Uphando lucebisa ukuba malunga neyesithathu kwiintente zilahlekile ekuqaleni kokukhulelwa
Ukutshatyalaliswa kwamawele e-twin syndrome okanye ukunyamalala kwe-twin syndrome ligama elisetyenziselwa ukuchaza ukulahlekelwa ngokukhawuleza, okanye ukukhulelwa komzimba , kwintsana ekhulayo ekukhulelweni okubanzi .
Unina olindelekileyo unokufumana i- ultrasound yakudala efumana izikhwama zombini zomzimba, kodwa kamva emva koko, i-heart fetat eyodwa kuphela ibonakala kwaye isigubili sesibini sinyamalale. Okanye umntu ovame ukuvelisa umntwana ukhona kunye ne- ovum ekhanyayo .
Ezinye iitekisi zisebenzisa igama elithi "i-twin elibhubhayo" nayiphi na ukukhulelwa apho umntwana omnye ekukhulelweni ezininzi ulahleka ngelixa elinye lisinda, nangona iwele liye laphela. Nangona kunjalo, eli gama lihlala ligcinwe iwele eli "liphela" kwi-trimester yokuqala.
Izibalo
Iintambo ze-phenomonen ezibhubha zibonakala ziqhelekile. Uphando lubonisa ukuba ukuphela kwe-twin syndrome kwenzeka ngaphambi kweveki ye-12 yokukhulelwa:
- Phantse iipesenti ezingama-36 zokukhulelwa ezimbini
- Amaphesenti angaphezu kwama-50 okukhulelwa ngeentlobo ezintathu okanye ngaphezulu
Noko ke, abaphandi basolisa ukuba ukuphela kwe-twin syndrome kunokuba kuyinto eqhelekileyo, kuba kunokuhlala kwenzeka ngaphandle kokubona.
Ukukhulelwa okubanzi okuye kwaqhubeka ngaphaya kweeveki ezingama-20, abaphandi baqikelela ukuba malunga nama-2.6 ekhulwini ama-twin gestation kunye ne-4.3 ekhulwini yezintlu zokuhamba kwethathu ziya kuthinteka kukufa komntwana, nangona oku kungagqithwa ukuba kuphelelwa ukukhulelwa kwezibini.
Iimpawu
Kwiimeko ezinokuqala zokuphazamiseka kwe-twin syndrome, loo mfazi wayengenakukwazi ukuba imeko yenzeke. Kwezinye iimeko, ukulahlekelwa kweewele kungahamba kunye neempawu zokuphuphuma komzimba ezifana nokuphuma kwegazi lomzimba kunye namazinga e-hCG anyuke ngokuthe ngcembe kunokuba ngokuqhelekileyo ukukhulelwa kweewele ezimbini.
Izizathu
Ukuba ulahlekelwe enye yokukhulelwa kwakho ngexesha lokukhulelwa okungafani, akukho sizathu sokukholelwa ukuba kwenzeke ngenxa yantoni na okanye omnye umntu owenze okanye akazange akwenze.
Ezinye izifo zentsholongwane ezibhubhayo zivela ngenxa yezinto ezingaqhelekanga kwiintsana ezilahlekileyo, kodwa abaphandi abaqondi kakuhle ukuba kutheni elinye iwele lilahlekile kwezinye iimeko zentsholongwane elahlekayo.
Ithetha ukuthini
Nangona kukho ingxoxo malunga nolu, kukho ubungqina obunokuba kukho umngcipheko omkhulu weengxaki ezithile zokukhulelwa emva kokuba iwele "iphela." Izifundo eziliqela sele zijonge iintsana ezinezwele ezilahlekayo xa ziqhathaniswa neentsana ezizalelwe ngaphandle kweewele okanye zibe newele eliphilileyo. Iziphumo eziliqela ziye zaphawulwa, kodwa ngokubanzi, umngcipheko weziphene zokuzalwa zibonakala ziphezulu kwiintsana ezinamawele apheleyo. Ukwanda kweempazamo zokuzalwa kwi-twin ehleliyo kubonakala ngathi yinto eqhelekileyo kunye nokulahleka (ukuphelelwa) kwee-twin ezimbini phakathi kweenyanga ezintandathu kunye nesibhozo. Ezi ziphumo zingaquka:
- Isifo sikashukela sesifo sikashukela
- Umngcipheko ophezulu weziphene zobuntwabo ezifana ne-cerebral palsy
- Umngcipheko wokukhula kwe-intrauterine (IUGR) - I-IUGR yimeko apho umntwana engakhuliyo kwaye kufanelekile ngexesha lokukhulelwa.
