Yu de gɛt twins ɔ tri pikin dɛn bak? (Multiple Pregnancy) Lɛ wi tɔk bɔt dis!

We di dɔktɔ tɛl yu se yu gɛt pas wan pikin, dat na twin ɔ tri pikin (bɔku bɛlɛ), yu go dɔn fil sɔprayz ɛn rili gladi, nɔto so? Bɔt pan di sem tɛm, i nɔmal fɔ mek yu fred smɔl ɛn sɔm kwɛstyɔn dɛn de kam na yu maynd. Yu kin de tink tin dɛm lɛk, "Aw a go tek kia ɔf tu?", "A go ebul fɔ handle dis?" Nɔ wɔri, nɔto yu wan de. Insay dis atikul, wi go tɔk bɔt dis "multiple pregnancy" insay wan simpul we we yu go ɔndastand.

Wetin na dis bɔku bɔku bɛlɛ?

Fɔ tɔk am simpul wan, we yu gɛt bɔku bɛlɛ na we yu de kɛr pas wan pikin wan tɛm. If yu de kɛr tu bebi dɛn, wi kin kɔl dɛn twins . If yu de kɛr tri pikin dɛn, wi kin kɔl dɛn tri pikin dɛn . Sɔntɛnde, yu kin kɛr ivin mɔ pikin dɛn na di sem bɛlɛ, we dɛn kɔl ay-ɔda multiples . Bɔku tɛm, sɔm mɔ risk dɛn kin de we pɔsin gɛt bɔku bɔku bɛlɛ pas we i gɛt bɛlɛ we i gɛt wan uman. Bɔt nɔ wɔri, wit gud mɛdikal supavayshɔn, dɛn kin ebul fɔ manej ɔl dis fayn fayn wan.

Aw dɛn kin bɔn dɛn twin ɛn tri pikin ya?

Tu men we dɛn de we dis kin apin:

1. divεlכpmεnt fכ wan eg/ovum we fεtilayz: wan eg we wan sεl fεtilayz de divayd insay tu כ mכr bifo i implant insay di wכl na di uterus.

2. mכltipכl fεtilayzεshכn: mכltipכl eg dεm de fεtilayz bay difrεn sεl dεm di sem tεm.

Dɛn tu we ya de sho if di twins dɛn fiba ɔ na brɔda ɛn sista dɛn .

Udat na twin dɛn we fiba dɛnsɛf?

Imajin, wan eg de fεtilayz bay wan sεl, dεn i split to tu (כ mכr). di pikin dεm we de fכm lεk dis dεn kכl dεm di sem twin dεm. Dɛn jenɛtik matirial na di sem tin. Dat min se dɛn luk di sem ɛn dɛn gɛt di sem sɛks (gayl na gyal pikin, bɔy pikin na bɔy pikin) . I tan lɛk se na kɔpi we dɛn mek wit kabɔn!

Udat na twin dɛn we gɛt brɔda ɛn sista dɛn?

wetin de apin ya na dat tu (כ mכr) difrεnt eg dεm de fεtilayz bay difrεn sεl dεm. Naw luk, di eg dɛn difrɛn, di sperm difrɛn. So di jεnεtik infכmeshכn fכ di pikin dεm we dεn bכn dεn tu difrεn. na dat mek dεn pikin ya nכ de luk di sem, εn dεn kin miks dεm bak lεk man εn uman. Jɔs lɛk brɔda ɛn sista dɛn na di sem famili, we dɛn jɔs bɔn di sem de.

we uman bεlε wit tri pikin כ mכr, di pikin dεm כl kin bi di sem, כl kin bi dizygotic, כ miks כl tu. Dis min se if yu bɔdi pul bɔku eg dɛn, pas wan pan dɛn dɔn fɛtilayz, ɛn wan ɔ mɔ pan dɛn eg dɛn de we dɔn fɛtilayz split bak, dis kin apin.

Yu tink se twin dɛn we fiba dɛnsɛf na di sem sɛks ɔltɛm?

Yɛs! Bikɔs dɛn bɔn di sem twin dɛn frɔm di sem eg ɛn di swɛt, dɛn gɛt di sem jɛnɛtik infɔmeshɔn. di kayn kromozom we de insay di sεl we dεn fεtilayz de sho di sεks fכ di pikin. di mama in eg gεt wan X kromozom. if di papa in sεl gεt X kromozom, di pikin go bi XX (uman), εn if i gεt Y kromozom, di pikin go bi XY (man). so, biכs di sem eg de sheb, εvri pikin go gεt di sem kromozom kכmbaynshכn lεk aw i bin de bifo.

Us tin dɛn kin mek pɔsin gɛt bɔku bɛlɛ?

