Indlela yokukhulelwa ngamawele? Ungawandisa njani amathuba akho okumitha amawele???

Ukuba uceba ukuba nomntwana kungekudala, kwaye uphupha ngokuba namawele, namhlanje sikuxelela ukuba kunokwenzeka kakhulu.

Kutshanje, izinga lokukhulelwa kwamawele liye landa kwiminyaka yakutshanje kunokuba lalinjalo ngaphambili ngenxa yezinto ezininzi ezahlukeneyo ezifana nokulibaziseka komtshato, kunye nokwanda kwepesenti yokubhenela kwiindlela ezahlukeneyo zonyango lobudlolo. amawele anokohlulwa abe ngamacandelo aphambili amabini, angala; Amawele afanayo kunye namawele amaFraternal, apho amawele afanayo akhawulwa ngokwahlula iqanda eliqhanyiweyo libe ziindawo ezimbini ezifanayo ngokupheleleyo, nto leyo ekhokelela ekuphuhliseni iimbumba ezimbini ezithwele imfuza efanayo, kunye neembumba ezimbini kule meko zineempawu zemfuza efanayo, kwaye Ngokuphathelele ukukhulelwa kwamawele angama-asymmetric, kwenzeka ngenxa yokuveliswa kwamaqanda amabini ngumfazi kwaye adityaniswe ngokwahlukeneyo, kwaye i-fetus nganye ineempawu ezahlukileyo kwenye i-fetus kule meko, kwaye Kufuneka kuqatshelwe ukuba ugqirha unokubona ukukhulelwa kwamawele ngokusebenzisa ubuchule I-Ultrasound scans ngexesha eliphakathi kwe-8-14 yeeveki zokukhulelwa.

 Kufuneka kuqatshelwe ukuba akukho ndlela iqinisekileyo enokuthi ilandelwe xa kukhawulwa amawele, kodwa kukho izinto ezininzi ezinokwandisa amathuba okumitha amawele, kuquka nezi zilandelayo:

Imbali yosapho: Ithuba lokukhulelwa kwamawele landa ukuba kukho imbali yangaphambili yokukhulelwa kwamawele kwintsapho, ngakumbi ukuba kukho ukukhulelwa kwamawele asymmetric, kwaye amathuba okukhulelwa kwamawele ayanda ukuba umama unamawele. Ubudala: Ithuba lokukhulelwa kwamawele liyanda xa umama edlula iminyaka engamashumi amathathu ngenxa yokwanda kwemveliso ye-follicle-stimulating hormone (FSH), nto leyo ekhokelela ekukhuthazeni ukuveliswa kwamaqanda amaninzi kumfazi kwinkqubo ye-ovulation. Inani labakhulelweyo: Ithuba lokumitha amawele liyenyuka ngokunyuka kwamanani okukhulelwa kwangaphambili.

Ukubila:

Uninzi lwezifundo zibonise ukuba uhlanga lunempembelelo kumathuba okumitha amawele, njengoko abafazi base-Afrika-baseMelika kunye nabamhlophe banethuba eliphezulu lokumitha amawele kunabafazi bezinye iintlanga.

Izongezo zesondlo:

Nangona abanye abantu bekholelwa ukuba ukuthatha izongezo zezondlo eziqulethe i-folic acid kwandisa ithuba lokumitha amawele, izifundo ezingqina ukunyaniseka kwala mabango kunqongophele kwaye zifuna uphando kunye nophando olungakumbi ukuze ziqinisekise.

Umzimba wabasetyhini:

Apho inani lophando lubonise ukuba ibhinqa elinobunzima bomzimba (BMI) lidlula i-30 linethuba elongezelelweyo lokumitha amawele; Njengoko ukwanda kwepesenti yamafutha omzimba kukhuthaza ukuveliswa kweemali ezinkulu ze-estrogen, ezinokuthi zikhokelela ekukhuthazeni okukhulu kwe-ovulation, kwaye ngaloo ndlela ukuveliswa kweqanda elingaphezulu kwelinye, kunye nolunye uphando lubonise ukuba ithuba lokukhulelwa amawele liyanda. kwabasetyhini abade kunomndilili ubude obuqhelekileyo.

Ukuncancisa:

Nangona ukuncancisa ngokupheleleyo kwe-fetus kuthintela ukukhulelwa ukuba kwenzeke ngokwemvelo, ukukhulelwa kwezinye iimeko kwenzeka ngeli nqanaba, kwaye ithuba lokukhulelwa amawele ngeli nqanaba liphezulu.

