Ukukhulelwa ngamawele afanayo kufana nokukhulelwa nengane eyodwa kuphela. Kunezinkinga ezithile zezokwelapha ezihlukile kanye nezinkinga eziqondene namawele afanayo. Uma ukhulelwe amawele afanayo, lezi ezinye izinto okufanele uzicabangele.
Yini ama-Twins Twins?
Kubalulekile ukuqonda ngokunembile uhlobo lwamawele. Leli gama elifanayo lisetshenziselwa ukuchaza > iziphindaphindi ze- monozygotic - amawele asuka eqanda elilodwa elikhulelwe elihlukaniswa kabili.
Ngoba zivela enhlanganisweni efanayo yesibindi / yeqanda, lawa mawele afana okufanayo > imvelaphi yezakhi zofuzo . Nge-DNA efanayo, ngokuvamile bafana nemibono efanayo. Ngenxa yokuthi zibukeka ngendlela efanayo, igama elithi "elifanayo" liye lafana namawele e-monozygotic . Noma kunjalo, incazelo enembile i-monozygotic, ebonisa ukuthi amawele ayenziwe kusukela ku-one (mono) zygote (iqanda elivuthiwe). Amawele e-dizygotic , afana namaqanda amabili ahlukene ahlonywe yi-sperm amabili, awaziwa nangokuthi "amawele" angama-"fraternal" .
Ngingazi kanjani Uma Izinwele Zami Zingafani?
Akunakwenzeka ngaso sonke isikhathi ukuqinisekisa ubuhlungu ngenkathi ukhulelwe, kodwa umhlinzeki wakho wezokwelapha angakwazi ukuhlola ukuthi ngabe izingane zifana noma zihlobo. I-Ultrasound ingasiza ukucacisa ezinye izimpawu, kufaka phakathi ubulili bezingane, nokuhlola kwe-placenta. Amawele e-monozygotic ahlale efana nobulili obufanayo ( abafana ababili noma amantombazane amabili ) futhi angabelana nge- placenta eyodwa, isitho esondla izingane ngaphakathi kwesibeletho.
Kodwa-ke, amanye amawele e-monozygotic, lawo ahlukanisa ngokushesha ngemuva kokukhulelwa, angathuthuka ngama- placentas amabili , futhi ukuskena okusheshayo kwe-ultrasound akugcini ngaso sonke isikhathi. Abesifazane abahlolwayo ngaphambi kokubeletha, okufana ne- amniocentesis noma i- Chorionic Villus Sampling (CVS) bangase babe nethuba lokuhlola okuyiqiniso kokuhlola .
Ukucatshangelwa okukhethekile kwamawele ajwayelekile
Uma umhlinzeki wakho wezokwelapha eqinisekisa ukuthi ukhulelwe amawele afanayo, kunemibuzo ekhethekile okufanele iphendulwe ukuze kuqinisekiswe umphumela ophumelelayo. Amawele ama-monozygotic angena ezimweni ezithile ezingasongela impilo yomntwana oyedwa noma womabili. Qinisekisa ukuxoxa ngalezi zingozi nomnakekeli wakho wezokwelapha uma ukhulelwe amawele afanayo.
- I-Monoamniotic-Monochorionic (i-MoMo) Amawele : Uma iqanda elikhulelwe lihlukaniswa ngokushesha nje emva kokukhulelwe, imibungu emibili iyogxila futhi ikhule ngamapentecenta ahlukene kanye namasaka. Kodwa-ke, uma ukuhlukaniswa kubambezeleka, amawele angabelana nge-placenta, kanye ne-sac amniotic. I- sac amniotic iyisikhwama samanzi esine-fetus; lizungezwe i- chorion , i-membrane yangaphandle. Lapho amawele ehlanganyela kokubili i-amnion ne-chorion, achazwa njengezimpondo ze- Monoamniotic-Monochorionic noma amawele "we-MoMo". Lesi simo esingavamile; kuphela amaphesenti angu-1 amawele akhula nalesi simo. Kodwa-ke, kungabangela izingozi ezinganeni. Izinsana ze-MOMo zisengozini yokungena entambo noma ukucindezela intambo.
- I-Twin-to-Twin Transfusion Syndrome (TTTS) : I-TTTS isifo se-placenta esithinta amawele afanayo. Iningi lamawele e-monozygotic ahlukanisa phakathi kwezinsuku ezine nesishiyagalombili emva kokukhulelwa, futhi angase athuthuke nge-placenta eyodwa, eyabelwe. Noma kunjalo, ingane ngayinye ine-amnion yayo (isikhwama samanzi), ngaphakathi kwe-chorion eyabelwe (i-membrane yangaphandle). Nakuba bengabhekene nezinkinga zamawele we-MoMo okukhulunywe ngenhla, cishe amaphesenti angu-20 amawele e-monochorionic athuthukisa imithwalo yegazi engavamile ngaphakathi kwe-placenta ebelwanayo eyenza ukugeleza kwegazi kungeneke ngokungafani phakathi kwezinsana. Iwele elilodwa ngokuyisisekelo liba ngumnikelo wegazi komunye, kubangela izinkinga kokubili izinsana. I-twin donor yehlile ukugeleza kwegazi, ukukhula okusheshayo, nokungena okwanele kwamanzi abizayo, ngenkathi igazi legazi le-twin lidlula inhliziyo yalo futhi linamanzi amaningi amniotic. I-TTTS ingalawulwa ngesikhathi sokukhulelwa ukuze unciphise izingozi ezinganeni; ezimweni ezimbi kakhulu, ukuhlinzwa kwe-laser kungalungisa ukugeleza kwegazi ku-placenta.
- Amathanga Ahlangene : Amawele ahlangene atholakala lapho iqanda lihlukana, liphele izinsuku eziyisishiyagalolunye noma ngaphezulu emva kokukhulelwa, futhi amangqamuzana awahlukanisi ngokugcwele. Amawele ahlangene axhunyiwe ngesikhathi esithile emzimbeni, futhi angabelana ngezicubu, izitho noma izitho. Amawele ahlangene ajwayelekile kakhulu, futhi ngokuvamile atholakala yi-ultrasound. Ukukhulelwa ngamawele ahlangene kudinga ukuphathwa ngokucophelela nokuqapha okusheshayo.