Umehluko Phakathi Kwezimpawu Zokukhulelwa Okungashadile Nezamawele

Ukukhulelwa okungamawele kungase kwenzeke njengengozi ngenxa yokuba khona kwezingane ezimbili ezikhulelwe, noma kungase kwenzeke emndenini. Kuyinto evamile kulabo abakhulelwa ngemva Ukukhulelwa kwe-in vitro. Kungase kwenzeke lapho umbungu owodwa ovundisiwe uhlukana ngemva kokukhula isikhathi esithile, okuholela ekuzalweni kwe-homozygous noma amawele afanayo. Kungenjalo, kungenzeka lapho ama-ova amabili ahlukene evundiswa ama-sperm amabili, enze imibungu emibili ehlukene evundisiwe, okuholela ekuzalweni kwamawele e-heterozygous noma amawele omndeni. Amawele afanayo ngokuvamile anezici zomzimba ezifanayo futhi ngokuvamile awobulili obufanayo, kodwa amawele angabafowabo bobulili obuhlukile futhi abe nezici ezihlukile. Amawele afana nezelamani kodwa azalwa ndawonye.

Ziningana izinto ezingase ziholele ekukhulelweni kwamawele, kodwa kakhulukazi kwenzeka nje. Ukukhulelwa kwamawele kuyehluka ekukhulelweni oyedwa, futhi kunezinganekwane ezimbalwa ezihambisana nakho. Nazi ezinye umehluko ovamile phakathi ukukhulelwa kwamawele nokukhulelwa okukodwa ngokusekelwe ezimpawini omama abazoba nabantwana abangaba nazo.

Umehluko Phakathi Kwezimpawu Zokukhulelwa Okungashadile Nezamawele

Umehluko phakathi kwezimpawu zokukhulelwa ezingashadile nezingamawele kuyisihluthulelo sokuqonda ukuthi kungenzeka yini ube namawele noma cha ngaphambi kokuvakashela udokotela. Funda umehluko omkhulu we-7 phakathi kwezimpawu zokukhulelwa ezingashadile nezingamawele ngezansi.

1. Ukwanda kwezimpawu zokugula kwasekuseni: Esinye sezibonakaliso ezivame kakhulu kungase kube ukwanda kokuqina kanye nemvamisa yesicanucanu nokuhlanza hhayi nje ekuseni kodwa nasemini, ku-trimester yokuqala. Isizathu salokhu singase sibangelwe ukwanda kwamazinga okukhiqizwa kwamahomoni ekukhuleni kwezingane ezimbili, okuholela emazingeni anda ezimpawu zokugula ekuseni.
2. Ukuzuza isisindo esiningi kunokujwayelekile: Ngesikhathi sokukhulelwa kwamawele, umzimba kamama udinga ukuthi uqine ngokwanele ukusekela nokuthwala izingane ezimbili kuze kufike isikhathi esigcwele. Lokhu kungase kubangele ukuba bakhuluphale ngaphezu kwalokho ababengaba nakho endabeni yokukhulelwa okukodwa. Ukuqapha njalo isisindo esitholiwe kungasiza ukugcina ithrekhi yesisindo esizuziwe, futhi usiqhathanise nesesimisiwe okujwayelekile kwesisindo ingase inikeze umbono uma umama okhulelwe engase ethwele abantwana ababili.
3. Ukukhathala okukhulu: Kungokwemvelo ukuzwa ukukhathala okwengeziwe ngesikhathi sokukhulelwa, kodwa ukukhulelwa kwamawele kungase kuthathe amandla engeziwe komama futhi kungase kubangele umonakalo emzimbeni njengoba usebenza kanzima ukuhlinzeka kokubili izingane.
4. Ukunyakaza kwe-fetus endaweni engaphezu kweyodwa: Njengoba izingane ezimbili zikhula esibelethweni, kungase kube nomuzwa okhulayo wokunyakaza okuvela ezindaweni ezahlukene. Lokhu kungase kubonakale kakhulu phakathi ne-trimester yesibili lapho izingane zivame ukusebenza kakhulu.
5. Ukuchama njalo: Ukuchama njalo kuwuphawu oluvamile lokukhulelwa. Kodwa-ke, njengoba izingane ezimbili zikhula esibelethweni kanye nokukhiqizwa okwengeziwe kwamahomoni, kungase kube nengcindezi eyengeziwe isinye kanye nomgudu womchamo. Lokhu kungase kubangele ukuhamba njalo endlini yangasese futhi kungenye yezimpawu ezivelele zokukhulelwa kwamawele.
6. Ukwenyuka kwesifiso sokudla: Lapho uthwele izingane ezimbili ezikhulayo, kuvamile ukuba umzimba udinge imisoco eyengeziwe ukuze usekele izidingo zezingane ezikhulayo. Lokhu kungase kubangele ukwanda kwesifiso sokudla, futhi umama angase adinge ama-calories amaningi.
7. Isisu esikhula ngokushesha: Umehluko obonakalayo phakathi kokukhulelwa okungamawele nokukhulelwa okukodwa ukukhula ngokushesha kwesibeletho. Isibeletho singakhula ngokushesha futhi sibukeke sikhulu kunasesimeni sokukhulelwa okukodwa. Ukuqhathanisa ubukhulu besisu neminyaka yokukhulelwa elindelekile kungabonisa ukuba khona kwezingane ezimbili ezikhulayo ngaphakathi.

