Ke kali nei ʻoe i nā māhoe a ua nalowale kekahi o lāua? E kamaʻilio kākou e pili ana i ka 'Vanishing Twin Syndrome'!

Pono ʻoe i hauʻoli loa i kou ʻike ʻana he māhoe kāu, a he triplets paha, ʻeā? Akā i kekahi manawa, hiki i kekahi o nā pēpē āu i ʻike ai ma ke scan mua ke nalowale i kahi scan ma hope. ʻO kēia ka mea a mākou e kapa nei ʻo 'Vanishing Twin Syndrome' i ka lāʻau lapaʻau. Hiki iā ʻoe ke kaumaha a me ka haʻalulu ke lohe ʻoe i kēia. Akā, mai hopohopo, e wehewehe pono mākou i nā mea āpau.

E nānā wale kākou i ke ʻano o kēia 'Vanishing Twin Syndrome'.

I ka ʻōlelo maʻalahi, ʻo ka Vanishing Twin Syndrome kahi ʻano hāʻule keiki e kū mai ana i nā hāpai keiki he nui, e like me nā māhoe a i ʻole nā ​​​​triplets. I kēia hihia, ʻaʻole ʻike ʻia kahi embryo i ʻike mua ʻia ma kahi scan ultrasound ma kahi scan ma hope. ʻO ke ʻano kēia e pau ka ulu ʻana o ka embryo a ua komo kona ʻiʻo i loko o ke kino o ka makuahine a me nā embryo i koe.

E noʻonoʻo, ʻike mua ʻoe e loaʻa ana iā ʻoe ʻelua mau pēpē, akā ma hope, hoʻokahi wale nō o lāua i koe. Hoʻopili ʻia ka ʻiʻo mai ka ʻōpū ʻē aʻe e ke pēpē i koe a me ka makuahine. ʻAʻole ia he mea ʻino loa kēia kaʻina omo. He mea ia e hana kūlohelohe ʻia.

Pehea ka maʻamau o ka Vanishing Twin Syndrome?

He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia. No ka mea, i nā manawa he nui, hiki i kekahi mau makuahine ke nalowale i hoʻokahi pēpē ma kēia ʻano ma mua o ka loaʻa ʻana o kā lākou scan ultrasound mua. A laila, ʻaʻole ʻike ka makuahine a me ke kauka he mau māhoe ma kahi mua.

Eia nō naʻe, ʻoi aku ka nui o ka poʻe e scan i ka wā hāpai e ʻike i kēia maʻi. No ka laʻana, ʻo ka poʻe e hāpai ana i kahi keiki ma o ke ʻano 'test tube baby', ʻo ia hoʻi, `(IVF)`, e scan ʻia i ka wā ʻeono a ʻehiku paha pule. Ua hōʻike ʻia e ka noiʻi ma waena o 7% a me 36% o nā hāpai lehulehu mai `(IVF)` hiki ke loaʻa i kēia maʻi, `Vanishing Twin Syndrome`.

ʻO kekahi mea ʻē aʻe, ua ʻike ʻia e ka noiʻi he ʻoi aku ka maʻamau o kēia ʻano i waena o nā wahine hāpai ma luna o 30 mau makahiki .

He aha nā hōʻailona o kēia? Ke ʻike nei ʻoe i kēia pū kekahi?

Ua like loa nā hōʻailona o ka Vanishing Twin Syndrome me nā mea i ʻike pinepine ʻia i ka trimester mua o ka hāpai ʻana. Ma muli o kēia ʻano like, hiki ke ʻike ʻole ʻia ua nalowale kekahi o nā māhoe.

Eia kekahi o kēlā mau hōʻailona:

• Manaʻo e like me ke ʻeha i loko o kou ʻōpū.
• Ke kahe koko iki a i ʻole ka ʻōhū ʻana.
• ʻEha pelvis.
• ʻEha hope.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻĀ, ʻo kēia nā mea āu e ʻike pinepine ai i ka wā hāpai mua." ʻAe, he ʻoiaʻiʻo kēlā. ʻO ia ke kumu he paʻakikī ke hoʻokaʻawale i kekahi manawa.

ʻO ka mea nui loa, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū ma lalo a i ʻole ke kahe koko i wehewehe ʻole ʻia i ka wā hāpai, pono ʻoe e ʻike i kāu kauka.

No ke aha e hana ʻia ai kēia? He aha nā kumu o ka 'Vanishing Twin Syndrome'?

