Ukukhulelwa ngamawele afanayo kuyahluke kunokuba ukhulelwe umntwana omnye nje. Kukho iingxaki ezithile zezokwelapha kunye neengxaki ezithile ezinamawele afanayo. Ukuba ukhulelwe ngamawele afanayo, ezi zizinto omele uziqwalasele.
Ziziphi ii-Twins?
Kubalulekile ukuqonda ngokuchanekileyo uhlobo lweewele. Ixesha elifanayo lisetyenziselwa ukuchaza > iziphindaphindi ze- monozygotic - iiwele ezifomayo kwiqanda elilodwa elinomhlaza oluqhekeza zibe zibini.
Ngenxa yokuba zivela kwindibaniso efanayo yesininzi / yeqanda, la mawele afanayo > imvelaphi yezofuzo . Ngo-DNA efanayo, bahlala bebonakala ngokufanayo. Ngenxa yokuba bafana ngokufanayo, igama elithi "lifana" liye lalingana namawele e-monozygotic . Nangona kunjalo, inkcazelo echanekileyo i-monozygotic, ebonisa ukuba amawele ayenziwe ukusuka kwelinye (mono) zygote (iqanda elichumisiweyo). Amawele e-Dizygotic , aphuma kumaqanda amabini ahlukeneyo azaliswe ngamabini amabini ahlukeneyo, ayaziwa nangokuthi "amawele" .
Ndingayazi Njani Ukuba Amawele Awam Ngayo?
Akunakwenzeka njalo ukuqinisekisa ubungqina ngexesha lokukhulelwa, kodwa umboneleli wakho wezonyango unokukwazi ukuvavanya ukuba iintsana zifana okanye zidibeneyo. I-ultrasound inokukunceda ukucacisa ezinye iimpawu, kubandakanya ubulili beintsana, nokuvavanya kwepentecenta. Amawele e-Monozygotic ahlala efana ngesini esinye ( amabini amakhwenkwe okanye amantombazana amabini ) kwaye angabelana ngesinye iplascenta, ilungu elondla iintsana ngaphakathi kwesibeleko.
Nangona kunjalo, amanye amawele e-monozygotic, abo ahlukana emva kokuqala kokukhulelwa, bangaveliswa ngamaplacenta amabini , kwaye ukukhangela okukhawuleza kwe-ultrasound akusoloko kugqibelele. Abasetyhini abafumana iimvavanyo ezongezelelweyo zokubeleka, ezifana ne- amniocentesis okanye i- Chorionic Vampus Sampling (CVS) banokufumana ithuba lokuhlola okuthe ngqo .
Ukuqwalaselwa ngokukhethekileyo ngamabhinqa aqhelekileyo
Ukuba umniki-zonyango wakho uqinisekisa ukuba ukhulelwe ngamawele afanayo, kukho imibuzo ekhethekileyo ekufuneka iphendulwe ukuqinisekisa ukuphumelela kwesiphumo. Amawele e-Monozygotic athathwe kwiimeko ezithile ezingasongela impilo yentsapho enye okanye zombini. Qinisekisa ukuxoxa ngale ngozi kunye nomnakekeli wakho wonyango ukuba ukhulelwe amawele afanayo.
- I-Monoamniotic-Monochorionic (MoMo) Amabhinqa : Xa iqanda elitsalisiweyo lihlukana emva nje kokukhulelwa, le mibungu emibini iya kutshalwa kwaye iphuhlise ngamapentecenta ahlukeneyo kunye neengxowa. Nangona kunjalo, xa ukwahlukana kulibazisekile, amawele angabelana nge-placenta, kunye ne-sac amniotic. Isikhwama se-amniotic yimbogi yamanzi equle umntwana; lijikelezwe ngumbhobho , i-membrane yangaphandle. Xa amawele ekwabelana ngama-amnion kunye ne-chorion, zichazwa njengee- Monoamniotic-Monochorionic twins okanye "ama-MoMo" amawele. Le yimeko engavumelekanga; kuphela iipesenti ezi-1 zeewele zikhula nale meko. Nangona kunjalo, kungabangela ingozi kwimabele. Iintsana ze-MoMo zisengozini yokukhangela intambo okanye intambo yokuncintisana.
- I-Twin-to-Twin Transfusion Syndrome (i-TTTS) : i-TTTS isifo sesipalenta esichaphazela amawele afanayo. Uninzi lweamawele e-monozygotic lihlukanisa phakathi kweentsuku ezine kunye nesibhozo emva kokukhulelwa, kwaye ziyakhula kunye ne-placenta enye. Nangona kunjalo, umntwana ngamnye unamnion yakhe (isikhwama samanzi), ngaphakathi kwendlela yokwabelana ehlangeneyo (i-membrane yangaphandle). Nangona bengabhekana neengxaki zee-MOMo ezikhankanywe ngasentla, malunga neepesenti ezingamashumi amabini amawele e- monochorionic zivelisa imilambo yegazi engavumelekanga kwi-placenta ekwabelwanayo eyenza ukuhamba kwegazi kutyalwa kakubi phakathi kweentsana. Elinye iwele liba ngumnikezeli wegazi komnye, kubangela iingxaki zentsapho zombini. I-twin iminikelo yanciphise ukuhamba kwegazi, ukukhula okucothayo, kunye ne-amniotic fluid engenakwaneleyo, ngelixa i- blood pressure ye-twins yegazi elidlulileyo iyancipha intliziyo yayo kwaye i-amniotic yamanzi. I-TTTS ingalawulwa ngexesha lokukhulelwa ukunciphisa ingozi kubantwana; Kwiimeko ezinzima kakhulu, utyando lwe-laser lungalungisa ukuhamba kwegazi kwi-placenta.
- Amabhinqa adibeneyo : Ukuxhamla amawele athoba xa iqanda lihluma emva kweentsuku ezisibhozo okanye ngaphezulu, kwaye iiseli azihluli ngokupheleleyo. Ukudibanisa amawele adibaniswe kwinqanaba elithile emzimbeni, kwaye angabelana ngezicubu, izitho okanye izitho. Amawele adibeneyo anqabile kakhulu, kwaye ngokuqhelekileyo afunyanwa yi-ultrasound. Ukukhulelwa ngamawele adibanayo kufuna ulawulo olufanelekileyo kunye nokubeka esweni.