I kēia mau lā, hiki mau iāʻoe keʻike i nā makua'ōpio me nā māhoe,ʻekolu, a i kekahi manawa me kahi hapahā. No ka piʻiʻana i ka lā hānau o nā māhoe, pono mākou e mahalo mua i nāʻenehana hana hou. Eia naʻe, i loko o kekahi mau wāhine, hiki ke hiki i ka hānauʻana o ke kōpoko i keʻano maʻamau. E noʻonoʻo pehea e hoʻonuiʻia ai ka nui o nā hāpaiʻana ma ka pule.
Ka nui o ka hānauʻana i ka wā mua
ʻO ka hānauʻana me nā hua he mea nui loa ka loaʻaʻana o ka hānaiʻana i nā kinona o ka hoʻonaʻauaoʻana,ʻo ka lōʻihi o ka hoʻonani he emiʻole ia: ma nā hola he 37, heʻekolu mau māmā - ma 33 mau hebedoma, i nā hebedoma i nā hebedoma he 28.
ʻO nā hebedoma mua o ka nui o nā'ōpū e like me kahi pēpē hoʻokahi. Eia nō naʻe, i kēia manawa (ma 2-4 mau hanana obstetric o ka hānauʻana) i ka nui o nā keiki e hānau kokeʻia. Ma ka hebedoma 5 e hoʻomaha nei, a uaʻike ka wahine e pili ana i kona "kūlana maikaʻi",ʻoiaiʻo ka nui o nā keiki he mea huna ia nona. Akā hoʻi, hiki ke hoʻokumuʻia keʻano o ka hāpai nui me ke kōkua o ke ultrasound. Inā loaʻa ka hanana me ke kōkuaʻana o IVF,ʻo ka ultrasound o ka hānau nui ma nā hebedoma 5-6 he ala kūpono ia.
ʻO kekahi hōʻailona o ka nui o ka hānauʻana,ʻo ia ka nui o ka gonadotropin kalo i loko o ke koko o kahi makuahine e hiki mai ana. Ma keʻano he kūlana,ʻo ka nui o ka hCG i ka nui o nā hānauʻana e hoʻonui i ka māmā, ma keʻano o ka helu o nā hua.
Aia i ka 6-9 mau mahina ke kauʻana i nā'ōpuni a me nā pūnaewele, aʻo kēia ka manawaʻoi loa loa, no ka hikiʻole i kekahi hemahema ke alakaʻi i ka uluʻana i nā hewa, ka hāʻuleʻana a me ka'ōpū maʻamau (hiki wale i ke kōpoko ke ola, e ola nā mea i koe). I kēia manawa,'ōlelo nā kauka i ka makuahine o ka wā e hiki mai ana i ka moekolohe. Eia hou, aia i kēia manawa e aʻo ai ka wahine i nā meaʻoluʻolu a pau o ka make. ʻO ka makexosis i ka nui o nā'ōpū e pili ana i nā wāhine male a pau, ua nui ka lōʻihi a lōʻihi - e hiki i nā hebedoma he 16.
Ma ka hebedoma 11 i ka hapalua o ka hānauʻana, uaʻike muaʻia ka'ōpū a e hoʻomau ka uluʻana o ka'ōpū ma mua o ka hānauʻana. Hoʻomumuʻia nā keiki a hiki ke neʻe.
I nā hebedoma 12 me ka nui o nā hānauʻana, ua hanaʻia nā ultrasound ma keʻano he māhele o ka nānā muaʻana i ka wā'ōpū . I kekahi manawaʻo kēia kahi eʻike ai kekahi wahine ua kūʻo ia ka makuahine o kekahi mau keiki i ka manawa hoʻokahi. Ua palekanaʻia ka pahu weliweli: ua hoʻemiʻia ka hopena o ka hāʻuleʻana.
Ke ulu pū nei
I ka halaʻana o 13-17 mau lā, e ulu nui ana ka hua,ʻo ia hoʻi ka uluʻana o ka makuahine o ka wā e hiki mai ana. Pono ke kaulikeʻana i nā meaʻai no ka nui o nā'ōpū, pono i kaʻai ke nui o nā meaʻai e mālamaʻia ai nā protein, nā hua B, C, a me ka calcium a me ka hao. Eʻai i kahi mea liʻiliʻi a liʻiliʻi, akā pinepine (i nā manawa he 6 i ka lā).
Ma kahi o nā hebedoma 16-22, e hanaʻia kekahi hanaʻelua, eʻike ana i ka nui o ka huina o ka AFP a me ka hCG - no ka'ōpū nui i kēia maʻamau. He nui nā māmā e hoʻomaka i ke ola hou i loko o lākou:ʻo ka hopena i nā manawa hānau nui e manaʻoʻia i ka manawa hoʻokahi e like me keʻano o singleton. Uaʻike nā keiki i ke kūʻana o kekahi i kekahi, e hoʻopā i ko lākou hoalauna, e hiamoe a ala ala i ka manawa like.
Mai ka hebedoma 21 o ka hāpaiʻana, e lohe pono nā'ōpū, e hoʻokaʻawale i waena o ka mālamalama a me ka pouli. Akā, ua paʻakikī koʻu makuahine:ʻo ka uluʻana o ka'ōpū,ʻaʻole ia e kaumaha i ka umauma a me ke kukuli, hiki i kaʻeha ma ke kua a me nā wāwae, uaʻikeʻia nā kaha ma kaʻili, ka umauma hāmaʻomaʻu a me ka pihoihoi. Hiki ke kino i ka paʻakikī, no laila keʻano o ka anemia, ka pyelonephritis a me ka gestosis me ka hāpai nuiʻana e ulu nui pinepine. I loko o kēia manawa, hiki ke hiki i kahi hoʻomaha ma ka haukapila makuahine.
I nā mau hebedoma 25-29 ke kūkuluʻana i nā'ōpiopio a me nā hanu hauʻoli, hoʻomaka nā kamaliʻi e hānai i nā momona, kūmau ko lākou ulu ulu. I kēia manawa, pono e loaʻa ka kāleka kāleka meʻoe i nā manawa a pau. Mai ka 28 hebedoma maʻamau ka wahine e hele ma ka haʻaleleʻana i ka makuahine, kahi e hala ai he 194 mau lā.
I loko o nā pule hebedoma o ka hāpai nuiʻana, he wahine ka mea maʻamau i loko o ka haukapila, ma lalo o ka mālama mauʻana o nā kauka. Hiki ke hanaʻia i kēlā me kēia pule a me keʻano o ka dopplerometry a me ka CTG o ka hānai . I ka manawa o ke kaha kiʻi, e nānā i keʻano o ka placenta a me ka hiki i ka laweʻana i ka physiological (inā e iho ana nā hua i lalo). Akā hoʻi, hanaʻia ka hana ma ka nui o ke'ōpū ma 70% o nā hihia me ke kōkua o ka māhele caesareana.