma luna o ka ʻōpū mimi, e koi ana i ka hele pinepine ʻana i ka lua.
• Hoʻonui i ka makemake: No ka mea makemake ʻoe e ʻai no ʻelua, e piʻi nui paha kou makemake.
• Maʻi kakahiaka: Hiki ke koʻikoʻi loa kēia no kekahi poʻe. Hiki ke mau ka luaʻi i ka lā a pau.

Pehea e hōʻoia pololei ai i ka hāpai māhoe?

ʻO ke ala hilinaʻi loa e hōʻoia ai inā hāpai ʻoe i nā māhoe, ʻo ia ka loaʻa ʻana o kahi ultrasound prenatal. Hoʻohana kēia i nā nalu kani e kiʻi i ke kiʻi o kou ʻōpū . Hiki i kēia ke hōʻike maopopo inā ʻoe e hāpai ana i ʻelua pēpē. Hiki ke ʻike pinepine ʻia kēia i ka wā o ka ultrasound scan mua.

Aia kekahi ʻokoʻa ma ka ʻōpū ke loaʻa iā ʻoe nā māhoe? Ke hoʻohālikelike ʻia me ka ʻōpū me kahi keiki hoʻokahi?

ʻAe, e hoʻomaka ana kou ʻōpū e ulu iki ma mua o ka wā e loaʻa ai iā ʻoe nā māhoe. Makemake paha ʻoe e hoʻomaka e ʻaʻahu i nā lole hāpai ke ʻike koke ʻoe ua hāpai ʻoe. Eia kekahi, e ʻoi aku ka paʻa o kou mau lole no ka mea ke piʻi nei kou kaumaha ma mua o ka maʻamau. ʻOiai he mea maʻamau ke piʻi ma kahi o 30 paona me hoʻokahi pēpē, he mea maʻamau ke piʻi ma kahi o 50 paona me nā māhoe.

He aha nā ʻano māhoe?

ʻElua ʻano nui o nā māhoe. ʻO lākou kēia:

• Nā māhoe fraternal: I kekahi manawa ua kapa ʻia kēia mau mea he "māhoe fraternal." I ka ʻōlelo maʻalahi, ʻo ia ka wā e hoʻoulu ʻia ai nā hua ʻelua e nā sperm ʻelua. ʻO ke ʻano kēia ua hānau ʻia nā pēpē ʻelua mai nā hua ʻelua kaʻawale. No laila, he ʻelua placentas kaʻawale nā ​​​​pēpē ʻelua. Ua like ka DNA o kēia mau māhoe me ko nā hoahānau o nā makahiki like ʻole i ka ʻohana hoʻokahi. ʻO ke ʻano kēia he like paha ko lākou ʻano a ʻokoʻa loa paha. Hiki iā lākou ke like ke kāne (wahine/wahine a kāne/kāne paha), a i ʻole he ʻokoʻa ke kāne (wahine/kāne).
• Nā māhoe like: Ua kapa ʻia kēia mau mea he "māhoe monozygotic." ʻO kēia ka manawa e māhele ai ka embryo, ka mea i hoʻoulu ʻia e ka hua like a me ka sperm, i ʻelua. ʻO ia ke kumu i kapa ʻia ai lākou he "like" no ka mea like kā lākou DNA. Hiki i kēia mau māhoe ke kaʻana like i hoʻokahi placenta a i ʻole he mau placenta kaʻawale paha. Aia kēia i ka wā e māhele ai ka embryo.ʻO nā māhoe like he kāne like mau lākou. ʻO ia hoʻi, he kaikamahine lāua ʻelua a he keikikāne paha.

He mea laha ʻole nā ​​māhoe i hoʻohui ʻia . Hana ʻia kēia ke ʻole e kaʻawale loa kahi embryo māhoe like. A laila hoʻohui ʻia nā kino o nā pēpē, a hiki paha iā lākou ke kaʻana like i nā ʻāpana koʻikoʻi (no ka laʻana, ke akepaʻa a i ʻole ka puʻuwai). He mea laha ʻole kēia.

