Izwi elihambisana nokukhulelwa kwamabili kungaba lukudideka futhi likhulu. Ukuthola ukuthi unamawele kungukuqala kokuhlangenwe nakho okuthakazelisayo; kanye nokulungiswa komqondo wokuba nezingane ezimbili ngesikhathi esisodwa, kuningi okumele ufunde! Nansi umhlahlandlela wokuqonda le migomo, nokuthi bayasho ukuthini ngamathumba asathuthuka.
Phakathi nokukhulelwa kwamawele, kungenzeka ukuthi uzwile amagama "Di / Di" noma "Mo / Di" asetshenziselwa ukuchaza amawele. La magama asetshenziselwa ukuhlukanisa futhi achaze ama-twin anatomy esibelethweni. Nakuba kungase kuzwakale njengezinhlobo eziningi zezokwelapha ezihamba phambili, ziyizici ezibalulekile kubazali ngoba amanye amawele asengozini yokubhekana nezinkinga.
Amawele Emphefumulweni
Ake siqale ngokuqonda imvelo. Esibelethweni, ingane ikhula ngaphakathi kwesibeletho sikamama. I- placenta ifinyelela odongeni lwesibeletho futhi isebenza ngenhloso emibili yokukhipha imfucuza nokuhlinzeka izakhi kumntwana. Ixhuma nge-cord umbilical ingane. I-fetus ihlanganiswe esikhwameni esigcwele amanzi esizungezwe i-membrane encane, ebizwa ngokuthi i-amnion. I-membrane yesibili, ebizwa ngokuthi i-chorion, iyungezela isikhwama se-amniotic.
Isichazamazwi sichazwa
Ake siwaphule phansi.
- Mo = Omunye
- I-Di = Two
- Umdwebo = I-membrane yangaphandle
- I-Amnion = i-membrane yangaphakathi, eyenza isikhwama esigcwele amniotic fluid equkethe i-fetus
Uma ubeka izingcezu ndawonye, bachaza la magama:
I-Monochorionic - i-chorion eyodwa
I-monoamniotic (noma i-monoamnionic) - i-amnion eyodwa
Le migomo ichaza amawele amabili - amawele e-monozygotic njalo - abelana nemvelo. Zifakwe esikhwameni esisodwa se-amniotic kanye / noma i-chorion eyodwa.
Dichorionic - ama-chorions amabili ahlukene
I-diamniotic - amnion amabili / amabili amniotic amabili
Leli gama lichaza amawele amabili - okungaba monozygotic noma i- dizygotic - ukuthi ngayinye inezikhwama ezihlukene. Kukhona ama-placentas amabili , nakuba kwezinye izimo, i-placentas ihlangana ndawonye.
Ngakho ake sibabheke ngokuhlangene.
Iningi lawa mawele a di / di, okungukuthi, dichorionic, diamniotic. Lokho kusho ukuthi bahlakulela ngokwehlukana, ngamunye nge-placenta yabo kanye namasaka abo. Yiyo yonke indlela ama- dizygotic - noma amawele angamazwe athola ngayo. Ngaphezu kwalokho, amawele angama-monozygotic (afanayo) azokwakha ngale ndlela, kuye ngokuthi kungakanani ngemuva kokukhulelwa iqanda lihlukana. (Funda kabanzi mayelana namawele we-monozygotic lapha.)
Nokho, amanye amawele e-monozygotic ayoba mo / di noma mo / mo. Lokhu kusho ukuthi yi-monochorionic kodwa i-diamniotic, noma i-monochorionic ne-monoamniotic. Amawele awakwazi ukushaywa phansi. Uma kukhona ama-chorions amabili, khona-ke angeke abe khona esikhwameni samamniotic efanayo ngoba yi-membrane yangaphakathi futhi, ngencazelo, bazohlukaniswa.
Ake siwaphule phansi.
Di / Di - dichorionic / diamniotic . Lawa ngamawele ahlukene, anezikhetho ezihlukene futhi esikhwameni sabo se-amniotic. (Ngezinye izikhathi ezikhethwe njenge-DCDA.)
I-Mo / Di - monochorionic / i-diamniotic . Lawa mawele asemasakeni amniotic ahlukene kodwa aqukethwe ngaphakathi kwendwangu efanayo.
Kukhona i-placenta eyodwa, eyabelwe. (Ngezinye izikhathi ezikhethwe njenge-MCDA.)
I-Mo / Mo - i-monochorionic / i-monoamniotic. Lawa ngamawele asesigodini esisodwa se-amniotic, ene-chorion eyodwa. Kukhona i-placenta eyodwa, eyabelwe. (Ngezinye izikhathi ezikhethwe njenge-MCMA.)
Cabanga Ngale Nendlela ....
Amawele kaDi / Di afana nezindlu ezimbili endaweni efanayo. Ingane ngayinye ihlala endlini yayo futhi ilawula izinsiza zayo.
