Ukukhulelwa kwamabili kuhambisana nezingozi, kokubili umama nabantwana. Amanye amaMama athemba ukukhulelwa amawele noma ngisho nokuphindaphindiwe okuphindaphindiwe futhi uzothatha izinyathelo ezisebenzayo ngenkathi ukwelashwa kokuzala ukwandisa izimo zabo . Amanye omama benza konke abangakwenza ukuze bagweme ukukhulelwa amawele, kodwa namanje bakhulelwe ezingaphezu kweyodwa.
Ukuqonda izingozi zokukhulelwa ngamawele ngaphambi kokukhulelwa kungakusiza wenze izinqumo mayelana nokwelashwa kwakho kokuzala .
Isibonelo, uma udokotela wakho enikeza ukukhetha kokudlulisa imibungu eminingi ngokumelene nombungu owodwa ngesikhathi ukwelashwa kwe-IVF , ungase uzimisele ngokwengeziwe ukuzama ukudluliselwa kwesisu esisodwa (SET) uma wazi izingozi zakho. (Noma, uma udokotela wakho engakhulumi ngisho ne-SET, ungacela ukuthi ungumuntu omele ukhetho, kodwa kuphela uma wazi izinketho zakho.)
Ukuqonda izingozi zokukhulelwa ngamawele ngemuva kokubeletha kakade kubalulekile. Isibonelo, ungazifundisa ngezibonakaliso nezimpawu zomsebenzi ongakabiphi isikhathi , ukwazi ukuthi i-prematurity ingozi ngamawele.
Akuzona zonke izingozi ezigwemekayo noma ngaphansi kokulawula kwakho. Noma kunjalo, ukwazi ukuthi yini okufanele uyiqaphele kungasiza ukunciphisa izinkumbulo endleleni bese ukwandisa ukuqwashisa kwakho izimpawu ezingase zibe nzima.
Izingozi Zomama Ngesikhathi Sokukhulelwa Kwesibili
Ukukhulelwa kokubili akuyona nje engozini ezinganeni, kodwa futhi kumama. Kodwa-ke, izingozi eziningi kumama nazo ziyingozi ezinganeni ezingakazalwa, ngoba zingaholela emsebenzini ongakabiphi, izinkinga, noma ezimweni ezimbi kakhulu, ukufa komntwana.
Ezinye zalezi zingozi ziyinkimbinkimbi kakhulu kunengozi yangempela, kanti ezinye zingasongela impilo uma zingashiywa zingaphathwa.
- Ukukhulelwa komfutho wokukhulelwa (PIH) ukukhulelwa kwegazi ngesikhathi sokukhulelwa. Amaphesenti angama-37% okukhulelwa kwamabili ahlanganisa i-PIH, okuyizikhathi ezintathu noma ezine izinga lokukhulelwa kwezingculazi. Uma ungakhulumi, ungaholela emsebenzini ongakabiphi isikhathi, umntwana ongakhuli kahle , noma umntwana osanda kuzalwa. Kungaba yingozi enkulu empilweni yomama, ikakhulukazi uma iqala ukuqala kwe-preeclampsia.
- I-preeclampsia yisimo esibandakanya kokubili ukucindezela kwegazi eliphezulu kanye namaprotheni emcinini. Izimpawu zingase zihlanganise ukuvuvukala, ikhanda elibi kakhulu, nokuthola isisindo esisheshayo ngokushesha. Kuphindwe kabili ukuthi kunomama weziphindaphindiwe. Uma ishiywe ingalashwa, i-preeclampsia ingaholela ku-eclampsia, eyaziwa nangokuthi i-toxemia. I-Eclampsia ibangela ukugwinya futhi ingabe isongela impilo nonina nezinsana ezingakazalwa. Ngenkathi imithi yegazi ne-anticonvulsant imithi inganciphisa umama ezimweni ezimbi, ngakho-ke ingane ingasichitha isikhathi esithile esibelethweni, kuphela ukwelashwa kwe-preeclampsia ukuletha umntwana.
- Isifo sikashukela sofuzo yisimiso lapho owesifazane, owayengasifo sikashukela ngaphambi kokukhulelwa, kunzima ukugcina amazinga ajwayelekile ashukela egazi. Isifo sikashukela sofuzo senzeke cishe ngo-5% sokukhulelwa kwezingculazi, kepha abesifazane abakhulelwe ngamawele bangamathuba amabili okuzizwa. Isifo sikashukela sokugaya ngokuvamile singaphathwa ngokuguqulwa kokudla nokuphila.
- Omama abakhulelwe ngezinxephezelo baningi amathuba okubhekana nezinkinga zokugaya ngaphambi noma ngesikhathi sokubeletha.
- Ukugula okusabalalisa kakhulu kunabesifazane abakhulelwe ngamawele. Kwabanye, lokhu kuyinkinga enkulu kunengozi, kodwa abanye bangathuthukisa i-hyperemesis gravidarum . I-Hyperemesis gravidarum ukugula okukhulu ekuseni, okuholela ekulahlekelweni okungu-5% ngesisindo somzimba kumama futhi kungadinga ukunakekelwa esibhedlela.
