Hoʻomohala fetal

E aʻo pehea e hāpai ai kāu pēpē a pehea e ulu ai kāu pēpē i loko o ka ʻōpū o ka makuahine.

HE MAU WEEK E HOOLOLI ANA

ʻO ka gestation ka manawa ma waena o ka hapai ʻana a me ka hānau ʻana ke ulu a pēpē i loko o ka ʻōpū o ka makuahine. Ma muli o ka hiki ʻole ke ʻike kikoʻī ke hiki mai ka hapai ʻana, ana ʻia ka makahiki hānau mai ka lā mua o ke kaʻina menstrual hope loa o ka makuahine a hiki i kēia lā. Ana ʻia ia i loko o nā pule.

ʻO kēia ke kumu i ka manawa o 1 a me 2 o ka hāpai ʻana, ʻaʻole hāpai ka wahine. ʻO kēia ke hoʻomākaukau nei kona kino no kahi pēpē. Kū ka hana maʻamau ma nā wahi āpau mai 37 a 42 mau pule.

ʻO ka pule 1 a 2

• Hoʻomaka ka hebedoma mua o ka hāpai keiki me ka lā mua o ka manawa menstrual o ka wahine. ʻAʻole ʻo ia hāpai.
• I ka hopena o ka pule ʻelua, hoʻokuʻu ʻia kahi hua manu mai kahi ovary. ʻO kēia ka manawa e hāpai ai ʻoe inā he moe kolohe ʻole kāu.

Pule 3

• I ka wā o ka moekolohe ʻana, komo ka sperm i ka lua ma hope o ka hemo ʻana o ke kāne. E hele ka sperm ikaika loa ma waena o ka cervix (ka wehe ʻana o ka ʻōpū, a i ʻole ka ʻōpū), a i loko o nā paipu fallopian.
• Kūpono kahi sperm hoʻokahi a me nā hunaola hua a ka makuahine i ka paipu fallopian. Ke komo ka sperm hoʻokahi i ka hua manu, hapai ka hapai. Kapa ʻia ka sperm a me ka hua i hoʻohui ʻia he zygote.
• Loaʻa i ka zygote nā ʻike pili āpau (DNA) e pono ai e lilo i pēpē. ʻO ka hapalua o ka DNA mai ka hua a ka makuahine a me ka hapa mai ka sperm a ka makuakāne.
• Hoʻolālā ka zygote i nā lā e hiki mai ana e huakaʻi ana i ka pahu fallopian. I kēia manawa, hoʻokaʻawale ia e hana i pōpō o nā hunaola i kapa ʻia he blastocyst.
• Hana ʻia kahi blastocyst o kahi hui o loko o nā pūnaewele me kahi pū o waho.
• E lilo ka hui o loko o nā pūnaewele i ka embryo. ʻO ka embryo ka mea e ulu i kāu pēpē.
• E lilo ka hui o waho o nā hunaola i mau hale, i kapa ʻia he membrane, ka mea e hānai a pale aku ai i ka embryo.

Pule 4

• Ke hiki aku ka blastocyst i ka kōpū, kanu ia iā ia iho i ka paia uterine.
• I kēia manawa i ke kaʻina menstrual o ka makuahine, ʻo ka uhi o ka kōpū ua mānoanoa me ke koko a mākaukau e kākoʻo i kahi pēpē.
• Hoʻopili paʻa ka blastocyst i ka paia o ka kōpū a loaʻa ka hānai mai ke koko o ka makuahine.

Pule 5

• ʻO ka pule 5 ka hoʻomaka o ka "wā embryonic." ʻO kēia ke hoʻomohala nā ʻōnaehana nui a me nā ʻōnaehana o ka pēpē.
• Hoʻonui a hoʻonui nā hunaola o ka embryo i nā hana kikoʻī. Kapa ʻia kēia ʻano ʻokoʻa.
• Kūkulu nā hunaola koko, nā hunaola hakuʻala, a me nā aʻa nerve.
• Ulu wikiwiki ka embryo, a hoʻomaka nā hiʻohiʻona waho o ka pēpē e hana.
• Hoʻomaka e ulu ka lolo o kāu pēpē, ʻōiwi, a me ka puʻuwai.
• Hoʻomaka ke ʻano o ka tract gastrointestinal a pēpē.
• Aia i loko o kēia manawa i ka trimester mua ka makaʻu nui o ka pēpē no ka hōʻino ʻia mai nā mea e hopena i nā hānau hānau. Hoʻopili kēia i kekahi mau lāʻau, hoʻohana i nā lāʻau kū ʻole i ke kānāwai, hoʻohana nui i ka waiʻona, nā maʻi e like me rubella, a me nā kumu ʻē aʻe.

