Kuphela i-ultrasound inokuqinisekisa amawele, kodwa kunokuba neenkcukacha zokuqala
Abanye oomama abakhulelwe ngamawele bathi bakrokrela ukuba bathatha ngaphezu kweyodwa umntwana kwasekuqaleni. Kanti abanye oomama bayamangalisa xa befumanisa ukuba banamawele.
Inyaniso kukuba nangona kukho imiqondiso emininzi kunye neempawu ze-pregnancy pregnancy, kukho ukugqithisa okukhulu kunye neempawu neempawu zokukhulelwa kwe-singleton.
Akunakwenzeka ukuba uqonde ngokuqinisekileyo ukuba ngaba uphethe amawele (okanye iintsana ezininzi) ngokulula nje indlela ozivakalelwa ngayo okanye ukuphuma kwinto yokuhlola ukukhulelwa ekhaya. Enyanisweni, kuphela i- ultrasound inokuqinisekisa i-twin okanye ukukhulelwa okubanzi.
Oko kwathiwa, kunokuba kunomdla ukuzibuza ukuba iimpawu okanye iimpawu ezithile ziyimpawu ezinqabileyo ukuba wena okanye othandekayo unokuthwala umntwana omnye. Makhe sijonge ngokubhekiselele kwezi zinto ezinokuthi zenzeke kwiintsana ezininzi.
Iinqanaba zeHCG eziphakanyisiweyo kwi-Urine okanye ngeGazi (Izilingo zokukhulelwa)
Awukwazi ukucacisa ngokucacileyo ukukhulelwa okukodwa ukusuka kumawele kumvavanyo wokukhulelwa komchamo. Oku kuthetha, unokuba novavanyo lokukhulelwa kwangaphambili xa ukhusela iwele. Ukuba usebenzisa isilingo sokukhulelwa rhoqo (kungekhona iindidi ezinobungqina obuninzi) kwaye ufumane i-positive positive (ngokukodwa isibonakaliso esilumnyama kakhulu) iintsuku ezimbalwa ngaphambi kokuba ixesha lakho lifaneleke, kunokuba nethuba elongeziweyo lokuba uthwele amawele.
Kodwa, khumbula, iimvavanyo zokukhulelwa kwamanzi emzimbeni azithembekanga xa kuziwa ukuqikelela ubungakanani beHCG; Baye baqikelele ukuba ingaba ubuncinane ubuncinane beHCG bukhona. Ngamanye amagama, amathuba kukuba umphumo wokuvavanya okanye umnyama wamandulo uthetha ukuba unamanzi amancinci okusela ngexesha lovavanyo.
Uvavanyo lokukhulelwa kwegazi (izinga le-hCG), nangona kunjalo, linokukunika into engcono, kodwa ingenaso isicatshulwa sokuthi uphethe amawele. I-HCG i-hormone ebonakalayo kwigazi labasetyhini abakhulelweyo okanye umchamo malunga neentsuku ezili-10 emva kokuzalwa komzimba kwaye ngokuqhelekileyo ziphindwe kabini iintsuku ezimbini ukuya kwethathu, zihamba ngeeveki ezi-8 ukuya kwe-11 zikhulelwe.
Kungakhathaliseki, amazinga e-hCG aphakamileyo ekukhulelweni kokuqala akuyona indlela efanelekileyo yokufumana amawele. Esinye sezizathu kukuba ezi nqanaba azihloliswanga rhoqo ngaphandle kokuba uphethwe unyango.
Omnye umba kukuba uluhlu oluqhelekileyo lwe-hCG luyahlukahluka phakathi kwabasetyhini abahlukeneyo. Umzekelo, amanqanaba phakathi kwe-18 mIU / ml kunye ne-7,340 mIU / ml ithathwa njengesiqhelo kwiiveki ezintlanu. Ekugqibeleni, Ukongeza kwimizi-mveliso, kukho ezinye iimbangela zezinga eliphezulu leHCG , njengento yokukhulelwa kwe-molar .
Yaye, zonke ezi zinto zicinga ukuba umhla oqikelelwayo ochanekileyo uchanileyo, oqhelekileyo. Kuyinto enokwenzeka ukuba mhlawumbi ungaphambukisa ixesha lakho elilahlekileyo okanye xa ususwe.
