Ke ʻike pālua nei: Pehea e hoʻonui ai i kāu manawa kūpono o ka loaʻa ʻana o nā māhoe

Anter

• Maikaʻi paha kāu kuhi ma mua o kou manaʻo
• Loaʻa he māhoe kūlohelohe
• Mau māhoe like
• Mahoe māhoe
• Nā mea e hoʻonui ai i kāu mau keu o ka loaʻa ʻana o nā māhoe kūlohelohe
• Nā Genetics
• Makahiki
• Kiʻekiʻe
• Kaumaha
• Heihei
• Meaʻai
• Nā hāpai hāpai ma mua
• Loaʻa nā māhoe me nā lāʻau lapaʻau momona
• IUI
• IVF
• Pehea e hoʻonui ai i kāu kūʻē
• ʻO ka lawe lawe ʻana

Maikaʻi paha kāu kuhi ma mua o kou manaʻo

ʻO ka moemoeā o ka pāpālua o ka nani o ka hānau hou, akā ke noʻonoʻo nei aia ma waho o ke au o ka hiki? I ka ʻoiaʻiʻo, ʻaʻole hiki ke kiʻi ʻia ka manaʻo o ka loaʻa ʻana o nā māhoe. (E hoʻomanaʻo wale nō, pāpālua hoʻi ia i ka hoʻololi o ka diaper.)

Ua hoʻonui ka hānau ʻana o nā māhoe i kekahi mai ka makahiki 1980. Aia ma kahi o ka māhoe hānau ʻia ma kēlā me kēia 1,000 hānau ma United States.

Akā ma mua o kou waihona ʻana i nā ʻaelike kūlike a koho i nā inoa hoʻohui, he mea nui e hoʻomaopopo pehea e hāpai ai nā māhoe a me nā mea i hoʻohui ʻia e pili ana. Aia kekahi mau kūlana - inā kūlohelohe a loaʻa ʻia paha ma o nā mālama ʻana i ka momona - i loaʻa paha iā ʻoe he māhoe.

(Ke manaʻo nei i nā māhoe? Eia ka mea e pono ai ʻoe e ʻike.)

Loaʻa he māhoe kūlohelohe

Ua koho ʻia he 1 ma ka 250 hāpai keiki e hopena i nā māhoe kūlohelohe, a aia ʻelua ala e hāpai ai iā lākou.

Mau māhoe like

Pili ka mea mua i hoʻokahi hua i hoʻouluulu ʻia e hoʻokahi sperm. Hana Hou 101, pololei? Akā a laila, ma kahi o ke ala, hoʻokaʻawale ka hua manu momona i ʻelua, e hopena ana i nā māhoe like.

ʻAno laha ʻole ka loaʻa ʻana o nā māhoe like - ma kahi o 3 a 4 paha i kēlā me kēia 1,000 hānau. A ʻoiai he mea akaka paha, like mau nā māhoe like ke ʻano like o ka moekolohe, ʻo nā keikikāne ʻelua paha a me nā kaikamahine ʻelua, i ka wā hānau. No ke aha mai? ʻĀ, ʻaʻole lākou e nānā like - kaʻana like lākou i ka DNA like.

Mahoe māhoe

ʻO nā māhoe Fraternal, ma ka ʻaoʻao ʻē aʻe, i ka hopena ke hoʻoulu ʻia ʻelua mau hua kaʻawale e nā ʻāpana sperm ʻokoʻa. Hoʻokomo ʻia nā hua hua momona i loko o ka kōpū a - ʻeiwa mau mahina ma hope - hānau ʻia he ʻelua pēpē.

Hiki i nā māhoe Fraternal ke lilo i mau keikikāne ʻelua, ʻelua mau kaikamahine, a i ʻole ke keikikāne a kaikamahine paha. ʻAʻole lākou e like a like paha. ʻO ia no ka mea, ʻaʻole like me nā māhoe like, ʻaʻole lākou e kaʻana like i ka DNA like. I ka ʻoiaʻiʻo, he ʻokoʻa nā makahiki, ʻaʻohe mea like iki ma mua o nā kaikaina a me nā kaikuahine i hānau ʻia he mau makahiki kaawale.

