Twins emaw triplet emaw i nei bawk em? (Multiple Pregnancy) Hemi chungchang hi han sawi ila!

Doctor-in naute pakhat aia tam, chu chu twins emaw triplet emaw (multiple pregnancy) i nei tih a hrilh che chuan mak i ti hle a, i hlim hle bawk a ni, a dik em? Mahse chutih rual chuan hlauhna tlem leh i rilruah zawhna tlemte lo lut chu thil pangngai a ni. "Engtin nge pahnih ka enkawl ang?", "Hei hi ka hmachhawn thei ang em?" Lungngai suh, nangmah chauh i ni lo. He thuziak ah hian he "multiple pregnancy" chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

He multiple pregnancy hi eng nge ni?

A awlsam zawngin, multiple pregnancy chu vawi khata naute pakhat aia tam i phurh hian a ni. Naute pahnih i phur a nih chuan twins kan ti thin . Naute pathum i phur a nih chuan triplet kan ti thin . A châng chuan, naupai khatah naute tam zâwk i phur thei a, chu chu high-order multiples an ti a ni. Naupai tam takah hian singleton pregnancy aiin risk tlemte a tam zawk tlangpui. Mahse lungngai suh, damdawi lam enkawlna tha tak nen chuan heng zawng zawng hi uluk taka enkawl theih a ni.

Engtin nge heng twins leh triplet te hi an pian?

Hei hi a thlen theih dan tlangpui pahnih a awm a, chungte chu:

1. Division of a single fertilized egg/ovum: Egg pakhat, sperm pakhata fertilized chu uterus wall-a dah hmain pahnih emaw a aia tam emaw-ah a inthen a.

2. Multiple fertilizations: Egg tam tak hi a rualin sperm hrang hrang hmangin an insiam thin.

Heng method pahnih hian twins te hi an inang em tih leh unau an nih leh nih loh a hril a ni .

Tute nge identical twins?

Ngaihtuah teh, egg pakhat chu sperm pakhatin a fertilized a, chutah chuan pahnih (a aia tam)-ah a inthen ta a ni. Hetianga naute lo piangte hi identical twins an ti a. An genetic material hi a inang vek a ni. Chumi awmzia chu an hmel a inang a, mipa leh hmeichhia an inang tihna a ni (hmeichhia chu hmeichhia an ni a, mipa chu mipa an ni) . Carbon copy ang mai a ni!

Fraternal twins chu tute nge ni?

Heta thil thleng chu egg hrang hrang pahnih (a aia tam) chu sperm hrang hrang hmangin an fertilized a ni. Tunah en teh, egg te hi a danglam a, sperm pawh a danglam. Chuvangin naute piangte genetic information pawh a danglam hle. Chuvang chuan heng naute hi an hmel a inang lo va, mipa leh hmeichhia angin an inhmeh thei bawk. Chhungkaw khata unau, ni khata piang mai mai ang bawkin.

Trilet emaw a aia tam emaw nei naupaiah chuan naute chu a inang vek thei a, dizygotic vek an ni thei a, a pahnih inzawmkhawm an ni thei bawk. Chumi awmzia chu i taksain egg tam tak a chhuah a, pakhat aia tam chu fertilized a nih a, chu fertilized egg pakhat emaw a aia tam emaw a inthen leh chuan hetiang hi a thleng thei tihna a ni.

Twins inang chiah chiah hi sex inang an ni fo em?

Awle! Twins inang chiah chiah hi egg leh sperm inang atanga piang an nih avangin an genetic information inang an nei a ni. Nausen sex hi a fertilized sperm-a chromosome chi hrang hrang atanga teh a ni. Nu egg ah hian X chromosome a awm a. Pa sperm-ah hian X chromosome a awm chuan naute chu XX (hmeichhia) a ni ang a, Y chromosome a awm chuan naute chu XY (mipa) a ni ang. Chuvangin, egg pakhat a inthen avangin naute tin hian a hma ang bawkin chromosome combination inang an nei ang.

Eng thil nge naupai tam theihna tipung?

