Ziya kwenziwa njani amawele
Abantu banomdla kakhulu ngamawele kunye nezinye iindidi. Kubonakala kuyimfihlakalo ukuba ukukhulelwa komntu kunokuthi kubangele umntwana omnye.
Ukukhulelwa okuphindaphindiweyo kunyuke kwiminyaka yamuva kunye namawele amaninzi kunye nezinye iintlobo zeepesenti ezizalwayo. Ininzi kwesi sizathu sokwanda kwalolu hlobo kukusetyenziswa kwamachiza okuzala.
Ziya kwenziwa njani amawele
Kukho iindlela ezimbalwa eziphindaphindiweyo:
- Amaqanda amaninzi akhululwa okanye kukho enye i-ovulation. Zomibini (okanye ngaphezulu) amaqanda atyunjwa kwaye yile ndlela amawele omzimba ezenziwe ngayo. Oku kuya kwenzeka okanye ngaphandle kweziyobisi zokuzala.
- Elinye iqanda likhishwa kodwa lidibanisa ezimbini. Yile ndlela amawele afana ngayo. Oku kuya kwenzeka okanye ngaphandle kweziyobisi zokuzala.
- Kwiimeko ze-IVF, kunokuthi kubekho iqanda elongezelelweyo elizalisiweyo elibuyiswe kwisisu. Ingqiqo kukuba akuzona zonke ezi zinto eziza kuzaliswa, nangona ngamanye amaxesha zenza.
Emva kokuba ukhulelwe unamathuba amaninzi kuma-placentas, iindawo zokufakela indawo, inani lama-amniotic bags kwi-monozygotic (amawele afanayo). Ngokomzekelo, unokuba neentsana ezimbini, iipentecentas ezimbini, kunye neengxowa ezimbini. Unako ukufumana ezimbini iintsana enye iplascenta, ezimbini iisaka. Kuya kuba kubalulekile ukwazi kakuhle into ojongene nayo, ngakumbi xa kuziwa kwi-sac amniotic.
Zingaphi i-Diagnings Diagnosed
Abantu abaninzi bafunda ngokuphindaphinda kwabo kwi- ultrasound yokuqala.
Nangona abanye abagxeki bathi ngaphambi kokuba iiveki ezilishumi elinesibhozo zisenomngcipheko ophezulu wokuphela kwe-twin syndrome (i-VTS) , apho umntwana omnye eyeka ukukhula kwaye abuye abuyele emzimbeni kamama okanye efile xa elinye iwele lizalwa.
Abanye abantu bafumana isantya esiphuthumayo sokwanda kwintsholongwane ekhokelela abanye ukuba bakrokre amawele.
Ndiza kuthi, ngokuba nonke ixesha lesibini apho, ukuba izibilini zenu ziza kukhula ngokukhawuleza kunokuqala kokukhulelwa, ngoko ke ningacingi ngokuzithandela amawele.
Ngamanye amaxesha iintlobo zentliziyo ezininzi zivakala, zikhokela ukuba ugqirha wakho ukholelwe ukuba kukho inqwaba yevuyo kwisibeleko sakho.
Abanye besetyhini bafumanisa ukuba banamanqanaba aphezulu ngokungaqhelekanga kwi-AFP vavanyo ukuba iphindaphindwe ivela endleleni kuba iintsana ezininzi ziyakwandisa amanqanaba ala ma hormone. Kanti ngamanye amaxesha kunokwenzeka ukufumana iziphindaphindiweyo ngezinga le-hCG ze-serial ekukhulelweni kokuqala. Iintsana ezingakumbi ngokukhawuleza izinga lokunyuka kwi-hCG ekufuneka liphantse liphindwe kabini kwiiyure ezingama-48 kunye ne-singleton.
Ngokumalunga neepesenti ezincinci zonke zokukhulelwa kwezibini azifunyanwanga kuze kube sekuzalweni. Kunokwenzeka ukuba ube ne- ultrasound kwaye ungaboni omnye umntwana , nakuba unqabile.
Umlingani Wokukhulelwa Kwabaninzi
Ukukhulelwa ngokuphindaphindiweyo akusiyo imeko ephezulu kakhulu, ngaphandle kokuba xa ubhekana nokuphindaphinda kwamanani okanye iinkcukacha ezithile. Abanye abazali bathiwa "yimfuno ephezulu." Oku kushintsho oluhle ukusuka kwicala lobugcisa. Fumana ugqirha onamava ngokuzalwa okuphindaphindiweyo, kodwa umntu ongeke abe nekwesaba kuyo yonke ikona. Xa unamava athile, unganamathuba okuba uzive utyhafile malunga nento yonke ekukhuleleni kwakho.
Ukutya kunye nobunzima bokufumana ukukhulelwa kwamanani amaninzi
Ngokubanzi, kufuneka ukwandise inani leprotheni oyidlayo. Iprotheni yile bhili yokwakha nganye yeseli emzimbeni wakho kunye nemizimba yabantwana bakho. Kuya kukunceda ukwakha i-placenta enhle kunye ne-solid amniotic sac. Ukutya okunempilo kuya kunceda ukulwa nentsholongwane.
Kucetyiswa kwakhona ukuba ufumane ubunzima obunzima xa ukhulelwa . Ubuninzi obuya kuzuza luya kuxhomekeka kwisisindo sakho sokukhulelwa kwangaphambili. Izikhokelo zangoku zibonisa ukufumana:
- Oomzimba, oomama oqhelekileyo: 37-54 iipounds
- Oomama abangaphezu komzimba: ama-31-50 iipounds
- Oomama abanomama: 25-42 iipounds
Okubaluleke ngakumbi, kufuneka ufumane isisindo ngaphambi kokukhulelwa kunokuba ukhulelane nabanye abantu.
