Isigama esinxulumene nokukhulelwa ngamavidi kunokudideka kwaye kukhulu. Ukufumanisa ukuba unamawele nje ukuqala kwimeko evuyisayo; kunye nokulungelelanisa kwimbono yokuba neentsana ezimbini ngelo xesha, kuninzi ukufunda! Nantsi isikhokelo sokuqonda le migaqo, kwaye bathetha ntoni kubantwana abasakhulayo.
Ngethuba lokukhulelwa kwamawele, mhlawumbi uvile imiqathango ethi "Di / Di" okanye "Mo / Di" isetyenziswe ukuchaza amawele. La magama asetshenziselwa ukuhlukanisa nokucacisa ama-twin anatomy kwisibeleko. Nangona kungathi kunjengeentlobo ezininzi zezokwelapha ezihamba phambili, zibalulekile iingqiqo kubazali kuba amanye amawele asemngciphekweni weengxaki.
Amabhinqa Kwimbombo
Masiqale ngokuqonda imo. Esibelethweni, umntwana ukhula ngaphakathi kwesibeleko somama. I- placenta ifakela eludongeni lwesisu kwaye isebenza ngenjongo yokubamba inkunkuma kunye nokubonelela izondlo kumntwana. Idibanisa ngekhowudi yomntwana kumntwana. Umntwana ufakwe kwisangxo egcwele amanzi ejikelezwe ngumlenze omncinci, obizwa ngokuba yi-amnion. I-membrane yesibini, ebizwa ngokuba yi-chorion, ijikeleze i-sac amniotic.
Isigama esichazwayo
Masiyiphule.
- Mo = Omnye
- Di = ezimbini
- Ikhefu = Iimbumba zangaphandle
- Amnion = Isibilini sangaphakathi, esenza isigxoba esigcwele i-amniotic fluid ephethe i-fetus
Xa ubeka iziqwenga ndawonye, bachaza le migaqo:
I-Monochorionic - enye ikheri
I-Monoamniotic (okanye i-monoamnionic) - enye i-amnion
La magama achaza amawele - rhoqo amawele e-monozygotic - anokwabelana ngendawo. Zifakwe kwi-ONE amniotic bag kunye / okanye i-ONE chorion.
I-Dichorionic - ii-chorions ezimbini ezihlukeneyo
I-Diamniotic - amabini amnion / amabini ama-amniotic
La magama achaza amawele - anokuthi abe monozygotic okanye i- dizygotic - elowo unayo, iisaka ezihlukeneyo. Kukho ama-placentas amabini , nangona kwezinye iimeko, i-placentas ifanelana ndawonye.
Ngoko ke sijonge kubo ngokudibeneyo.
Uninzi lwamamawele a di / di, oko kukuthi, dichorionic, diamniotic. Oko kuthetha ukuba bahlakulele ngokwahlukileyo, ngamnye kunye ne-placenta kunye neengxowa zakhe. Yiyo yonke indlela i- dizygotic - okanye amawele angamaqabane akhula. Ukongeza, ezinye iimbasa ze-monozygotic (ezifanayo) ziya kuyenza ngale ndlela, kuxhomekeke kwindlela yokuqala emva kokukhulelwa kweqanda. (Funda kabanzi malunga namawele e-monozygotic apha.)
Nangona kunjalo, amanye amawele e-monozygotic aya kuba mo / di okanye mo / mo. Oko kuthetha ukuba ziyi-monochorionic kodwa i-diamniotic, okanye ziyi-monochorionic kunye ne-monoamniotic. Amawele azinakukwazi ukwenza idi / mo. Ukuba kukho ii-chorions ezimbini, ngoko azinako kwi-sac efanayo ye-amniotic kuba i-membrane yangaphakathi kwaye, ngentsingiselo, iya kuhlukaniswa.
Masiyiphule ngakumbi.
Di / Di - dichorionic / diamniotic . Lawa mawele ahlukeneyo, kunye nee-chorions ezihlukeneyo kunye ne-sac amniotic yabo. (Ngamanye amaxesha anikezelwe njengeDDCDA.)
Mo / Di - monochorionic / diamniotic . Lawa mawele asemacandeni amniotic ahlukeneyo kodwa aqulethwe kwimbumba yangaphandle.
Kukho ipalamente enye, eyabelwe. (Ngamanye amaxesha anikezelwe njengeMCDA.)
Mo / Mo - monochorionic / monoamniotic. Lawa mawele asemgodini omnye we-amniotic, kunye nekhefu elilodwa. Kukho ipalamente enye, eyabelwe. (Ngamanye amaxesha anikwe i-MCMA.)
Cinga Ngalo Nendlela ....
Ididi / Diwele ifana nezindlu ezimbini kwindawo efanayo. Umntwana ngamnye uhlala endlwini yakhe kwaye ulawula izibonelelo zakhe.
