Kutsvakurudza Kunokurudzira Kuti Pakati Pechipiri Chemaviri Akaparara Pakutanga Mukubata
Kuparara twin syndrome kana kuparara twin syndrome ishoko rinoshandiswa kurondedzera kurasikirwa kamwe chete, kana kupererwa pamuviri , kune mumwe mwana ari kusimuka asati ava nepamuviri yakawanda .
Amai vane tarisiro vangave nevana vepakutanga vachiona kuti gestational sacs, asi mushure mokunge, imwe chete yebhumbu yemwoyo inowanikwa uye chechi yechipiri yakanyangarika. Kana imwe inowanzokura mwana inowanikwa pamwe chete neavo inoputika .
Mamwe magwaro anoshandisa shoko rokuti "kuparara twin" kune chero upi neupi mucheche umo mumwe mucheche ari nepamuviri yakawanda inorasika apo imwe inopona, kunyange kana mapatya asina kupera. Zvisinei, shoko iri rinowanzochengeterwa mapatya "anopera" mumutambo wekutanga.
Statistics
Iyo inoparara twin phenomonen inoita seinojairika. Kutsvakurudza kunoratidza kuti kuparara kwemapatya maviri kunoitika musvondo wegumi nemaviri wekudzivirira mu:
- Inenge 36 muzana yekubata nepamuviri
- Inopfuura 50 muzana yekubata pamuviri nematatu kana kupfuura
Vanotsvakurudza vanofungidzira, zvisinei, kuti kuparara kwemapatya maviri kunogona kuva kwakanyanya kunyanya kukosha, nokuti inogona kuitika kakawanda pasina kuonekwa.
Mumaketani akawanda akaenderera mberi kwemasvondo makumi maviri, vatsvakurudzi vanofungidzira kuti anenge 2.6 muzana yemapatya maviri uye 4.3 muzana yezvikwata zvitatu zvinokonzerwa nehutatu, kunyange zvazvo izvi zvisingawanzofungidziki kuti dzinenge dzisina kubata pamuviri.
Zviratidzo
Mumatambudziko akare ekuparara kwemapatya, mukadzi angave asina kumboziva kuti mamiriro acho ezvinhu akaitika. Mune zvimwe zviitiko, kurasikirwa kwemapatya kunogona kuendeswa kune dzimwe zviratidzo zvekuchera pamuviri zvakadai sekubuda ropa uye hCG mazinga anowedzera zvishoma nezvishoma pane anowanzosimudza maviri ekudzivirira.
Zvinokonzera
Kana iwe wakarasikirwa nemumwe wako pamuviri munguva yekuzvitakura kwakawanda, hapana chikonzero chekutenda kuti chakaitika nekuda kwechinhu chipi zvacho iwe kana mumwe munhu akaita kana kuti haana kuita.
Zvimwe zviitiko zvekuparara kwemapapiro erwere zvinowanzovapo nekuda kwekromosomal kusagadzikana mumwana akarasikirwa, asi vatsvakurudzi havanyatsonzwisisi kuti nei rimwe twine rakarasika mune dzimwe mamiriro ekuparara kwemawere ane twin syndrome.
Zvazvinoreva
Kunyange zvazvo pane imwe nharo pamusoro peizvi, kune humwe huri kukura huchapupu hwokuti kune humwe huwandu hwehumwe hutambudziro hwekuita pamuviri shure kwemaviri "anopera." Tsvakurudzo dzinoverengeka dzave zvino dzakatarisa vacheche vaine mapatya akaparara vachifananidzwa nevana vakaberekwa vasina mapatya kana kuti vane twine vane utano vachienderera mberi. Zviitiko zvakasiyana-siyana zvakave zvichiratidzwa, asi kazhinji, ngozi yekuberekwa kwepabonde inoratidzika kuva yakakwirira mumacheche aive nemapatya maviri. Kuwedzera kwekuremara kwekuberekwa mumapatya anoramba aripo anoita seowakanyanya kufanana ne kurasikirwa (kuparara) kwema-twin pakati pevhiki matanhatu nere masere. Izvi zvinogona kusanganisira:
- Gestational diabetes mellitus
- Ngozi yakakwirira yekuzvarwa kwepabonde zvakadai sa cerebral palsy
- Intrauterine kukura kwegadziriro (IUGR) - IUGR chirwere umo mwana haachikure uye sezvazvinofanira kunge panguva yekuzvitakura.
