Kukho izinto ezimbalwa ezifunekayo xa ukulindele iintsana ezininzi.
Nangona unayo umntwana ngaphambi, ukuzala amawele ngamava ahlukeneyo. Nangona kungabikho ukuzalwa okuqhelekileyo, kukho izinto ezimbalwa abafazi abalindele ukuba amawele azilungiselele aze axubushe nomboneleli wezempilo.
Ziphi i intsana?
Isikhundla seentsana kwisibeleko siza kuqonda ngokubanzi indlela amawele azalwayo ngayo - ngokwasemzimbeni okanye ngokwasemthethweni.
Amaphesenti angama-40 eamawele aphantsi entloko (vertex) ngelixesha, elinye iipesenti ezingama-30 zibona umntwana wokuqala (i-Twin A) vertex kunye ne-Twin B kwisikhundla se- breech . Zombini kwezi zikhundla ziyamkeleka ukuqwalasela ukuzalwa kwesisu.
Kukho iimeko apho i-cearean icebise ukuzalwa ngokubeleka, njengalezi zimbini zihamba. Ngokuqhelekileyo oku kuyaziwa ngaphambili kwexesha kunye nobuchwepheshe be-ultrasound . Nangona kunjalo, amawele angashintsha izikhundla emva komdlalo, aze asebenze . Oku kunjalo ngokukodwa kwiTwin B emva kokuzalwa kweTwin A.
Ukuzalwa kwamaVaginal
Ingaphezulu kwesigama samawele aza kuzalwa ngesini. Iindaba ezilungileyo kukuba nangona unabantwana ababini kufuneka usebenze kanye!
Xa umlomo wesibeleko uvulekile, umntwana ngamnye uya kuba nesigxina. Oku kuthetha ukuba kuya kufuneka utyhoboze kabini, kodwa ininzi yexesha iwele lesibini lizalwa ngokulula kakhulu kuneyokuqala. Oku kungenxa yokuba iwele lokuqala livule indlela, ngoko kuthetha.
Ixesha eliphakathi kokuzalwa komntwana wokuqala nowesibili ngokuqhelekileyo malunga nemizuzu eyi-17. Nangona kunjalo, nje ngokuba i-esweni ibonisa ukuba umntwana wesibini wenza kakuhle akukho mfuneko enkulu yokukhawulezisa izinto kunye. Ngamanye amaxesha ngeli nqanaba lokulinda, uza kuba ne-ultrasound ukuqinisekisa ubungqina besibini ephini kunye negosa lakho liya kuthatha isigqibo sokuba kukulungele njani ukumhambisa.
Ukuzalwa kwasawasini
Nangona amawele aphakamisa amathuba okuba unqabileyo, iingaphantsi kwesigama samawele azalwa ngale ndlela. Ngoxa ukubeka iintsana zakho kuza kudlala inxalenye enkulu kwisigqibo malunga nokuba uza kuba neliphi uhlobo lokuzalwa, zikho nazo zonke izizathu eziqhelekileyo zokubakho. Ezi zibandakanya i- placenta previa , ukuphazamiseka kwembulunga , izibonakaliso zomama ezifana ne-PIH, i-herpes esebenzayo, kunye neengxaki zengqesho ezifana nokukhathazeka komntwana .
Ukuba ubeletha ngohla phambi komsebenzi, umhla uya kufakwa phakathi kwama-37 no-40 kwiiveki. Ukuba uqala ukusebenza ngaphambi komhla obekiweyo, i-carea yakho iya kwenzeka. Ixesha lokubuyiselwa emva kwexesha elimisiweyo kunye namawele ngokuqhelekileyo kufana nokuzalwa kokuzalwa.
Ukuzalwa koVaginal / Birth Caesarea
Le yimeko engabonakaliyo. Olunye usana oluzalwa ngesisu kunye newele lesibini elizalwe nge-laarean lwenzeka kuphela kwi-4 ekhulwini lazo zonke izibeleko. Ngokuqhelekileyo oku kwenziwa kwimeko engxamisekileyo kunye neTwin B, njengentambo ye-prolapse (xa intambo iphuma kunye okanye ngaphambi komntwana, ngaloo ndlela unqunyula ukunikezelwa kwe-oksijini yengane.), Imbonakalo enzima (njengomntwana osasazekayo ongeke uhanjiswe ngangaphakathi okanye amandla angaphandle), okanye ukuphazamiseka kwamaplanga (xa i-placenta ilila kude nodongeni lwesisu ngaphambi kwesikhathi).
Ukuqhawuka kwangaphambili
Ingaphezulu kwesigama samawele aza kuzalwa ngaphambi kweiveki ezingama-37. Oku kunokuchaphazela nendlela abantwana bakho abayithunyelwa ngayo. Thetha nothando lwakho malunga nokuhlala uphilile kwaye ugcine ukulungelelanisa okwaneleyo, ukuphumla kunye nesondlo ukunyamekela iintsana zakho ezikhulayo kunye nomzimba.
Ukukhathalela izibhedlele
Ezinye izibhedlele zifuna ukuba bonke abaamawele ababelethi bazalwe kwigumbi lokusebenza, nokuba ngaba bazalwa ngokubeleka . Ungaphinde ubuze malunga nokusetyenziswa kwe -anesthesia ye- epidural , njengokuba ngamanye amaxesha kuyimfuneko, nangona kungekho zonyango ezibekwe ngaphakathi kwi-tubing. Oku kuvumela i-anesthesia ngokukhawuleza ukuba ibe yimfuneko.
Kukho ezinye iinkxalabo othanda ukuhlala kuzo okanye ukuncelisa iintsana ezimbini. Qiniseka ukuba uthethe esibhedlele ubude malunga nemiba enokukhathazeka ngayo ngeentsana zakho.
Kungakhathaliseki ukuba amawele akho angena njani ehlabathini, lungele ukutshintshwa ngokukhawuleza. Yiba nokwamkela ukwamkela uncedo xa unikezwa kwaye uthathe ixesha lokuba wazi nganye yezinto ezintsha ezintsha zokuzonwabisa.