Ukucwaninga Kuncoma ukuthi Ngaphansi Kwesithathu Kwamahlumela Alahlekelwa Ngaphambi Kokukhulelwa
Ukuphela kwe-twin syndrome noma ukunyamalala kwe-twin syndrome igama elisetshenziselwa ukuchaza ukulahlekelwa okuzenzakalelayo, noma ukukhulelwa komzimba , komntwana oyedwa okhulayo ekuqaleni kokukhulelwa okuningi .
Umama olindelekile angase abe ne- ultrasound yasekuqaleni ethola amasaka amabili okugaya, kodwa kamuva, isifo senhliziyo esisodwa esisodwa sitholakale futhi isikhwama sesibili sinyamalale. Noma umuntu ovame ukukhula umntwana ukhona eceleni kwe- ovum ekhanyayo .
Amanye amatheksthi asebenzisa igama elithi "ukubhubha amawele" kunoma yikuphi ukukhulelwa lapho ingane eyodwa ekukhulelwe okuningi ilahlekile ngenkathi enye isinda, ngisho noma amawele angaphumi kahle. Noma kunjalo, leli gama livame ukugcinwa amawele amabili athi "aphelile" ku-trimester yokuqala.
Izibalo
Iwele elibhubha phenomonen libonakala livamile. Ucwaningo lubonisa ukuthi ukuphela kwe-twin syndrome kwenzeka ngaphambi kweviki le-12 lokukhulelwa ku:
- Cishe amaphesenti angu-36 okukhulelwa ngezinyanga ezimbili
- Amaphesenti angaba ngu-50 wokukhulelwa ngezigigaba ezintathu noma ngaphezulu
Kodwa-ke, abacwaningi basolwa ukuthi ukuphela kwe-twin syndrome kungase kube yinto evame kakhulu, ngoba kungase kwenzeke njalo ngaphandle kokuthola.
Ekukhulelweni okuningi okuye kwaqhubeka ngaphezu kwamasonto angu-20, abacwaningi bacatshangisa ukuthi cishe amaphesenti angu-2.6 ama-twin gestations kanye namaphesenti angu-4.3 wezintathu zokubeletha zizophazamiseka ngokufa kwe-fetus, nakuba ngokuvamile kungacatshangwa ukuthi kuphelelwa ukukhulelwa kwezinhlangothi ezimbili.
Izimpawu
Ezikhathini zakuqala kakhulu zokuphela kwe-twin syndrome, lo wesifazane angase angazi ukuthi isimo senzeke. Kwezinye izimo, ukulahlekelwa kwamawele kungase kuhambisane nezinye izimpawu zokukhulelwa kwesisu njengokungena kwamagciwane kanye namazinga e-hCG ahamba kancane kancane kunokukhulelwa kokubili kokukhulelwa.
Izimbangela
Uma ulahlekelwe okukodwa kokukhulelwa kwakho ngesikhathi ukhulelwe, asikho isizathu sokukholelwa ukuthi kwenzekile ngenxa yento noma wena noma omunye umuntu owenze noma ongawenzi.
Ezinye izimo zokuphela kwe-twin syndrome zenzeka ngenxa yokungahleleki kwe- chromosomal kumntwana olahlekile, kodwa abacwaningi abaqondi ngokugcwele ukuthi kungani iwele elilodwa lilahlekile kwezinye izimo zokuphela kwe-twin syndrome.
Okushoyo
Nakuba kukhona ingxabano mayelana nalokhu, kukhona ubufakazi obukhulayo bokuthi kungase kube khona ingozi enkulu yezinkinga ezithile zokukhulelwa emva kokuthi "ama-twin" amabili aphelile. Ucwaningo oluthile manje selubheke abantwana ababenamawele abonakalayo uma kuqhathaniswa nezinsana ezibelethwe ngaphandle kwamawele amabili noma ngabe iwele eliphilile liyaqhubeka. Imiphumela eminingana iye yaqaphela, kodwa ngokuvamile, ingozi yokukhubazeka kokuzalwa ibonakala iphakeme ezinganeni ezazinamawele alahlekayo. Ukwanda kweziphambeko zokubeletha kumathanga asaphila kubonakala sengathi kuvame kakhulu ukulahlekelwa (ukushabalala) kwe-twin amabili phakathi kwamasonto ayisithupha nesishiyagalombili ukubeletha. Le miphumela ingabandakanya:
- Isifo sikashukela sofuzo
- Ingozi ephezulu yokukhubazeka kokuzalwa okufana ne-cerebral palsy
- Umkhawulo wokukhula kwe-intrauterine (i-IUGR) - i-IUGR yisimo lapho ingane ingakhuli khona futhi kufanele ikhulelwe ngesikhathi sokukhulelwa.
