Pane njodzi dzakawanda dzinobatanidzwa nepamuviri rune pamuviri, asi dzimwe dzingangopedza mamwe marudzi emapatya. MoMo mapatya ane monozygotic akawanda anowedzera mune imwe chete, akagoverwa amniotic sac. Izvi zvinokonzera njodzi kuvana nekuda kwekugadziriswa kwetambo.
Chii Chinonzi MoMo Twins?
Izwi rokuti MoMo rakakosha kuMonoamniotic Monochorionic. Rinotsanangura mapatya anowedzera neyemhando imwe chete uye imwe amniotic sac.
Iko amniotic sac ndiyo ganda remvura rine fetus, asi chigunyu chiri chemberi chekunze.
MoMo mapatya anobudirira kubva kune rimwe chete / mbeu inosanganiswa inoparadzaniswa kuva maviri. Apo kupatsanurwa kunonoka, kazhinji pavhiki kana kana mushure mekuita mimba, chirongwa chekukura muparcenta, chorion, uye amniotic sac yatotanga, uye mazai maviri achakura mune imwechete, sac yakagoverwa. Kunongova ne1 muzana chete yemapamuviri emakumbo achaitika nenzira iyi. Ruzhinji rwemonozygotic twins dzichakura nema sacheche akasiyana, kana dzimwe nguva dzine amnions akasiyana mukati mekugovana pamwe chete. (Izvi zvinotsanangurwa se monochorionic-diamniotic kana MoDi.)
Maitiro avanoona
Ultrasound ndiyo nzira chete yekuona maMo tw twins. Munguva yekusununguka kwepamuviri, vanaamai vakawanda vanowanzoongororwa ne ultrasound. Vanachiremba vachatarisa kuvapo kwemuviri wekuparadzanisa kuratidzira kuti mapatya ari muzvikamu zvakasiyana. Kushaiwa kwembiru kana mutsetse wakajeka kana usina kujeka kunogona kukurudzira kuongorora zvakare kusimbisa mamiriro acho ezvinhu.
Ngozi
Mapatya acho maviri anosangana ku-placenta kuburikidza nemaketani awo embilical. Kuzorora pamwe chete muchikwata chimwechete kunovaisa pangozi yekunamatira tambo kana kuti kudonhedzwa kwetambo. Iti mbilical cords inopa hutano hunokosha kune vacheche, kupa ropa nemiriwo zvinovabatsira kukura nekukura. Sezvo vacheche vachifamba-famba mudumbu, tambo dzinogona kuyambuka kana kupikisana, kubvisa kugovera.
Inogona kuva mamiriro ezvinhu anotyisa. Iyo yakareba matambo akaiswa mukati maro, yakawanda mungozi yekukuvadzwa kune tambo, uye ngozi yekufa kune mumwe kana vana vose vanowedzera.
Kurapa
Nenzira yakanaka, teknolojia yemazuva ano inoita kuti vanachiremba vatarise vacheche mudumbu uye vaone mamiriro acho ezvinhu. Kukuru-resolution ultrasound, imaging doppler, uye kusinganzwisisiki kwepfungwa kunobatsira kuongorora zviratidzo uye kuziva kuti ingangodaro zvinetso zvematambudziko. Tsanga inopindirana uye kudzvinyirira kazhinji inononoka matanho, saka vabereki nevarapi vezvechiremba vane nguva yekuita zvisarudzo. Mamwe mamiriro ezvinhu achange achida kutarisa kwakasimba kwakadaro kuti amai vanotarisira vanofanira kugara vari muchipatara.
Hakuchina kurapwa kwakagamuchirwa kana nzira yekugadzirisa mamiriro acho ezvinhu. Chigadziro choga ndechokutakura kwevana. Vanenge vose vana vaMoMo vanoberekwa vasati vasvika. Vanachiremba vanofanirwa kuenzanisa nengozi dzemamiriro echeche muchechi pamwe chete nemigumisiro yekusarura .
Kana tambo yakanyanyisa inotanga kuitika munguva pfupi pakuzvitakura, vana vanogona kutadza kurarama. Vamwe vanachiremba vanosarudza kuronga kuendesa vana veMoMo pamasikati 32, 34, kana masvondo makumi matatu, vachitenda kuti chibereko chechizvaro chakangova nengozi kupfuura iyo nguva. Dzimwe nguva steroid inogona kugoverwa kuti iwedzere kukura kwemapapu emwana uye inovandudza mikana yavo yekugara kunze kwechizvaro.
Chikamu chekudzivirirwa chinotarisirwa kuti vana vaMoMo vasagadzire cord prolapse, mamiriro ezvinhu anoitika apo wechipiri vana rambo rudzingwa sezvo mwana wekutanga anonunurwa.
More Information
- VanaMMoMo vanogara vachiita zvepabonde imwechete: kana vakomana vaviri kana vaviri vasikana. Kungofanana nezvose zvinokonzera monozygotic mapatya, ndezvechikadzi chimwe chete nokuti dzinobva kune imwechete yegene yakagadzirirwa. (Hakuna mazamu echromosomal asina kufanana anokonzera kusawirirana kwepabonde mune monozygotic mapatya akawanikwa muMoMo twins.)
- MoMo mapatya haawanzoitiki. Iga 1 muzana yemapapiro maviri ekudzivirira achava monoamniotic.
- Mushure memavhiki makumi maviri nemana, kuponeswa kweMMo tw twins kune anenge 75 kusvika ku80 muzana.
- Mushonga mutsva uri kuongororwa. Sulindac mishonga inoderedza huwandu hweamniotic fluid uye kuderedza nzvimbo iyo vana vanogona kutenderera.
- Vanaamai vakawanda veMoMo vanofanira kutarisirwa nea perinatologist (obstetrician anonyanya kuvhara pangozi), kana anofanirwa kubvunzurudza chiremba ane maMo tw twins.
- MoMo mapatya anowanzozivikanwa mumavhiki ekutanga ekudzivirira apo membrane yakaonda zvokuti inenge isingaoneki. Kakawanda kacho ultrasound inoratidzika inoratidza chidimbu chinoparadzanisa chinotsigira kuti mapatya ari chaizvo MoDi (Monochorionic, Diamniotic).
Sources:
Sarudza F, Fichera A, Pagani G, et al. Nhoroondo yezvisikwa zvemonoamniotic twin pregnancy: a case series uye kugadzirisa kuongorora kwezvinyorwa. Tora Diagnani . 2015; 35 (3): 274-80.
Roque H, Gillen-Goldstein J, Funai E, Young BK, Lockwood CJ. Mhedziso yePerinatal mu monoamniotic gestations. J Matern Fetal Neonatal Med . 2003; 13 (6): 414-21.