I-ultrasound kuphela engaqinisekisa amawele, kodwa kungenzeka kube nezinkomba zokuqala
Abanye omama abakhulelwe amawele bathi basolwa ukuthi banomntwana ongaphezu kweyodwa kusukela ekuqaleni. Kodwa abanye omama bayamangala lapho bethola ukuthi banamawele.
Iqiniso liwukuthi nakuba kunezibonakaliso eziningana nezimpawu zokukhulelwa kwamabili, kubuye kube nokuqhekeka okukhulu nezimpawu zokukhulelwa kwe-singleton.
Akunakwenzeka ukwazi ngokuqondile ukuthi ngabe uphethe amawele (noma izingane eziningana) ngokumane uzizwe ukuthi uzizwa kanjani noma uphume kanjani ekuboniseni ukuhlolwa kokukhulelwa ekhaya. Eqinisweni, kuphela i- ultrasound ingaqinisekisa i-twin noma ukukhulelwa okuningi.
Lokho kusho, kungaba okuthakazelisayo ukubuza ukuthi izimpawu noma izimpawu ezithile ziyizinkomba ezicashile ukuthi wena noma othandekayo kungenzeka ungathwala ingane engaphezu kweyodwa. Ake sihlolisise lezi zindlela ezikhona ezinganeni eziningi.
Amazinga we-HcG aphakanyisiwe e-Urine noma ngegazi (Izivivinyo Zokukhulelwa)
Ngeke ukwazi ukuhlukanisa ngokuqondile ukukhulelwa okulodwa kusuka kumawele ekuhlolweni kokukhulelwa komchamo. Lokho kusho, ungase ube nokuhlolwa kokukhulelwa kokuqala kakhulu uma uthwele amawele. Uma usebenzisa ukuhlolwa kokukhulelwa okuvamile (hhayi ukuhluka okuvelele kakhulu) futhi uthole ngokushesha (ikakhulukazi isibonakaliso esimnyama kakhulu) ezinsukwini ezimbalwa ngaphambi kwesikhathi sakho, kungase kube nokwanda okwandayo ukuthi uthwele amawele.
Kodwa, khumbulani, ukuvivinya kokukhulelwa kwamakhansela ekhaya-ekhaya akuthenjelwa uma kuziwa ukubikezela inani le-hCG; bavele bahlole ukuthi inani elincane leHCG likhona noma cha. Ngamanye amazwi, amathuba okuba umphumela wokuhlola omuhle noma omnyama wokuqala umane usho ukuthi unamanzi amancane okuphuza ngesikhathi uqala ukuhlolwa.
Isivivinyo sokukhulelwa kwegazi (i-hCG level), noma kunjalo, singakunika okungcono, kodwa kungabi isiciniso esiphelele ukuthi uthwele amawele. I-HCG iyi-hormone ebonakalayo egazini labesifazane abakhulelwe noma kumchamo mayelana nezinsuku ezingu-10 emva kokukhulelwa futhi ngokuvamile iphindwe kabili njalo kwezinsuku ezimbili kuya kwezintathu, igxuma emavikini angaba ngu-8 ukuya kwangu-11 ekukhulelwe.
Kungakhathaliseki ukuthi amazinga we-hCG aphakanyisiwe ekukhulelweni kokuqala akuyona indlela efanele yokuthola amawele. Esinye sezizathu ukuthi lezi zigaba azihlolwe njalo ngaphandle kokuba uphethwe ukwelashwa kokuzala.
Enye inkinga ukuthi uhla olujwayelekile lwe-hCG lungahluka kakhulu phakathi kwabesifazane abahlukene. Isibonelo, amazinga phakathi kwe-18 mIU / ml no-7,340 mIU / ml abhekwa njengokuthi "evamile" emasontweni ayisihlanu ukubeletha. Okokugcina, Ngaphezu kokuphindaphindiwe, kunezinye izimbangela zezinga eliphezulu le-hCG , njengokukhulelwa kwe- molar .
Futhi, konke lokhu kuthatha ukuthi usuku lwakho olulinganiselwa ngalo kufanele lube nenembile kakhulu, okuyinto evamile futhi. Kungenzeka ukuthi kungenzeka ukuthi usuqedile isikhathi sakho esingekho noma uma uvula.