- Isisindo sokuzalwa esincane kakhulu
- Ama-Apgar amanqaku aphansi
- Ukushona kwe-Perinatal (ukufa kwezinsana)
Ngenxa yalezi zizathu, udokotela wakho angase afune ukugcizelela ngokwengeziwe ukukhulelwa kwakho uma unamawele alahlekayo. Noma kunjalo, kubalulekile ukuqaphela ukuthi ezimweni eziningi zokulahleka kwe-twin syndrome, umntwana osaphila akathinteki kabi.
Ngezinye izikhathi i-Twin ayidabuki
Ngokuvamile kaningi amawele alahlekile athathwa ngumntwana wengane ukuze kungabikho ubufakazi bewele ngesikhathi sokubeletha. Ngezinye izikhathi, kunalokho, kusele insali yamawele, okuthiwa yi-fetus papyraceous. I-fetus papyraceous iyinsalela encane yomsana womntwana.
Ngokungajwayelekile, isifo se-teratoma singase senzeke lapho kunezinsalela ezithile zezicubu zesisu ezifana nezinwele noma amazinyo.
I-Vanishing Twin Syndrome Iyanda
Kubonakala sengathi ukwanda okukhulu kwe-twin syndrome evelayo eminyakeni yamuva. Njengoba amawele amaningi alahlekile angeke atholakale ngaphandle kwe-ultrasound yokuqala, ukuthuthuka kwezobuchwepheshe kwabesifazane abakhulelwe kungaba yingxenye yesizathu. Njengoba izindlela zokwelapha zivame kakhulu futhi ngokuvamile zandisa ithuba lokuphindaphinda, ngakho-ke ithuba lokuphela kwe-twin syndrome, lokhu kungase kube yisici.
Ukubhekana
Uma uthola ukuthi unezinhlangothi ezimbili ezilahlekile, cishe unemizwa eminingi exubile. Kuyinto evamile ukulilaza ingane olahlekile ngenkathi futhi uzizwa ukhululekile ukuthi usakhulelwe enye ingane yakho. Akufanele uzizwe ukuthi kufanele ukhethe futhi ukhethe phakathi kwemizwelo yakho. Ayikho imithetho ethi awukwazi ukudabuka futhi ujabule ngesikhathi esifanayo, futhi akufanele uzizwe ungamhloniphi ingane uma uqhubeka nenqubo yokulila lapho uqhubeka nokulangazelela ingane yakho enempilo.
Kubalulekile nokuba uqaphele ukuthi kungase kube nezinkinga kwezinye amawele amabili, kodwa ukuthi ezimweni eziningi zewele elibhubhayo, ingane ephilayo izalwa inempilo futhi ingenayo izinkinga zokuzalwa.
Imithombo:
Davies, M., Rumbold, A., Whitrow, M. et al. Ukulahlekelwa okungajwayelekile kwe-Co-Twin kanye nezinengozi zokuzalwa kwezinkinga emva kokuqanjwa kokusiza. Umbhalo Weziqalo Ezithuthukayo Ezempilo Nezifo . 2016. 7 (6): 678-684.
UMarton, V., uZadori, J., Kosinszky, Z., no-A. Kereszturi. Ukuqhathaniswa nokukhulelwa Umphumela Wokuqothula Okweshumi Nambili Ukubeletha Okufezekiswe yi-In vitro Fertilization Versus Conception Natural. Ukuzala nokuhlunga . 2016 Aug 24. (Epub ngaphambi kokuphrinta).
Zhou, L., Gao, X., Wu, Y., noZ. Zhang. Ukuhlaziywa kwemiPhumela yokukhulelwa kwabasindile beTwinishing Twin Syndrome emva kwe-In Vitro Fertilization kanye ne-Embryo Transfer. I-European Journal ye-Obstetrics, i-Gynecology, ne-Biology Yokuzala . 2016. 203: 3509.