- Amama amawele angase abhekana nezinkinga zamathumbu ngesikhathi sokukhulelwa, njengokuqothulwa.
- Uma abasebenzi besesimweni esisongelayo, ukukhulelwa okuningi kungase kudingeke ukuba kuphumule umbhede , okungabangela ukucindezeleka nokulahlekelwa umsebenzi.
- Uma ukuqala komsebenzi kuqala, owesifazane angase adinge ukuthatha imithi yokuyeka ukusebenza futhi avumele izinsana isikhathi esiningi esibelethweni. Le mithi ingaba nomthelela omubi, abanye bumnene kanti abanye bakhudlwana kakhulu.
- Ingxenye yesesare inamathuba amaningi ngokuphindaphindiwe, ngenxa yesethulo esingathandeki (njengalapho ingane yokuqala ingasihlezi phansi) noma izinkinga, okusho ukubuyisela isikhathi eside umama ngemva kokuzalwa kanye nengozi ephezulu yokucindezeleka ngesikhathi sokubeletha.
- Abomama beziphindaphindeka banokuzwa ukucindezeleka kokuthunyelwa kwesisu.
Izingozi Zengane Ngesikhathi Sokukhulelwa Kwesisindo
Ukukhulelwa kwezikhathi ezimbili kunezinga eliphakeme lokukhulelwa kwesisu. Kwezinye izimo, iwele elilodwa lingahle lilahleke noma livele "liphele," lishiye iwele eliphilayo. Lokhu kwaziwa nangokuthi i- Vanishing Twin Syndrome .
Amawele asemngciphekweni we-intrauterine ukuhlukumeza ukukhula, okuyinto lapho elinye iwele likhula kancane kakhulu kunomunye. Ngokukhulelwa okufana namabili noma ukukhulelwa lapho amawele ehlanganyela khona i-placenta eyodwa, lokhu kungaba uphawu lwe- twin-to-twin syndrome ye-transfusion (TTTS) , lapho iwele elilodwa lithatha okungaphezulu kwesabelo salo segazi ukusuka ku-placenta. I-TTTS ivela ku-10% kokukhulelwa kwe- monochorionic . Uma ishiywe ingalashwa, i-TTTS enamandla ingabangela ukuhluleka kwenhliziyo yintsana noma ukufa komunye oyedwa noma womabili amawele.
Amawele amabili angase abe nezisindo eziphansi zokuzala, ngisho nalapho zizalwa ngesikhathi. Amawele amabili nawo angase abe ngaphezulu kwe-jaundiced.
Ingozi ye-Prematurity
Ukukhulelwa kwe-Twin kunomngcipheko omkhulu wokungabi nesikhathi sokuqala, okungukuthi ukubeletha okwenzeka ngemva kwamasonto angama-20 kodwa ngaphambi kwamasonto angu-37 ukubeletha. Ukukhulelwa kwamaphesenti angu-40 kuphela kuhamba isikhathi esigcwele. Ukukhulelwa kwe-twin isilinganiso ngamasonto angama-35, uma kuqhathaniswa nokukhulelwa okuvamile, okungamaviki angu-39.
Ukwelashwa kwangaphambili kungaholela ezinkingeni eziningi, kubandakanya:
- Amaphaphu amancane, okuholela ekubuneni ukuphefumula. Izinsana zangaphambi kokuqala zingagqoka ama-ventilator kuze kube amaphaphu avuthiwe.
- Izinkinga zesisu nesisu emathunjini.
- Izinkinga zesimiso sezinzwa, kuhlanganise nokuphuma kwegazi ebuchosheni.
- Isisindo sokuzalwa esincane.
- Izinkinga zokudla, kuhlanganise nobunzima bokuncelisa.
Ngenxa yentuthuko kwezobuchwepheshe, izingane ezingu 90% ezazalwa emva kwamasonto angu-28 zisinda. Kodwa-ke, ngisho nezinsana ezisinda esikhathini sokuqala zisengozini yemiphumela yesikhathi eside. Izinkinga zesikhathi eside zokuqala kokuqala zingabandakanya:
- I-bronchopulmonary dysplasia (i-BPD), isimo esingapheli sephaphu esingadinga ukusekelwa oksijini kwamasonto noma izinyanga ngemva kokuzalwa.
- Izinkinga zokuphefumula ezijwayelekile, kubandakanya amathuba amaningi okuthuthukisa isifo sofuba nesifo sokuphefumula.
- Ukubambezeleka kokuthuthukiswa.
- Ukukhubazeka kokufunda, futhi ezimweni ezimbi, ukulibala. Lokhu kungase kungabonakali iminyaka.
- I-cerebral palsy.
- Izinkinga zembono.
- Ukuzwa ukulahlekelwa.
Ukuzalwa kwangaphambi kokuqala kusenzima nakakhulu kubazali, ababhekene nokucindezeleka kokuba nabantwana eNICU izinsuku, amasonto, noma izinyanga, kuye ngokuthi izingane zizalwa kanjani nokuthi yiziphi izinkinga ezenzekayo. Ukungakwazi ukuthatha ingane yakho ekhaya kungadabukisa kakhulu, futhi ukubona ingane yakho igxile emishinini ye-NICU ingaba buhlungu kakhulu.
Imithombo:
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