He moeʻuhane ka manaʻolana e lilo i makuahine no kēlā me kēia wahine. Akā pehea inā hōʻike kāu scan he ʻekolu mau keiki liʻiliʻi i loko o kou ʻōpū ma kahi o hoʻokahi? Hiki ke lilo i mea kupanaha, a he mea weliweli iki paha. Me kēlā hauʻoli, he mea maʻamau ke noʻonoʻo, "E hiki anei iaʻu ke hana i kēia?" Akā, mai hopohopo. ʻAʻole ʻoe hoʻokahi. E kamaʻilio mākou e pili ana i nā mea āpau e pono ai ʻoe e ʻike e pili ana i ke ʻano o ka hāpai ʻana e like me kēia.
No ke aha i loaʻa ai ka hāpai ʻana o ka triplet?
Inā he ʻoi aku ma mua o hoʻokahi pēpē i loko o ka ʻōpū, kapa mākou ia he "hāpai lehulehu." Hana ʻia kēia ʻano hāpai lehulehu ma kahi o 3 o kēlā me kēia 100 hānau maʻamau. ʻElua ala e hiki ai kēia ke hana.
I ka ʻōlelo maʻalahi, inā hoʻoulu ʻia kekahi o nā hua o ka makuahine e kahi cell sperm a māhele ʻia i ʻelua a ʻekolu paha ʻāpana ma mua o ke kanu ʻia ʻana i loko o ka ʻōpū, hānau ʻia nā hua like. ʻO ke ala ʻē aʻe, inā hoʻoulu ʻia kekahi mau hua o ka makuahine e nā cell sperm i ka manawa like a kanu ʻia i loko o ka ʻōpū. Hānau ʻia nā hua fraternal. I loko o nā triplets, hiki ke hui pū ʻia kēia mau ʻano ʻelua. ʻO ia hoʻi, hiki ke loaʻa i ʻelua mau māhoe like a hoʻokahi e like me ke ʻano ʻokoʻa.
Aia kekahi mau kumu e hoʻonui ai i ka likelika o ka loaʻa ʻana o nā triplets ma kēia ʻano.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Hoʻoilina | Inā he mau māhoe ko kekahi o kou ʻohana, e like me kou makuahine a kupuna wahine paha, ʻoi aku ka nui o ka manawa e loaʻa ai iā ʻoe nā māhoe. |
| Makahiki | ʻOi aku ka nui o nā wahine ma luna o 30 mau makahiki e hāpai pinepine. |
| Nā hāpai mua | Inā ua hāpai ʻoe i hoʻokahi manawa ma mua, ʻoiai inā he mau māhoe kāu, ʻoi aku ka nui o kou manawa e hāpai hou ai. |
| Nā Lapaʻau Hoʻoulu Manawa | Hiki ke hāpai pinepine ʻia nā hua he nui i ka manawa like i ka wā e hoʻohana ai i nā lāʻau lapaʻau e hoʻoulu ai i ka ovulation (e.g., clomiphene citrate, FSH), a i ʻole i ka wā e hoʻoili ʻia ai ma mua o hoʻokahi embryo i loko o ka ʻōpū i ka wā o nā lāʻau lapaʻau e like me ka in vitro fertilization (IVF). |
He aha nā pilikia e pono e noʻonoʻo ʻia i ka hāpai ʻana o ka triplet?
Ua manaʻo ʻia ka hāpai ʻana o nā keiki ʻekolu he hāpai pilikia kiʻekiʻe, no laila he mea nui e ʻike pono ʻia a hana pū me kāu kauka .
1. Hānau mua ʻia
ʻO kēia ka pilikia nui loa i ka hāpai ʻana o ka triplet. ʻO ka wā hāpai, kahi e mau ai he 40 mau pule, hiki ke pau ma kahi o 32 mau pule i nā triplets. ʻO ke ʻano kēia he kiʻekiʻe loa ka pilikia o ka hānau mua ʻana .
2. Hoʻouna ʻana
Hana pinepine ʻia nā hānau ʻekolu ma o ka ʻoki cesarean no ka palekana o ka makuahine a me nā pēpē ʻekolu. ʻO ka hiki ke hānau ʻia ma ke ʻano he vaginal, pili ia i nā mea e like me ke kūlana o nā pēpē, ko lākou kaumaha, a me ka nui o ka pelvis o ka makuahine. ʻO kāu kauka ke kanaka kūpono loa e hoʻoholo i kēia.
Pono ʻoe e makaʻala mau i nā hōʻailona o ka hānau mua ʻana. Inā ʻike mua ʻia kēia mau mea, hiki paha ke hoʻōki i ka hānau ʻana a ʻae i nā pēpē e ulu i loko o ka ʻōpū no kekahi manawa lōʻihi.