Ukukhulelwa kwamawele okwenziwa

Kufuneka kuqatshelwe ukuba kukho inani leendlela ezisetyenziswa kunyango lobudlolo, nto leyo eyandisa amathuba okumitha amawele, kwaye phakathi kwezi ndlela zilandelayo:

Ugonyo olungelokwenziwa:

Umlinganiselo wokumitha kwamawele ukhula ngokuphawulekayo kumabhinqa afumana i-in vitro fertilization, eyenye yeendlela ezisetyenziswayo kunyango lwedlolo, apho kutsalwa amaqanda amaninzi emfazini aze adityaniswe ngamadlozi elabhoratri de umntwana ongekazalwa aqalise ukuzala. ukhule, uze uphinde Ugqirha ufaka iqanda elichumileyo ngaphakathi kwisibeleko, kwaye ukwandisa izinga lempumelelo yenkqubo, ugqirha ufaka iqanda elingaphezu kwesinye kwinkqubo efanayo, kwaye oku kwandisa ithuba lokumitha amawele.

Amachiza okuchuma:

Apho umgaqo wesenzo samachiza okuzala ukhuthaza ukuveliswa kwamaqanda kwabasetyhini, kwaye oku kwandisa ithuba lokukhululwa kweqanda elingaphezulu kwelinye kunye nokuqhamiswa ngamadlozi endoda, kwaye oku kunokukhokelela ekukhulelweni kwamawele okanye ngaphezulu, kwaye enye yala machiza yi-clomiphene (i-Clomiphene, kunye neziyobisi zentsapho ye-gonadotropins, kwaye la machiza afuna umyalelo kunye nokubeka iliso kwimpilo xa esetyenziswa, nangona la mayeza athathwa njengekhuselekile kwaye asebenzayo, kodwa anokuhamba kunye neziphumo ezibi kwezinye. iimeko. Umngcipheko wokuba namawele unokunyusa umngcipheko weengxaki zempilo xa ukhulelwe ngamawele, kuquka oku kulandelayo:

Uxinzelelo lwegazi oluphezulu: Abasetyhini abakhulelweyo abantwana abangaphezulu komnye kunokwenzeka ukuba babe noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa, ngoko kuyafaneleka ukwenza iimvavanyo ngamaxesha athile kugqirha ukuze kubonwe kwangethuba uxinzelelo lwegazi kumfazi okhulelweyo.

Ukuzalwa kwangaphambi kwexesha: Umngcipheko wokuzalwa kwangaphambi kwexesha uyanda ngokunyuka kwenani leemveku kwisibeleko sikamama okhulelweyo Ngokusekelwe kwizibalo, kwafunyaniswa ukuba izinga lokuzala ngaphambi kwexesha - oko kukuthi, ngaphambi kokugqitywa kweeveki ezingama-37. ukukhulelwa - kuphakama ngaphezu kwe-50% kwiimeko zokukhulelwa kwamawele, kwaye ugqirha unokunika umama iinaliti ze-Steroid kwimeko apho kubonakala enye yeempawu zokuzala ngaphambi kwexesha, kuba la mayeza akhawuleza ukukhula kunye nophuhliso lwemiphunga. ye-fetus, kwaye ngoko ke kuyimfuneko ukubonisana nodokotela ngokukhawuleza xa kwenzeka iimpawu zokuzalwa kwangaphambi kwexesha.

I-Pre-eclampsia: okanye yintoni eyaziwa ngokuba yi-pre-eclampsia, kwaye yingxaki enkulu yezempilo ehambelana noxinzelelo oluphezulu lwegazi ngexesha lokukhulelwa kwaye ifuna ukungenelela ngokuthe ngqo kwezonyango, kwaye le meko inokubonwa ngugqirha ukulinganisa uxinzelelo lwegazi umfazi okhulelweyo, uhlalutyo lomchamo lunokwenziwa, kwaye le meko inokuhamba kunye nokubonakala kweempawu ezithile, ezifana: intloko ebuhlungu, ukuhlanza, ukudumba okanye ukudumba ngequbuliso kwezandla, iinyawo, okanye ubuso, kunye nokubandezeleka kombono othile. ukuphazamiseka.

I-Gestational diabetes: Umngcipheko wesifo seswekile sokukhulelwa uyanda xa ukhulelwe amawele, kwaye le meko imelwe yishukela ephezulu kumfazi okhulelweyo, nto leyo inokukhokelela kwiingxaki zempilo kumama kunye nosana olungekazalwa, kwaye kukho iindlela ezininzi zonyango. inokulandelwa ukulawula le meko.

Icandelo loCaesarean: Nangona kunokwenzeka ukuzalwa kwemvelo xa ukhulelwe amawele ukuba intloko yomntwana wokuqala yayijonge ezantsi ekuzalweni, amathuba okubhenela kwindawo yotyando ngokuqhelekileyo aphakamileyo xa ekhulelwe amawele, kwaye kubalulekile ukuqaphela ukuba kwezinye iimeko umbungu wokuqala unokuzalwa Ukuzalwa Ngokwendalo, kunye nolunye umbungu ngotyando xa kukho iingxaki zempilo.

I-Fetal blood transfusion syndrome: I-Twin-to-twin transfusion syndrome inokuthi yenzeke kwiimeko apho abantwana ababini be-fetus babelane nge-placenta enye. yezinye iingxaki zempilo entliziyweni yomntwana ongekazalwa.