He aha nā hōʻailona mua loa o ka hāpai ʻana me nā māhoe?
Anter
- Aia kekahi mau hōʻailona e hāpai ana ʻoe i nā māhoe?
- Maʻi maʻi kakahiaka
- Ka luhi
- Kiʻekiʻe hCG
- Pāʻālua o ka puʻuwai
- Ana mua
- Neʻe mua
- Hoʻonui i ka loaʻa kālā
- Kukuna ultrasound
- He aha nā manawa o ka loaʻa ʻana o nā māhoe?
- Lawe aku
Aia kekahi mea e like me ka pālua ʻana o ka hāpai ʻana? Ke hoʻomaka nei ʻoe e ʻike i nā ʻōpū hāpai, noʻonoʻo paha ʻoe i ka loaʻa ʻana o nā hōʻailona ʻoi aku ka ikaika i kahi mea - aia he mau hōʻailona he māhoe kāu? He mea maʻamau ke luhi a me kēia nauseous, a i ʻole he manaʻo hou aʻe paha?
ʻOiai ʻo ke ala definite wale nō e ʻike ai inā hāpai ʻoe i nā māhoe he ultrasound, manaʻo paha kekahi mau ʻōuli e hana ana kekahi mea keu ma loko.
Aia kekahi mau hōʻailona e hāpai ana ʻoe i nā māhoe?
Ke hoʻomaka ka hāpai ʻana, hoʻomaka kou kino e hana i nā homone a hele i nā loli kino. ʻO kēia mau hoʻololi paha ka hōʻailona mua o ka hāpai ʻana. He aha hou aʻe, ʻokoʻa iki paha kekahi o kēia mau hōʻailona ke kakali ʻoe ma mua o hoʻokahi pēpē.
He nui ka poʻe i ʻike i ka hāpai ʻana o ka māhoe māhoe e hōʻike he manaʻo a manaʻo paha lākou e manaʻo nei lākou i nā lehulehu, ʻoiai ma mua o ka ʻike maoli. Ma ka ʻaoʻao ʻē aʻe, no ka poʻe he nui, hele mai kahi nūhou me ke ʻano pūʻiwa piha.
ʻO nā ʻōuli aʻe e hōʻike pinepine ʻia ma ke ʻano he hōʻailona e hāpai ai ʻoe me nā māhoe, mai nā pule mua o ka hāpai ʻana.
Maʻi maʻi kakahiaka
ʻAʻole maopopo loa ke kumu e ʻike ai kekahi poʻe i ka maʻi kakahiaka, akā no nā poʻe hāpai he nui, hiki iā ia ke hoʻomaka i ka wiki 4 o ka hāpai ʻana, kahi kūpono i ka manawa āu e haʻalele ai i kou wā.
Hoʻonui i ka hormone hāpai kanaka kanaka chorionic gonadotropin (hGH) hiki ke hāʻawi i ka nausea i kēlā me kēia manawa o ka lā. (Pololei kēlā, ʻaʻole loaʻa ka maʻi kakahiaka i ke kakahiaka.)
Hōʻike kekahi poʻe hāpai me nā pēpē he nui i ka ʻike ʻana i nā kiʻekiʻe kiʻekiʻe o ka maʻi kakahiaka, a i ʻole nā maʻi kakahiaka i lōʻihi i ko lākou hāpai ʻana. Hiki ke paʻakikī ke hoʻokumu i kahi laina no ka maʻi kakahiaka, no ka mea hiki ke loli ʻia mai kēlā me kēia kanaka, a mai ka hāpai ʻana a i ka hāpai ʻana.
ʻO ka loiloi i ka nausea a me ka luaʻi e ʻoi aku ana ma mua o ka hebedoma 14th o ka hāpai ʻana hiki ke hōʻike he hāpai ʻoe me nā pēpē he nui.
Minamina, ʻo ka ʻike ʻana i ka maʻi kakahiaka a lōʻihi paha i hiki ke lilo i hōʻailona o hyperemesis gravidarum. Inā ʻoe e luaʻi ana i nā manawa he nui i ka lā, ke ʻike nei i ka nausea i ka lā holoʻokoʻa, a i ʻole ka lilo ʻana o ke kaumaha, maikaʻi ke kamaʻilio me kāu OB-GYN.
