Yu de gɛt twins dɛn bak? (Multiple Pregnancy) Lɛ wi tɔk bɔt ɔltin!

If yu dɔktɔ se wantɛm wantɛm se, "A si tu smɔl at dɛn de bit ya," we dɛn de du ɔltra saund skan, aw yu go fil? Sɔprayz, gladi, maybe smɔl fred ɛn gladi gladi... Na nɔmal tin fɔ fil ɔl dɛn tin ya di sem tɛm. We yu bɔn tu ɔ tri pikin dɛn instead fɔ gɛt wan, dat min se di gladi at kin bɔku tu tɛm, bɔt wit dat, di wok ɛn di tin dɛn we yu nid fɔ no kin kam. So tide, lɛ wi tɔk bɔt ɔltin bɔt dis tɛm we yu gɛt bɛlɛ we yu gɛt twins ɔ mɔ pikin dɛn (Multiple Pregnancy).

Wetin na ‘Multiple Pregnancy’?

Fɔ tɔk am simpul wan, ‘bɔku bɛlɛ’ min se yu gɛt pas wan pikin na yu uterus, we min se tu, tri, ɔ ivin mɔ pikin dɛn de divɛlɔp di sem tɛm.

• Twin: Na di pikin we tu pikin kin gɛt di sem bɛlɛ.
• Triplet: Na di bכdi fכ tri pikin dεm we dεn gεt di sem bεlε.

Dis we ya, we yu gɛt bɔku pikin dɛn, di tɛm we yu gɛt bɛlɛ kin gɛt prɔblɛm smɔl pas if yu gɛt jɔs wan pikin. Bɔt nid nɔ de fɔ fred dat. If yu fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan ɛn gɛt wɛlbɔdi, yu go ebul fɔ dɔn dis tɛm fayn fayn wan.

Aw dɛn kin bɔn twins lɛk dis?

Tu men we dɛn de fɔ gɛt twins. dis tu mεtכd dεm na dεn we wi kכl "identical twins" כ "fraternal twins."

1. split wan eg we dεn fεtilayz: dis na we wan sεl de fεtilayz wan eg εn di εmbriyo we de kכmכt split insay tu (כ mכr) pat bifo dεn put am insay di uterus. di pikin dεm we de divεlכp dis we dεn gεt komplit di sem jεnεtik infכmeshכn.

2. tu difrεnt ovum dεm de fεtilayz: dis na we mכr dan wan eg (e.g. tu eg) de kכmכt na di mama in ovari di sem tεm, εn dεn tu eg dεm de fεtilayz bay tu difrεnt sεl dεm. di jεnεtik infכmeshכn fכ dεn bebi dεm ya difrεn.

Lɛ wi ɔndastand di difrɛns bitwin twin pikin dɛn we dɛn bɔn we de yuz dɛn tu we ya klia wan smɔl.

We dɛn bɔn tri pikin ɔ mɔ, di pikin dɛn ɔl kin bi di sem, dɛn ɔl kin bi brɔda ɛn sista, ɔ dɛn ɔl tu kin jɔyn.

Us tin dɛn kin mek di chans fɔ gɛt twin pikin dɛn kin bɔku?

Jɛnɛral wan, ɛnibɔdi kin gɛt twins, bɔt sɔm tin dɛn kin mek dis chans bɔku smɔl.

• Ej: Uman dɛn we dɔn pas 30 ia kin rilis pas wan eg wan tɛm. So if tu eg dɛn kɔmɔt, chans de fɔ mek dɛn gɛt twin dɛn we gɛt brɔda ɛn sista dɛn.
• Famili istri: If twins de na yu famili, mɔ na yu mama in sayd, yu go gɛt twins bak.
• Fεtiliti Tritmεnt: sכm fεtiliti tritmεnt kin mek bכku eg dεm kכmכt frכm di ovaria wan tεm. כlso, tritmεnt dεm lεk IVF (In Vitro Fertilization) kin inkrεs di chans fכ gεt twins bay we dεn de tכn mכr dan wan εmbriyo to di uterus fכ inkrεs di sakses rεt.
• Ayt ɛn wet: Sɔm stɔdi dɛn dɔn sho se uman dɛn we lɔng pas avɛrej ɔ we gɛt ay bɔdi mas indeks (BMI) kin gɛt twins smɔl.

Ɛni sayn de fɔ sho se yu gɛt twins?

Infakt, di wangren we fɔ no ɔmɔs pikin dɛn yu de bɔn na fɔ du ɔltra saund skan. Bɔt sɔntɛnde, di sayn dɛn kin tranga smɔl pas if yu jɔs bɔn wan pikin.

• Sik ɔltɛm na mɔnin: Fɔ vɔmit ɛn nɔs kin rili bad bikɔs ɔf di ay ɔmon lɛvɛl.
• We yu de gɛt bɔku bɔku wet kwik kwik wan insay di fɔs tri mɔnt.
• di pen εn sεnsitiviti we de bכku na di brεst.
• vεri hכy lεvεl dεm fכ di כmon `hCG` (human chorionic gonadotrophin) na di bכdi εn urine.
• fכ yεri mכr dan wan at bit we di dכkta de lisin to di pikin in at bit (fetal Doppler scan).

Wetin na di prɔblɛm dɛn we kin apin we twin uman gɛt bɛlɛ?