Naute pahnih emaw, a aia tam emaw i neih theihna tipungtu thil engemaw zat a awm. Chûngte chuan nangmah pawh a nghawng thei bawk:

• Kum: Hmeichhia kum 30 hnuai lam te hian a chang chuan egg pakhat aia tam an chhuah tir thin.
• Chhungkaw chanchin: Twin i nih chuan, emaw, i chhungkuaah twins an awm a nih chuan (a bik takin i nu lam) chuan twins i neih ve theihna a sang zawk bawk. Hei hi i genes-a kal thin thil a ni.
• Naupai theihna damdawi leh enkawlna: Naupai theih lohna enkawlna thenkhat, In Vitro Fertilization (IVF) , te hian naupai hlawhtling tak neih theihna chance a tipung a, chu chuan naupai theihna tur egg pakhat aia tam chu nausen pum chhungah dahin twins neih theihna a tipung a ni.
• A san zawng leh a rih zawng: Zirchianna thenkhatah chuan hmeichhia, a tlangpui aia sang emaw, a rit zawk emaw chuan naupai tam theihna chance tlem a sang zawk thei niin an sawi.

Tun hnaiah mi tam zawkin fertility treatment an zawn chhoh zel avangin nau piang tam tak pawh an pung tlem hle.

Engtin nge twins ka nei tih ka hriat theih ang? Eng chhinchhiahnate nge ni?

Naute pakhat aia tam i nei tih chiang taka hriat theihna awmchhun chu doctor pan a, ultrasound scan neih hi a ni. He test hian i uterus chhungah naute engzat nge awm tih chiang takin a hmu thei a ni.

Mahse, a chang chuan singleton pregnancy aiin symptoms a na zawk thei. Entir nan:

• Zing natna nasa tak leh luak chhuak.
• Naupai thla thum chhungin rang taka taksa rihna a pung.
• Hnute natna nasa tak emaw, natna hrik emaw hriatna.
• Thisen emaw zun emaw-ah Human Chorionic Gonadotrophin (hCG) tih hormone a tam lutuk. He hormone hi naupai test hmanga hriat theih a ni.
• Thisenah hian protein pakhat Alpha-fetoprotein an tih chu a sang hle.

Tin, doctor chuan nausen Doppler scan a tih laiin thinlung na vawi khat aia tam a hriat chuan, chu chu twins a ni thei tih a ringhlel thei bawk.

Twins pian avanga harsatna awmte chu engte nge ni?

Naupai lai hian tu pawhin harsatna an nei thei a, naute engzat nge an phurh pawh ngaihtuah lovin. Mahse, doctor-te chuan naupai tam hi singleton pregnancie aiin risk sang zawkah an ngai thung. Hei hian nu nau piang tur zawng zawng hian harsatna an nei vek dawn tihna a ni lo. Mahse, twins i beisei a nih chuan i doctor chuan a check reng ang che a, harsatna awm thei tur chu a lo thlir reng ang che. Risk zawng zawng chu an hrilhfiah vek ang che.

Naupai tam lutuk avanga harsatna awm thei thenkhat chu:

• Nau neih hma leh nau neih: Hei hi nau piang tam takah harsatna hmuh tur awm ber a ni. Chumi awmzia chu naute hi naupai kar 37-na hmain an piang thei tihna a ni. Twins chungchangah chuan kar 37 zawh hi nu tam zawkte thil tum a ni. Tichuan naute chu hrisel tak leh rihna tha tak neia piang an nih a rinawm zawk. Nausen piang hmaa piangte pawh hi harsatna dang, nau piang rit lo (low birth weight) an nei thei bawk.

• Preeclampsia emaw Gestational hypertension: Naupai laiin thisen sang hi hypertension an ti a. I doctor chuan i thisen sang chu gestational hypertension i nei em tih a enfiah fo ang. Hei hian a chang chuan preeclampsia tih hming pu dinhmun hlauhawm tak a thlen thei bawk . Nu naute pahnih nei chuan naute pakhat nei nu aiin he natna hi a vei theihna chu a let hnih zetin a tam zawk a ni. Tin, he natna hi naupai tirh lamah a awm thei a, a lo thang chak zawk thei bawk.

• Gestational diabetes: Naupai laiin zunthlum hi a lo awm thei a. Hei hi nausen (placenta) atanga hormone chhuak tam vang a ni. Placenta lian leh te hian hei hi a nghawng thei bawk. Placenta pahnih i neih chuan i insulin resistance a sang hle.