Bɔku tin dɛn de we kin mek yu gɛt mɔ chans fɔ bɔn twins ɔ mɔ pikin dɛn. Dɛn tin ya kin afɛkt yu bak:

• Ej: Sɔntɛnde, uman dɛn we dɔn pas 30 ia kin gɛt di abit fɔ pul pas wan eg wan tɛm.
• Famili istri: If yu na twin, ɔ if twin pikin dɛn de na yu famili (especially na yu mama in sayd), yu kin gɛt twins bak. Dis na sɔntin we de rɔn na yu jin.
• fεtiliti dεm εn tritmεnt dεm: sכm tritmεnt dεm fכ fεtiliti, lεk In Vitro Fertilization (IVF) , de mek di chans fכ gεt twins bכku bay we dεn de tכn mכr dan wan fεtilayz eg insay di uterus fכ mek di chans fכ bεlε go bכku.
• Ayt ɛn wet: Sɔm stɔdi dɛn dɔn sho se uman dɛn we lɔng ɔ we ebi pas di avɛrej kin gɛt smɔl chans fɔ gɛt bɔku bɛlɛ.

Dis biɛn tɛm, as mɔ pipul dɛn de go fɔ tritmɛnt fɔ bɔn pikin, di nɔmba fɔ di pikin dɛn we dɛn bɔn bɔku tɛm dɔn bɔku bak smɔl.

Aw a go no if a gɛt twins? Wetin na di sayn dɛn?

Di wangren we fɔ no fɔ tru if yu gɛt pas wan pikin na fɔ go to dɔktɔ ɛn du ɔltra saund skan. dis tεst kin si klia wan כl di pikin dεm de insay yu uterus.

Bɔt sɔntɛnde, di sayn dɛm kin tranga pas we uman gɛt bɛlɛ we na wan uman nɔmɔ. Fɔ ɛgzampul:

• Sik bad bad sik na mɔnin ɛn vɔmit.
• di wet we yu de gεt kwik kwik wan insay di fכs tri mכnt dεm we di bεlε de.
• Fɔ fil se yu de fil pen pasmak ɔ yu gɛt sɔri-at na yu bɔdi.
• di hכy lεvεl dεm fכ wan כmon we dεn kכl Human Chorionic Gonadotrophin (hCG) na di bכdi כ di urine. Dɛn kin no dis ɔmon bay we dɛn de tɛst pɔsin we gɛt bɛlɛ.
• di ay lεvεl dεm fכ wan protin we dεn kכl Alfa-fεtoprotein na di bכdi.

Dɔn bak, if di dɔktɔ yɛri pas wan at bit we i de du di fetal Doppler scan , i kin tink se i kin bi twins.

Wetin na di prɔblɛm dɛn we kin apin we dɛn bɔn twin pikin dɛn?

Ɛnibɔdi kin gɛt prɔblɛm dɛn we i gɛt bɛlɛ, ilɛksɛf na ɔmɔs pikin dɛn i de kɛr. Bɔt dɔktɔ dɛn kin si se we uman gɛt bɔku bɛlɛ, dat kin mek pɔsin gɛt bɛlɛ we i gɛt wan prɔblɛm . Dis nɔ min se ɔl mama we de bɔn twins go gɛt prɔblɛm. Bɔt if yu de op fɔ gɛt twins, yu dɔktɔ go de chɛk yu ɔltɛm ɛn i go de wach fɔ si if yu gɛt prɔblɛm dɛn we go mit yu. Dɛn go ɛksplen ɔl di prɔblɛm dɛn we kin apin to yu.

Sɔm pan di prɔblɛm dɛn we kin apin we pɔsin gɛt bɔku bɛlɛ na:

• di pikin we dεn bכn bifo tεm εn bכn pikin: Dis na di kכmכn kכmplikεshכn we dεn kin si pan mכltipכl bכn pikin dεm. dis min se dεn kin bכn di pikin dεm bifo di 37 wik we dεn bεlε. pan twins, fכ komplit 37 wiks na di gol fכ bכku mama dεm. Dɔn i kin izi fɔ bɔn di pikin dɛn we gɛt wɛlbɔdi ɛn we gɛt gud wet. di pikin dεm we dεn bכn bifo tεm kin gεt כda kכmplikεshכn bak we dεn kכl lכw wet we dεn bכn.

• Preeclampsia ɔ Gestational hypertension: Dɛn kɔl am ay blɔd prɛshɔn we uman gɛt bɛlɛ haypatɛnshɔn. Yu dɔktɔ go de chɛk yu blɔd prɛshɔn ɔltɛm fɔ si if yu gɛt gestational hypertension. Sɔntɛnde dis kin mek yu gɛt wan denja sik we dɛn kɔl prɛeklampsia . Mama we gɛt twins kin gɛt dis sik tu tɛm pas mama we gɛt wan pikin. Dɔn bak, dis sik kin apin ali we uman gɛt bɛlɛ ɔ i kin bigin kwik kwik wan.

• Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ: Dayabitis kin kam we i gɛt bɛlɛ. dis de bi fכ di כmon dεm we di plasεnta de kכlכs. di sayz fכ di plasεnta kin afekt dis bak. if yu gεt tu plasεnta, yu insulin rεsistεns de bכku.

• di plasεnta abrupshכn: Dis na imejensi. na we di plasεnta separet frכm di uterin wכl bifo di pikin bכn. Dis kכndyushכn kin apin mכr pan mama dεm we de kכri twin pikin dεm.

• di pikin dεm we de mek di pikin gro: dεn kכl am bak intrauterine growth restriction (IUGR) כ s כmכl fכ di jεstεshכnal ej (SGA) , dis na we wan כ mכr pan yu pikin dεm nכ de gro fayn fayn wan. dis kin mek dεn bכn di pikin dεm bifo tεm כ wit lכw wet we dεn bכn. Dis prɔblɛm kin apin to lɛk af pan ɔl di bɔku bɔku bɛlɛ dɛm.

Fraternal twin dεm kin gεt tu plasεnta כltεm. di risk dεm fכ bεlε we involv dεm sεm lεk di wan dεm we bεlε wit wan pikin, bכt i hכy sכmtεm.

di sem twin dεm kin gεt wan plasεnta (70% pan di tεm) כ tu plasεnta (30% pan di tεm). di risk dεm fכ di sem twin dεm we gεt tu plasεnta dεm sεm lεk di wan dεm fכ fraternal twins.

spεshal risk dεm fכ di sem twin dεm we de sheb wan plasεnta (Monochorionic) .

di sem twin dεm we de sheb wan plasεnta (wi kכl dis monochorionic) gεt sכm yכnik risk dεm:

• Twin-Twin-Transfusion-Syndrome (TTTS): Dis kכndyushכn kin apin pan 5% to 15% pan di kes dεm. dis de bi fכ di vaskulכr kכmyunikeshn bitwin di twins dεm na di plasεnta lεvεl. Bikɔs ɔf dis kɔnekshɔn, di twins dɛn kin sheb dɛn blɔd. if dis apin, if dεn nכ du natin, 90% risk de fכ di twins dεm go day na di bεlε. in-utero prosidur dεm de fכ ridyus dis risk.

• Twin-Anemia-Polycythemia Sequence (TAPS): dis na kכndyushכn bak we bכdi de fכm frכm wan twin to di כda wan bikoz fכ wan plasεnta kכnεkshכn. insay dis, we wan pikin gεt εnεmik (dεn rεd bכdi sεl dεm lכw), di כda pikin de bi polycythemic (high rεd bכdi sεl dεm). We dis kin apin, dɛn kin yuz difrɛn tritmɛnt/intavɛnshɔn dɛn.

• sεlektiv IUGR: Dis na כda kכndyushכn we dεn kin si pan di sem twin dεm we de sheb wan plasεnta. Pan ɔl we wan pikin de gro fayn, di ɔda pikin in gro kin ridyus bad bad wan.

• (Twin-Reversed-Arterial-Perfusion - TRAP) syndrome: pan dis kכndyushכn, wan pikin in at de pכmp bכdi to di tu pikin dεm. Di ɔda pikin nɔ gɛt at ɛn dat mek i nɔ de liv afta dɛn bɔn am. di hεlth fכ di pikin we gεt nכmal at kin difrεn. bכt bכt dis sik nכ kin bכku (lεk 1 pan 20,000 to 40,000) εn dεn kin trit am na di bεlε.

• Monoamniotic: di sem twin dεm we de sheb wan plasεnta kin de insay di sem jεstεshכnal sak sכmtεm. Dɛn kɔl dis Monochorionic-Monoamniotic . dis kכndyushכn de apin insay lεk 1% pan di mכltipכl bεlε dεm. If na so i bi, di risk de fɔ wan ɔ ɔl tu di pikin dɛn.

Yu dɔktɔ kin no ɔl dɛn sik ya tru ɔltra saund skan.

di chans de fכ bכn di pikin bay sizarian sεkshכn (C-sekshכn) we yu gεt twins?

sizarian na di we aw dɛn kin bɔn pikin tru wan say we dɛn kɔt di bɛlɛ. Dis kin bi fɔ difrɛn rizin dɛn, bɔt dɛn kin du am mɔ we dɛn bɔn bɔku pikin dɛn. i kin izi fɔ mek dɛn du sizarian sɛkshɔn we dɛn gɛt twin bɛlɛ pas we dɛn gɛt wan uman we gɛt bɛlɛ. Bɔt ivin we uman gɛt bɛlɛ we na wan uman nɔmɔ, sɔntɛnde, na sizarian sɛkshɔn na di bɛst we fɔ bɔn pikin.

bכku tεm, dεn kin bכn pikin dεm na brich posishכn (hed dכn). Dɔn bak, if yu gɛt ɛni prɔblɛm we yu gɛt bɛlɛ, ɛn we yu bɔn pikin bay vagina nɔ sef fɔ yu ɔ yu pikin, yu kin nid fɔ du sizarian sɛkshɔn. Yu dɔktɔ go de wach yu gud gud wan te yu rɛdi fɔ bɔn pikin ɛn tɔk to yu bɔt di bɛst we fɔ bɔn yu pikin.