Doppler Heartbeat Count
Ukusebenzisa amaza omsindo ongenakonakalisa, inkqubo yeDoppler ikhulisa imisindo yentliziyo yesisu, ngokuqhelekileyo ihlukaniswe ngokukhawuleza ekupheleni kwekota yokuqala. Ugqirha okanye umbelethisi onamava unokukwazi ukubona ubuninzi bentliziyo, obonisa ukukhulelwa okubanzi.
Ukuphulaphula intliziyo yengane ekuqaleni kwexesha lokukhulelwa, nokuba kunjalo, kulula ukudukisa. Into ebonakala ngathi yintliziyo yesibini ingaba yintliziyo yesana enye evezwe kwelinye ikota (okanye njenge-echo).
Intliziyo yomama ayisoloko iphosakele ngunyana njengoko ngokuqhelekileyo isiqingatha sesilinganiselo senhliziyo yengane. Sekunjalo, intliziyo yomama ingenza isandi somhlaba esenza ukuba kunzima ukuhlukanisa iintliziyo zentsapho ezimbini okanye ngaphezulu.
Ukugula okungakumbi kweMasa
Kukho ilizwi malunga namawele: "Uphindwe kabini njengagula, kathathu ngokukhathala, kunye nezihlandlo ezine ukuzuza ubunzima." Kodwa oku kukuthi, ngeendlela ezininzi, ibhali labadala.
Ngokuqinisekileyo, umama weeplani unokufumana ukugula okungakumbi kusasa , kodwa usebenzisa isantya sokugula kwasekuseni njengokuqikelela ukuba uthwele amawele akubalulekanga kakhulu.
Ngokubanzi, malunga nesiqingatha sabasetyhini bafumana ubuninzi beentlanzi kunye nokuhlanza nokukhulelwa okukodwa, kunye neepesenti ezi-1 namava e- hyperemesis gravidarum , uhlobo lokugula okusa kusasa. Ngelo xesha, amanye amamazana amawele kunye neentathu athi abanakho ukugula kwasekuseni.
Kwakhona, kunye nosana lokuqala, ibhinqa alinaso isalathiso sokuqhathanisa isantya sayo sesicefe. Kodwa ngeentsana zesibini kunye nokuqhubeka, malunga neepesenti ezingama-15 zabesetyhini babike ukugula okungakumbi kusasa ngokuphindaphindiweyo kunokuba bekhulelwe.
Ekugqibeleni, enye into engabonakalisa ukuba ngabafazi abathwala iziphindaphindiweyo, isicupunu sinokuqala ngokukhawuleza, nangaphambi kokuba uvavanyo lokukhulelwa lungene. Kwakhona, nangona kunjalo, oku akuyinyani, ukujonga nje.
Ukutyeba kwakho
Nangona oomama amawele kuphela bafumana iipounds ezili-10 ngaphezu koomama abangabonayo, ubuninzi besisindo somfazi ozuza ngokuxhomekeka kuninzi ngokuphakama kwakhe, uhlobo lomzimba, nokuba lilinganisa kangakanani ukukhulelwa ngaphambi kwenani leentsana esiswini sakhe.
Ukongezelela, ukunyuka kwindleko yesisindo kubakho kamva xa ukhulelwe, ngokuphindaphindiweyo emva kokuba i-ultrasound sele iqinisekisile okanye ingabandakanyi ukuxilongwa kwamawele okanye ezinye iziphindaphindi.
Ekugqibeleni, ukutya kwakho kungesizathu sokuba ufumana ubunzima obukhulu. Unokuthi uthathe iikhalori ezingaphezu kwezinto ozifunayo. Ukuba unomdla malunga nobukhulu bakho ngexesha lokukhulelwa, nceda uthetha ugqirha wakho ngokubona isantya sokutya.