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

Aia kekahi mau kumu e hoʻonui ai i kou manawa e loaʻa ai nā māhoe. ʻO lākou kēia:

• Makahiki: Inā ʻoe ma luna o 35 mau makahiki, ʻoi aku ka nui o kou hoʻokuʻu ʻana i hoʻokahi hua manu i ka manawa hoʻokahi.
• Moʻolelo ʻohana: Inā he mau māhoe fraternal kāu ma ka ʻaoʻao o kou makuahine (ʻo ia hoʻi, kou makuahine, nā kaikuahine o kou makuahine, kupuna wahine), ʻoi aku ka nui o ka loaʻa ʻana o nā māhoe ma ke ʻano maoli.
• Nā lāʻau lapaʻau hānau keiki: ʻO ka poʻe e hana ana i nā lāʻau lapaʻau hānau keiki e like me ka `IVF` (In Vitro Fertilization) he kiʻekiʻe aʻe ka manawa e loaʻa ai nā māhoe.
• Momona: Inā ʻoi aku ka nui o kou helu helu kino (BMI) ma mua o 30, ʻoi aku ka nui o kou hāpai ʻana i nā māhoe.
• Nā hāpai mua: Inā ua loaʻa iā ʻoe nā māhoe ma mua, ʻoi aku ka nui o ka loaʻa hou ʻana o nā māhoe.

Pehea e hoʻonui ai nā lāʻau lapaʻau hānau i ka manawa kūpono e loaʻa ai nā māhoe?

Aia kekahi mau ala e loaʻa ai nā māhoe ma o ka mālama ʻana i ka hānau keiki:

• Inā ʻoe e lawe nei i nā lāʻau lapaʻau e hoʻokuʻu ʻia ai nā hua he nui ma mua o hoʻokahi i ka manawa hoʻokahi.
• Inā ʻoe e hana nei i ka mālama IVF a ua hoʻoili ʻia ma mua o hoʻokahi embryo i loko o ka ʻōpū.
• Inā ua hoʻokomo ʻia kahi embryo i loko o ka ʻōpū ma hope o ka mālama ʻana IVF, e māhele ʻia i ʻelua i ka wā mua o ka hāpai ʻana.

ʻEhia ka lōʻihi o ka hāpai "manawa piha" no nā māhoe?

ʻO ka awelika o ka wā hāpai no ka pēpē hoʻokahi he 37 mau pule. Eia nō naʻe, ʻaʻole pinepine ka lōʻihi o nā hāpai māhoe. ʻO ka maʻamau, ʻo ka lōʻihi o ka hāpai māhoe ma waena o 35 a me 36 mau pule . ʻO ke ʻano kēia, ʻoi aku ka nui o ka manawa e hānau mua ai.

Ua kaupalena ʻia nā lāʻau lapaʻau e pale aku i ka hānau mua ʻana, a ʻaʻole lākou e holomua mau. Ke hoʻomaka ʻoe i ka hānau ʻana, ʻaʻohe ala e hoʻōki ai.

Pehea ka ʻokoʻa o ka mālama prenatal i ka hāpai māhoe?

I ka hāpai ʻana o nā māhoe, ʻoi aku ka nui o ka pilikia o nā pilikia no ʻoe a me kāu mau pēpē. No laila, pono ʻoe e hele pinepine no nā hoʻokolohua prenatal i ka wā hāpai māhoe. Ma kēlā ala, inā he pilikia, hiki ke ʻike mua ʻia.

Ua manaʻo ʻia he pilikia nui nā hāpai māhoe.ʻO kēia no ka mea he nui nā pilikia e hiki ke hana. ʻO ka hapa nui o ka manawa, e loaʻa iā ʻoe ka mālama prenatal mai nā loea lapaʻau makuahine-fetal . ʻO kēia ka poʻe i loaʻa ka ʻike loea i ka pale ʻana, ka nānā ʻana, a me ka mālama ʻana i nā pilikia i nā hāpai keiki kiʻekiʻe.

