Iyo Mapatya Anoitwa Sei
Vanhu vanofarira zvikuru mababa uye mamwe mawanda. Zvinoratidzika zvisingazivikanwi kuti munhu ane pamuviri angaguma sei kune anopfuura mumwe mwana.
Mamiriyoni emimba ekudzivirira ari kuwedzera mumakore achangobva kupfuura ane mafuro akawanda uye mamwe marudzi evanhu vakawanda vanozvarwa. Chizhinji chechikonzero chekusimudza uku ndiko kushandiswa kwakawedzerwa kwemishonga inobereka.
Iyo Mapatya Anoitwa Sei
Kune nzira mbiri dzinoverengeka dzakawanda dzinogamuchirwa:
- Mazai akawanda anobudiswa kana kune anopfuura ovulation. Zvose (kana zvimwe) mazai anogadzirwa uye izvi ndizvo zvakaita mapatya ehama. Izvi zvinogona kuitika kana kuti pasina mishonga inobereka.
- Rimwe dza rinobudiswa asi rinoparadzaniswa muviri. Izvi ndizvo zvakafanana mapatya akaitwa. Izvi zvinogona kuitika kana kuti pasina mishonga inobereka.
- Mune zviitiko zveVIV, zvinogona kunge zvakasvika anopfuura imwe mbeu inogadzirwa inodzorerwa muchibereko. Chikonzero ndechokuti hazvirevi zvose izvi zvichaita, kunyange dzimwe nguva zvavanoita.
Kana uchinge wava nemimba unenge uine mikana yakawanda pane placentas, nzvimbo dzinogadziriswa, nhamba ye amniotic sacs for monozygotic (zvakafanana mapatya). Somuenzaniso, unogona kuva nevana vaviri, malascenta maviri, uye zvikwama zviviri. Iwe unogona kuva nevana vaviri imwe placenta, maviri sacs. Zvichave zvakakosha kuzive chaizvo zvauri kutarisana nazvo, kunyanya kana zvasvika kune amniotic sacs.
Mawanda Akawanikwa Sei?
Vanhu vazhinji vanodzidza pamusoro pezvizhinji zvavo pakutanga kwe ultrasound .
Kunyange zvazvo vamwe vatsoropodzi vanoti mavhiki gumi nemaviri asati apera gestation inenge ichiine ngozi yakawanda yekuparara twin syndrome (VTS) , apo mumwe mwana anorega kukura uye anobva adzokera zvakare mumuviri waamai kana kuti akaberekwa apo mamwe maviri anoberekwa.
Vamwe vanhu vanowana kukurumidza kukura mumimba yavo inoita kuti vamwe vafungidzire mapatya.
Ini ndichati, imi mose maiti timeri chechipiri kunze uko, kuti mimba dzenyu dzikure zvakakurumidza kudarika nehutano hwako hwekutanga, saka usangofungidzira mapatya.
Dzimwe nguva zvikwata zvepfungwa zvakawanda zvinonzwika, zvichiita kuti mushandi wako arambe achitenda kuti kune boka rimwe remufaro womuviri wako.
Vamwe vakadzi vanoziva apo pavanenge vachikwira zvakanyanya pamusana pekuongorora kweA AFP kuti mawanda ari munzira nokuti vana vazhinji vanozowedzera mazinga emahomoni aya. Izvo dzimwe nguva zvinogoneka kuona huwandu ne serial hCG mazinga mukudzivirira kwekutanga. Kana vana vachikurumidza kukurumidza kuwedzera muHCG iyo inofanira kunge inopetwa kaviri maawa makumi maviri nemashanu ne singleton.
Panenge madiki maduku evanhu vaviri vane pamuviri vasati vawanikwa kusvikira vasununguka. Zvinokwanisika kuva ne- ultrasound uye kusaona mumwe mwana , kunyange zvisingawanzoitiki.
Multiple Pregnancy Practitioner
Kuva nemimba nemawanda hakusi mamiriro ezvinhu akaipisisa, kunze kwekutarisana nepamusoro yezvizhinji kana zvinetso. Vamwe vabereki vanozviti "kuva nepamusoro." Ichi chinhu chinoshanduka kubva kune rumwe rutivi rwekambani. Tsvaga chiremba ane ruzivo nemarwadzo mazhinji, asi uyo asingatyi pamakona ose. Kunyanya ruzivo rwechiremba, zvishoma zvingave kuti ivo vanonzwa vachinetseka pamusoro pezvinhu zvose zviri pamuviri wako.
Kudya nekurema Kuwana muKubata kweMabatanidzwa
Muzhinji, unoda kuwedzera muwandu weprotini yaunodya. Mapuroteni ndiro chivako chemajeri ose mumuviri wako uye miviri yevana vako. Ichakubatsira iwe kuvaka nzvimbo yakanaka uye yakasimba amniotic sac. Zvokudya zvinopa utano zvichabatsirawo kurwisa zvirwere.
Inokurudzirwawo kuti iwe uwedzere kuwedzera kukura pamuviri . Iwe unowana zvakawanda zvakadini kubva pane yako yekutanga kutakura pamuviri. Ikozvino mazano anoratidza kuwana:
- Utano hwakanaka, vakadzi vanowanzorema: 37-54 pounds
- Vanaamai vanodarika simba: 31-50 pounds
- Vanaamai vanobata: 25-42 pounds
Zvinonyanya kukosha, iwe unoda kuwedzera uremu pakutanga pakuzvitakura kupfuura kuvata pamuviri kune vamwe.
