Ka taea e koe te hapu anō ahakoa kua hapu kē koe? (Superfetation) He kōrero miharo!

Whakaarohia kei te tata koe ki te whānau i tētahi pēpi, engari i taua wā anō ka hapu koe i tētahi atu pēpi! He mea whakamiharo te rongo? Koinei te mea tino onge ka kōrerohia e tātou i tēnei rā, ko te Superfetation, arā, he tino onge te tupu. Inaa, he tino onge, he iti noa iho ngā take pēnei kua tuhia ki ngā pūkete hauora puta noa i te ao. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea whakamiharo (Superfetation), he aha tonu te mea nei, me pēhea te tupu, ā, he mea hei wehi?

He aha te Superfetation? Hei whakarāpopototanga...

Ki te kī māmā noa, ko te superfetation te wā e hapu ana koe i a koe e hapu ana. Inaianei pea kei te whakaaro koe, "Me pēhea te tupu o tēnā?" Ae, koinei te mea whakamiharo. Nā te mea, i te nuinga o te wā, kua hangaia ō tātou tinana ki te mahi i ngā mahi katoa hei ārai i tētahi atu haputanga i muri i tētahi haputanga.

Whakaarohia, he whare tipu tō kōpū , kua rite mō te pēpi kotahi, ā, ina tīmata te tipu ki reira, kāore e whakatuwhera i te tatau mō te whānautanga mai o tētahi pēpi hou. Engari, i roto i tēnei take tino onge e kiia nei ko te superfetation, ka hinga ēnei ārai taiao katoa i roto i te tinana, ā, ka puta he hāputanga tuarua. He tino onge tēnei, ā, he iti noa iho te tūponotanga ka puta noa mai tēnei. Ko te nuinga o ngā take o te superfetation kua pūrongohia kua honoa ki te Hangarau Whakaputa Uri Āwhina (ART) , pērā i te whakatōnga in vitro.

Nō reira, he rite tonu ēnei māhanga? He iti noa te rerekētanga?

Ina rongo koe i tēnei, tera pea koe e whakaaro, "Āe, he rite ēnei ki ngā māhanga." Ae, he rite tonu ngā māhanga i ētahi āhuatanga. Nā te mea, ka tipu tahi ngā pēpi e rua i roto i te kōpū kotahi. He maha ngā wā, ka whānau mai ēnei pēpi e rua i te rā kotahi.

Heoi, he rerekētanga nui tēnei. Ka hapu ngā māhanga ōrite, ngā māhanga whāngai rānei i te huringa paheketanga kotahi. Arā, ka whanake ngā kukune e rua i te wā kotahi. Engari, i roto i te superfetation, ehara i te mea pērā. I konei, ka whanake ngā kukune e rua i roto i ngā huringa paheketanga e rua. Arā, ka hapu tētahi pēpi, ā, ka hapu tētahi i muri tata mai. Nō reira, he rerekē ngā tau haputanga o ēnei pēpi e rua. Ki te kī ngāwari, ko te pēpi i hapu tuatahi kei mua i te pēpi i hapu tuarua. He rite ki ngā teina i roto i te akomanga kotahi engari he torutoru marama te pakeke ake.

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E hia te whānui o tēnei mea e kiia nei ko te superfetation? He mea pono rānei tēnei hei wehi mā tātou?

E ai ki taku kōrero i mua, he tino onge tēnei.He tino onge te superfetation i roto i te tangata, ā, he iti noa iho ngā kēhi kua taea e te pūtaiao hauora te whakaū, tata ki te 10 katoa. Inaa, ina puta he mea pēnei, he tino onge, ā, ka noho hei purongo nui puta noa i te ao. Nō reira, he tika te kī he tata ki te kore te tūponotanga ka pāngia koe e te superfetation.

Heoi, i roto i ētahi momo kararehe, hei tauira, ngā kiore , ngā kararehe iti, me ngā ika , he nui ake te kitea o tēnei āhuatanga (superfetation) i tō te tangata.

He aha te mea e hiahiatia ana hei hanga i tētahi superfetation?

Whakaarohia, mēnā ka puta he hāputanga tūturu (superfetation) me te kore he hangarau āwhina whānau uri (ART), ka puta tēnei mea:

Me rua ngā huringa paheketanga o tō tinana. Me hapu te hua o ia huringa. Ki tētahi atu kupu:

1. Te huringa paheketanga tuatahi: Ka tukuna he hua manu mai i tētahi o ō ovaries (whakaputa uri). Ka moe tāne kōrua. Ka tūtaki taua hua manu ki tētahi parāoa, ā, ka whakamomonatia, ka hanga he kukune. Ka whakatōngia taua kukune ki roto i te arai o tō kōpū, ā, ka tīmata te tipu.