Oku kungenxa yokuba, ngaphambili ungase ube nosana lwakho, ubunzima obuthile abaye bazuza, bhetele bahlala kwi-NICU. Enye isincomo kukuba ufumane ubuncinane ubunzima beepounds ezingamashumi amabini ngeveki yesibini yokukhulelwa.
Ukutyelelwa koNcedo lokubeletha kwiTwin pregnancy
Mhlawumbi uza kuyibona ingcali yakho rhoqo ekupheleni kokukhulelwa. Unokuba novavanyo oluninzi kunabaninzi abafazi ngexesha lokukhulelwa, kodwa kungekho rhoqo. Ezinye zezi zinto zingabandakanya ukuhlolwa koxinzelelo , ukungabikho koxinzelelo lweengcinezelo , ukuxilongwa kwe-ultrasound, njl njl. Ukwenziwa kwe-ultrasound inokwenziwa kwinyanga nganye kwisiqingatha sesibini sokukhulelwa. Oku kuhlolisisa ukuqinisekisa ukuba iintsana zikhula kakuhle kwaye zikhula ngokufanayo. Oku kunokukhenkcelela iingxaki ezinokwenzeka, kuquka i- twin-to-twin syndrome (i-TTTS) .
Iingxaki
Kukho umngcipheko ophezulu weengxaki. Uya kuhlolwa malunga neengxaki eziqhelekileyo zokukhulelwa njengengcinezelo ephezulu yegazi kunye nokukhula komntwana. Nangona kunjalo, amawele kunye nezinye iziphindaphinda zingaba neempembelelo eziphezulu zezinto ezinjenge- intrauterine ukukhutshwa kwemingcele (IUGR) , i- twin ukuya kwi-transfusion transfusion (TTTS) , i- preeclampsia , isifo sikashukela sesifo sikashukela, isantya sokusebenza kunye nokuhanjiswa kweentlungu. nabanye. Khumbula ukugcina ukuqeshwa kwakho, jonga ukutya kwakho kwaye wenze i- Counter Kick Counts yakho .
Ukuzalwa Kwabaninzi
Kwiminyaka edlulileyo, i-cearean yathandwa ngabantu abaninzi. Ngoku i-American College ye-Obstetrics kunye ne-Gynecologists (ACOG) icebisa ukuba ukuhanjiswa kwezesondo kulinge nje ukuba umntwana wokuqala, i-Twin A, ehla (vertex) . Sifumene ukuba ukuzalwa kwesisu kudla ngokukhuselekileyo kwintlobo ezininzi, ezidla rhoqo ukuvuselela kunye nokunyuka kwamazinga e-hormones ezibandakanya abasebenzi.
Ukuba ingaba uya kuba nokuzalwa kwesisu kuya kuxhomekeka kwiimeko ezininzi, kubandakanywa nesimo seentsana, nendlela abantwana ababekezela ngayo abasebenzi.
Ukuba abantwana bakho basesikweni apho bengakwazi ukuhamba khona, kuthiwa bavalelwe. Ezi zintsana ziya kufuneka zizalwe nge-laarean.
Iintsana ezincinci zixhomekeka kubukhulu bomntwana kunye nekhono logqirha. Ngokuqhelekileyo, ukuba umntwana A (umntwana wokuqala kwi-pelvis). Ukuba umntwana B unomoya okanye uguqule inguqu yangaphakathi okanye yangaphandle ingazama ukukunceda ukulungiselela ukuzalwa okanye ukuba umntwana angavunyelwa ukuba azalwe.
Amawele e-Monoamniotic , apho iintsana zombini zisesikhwameni esisodwa, ziya kuphinda zizalwe nge-laarean, ngenxa yemingcipheko eyongeziweyo yentambo.
Akunandaba nokuba amawele akho azalwa njani, okanye ukuba azalwa njani, iintsana ziyavuya. Ukuphindaphinda kwabazali kunemingeni ekhethekileyo, kodwa kuvelisa nemivuzo ekhethekileyo.
> Imithombo:
> Ikholeji yase-Amerika yase-Amantla kunye neGynecologists (iKholeji); Umbutho weMithi yamaMantal-Fetal Medicine, uCaughey AB, Cahill AG, Guise JM, Hlanganisa DJ. IJ Obstet Gynecol. 2014 Mar; 210 (3): 179-93. i-doi: 10.1016 / j.ajog.2014.01.026. Ukukhusela okukhuselekileyo ukuhanjiswa kweprayimari eziphambili.
> Fuchs F, iSenat MV. I-Semin Fetal Neonatal Med. 2016 Jan 12. i-pii: S1744-165X (15) 00149-3. i-doi: 10.1016 / j.siny.2015.12.010. [Epub phambi kokushicilela] Iziganeko ezininzi kunye nokuzalwa kwangaphambili.
> Goossens SM, Hukkelhoven CW, de Vries L, Mol BW, Nijhuis JG, Roumen FJ. I-Eur J I-Obstet Gynecol ihlawula i-Biol. 2015 Dec; 195: 133-40. i-doi: 10.1016 / j.ejogrb.2015.09.034. I-Epub 2015 Septhemba 30. Izibonakaliso zezonyango ezinxulumene nemodi yokunikezelwa kwamawele: ukuhlalutya kwama-22,712 amabini amabini.
> Schmitz T, Carnavalet Cde C, Azria E, Lopez E, Cabrol D, Goffinet F. Obstet Gynecol. 2008 Mar; 111 (3): 695-703. i-doi: 10.1097 / AOG.0b013e318163c435. Iziphumo ze-Neonatal zokukhulelwa ngamawele ngokwendlela yokucwangciswa kweenkonzo.