• Placenta abruption: Hei hi emergency a ni. Naute pian hmaa uterine wall atanga placenta a inthen hian a ni. Hetiang dinhmun hi nu pahnih (twins) kengte zingah a awm tam zawk.

• Fetal growth restriction: Intrauterine growth restriction (IUGR) emaw small for gestational age (SGA) tia hriat bawk a ni a, hei hi i naute pakhat emaw a aia tam emaw an lo seilian tha lo a nih chuan a ni. Hei hian naute piang hma emaw, nau piang rihna hniam emaw a thlen thei a ni. He harsatna hi naupai tam zawng zawng zinga a chanve vel ah a awm thin.

Fraternal twins hian placenta pahnih an nei fo thin. Naupai kaihhnawih hlauhawmna hi naute pakhat neia naupai ang chiah a ni a, mahse a sang deuh hlek a ni.

Twins inang chiah hian placenta pakhat (70% of the time) emaw placenta pahnih (30% of the time) emaw an nei thei. Nausen pahnih nei, twins inang lo tak takte risk chu fraternal twins te nen a inang tlangpui.

Twins inang, nausen pakhat nei (Monochorionic) te tan hlauhawm bik .

Identical twins, placenta pakhat (hei hi monochorionic kan ti) hmang hian risk danglam bik engemaw zat an nei a:

• Twin-Twin-Transfusion-Syndrome (TTTS): Hetiang natna hi mi 5% leh 15% inkar ah a awm thin. Hei hi placental level-a twins te inkara vascular communications vang a ni. He inzawmna avang hian twins te hian an thisen an insem thin. Hetiang a nih chuan engmah tih a nih loh chuan 90% risk a awm a, twins te hi nausen pum chhungah an thih phah a ni. Hetiang hlauhawmna tihziaawmna tur hian nausen pum chhunga enkawlna (in-utero procedures) tih thin a awm.

• Twin-Anemia-Polycythemia Sequence (TAPS): Hei hi nausen inzawmna avanga twin pakhat atanga twin dang panna thisen kalna a ni bawk. Hemiah hian nausen pakhat chu thisen tlakchham (thisen hring hniam) a nih chuan naute dang chu polycythemic (thisen sen sang) a lo ni ta a ni. Chutiang a lo thlen chuan enkawlna/intervention hrang hrang hman a ni.

• Selective IUGR: Hei hi identical twins, placenta pakhat neia hmuh tur dang a ni. Nausen pakhat chu a thang tha hle laiin, naute dang chu nasa takin a tlahniam a ni.

• (Twin-Reversed-Arterial-Perfusion - TRAP) syndrome: Hetiang dinhmunah hian naute pakhat thinlungin naute pahnih hnenah thisen a pump chhuak thin. Naute dang chuan thinlung a nei lo va, a pian hnuah pawh a dam khawchhuak lo. Thinlung pangngai nei naute hriselna hi a inang lo thei hle. Vanneihthlak takin he syndrome hi a tlem hle (20,000 atanga 40,000 zinga 1 vel) a ni a, nausen pum chhungah enkawl theih a ni.

• Monoamniotic: Twins inang, nausen pakhata awmte chu a chang chuan gestational sac khatah an awm thei bawk. Hei hi Monochorionic-Monoamniotic an ti a. Hetiang dinhmun hi naupai tam tak zinga 1% vel ah a awm thin. Chutiang a nih chuan naute pakhat emaw, naute pahnih emaw tan chuan a hlauhawmna a sang zawk.

I doctor chuan heng natna zawng zawng hi ultrasound scan hmangin a hmuchhuak vek a ni.

Twins an neih hian cesarean section (C-section) hmanga nau neih theihna chance a tam zawk em?

Cesarean section hi naute chu a pum chhunga incision hmanga nau neihna a ni. Hei hi chhan hrang hrang avangin tih theih a ni a, mahse nau piang tam takah tih a ni ber. Naupai pakhat chauh aiin twin pregnancy-ah cesarean section tih a tam zawk. Mahse, singleton pregnancy-ah pawh hian cesarean section hi naute neih theihna kawng him ber a ni fo.