Iziphumo zoVavanyo ze-AFP ezingavumelekanga
I-AFP (i-Alpha-fetoprotein) yokuhlola i-blood test eyenziwa koomama abakhulelweyo ngelixa lesibini elinesithathu. Kwakhona kwaziwa ngokuba yi-serum yokuhlola i-serum okanye ukukhangela amanqaku amaninzi, isetyenziselwa ukuchonga ingozi eyongeziweyo yeziphene ezithile zokuzalwa. Ukukhulelwa okubini kungavelisa umphumo oqhelekileyo okanye "othe tye". Ngokuqhelekileyo, ugqirha uya kuphendula ngokucwangcisa i-ultrasound ukwenzela ukuhlola okuqhubekayo.
Ukulinganisa Okukhulu Kwimihla Yokunyusa
Kukho konke ukukhulelwa kwakho, ugqirha wakho okanye umbelethisi uya kulinganisa ubude be-uterine fundus (ukulinganisa ukusuka phezulu kwethambo le-pubic ukuya phezulu kwimbumba) njengendlela yokuqikelela iminyaka yobudala kunye nokukhula komntwana.
Ukuzikhupha okanye ukukhulelwa okubanzi kunokubangela ukuba isibeleko sikamama sikwandise ngaphaya kohlu lokukhulelwa okukodwa. Nangona kunjalo, ezinye izinto zinganokwandisa imilinganiselo. Lo mqathango kunzima kakhulu ekuqaleni kokukhulelwa kunokuba emva koko, xa i-ultrasound isele ifumene ukuba khona kwamawele.
Ngokuqinisekileyo, kukho ezinye izizathu zokuba unokuba ulinganisa enkulu okanye "ubonisa enkulu okanye ngokukhawuleza" kunokuba ulindele. Ukuba ukhulelwe kwixesha elidlulileyo, uya kubonisa ngokukhawuleza. Ukongeza, unokulinganisa enkulu ukuba usuku lwakho lokukhulelwa lungalunganga okanye ukuba umntwana wakho ukhulu kakhulu.
Movement Fetal
Ukuvakalelwa umntwana (okanye iintsana) ukuhamba ngaphakathi kwesibeleko ngenye yezinto ezinomdla kakhulu zokukhulelwa.
"Ukukhawuleza," okanye ixesha oqala ukuva ngalo usana lwakho, lunokuthi lube naliphi na ixesha phakathi kwe-18 neye-25 kwiiveki kodwa ngokuqhelekileyo lubonwe kwangaphambili ekukhulelweni okulandelayo, mhlawumbi ngeveki ezili-16. Xa abafazi bevakalelwa ukunyakaza ekukhulelweni kokuqala, bahlala bengavumelani kwaye banokukhohlisa.
Nangona amaninzi amaninzi aphindaphindiweyo anamava amaninzi okanye ahamba phambili ngaphambili, kukho ukungavumelani phakathi koogqirha bezonyango malunga nesi sifundo. Kwababhinqa abathile, ukuqonda iimvakalelo zokunyakaza kwenzeka ngaphambi kwexesha lokukhulelwa okulandelayo, ingaba kukho umntwana omnye okanye ngaphezulu. Ukongezelela, qaphela ukuba oko kunokubonakala ngathi ukunyuka komntwana ekukhulelweni kokuqala kunokuthi kube yi-gas okanye isisu esicasulayo.
Ukukhathala okukhulu
Ukukhathala okukodwa kukuba isikhalazo esivame ukuvakaliswa ngexesha lokukhulelwa. Ukulala, ukunyaniseka, kunye nokunyuka ngexesha le-trimester yokuqala kunokuphuculwa kuba umzimba usebenza ixesha elingaphezu kwexesha lokunyusa umntwana omnye.
Kwezinye iimeko, ukukhathala kungabonwa kwezinye izinto (umsebenzi, uxinzelelo, ukungondleki kakuhle, kuba nabanye abantwana), kodwa kunokubonisa ezininzi.
Kodwa isantya sokukhathala singakwazi ukuvavanya, ubuncinane njengoko kuhambelana namawele. Siyazi ukuba ukukhathala kuphephe ngokukhawuleza ekukhutheni , nangamabhalane.