I-Doppler Heartbeat Count
Ngokusebenzisa amagagasi omsindo angenangqondo, uhlelo lwe-Doppler lukhulisa imisindo ye-fetal heart, ngokuvamile ihlukanise phakathi kwesikhathi se-trimester yokuqala. Udokotela noma umbelethisi onolwazi angakwazi ukubona izinhliziyo ezingaphezu kweyodwa, okukhombisa ukukhulelwa okuphindwe kabili.
Ukulalela ukushaya kwenhliziyo kwengane kusenesikhathi ekukhupheni, noma kunjalo, kungaba lula ukudukisa. Lokho okubonakala sengathi ukushaya kwenhliziyo yesibili kungase kube yilezi zinhliziyo ezizwakalayo ezivela kwenye indawo (noma njenge-echo).
Ukushaya kwenhliziyo komama akuvamile ukuphutha ingane ngoba ngokuvamile kuyingxenye yesilinganiso senhliziyo yengane. Noma kunjalo, ukushaya kwenhliziyo komama kungadala umsindo wangemuva ongenza kube nzima ukuhlukanisa izinhliziyo zamantombazane amabili noma ngaphezulu.
Ukugula OkusaMasa okungaphezulu
Kukhona isisho ngamawele: "Kabili njengoba ugula, kathathu ukhathele, futhi izikhathi ezine ukuzuza kwesisindo." Kodwa lokhu kungukuthi, ngezindlela eziningi, indaba yomfazi omdala.
Ngesinye isikhathi, omama bezimpande bangaba nokugula okungaphezulu kokusa , kepha ukusebenzisa ukugula kokusa njengokulinganisa ukuthi uthwele amawele akusizi ngempela usizo.
Ngokuvamile, ingxenye engaba yingxenye yabesifazane ibhekana nesisindo sokunambitheka nokuhlanza ngokukhulelwa okukodwa, futhi kufike kumaphesenti angu-1 okuhlangenwe nakho okuthinta i-hyperemesis gravidarum , uhlobo lokugula okusabalalisa ekuseni. Ngesikhathi esifanayo, amanye amaMama amawele nama-triple athi asinakho ukugula kwasekuseni.
Kanti, nangomntwana wokuqala, owesifazane akanalo iphuzu lokubhekisela ekuqhathaniseni izinga lakhe lokucabangela. Kodwa ngezingane zesibili nokuqhubeka, abesifazane abangamaphesenti angama-15 babika ukugula okungaphezulu kokuphindaphindiwe kunokwakheka kokukhulelwa kwangaphambilini.
Okokugcina, esinye isibonakaliso esingaba khona ukuthi abesifazane abathwala izimpande, isicanucanu singase siqale ekuqaleni, ngisho nangaphambi kokuba ukuhlolwa kokukhulelwa kuphenduka kahle. Kodwa futhi, lokhu akulona iqiniso, nje ukumbona.
Ukutholakala kwesisindo
Ngenkathi omama bamawele bezuza kuphela amakhilogremu angu-10 kunomama abangabonayo, inani lesisindo owesifazane ozuza ngaso ngokuvamile lithembele kakhulu ekuphakameni kwakhe, uhlobo lomzimba, nokuthi ulinganise kangakanani ukukhulelwa ngaphambi kwenani lezingane esiswini sakhe.
Ngaphezu kwalokho, ukwandisa okuningi kokuzuzwa kwesisindo kwenzeka kamuva lapho ukhulelwe, ngokuvamile ngemva kokuba i-ultrasound isiqinisekisile noma ingavumelani ukuxilongwa kwamawele noma ezinye izimpande.
Okokugcina, ukudla kwakho kungaba yisizathu sokuthi uthola isisindo esiningi kakhulu. Ungase uthathe amakholori amaningi kunalokho okudingayo. Uma ukhathazekile ngesisindo sakho ngesikhathi ukhulelwe, sicela uxoxe nodokotela wakho ngokubona umsoco wokubeletha ngaphambi kokubeletha.
