Mucheche ane mapatya anouya nehungwaru, zvose kuna amai nevana. Vamwe amai vanotarisira kubata mapatya kana kunyange zvakakwirira-mazana uye vanozotora matanho anobatsira panguva yekurapa kwekubereka kuitira kuwedzera maitiro avo . Vamwe vanaamai vanoita zvavanogona kuti varege kubata pamuviri mapatya, asi vachiri nepamuviri nevana vanopfuura vana.
Kunzwisisa zvipingamupinyi zvepamuviri pamaponde musati mubata kunogona kukubatsira kuita zvisarudzo maererano nekurapa kwako kubereka .
Semuenzaniso, kana chiremba wako achipa sarudzo yekuendesa mazamu akawanda kubva kune imwe musikana panguva yekurapa kwaIVF , unogona kuva wakagadzirira kuedza kushandiswa kwemazamu imwechete (SET) kana iwe uchiziva ngozi yako. (Kana, kana chiremba wako asingatauri kunyange SET, unogona kubvunza kana iwe uri mukana wakanaka, asi kana iwe uchiziva zvaunogona.)
Kunzwisisa njodzi dzemakumbo mapatya mushure mokunge mava nemimba mapatya kunokosha zvakare. Somuenzaniso, unogona kudzidzisa pazviratidzo nezviratidzo zvebasa risati rasvika , kuziva kuti kupera mberi kunogona kuitika kune mapatya.
Haisi ngozi dzose dzinodzivirirwa kana mukati mekutonga kwako. Kunyange zvakadaro, kuziva chii chokucherechedza kunogona kubatsira kuderedza kushamisika munzira uye kuwedzera kuziva kwako kwezviratidzo zvinogona kuoma.
Dambudziko reMamai Panguva Yokudzivirirwa Kwemaviri
Kubata pamuviri haisi ngozi kune vana, asiwo kuna amai. Zvisinei, dzakawanda dzezvipingamupinyi kuna amai zvinogonawo kuipa kune vana vasina kuberekwa, sezvo vanogona kutungamirira kumabasa vasati vasvika, zvinetso, kana mumatambudziko, kufa kwekufa.
Zvimwe zvezvipingamupinyi izvi zvinowanzovhiringidza kupfuura dambudziko rega, asi vamwe vanogona kuisa upenyu pangozi kana vakasara vasingateereri.
- Kubata-induced hypertension (PIH) inokonzerwa nehutano hwepamusoro panguva yekuzvitakura. Vose vanenge 37% yemapamuviri emimba vanosanganisira PIH, iyo inotatu kusvika inane muyero muzvinyorwa zve singleton. Kusina kutendeuka, kunogona kutungamirira kumushandi usati wapera, mwana asina kukura zvakanaka , kana mwana asati afa. Inogonawo kunge iri ngozi huru kuhutano hweamai, kunyanya kana ichisvika mu preeclampsia.
- Preeclampsia ndeyemamiriro ezvinhu anosanganisira mbiri yakanyanya yeropa uye mapuroteni mumuguta. Zviratidzo zvinogona kusanganisira kuzvimba, kuora musoro, uye kukurumidza kuwedzera kuwanda. Iko kaviri inogona kuitika munaamai vezvizhinji. Kana isina kusiya, preeclampsia inogona kutungamirira kuEclampsia, iyo inozivikanwawo se toxemia. Eclampsia inokonzera kukanganisa uye inogona kuisa upenyu kune ngozi kuna amai nevana vasati vaberekwa. Nepo kuwedzerwa kweropa kwemishonga yemishonga nemishonga anticonvulsant inogona kugadzirisa amai vari mumatambudziko akaoma, saka mwana anogona kupedza nguva shomanana muchibereko, chete chirwere che preeclampsia chiri kubereka mwana.
- Gestational chirwere cheshuga chirwere apo mukadzi, uyo akanga asiri chirwere cheshuga asati aita pamuviri, ane dambudziko rekuchengetedza huwandu hwemashuga eropa. Gestational chirwere cheshuga chinowanikwa munenge ma5% emakumbo ekuberekwa, asi vakadzi vane pamuviri vane mapatya vane kazhinji kacho. Gestational chirwere cheshuga chinowanzorapwa nekudya uye mararamiro ehupenyu.
- Amai vane pamuviri nevakawanda vanowanzova nezvinetso nekubuda ropa vasati vasvika kana panguva yekuberekwa.
- Kurwara kwemazuva akawanda kunowanikwa mumadzimai ane pamuviri nemapatya. Kune vamwe, izvi zvinonyanya kukosha kupfuura ngozi, asi vamwe vanogona kukudziridza hyperemesis gravidarum . Hyperemesis gravidarum chirwere chakakura mangwanani, chinotungamirira ku kurasikirwa kwe5% muhutano hwemuviri weiamai uye zvinogona kutoda kugara muchipatara.
- Amai vemapatya vane mikana yekuwana matambudziko emimba panguva yekuzvitakura, sekudzivirira.
- Kana basa risati rapera rinopisa, kuwanda kwepamuviri kunowanzoita kuti munhu ararame mubhedha , izvo zvinogona kutungamirira kuora mwoyo uye kurasikirwa nebasa.
- Kana basa risina nguva rinotanga, mukadzi angave achida kutora mishonga yekurega basa uye kubvumira vana vacho nguva yakawanda mubereki. Iyi mishonga inogona kuva nemigumisiro yechirwere, vamwe vanyoro uye vamwe vanowedzera.
- Chikamu cheCesarea chinowanzova nezviwandu, zvichienderana nekutaura zvisina kunaka (zvakadai sokuti mwana wekutanga haasi kudzika pasi) kana zvinetso, izvo zvinoreva kurega kugadzirisa kwemaamai mushure mekuberekwa uye njodzi yakanyanya yezvinetso munguva yebasa.