Nā mea e hoʻonui ai i kāu mau keu o ka loaʻa ʻana o nā māhoe kūlohelohe

Nā Genetics

Ua lohe paha ʻoe i nā māhoe e “holo ʻohana.” O kēia hapa ʻoiaʻiʻo. ʻOi aku ke kiʻekiʻe o kou loaʻa ʻana o nā māhoe fraternal inā he māhoe fraternal ʻoe iā ʻoe iho a i ʻole inā e holo nā māhoe fraternal ma ka ʻaoʻao o kou makuahine o ka ʻohana.

ʻO kekahi kumu o kēia he hyperovulation paha, kahi kūlana kahi e hoʻokuʻu ai ke kino i ʻelua a ʻoi paha mau hua i ka wā o ka ovulation - he koi no ka loaʻa ʻana o nā māhoe fraternal.

A hiki ke hoʻoiho ʻia ka hyperovulation i kāu DNA. (Hiki pū kekahi i kekahi manawa i nā wahine i hoʻokuʻu pinepine ʻole ma mua o hoʻokahi hua manu a i ʻole he māhoe i ko lākou ʻohana.)

Makahiki

Aia ʻoe ma luna o 35 mau makahiki? Inā ʻoe e ʻimi he mau māhoe kou, e pā paha ʻoe i ka jackpot inā ʻoe i kāu 30 kiʻekiʻe a i ʻole i kāu 40.

ʻO nā wahine o ka "makahiki makuahine nui" (e kala mai mākou i ka hoʻohana ʻana i ka ʻōlelo, akā hoʻohana mau ʻia ia i nā hoʻonohonoho olakino e manaʻo ʻia ma luna o 35 mau makahiki) he manawa kiʻekiʻe ke hāpai i nā māhoe.

Hiki i nā loli hormonal ke pili iā ʻoe kokoke i ka menopause e paipai i ka hoʻokuʻu ʻana o ke kino ma mua o hoʻokahi hua i ka wā o ka ovulation. Inā hoʻomomona ʻia ʻelua a ʻoi a ʻelua implant, pono paha ʻoe i ʻelua pahu i kāu keiki hānai.

Kiʻekiʻe

ʻOi aku ka nui o ka nui o nā wahine ʻoi aku ka nui o ka loaʻa ʻana o nā māhoe. He ʻano ʻē paha kēia, akā hāʻawi ka poʻe noiʻi i kekahi kumu ulu ulu like ka insulina me kēia hiki. Ua hōʻike ʻia kahi noiʻi ma 2006 i ʻoi aku ke kiʻekiʻe o ka māhoe i nā wahine i ʻoi aku i ka ʻīniha ma mua o ka awelika lāhui, ʻo 5 kapuaʻi 3 3/4 iniha i ka manawa i paʻi ʻia ai ke aʻo ʻana.

Kaumaha

ʻOi aku ka manawa kiʻekiʻe o nā wahine i kaupaona ʻia e hāpai kūlohelohe i nā māhoe. ʻO ke kiko kikoʻī, kiʻekiʻe loa nā manawa inā ʻoi aku ka nui o kāu helu kino (BMI) ma luna o 30.

Ma ka ʻaoʻao hoʻohuli, hōʻike nā BMI ma lalo o 18.5 i ka hōʻemi o ka loaʻa ʻana o nā māhoe. ʻO ka manaʻo ma hope o kēia kumumanaʻo e hoʻi i ka mea ulu uluola e like me ka insulin a me kona mana i ka hapai ʻana.