Nā wiki 6 a 7

• Hoʻomaka ka ulu o nā ʻōlima a me ka wāwae.
• Hana ʻia ka lolo o kāu pēpē i 5 mau ʻāpana like ʻole. ʻIke ʻia kekahi mau ʻāʻī cranial.
• Hoʻomaka ka maka a me nā pepeiao e hana.
• Ulu kaʻaʻaʻa e lilo i iwi kuamoʻo o kāu pēpē a me nā iwi'ē aʻe.
• Ke ulu mau nei ka puʻuwai o Baby a i kēia manawa ke kuʻi nei ia i kahi mele maʻamau. Hiki ke ʻike ʻia kēia e ka ultrasound vaginal.
• ʻO nā pauma koko ma o nā moku nui.

Pule 8

• Ua ulu ʻoi aku ka lōʻihi o nā lima a me nā wāwae o Baby.
• Hoʻomaka ka hana ʻana o nā lima a me nā wāwae e like me nā hoe hoe liʻiliʻi.
• Ke ulu mau nei ka lolo o kāu pēpē.
• Hoʻomaka e hana nā māmā.

Pule 9

• Hoʻokumu nā nipples a me nā lauoho follicle.
• Ulu nā mea kaua a ulu nā kuʻekuʻe.
• Hiki ke ʻike ʻia nā manamana wāwae o Baby.
• Ua hoʻomaka ka ulu ʻana o nā mea pono āpau a pēpē.

Pule 10

• Hoʻonui hou ʻia nā maka maka o kāu pēpē a hoʻomaka e pani.
• Hoʻomaka e hana nā pepeiao o waho.
• E lilo ka helehelena o ka pēpē i mea ʻokoʻa loa.
• Hoʻohuli nā ʻōpū.
• I ka hopena o ka hebedoma 10 o ka hāpai ʻana, ʻaʻole ʻo kāu pēpē ka embryo. I kēia manawa he fetus, ke kahua o ka hoʻomohala a hiki i ka hānau ʻana.

Nā wiki 11 a 14

• Pani mai nā lihilihi o kāu pēpē a ʻaʻole e wehe hou a hiki i ka pule 28th.
• Hoʻokumu maikaʻi ʻia ka alo o pēpē.
• Lōʻihi a lahilahi nā lālā.
• Hōʻike nā kui i nā manamana lima a me nā manamana wāwae.
• ʻIke ʻia nā ʻōiwi.
• Ke hana nei ke akepaʻa o pēpē i nā hunaola ʻulaʻula.
• Nui loa ke poʻo - ma kahi o ka hapalua o ka nui o ka pēpē.
• Hiki i kāu mea liʻiliʻi ke hana i ka lima.
• Hōʻike nā pihi niho no nā niho pēpē.

Nā pule 15 a 18

• I kēia wā, ʻaneʻane aniani ka ʻili o ka pēpē.
• ʻO ka lauoho maikaʻi i kapa ʻia ʻo lanugo e ulu ana ma ke poʻo o pēpē.
• Hoʻomaopopo mau kaʻiʻo a me nā iwi i ka ulu ʻana, a ʻoi aku ka paʻakikī o nā iwi.
• Hoʻomaka ka pēpē e neʻe a hoʻolōʻihi.
• Hana ke akepaʻa a me ka pancreas i nā mea huna.
• Ke hana nei kāu mea liʻiliʻi i nā neʻi omo.

Nā wiki 19 a 21

• Lohe kāu pēpē.
• ʻEleu ka hana a ka pēpē a hoʻomau i ka neʻe a lana.
• ʻIke paha ka makuahine i ka lele ʻana i ka ʻōpū o lalo. Kāhea ʻia kēia he wikiwiki, ke hiki i ka makuahine ke ʻike i ka neʻe mua o ka pēpē.
• I ka hopena o kēia manawa, hiki i ka pēpē ke ale.

