Zvikonzero Zvinoita Kuti Maviri Nevakawanda Vaberekwa Pakutanga

Inofungidzirwa kuti hafu yemapatya inoberekwa mangwanani, isati yasvika mavhiki makumi matatu nemaviri ekupera kwemavhiki, iyo inenge mwedzi isati yasvika mavhiki makumi mana makumi maviri nemashanu ekuberekwa kwemwana wechidiki. Zvinyorwa zvitatu nezvimwe zvakakwirira zvakapetwa zvakawanda zvine mukana mukuru zvikuru wekuzvarwa patsva. Mune zvimwe zviitiko, kutanga kwebasa rekutanga hakugoni kumira, asi mune mamwe mamiriro ezvinhu, ngozi kune amai kana vacheche dzinoda kuguma kwekutanga kwekuita pamuviri. Heano zvimwe zvikonzero zvinowanzoita kuti mapatya aberekwe mangwanani.

Preterm Labor

Preterm kushanda mumaviri ane mimba. Tetra Images / Getty Images

Kutanga kwekutanga kwebasa hakusi kazhinji pakuwanda kwekudzivirira. Kungotakura vana vakawanda kunowedzera mukana wekutangira basa, saka zvakakosha kuti vana vakamirira vemapatya kana vakawanda vanoziva zviratidzo uye vanotsvaka kurapa kwakakodzera. Zvimwe zvezvinetso nemamiriro ezvinhu anorondedzerwa pasi apa zvinogona kuita kuti kutanga kwebasa, asi dzimwe nguva chikonzero chaicho chisina kujeka. Asi pasinei nechikonzero chacho, apo chibereko chinotanga kubvumirana uye / kana chibereko chechivharo chinotanga kuvhura mukugadzirira kuberekwa, mugumisiro unotangira basa. Mune zvimwe zviitiko, inogona kumiswa, asi kana isingakwanise, vana vachaberekwa vasati vasvika uye vazvarwa patsva.

Zvimwe

Preeclampsia

Preeclampsia uye kuberekwa kwemawere mapapiro. Mifananidzo yakasvibiswa / Getty Images

Vanaamai vazhinji vezvipembenene vachasangana nehutachiona hwepamusoro (kuwedzera kwehutano wehutano) paanenge ari nepamuviri, chimwe chezvinetso zvakajairika zvepamuviri. Preeclampsia chirwere chinoratidzwa nehuwandu hwemutsipa weropa pamwe chete nehupamhi hweprotini mumuguta. Isina kuvharwa, inogona kukonzera nharo huru yezvokurapa kuna amai, kusanganisira kuparara, kurohwa, uye kuora kwechiropa. Preeclampsia inogona kutarisirwa, asi hapana mushonga kunze kwekupa vana. Apo preeclampsia matambudziko akakwana ekuberekwa kwechikadzi, kutanga kunounza mababa kunogona kukurudzirwa.

Zvimwe

Placenta Matambudziko

Zvinetso zveCentcenta uye kutanga kwekutakura mababa. JGI / Jamie Grill / Getty Images

Neine mapatya, kunogona kuva imwechete kana maviri mapente , iyo inhengo iyo inotsigira vacheche munguva yavo muchibereko. Inosungirirwa mukati memukaka waamai uye yakabatanidzwa kuvana 'kuburikidza nemaitiro avo embilicaI. Ne-placenta (s) mumatomu akawanda ekuzvitakura ane huwandu hwehutanda hwomukati, kune ngozi yakawanda yezvinetso zvinogona kuva nengozi kune amai kana vacheche. Kuputika kwepakona , apo nzvimbo inopera, kana placenta previa, apo nzvimbo yepamusoro inenge iri pasi mukati mechiberekwa, ichifukidza chivako chemuviri, mamwe mamiriro ezvinhu angangokurudzira kutanga.

Kunyange zvazvo zvinetso zvepachikafu zvakadai izvi zvinogona kukonzera singletons, Twin-to-Twin Transfusion Syndrome (TTTS) chirwere chisingaenzaniswi namapatya. Izvo zvinoitika kana misi midzi isina ropa inowanzoitika mune imwe chete, yakaparadzaniswa placenta, zvichiita kuti kuve nekuchinjana kusina kufanana kwekuyerera kweropa. Mumatambudziko akaoma anokanganisa vana, kuendesa kunogona kunge kusarudzo.

Ruptured Amniotic Membranes

Kutanga Kupera KweMumbrane (PROM) muTwin Pregnancy. Jose Luis Pelaez Inc./Blend Images / Getty Images

Munguva yepamuviri, fetus - kana pane zvakaitika pamapatya, fetus - yakavharwa muhombodo yemvura, muamniotic sac. Sechikamu chebasa rekushanda, saga ichavhara pachena (inozivikanwa se "mvura inoputsa"). Asi dzimwe nguva sac ruptures kare, inonzi PROM (Premature Rupture of Membranes) kana PPROM (Preterm Premature Rupture of Membranes) kana zvichiitika musati mavhiki makumi matatu nemaviri. Kana imwe nguva bhagi remvura rinopera, rinopa mukana wekutapukirwa kana kuberekwa kusati kwaswedera, uye kunogona kukurudzira kutanga mapatya.