ʻO kahi ʻōlelo aʻoaʻo ma aneʻi: Mai hana pono i ka paona e hoʻonui i kou manawa i ka loaʻa ʻana o nā māhoe. ʻO ka loaʻa ʻana o kahi BMI ma kahi o 30 hiki iā ʻoe ke waiho iā ʻoe i ka mahele nui o ka hāpai keiki, no laila e kamaʻilio me kāu kauka e pili ana i kahi kaupaona olakino nāu ma mua o ka hāpai ʻana.

Heihei

ʻO nā wahine ʻAmelika ʻAmelika i ka hāpai iki ʻana o nā māhoe ma mua o nā wahine Caucasian. Akā loaʻa ka manawa o nā wahine ʻAsia a me Hispanic i ka loaʻa ʻana o nā māhoe ma mua o nā hui ʻē aʻe.

Wahi a ia, ʻo nā wahine Caucasian ma luna o 35 mau makahiki ke kiʻekiʻe o ka nui o nā helu ʻoi aku, ʻo ia hoʻi he triplets a ʻoi paha.

Meaʻai

Wahi a kekahi, ʻo ka mea āu e ʻai ai, e hoʻonui ai paha ka māhoe - a ʻelima paha manawa, ʻoiaʻiʻo.

ʻO nā wahine e hoʻopau i nā huahana holoholona, ​​ʻo ia hoʻi nā huahana waiū, e lawe ana paha i ka mea ulu ulu insulin. Hoʻokuʻu nā bipi i kēia hormone i loko o kā lākou waiū a - ke hoʻopau ʻia - hiki ke hoʻohuli i ka hoʻohua kanaka.

Hōʻike kekahi i ka ʻai ʻana i ka nui o nā yams hiki ke hoʻonui i ka manawa o ka loaʻa ʻana o nā māhoe pū kekahi. Kākoʻo nā meaola i nā hormoni e kōkua i ke kino e hoʻokuʻu i nā hua ma mua o hoʻokahi i ka manawa.

Nā hāpai hāpai ma mua

Loaʻa iā ʻoe kahi keiki ke nānā aku nei i ke kaikaina a i ʻole kaikuahine? ʻO ia paha ke kumu o ka hopena o kāu māhoe. Āʻoia! ʻO kahi mea i kapa ʻia ʻo "parity kiʻekiʻe" - ʻo ia hoʻi ka manaʻo nui o nā hāpai mua - e hoʻonui paha i kou manawa kūpono. ʻO lākou no ke aha mai ʻaʻole maopopo loa, akā ma muli paha o ka maʻalahi o kēlā me kēia hāpai ʻana, ua ʻelemakule iki ʻoe.

A inā he mau māhoe fraternal ʻoe, he ʻelima mau manawa ke kiʻekiʻe aʻe o ka loaʻa hou ʻana o nā lehulehu, e like me ka Twins a me ka Multiple Birth Association ma United Kingdom (ʻoiai ʻaʻole hiki iā mākou ke hōʻoia i kēlā helu ma nā wahi ʻē aʻe). Inā he ʻoiaʻiʻo, he pōʻai bonus kēlā!

Loaʻa nā māhoe me nā lāʻau lapaʻau momona

Inā kamaʻāina ʻoe me ka ʻenehana hoʻohua hana hana (ART), ka in-vitro fertilization (IVF), a me nā ʻano hana hoʻohua hānau ʻē aʻe - e like me ka in-utero insemination (IUI) - maopopo paha iā ʻoe he māhoe ka hiki ke kiʻekiʻe.

IUI

ʻOiai ʻo ke kaʻina hana o IUI iho ʻaʻole ia e hoʻonui i kou manawa i ka loaʻa ʻana o nā māhoe, hiki i kekahi mau lāʻau e pili ana iā ia. ʻO Clomiphene citrate (Clomid) a me letrozole (Femara) nā lāʻau hōʻeuʻeu hoʻonāukiuki.

