Superfetation

Anter

• Pehea e hoʻokō ai i ka superfetation?
• Aia kekahi mau hōʻailona i kū i ka superfetation?
• Aia kekahi mau pilikia o ka superfetation?
• Aia kekahi ala e pale ai i ka superfetation?
• Aia kekahi mau hihia i ʻike ʻia o ka superfetation?
• Lawe aku

Hōʻike Overview

ʻO Superfetation kahi kekona, hāpai hou i ka wā o ka hāpai mua. Hoʻomaʻamaʻa ʻia kekahi ovum (hua manu) e ka sperm a kanu ʻia i loko o ka ʻōpū i nā lā a i ʻole mau pule ma hope o ka mea mua. ʻO nā pēpē i hānau ʻia mai ka superfetation manaʻo pinepine ʻia he mau māhoe ʻoiai hānau ʻia lākou i ka wā o ka hānau like ʻana i ka lā like.

ʻO ka Superfetation ka mea maʻamau i nā mea ʻē aʻe, e like me ka iʻa, nā hares, a me nā ʻino. ʻO kona likelihood o ka hanana i loko o nā kānaka he controversial. Manaʻo ʻia he kākaʻikahi loa.

Aia wale kekahi mau hihia o ka superfetation i manaʻo ʻia ma nā puke olakino. ʻO ka hapa nui o nā hihia i kū i ka wahine e mālama ana i nā hana hoʻohua e like me ka vitro fertilization (IVF).

Pehea e hoʻokō ai i ka superfetation?

I nā kānaka, hiki i kahi hāpai ke hoʻohua ʻia kahi ovum (hua manu) e ka sperm. Hoʻokomo ka ovum momona i loko o ka kōpū o ka wahine. No ka superfetation e hiki ai, pono e hoʻoulu ʻia kekahi ovum ʻokoʻa loa a laila hoʻokomo ʻokoʻa i loko o ka ʻōpū.

No ka kūleʻa o kēia, pono e mālama ʻia nā hanana hanana ʻole.

1. Ovulation (hoʻokuʻu o on ovum e kahi ovary) i ka wā e hāpai mau nei. ʻAʻole hiki ʻole kēia no ka mea ua hoʻokuʻu ʻia nā hormoni i ka wā o ka hāpai ʻana e pale aku i ka hoʻoipoipo hou.
2. Pono e hoʻoulu ʻia ka lua o ka ovum e kahi hunaola sperm. ʻAʻole paha kēia no ka mea i ka hāpai ʻana o ka wahine, hana kā lākou cervix i kahi plug mucus e ālai ai i ka hele o ka sperm. ʻO kēia momi plug ka hopena o nā kiʻekiʻe o nā hormones i hana ʻia i ka hāpai ʻana.
3. Pono e hoʻokomo i ka hua manu i loko o ka ʻōpū hāpai. E paʻakikī kēia ma muli o ka implantation e koi ai i ka hoʻokuʻu ʻana i kekahi mau homoniola ʻaʻole e hoʻokuʻu ʻia inā hāpai kahi wahine. Aia kekahi pilikia o ka lawa ʻana o ka hakahaka no kahi embryo ʻē aʻe.

ʻO nā hanana o kēia mau hanana hanana ʻole ʻekolu e hana ʻia i ka manawa like me he mea hiki ʻole lā.

ʻO kēia ke kumu, o nā hihia he nui o ka superfetation hiki i hōʻike ʻia i nā puke olakino, ka hapa nui i nā wahine e hana ana.

I ka wā o kahi hoʻomaʻamaʻa momona, i ʻike ʻia ma ka hoʻouluulu vitro, hoʻohuli ʻia nā embryos i hoʻomoʻa ʻia i loko o ka kōpū o ka wahine. Hiki ke Superfetation inā ovulate ka wahine a lilo i ka hua i momona i ka sperm i mau pule ma hope o ka hoʻohuli ʻia ʻana o nā embryos i loko o kāna kōpū.

Aia kekahi mau hōʻailona i kū i ka superfetation?

Ma muli o ka liʻiliʻi loa o ka superfetation, ʻaʻohe mau hōʻailona kikoʻī e pili ana i kēia ʻano.

Manaʻo ʻia ʻo Superfetation ke ʻike ke kauka ke ulu nei nā fetus māhoe ma nā helu like ʻole i loko o ka ʻōpū. I ka wā o kahi hōʻike ultrasound, e ʻike ke kauka he ʻokoʻa ka nui o nā fetus ʻelua. Kapa ʻia kēia mea he discordance ulu.

Eia nō naʻe, ʻaʻole paha e kuhikuhi kahi kauka i kahi wahine me ka superfetation ma hope o ka ʻike ʻana he ʻokoʻa ka māhoe i ka nui. ʻO kēia no ka mea aia kekahi mau wehewehe maʻamau no ka discordance ulu. ʻO kahi laʻana ke hiki ʻole i ka placenta ke kākoʻo pono i nā fetus (ka lawa ʻole o ka placenta). ʻO kekahi wehewehe hou ke hoʻokaʻawale like ʻia ke koko ma waena o nā māhoe (pālua-i-māhoe transfusion).

Aia kekahi mau pilikia o ka superfetation?

