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Mālama hāpai keiki Prenatal Prenatal oi-Shivangi Karn Na ʻO Shivangi Karn ma Pepeluali 17, 2021 Hiki i ka hāpai ʻana o ka māhoe ke ikaika a pīhoihoi i nā mākua he nui. Nui nā kumu i ke kuleana nui i ka hoʻonui ʻana i ka likelihood o ka hāpai ʻana i nā māhoe.
Kūlohelohe kekahi o kēia mau mea e like me ka mōʻaukala ʻohana o nā māhoe aʻo kekahi e pili ana i nā ʻano hana a me ke kino o nā wahine. E hoʻomaopopo, aia ʻelua mau ʻano māhoe: māhoe like a me nā māhoe. Hānau ʻia nā māhoe like me ka hopena o ka hoʻokaʻawale ʻana o ka hua manu i loko o ʻelua embryos ʻoiai hānau ʻia nā māhoe fraternal ma ke ʻano he hua o nā hua ʻelua i hoʻomomona ʻia me ʻelua mau sperm.
Kūlohelohe ka hū ʻana o nā māhoe like a ʻo ka hū ʻana o nā māhoe fraternal ka mea nui i hoʻohuli ʻia e nā mea he nui. E hāʻawi kēia ʻatikala iā ʻoe i kahi manaʻo e pili ana i nā kumumea e hoʻonui ai i ka nui o ka hāpai ʻana me nā māhoe a me nā māhoe fraternal paha. E koho pono.
1. Nā Genetics
ʻO ka mōʻaukala ʻohana o nā māhoe ke kumu nui loa e hāpai kūlohelohe ai i nā māhoe. Inā he moʻolelo o nā māhoe fraternal mai ka ʻaoʻao o ka makuahine, e piʻi ka manawa o ka hāpai ʻana o nā māhoe a inā aia nā ʻaoʻao ma nā ʻaoʻao ʻohana ʻelua (makuakāne a me makuahine ʻelua), a laila ʻoi aku ka nui o nā manawa. ʻO kahi kumu ʻē aʻe ka makahiki makuahine inā ʻoi aku ia ma luna o 30 mau makahiki me ka mōʻaukala o nā māhoe, e ala kū wale nā manawa. No nā kāne me ka moʻoʻohana o nā māhoe, he mea nui ka ʻōlelo aʻoaʻo ʻōiwi prenatal i mea e pale ai i nā pilikia o ka hāpai ʻana.
pehea e holoi ai i kou maka
2. Mōʻaukala o nā māhoe
ʻ saylelo nā noiʻi inā he ʻelua māhoe ʻolua (māhoe māhoe paha) mai kou hāpai mua ʻana, nui ka manawa e hāpai hou me nā māhoe fraternal. Aia nā manawa kūpono i ka lakio o 1:12. Eia nō naʻe, inā he mau māhoe like ʻoe, a laila haʻahaʻa loa ka manawa kūpono no kekahi mau māhoe like ʻelua a ma kahi o 1: 70000. [1]
3. Makahiki makuahine
Wahi a kahi noiʻi, hoʻonui ka manawa kūpono o ka hāpai ʻana me nā māhoe me ka makahiki makuahine. Hōʻike ka ʻikepili mai ka noiʻi ʻana he moʻopuna hānau hānau nā 6.9 pakeneka o nā keiki hānau hou i hānau ʻia e nā wahine me nā makahiki ma luna o 40, 5.0 pākēneka no nā wahine ma waena o 35-39 a me 4.1 pakeneka no nā wahine ma waena o 30-34, a ma hope o 3.1 no 25-29, 2.2 pakeneka no 18-24 a me 1.3 pākēneka no 15-17. [elua]
4. Kaumaha
Wahi a kekahi mau noiʻi i nā wahine a wahine paha a momona paha me ka kiʻekiʻe o ka BMI o 30 ua hoʻonui i ka likelika o ka māhoe dizygous i hoʻohālikelike ʻia me nā wahine me ke kaupaona olakino. Hiki i kēia ke kumu o ka hoʻonui ʻia o ka estrogen ma muli o ka momona keu i hiki ke alakaʻi i ka hoʻokuʻu ʻia o ʻelua mau hua. [3] Eia nō naʻe, pili pū ka momona momona ma mua o ka hāpai ʻana i ka nui o ka makaʻu o nā pilikia e like me ka diabetes diabetes a me ka preeclampsia. [4]
5. Kiʻekiʻena
ʻO nā wahine i ʻoi aku ke kiʻekiʻe, me ka awelika o ke kiʻekiʻe ma kahi o 5 kapuaʻi 4.8 iniha, ua hoʻonui i ka manawa o ka hāpai keiki māhoe. Eia naʻe, ʻaʻole like ka nui o nā kūlike me nā wahine momona. Eia kekahi, ʻo nā wahine i ʻoi aku ka lōʻihi a hāpai i nā māhoe aia i ka hoʻemi makaʻu o ka hānau mua. [5]