Kɔmplikɛshɔn kin apin we yu gɛt bɛlɛ. Bɔt we yu de kɛr twins ɔ mɔ, dɔktɔ dɛn kin tek da bɛlɛ de as "hay-risk." Dat na bikɔs di chans fɔ gɛt prɔblɛm dɛn kin bɔku smɔl pas we i gɛt wan pikin. Bɔt nɔ wɔri. "High-risk" nɔ min se yu go rili gɛt prɔblɛm. I jɔs min se dɔktɔ dɛn go de wach yu ɛn yu pikin mɔ ɛn mɔ ɛn bɔku tɛm .

Na sɔm pan di prɔblɛm dɛn we kin apin:

• di pikin we dεn bכn bifo tεm εn bכn pikin: Dis na di kכmכn kכmכn kכmplikεshכn we dεn kin si pan twin bεlε. Bɔku tɛm, di gol na fɔ dɔn 37 wik. If dɛn bɔn di pikin dɛn bifo dat, dɛn kin gɛt smɔl wet we dɛn bɔn dɛn ɛn ɔda wɛlbɔdi prɔblɛm dɛn.
• Gestational Hypertension and Preeclampsia: Mama dɛn we gɛt twins kin gɛt ay blɔd prɛshɔn we dɛn gɛt bɛlɛ . if dεn nכ trit dis kכndyushכn kin divεlכp to wan denja kכndyushכn we dεn kכl ``Prεklampsia.''
• Gestational Diabetes: di risk fכ dis kכndyushכn de bכku biכs di כmon dεm we di plasεnta de kכlכs de bכku.
• di plasεnta Abrupshכn: Dis na we di plasεnta de separet frכm di uterin wכl bifo di pikin bכn. Dis na imejensi.
• Fetal Growth Restriction (IUGR): wan כ כl di pikin dεm nכ de gro di rayt rεt. dis kin mek dεn bכn pikin dεm wit lכw wet we dεn bכn.

Kɔmplikɛshɔn dɛn we spɛshal to twin dɛn we fiba dɛnsɛf

if di sem twin dεm de sheb di sem plasεnta (monochorionic), dεn kin gεt sεvεra komplikεshכn dεm we spεshal fכ dεm.

• Twin-to-Twin Transfusion Syndrome (TTTS): Dis kin apin we tumɔs blɔd de pas frɔm wan pikin to di ɔda wan tru di blɔd vesel dɛn na di plasɛnta. Dis kin mek wan pikin nɔ gɛt bɛtɛ blɔd ɛn tin dɛn we i nid, ɛn di ɔda pikin kin gɛt tumɔs. Dis kin denja fɔ ɔl tu di pikin dɛn.
• Twin Anemia Polycythemia Sequence (TAPS): Dis na kכndyushכn we lεk ``(TTTS)``. If na so i bi, wan pikin kin gɛt anemia (lɔ blɔd kɔnt) we di ɔda pikin gɛt bɔku bɔku rɛd blɔd sɛl dɛn na in blɔd.
• Selektiv IUGR: Wan pikin de gro fayn fayn wan we di ɔda pikin de gro rili slo.

Di dɔktɔ kin wach ɔl dɛn tin ya tru ɔltra saund skan ɛn rifer dɛn fɔ di tritmɛnt we dɛn nid.

I nid fɔ mek dɛn du sizarian sɛkshɔn (C-section) we yu de bɔn twins?

i nכ min se i nid fכ bi, bכt sεvεra rizin dεm de we mek dεn kin du sizarian sεkshכn we dεn bכn twin pikin dεm.

• bכku tεm, di tu pikin dεm nכ de na di kכrekt posishכn ( ed dכn) fכ bכn.
• di nכmal dilivεri kin bi risk fכ di mama כ di pikin biכs fכ di kכmplikεshכn dεm we i bεlε.

As yu de kam nia di de we yu fɔ bɔn pikin, yu dɔktɔ go chɛk yu ɛn tɔk to yu us we fɔ du tin we nɔ bad fɔ yu ɛn yu pikin.

Aw fɔ gɛt wɛlbɔdi ɔlsay na dis bɛlɛ?

We yu gɛt twins, dat min se yu fɔ tink tumɔs bɔt yu bɔdi.

• Nyutrishɔn: Yu nid mɔ it pas mama we nɔ mared. As di ruul of thumb, wan pikin nid lek 300 ekstra kalori fo wan de. Dat min se if yu de kɛr twins, yu nid lɛk 600 ɛkstra kalori fɔ wan de. It bɔku it dɛn we gɛt bɔku prɔtin, vɛjitebul, ɛn frut. Ɛn drink bɔku wata ɔl di de.
• Rɛst: Yu go fil bad bad wan. So gɛt bɔku rɛst as yu ebul. Tek wan nap insay di de. If yu leg dɛn dɔn swel, kip dɛn ɔp.
• Mɛdikal chɛk-ap: Yu go nid fɔ go to dɔktɔ ɛn du skan bɔku tɛm pas mama we gɛt wan pikin. Nɔ mis ɛni wan pan dɛn klinik ya ɛn go ɔltɛm. I rili impɔtant fɔ yu ɛn yu pikin in sef.
• Ɛksesaiz: Ɛksesaiz fayn, bɔt yu fɔ rili aks yu dɔktɔ bɔt am. Layt ɛksesaiz lɛk fɔ swim ɛn waka kin fayn. Bɔt i fayn fɔ mek yu nɔ de du ɛksɛsayz we yu de tray tranga wan lɛk fɔ rɔn ɛn jomp.