Contents
- ʻO ka hānau keiki māhoe: nā māhoe kaikunāne a i ʻole nā māhoe like, ʻaʻole like ka helu o nā ultrasounds
- Hāpai me nā māhoe: ʻoi aku ka nui o nā hōʻailona a me ka luhi nui
- ʻO ka hānau keiki māhoe: pono ʻoe e noho ma kahi moe?
- ʻO ka hānau keiki māhoe a me nā kuleana: lōʻihi ka haʻalele makuahine
- He pae 2 a 3 paha no ka hānau ʻana i nā māhoe
- ʻO kahi hānau hānau e noʻonoʻo ai
ʻO ka hānau keiki māhoe: nā māhoe kaikunāne a i ʻole nā māhoe like, ʻaʻole like ka helu o nā ultrasounds
No ka ʻike ʻana i kahi anomaly hiki ke mālama ʻia i ka hikiwawe, ʻoi aku ka nui o nā ultrasounds i nā makuahine e kali ana o nā māhoe.
ʻO ka ultrasound mua ma 12 pule o ka hāpai ʻana.
Aia nā ʻano like ʻole o ka hāpai ʻana i nā māhoe, ʻaʻole pono ka mālama like ʻana i kēlā me kēia mahina a me kēlā me kēia pule. Inā ʻoe e manaʻo nei he mau māhoe "ʻoiaʻiʻo" (i ʻike ʻia he monozygotes), ʻo kou hāpai ʻana he monochorial paha (hoʻokahi placenta no nā fetuses ʻelua) a i ʻole bichorial (ʻelua placentas). Inā he "māhoe fraternal", i kapa ʻia ʻo dizygotes, he bichorial kou hāpai ʻana. I ka hihia o ka hāpai monochorionic, e loaʻa iā ʻoe kahi hoʻokolokolo a me kahi ultrasound i kēlā me kēia 15 lā, e hoʻomaka ana mai ka pule 16 o ka amenorrhea. No ka mea, ma keia hihia, ua like na māhoe i ka placenta hookahi, e hiki ai ke hooulu i na pilikia nui loa, ma ke ano o ka hoomaha ana o ka ulu iloko o kekahi o na fetuses elua, a i ole ia, he ma'i transfusion-transfused ke loaa like ole ke koko.
Ma ka ʻaoʻao ʻē aʻe, inā he bichorial kou hāpai ʻana ("mau māhoe wahaheʻe" a i ʻole nā māhoe "like" i loaʻa i ka placenta kēlā me kēia), ʻo kāu hahai ʻana i kēlā me kēia mahina.
Hāpai me nā māhoe: ʻoi aku ka nui o nā hōʻailona a me ka luhi nui
E like me nā wahine hāpai a pau, e ʻike ʻoe i ka ʻehaʻeha e like me ka nausea, ka luaʻi ʻana, a me nā mea ʻē aʻe. ʻO kēia mau hōʻailona hāpai ʻoi aku ka nui o ka haʻi ʻana i loko o kahi hāpai māhoe ma mua o ka hāpai ʻana maʻamau. Eia kekahi, e luhi paha ʻoe, a ʻaʻole e pau kēia luhi i ka 2nd trimester. I nā mahina 6 o ka hāpai ʻana, ua manaʻo paha ʻoe i ka "kaumaha". He mea maʻamau kēia, ua like ka nui o kou ʻōpū me ka ʻōpū o ka wahine i ke kau! La ka waiwai waiwai aia ma ka awelika 30% ʻoi aku ka nui i ka hāpai māhoe ma mua o ka hāpai hoʻokahi. ʻO ka hopena, ʻaʻole hiki iā ʻoe ke kali i kāu mau māhoe ʻelua e ʻike i ka mālamalama o ka lā, a ʻo nā pule i hala iho nei me he mea lā he pau ʻole. ʻOi aku hoʻi inā pono ʻoe e noho moe i lalo i ʻole e hānau mua.
ʻO ka hānau keiki māhoe: pono ʻoe e noho ma kahi moe?
Inā ʻaʻole ʻōlelo kāu kauka iā ʻoe, ʻaʻole pono ʻoe e noho ma kahi moe. E hoʻohana i kēia mau mahina i kahi ʻano mālie a maʻamau o ke ola, a pale i ka lawe ʻana i nā mea kaumaha. Inā koi kāu keiki nui, e wehewehe iā ia ʻaʻole hiki iā ʻoe ke hāpai iā ia ma kou mau lima a ma kou poʻohiwi, a hāʻawi iā ia i kona makuakāne a i kona kupuna kāne paha. Mai pāʻani i nā fairies o ka hale, a mai kānalua e noi i kahi kahu hale mai kāu CAF.
ʻO ka hānau keiki māhoe a me nā kuleana: lōʻihi ka haʻalele makuahine
ʻO ka nūhou maikaʻi, hiki iā ʻoe ke hānai i kāu mau māhoe no ka lōʻihi. Hoʻomaka kūhelu kāu haʻalele hānau 12 pule ma mua o ke kau a ke hoomau nei 22 pule ma hope o ka hānau ʻana. ʻO kaʻoiaʻiʻo, ua hopu ʻia nā wahine e kā lākou gynecologist i ka manawa pinepine mai ka pule 20th o ka amenorrhea, no ka nui o ka pilikia o ka prematurity.
He pae 2 a 3 paha no ka hānau ʻana i nā māhoe
ʻOi aku ka maikaʻi e koho i kahi ʻāpana hānai me kahi lawelawe hoʻōla neonatal kahi e mākaukau ai ka hui lapaʻau e komo a mālama koke ʻia kāu mau pēpē inā pono. Inā ua moeʻuhane ʻoe i ka hānau ʻana ma ka home, ʻoi aku ka maikaʻi o ka hāʻawi ʻana. No ka mea, ʻo ka hānau ʻana o nā māhoe e pono ai ke hele ʻana o kahi gynecologist-obstetrician a me kahi pale keiki, ʻoiai inā hānau ʻia ma ke ʻano kūlohelohe.
E `ike : mai 24 a i ʻole 26 pule o ka amenorrhea, e pili ana i nā papa hānai, e pōmaikaʻi ʻoe i ke kipa ʻana mai kahi pale keiki i hoʻokahi manawa i ka pule. E hana ʻo ia ma ke ʻano he relay ma waena o nā kūkākūkā like ʻole ma ka haukapila a nānā i ka holomua o kou hāpai ʻana. Ma waho aʻe o kāna mau akamai ʻenehana, aia ʻo ia iā ʻoe a hiki ke pane i kāu mau nīnau āpau.
ʻO kahi hānau hānau e noʻonoʻo ai
I ka nui o nā hihia, hānau mua ka hānau keiki. Hoʻomaka ʻia i kekahi manawa ma 38,5 mau wiki o ka amenorrhea (ʻo ka huaʻōlelo he 41 mau pule no ka hāpai hoʻokahi), e pale i nā pilikia. Akā ʻo ka pilikia maʻamau i nā hāpai ʻana he nui ka hānau ʻana (ma mua o 37 mau pule), no laila ke koʻikoʻi o ka hoʻoholo wikiwiki ʻana i ke koho ʻana o ka makuahine. E pili ana i ke ʻano o ka hānau ʻana, inā ʻaʻole he contraindication nui (ka nui o ke pelvis, placenta previa, etc.) hiki iā ʻoe ke hoʻopuka piha i kāu mau māhoe ma ka waha. Mai hoʻokaʻulua e nīnau i kāu mau nīnau āpau a e kaʻana like i nā pilikia me kāu pale keiki a i ʻole kauka.