Imiphumela engavamile yokuhlolwa kwe-AFP
Ukuhlolwa kwe-AFP (i-Alpha-fetoprotein) kuhlolwa kwegazi okwenziwe omama abakhulelwe phakathi no-trimester wesibili. Eyaziwa nangokuthi ukuhlolwa kwe-serum yomama noma ukuhlolwa kwe-marker amaningi, kusetshenziselwa ukukhomba izingozi ezikhudlwana zezifo ezithile zokuzalwa. Ukukhulelwa okubili kungaveza umphumela ophezulu noma "omuhle". Ngokuvamile, udokotela wakho uzophendula ngokuhlela i-ultrasound ukuze ahlolwe ngokuqhubekayo.
Ukulinganisa Okukhulu KwamaGestational Age
Phakathi nokukhulelwa kwakho, udokotela noma umbelethisi wakho uzolinganisa ukuphakama kwe-uterine fundus yakho (ukulinganisa kusukela phezulu kwethambo lesishiyagalolunye kuya phezulu kwesibeletho) njengendlela yokulinganisela iminyaka yobudala kanye nokukhula kwengane.
I-twin noma ukukhulelwa okuningi kungabangela ukuba isibeletho sikamama sande ngaphezu kwebanga lokukhulelwa okukodwa. Nokho, ezinye izici zingase zandise izilinganiso. Lesi silinganiso sinzima kakhudlwana ekuqaleni kokukhulelwa kunakamuva, uma i-ultrasound kungenzeka isithole ukuthi kukhona amawele.
Yiqiniso, kunezinye izizathu zokuthi kungani ungalinganisa okukhulu noma "okubonisa okukhulu noma okusheshayo" kunalokho owakulindele. Uma ukhulelwe esikhathini esidlule, cishe uzobonisa ngokushesha. Ngaphezu kwalokho, ungase ulinganisane nkulu uma usuku lwakho lokukhulelwa lungalungile noma uma ingane yakho ikhulu kakhulu.
I-Fetal Movement
Ukuzwa ingane (noma izinsana) ihamba ngaphakathi esibelethweni ingenye yezici ezithandekayo zokukhulelwa.
"Ukuvuselela," noma isikhathi lapho uqala ukuzwa khona ingane yakho, kungenzeka noma nini phakathi kwamaviki angu-18 kuya kwangu-25 kodwa kuvame ukutholakala ekuqaleni kokukhulelwa okulandelayo, mhlawumbe kungakapheli amasonto angu-16. Lapho abesifazane bezwa ukunyakaza ngesikhathi sokukhulelwa kuqala kuvame ukungahambisani futhi kungakhohlisa.
Nakuba omama abaningi beziphindaphinda bahlangabezana nokunyakaza okuphindaphindiwe noma okungaphezulu kwesibusi , kukhona ukungavumelani phakathi kochwepheshe bezokwelapha ngale ndaba. Kwabesifazane abathile, ukubonakala kwemizwa yokunyakaza kwenzeka ngaphambi kokukhulelwa okulandelayo, kungakhathaliseki ukuthi kukhona umntwana oyedwa noma ngaphezulu. Ngaphezu kwalokho, qaphela ukuthi yini engase ibonakale sengathi ukunyakaza kokukhulelwa ekuqaleni kokukhulelwa kungase ibe yigesi noma isisu esithukuthele.
Ukhathala Okukhulu
Ukukhathala okwedlulele yisikhalazo esivame ukubikwa ngesikhathi sokukhulelwa nge-multiples. Ukulala, ukukhathala nokukhathala ngesikhathi sokuqala kwe-trimester kungathuthukiswa ngoba umzimba usebenza isikhathi esengeziwe sokukhulelwa kwengane eyodwa.
Kwezinye izimo, ukukhathala kungabhekwa kwezinye izici (umsebenzi, ukucindezeleka, ukudla okunomsoco, nokunye izingane), kodwa kungabonisa nokuphindaphindiwe.
Nokho, izinga lokukhathala kungaba nzima ukuhlola, okungenani uma lihlobene namawele. Siyazi ukuthi ukukhathala cishe akugwemeki ekukhutheni , ngisho nangama-singletons.