- Kuberekwa kwakanyanya kwazvo
- Low Apgar scores
- Kufa kwePerinatal (rufu rwecheche)
Nokuda kwezvikonzero izvi, chiremba wako angave achida kuchengetedza zvakanyanya pamuviri wako kana iwe uine mapatya maviri. Zvisinei, zvakakosha kuziva kuti munguva dzakawanda dzekuparara twin syndrome, mwana anenge aripo haazovhiringidzi.
Dzimwe nguva Twin Haisi Kuparara
Kazhinji kazhinji kuparara kwemapatya kunobatwa nemwana weamai kuitira kuti pave pasina uchapupu hwemapatya panguva yekuberekwa. Dzimwe nguva, pane kudaro, vakasara vemapatya avo vanoramba vari, iyo inonzi inonzi fetus papyraceous. Imba yepusy papyraceous ipepa-mashoma masara emucheche.
Kazhinji, tumoramu yetatata inogona kuitika umo mune zvimwe zviduku zvemucheche yakadai semvere kana mazino.
Vanishing Twin Syndrome Iri Kuwedzera
Ikoko kunoratidzika kuva nekuwedzera kukuru kwekuparara kwemawere maviri mumakore achangopfuura. Sezvo vazhinji vanoparara mapatya vaisazomboonekwa kunze kwekutanga kwe ultrasound, kufambira mberi kwe teknolojia yevakadzi vane pamuviri kunogona kuva chikamu chechikonzero. Kubvira pakurapa kunowedzera kuwanda uye kazhinji kunowedzera mukana wezvakawanda, uye saka mukana wekuparara twin syndrome, izvi zvinogonawo kuva chinhu.
Kutsungirira
Kana iwe wakamboonekwa kuti unopera mapatya, iwe unogona kunge une zvakawanda zvakasiyana-siyana. Zvakajairika kushungurudza mwana wawakarashika paanonzwa uchisunungurwa kuti iwe uri pamuviri nemwana wako. Iwe haufaniri kunzwa kuti unofanirwa kusarudza uye kusarudza pakati pemanzwiro ako. Hapana mitemo inoti haugoni kusuruvara uye kufara panguva imwe chete, uye iwe haufaniri kunzwa kuti uri kuzvidza mwana kana iwe ukafamba nenzira yakasuruvara yekuchema apo unoramba uchitsvaka nomwoyo wose mwana wako ane utano.
Zvakakoshawo kuziva kuti zvinogona kuva nematambudziko mumasasa akasara, asi mumatambudziko akawanda eparinha dzinoparara, mwana anenge ari mupenyu anozvarwa akaine utano uye asina dambudziko rekuzvarwa.
Sources:
Davies, M., Rumbold, A., Whitrow, M. et al. Kurasikirwa kwepamwechete kweCo-Twin uye Dambudziko rekuberekwa kwepabonde mushure mekubatsira kubatwa. Zvinyorwa zveKutanga Kwekutanga mune Utano Nezvirwere . 2016. 7 (6): 678-684.
Marton, V., Zadori, J., Kosinszky, Z., naA A. Kereszturi. Kupararira uye Kuberekwa Kwekuberekwa Kwekuparara kweTwin Pregnancies Achibudirira neIn Vitro Fertilization Versus Conception Natural. Kubereka uye Kusimba . 2016 Aug 24. (Epub mberi kwekudhinda).
Zhou, L., Gao, X., Wu, Y., uye Z. Zhang. Kuongororwa kwemigumisiro yekuberekwa kwevanoponeswa kwekuparara kweTwin Syndrome mushure mokunge In Vitro Fertilization uye Embryo Kudzingwa. European Journal of Obstetrics, Gynecology, uye Biological Reproductive Biology . 2016. 203: 3509.