A tam zawkah chuan naute hi breech position (lu hnuai lam)-ah an piang thin. Tin, i naupai laiin harsatna i neih a, vaginal birth hi nangmah emaw i naute tan emaw a him lo a nih chuan cesarean section neih a ngai mai thei bawk. I doctor chuan nau neih i inpeih hma loh chuan uluk takin a lo vil reng ang che a, i nau neih dan tur tha ber tur a sawipui ang che.

Twins beisei hunah hrisel taka awm theih nan eng nge ka tih ang?

Chaw tha ei te, chawlh hahdam tawk te, doctor pan fo te hi nu naupai tu pawh tan naupai hrisel tak neih nan a pawimawh vek a ni. Heng thilte hi nu nau piang tur tan chuan a pawimawh zawk a ni.

Twins i phur a nih chuan i ei leh in chungchangah i fimkhur hle a ngai a ni. Protein leh fluid (tui) tling tawk neih a pawimawh. I naute lo thang lian zel tur pui turin calorie extra i ei tlem a ngai bawk. A tlangpuiin, naute pakhatin ni khatah calorie 300 vel a mamawh belh a ni . Chumi awmzia chu twins i phur a nih chuan ni khatah calorie 600 vel extra i mamawh tihna a ni. I ei leh in chungchang leh naupai hrisel tak neih theihna tura i mamawh zat chiang tak takte chu i doctor nen sawiho rawh.

Twins nu te hian naupai laia harsatna tlangpui thenkhat (e.g., hnungzang na, hahna) an nei thei. Mahni in enkawl tha a, chawlh hahdam tam a pawimawh.

A then phei chuan nau piang tam tak chungchanga tawnhriat nei specialist pan a tha ber. Hei hian nang leh i naute hian enkawlna tha ber i dawng thei ang. Naupai tam tak neih chhung hian nau neih hmaa enkawlna mumal, intensive tak neih a pawimawh hle. Hemi chungchangah hian i chhungkaw doctor emaw OBGYN emaw hnenah thurawn zawt rawh.

Twins i neih hunah exercise i ti thei em?

Eng naupai lai pawhin exercise hi a pawimawh hle. A tam zawkah chuan naupai laiin exercise i la ti thei tho. Exercise light, low-impact hi a tha ber. Entir nan:

• Tui hleuh
• Kal
• Nau neih hmaa yoga tih

Exercise hi a tha laiin, i doctor nen eng exercise nge i tana tha tur tih sawipui a tha ber. Twins naupai lai hian exercise hahthlak tak tak thenkhat chu i tan a tha lo mai thei. Entir nan:

• Tlan det det
• Aerobics ah chuan zuang chhuak te pawh a tel

Tin, harsatna i tawh chuan i exercise dan tur i thlak a ngai mai thei tih pawh hre reng ang che.

Take-Home Thuchah a ni

Twins emaw triplet emaw neih hi malsawmna a ni tak zet! Ni e, harsatna engemaw zat a awm thei a, mahse chu chu i hneh vek thei a ni.

A pawimawh ber chu doctor thupek zawm a, a hun taka clinic-a kal hi a ni. Nang leh i naute chu an enkawl tha ang.

• Ei leh in tha la, a bik takin protein leh extra calorie nen.
• Chawlh hahdam tam rawh. Chawlh hahdam hi a pawimawh a, a chhan chu i taksaah extra stress a siam vang a ni.
• Exercise light tak ti la, mahse doctor rawn hnuah chauh tan rawh.
• Thil danglam emaw, danglam emaw i hriat chuan doctor hnenah hrilh nghal rawh. Thil tenau ber pawh ngaihthah suh.
• I hlauhthawnna leh i lungkhamnate chu i pasal emaw, i chhungte emaw, doctor emaw hnenah sawipui rawh. Bottle-ah dah suh.

He zinkawng hi nangmah chauhin i kal dawn lo. I tanpui tur leh enkawltu tur che mi tam tak an awm. He thil mak tak hi nuam ti takin hmang rawh!

` Twins, triplets, naupai tam tak, naupai hriselna, obstetric complication, identical twins, fraternal twins