Kunezinto ezimbalwa okufanele uziqaphele uma ulindele izingane eziningi.
Ngisho noma uke wazalwa nomntwana ngaphambili, ukubeletha amawele kuyinto ehlukile. Nakuba kungekho ukuzalwa okujwayelekile, kunezinto ezimbalwa abesifazane abalindele amawele okufanele alungiselele futhi axoxisane nomhlinzeki wabo wezempilo.
Kuphi Amantombazane?
Isikhundla samantombazane esibelethweni sizobona ngokuyinhloko ukuthi amawele azalwe kanjani - ngamanye amazwe noma ngama-cearean.
Amaphesenti angaba ngu-40 amaphesenti angu-48 aphuma phansi (vertex) ngesikhathi, amanye amaphesenti angu-30 abona ingane yokuqala (i-Twin A) i-vertex ne-Twin B endaweni ye- breech . Zombili lezi zikhundla ziyamukeleka ukucabangela ukuzalwa kwesisu.
Kunezimo lapho i-cearean iluleka ekuzalweni kwamawele amabili, njengalapho izingane zombili zihamba kahle. Ngokujwayelekile lokhu kwaziwa kusengaphambili nge-ultrasound technology . Kodwa-ke, amawele angashintsha izikhundla ngasekupheleni komdlalo, aze asebenze . Lokhu kuyiqiniso ngokukhethekile ngeTwin B emva kokuzalwa kweTwin A.
Ukuzalwa kwamaVaginal
Amaphesenti angaphezu kwesigamu azozalwa emzimbeni. Izindaba ezinhle ukuthi ngisho noma unezingane ezimbili kufanele usebenze kanye!
Uma umlomo wesibeletho usuvulekile, ingane ngayinye iyoba nesigaba sayo sokuqhuma. Lokhu kusho ukuthi uzodinga ukuphinda kabili, kodwa iningi lesikhathi iwele lesibili lizalwa kalula kakhulu kunelokuqala. Lokhu kungenxa yokuthi iwele lokuqala livule indlela, ngokusho.
Isikhathi esiphakathi phakathi kokuzalwa komntwana wokuqala nesesibili ngokuvamile cishe imizuzu engu-17. Kodwa-ke, uma nje umlenze ubonisa ukuthi ingane yesibili yenza kahle akudingeki ukuba ijubane izinto ezihamba phambili. Ngezinye izikhathi phakathi nalesi sigaba sokulinda, uzothola i-ultrasound ukuqinisekisa isimo sewele lesibini futhi udokotela wakho uzokhipha isinqumo sokuthi kungcono kanjani ukumletha.
Ukuzalwa kwe-Caesarean
Nakuba kuba namawele kukhulisa amathuba okuba ne-cearean, ambalwa amawele azalwa ngale ndlela. Ngenkathi ukubeka izingane zakho kuzodlala ingxenye enkulu esinqumweni sokuthi uzothola uhlobo luni lokubeletha, kunezizathu ezivamile zokuba nokuzalwa. Lokhu kufaka phakathi i- placenta previa , ukuphazamiseka kwamapayipi , izinkomba zomama ezifana ne-PIH, i-herpes esebenzayo, nezinkinga zomsebenzi ezinjengokucindezeleka kwesisu .
Uma ubeletha yi-cearean ngaphambi kokusebenza, usuku luzobe lubekwe phakathi kwamasonto angu-37 no-40. Uma uqala ukusebenza ngaphambi kosuku oluhleliwe, i-cearean yakho ingase isenzeke ngaleso sikhathi. Isikhathi sokuphumula esilandelayo ngemuva kwama-twins ngokuvamile sifana nokuzalwa kwe-singleton.
Ukuhlanganiswa kokuzalwa kwama-Vaginal / Caesarea
Lesi yisimo esingavamile. Ingane eyodwa ezalwa ngesisu nangeswele lesibili ngokuzalwa nge-cearean kwenzeka ngamaphesenti angama-4 kuphela kuwo wonke amawele okubeletha. Ngokujwayelekile lokhu kwenziwa ngokuphuthumayo nge-Twin B, njenge-prolapse cord (uma intambo iphuma noma ngaphambi komntanakho, ngaleyo ndlela inqamule ukuhlinzeka kwe-oksijeni yomntwana.), Ukuveza okubi kakhulu (njengengane eguqukayo engakwazi ukuhanjiswa ngaphakathi noma amandla angaphandle), noma ukuphazamiseka kwamapayipi (uma i-placenta ilahla kude nodonga lwesisu ngaphambi kwesikhathi).
Ukuqeda ukuqala
Ingaphezulu kwengxenye yamawele izozalwa ngaphambi kwamasonto angu-37. Lokhu kungathinta nokuthi izingane zakho zithunyelwa kanjani. Xoxa nodokotela wakho mayelana nokuhlala unempilo nokulondoloza amanzi okwanele, ukuphumula nokudla okunakekela izingane zakho ezikhulayo nomzimba.
Ukukhathazeka Ngezibhedlela
Ezinye izibhedlela zidinga ukuthi wonke omama ababelethi babelethe ekamelweni lokusebenza, noma ngabe bazalwa ngokubeletha . Ungase ubuze futhi mayelana nokusetshenziswa kwe- anesthesia ye- epidural , njengoba futhi ngezinye izikhathi kuyimfuneko, ngisho noma kungekho mithi efakwe ngaphakathi kwe-tubing. Lokhu kuvumela i-anesthesia ngokushesha kufanele ibe yadingeka.
Kungase kube nezinye izikhathazo othanda ukuhlala kuzo noma ukuncelisa izingane ezimbili. Qiniseka ukuthi ukhuluma nesibhedlela sakho isikhathi eside mayelana nezinkinga ongase uzikhathalele ngezingane zakho.
Kungakhathaliseki ukuthi amawele akho angena kanjani emhlabeni, zilungiselele ushintsho oluzelelwe. Hlala uzimisele ukwamukela usizo uma unikezwa futhi uthathe isikhathi sokwazi ngamunye wezintambo zakho ezintsha zenjabulo.