Khumbula, ii-moms zokuqala abanalo inqaku lokubhekisela kwinqanaba "eliqhelekileyo" lokukhathala. Owesibini-xesha (kunye nangaphezulu) oomama bangaqaphela ukukhathala okwandayo, kodwa baxelele oku kumfuno zokunyamekela abantwana abancinci ngenkathi bekhulelwe. Sekunjalo, oomama abaye baqala ukukhulelwa banokuqaphela ukuba baninzi bakhathele.
Kwakhona, ukukhathala kungumqondiso wokuzithoba kwaye uninzi olunokuba luncedo.
Ukuvakalelwa kwemizwa kunye namaHunki
Nangona ezinye izinto eziluluhlu zibhekisela kwindlela ethile yobungqina obubonakalayo-iimpawu ezigqithisileyo, iziphumo zokuvavanya ezingavamile, ukunyuka kokugula kwasekuseni kunye nokunye-asikwazi ukuwahoxisa amandla enkcazelo yomama. Ingaba oomama-ukuba babe namaphupha amawele okanye abazingeli abakwazi ukuchazela, abo banakekele abafazi abakhulelweyo baya kufunda ukuphulaphula. Ezinye zezona "ngcebiso" ezibalaseleyo ezibonisa ukukhulelwa okulula azichazwa lula kwiincwadi zonyango.
Ukuba unayo "isisu sokuziva" ukuba unokuba uphatha iziphindaphindeka, phulaphula umzimba wakho kwaye uthethe ugqirha wakho malunga nale mvakalelo.
Ukuqinisekiswa kwe-Ultrasound
Ukubona kukukholelwa. Indlela yodwa yokungaqiniseki ukuba i-twin okanye ukukhulelwa ngokuphindaphindiweyo kukubona nge- ultrasound . Umfanekiso wes ultrasound ungabonisa ngaphandle kokungabaza ukuba kukho ngaphezu komntwana omnye. Ekugqibeleni, kungakhathaliseki ukuba ziphi ezinye iimpawu okanye iimpawu, unendlela kuphela oya kukwazi ukuba ne-ultrasound.
Ukuba unokrokreka ukuba kunokubakho umntwana omnye, xubusha iingxaki zakho kunye nogqirha wakho. Akunakwenzeka ukuba umboniso we-ultrasound ungaphoswa umntwana owongezelelweyo, ngokukodwa kwisibini okanye yesithathu. Nangona kunjalo, kukho amacala amafihla afihliweyo . Ngokukodwa, i-twins "efihliweyo" inokwenzeka kakhulu kwi-ultrasound yokuqala xa iintsana zifana nama- twin ( monochorionic ).
Ngamanye amaxesha ukukhulelwa okuphezulu kakhulu ukukhulelwa okuninzi, okufana ne-quintuplets okanye i-sexuletts, kunzima kakhulu ukubala ngokuchanekileyo kwi-ultrasound yokuqala.
Igama elivela kwi-Verywell
Ekugqibeleni, ukuba ufunde ukuba unamawele, kuqhelekile ukuba ufumane uluhlu lweemvakalelo ezivuyisayo. Qiniseka ukuba ungagcini nje ukuxoxa ngezigulane zakho kunye noogqirha wakho, kodwa kunye nezixhala, imibuzo, kunye neengozi ezibandakanyekayo zokuba ukhulelwe.
> Imithombo:
> I-American Pregnancy Association. (2016). Iimpawu kunye neempawu zokukhulelwa kwamaninzi.
> Chasen, S., noFervenak. (2017). Ukukhulelwa kweTwin: Iingxaki zokubeleka. UpToDate . Ukuhlaziywa 05/10/17.
> Khalil A. et al. I-ISUQ Sebenzisa izikhokelo: Umsebenzi we-ultrasound kwi-Twin pregnancy. I-ultrasound kwi-Obstetrics ne-Gynecology . 2016. 47 (2): 247-63.
> Mackie, F., Morris, R., kunye noMl Kilby. Ukubikezelwa, Ukuxilongwa kunye noLawulo lweengxaki kwi-Monochorionic Twin Pregnancies: I-OMMIT (Ulawulo oluPhezulu lweeMonochorionic Twins). Ukukhulelwa kweBMC kunye nokubeletha . 2017. 17 (1): 153.