- Ubunzima bokuzala obuphantsi kakhulu
- Amanqaku aphantsi a-Apgar
- Ukufa kwe-Perinatal (ukufa kwabantwana)
Ngenxa yezi zizathu, ugqirha wakho angathanda ukugcina iso elithe xaxa xa ukhulelwe. Nangona kunjalo, kubalulekile ukuqaphela ukuba kwiimeko ezininzi ze-twin syndrome, umntwana osaphila akachaphazelekayo.
Ngamanye amaxesha i-Twin ayiyi kupheka
Ngokuqhelekileyo i-twin ephazamisayo ibanjiswa ngumntwana kamama ukuze kungabikho ubungqina beewele ngeli xesha lokuziswa. Ngamanye amaxesha, kunoko, intsalela yewele ihlala, ebizwa ngokuba ngumntwana omntwana. I-fetus papyraceous yintsasa encinci yephepha lomntwana.
Ngokungaqhelekanga, isifo se-teratoma sinokuvela apho kukho ezinye iincinci zezicubu zesisu ezifana neenwele okanye amazinyo.
I-Vanishing Twin Syndrome iyanda
Kubonakala ngathi ukwanda okwenyukayo kwi-twin syndrome kwiminyaka yamuva. Ekubeni amawele amaninzi ayaphelayo ayengeze afunyanwe ngaphandle kokuqala kwe-ultrasound, ukuqhubela phambili kwezobuchwephesha kwabasetyhini abakhulelweyo bangaba yingxenye yesizathu. Ukususela ekubeni unyango lwezityalo luba lukhulu kwaye luvame ukwandisa ithuba lokuphindaphinda, kwaye ngoko ke ithuba lokuphela kwe-twin syndrome, le nto inokuba yinto ebalulekileyo.
Ukujamelana
Ukuba ufunyanwe ukuba unamafa apheleyo, mhlawumbi unemizwa eninzi edibeneyo. Kuyinto eqhelekileyo ukulilazela umntwana olahlekileyo ngenkathi uvakalelwa kukuba uyakhulelwa omnye umntwana. Akufanele uzive ukuba kufuneka ukhethe kwaye ukhethe phakathi kweemvakalelo zakho. Ayikho imithetho ethi awukwazi ukudabuka kwaye ujabule ngexesha elifanayo, kwaye akufanele uzive ukuba uyamhlonela umntwana xa uhamba kwinkqubo evamile yokulila xa uqhubeka ukulindele ngentshiseko umntwana wakho ophilileyo.
Kwakhona kubalulekile ukuba uqaphele ukuba kunokubakho iingxaki kwi-twin ehleliyo, kodwa ukuba kwiimeko ezininzi zewele ezilahlekayo, umntwana osasalayo uzalwa enempilo kwaye engenazo iingxaki zomntwana.
Imithombo:
Davies, M., Rumbold, A., Whitrow, M. et al. Ukulahlekelwa ngokukodwa kwe-Co-Twin kunye neengozi zoLwaphulo lokuzalwa emva kokuQiniswa koNcedo. Umbhalo woPhuhliso oluPhuhliso lwezeMpilo kunye nezifo . 2016. 7 (6): 678-684.
Marton, V., Zadori, J., Kosinszky, Z., no A. Kereszturi. Ubunzima bokuqala kunye nesiphumo sokukhulelwa kwesithintelo sokuqhawula iziTyhulwa eziThatywayo ezenziwe yi-Vitro Fertilization Versus Conception. Ukhuseleko kunye nobuthathaka . 2016 Aug 24. (Epub ngaphambi kokuprinta).
Zhou, L., Gao, X., Wu, Y., kunye noZ. Zhang. Uhlalutyo lweZiphumo zokukhulelwa kwabaPhuculi beTwinishing Twin Syndrome emva kwe-In Vitro Fertilization kunye ne-Embryo Transfer. I-European Journal ye-Obstetrics, iGynecology, ne-Biological Reproductive . 2016. 203: 3509.