Kukho iingozi ezininzi ezibandakanya ukukhulelwa ngamawele, kodwa ezinye zazo zichaphazela kuphela iintlobo ezithile zeewele. Iimpembelelo zeMoMo ziphindaphindiweyo ze-monozygotic eziphuhliswayo kwi-sac amniotic enye. Le meko ibangela ingozi kwiintsana ngenxa yokungena kwintambo.
Ziziphi iMoMo Twins?
I-MoMo yexesha elifutshane i-Monoamniotic Monochorionic. Ichaza amawele aphuhlisayo kunye nekheri enye kunye ne-one amniotic sac.
Isikhwama se-amniotic sisigxina samanzi esine-fetus, ngelixa i-chorion yimbumba yangaphandle.
I-MoMo iwele ikhula ukusuka kwindidi enye yeqanda / yesidoda eyahlukana ibe zibini. Xa ukuhlukana kulibazisekile, ngokuqhelekileyo ngeveki okanye emva kokukhulelwa, inkqubo yokukhulisa i-placenta, i-chorion, kunye ne-amniotic sac sele iqalile, kwaye ii-embrasi ezimbini ziza kukhula ngaphakathi kwesigxoba esisodwa, esabelwe. Kuphela malunga neepesenti ezi-1 zokukhulelwa kweewele ziza kwenzeka ngale ndlela. Uninzi lweamawele e-monozygotic luza kukhula kunye neengxowa ezihlukeneyo, okanye ngamanye amaxesha kunye nama-amnions ahlukeneyo ngaphakathi kwintetho ekwabelwana ngayo. (Ezi zichazwe njenge-monochorionic-diamniotic okanye i-MoDi.)
Indlela abachongwa ngayo
I-ultrasound yindlela kuphela yokufumana iwele zeMoMo. Ngexesha lokukhulelwa ngamawele, uninzi unina lujongwa rhoqo nge-ultrasound. Oogqirha baya kukhangela ubukho bomgca ohlula ukubonisa ukuba amawele asemasakeni ahlukeneyo. Ukungabikho kwesibambane okanye umgca omncinci okanye ongacacileyo ungabangela uhlalutyo olongezelelweyo ukuqinisekisa imeko.
Mngcipheko
Amathumbu amawele adibanisa kwi-placenta ngeentambo zawo. Ukuphumla ndawonye kwisigxoba esifanayo kukubeka engozini yokuxinwa kwentambo okanye ukunyanzelwa kwentambo. Iimbambo zomhlaba zibonelela ubomi obalulekileyo kubantwana, ukubonelela ngegazi kunye nezondlo ezibanceda zikhule kwaye ziphuhlise. Njengoko iintsana zihamba zijikeleza kwisibeleko, iintambo ziyakwazi ukuwela okanye zifowunelane, zinciphise ukunikezelwa.
Ingaba yimeko esongela ubomi. Sekuninzi iimbambo zifakiwe, umngcipheko omkhulu wokulimala kwiintambo, kwaye umngcipheko wokufa omnye okanye zombini usana luyanda.
Unyango
Ngenhlanhla, iteknoloji yanamhlanje ivumela oogqirha ukuba babone iintsana esibelethweni baze balonge imeko. Iziphumo eziphezulu zokusombulula izilwanyana, ukucinga nge-doppler, kunye neengxaki ezingenako uxinzelelo kukunceda ukuvavanya iimpawu kunye nokuchonga iingxaki zentambo. Ukuxinwa kwetambo kunye nokunyanzeliswa ngokuqhelekileyo kubambezela iinkqubo, ngoko abazali kunye nabanakekeli bezonyango banethuba lokwenza izigqibo. Ezinye iimeko ziya kufuna ukubeka esweni esondeleyo ukuba umama omele ukuba ahlale esibhedlele.
Akukho nonyango evunyiweyo okanye inkqubo yokulungisa imeko. Isisombululo kuphela ukuhanjiswa kweintsana. Phantse zonke iintsana zeMoMo zizalwe ngaphambi kwesikhathi. Oogqirha kufuneka balinganise ubungozi bemeko yabantwana esibelethweni kunye nemiphumo yokuguga kwangaphambili .
Ukuba ukunyanzelana kwentambo kwenzeka ekuqaleni kwexesha lokukhulelwa, iintsana zingenakukwazi ukusinda. Abanye oogqirha bakhetha ukulungiselela ukuhanjiswa kweentsana ze-MOMo kwi-32, 34, okanye kwiiveki ezingama-36, becinga ukuba indawo yesibeleko iyingozi kakhulu ekudlulileyo kweso sikhathi. Ngamanye amaxesha i-steroids inokulawulwa ukukhuthaza ukuphuhlisa imiphunga yabantwana kunye nokuphucula amathuba abo okuhlala ngaphandle kwesibeleko.
Icandelo le-cearean linikezelwe ukuba abantwana be-MoMo baphephe intambo ye-throttle, imeko eyenzekayo xa umntwana wesibini intambo ixothwa njengoko umntwana usana kuqala.
Iinkcukacha ezithe xaxe
- Iintsana ze-MoMo zihlala zifana ngesini esinye: nokuba ngamakhwenkwe amabini okanye amantombazana amabini. Njengamawele onke e-monozygotic, zifana ngesini esifanayo kuba zivela kwi-gene edibeneyo. (Akukho ziko ze-chromosomal ezingaqhelekanga ezivelisa ukungalingani ngokwesini kwiama-monozygotic sele zichongwa kwi-MoMo twins.)
- I-MoMo amawele awanqabile. Iipesenti ezi-1 kuphela zokukhulelwa kweewele ziza kuba monoamniotic.
- Emva kweveki ezingama-24, izinga lokusinda kwamawele e-MOMo li malunga nama-75 ukuya kuma-80 ekhulwini.
- Kuphandwa unyango olutsha. I-Sulindac yiyilisi eyanciphisa inani le-amniotic fluid kunye nokunciphisa indawo apho iintsana zinokuhamba khona.
- Ama-Mother of multiple MoMo kufuneka anakekelwe ngumntu onguchwepheshe we-perinatologist (umgqirha onguchwepheshe obunokukhulelwa kakhudlwana), okanye kufuneka bhekane nogqirha one-MoMo twins.
- Ii-twins ze-MoMo zihlala zingakhange zixilwe kwiiveki zokuqala zokukhulelwa xa umlenze unqabile kangangokuthi ungabonakali ungabonakali. Ngokuqhelekileyo i-ultrasound kamva ichaza umgca wokuhlula oqinisekisa ukuba amawele ngokwenene yi-MoDi (i-Monochorionic, i-Diamniotic).
Imithombo:
Okukhethiweyo F, Fichera A, Pagani G, et al. Imbali yendalo ye-monoamniotic twin pregnancy: i-series series kunye nokuhlaziywa okucwangcisiweyo kweencwadi. Ukufumana iDiagnist . 2015; 35 (3): 274-80.
Roque H, uGillen-Goldstein J, Funai E, Young BK, Lockwood CJ. Iziphumo zePerinatal kwi-monoamniotic gestations. I-Matern Fetal Neonatal Med . 2003; 13 (6): 414-21.