Mo-Mo Twins

Abdominal ultrasonography ye monoamniotic twins panguva yegestational yemasvondo gumi nemashanu. Häggström, Mikael. "Chipatara chemishonga chaMikael Häggström 2014". Wikiversity Journal of Medicine

Chikamu chiduku chemonozygotic (yakafanana) mapatya anonzi monochorionic-monoamniotic (Mo-Mo) mapatya . Havana kungova nega imwe chete asi vanobatanidzwawo mune imwe amniotic sac. Pane njodzi yekambo inopindirana kana cord compression mumamiriro ezvinhu aya, mamiriro ezvinhu akaoma anoita kuti vana vachararama. Mune zvimwe zviitiko apo izvi zvinoitika, zvakanakisisa kusarudzwa kwechecheche isati yasununguka kubereka.

Zvimwe

Growth Restriction

Getty / Annmarie Young Photography

IUGR - kana kuti intrauterine kukura kwekukura - iboka guru remashoko anoshandiswa kurondedzera dambudziko duku nemigumisiro mikuru. Iyo imwana kana vana vaviri vari vaduku uye vasingakure zvakakwana. Mune mamwe mapapiro maviri, rimwe twine rinokonzerwa neIUGR apo imwe haisi (inozivikanwa seSelective Intrauterine Growth Restriction kana SIUGR). Kunyange zvazvo mapatya anowanzoberekerwa maduku kudarika singletons, yakaoma IUGR inogona kupa zvinetso zvakakomba zvechecheche. Kusvikira kumativi mana kubva pamuviri wekutakura pamuviri IUGR. Kune zvakawanda zvinokonzera kukanganisa kukura; zvimwe zvinosanganisira mamwe mamiriro ezvinhu anotaurwa apa, akadai sokusava nekugadzikana kwepascental, low amniotic fluid, kana Twin-to-Twin Transfusion Syndrome (TTTS). Kana zvakatemwa kuti mapatya anenge asisa kukura kana ari mukutambudzika, kutanga kwekutanga kunogona kuva ndiyo nzira yakanakisisa.

Inofungirwa Nguva pa 37 kana 38 Mavhiki

Nguva yakanakisisa yokununura mapatya angave ari mberi. Erikona / E + / Getty Images

Mafungiro akasiyana panguva yakanakisisa yekuendesa mawere kana kupfuura. Apo maitirwo emabasa kana mamwe matambudziko akaiswa mukati, chinangwa chacho kazhinji "chinozopedzisira chakanaka." Asi mumavhiki mashomanana ekupedzisira ekudzivirira, vanachiremba vakasiyana vanogona kunge vane nzira dzakasiyana. Kune vamwe, kuberekwa kusarudzwa pamasvondo makumi matatu kana makumi matatu nemana makumi matatu nemasere kwakakosha kune imwe nzira isinganzwisisi twese pamuviri, naizvozvo chiremba wako anogona kuronga kutora mavhiki mashoma kutanga. Vamwe vanosarudza kumirira uye kuona.

Sources:

Dodd, JM, et al., "Kusarudzwa pamasvondo makumi matatu ekuberekwa kunoenderana nekuchengetedzwa kwakakwana kwevakadzi vane mimba isina kuoma mumaviri panguva: Twins Nguva yekuzvarwa Randomized Trial." British Journal yeOstetrics uye Gynecology, munaJune 2012. pg. 964.

Habli, M., et al. "Twin-to-twin transfusion syndrome: inoshandiswa yakajeka." Makemikari muPerinatology , June 2009. pg. 391.

Leeman, L. uye Fontaine, P., "Hypertensive Disorders of Pregnancy." American Family Physician , July 2008, p. 93.

Moh, W., et al., "Extrinsic Factors Inokonzera Kuchinja Kwemucheche uye Intrauterine Growth Restriction .: Journal of Pregnancy , June 2012.

"Kubata pamuviri." American College yeZvibvumirano uye Gynecologists , Yakasvika paFebruary 27, 2016. http://www.acog.org/Patients/FAQs/Multiple-Pregnancy

Saliva, HM, et al., "Kufa kwePerinatal kunobatanidza abruptio placenta mumasikironi uye akawanda." American Journal of Obstetrics uye Gynecology , July 2005, p. 198.

"Kuwirirana Kwemimba Kubata." UCSF Fetal Treatment Center. Yakasvika paFebruary 27, 2016. https://web.archive.org/web/20111221205053/http://fetus.ucsfmedicalcenter.org/twin/