Amawele e-Mo / Di afana namaziko amabini kwisakhiwo esifanayo. Umntwana ngamnye uhlala kwisakhiwo esifanayo, kodwa banendawo yabo yangasese. Zihlukaniswe ngodonga lwangaphakathi kunye neengcango, kodwa ingaphandle kwesakhiwo sabiwe.
I-Mo / Mo amawele afana nabantu ababini abahlala kwigumbi elinye kwigumbi okanye indlu. Belana ngezixhobo eziza kwisithuba kwiindonga ezifanayo.
Kuchongwa njani iTwin Chorionicity?
Ngethuba lokukhulelwa, uviwo lwe-placenta (s) kunye neembrane nge-ultrasound ngamanye amaxesha lunokuthi luqinisekise i-chorionicity. Ukutshekisha kwe-ultrasound, ngokuqhelekileyo ekuqaleni kokukhulelwa, kuya kujonga enye okanye ezimbini iipenteko kunye nobukhulu beembrane. Umlenze okhudlwana ungabonisa ididi / iwele, ngelixa umlenze omncinci okanye ukungabikho kwesibambane kunokubonakalisa i-mo / di okanye i-mo / mo amawele. I-Sonographers inokuphinda ihlole "i-twin peak sign" - nayo ibizwa ngokuba "uphawu lwe-lambda" ngenxa yokufana kwayo nencwadi yesiGrike: λ. Yenza apho ii-placentas ezimbini kunye neengxowa zenzeke kwi-di / di twins. Isakhiwo esenziwe nge-T sinokubonisa i-mo / di twins.
Ukuqinisekiswa okuqinisekileyo kuphela kwe-di / diwele ngexesha lokukhulelwa xa abantwana bechongwa njengenkwenkwana enye nentombazana enye. Ukuba ngaba bahlukeneyo ngesini, bahlala besifo se-dizygotic. ( Ngaphandle kwezinto ezingaqhelekanga .) Khumbula, zonke iwele ze-dizygotic zi di di / di, ngelixa iimbono ze-monozygotic zingabakho / di, im / di okanye mo / mo. Emva kokunikezelwa, uhlalutyo lwe-patholoa lwe-placenta kunye neembumba zinganika ingqiqo, kodwa kubaluleke kakhulu ukucacisa i-chorionicity ngexesha lokukhulelwa ukwenzela ukubeka iliso kunye nokujongana naziphi na iingxaki ezinokwenzeka.
Ziziphi iifom
Ukwazi i-chorionicity of twins kunokunceda ukuhlola umngcipheko kunye nokucwangcisa isicwangciso sonyango ukubonelela ngokunyamekela kokubeleka kwangaphambili kwiphumo elihle lokukhulelwa ngamawele. I-Dichorionic / diamniotic (di / di) amawele ngokubanzi abonisa ingozi eyongezelelweyo. Nangona kunjalo, i-mo / di kunye ne-mo / mo iimbasa kufuneka zihlolwe ngenyameko kuba zisengozini enkulu yokwenza iingxaki. I-Twin-to-Twin Transfusion Syndrome (i-TTTS) okanye i-Twin Anemia-Polycythemia Ukulandelelana (TAPS) ingahlakulela kwi-tw / twins. Amawele e-Mo / mo angangeniswa yintambo yokungena.
Imithombo:
I-Fox, iTraci B. "Iziqulatho ezininzi: Ukuqulunqiswa kwezinto zokuzikhethela kunye no-Amnionicity." U-Thomas Jefferson Univeristy kwiSebe lee-Radiologic Sciences Faculty Papers. Ufikelele kuJulayi 27, 2015. http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1000&context=rsfp
Moise, Kenneth J., noArtgotti, uPedro S. "Kubaluleka kokugqiba ukunyameka kwamathambo." I-OB / GYN yexesha eliqhelekileyo. Kufumaneka ngoJulayi 27, 2015. http://contemporaryobgyn.modernmedicine.com/contemporary-obgyn/news/modernmedicine/modern-medicine-feature-articles/importance-determining-chori?page=full
Al Riyami, Nihal, Al-Rusheidi, Asamaa, Al-Khabori, Murtadha. Isiphumo sePerinatal of Monochorionic ngokuthelekisa kwiDichorionic Twin Pregnancies. " Oman Medical Journal. , NgoMeyi 28, 2013, iphe. 173.
UMorgan, uMat A. kunye noRadswiki et. al. "Dichorionic diaminiotic twin pregnancy." Radiopaedia.org. Kufumaneka ngoJulayi 27, 2015. http://radiopaedia.org/articles/dichorionic-diamniotic-twin-pregnancy
Kakhulu, u Isabelle. "Ubonakaliso kwiMifanekiso: I-Twin Peak Sign." I-Radiological Society yaseNyakatho Melika. Kufumaneka ngoJulayi 27, 2015. http://pubs.rsna.org/doi/full/10.1148/radiology.220.1.r01jl1468