ʻO ka pilikia koʻikoʻi o ka superfetation ka ulu ʻana o nā pēpē i nā wā like ʻole i ka wā o ka hāpai ʻana. Ke mākaukau kahi pēpē e hānau, ʻaʻole mākaukau ke fetus ʻē aʻe. E pilikia paha ka pēpē ʻōpio i ka hānau mua ʻia ʻana.

Hāʻawi ka hānau mua ʻole i ka pēpē i ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia olakino, e like me:

• pilikia hanu
• kaumaha hānau haʻahaʻa
• neʻe a me nā pilikia pili
• nā pilikia me ka hānai ʻana
• hemorrhage lolo, a i ʻole ke kahe ʻana o ka lolo i ka lolo
• neonatal respiratory respiratory syndrome, kahi maʻi hanu i hoʻokumu ʻia e nā ake māmā hemahema

Eia kekahi, ʻo nā wahine e hāpai ana i nā pēpē he nui aʻe i ka nui o ka makaʻu i kekahi mau pilikia, e like me:

• ke koko kiʻekiʻe a me ka protein i ka mimi (preeclampsia)
• mimikō hāpai

Pono paha e hānau ʻia nā pēpē ma o ka ʻaoʻao Cesarean (ʻāpana C). Aia ka manawa o ka ʻāpana C i ka ʻokoʻa o ka ulu ʻana o nā pēpē ʻelua.

Aia kekahi ala e pale ai i ka superfetation?

Hiki iā ʻoe ke hōʻemi i kāu manawa o ka superfetation ma ka loaʻa ʻole o ka moekolohe ma hope o kou hāpai ʻana. Eia nō naʻe, kākaʻikahi loa ka superfetation. ʻAʻole paha ʻoe e hāpai no ka manawa ʻelua inā ʻoe i moekolohe ma hope o kou hāpai ʻana.

ʻO kekahi o nā hihia o ka superfetation hiki ke hōʻike ʻia i loko o nā puke olakino, ʻo ka hapa nui i loko o nā wahine e mālama ana i nā lāʻau lapaʻau momona. Pono ʻoe e hoʻāʻo ʻia e hōʻoia ʻaʻole ʻoe i hāpai ma mua o ka mālama ʻana i kēia mau ʻano lapaʻau, a hāhai i nā ʻōlelo aʻoaʻo a pau mai kāu kauka hānau inā e hele ana i ka IVF, me kahi mau manawa o ka hōʻole ʻana.

Aia kekahi mau hihia i ʻike ʻia o ka superfetation?

ʻO ka hapa nui o nā hōʻike o ka superfetation i loko o ke kanaka i loko o nā wahine i loaʻa i nā lāʻau lapaʻau momona a hāpai.

Kūkākūkā ʻia ma kahi makahiki 2005 e kūkākūkā ana i kahi wahine 32 makahiki i loaʻa i ka momona i loko o ka vitro a hāpai i nā māhoe. Ma kahi o ʻelima mau mahina ma hope, ua ʻike ke kauka o ka wahine i ka manawa o kahi ultrasound ua hāpai ʻo ia i nā triplets ʻekolu. ʻO ke kolu o ka fetus ua ʻoi aku ka liʻiliʻi i ka nui. Ua ʻike ʻia kēia ʻōpū he ʻekolu pule ma mua o kona mau kaikaina. Ua hoʻoholo nā kauka he hana hoʻomohala hou a me ka implantation i hana maʻamau i mau pule ma hope o ke kaʻina hana in vitro fertilization.

I ka makahiki 2010, aia kekahi hōʻike hihia hou o kahi wahine me ka superfetation. Ke hele nei ka wahine i kahi kaʻina insemination (IUI) i hana ʻia a ke lawe nei i nā lāʻau e hoʻoulu i ka ovulation. Ua ʻike ʻia ua hāpai ʻo ia i ka hāpai ʻana o ka ectopic (tubal). ʻAʻole maopopo nā kauka ua hāpai ka wahine i ka hāpai ectopic ke hana lākou i ka hana IUI.

I ka makahiki 1999, aia kahi hōʻike o kahi wahine i manaʻo ʻia ua ʻike ʻino wale ʻia ka superfetation. Ua ʻike ʻia nā pēpē he ʻehā pule kaawale. Ua hele ka wahine i kahi hāpai maʻamau a hānau nā pēpē ʻelua i ke olakino. Ua hānau ʻia ʻo Twin one i wahine ma 39 mau pule a he māhoe ʻelua nā kāne i hānau ʻia ma 35 mau pule.

Lawe aku

ʻIke pinepine ʻia ka Superfetation i nā holoholona ʻē aʻe. ʻO ka hiki ke hana kūlohelohe ʻia i loko o kahi kanaka e noho hoʻopaʻapaʻa ana. Aia kekahi mau hōʻike hihia o ka superfetation i nā wahine. ʻO ka hapa nui i ke kōkua ʻana i nā ʻano hana hoʻohua kōkua, e like me ka fertilization in vitro.

Nā hopena Superfetation i nā fetus ʻelua me nā makahiki a me nā nui. ʻOiai ʻo kēia, hiki i ka hānau ʻana o nā pēpē ʻelua i hoʻomohala piha ʻia a me ke olakino piha.