Kuqinisekiswa Kanjani Ukukhulelwa Kwamawele?

Ukuqinisekisa ukukhulelwa kwamawele kuhlanganisa izindlela ezahlukene:

• I-Ultrasound: I-Ultrasound iyindlela eyinhloko nenembe kakhulu yokuqinisekisa amawele, enikeza isiqinisekiso esibonakalayo sezingane ezimbili kanye nokukhula kwazo. Kuyasiza futhi ukunquma uhlobo lwazo (oluhlobene noma olufanayo).
• I-Fetal Doppler: Nakuba ingasetshenziselwa ukuqinisekiswa kokuqala, a i-fetus Doppler ibalulekile ekuqapheni ukushaya kwenhliziyo kwamawele womabili ngesikhathi sokunakekelwa kwangaphambi kokubeletha, ukuqinisekisa inhlalakahle yawo.
• Ukuhlolwa Kwegazi: Ukuhlolwa kwegazi, njengokuthi izinga le-hCG Ukuhlola, kungase kusikisele ukukhulelwa okungamawele ngenxa yamazinga aphakeme e-hormone, kodwa awacacisi kangako kune-ultrasound.
• Ukuhlolwa Komtholampilo: Ukuhlolwa komtholampilo, okufana nosayizi wesibeletho nezimpawu zomzimba, kungase kubangele ukusola kwamawele, kodwa kunembe kancane kune-ultrasound ekuqinisekiseni ukukhulelwa kwamawele.

Izinkinga Ezihambisana Nokukhulelwa Kwamawele

Izinkinga ezingaba khona ezihlobene nokukhulelwa kwamawele zingase zihlanganisa:

• Ukuzalwa ngaphambi kwesikhathi: Amawele asengozini enkulu yokuzalwa ngaphambi kwamasonto angama-37 okukhulelwa.
• Isisindo sokuzalwa esiphansi: Izingane ezingamawele zivame ukuba nesisindo esincane sokuzalwa uma kuqhathaniswa nama-singletons.
• I-Twin-to-Twin Transfusion Syndrome (TTTS): Lesi yisimo esingavamile esingavela lapho amawele ehlanganyela i-placenta, okuholela ekugelezeni kwegazi okungalingani, okungase kuholele emazingeni okungalingani e-amniotic fluid. Ngaphandle kokungenelela, i-TTTS ingaba yingozi kuwo womabili amawele.
• Ukuvuvukala kwe-placenta: Lesi simo esibucayi sihilela ukuhlukana ngaphambi kwesikhathi kwe-placenta odongeni lwesibeletho ngaphambi kokubeletha, okuholela ekopheni futhi kubangele izingozi kokubili kumama nasezinganeni.
• I-Preeclampsia: Lesi simo esihlobene nokukhulelwa sibonakala ngokukhuphuka komfutho wegazi kanye nokuba khona kwamaprotheni emchamweni, futhi kwenzeka kaningi ekukhulelweni okungamawele uma kuqhathaniswa nokukhulelwa okukodwa.
• I-anemia: Ingozi ye i-anemia iphezulu ekukhulelweni okungamawele ngenxa yokwanda kwesidingo sokukhiqizwa kwegazi ukusekela ukukhula kwezingane ezimbili.
• Ukulethwa ngokuhlinzwa: Ukukhulelwa okungamawele kunethuba elikhulu lokudinga ukuhlinzwa esikhundleni sokubeletha kwesitho sangasese sowesifazane, njengoba ukukhulelwa kungaba yinselele futhi kuyingozi kakhulu ezimeni ezinjalo.