2. Te huringa paheketanga e whai ake nei: Anō, pērā i mua, ka tukuna tētahi atu hua manu mai i tētahi o ō ovaries. Ka moe anō kōrua. Ka whakatōkia taua hua manu, ā, ka hangaia he kukune hou. Kātahi ka haere tēnei kukune hou ki te kōpū kotahi i te mea o mua, ka whakatōkia ki reira, ka tīmata te tipu.

He uaua ki te whakaaro, kāore? Ae, he tino iti rawa te tūponotanga o tēnei mea. Nā te mea, e ai ki tā tātou e kōrero nei i muri i tō haputanga, he maha ngā mahi a tō tinana hei ārai i tētahi atu haputanga pēnei.

He aha te tikanga kāore tātou e hapu anō i muri i te haputanga? He aha ngā tikanga haumaru o roto i ō tātou tinana?

Ina hapu koe, ka tīmata tō tinana ki te mahi me te mea nei, "Āe, kei te haere mai tētahi pēpi, kāore e taea e ētahi atu te haere mai i nāianei." He maha ngā take mō tēnei:

• Ngā huringa homoni : I muri i te hapūtanga, ka huri ngā taumata homoni o tō tinana (ina koa ko te progesterone). Ka aukati ēnei homoni i ō ovaries ki te tuku i tētahi hua manu hou (whakaputa hua). He rite ki te "kati i te putanga o te hua manu." Nō reira, he tino onge te puta anō o te whakaputa hua manu i te wā e hapū ana.
• Te hanganga o te pūwero hūpē: Tō pūkahukahu) – arā, ko te ara whaiti i waenganui i te tara me te kōpū – kua hipokina e te puru matotoru o te hūpē. He hiri tiaki tēnei. Mā tēnei ka ārai i te urunga o te parāoa ki roto i te kōpū. Nō reira, ahakoa ka moe tāne koe i te wā e hapu ana, he iti noa te tūponotanga ka tae te parāoa ki te kōpū, ki ngā ngongo fallopian rānei, te wāhi e whakatōkia ai te hua manu.
• Ngā panonitanga o te arai o te kōpū: Whai muri i te whakatōnga o te kukune tuatahi ki te arai o te kōpū, ka huri anō hoki te arai. Kāore i te rite ki te whiwhi i tētahi atu kukune. He rite ki te whakatō i tētahi tipu ki roto i te kohua, ā, ina tino pūmau ngā pakiaka, he uaua ki te whakatō i tētahi atu tipu ki roto i taua kohua anō.

Nā te kaha rawa o ēnei parenga taiao, kāore e taea te hapu anō i a koe e hapu ana.

Nā, me pēhea te puta o tēnei āhuatanga onge e kiia nei ko te superfetation? He aha ngā take?

Ina hoki, he tino onge te superfetation, kāore anō kia kitea e ngā kairangahau te take. Nā te mea kāore anō kia nui ngā kēhi hei rangahau, he torutoru noa iho ngā kēhi kua whakamanahia.

He maha o ēnei kaupapa kua pūrongohia e pā ana ki te Hangarau Āwhina Whakaputa Uri (ART) . Hei tauira:

• Te Whakatōnga In Vitro (IVF): Ko tēnei tikanga he tango i ngā hua manu o te whaea, ka whakatōngia ki te parāoa o te pāpā, o te kaituku rānei i waho o te tinana (i roto i te taiwhanga), kātahi ka whakatōngia ngā kukune i puta mai ki roto i te kōpū o te whaea. I ētahi wā, i muri i tēnei whakatōnga, ka puta anō he hāputanga māori i taua wā.
• Ngā rongoā whakaoho ovarian: Ka hoatu ki ētahi wāhine ngā rongoā whakaoho ovarian hei whakaoho i ngā ovarian kia nui ake ngā hua manu hei rongoā mō te kore tamariki. I tēnei āhuatanga, ahakoa kua whakatōkia tētahi hua manu, ā, ka hapu, he iti noa te tūponotanga ka whakatōkia tētahi atu hua manu i muri i ētahi rā.

Engari, kia maumahara, ahakoa ēnei tikanga ART, he iti noa te tūponotanga o te puta o te superfetation.

Kia titiro tātou ki ētahi o ngā kaupapa i tino tupu.

Hei whakamārama ake i tēnei kōrero, me titiro tātou ki ētahi o ngā aituā i pūrongotia.