- Amai vezvipembenene vanowanzova nekuora mwoyo kwepasipo.
Ngozi Yevacheche Munguva Yekubata Pamuviri
Mimba yepamuviri inenge ine chikwata chapamusoro chekusununguka kwepamuviri. Mune zvimwe zviitiko, rimwe divi rinogona kuparara kana "kungopera," richisiya mapatya maviri. Izvi zvinozivikanwawo seVanishing Twin Syndrome .
Mababa maviri ari pangozi ye intrauterine kukura kuwirirana, iyo apo imwe twin inokura inononoka kupfuura imwe. Mumakumbo maviri akazvitakura kana pamuviri apo mapatya anogovera imwe placenta, izvi zvinogona kuva chiratidzo chemawere maviri kusvika kuviri (TTTS) , apo rimwe twine rinotora zvinopfuura kugovera kweropa ruchiyerera kubva mu-placenta. TTTS inowanikwa mu10% ye monochorionic pamuviri . Kana isina kusiyiwa, TTTS yakaoma inogona kutungamirira kumucheche wemwoyo kusakundikana kana kufa kweimwe kana maviri mapatya.
Mababa mapato anowanzova nechepasi ekuberekwa kwezviyereso, kunyange kana vakazvarwa panguva. Mababa mapato zvakare anowanzova jaundiced.
Dambudziko rekutanga kwekuvandudza
Kutora pamuviri kwepamuviri kune njodzi yakanyanya yekutangira, izvo zvinoreva kuberekwa kunoitika mushure memavhiki makumi maviri asi masvondo makumi matatu nemaviri asati apera. Mamiriyoni makumi mana emapamuviri emimba anoenda nguva yakazara. Ivhareji twin pamuviri masvondo makumi matatu, zvichienzaniswa nemuviri wevasimba wekuberekwa, iyo mavhiki makumi mana.
Kusatenda kunogona kutungamirira kumatambudziko akawanda, kusanganisira:
- Utachiona hwemumapfupa, hunoita kuti uomerwe mukufema. Vana vacheche vasati vamboiswa mavhenekeri kusvikira mapapu akura.
- Dumbu uye mumatumbo matambudziko.
- Nervous system zvinetso, kusanganisira kubuda ropa muuropi.
- Kuderedza kuberekwa.
- Kudyisa zvinetso, kusanganisira kuoma nekuyamwisa.
Kutenda nekufambira mberi kweterevhizheni, vana makumi mapfumbamwe nevana vevana vakaberekerwa mushure mavhiki makumi mana. Zvisinei, kunyange vacheche vanopona kusagadzikana vari pangozi yekutora nguva yakareba. Dambudziko rekugara kwenguva refu rinogona kusanganisira:
- Bronchopulmonary dysplasia (BPD), chirwere chisingaperi chine mapapu chinogona kudikanwa nehogijini kwevhiki kana mwedzi mushure mokuberekwa.
- Dambudziko rekudzimara, kusanganisira huwandu huri nani hwekudzidzira chirwere uye kuputika kwezvirwere.
- Kukura kunonoka.
- Kudzidzira urema, uye mumatambudziko akaoma, kukanganisa. Izvi zvingave zvisingaoneki kwemakore.
- Cerebral palsy.
- Zviratidzo zvinetso.
- Kunzwa kurasikirwa.
Kuberekwa kwepakutanga kwakaomawo kuvabereki, vanoenda kuburikidza nekudzvinyirira kwekuwana vana muNICU kwemazuva, masvondo, kana mwedzi, zvichienderana nekugadzirira kwevana sei uye zvinetso zvipi zvinoitika. Kusakwanisa kutora mwana wako kumba kunogona kukanganisa zvikuru, uye kuona mwana wako akasungirirwa kusvika kumichina yeNICU inogona kushungurudza.
Sources:
David B. Schwartz, Yahya Daoud, Pauline Zazula, Gregory Goyert, Richard Bronsteen, Debra Wright, Joanna Copes. Gestational diabetes mellitus: Metabolic uye ropa glucose parameter mu singleton kurwisana nemapapiro maviri. American Journal of Obstetrics uye Gynecology . Bhuku 181, Nyaya 4, October 1999, Mapeji 912-914.
Croft ML, Morgan V, Verenga AW, Jablensky AS. "Kutora pamuviri mazita emadzimai evana singleton uye amai vemapatya: kuenzanisa kureba." Twin Research uye Human Genetics. 2010 Dec; 13 (6): 595-603.
Chittacharoen A, Wetchapruekpitak S, Suthutvoravut S. "Kuberekwa-kunokonzerwa nehuwandu hwehupombwe mumakumbo maviri." Zvinyorwa zveMedical Association yeThailand. 2005 Oct; 88 Suppl 2: S69-74.
Kuedza Kuwana Mucheche. March weDhimes. Yakasvika musi waFebruary 3, 2012. http://www.marchofdimes.com/pregnancy/trying_multiples.html
McMullan PF, Norman RJ, Marivate M. "Kuberekwa-kunokonzerwa nehutano hwepfungwa mumakumbo maviri." British Journal yeOstetrics uye Gynecology. 1984 Mar; 91 (3): 240-3.
Kuberekwa Kwokutanga. Chirwere Chetachiona Chetachiona. Yakasvika musi waFebruary 3, 2012. http://www.cdc.gov/Features/PrematureBirth/
Premature baby. MedlinePlus. Yakasvika musi waFebruary 3, 2012. http://www.nlm.nih.gov/medlineplus/ency/article/001562.htm