6. Heihei
Aia ka hanana o nā hānau māhoe ma nā ʻāina āpau, akā hōʻike kekahi mau noiʻi he kiʻekiʻe loa ka helu mahoe ma Nigeria a me ka hapa nui o nā ʻāina Central-ʻApelika me 18 no 1000 hānau i hoʻohālikelike ʻia me nā ʻāina e like me Kina, Thailand, Vietnam, India a me Nepal kahi aia ka helu mahoe ma lalo o 9 no 1000 hānau. [6]
7. hānai hānai
ʻAʻole nui nā noiʻi e kākoʻo i ka ʻoiaʻiʻo hiki i ka waiū hānai ke hoʻonui i ka nui o ka hāpai ʻana me nā māhoe. ʻO kēia no ka mea i ka wā o ka hānai ʻana i ka waiū, kahi hormone i kapa ʻia ʻo prolactin, ʻo ia ke kuleana no ka hana ʻana o ka waiū, e hoʻokiʻekiʻe ʻia i loko o ke kino, kahi i ʻike ʻia e hōʻino i nā hana ovarian a pale i ka hāpai mua ʻana. Eia nō naʻe, ke ʻōlelo nei kekahi mau noiʻi, ʻo nā wahine hāpai i ka wā o ka hānai ʻana, ʻoi aku ka manawa o ka hāpai ʻana me nā māhoe ke hoʻohālikelike ʻia me nā wahine hānai ʻole. [7]
8. Pākuʻi
ʻO ka Folic acid a me nā huaora ʻelua mau meaola pono e koi ʻia e nā wahine hāpai no ka ulu pono ʻana a me ka hoʻomohala ʻana o nā pēpē a no ke olakino makuahine. Kuhi kahi noiʻi e hiki i nā mea hoʻopihapiha ke kiʻekiʻe o ka folic acid a me nā multivitamins ke hoʻonui iki i ka hanana o nā hāpai māhoe i ka hoʻohālikelike ʻia me nā wahine i loaʻa ʻole nā pāʻina. [8]
9. Meaʻai
Hiki i nā mea hānai ke lilo i hoʻokahi o nā mea nui i ka manaʻo o nā māhoe. ʻO kekahi mau meaʻai e like me ka waiū, ka soya a me nā iʻa e pili ana i ka hoʻonui ʻana i ka momona ma nā kāne a me nā wahine. Hoʻonui ka ʻai ʻana o kēia mau meaʻai i nā manawa o ka hāpai māhoe ʻana e like me kekahi mau aʻo ʻana. Eia naʻe, ʻo ka ʻai ʻana i kēia mau meaʻai ʻaʻole ia he manaʻo e hāpai ʻoe i nā māhoe. ʻO ia wale nō ke kiʻekiʻe o nā manawa o ka hū ʻana o ka māhoe, ke noʻonoʻo nei i nā kumu ʻē aʻe e like me ka mōʻaukala ʻohana a me ke kiʻekiʻe o nā mākua, kaupaona a me nā makahiki. [9]
10. Nā ʻenehana hoʻouluulu i kōkua ʻia
ʻO nā wahine e hele nei i nā hana lapaʻau hānau ma muli o nā pilikia hānau ʻole ka nui o ka manawa o nā māhoe. ʻAʻole hiki ke ʻano ma lalo o nā kumu kūlohelohe akā kahi ala i hoʻolālā ʻia e hāpai i nā māhoe. ʻO kekahi o kēia mau ʻano hana:
- Nā lāʻau hoʻoweliweli Ovulation: ʻO nā wahine ma lalo o kekahi o nā lāʻau ovulate-stimulate a i ʻole nā lāʻau hānau e like me clomiphene citrate a me gonadotrophins ua hoʻonui i ka hanana o ka māhoe ʻana i ka hoʻohālikelike ʻia me nā wahine ʻaʻole ma lalo o kēia mau lāʻau. Mālama kēia mau lāʻau i hyperstimulate i nā ovaries a alakaʻi i ka hapai ʻana o nā māhoe. [10]
- IVF: Kuhikuhi ia i ka hana fertilization In-vitro kahi e momona ai nā hua a me nā sposystem ma waho o ke kino a laila hoʻoili ʻia i ka ʻōpū no ka ulu hou ʻana. Ke piʻi nei ka koi no ka hāpai mahoe ma o IVF ma ke ʻano he ʻoi aku ka nui o ka hāpai ʻana o ka Singleton IVF ma mua o ka hānau ʻana o nā singletons ma ke ʻano kūlohelohe a ʻo ka hāpai ʻana o nā māhoe ma o ka IVF he mea liʻiliʻi ka hoʻohālikelike ʻia i nā māhoe i hāpai maoli ʻia. [umikumākahi]
- Hoʻokomo ʻia ka sperm intracytoplasmic (ICSI): ʻO ia kahi hana e hoʻokomo pono ʻia ai kahi sperm hoʻokahi i loko o ka hua manu, i nā ʻano ke manoanoa a paʻakikī hoʻi ka papa o waho o ka hua manu no nā kolo e komo i loko.
