Yeka ukuthi amawele ayenziwa kanjani
Abantu bayathandwa kakhulu ngamawele kanye nezinye iziphindaphindiwe. Kubonakala kungaqondakali ukuthi ukukhulelwa okungaholela kanjani ezinganeni ezingaphezu kweyodwa.
Ukukhulelwa okuphindwe kaningi kukhula eminyakeni yamuva nje ngamawele amaningi nangaphezulu nezinye izinhlobo zokuzalwa. Isizathu esikhulu salokhu kuphakama ukusetshenziswa kwezidakamizwa zokuzala.
Yeka ukuthi amawele ayenziwa kanjani
Kunezindlela ezimbalwa izimpande ezithathwa:
- Amaqanda amaningi akhululwa noma kunama-ovulation angaphezu kweyodwa. Zombili (noma ngaphezulu) amaqanda ahlwanyelwa futhi yilokho amawele angokwenyama enza ngayo. Lokhu kungenzeka noma ngaphandle kwemithi yokuzala.
- Kukhishwa elinye iqanda kodwa lihlukaniswa kabili. Yile ndlela amawele afanayo afakwa ngayo. Lokhu kungenzeka noma ngaphandle kwemithi yokuzala.
- Ezimweni ze-IVF, kungase kube neqanda elingaphezu kweyodwa elikhulelwe elibuyiswe esibelethweni. Isizathu sokuthi akuzona zonke lezi ezizofaka, nakuba ngezinye izikhathi zenza.
Uma usukhulelwe unamathuba amaningi kuma-placentas, izindawo zokufakelwa, inani lamasaka amniotic for monozygotic (amawele afanayo). Isibonelo, ungaba nezingane ezimbili, ama-placentas amabili, nama-sacs amabili. Ungaba namantombazane amabili i-placenta eyodwa, amasaka amabili. Kubalulekile ukwazi kahle ukuthi usebenza kanjani, ikakhulukazi uma kuziwa kuma-amniotic sacs.
Yeka ukuthi izibalo eziningi zixilongwa kanjani
Abantu abaningi bafunda ngezimpande zabo ekuqaleni kwe- ultrasound .
Nakuba abanye abagxeki bathi ngaphambi kwamasonto ayishumi nambili ukubeletha kusengcupheni enkulu yokulahleka i- twin syndrome (i-VTS) , lapho ingane eyodwa iyeka ukukhula futhi ingena emzimbeni kamama noma izalwa lapho izalwa amanye amawele.
Abanye abantu bathola isilinganiso esisheshayo sokukhula esibelethweni sabo esiholela abanye ukusola amawele.
Ngizosho, nina nonke okwesibini okuphuma lapho, ukuthi izisu zenu zizokhula ngokushesha kunokuba zikhulelwe kuqala, ngakho-ke ungacabangi ngamawele.
Ngezinye izikhathi izinzwa zenhliziyo eziningi zizwakala, ziholele uchwepheshe wakho ukuba akholelwe ukuthi kunezinqwaba eziningi zenjabulo esibelethweni sakho.
Abanye besifazane bathola ukuthi uma benamazinga ajwayelekile ngokungavamile ekuhlolweni kwe-AFP ukuthi iziphindaphindwa zisendleleni kusukela abantwana abaningi beyokhuphula amazinga alawa mahomoni. Kanti futhi ngezinye izikhathi kunokwenzeka ukuthola izinqwaba ngamazinga we-hCG we-serial ekukhutheni kokuqala. Izingane ezengeziwe zikhula ngokushesha kwi-hCG okumele iphindwe kabili njalo ngamahora angu-48 nge-singleton.
Mayelana nephesenti elincane lazo zonke izikhumba zokukhulelwa zingatholakali kuze kube sekuzalweni. Kungenzeka ukuthi ube ne- ultrasound futhi ungaboni omunye umntwana , nakuba kungavamile.
Umsebenzi Wokukhulelwa Okuningi
Ukukhulelwa ngokuphindaphindiwe akusiyo isimo esibucayi kakhulu, ngaphandle uma sibhekene neziphindaphindiwe ze-oda eziphakeme noma izinkinga ezithile. Abanye abazali bakubiza ngokuthi "isidingo esiphakeme." Lokhu kuyashintsha kahle kude nohlangothi lwezobuchwepheshe. Thola udokotela onokuhlangenwe nakho okuzalwa ngokuphindaphindiwe, kodwa ongeke asabeke kuzo zonke izingcingo. Okuhlangenwe nakho okwedlulele umhlengikazi, cishe kungenzeka ukuthi bazizwa bekhathazekile mayelana nakho konke okukhulelwe.
Ukudla nokulinganisa Ukuthola Ukukhulelwa Okuningi
Ngokuvamile, udinga ukwandisa inani lamaprotheni owudlayo. Amaprotheni yisakhiwo sokwakha yonke iseli emzimbeni wakho kanye nemizimba yabantwana bakho. Kuzokusiza ukwakha i-placenta enhle nesaka eliqinile le-amniotic. Ukudla okunempilo kuzosiza ekulwa nokutheleleka.
Kunconywa ukuthi uzuze isisindo esithile sokukhulelwa . Kungakanani okuzuzayo kuyoxhomeka ekutheni isisindo sakho sokukhulelwa singakabikho. Imihlahlandlela yamanje iphakamisa ukuthola:
- Owesifazane onempilo, ovuthiwe: 37-54 amakhilogremu
- Amamama ngokweqile: ama-31-50 amakhilogremu
- Omama omama: 25-42 amakhilogremu
Okubaluleke nakakhulu, udinga ukuzuza isisindo ngaphambi kokukhulelwa kunabalingani bokukhulelwa be-singleton.