Ka luhi
ʻO ka luhi kekahi hōʻailona hāpai mua loa. I nā pule mua, a i kekahi manawa ma mua o kou hala ʻana ma 4 mau pule, hoʻomaka paha ʻoe e luhi. Hiki i nā pae hormone kiʻekiʻe, a me nā pilikia e like me nā mea e hiamoe ai a hoʻonui i ka urination, e hoʻopilikia paha i kou hiki ke loaʻa i kāu mau manawa mau o ka hoʻomaha.
Eia hou, ʻaʻohe ala e ʻike pono inā ka luhi e hoʻonohonoho nei i ke ʻano ke lana nei ʻoe i hoʻokahi pēpē a ʻoi paha. Inā ʻoe e luhi nui, hana i ka mea e hiki ai ke lawa ka hoʻomaha, e like me ka neʻe ʻana o kou manawa hiamoe ma mua, ka lawe ʻana i nā naps ke hiki, a me ka hoʻokumu ʻana i kahi hiamoe hiamoe.
Kiʻekiʻe hCG
ʻO ka gonadotropin chorionic kanaka (hCG) kahi hormone i hana ʻia e ke kino i ka wā o ka hāpai ʻana. ʻIke nā hoʻokolohua hāpai home i kēia hormone i ka mimi e hāʻawi iā ʻoe i kahi hopena hopena maikaʻi. ʻOiai ʻaʻole hiki i nā hoʻokolohua hāpai home ke haʻi iā ʻoe i ka pae kikoʻī o ka hCG i kou kino, hiki i nā hoʻokolohua koko.
Inā ʻoe e mālama nei i kekahi mau hana hoʻohua momona, loaʻa paha iā ʻoe ke koko i kahakaha ʻia e nānā i kāu helu hCG. E hoʻokumu kāu OB i kahi laina kumu, a laila e nānā e ʻike inā pālua nā helu e like me ka mea i manaʻo ʻia. Ua hōʻike ʻia he ʻoi aku ka nui o ka poʻe hāpai me nā lehulehu he nui ma mua o ka helu hCG i manaʻo ʻia.
Pāʻālua o ka puʻuwai
Lohe ʻia paha ka puʻuwai o kāu pēpē ma kahi o 8 a 10 mau pule e hoʻohana ana i ka fetploper. Inā manaʻo kāu OB-GYN lohe lākou i ka puʻuwai lua, manaʻo paha lākou e hoʻolālā i kahi ultrasound e kiʻi i kahi kiʻi ʻoi aku ka maikaʻi o nā mea e hana nei.
Ana mua
ʻO ke ana ʻana i mua ka hōʻailona o ka māhoe, no ka mea ʻaʻole paha e ana ana kāu mea hāʻawi i kou ʻōpū a hiki i ka hala ʻana o 20 mau pule o ka hāpai ʻana. I kēia manawa, aia paha iā ʻoe kahi ultrasound i hoʻonohonoho ʻia inā ʻaʻole i loaʻa mua iā ʻoe.
Hōʻike kekahi poʻe e hōʻike mua ana i ka wā e hāpai ana me nā māhoe, akā ʻo ke kiko e hoʻomaka ai kou hāpai ʻana e hōʻike i ka ʻokoʻa ma muli o ke kanaka a me ka hāpai keiki. E hōʻike ka poʻe he nui ma mua i ka wā o kā lākou hāpai ʻana ʻelua.
Neʻe mua
ʻOiai ʻaʻole hōʻike ka hapa nui o nā mākua i ka neʻe ʻana a hiki i kahi o 18 mau pule, ʻaʻole kēia kahi hōʻailona mua. Neʻe kāu pēpē i loko o ka ʻōpū mai ka hoʻomaka, akā ʻaʻole paha ʻoe e ʻike i kekahi mea a hiki i kāu trimester ʻelua.
ʻOiaʻiʻo, ʻo ka loaʻa ʻana o ʻelua a ʻoi paha mau pēpē hiki ke manaʻo e neʻe iki ʻoe ma mua o kāu pēpē hoʻokahi wale nō, akā ʻaʻole paha kēia e hiki i mua o kāu trimester ʻelua.