He aha nā hōʻailona o ka hānau mua ʻana?
| ʻAno | Wehewehena |
|---|---|
| ʻO ka ʻeha ʻeha ma ka ʻōpū lalo | Kaomi a kaumaha paha ma ka ʻāpana pelvic. |
| ʻEha hope | ʻEha hou a ʻeha nui paha, ʻoiai ma ka ʻūhā. |
| Ka loli ʻana o ke kahe ʻana o ka vaginal | ʻOi aku ka nui o ke kahe ʻana o ka wai a koko paha ma mua o ka maʻamau. |
| Nā ʻūmiʻi o ka ʻōpū | ʻO nā ʻūmiʻi pinepine a me ko lākou ʻeha a i ʻole ka hoʻonui ʻana i ke alapine (frequency). |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
3. Nā pilikia o ka placenta
ʻO ka placenta ka ʻōkana e hoʻolako i ke koko, ka oxygen, a me nā meaʻai mai ka makuahine a i ka fetus ma o ke kaula umbilical. Ke hāʻawi kekahi placenta i ka meaʻai i nā fetus he nui, hiki iā ia ke ʻelemakule koke. Eia kekahi, i kekahi manawa, lilo ka meaʻai i loaʻa i nā fetus ʻekolu i mea kaulike ʻole, a ulu maikaʻi kekahi fetus ʻoiai ulu maikaʻi ʻole kekahi fetus.
4. Preeclampsia
He kūlana weliweli kēia i hoʻokumu ʻia e ke koko kiʻekiʻe i ka wā hāpai. ʻOi aku ke kiʻekiʻe o kēia pilikia no nā triplets. ʻO kāna mau hōʻailona:
- Ke koko kiʻekiʻe
- Ka loaʻa ʻana o ka protein i loko o ka mimi
- Ka pehu ʻana o nā lima, nā wāwae, ka maka, a me ke kino holoʻokoʻa paha
- ʻO nā poʻo hina a me nā loli o ka hihiʻo
- Ka luaʻi, ka ʻeha o ka ʻōpū, a me ka paʻakikī o ka hanu ʻana
5. Ka maʻi diabetes i ka wā hāpai
He mea maʻamau kēia kūlana i waena o nā keiki ʻekolu. Akā, ʻaʻohe mea e hopohopo ai, no ka mea, hiki nō hoʻi ke loaʻa i nā wahine hāpai maʻamau, a ua ʻike nā kauka pehea e mālama ai.
6. Nā pilikia i nā pēpē hānau hou
ʻO ke kaumaha awelika o nā triplets i ka wā hānau ma kahi o 1800 grams (kokoke i 4 paona). Ma muli o ko lākou hānau mua ʻana, ʻaʻole paha i ulu piha ko lākou mau kino e like me nā māmā, nā maka, ka lolo, a me ke kaʻapuni koko.
Ma muli o kēia, pono paha kāu mau pēpē ʻekolu e noho ma ka Neonatal Intensive Care Unit (NICU) no kekahi manawa ma hope o ka hānau ʻana. Mai hopohopo no kēlā. ʻO ia kahi palekana loa no lākou e loaʻa ai ka mālama kūikawā e pono ai lākou e ulu maikaʻi a ikaika.
Pehea ka hopena o kēia hāpai ʻana iā ʻoe ma ke ʻano he makuahine?
Inā hāpai ʻoe me nā triplets, pono ʻoe i ka mālama olakino ma mua o kahi makuahine hāpai maʻamau. ʻOiai inā holo pono nā mea āpau, pono ʻoe e ʻike i kāu kauka ma mua o ka maʻamau e nānā i ke olakino o kāu mau pēpē a me ʻoe iho.
Eia kekahi, hiki iā ʻoe ke ʻike i nā ʻeha hāpai maʻamau e like me ka reflux, hemorrhoids, constipation, a me ke kua. I ka ulu wikiwiki ʻana o kou kino, pono paha ʻoe i kahi hoʻolālā meaʻai kūikawā a i ʻole nā huaora keu. Mai hoʻoholo i kāu iho, akā e kamaʻilio me kāu kauka a hana i kahi hoʻolālā e kūpono iā ʻoe.
Leka Lawe-Home
- He ʻano kū hoʻokahi a he pilikia nui ka hāpai ʻana o ka triplet, no laila he mea nui e ʻike pono a mai makaʻu.
- E hana pū me kāu kauka. Mai poina i kekahi o nā kuhikuhi a me nā manawa i hāʻawi ʻia.
- E makaʻala mau i nā hōʻailona o ka hānau mua ʻana (ʻeha o ka ʻōpū lalo, ʻeha kua, hoʻokuʻu ʻia ʻana o ke kino ma ke ʻano kūpono ʻole). Inā he kānalua kou, e ʻimi koke i ke kōkua lapaʻau.
- He mea nui ka loaʻa ʻana o ka meaʻai maikaʻi a me ka hoʻomaha nui e like me ka hiki no kou olakino a me ke olakino o kāu mau keiki ʻekolu.
- E kaʻana like i kou mau manaʻo me ka ʻohana a me nā hoaaloha e hiki ke kākoʻo iā ʻoe ma ke kino a me ka noʻonoʻo ma kēia huakaʻi. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
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