Amathiphu Okuhlala Unempilo Ngesikhathi Ukhulelwe

Ngemva kokuthatha izivivinyo zokuxilonga ukuze kuqinisekiswe ukukhulelwa okungamawele, futhi ngemva kokufunda ngomehluko phakathi kwezimpawu zokukhulelwa okukodwa namawele, sekuyisikhathi sokugxila ekuhlaleni unempilo ngesikhathi sokukhulelwa ukuze kusekelwe izingane ezikhulayo esibelethweni.

Nawa amathiphu ambalwa okuhlala unempilo lapho ukhulelwe amawele:

• Xhumana no-a gynecologist kanye nongoti wezokudla ozosungula a uhlelo lokudla olunempilo. Kubandakanya ukudla okuphelele okunomsoco kubaluleke kakhulu ukunikeza imisoco edingekayo ekukhuleni nasekukhuleni kwezingane.
• Hlala u-hydrated, njengoba ukuchama njalo ngesikhathi sokukhulelwa kungase kubangele ukwanda kokuxoshwa kwamanzi emzimbeni. Ama-fetus akhulayo nawo ayadinga izakhi ezibalulekile ezithwalwa ngamanzi ngaphakathi emzimbeni.
• Gwema ukudla okungenamsoco noma ukudla okusheshayo ngangokunokwenzeka, njengoba kungase kungabi nempilo enhle kumama nasezinganeni.
• Thola ukulala okwanele ukuze ulwe nokukhathala nokukhathala okubangelwa ukuthwala isisindo esengeziwe sezimbungu ezimbili ezikhulayo.
• Gwema ukubhema, utshwala, nanoma yiziphi izidakamizwa ezinganconywa udokotela wezifo zabesifazane.
• Lawula ingcindezi nge-yoga futhi uhlanganyele ekuzilolongeni okusesilinganisweni, njengoba kunconywe udokotela wezifo zabesifazane.
• Thatha amavithamini ngaphambi kokubeletha nezinye izithasiselo ngemithamo edingekayo, njengoba kunconywe udokotela.
• Ngena kuwo wonke ama-aphoyintimenti ahleliwe no udokotela wezifo zabesifazane futhi nilandele ngokuqinile imiyalelo yabo.

Lawa macebiso anganconywa komama abakhulelwe abangabodwa nabaningi.

Isiphetho

Kungakhathaliseki ukuthi ukukhulelwa okukodwa noma ukukhulelwa okungamawele, ngayinye iza nesethi yayo yezinselele kanye nokuhlangenwe nakho. Uma wazi umehluko phakathi kwezimpawu zokukhulelwa okungashadile kanye namawele, unganikeza lokho kunakekelwa okwengeziwe phakathi nesikhathi sakho sokukhulelwa. Kubalulekile futhi ukugcina indlela yokuphila enempilo, uqinisekisa ukuthi udla futhi uphuza ngokwanele ukuze usekele izingane ezikhulayo futhi ube khona kuzo zonke izidingo zakho. ukuqokwa kwe-gynecologist ukuze uhlolwe njalo.

CARE Medical Team

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