Khumbula, ama-moms okuqala ayenawo iphuzu lokubhekisela kulokhu "okujwayelekile" kokukhathala. Abesimame besibili (nabaningi) bangase babone ukukhathala okwedlulele, kodwa kubonisa ukuthi lokhu kuyimfuneko yokunakekela izingane ezincane ngenkathi zikhulelwe. Noma kunjalo, omama abaye bakhulelwa kwangaphambili bangaqaphela ukuthi bakhathele kakhulu.
Nakulokhu, ukukhathala kungumqondo obonisa ukuzithoba futhi kunamacala amaningi angase abe khona.
Ukuzizwa kwemizwa nokuzingela
Ngenkathi ezinye izinto kulolu hlu zibhekisela kohlobo oluthile lobufakazi obubonakalayo-izimpawu ezigqamile, imiphumela yokuhlolwa engavamile, ukwanda kokugula ekuseni nokuningi-asikwazi ukunganaki amandla omqondo womama. Kungakhathaliseki ukuthi omama babe namaphupho amawele noma abazingeli abakwazi ukukuchazela, labo abake banakekele abesifazane abakhulelwe bafunda ukulalela. Eminye "amacebo" amahle kakhulu okukhombisa ukuthi ukukhulelwa okuningi akuchazwa kalula ezincwadini zezokwelapha.
Uma uthola "isisu sokuzwa" ukuthi ungase uphathe iziphindaphindiwe, lalela umzimba wakho futhi ukhulume nodokotela wakho ngale mizwa.
Ukuqinisekiswa kwe-Ultrasound
Ukubona ukukholwa. Indlela kuphela yokuqinisekisa ukuthi ukukhulelwa okubili noma kokubili ukukhulelwa ukuyibuka nge- ultrasound . Isithombe se-ultrasound singabonisa ngaphandle kokungabaza uma kunengane engaphezulu kweyodwa. Ekugcineni, kungakhathaliseki ukuthi yiziphi ezinye izibonakaliso noma izimpawu onayo, indlela kuphela ozoyazi ukuthi unayo i-ultrasound.
Uma unezinsolo zokuthi kungenzeka kube khona ingane engaphezu kweyodwa, xoxani ngokukhathazeka kwakho nodokotela wakho. Akungabazeki ukuthi umbono we-ultrasound ungaphuthelwa ingane eyengeziwe, ikakhulukazi emithathu yesithathu noma yesithathu. Nokho, kube khona amacala amawele afihlekile . Ngokuyinhloko, amawele "afihliwe" kungenzeka kakhulu ekuqaleni kwe-ultrasound lapho izinsana zifana namawele amabili ( monochorionic ).
Ngezinye izikhathi ukukhulelwa okuphezulu ngokweqile ukukhulelwa okuningi, okufana ne-quintuplets noma ubulili, kunzima kakhulu ukubala ngokunembile kwi-ultrasound yokuqala.
Izwi elivela ku-Verywell
Ekugcineni, uma ufunde ukuthi unamamawele, kuvamile ukuzwa imizwa eminingi esuka ekujabuleleni ukwesaba. Qinisekisa ukuthi ungaxoxisanga nodokotela wakho ngezibonakaliso zakho kuphela, kodwa futhi izinkinga zakho, imibuzo, kanye nezingozi ezihilelekile ngokuba nokukhulelwa kwamabili (noma amaningi).
> Imithombo:
> I-American Pregnancy Association. (2016). Izimpawu Nezimpawu Zokukhulelwa Okuningi.
> Chasen, S., noFervenak. (2017). Ukukhulelwa kwesibili: Izinkinga zokubeletha. UpToDate . Kubuyekezwe 05/10/17.
> Khalil A. et al. I-ISUOG Ukusebenzisa Iziqondiso: Indima ye-Ultrasound ku-Twin Ukukhulelwa. I-Ultrasound ku-Obstetrics ne-Gynecology . 2016. 47 (2): 247-63.
> Mackie, F., Morris, R., noMl Kilby. Ukubikezela, Ukuxilongwa Nokuphathwa Kwezinkinga Kwi-Monochorionic Twin Pregnancies: I-OMMIT (I-Optimal Management of Monochorionic Twins). Ukukhulelwa kwe-BMC nokubeletha . 2017. 17 (1): 153.