Lokhu kungenxa yokuthi, ekuqaleni ungase ube nomntwana wakho, isisindo esiningi abaye bazuza, ngcono nakakhulu ku-NICU. Esinye isincomo ukuthi uthola okungenani amakhilogremu angama-20 ngesonto lama-20 lokukhulelwa.
Ukuvakashelwa Ukunakekelwa Ngaphambi Kokubeletha Ekukhulelweni Kwesibili
Mhlawumbe uzobona udokotela wakho njalo ekupheleni kokukhulelwa. Ungaba nokuhlolwa okuningi kunabesifazane abaningi ngesikhathi sokukhulelwa, kodwa hhayi njalo. Ezinye zazo zingase zibe nokuhlolwa okungewona ukucindezeleka , ama-ultrasound amaningi, njll. I-ultrasound ingenziwa njalo ngenyanga ngenyanga yesibili yokukhulelwa. Lokhu ukuhlola ukuqinisekisa ukuthi izingane zikhula kahle, futhi zikhula ngokufanayo komunye nomunye. Lokhu kungahlola futhi izinkinga ezingase zibe khona, kufaka phakathi i- twin-to-twin syndrome ye-transfusion (TTTS) .
Izinkinga
Kukhona ingozi ephezulu yokubhekana nezinkinga. Uzobe uhlolwe ngezinkinga ezijwayelekile zokukhulelwa ezifana nomfutho wegazi ophakeme, nokukhula komntwana. Noma kunjalo, amawele namanye ama-multiples angaba nemiphumela ephakeme yezinto ezinjengekuvimbela ukukhula kwe-intrauterine (i-IUGR) , ama-twin kuya kuma-twin transfusion (TTTS) , i- preeclampsia , isifo sikashukela sokukhulelwa, isisebenzi sokuqala kanye nokulethwa kwezidingo, ukukhubazeka kokuzalwa. nabanye. Khumbula ukugcina ama-aphoyintimenti akho, bukela ukudla kwakho futhi wenze ama- Counter Kick Counts akho .
Ukuzalwa Okuningi
Eminyakeni edlule, i-cearean yathandwa kakhulu ngokuzalwa kwabantu abaningi. Manje i-American College of Obstetrics ne-Gynecologists (i-ACOG) incoma ukuthi ukuhanjiswa kwesisu kusetshenziswe uma nje umntwana wokuqala, i-Twin A, ewela phansi (vertex) . Sithole ukuthi ukubeletha kwamasendlini kuvame ukuphepheka kakhulu ngokuphindaphindiwe, okuvame ukudinga ukuvuselela nokuphakama kwamazinga ama-hormone ahambisana nomsebenzi.
Kungakhathaliseki ukuthi uzoba nokuzalwa kwesifazane noma cha uzoxhomeka ezintweni eziningi, kufaka phakathi isimo samantombazane, nokuthi izingane zibekezelela kanjani abasebenzi.
Uma izinsana zakho zisendaweni lapho zingakwazi khona ukuhamba, kuthiwa zivaliwe. Lezi zingane kuzodingeka zizalwe nge-cearean.
Ama-baby breech athembele ngempela ngobukhulu bomntwana kanye nekhono lomsebenzi. Ngokuvamile, uma umntwana A (Izingane zokuqala ekhanda lomkhumbi.) Uphela phansi ekuzalweni kwesisu, uzozama. Uma i-Baby B ingu-breech noma idlulisa inguqulo yangaphakathi noma yangaphandle ingase izame ukusiza ukusiza ukuzalwa noma ukuthi umntwana angavunyelwa ukuba azalwe ngesibhamu.
Amawele ama-monoamniotic , lapho izinsana zombili zikhona esikhwameni esisodwa, nazo zizozalwa nge-cearean, ngenxa yengozi eyengeziwe yokwehlukaniswa kwentambo.
Kungakhathaliseki ukuthi amawele akho awakhulelwa kanjani, noma ukuthi azalwa kanjani, izinsana ziyajabula. Ukuphindwa komzali kunenselelo ekhethekile, kodwa futhi kuveza imivuzo ekhethekile.
> Imithombo:
> I-American College yezidakamizwa namaGynecologists (College); Society for Medicine-Fetal Medicine, Caughey AB, Cahill AG, Guise JM, Rouse DJ. Am J Obstet Gynecol. 2014 Mar; 210 (3): 179-93. doi: 10.1016 / j.ajog.2014.01.026. Ukuvikelwa okuphephile kokulethwa kwezidingo eziyinhloko.
> Fuchs F, Senat MV. I-Semin Fetal Neonatal Med. 2016 Jan 12. Pii: S1744-165X (15) 00149-3. doi: 10.1016 / j.siny.2015.12.010. [I-Epub ngaphambi kokuphrinta] Izigameko eziningi nokuzalwa kwangaphambi kokuzalwa.
> Goossens SM, Hukkelhoven CW, de Vries L, Mol BW, Nijhuis JG, Roumen FJ. I-Eur J Obstet Gynecol I-Biol ephikisayo. 2015 Dec; 195: 133-40. doi: 10.1016 / j.ejogrb.2015.09.034. I-Epub 2015 Septhemba 30. Izinkomba zomtholampilo ezihambisana nemodi yezinsizakalo ezimbili: ukuhlaziywa kwama-pair angu-22 712.
> Schmitz T, Carnavalet Cde C, Azria E, Lopez E, Cabrol D, Goffinet F. Obstet Gynecol. 2008 Mar; 111 (3): 695-703. i-doi: 10.1097 / AOG.0b013e318163c435. Imiphumela ye-Neonatal yokukhulelwa kwamawele ngokusho kwendlela yokuhlela ehleliwe.