Amawele ka-Mo / Di afana namafulethi amabili esakhiweni esifanayo. Ingane ngayinye ihlala esakhiweni esifanayo, kodwa sinendawo yabo yangasese. Zihlukaniswa izindonga nezingaphakathi zangaphakathi, kodwa ingaphandle yesakhiwo yabelwe.
Amawele ka-Mo / Mo afana nabantu ababili abahlala ekamelweni elilodwa endlini efanayo noma efulethini. Belana ngemithombo efika esikhaleni ngaphakathi kwezindonga ezifanayo.
Ukuqokwa Kokubili Kwama-Chorionicity Kanjani?
Ngesikhathi sokukhulelwa, ukuhlolwa kwama-placenta (s) kanye nezibilini nge-ultrasound ngezinye izikhathi kungase kuqinisekiswe ukuthi i-chorionicity. Ukuskena kwe-ultrasound, ngokuvamile ekuqaleni kokukhulelwa, kuzohlola i-placentas eyodwa noma amabili nokuqina kwamagundane. Ikhanda elincinci lingabonisa i-di / di twins, kanti i-membrane encane noma ukungabikho kwekhanda kungabonakalisa i-mo / di noma i-mo / mo amawele. Ama-Sonographer angabuye ahlole "isibonakaliso sezinhlangothi ezimbili" - ebizwa nangokuthi "uphawu lwe-lambda" ngenxa yokuthi lifana nesibalo lesiGreki: λ. Yakha lapho ama-placentas amabili namasaka abuthwa ngayo amawele amabili / amawele. Isakhiwo esenziwe nge-T singabonisa i-mo / di amawele.
Isiqiniseko esiqinisekisiwe sokuthi amawele / amawele ngesikhathi sokukhulelwa yilapho abantwana bebhekwa njengomfana oyedwa kanye nentombazane eyodwa. Uma behlukene ngokobulili, bangabantu abanobuchopho. ( Ngehlukile okungajwayelekile .) Khumbula, onke amawele angama-dizygotic a di / di, kanti amawele e-monozygotic angaba di / di, mo / di noma mo / mo. Ngemuva kokulethwa, ukuhlaziywa kwe-placenta kanye ne-membranes kungenza kube nokuqonda, kodwa kubaluleke kakhulu ukucacisa indlela yokukhulelwa ngesikhathi sokukhulelwa ukuze kuqaphe futhi ixazulule noma yiziphi izinkinga ezingenzeka.
Iyini i-Ramifications?
Ukwazi ukuhamba kwamawele kungasiza ekuhloleni ingozi futhi kunqume uhlelo lokuhlinzeka ukuhlinzeka ngokunakekelwa kokubeletha okufanele ngomphumela omuhle wokukhulelwa kwamawele. Ama-dichorionic / diamniotic (di / di) amawele ngokuvamile anezingozi ezimbalwa ezengeziwe. Noma kunjalo, ama-mo / di kanye nama-mo / mo kufanele ahlolwe ngokucophelela ngoba asengozini enkulu yokwenza izinkinga. I-Twin-to-Twin Transfusion Syndrome (TTTS) noma i-Twin Anemia-Polycythemia Sequence (TAPS) ingahlakulela ngamawele / amawele. Amawele ka-Mo / mo angahle anqatshelwe yizintambo zokungena.
Imithombo:
Fox, Traci B. "Ukukhulelwa Okuningi: Ukunquma Ukuzikhethela Ne-Amnionicity." UThomas Jefferson Univeristy UMnyango Wezobuchwepheshe Zama-Radiologic Sciences Faculty. Kufinyelelwe kuJulayi 27, 2015. http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1000&context=rsfp
UMoise, Kenneth J., no-Argotti, uPedro S. "Ukubaluleka kokunquma ukukhubazeka kwamawele amabili." I-OB / GYN ye-Contemporary. Kufinyelelwe ngoJulayi 27, 2015. http://contemporaryobgyn.modernmedicine.com/contemporary-obgyn/news/modernmedicine/modern-medicine-feature-articles/importance-determining-chori?page=full
Al Riyami, Nihal, Al-Rusheidi, Asamaa, Al-Khabori, Murtadha. Umphumela we-Perinatal we-Monochorionic ngokuqhathaniswa ne-Dichorionic Twin Pregnancies. " Oman Medical Journal. , Meyi 28, 2013, iphe. 173.
Morgan, Matt A. noRadswiki et. al. "Dichorionic diaminiotic twin ukukhulelwa." Radiopaedia.org. Kufinyelelwe kuJulayi 27, 2015. http://radiopaedia.org/articles/dichorionic-diamniotic-twin-pregnancy
Trop, u-Isabelle. "Kubonisa ukufanekisa: Isibonakaliso seTwin Peak." I-Radiological Society yaseNyakatho Melika. Kufinyelelwe kuJulayi 27, 2015. http://pubs.rsna.org/doi/full/10.1148/radiology.220.1.r01jl1468