I loko o ka Vanishing Twin Syndrome, ʻaʻole hiki i ka māhoe nalowale ke ulu piha ma muli o nā hewa genetic i loko o ka DNA, a i ʻole ka ʻike genetic, o ka māhoe. ʻAʻole hiki iā mākou ke kaohi a pale aku paha i kēia mau hewa genetic code. ʻO ka hapa nui o ka manawa, aia kēia mau mea i ka wā o ka hāpai ʻana.

Ua like ia me ka lotiri. I kekahi manawa, hiki i nā loli liʻiliʻi i loko o nā genes o ka embryo ke pale iā ia mai ka ulu pono ʻana. Pono ʻoe e hoʻomaopopo ʻaʻole na ʻoe kēia hewa.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ʻo Vanishing Twin Syndrome?

Hiki i kāu kauka ke ʻike pinepine i kēia kūlana i ka wā o kahi scan ultrasound. Inā ʻaʻole ʻike ʻia kahi fetus i loaʻa ma kahi scan ma mua ma kahi scan ma hope, hiki i ke kauka ke hoʻoholo he Vanishing Twin Syndrome ia.

I kekahi manawa, e nānā paha kāu kauka i ka pae o kahi hormone i kapa ʻia ʻo human chorionic gonadotropin (hCG) i loko o kou koko. Hana kou kino i kēia hormone i ka wā hāpai. Hiki i kēia pae hormone ke hāʻawi iā ʻoe i kahi manaʻo no ke ʻano o ka holomua ʻana o kāu hāpai ʻana. Inā kiʻekiʻe ia no ka hāpai ʻana he nui a laila pau koke, he hōʻailona paha ia o ka Vanishing Twin Syndrome.

He kuhi hewa paha ia?

He hilinaʻi loa ka ʻenehana ultrasound i ka ʻike ʻana i ka Vanishing Twin Syndrome. He liʻiliʻi loa ka manawa kūpono o ka hewa kanaka, akā ʻaʻole hiki ʻole.

Pehea e ʻike ai inā he 'Vanishing Twin' kaʻu?

ʻAʻole paha ʻoe e ʻike mau inā he 'māhoe nalowale' kāu. E noʻonoʻo inā nalowale kekahi o nā embryos e like me kēia ma mua o kou loaʻa ʻana o kāu scan ultrasound mua? A laila, ʻaʻole ʻoe a me kāu kauka e ʻike e kali ana ʻoe i nā māhoe ma kahi mua.

I kekahi manawa, ma hope o kou hānau ʻana, hiki i nā kauka ke loaʻa nā ʻāpana o ka ʻiʻo fetal i nalowale i loko o kou placenta. Ma mua o ka ʻenehana ultrasound, ʻo ka ʻiʻo fetal i loaʻa i loko o ka placenta ke ala wale nō e ʻike ai inā he Vanishing Twin Syndrome kou hāpai ʻana.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka mea maikaʻi loa e pili ana i ka Vanishing Twin Syndrome,He mea nui ka mālama pono ʻana i kou olakino a me ke olakino o kāu pēpē ola. ʻO ka mālama āu e loaʻa ai e pili ana i ka wā i nalowale ai ke keiki i loko o ka hāpai ʻana.

Inā nalowale ke keiki i ka trimester mua ...

I ka hapanui o nā hihia, inā hana ʻia ka hāʻule ʻana i ka trimester mua (ʻo ia hoʻi, i loko o nā mahina ʻekolu mua), he liʻiliʻi loa ka manawa e loaʻa ai kekahi pilikia no ʻoe a i ʻole ke pēpē ola. E holo maʻamau kāu hāpai ʻana.

Inā nalowale ke keiki i ka trimester ʻelua a ʻekolu paha ...

Eia nō naʻe, inā hana ʻia ka hāʻule ʻana i ka trimester ʻelua a ʻekolu paha (ʻo ia hoʻi, ma hope o ʻekolu mahina), makemake paha kāu kauka e nānā pono i kou hāpai ʻana. ʻO nā hāpai ʻana e loaʻa ana i ka Vanishing Twin Syndrome ma hope o ka trimester mua ua manaʻo ʻia he mau hāpai pilikia kiʻekiʻe.

ʻO ke ʻano o ke "pilikia kiʻekiʻe" ʻoi aku ka nui o ka pilikia olakino o kāu pēpē, a i ʻole ʻoi aku ka nui o ka hānau mua ʻana.

E noʻonoʻo kāu kauka i kekahi mau kumu i ka hoʻoholo ʻana i ke kiʻekiʻe o ka pilikia o kou hāpai ʻana. No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i ka hopena o kēia ʻike i kāu hāpai ʻana a me ka hānau ʻana e hiki mai ana.

Aia kekahi ala e pale aku ai i ka Vanishing Twin Syndrome?