Pule 22

• Uhi ka lauoho Lanugo i ke kino holoʻokoʻa o ke pēpē.
• ʻO Meconium, ka ʻōpū mua o ke pēpē, hana ʻia i loko o ka ʻōpū o ka ʻōpū.
• ʻIke ʻia nā kuʻemaka a me nā lūlū.
• ʻOi aku ka hana a ka pēpē me ka hoʻonui ʻana i ka ulu ʻana o nā mākala.
• Hiki i ka makuahine ke ʻike i ka neʻe ʻana o ka pēpē.
• Hiki ke lohe ʻia ka puʻuwai puʻuwai o Baby me kahi stethoscope.
• Ulu nā kui i ka hopena o nā manamana o ka pēpē.

Nā wiki 23 a 25

• Hoʻomaka ka iwi iwi e hana i nā huna koko.
• Ke ulu nei nā ala waena o nā māmā o ka pēpē.
• Hoʻomaka kāu pēpē e mālama i ka momona.

Pule 26

• Hoʻonohonoho maikaʻi ʻia nā kuʻemaka a me nā maka maka.
• Hoʻolālā ʻia nā ʻāpana āpau o nā maka o pēpē.
• E pīhoihoi paha kāu pēpē i ka pane ʻana i nā leo nui.
• Ke hoʻokumu nei nā kapuaʻi a me nā manamana lima.
• Kū nā ʻeke lewa i nā māmā o ka pēpē, akā ʻaʻole mākaukau nā māmā e hana ma waho o ka ʻōpū.

Nā wiki 27 a 30

• Ulu wikiwiki ka lolo o pēpē.
• Hoʻomohala ʻia ka ʻōnaehana hopohopo e kāohi ai i nā hana o ke kino.
• Hiki i nā lihilihi o kāu pēpē ke wehe a pani.
• ʻO ka ʻōnaehana hanu, ʻoiai ʻōpio, hana i ka surfactant. Kōkua kēia mea i nā ʻeke ʻea e hoʻopihapiha me ka ea.

Nā wiki 31 a 34

• Ulu wikiwiki kāu pēpē a loaʻa ka momona he nui.
• Hiki mai ka hanu Rhythmic, akā ʻaʻole piha nā māmā o ka pēpē.
• Hoʻomohala piha ʻia nā iwi o pēpē, akā palupalu nō naʻe.
• Hoʻomaka ke kino o kāu pēpē i ka mālama ʻana i ka hao, ka puna, a me ka phosphore.

Nā wiki 35 a 37

• Kaupaona ke pēpē ma kahi o 5 1/2 paona (2.5 paona).
• Ke hoʻomau nei kāu pēpē i ka loaʻa ʻana o ka paona, akā ʻaʻole paha e lōʻihi.
• ʻAʻole pelu ka ʻili e like me ka momona ma lalo o ka ʻili.
• He ʻano moe kā ka pēpē.
• Piha ka puʻuwai a me nā kīʻaha koko o kāu keiki liʻiliʻi.
• Hoʻolālā piha nā mākala a me nā iwi.

ʻO ka pule 38 a 40

• Ua hala ʻo Lanugo koe wale nō ma nā lima kiʻekiʻe a me nā poʻohiwi.
• Hiki ke hoʻonui i nā manamana lima ma mua o ka manamanalima.
• Aia nā ʻōpuʻu umauma liʻiliʻi ma nā kāne ʻelua.
• Ua huluhulu a mānoanoa ka lauoho poʻo i kēia manawa.
• I kāu hebedoma 40 o kou hāpai ʻana, he 38 mau pule mai ka hāpai ʻana, a hiki i kāu pēpē ke hānau ʻia i kēlā me kēia lā i kēia manawa.

Zygote; ʻO Blastocyst; Embryo; Fetus

• Fetus ma 3.5 mau pule
• Fetus ma 7.5 mau pule
• Fetus ma 8.5 mau pule
• Fetus ma 10 mau pule
• Fetus ma 12 mau pule
• Fetus ma 16 mau pule
• Fetus 24 hebedoma
• Fetus ma 26 a 30 mau pule
• Fetus ma 30 a 32 mau pule

Feigelman S, Finkelstein LH. Ka loiloi i ka ulu a me ka ulu ʻana o ka fetal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 20.

ʻO Ross MG, ʻo Ervin MG. Hoʻomohala fetal a me ka physiology. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 2.