Hoʻonui i ka loaʻa kālā
ʻO kēia kahi hōʻailona ʻē aʻe i hiki ʻole ke pāʻani a hiki i ka lōʻihi o kou hāpai ʻana. I ka wā o ka trimester mua o kou hāpai ʻana, haʻahaʻa paha ka loaʻa ʻana o ke kaumaha.
Loaʻa ka ʻōlelo aʻoaʻo maʻamau i ka 1 a i ka 4 paona ma luna o nā hebedoma he 12 i hala. ʻOi aku ka wikiwiki o ka loaʻa ʻana o ke kaupaona i ka trimester ʻelua, me ka nānā ʻole inā e manaʻo ana ʻoe i kahi pēpē hoʻokahi a ʻoi paha.
Inā ʻoe e hoʻonui wikiwiki nei i ka paona i kāu trimester mua, pono ʻoe e ʻōlelo me kāu OB-GYN e pili ana i nā kumu a me nā hopohopo paha.
Kuhi nā Centres for Disease Control and Prevention (CDC) i kēia mau mea, i hoʻokumu ʻia i ka papa kuhikuhi nui o ke kino ma mua o ka hāpai ʻana (BMI), no nā wahine hāpai me nā māhoe.
- BMI ma lalo o 18.5: 50-62 paona.
- BMI 18.5-24.9: 37-54 paona
- BMI 25-29.9: 31-50 paona
- ʻOi aku ka nui o BMI a i ʻole like i 30: 25–42 paona.
Eia nō naʻe, inā ʻoe e ʻike nei i ka maʻi kakahiaka a i ʻole nā pilikia ʻē aʻe, ʻaʻole paha ʻoe e loaʻa (a lilo paha) kaupaona i ka trimester mua. Eia hou, inā hopohopo ʻoe e pili ana i kāu loaʻa kālā, makemake paha ʻoe e kamaʻilio me kāu kauka.
Kukuna ultrasound
ʻOiai ʻo nā mea i luna aʻe he mau hōʻailona paha o ka hāpai hāpai māhoe ʻana, ʻo ke ala ʻoiaʻiʻo e ʻike ai ua hāpai ʻoe me ka ʻoi aku ma mua o hoʻokahi pēpē ma o kahi ultrasound.
Hoʻonohonoho kekahi mau kauka i kahi ultrasound mua, ma kahi o 6 a 10 mau pule, e hōʻoia i ka hāpai ʻana a i ʻole nānā i nā pilikia. Inā ʻaʻohe ou ultrasound mua, ʻike e hoʻonohonoho ʻia ʻoe no kahi scan anatomy ma kahi o 18 a 22 mau pule.
Ke hiki i kāu kauka ke ʻike i nā kiʻi sonogram, ʻike maoli ʻoe i ka nui o nā pēpē āu e hāpai nei.
He aha nā manawa o ka loaʻa ʻana o nā māhoe?
Wahi a ka CDC, aia ka helu o nā māhoe ma 2018. Nui nā mea like ʻole i hāʻawi i ka helu o nā māhoe i hānau ʻia i kēlā me kēia makahiki. Hiki i nā mea e like me ka makahiki, nā genetics, a me nā mālama ʻana o ka momona ke hoʻonui i kou likelike o ka hāpai ʻana me nā māhoe.
Lawe aku
ʻOiai he pīhoihoi ka hāpai ʻana me nā māhoe a ʻoi aku paha, hele mai ia me kekahi mau pilikia. ʻO ka nānā ʻana i kou olakino a me ka ʻimi ʻana i ka mālama prenatal ka mea nui i ka wā o ka hāpai ʻana.
ʻAʻole hiki i nā ʻōpū hāpai mua ke haʻi iā ʻoe inā he hāpai ʻoe me ʻelua a ʻoi paha mau pēpē, akā hiki i nā manawa koho prenatal maʻamau a me ka hoʻāʻo ʻana. Kūkākūkā mau i kāu mau hopohopo me kāu OB-GYN, a mālama pono iā ʻoe iho - no ka nui o nā pēpē āu e hāpai nei.
No nā ʻōlelo aʻoaʻo hou aʻe a me kēlā me kēia pule e alakaʻi i kou hāpai ʻana, kau inoa no kā mākou Ke manaʻo nei wau i ka nūpepa.