ʻAʻole, ʻaʻole hiki iā ʻoe ke pale aku i ka Vanishing Twin Syndrome. Ke hāʻule ka hāʻule ʻana o ka ʻōpū, nui nā makuahine e manaʻo hewa a noʻonoʻo inā hiki iā lākou ke hana i kahi mea ʻokoʻa e loaʻa ai kahi pēpē olakino. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole hiki ke ho'ōla ʻia a pale ʻia paha nā ʻano maʻi genetic e hoʻōki ai i ka ulu ʻana o kahi fetus. No laila, mai hopohopo nui e pili ana i ia mea.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka Vanishing Twin Syndrome?

Inā loaʻa ka hāʻule ʻana i ka wā o kāu trimester mua, hiki iā ʻoe ke manaʻo i kahi hāpai maʻamau me ka ʻole o nā pilikia. Eia nō naʻe, inā loaʻa ia ma hope o ka trimester mua, pono paha ʻoe i ka nānā pinepine ʻana (nānā ʻana) mai kāu kauka, no ka mea, aia kahi pilikia o nā pilikia hāpai.

Pehea ʻoe e mālama ai iā ʻoe iho? He mea nui loa ke olakino noʻonoʻo!

Ke loaʻa iā ʻoe kahi maʻi o Vanishing Twin Syndrome, he mea nui e hāʻawi iā ʻoe iho i ka ikaika a me ka mālama e pono ai ʻoe e hoʻomanawanui. ʻO ka mālama ʻana iā ʻoe iho ma hope o ke aʻo ʻana e pili ana i kahi māhoe nalowale hiki ke paʻakikī loa. Ma kekahi ʻaoʻao, ke kaumaha nei paha ʻoe i ka nalowale ʻana o kāu māhoe, akā ma kekahi ʻaoʻao, ke hāpai mau nei ʻoe. He manaʻo paʻakikī loa ia.

E kamaʻilio me kou mau hoaaloha a me kou hoa e pili ana i kou mau manaʻo. Hiki i kēia ke lilo i mea hōʻoluʻolu nui. I kekahi manawa, he manaʻo maikaʻi nō hoʻi e ʻimi i ke kākoʻo loea, e like me ke kauka lapaʻau a i ʻole ke kākāʻōlelo kaumaha.

E nīnau i kāu kauka i ka mea e manaʻo ai i ka holomua ʻana o kou hāpai ʻana. ʻO ka loaʻa ʻana o kahi ʻike maopopo i ka mālama olakino āu e loaʻa ai i nā mahina e hiki mai ana e kōkua iā ʻoe e kālele i kou olakino kino a me kou olakino noʻonoʻo.

ʻOkoʻa ke ʻano o kēlā me kēia kanaka i ka nalowale ʻana o kahi hāʻule keiki. E ʻae iā ʻoe iho e ʻike i nā manaʻo āu e manaʻo ai. ʻO nā mea āu e manaʻo ai, e hoʻomaopopo he kūpono kēlā mau manaʻo. He mea nui e mālama i kou olakino kino e like me ka mālama ʻana i kāu mau pono naʻau e kākoʻo i kou hāpai ʻana.

E hoʻomanaʻo anei kāua i kā kāua i kamaʻilio pū ai? (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo kākou i nā mea nui loa a kākou i kamaʻilio ai:

• ʻO ka Vanishing Twin Syndrome kahi maʻi e kū mai ana i nā hāpai keiki he nui, kahi e nalowale ai kekahi o nā fetus. Ua like kēia me ka hāʻule ʻana o ka ʻōpū.
• ʻO ke kumu nui o kēia, ʻo ia nā ʻano maʻi genetic i loko o ka ʻōpū, ʻaʻole naʻe kou hewa. ʻAʻole hiki ke pale ʻia kēia.
• Inā nalowale ke keiki i ka trimester mua, ʻaʻohe pilikia nui.
• Inā hana kēia i ka trimester lua a ʻekolu paha, hiki i ka hāpai ʻana ke lilo i mea pilikia nui a pono e kiaʻi pono ʻia e nā kauka.
• He mea maʻamau ke kaumaha, ka hoka, a me ka huikau i ka wā e hele ai i kahi ʻike e like me kēia. E mālama i kou olakino noʻonoʻo. Inā pono, e ʻimi i ke kōkua mai nā hoaaloha a me nā poʻe loea.

Inā ʻoe e kū nei i kēia kūlana, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. E kamaʻilio me kāu kauka e pili ana i nā mea āpau a loaʻa ke kākoʻo āu e pono ai.

ʻO ka Vanishing Twin Syndrome, hāʻule ʻana o ka naʻau, māhoe, hāpai keiki, fetus, ultrasound, olakino noʻonoʻo