• He aituā e pā ana ki te whakatōnga in vitro (IVF): I hapu tētahi wahine i ngā māhanga mā te whakatōnga in vitro (IVF). E rua ngā kukune i whakatōkia ki roto i tōna kōpū. Heoi, i te tirotiro a ngā tākuta i a ia i muri i ngā wiki e toru, i kitea e rātou tētahi kukune tuatoru i roto i tōna kōpū! Kāore i hangaia tēnei kukune tuatoru mā te IVF, engari i muri i te whakatōnga o ngā kukune tuatahi e rua.
• He aituā e pā ana ki te whakawhānau horihori:I tango tētahi atu wahine i te rongoā whakaoho ovarian, ā, i tukuna he whakawhānau horihori. I te whakamātautau a ngā tākuta i a ia kia kite mēnā kua hapu ia i taua ara, i kitea kua hapu kē ia! Heoi, ko tēnei haputanga tuatahi he haputanga ectopic. Ko te tikanga ka whakatōngia te kukune ki tētahi wāhi i waho o te kōpū , i roto i te ngongo fallopian i te nuinga o te wā. Kāore e angitu ēnei haputanga.
• Whaea whakakapi: I kitea e tētahi whaea whakakapi i whakatōngia te kukune o tētahi atu tāne ki roto i tōna kōpū mā te IVF, i muri i ngā marama e ono, kei te tipu haere tētahi atu kukune i roto i tōna kōpū. Ko te kukune tuarua ko tāna ake tamaiti tūturu, i hapu ā-tūturu i muri i te whakatōnga o te kukune tuatahi! He tino onge tēnei mō tētahi wahine i hapu anō i muri i te ono marama e hapu ana.

He tohu motuhake anō kei te pā mai o te superfetation?

Kāo. Kāore he tohu motuhake e pā ana ki te superfetation. He rite tonu ngā tohu ki ērā e kitea ana i roto i te hāputanga noa.

Me pēhea te mōhio o ngā tākuta ki tēnei? Tērā pea he hē rātou?

He uaua te tautuhi i te superfetation, he rite tonu ki ētahi atu āhuatanga e puta ai ngā māhanga. I te nuinga o te wā, i te wā e tirotirohia ana te pēpi e te ultrasound i tō hapūtanga, ka kite tō tākuta i ngā pēpi e rua, neke atu rānei. Koinei te wā ka kite rātou kei te tere ake te whanaketanga o tētahi kukune i tētahi atu , ko te tikanga he rerekē ngā tau hapūtanga o ngā kukune e rua.

Heoi anō, e whakapono ana ētahi kairangahau kei reira ētahi atu āhuatanga ka taea te hē te tautuhi hei superfetation. Hei tauira:

• Te mate whakawhiti toto māhanga: Koinei te wā e kore e ōrite te tohatoha a ngā māhanga e rua i ngā matūkai e riro ana i tō rāua whaea. Ka nui ake te kai e whiwhihia ana e tētahi pēpi, ā, ka iti iho te kai e whiwhihia ana e tētahi atu pēpi. Kātahi, i te matawai, ka puta te pēpi e whiwhi ana i te nui ake o te kai ka nui ake i te pēpi kē atu.
• Te koretake o te whenua whānau: Ko te whenua whānau te okana i roto i te kōpū e whakarato ana i te hāora me ngā matūkai mai i te whaea ki te pēpi e tipu ana. Mō ngā māhanga, ki te kore e taea e te whenua whānau te whāngai tika i ngā pēpi e rua, ka rerekē pea te tere o te whanaketanga o rāua.

Waihoki, i ētahi wā, nā te hapa iti i roto i te matawai ultrasound, ka taea te tautuhi he kotahi anake te pēpi o te haputanga māhanga. Ā muri ake nei, ina kitea te pēpi tuarua, ka taea te whakaaro he nui rawa te pēpi i puta mai i te pēpi hou.

Me pēhea te whakahaere i tētahi haputanga pēnei?

I roto i te hāputanga superfetation, ka tere ake te whanaketanga o tētahi kukune i tētahi atu, ka taea ai te whānautanga o te kukune taitamariki.Arā, ka whānau pea ia i mua i tōna tino whanaketanga.

Nō reira, tera pea ka tūtohu tō tākuta kia whakaritea he whānautanga C-section . Ka mahia tēnei hei whakanui ake i te tūponotanga ka whānau hauora ngā pēpi e rua, ā, kāore he raruraru. Mā te tākuta e whakatau ko tēhea te wā pai me te wā haumaru mō ngā pēpi e rua.

He aha te mea ka taea e au te mahi hei ārai i tēnei mea kei tupu?

He mea tino rerekē, he mea whakamere hoki te mōhio ki te Superfetation. Heoi, ehara i te mea hei wehi, me te whakaaro, "Āe, ka pā mai anō hoki ki ahau, me pēhea taku ārai?" E ai ki taku kōrero i mua, tata ki te kore te tūponotanga ka pāngia koe e te āhuatanga superfetation. Nō reira, kāore he mea ka taea e koe te mahi hei ārai, ehara hoki i te mea me karo koe.