11. Nā mea kanu momona
Hiki i kekahi mau mea kanu ke hoʻomaikaʻi i ka lako o ke koko i nā kiko hānau, hoʻomaikaʻi i nā hana ovarian a paipai i ka momona a me ka ovulation e alakaʻi ana i ka hāpai ʻana o ka māhoe. ʻO kekahi o kēia mau mea kanu:
nā ʻoihana kī maikaʻi loa ma ka honua
- ʻO ka lāʻau maʻemaʻe a i ʻole Vitex agnus castus: Hoʻomaopopo nui ʻia kēia kumulāʻau e hoʻomaikaʻi i nā pilikia momona a hoʻonui i nā manawa o ka hāpai ʻana. Kūkākūkā kahi noiʻi e pili ana i ka hoʻokuʻu ʻia ʻana o ʻekolu mau hua i loko o ka wahine ma lalo o ka mālama ʻana i ka IVF a ua lawe i kēia lāʻau lapaʻau i ka hā o ka hoʻomaʻemaʻe IVF. [12]
- Maca kumu: ʻO ke aʻa ʻo Maca kahi lapaʻau Peruvian maʻamau no ka momona i manaʻo ʻia e hoʻonui nui i ka manawa o ka hāpai ʻana me nā māhoe. Eia nō naʻe, aia kekahi mau hopena ʻē aʻe e hele mai me nā aʻa Maca e like me ka loli ʻana o ke ʻano.
- ʻO kaʻaila primrose ahiahi: Kaulana kēia aila no ka hopena kūikawā i ka mālama ʻana i nā maʻi wahine, me nā pilikia o ka momona. ʻO ka ʻaila primrose ahiahi e hoʻomaikaʻi i nā hana hānau āpau o nā wahine a hoʻonui paha i ka nui o ka hāpai ʻana o ka māhoe.
Kaha: ʻAʻole pono e noʻonoʻo ʻia nā lāʻau lapaʻau lāʻau wale nō ke ala kūpono e hāpai ai i nā māhoe. Eia kekahi, lawe wale ʻia lākou ma hope o ke kuhikuhi ʻia e kahi loea lapaʻau no ka mea he hopena paha lākou.
12. Nā kūlana moekolohe
ʻAʻole nui nā noiʻi e hoʻihoʻi i ke kuhiakau o ka hāpai ʻana me nā māhoe ma muli o nā kūlana wahine kikoʻī. Eia nō naʻe, hiki i kekahi mau kūlana moekolohe ke hana i ke komo maikaʻi ʻana, hoʻonui i ka ovulation a pēlā, hoʻonui i nā manawa o ka hāpai hāpai māhoe. O lākou:
- Kūlana mikionali: He kūlana kāne a luna. Kōkua kēia kūlana i nā pōpō e ʻau maoli i ka hua manu ma muli o ka hopena o ka umekaumaha a hoʻonui i ka likiki o nā māhoe.
- Nā kūlana moho komo hope: Hoʻopili pū ʻia me nā kūlana moekolohe e like me ka style doggy kahi e komo ai ke kāne mai ka hope o ka wahine kēia kūlana i ka hohonu o ke komo. Eia nō naʻe, ʻaʻohe noiʻi pili i ka hōʻike e kākoʻo i ka hoʻopiʻi.
- Nā kūlana Scissing: Kuhi ʻia kēia kūlana e ke kāne a me ka wahine e kū pono ana kekahi i kekahi me nā wāwae i hoʻonoho ʻia e like me ka ʻūpā a i ʻole ke keʻa. ʻO ke kūlana ke kumu o ka hohonu o ke komo a hoʻonui i ka hoʻoliʻiliʻi o ka uterus i hiki ai i nā kolo ke hele maʻalahi i nā hua manu.
Hoʻopau
ʻAʻole pili ka manawa o ka loaʻa ʻana o nā māhoe i kekahi o nā kumu i ʻōlelo ʻia aʻe akā ʻo ka nui o nā kumu i hui pū ʻia. Eia kekahi, pono e hoʻomanaʻo kekahi i ka hapai ʻana o kekahi poʻe i nā māhoe me ka ʻole o kekahi o nā kumu i luna a ʻo nā mea ʻē aʻe e kū pilikia ana i ka loaʻa ʻana o ʻelua a ʻoi paha o nā kumu i luna.