Wetin a fɔ du fɔ mek a gɛt wɛlbɔdi we a de op fɔ gɛt twins?

Fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, fɔ rɛst fayn, ɛn fɔ go to yu dɔktɔ ɔltɛm, ɔl dis impɔtant fɔ mek ɛni mama we gɛt bɛlɛ gɛt wɛlbɔdi. Dɛn tin ya impɔtant mɔ fɔ mama we de bɔn twins.

If yu de kɛr twins, yu nid fɔ tek tɛm mɔ bɔt di tin dɛn we yu de it. I impɔtant fɔ gɛt inof prɔtin ɛn wata (wata). Yu nid bak fɔ it inof ɛkstra kalori fɔ sɔpɔt yu pikin we de gro. As wan jenɛral lɔ, ɛni pikin nid lɛk 300 ɛkstra kalori ɛvride . Dat min se if yu de kɛr twins, yu nid lɛk 600 ɛkstra kalori ɛvride. Tɔk to yu dɔktɔ bɔt di it we yu de it ɛn di patikyula tin dɛn we yu nid fɔ gɛt bɛlɛ we gɛt wɛlbɔdi.

di mama dεm we gεt twin kin gεt sכm pan di kכmכn diskomfot dεm we dεn bεlε (e.g., bak pen, taya). I impɔtant fɔ tek kia ɔf yusɛf gud gud wan ɛn gɛt bɔku rɛst.

Sɔntɛnde, i bɛtɛ fɔ go to spɛshal dɔktɔ we gɛt ɛkspiriɛns fɔ bɔn bɔku pikin dɛn. Dis go mek shɔ se yu ɛn yu pikin gɛt di bɛst kia. i rili impɔtant fɔ gɛt ɔltɛm, intensiv antenatal kia we yu gɛt bɔku bɛlɛ. Aks yu famili dɔktɔ ɔ OBGYN fɔ advays bɔt dis.

Yu kin du ɛksɛsayz we yu gɛt twin pikin dɛn?

Ɛksesaiz impɔtant we yu gɛt bɛlɛ. Bɔku tɛm, yu kin stil du ɛksɛsayz we yu gɛt bɛlɛ. Fɔ ɛksesaiz we nɔ gɛt bɔku impak na in bɛtɛ. Fɔ ɛgzampul:

• De swin
• De waka
• Yoga we dɛn kin du bifo dɛn bɔn pikin

Pan ɔl we ɛksesaiz fayn, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt us ɛksesaiz dɛn we fayn fɔ yu. Sɔm ɛksesaiz dɛn we yu kin du tranga wan nɔ go fayn fɔ yu we yu gɛt bɛlɛ wit twins. Fɔ ɛgzampul:

• De jɔg
• Aerobics we inklud fɔ jomp

Dɔn bak, mɛmba se if yu gɛt ɛni prɔblɛm, yu go nid fɔ chenj di we aw yu de du ɛksɛsayz.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Fɔ gɛt twins ɔ tri pikin dɛn na blɛsin fɔ tru! Yɛs, sɔm prɔblɛm dɛn kin de, bɔt yu kin ebul fɔ win dɛn ɔl.

Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn ɛn go na di klinik dɛn di rayt tɛm. Dɛn go kia fɔ yu ɛn yu pikin gud gud wan.

• It ɛn drink fayn, mɔ wit prɔtin ɛn ɛkstra kalori.
• Gɛt bɔku rɛst. I impɔtant fɔ rɛst bikɔs i de mek yu bɔdi strɛs mɔ.
• Du layt ɛksesaiz, bɔt jɔs bigin afta yu go to yu dɔktɔ.
• If yu notis ɛnitin we nɔ kɔmɔn ɔ we difrɛn, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ ignore ivin di smɔl tin.
• Tɔk to yu man, yu fambul, ɔ dɔktɔ bɔt wetin yu de fred ɛn wetin yu de wɔri bɔt. Nɔ kip dɛn na bɔtul.

Nɔto yu wan de go na dis waka. Bɔku pipul dɛn de fɔ ɛp yu ɛn kia fɔ yu. Ɛnjɔy dis wɔndaful ɛkspiriɛns!

` Twin, triplet, mכltipכl bεlε, bεlε hεlth, obstetric komplikashכn, idεntikal twin, fraternal twins