He aha te mea ka puta mēnā kei ahau tēnei mate? Me wehi ahau?

Ahakoa he tino onge tēnei mate kei a koe, he tino teitei te tūponotanga kia hapu hauora, kia whānau hauora hoki. I te nuinga o ngā wā kua whakapumautia he pēpi nui, he torutoru noa ngā wiki te tawhiti o ngā pēpi (e 2-4 wiki te nuinga). Ka whakaritea e tō tākuta tō whānautanga i runga i te wā pai rawa atu mō ngā pēpi e rua kia whānau hauora. Nō reira, kaua e manukanuka nui.

Ka taea te hapu anō i muri i te ono marama o te haputanga?

Hei tauira, ko te whaea whakakapi i kōrerotia e tātou i mua ake nei. I kitea e ia i muri i ngā marama e ono o tōna haputanga mā te IVF kei te whānau tana tamaiti ake. Heoi, kotahi noa iho tēnei take kua pūrongohia. He tata ki te kore te tūponotanga o tēnei mea ka pā ki a koe. Nō reira, kaua e manukanuka.

Kia pēhea te roa o te wā e noho tahi ai ngā pēpi mēnā i whānau mai i tēnei ara?

I te nuinga o ngā wā o te superfetation, ko te rerekētanga o te tau hapūtanga i waenga i ngā kukune e rua kei waenganui i te rua me te whā wiki . He tino onge te roa o te āputa i tua atu i tēnā.

He rerekē te (Superfetation) me te (Superfecundation)? He aha te rerekētanga?

Ahakoa he āhua ōrite te tangi o ēnei kupu e rua, e pā ana ki ngā āhuatanga e rua.

• Te Whakaputa-Whāngai-Nui: Kua roa tātou e kōrero ana mō tēnei. I roto i tēnei, e rua ngā kukune e whanake ana i roto i ngā huringa paheketanga e rua o te marama. Arā, ka tīmata te hāputanga kotahi, ā, ka tīmata te hāputanga tuarua i muri tata mai.
• Te Whakapūngatanga Hukapapa: Koinei te wā e tukuna ai e tō tinana ngā hua manu e rua, neke atu rānei, i te wā kotahi o te huringa paheketanga. Ka whakamomonahia ia hua manu e te parāoa. Ka puta mai ēnei parāoa i te hoa kotahi, i ngā hoa/kaituku rerekē rānei e rua. Ko ngā kukune e whanake ana i konei he rite te pakeke o te hāputanga, pērā i ngā māhanga tuakana noa.

I roto i te poto, ko te superfetation ko te "hapū anō i a koe e hapū ana", ā, ko te superfecundation ko te "whakamomona i ngā hua maha i roto i te huringa kotahi".

Ahakoa ngā take torutoru o te superfetation kua kōrerohia e tātou, e whakaatu ana i te mōhio o ō tātou tinana ki te aukati i tētahi atu haputanga ina hapu tātou. He mea onge te superfetation, ki te kore e taea, e puta ana ahakoa te whakamahi i te hangarau āwhina uri (ART). Kei te ngana tonu ngā kairangahau ki te rapu i te take o tēnei putanga onge o ngā haputanga e rua karapīpiti. Heoi, ki te mea kua hapu kē koe, kaua e manukanuka, "Ka hapu anō ahau?"

Nā, he aha te karere e hiahia ana tātou ki te kawe mai i tēnei pūrākau ki te kāinga?

Ko te mea tino nui me mārama tātou mai i tēnei kōrero whakamiharo mō te superfetation ko:

• He tino onge te āhua o te superfetation. Kāore he take e manukanuka ai koe, e mataku ai rānei mōna.
• He mea hanga ō tātou tinana ki ngā parepare taiao tino kaha hei ārai i te hāputanga tuarua i muri i te haputanga.
• Ko te nuinga o ngā kēhi o te superfetation kua pūrongohia kua honoa ki te hangarau āwhina uri (ART) . Heoi, ahakoa te ART, he tino iti te tūponotanga o tēnei mea.
• Ahakoa kei a koe tēnei mate (ahakoa he iti noa iho te tūponotanga), he nui te tūponotanga ka whānau he pēpi hauora. Ka tino tiaki pai ō tākuta i a koe kia tino mōhio ai koe ki tēnā.

Nō reira, he mea pai ki te mōhio he mea tino rerekē, he mea onge hoki tēnei i roto i te rongoā. Heoi, ehara tēnei i te mea hei wehi māu, ka pā ki tō oranga o ia rā. Ki te mea kei te hapu koe, kia pai tō haputanga, whai i ngā tohutohu a tō tākuta, ā, koinā katoa!