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

ʻO kekahi o nā pilikia e pili ana me ka hāpai ʻana o nā māhoe:

• Anemia: Ka emi ʻana o ke koko i loko o ke kino.
• Nā kūlana hānau: No ka laʻana, nā kūlana i loaʻa i ka wā hānau, e like me ka spina bifida.
• ʻO ka maʻi diabetes gestational: ʻO ka maʻi diabetes e kū mai ana i ka wā hāpai.
• Ke koko kiʻekiʻe i ka wā hāpai (Preeclampsia): Hiki i kēia ke lilo i kūlana weliweli.
• Kaohi ʻana i ka ulu ʻana o loko o ka ʻōpū (IUGR): ʻAʻole piʻi pono ke kaumaha o nā pēpē.
• ʻOligohydramnios: Ka emi ʻana o ka nui o ka wai amniotic a puni ka pēpē.
• Ka hemo ʻana o ka placenta: Ka hemo ʻana o ka placenta mai ka paia o ka ʻōpū.
• Ka hānau mua ʻana: Ka hānau ʻana o kahi pēpē ma mua o ka lā hānau.
• Polyhydramnios: Ka hoʻonui ʻia o ka nui o ka wai e hoʻopuni ana i ke pēpē.
• ʻO ka maʻi hoʻoili koko māhoe-a-māhoe (TTTS): Hana ʻia kēia i ka wā e kaʻana like ai nā māhoe like i ka placenta, e hopena ana i hoʻokahi pēpē wale nō e loaʻa ana i ka lako koko lawa.

ʻO nā pilikia ʻē aʻe e hiki ke hana i nā māhoe hānau mua ʻia:

E like me ka mea i ʻōlelo ʻia ma mua, no ka mea, hānau pinepine ʻia nā māhoe i ka wā ʻōpiopio, ua pilikia lākou i ka hoʻomohala ʻana i nā pilikia hou aʻe:

• Hoʻokahe ke koko o ka lolo.
• ʻO nā pilikia hanu, e like me ka apnea (nā hoʻomaha pōkole i ka hanu ʻana), i hoʻokumu ʻia e ka ulu pono ʻole ʻana o nā māmā .
• Ka paʻakikī e noho mahana.
• Nā pilikia hānai.
• Kaumaha hānau haʻahaʻa.
• Nā pilikia ʻike, no ka laʻana, retinopathy o ka hānau mua ʻana.

Pehea ʻoe e hānau ai i nā māhoe?

I nā hāpai māhoe , ʻoi aku ka nui o ka hiki ke hānau i nā pēpē ma o ka ʻoki cesarean (C-section). Eia nō naʻe, inā ʻoe e kali ana i nā māhoe a ʻaʻohe pilikia kūikawā, hiki iā ʻoe ke hoʻāʻo no ka hānau ʻana ma ke ʻano vaginal. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo i ke ʻano hana maikaʻi loa iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Ke ʻike ʻoe he mau māhoe kāu, ma kekahi ʻaoʻao ...He mea maʻamau ka manaʻo kaumaha a me ka huikau, akā, e manaʻo pū kekahi ua kaumaha a ua kaumaha. E kū mai paha nā nīnau e like me "Pehea ʻoe e mālama ai i ʻelua kānaka?" "E pono anei iaʻu i ka pālua o nā mea āpau?" He mea maʻamau loa ia.

ʻO ka mea nui loa , he mea nui e hele i nā nānā olakino maʻamau i ka wā hāpai māhoe. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, kiʻekiʻe ka pilikia o nā pilikia. Eia kekahi, aia kahi manawa kūpono e komo koke mai kāu mau pēpē ʻelua i ka honua.

ʻOiai pinepine ka hānau ʻana o nā māhoe ma o ka ʻoki ʻana o C, e kamaʻilio me kāu kauka e pili ana i ka hiki iā ʻoe ke hānau ma ke ʻano he wahine. E kaʻana like i kāu mau nīnau a hopohopo paha me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe. ʻAʻole pono ʻoe e hele wale ma kēia huakaʻi. Makemake wau iā ʻoe a me kāu mau pēpē i ka pōmaikaʻi maikaʻi loa!

Hāpai Māhoe, Māhoe, Hāpai, Mālama Ma mua o ka Hānau ʻana, Hānau Māhoe, Nā Pilikia o ka Hāpai