Hāʻawi pinepine ʻia kēia mau lāʻau ʻelua i nā pōʻaiapuni IUI a kōkua paha i ke kino e hana i nā hua he nui i hoʻokuʻu ʻia i ka manawa like. Inā hoʻoulu ʻia a hoʻokomo ʻia ʻelua (a ʻoi paha), hiki i nā māhoe.

I hoʻokahi, ʻo ka helu o nā māhoe me Clomid he 7.4 pakeneka. Loaʻa ka helu haʻahaʻa o Femara ma ka 3.4 pakeneka wale nō. ʻAʻole paha kiʻekiʻe kēlā mau helu, akā naʻe, ʻoi aku ka kiʻekiʻe ma mua o ka manawa kūpono o ka hāpai ʻana i nā māhoe kūlohelohe.

A he mea hou aku. ʻO nā Gonadotropins, e like me ka follicle stimulate hormone (FSH), hoʻoulu i ka ulu ʻana o nā hua manu. Hoʻohana pinepine ʻia kēia mau lāʻau i hoʻokomo ʻia i ka IUI a me nā lāʻau hoʻohua hānau ʻē aʻe, a ʻo ka helu o nā māhoe ke hoʻohana nei i kēia mau lāʻau lapaʻau he 30 paukū ka nui.

IVF

ʻO nā lāʻau lapaʻau kekahi ʻāpana o ka IVF. Akā ʻo kekahi o nā kumu nui e hoʻonui i kou manawa o nā māhoe me kēia ʻenehana hānau ʻo ia ka helu o nā embryos āu e hoʻoholo ai e hoʻolilo. Koho kekahi mau kāne e hoʻololi i hoʻokahi wale nō. ʻOiai e hoʻokaʻawale ka embryo hoʻokahi a lilo i mau māhoe like, ʻaʻole paha kēia.

ʻO ke ʻano hou aku e pili ana i nā māhoe fraternal. Inā hoʻololi ʻoe i ʻelua (a ʻoi paha) embryo a ʻelua lākou e hoʻokomo pono a hoʻomohala, aia nā māhoe (a ʻoi aku paha!) Ma ke ala.

ʻO ka helu o nā hāpai mahoe me IVF me nā embryos hou no nā wahine ma lalo o 35 a me nā makahiki 35 a 37 mau makahiki. Hoʻemi ka manawa me ka makahiki (ʻaʻole like me ka hānau ʻana o nā māhoe maoli), ʻoiai he 38 mau 40 wale nō ka helu o nā māhoe. A no ka poʻe 43 a ʻoi paha, ʻo ka helu wale nō.

A e noʻonoʻo i kēia: koho paha kekahi mau kāne e hoʻololi i ʻelua embryos i ka manawa o IVF. E ʻōlelo i kahi o kēlā mau embryo i hoʻokaʻawale a laila ʻekolu implant i loko o ka kōpū. ʻO ka hopena he pākolu ia - ʻelua māhoe like a me hoʻokahi kaikaina.

Pehea e hoʻonui ai i kāu kūʻē

ʻO ka mea mua: Ma mua o kou hoʻomaka ʻana i ka pā ʻana i nā māhoe māhoe nani ma kāu papa Pinterest, e hoʻomaopopo ʻaʻole leʻaleʻa pinepine nā hāpai keiki māhoe a me nā pāʻani (pēpē pēpē). Hāpai ka hāpai ʻana i nā lehulehu he mau pilikia a e pae iā ʻoe me kahi hoʻonohonoho "kiʻekiʻe" me kāu kauka a i ʻole ka palekeiki.

ʻO kahi laʻana, he 12 mau manawa ka māhoe ma mua o ka hānau mua ʻana o nā pēpē hoʻokahi. A he 16 mau manawa ka nui o ko lākou hānau hānau haʻahaʻa. ʻAʻole wale ia, akā ʻo nā wahine e hāpai ana i nā māhoe aia pū kekahi me ka nui o ka makaʻu o ka hoʻomohala ʻana i ka preeclampsia a me ka diabetes diabetes.