Izvi ndechokuti, kare iwe unogona kuva nemwana wako, kuwedzera kuwanda kwavakawana, zviri nani ivo vari muNICU. Chimwe chikurudziro ndechekuti iwe unowana mazana mapaundi makumi maviri nemasvondo makumi maviri ekuzvitakura.
Kuchengetwa Kwepabonde Kunoshanyira Mukurara Kwemaviri
Iwe uchada kuona mushandi wako nguva zhinji kusvika kumagumo ekudzivirira. Iwe unogona kunge uine kuongororwa kwakawanda kudarika vakadzi vakawanda panguva yekuzvitakura, asi kwete nguva dzose. Zvimwe zvezvi zvinogona kusanganisira kusinganzwisisiki kudzvinyirira , majekiseni akawanda, nezvimwewo. Ultrasound inogona kuitwa mwedzi woga woga muhafu yechipiri yekubata. Izvi ndezvekutarisa kuve nechokwadi chokuti vana vari kukura zvakanaka, uye vachikura zvakafanana kune mumwe. Izvi zvinogonawo kutarisa zvinetso zvingangodaro, kusanganisira twin-to-twin syndrome syndrome (TTTS) .
Matambudziko
Ikoko kunogona kuva nengozi yakakwirira yezvinetso. Iwe uchange uchitariswa nekuda kwezvinetso zvakasununguka zvekuzvitora sekukwirira kweropa, uye fetal kukura. Zvisinei, mapatya nedzimwe dzakawanda zvinogona kuva nezviitiko zvakakwirira zvezvinhu zvakadai seyomukati inotakura kukura (IUGR) , mapatya maviri kusvika kuviri (TTTS) , preeclampsia , gestational chirwere cheshuga, kutanga kwebasa uye kuberekwa, kuberekwa kusina kunaka. uye vamwe. Yeuka kuchengeta zvawakagadza, tarisa zvekudya zvako uye ita yako Fetal Kick Counts .
Kuberekwa Kwakawanda
Mumakore apfuura, izvi zvakave zvakakurumbira kune vakaberekwa vakawanda. Iyezvino American College of Obstetrics neGynecologists (ACOG) inokurudzira kuti kubata kwevakadzi kunetswa chero bedzi mwana wekutanga, Twin A, ari kumusoro (vertex) . Takawana kuti kuberekwa kwevakadzi kunowanzochengeteka kune vakawanda, avo vanowanzodikanwa kukurudzirwa uye kuwedzera mumazinga ehomoni anosangana nebasa.
Zvichida kana usiri kuzove nekuberekwa kwevakadzi kunobva pane zvinhu zvakawanda, kusanganisira nzvimbo yevana, uye kuti vana vanorega sei basa.
Kana vana vako vari panzvimbo iyo haikwanise kufamba, inonzi ivharwa. Ava vacheche vachafanirwa kuberekwa kuburikidza nekudzivirira.
Breech vana vanovimba chaizvo nehukuru hwomwana uye unyanzvi hwehutano. Kazhinji, kana Mwana A (Mucheche wekutanga ari mumapapiro.) Ari kumusoro pasi kuberekwa kwechikadzi achaedzwa. Kana Mwana B ari breech kana kutenderera mukati maro kana yekunze ingashandurwa kubatsira kubatsira kuberekwa kana kuti mwana angabvumirwa kuberekwa breech.
Monoamniotic twins , uko vana vaviri vari mune rimwe sac, vanozoberekerwa kuburikidza nekuvhara, nemhaka yehuwandu hwehutano hwekugumburwa kwetambo.
Hazvina mhosva kuti mapatya ako akaberekwa sei, kana kuti akaberekwa sei, vana vanofara. Kubereka vana vakawanda kune zvinetso zvaro zvakasiyana, asi zvinoberekawo mibayiro inokosha.
> Sources:
> American College yeVadzidzi uye Gynecologists (Chikoro); Society for Maternal-Fetal Medicine, Caughey AB, Cahill AG, Guve JM, Rouse DJ. Am J Obstet Gynecol. 2014 Mar; 210 (3): 179-93. doi: 10.1016 / j.ajog.2014.01.026. Kuchengetedzwa kwakachengeteka kwekutanga kwekusununguka kwekutaura.
> Fuchs F, Senat MV. Semin Fetal Neonatal Med. 2016 Jan 12. pii: S1744-165X (15) 00149-3. doi: 10.1016 / j.siny.2015.12.010. [Epub mberi kwekunyora] Multiple gestations uye preterm birth.
> Goossens SM, Hukkelhoven CW, de Vries L, Mol BW, Nijhuis JG, Roumen FJ. Eur J Chibvumirano cheGynecol Chidzorera Nyoro. 2015 Dec; 195: 133-40. doi: 10.1016 / j.ejogrb.2015.09.034. Epub 2015 Sep. 30 Clinical zviratidzo zvinoshandiswa nenzira yemapatya ekutora: kuongororwa kwe 22,712 mapatya maviri.
> Schmitz T, Carnavalet Cde C, Azria E, Lopez E, Cabrol D, Goffinet F. Obstet Gynecol. 2008 Mar; 111 (3): 695-703. doi: 10.1097 / AOG.0b013e318163c435. Matambudziko ekuberekwa kwepabonde ekuberekwa kwepamuviri maererano nehupenyu hwakarongwa hwekutakura.