ʻAʻole kēia mau mea āpau e ʻōlelo i hiki ʻole iā ʻoe ke hāpai i ke olakino olakino me nā pēpē ʻelua. ʻO ia wale nō e nānā pono ʻia ʻoe ma kahi kokoke.

Ma waho o nā pōpilikia, ʻo ka nui o nā mea e hoʻonui ai i ka loaʻa o nā māhoe ʻaʻole pololei i kāu kaohi. No laila ʻoiai hiki iā ʻoe ke koho e ʻai hou i ka waiū a me nā uhi, ʻaʻole hiki iā ʻoe ke hoʻololi pono i kou kiʻekiʻe, ka lāhui, a i ʻole ka moʻolelo ʻohana o nā hānau hānau he nui. ʻO ka loaʻa ʻana o ke kaupaona ma mua o ka hāpai ʻana ʻaʻole pono ia he manaʻo maikaʻi.

A inā ʻoe e panakō nei i ka loaʻa ʻana o nā keiki i ka hopena o ke ola e hoʻonui i kou alo o ka loaʻa ʻana o nā māhoe, e hoʻomaopopo me ka makahiki e hōʻemi ʻia ka momona a ʻoi aku ka nui o nā hanana chromosomal.

Inā paʻa mau ʻoe i ka manaʻo o ʻelua, hāʻawi ka ʻenehana hoʻohua iā ʻoe i ka nui o ka kaohi. Akā hoʻolaha ka poʻe loea i kēia manawa i nā wahine ʻōpio e hoʻololi i kēlā me kēia pōʻaiapuni IVF no ka hopena maikaʻi loa.

ʻO nā lāʻau e hoʻonui ana i ka ovulation i hoʻohana wale ʻia a i ʻole me IUI e koi i kahi kuhikuhi a lawe paha i kekahi mau pilikia koʻikoʻi, e like me ka manawa kiʻekiʻe o ka hyperstimulation ovarian a i ʻole ka hāpai ectopic.

ʻO nā lāʻau a me nā kaʻina hana e like me IVF he kumukūʻai a mālama ʻia no nā kāne i ʻike ʻia me ka infertility. No nā wahine ma lalo o 35, infertility ʻo ia hoʻi ʻaʻole hāpai i ka moekolohe manawa i loko o hoʻokahi makahiki. A no nā wahine ma mua o 35, hoʻopōkole kēia manawa i 6 mau mahina.

ʻAʻole mākou e hoʻāʻo nei e lilo i ʻO Debbie Downer ma aneʻi. E kamaʻilio me kāu kauka - ʻoi aku i kāu endocrinologist reproductive inā ʻoe e hana nei i nā hoʻoponopono momona - e pili ana i nā māhoe. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā pilikia pili pili i nā mea ʻokoʻa iā ʻoe a inā he koho ʻana ke hana ʻana i kahi embryo maha me IVF.

ʻO ka lawe lawe ʻana

Minamina, ʻaʻohe pīkoi kūikawā hiki iā ʻoe ke lawe i mea e hōʻoiaʻiʻo ai i kou wili ʻana i kaʻa stroller ʻelua a puni kou kaiāulu e like me ka luna. (Akā manaʻo mākou he luna ʻoe me ka nānā ʻole.)

ʻAʻole kēia e ʻōlelo ʻaʻole hiki iā ʻoe ke leʻaleʻa iki i ka hoʻāʻo ʻana e hoʻonui i kāu loiloi ma ka ʻai ʻana i ka nui o nā tīhi a me nā ʻuala a i ʻole ke keʻa ʻana i kou mau manamana lima e pili ana i kāu IUI e hiki mai ana.

Aia ʻelua ʻino a me nā makana me nā māhoe. Akā ma mua o kou lawe ʻia ʻana me ka moeʻuhane, e hoʻāʻo mua e ʻike i ka pālua ... me nā laina ma kāu hōʻike hāpai keiki. Ke hoʻouna nei mākou i ka lepo pēpē!