Nang pawhin twins i nei ve em? (Multiple Pregnancy) Engkim hi sawi ila!

I doctor chuan ultrasound scan laiin, "Hetah hian thinlung te te pahnih ka hmu a," a ti thut a nih chuan engtin nge i awm ang? Mak tihna, lawmna, hlauhna leh phurna tlem te pawh a ni mai thei... Heng zawng zawng hi a ruala hriat hi thil pangngai a ni. Naute pakhat aiah pahnih pathum neih hian hlimna chu a let hnih a tipung tihna a ni a, mahse chumi rual chuan mawhphurhna leh i hriat tur thilte pawh a lo thleng ve bawk. Chuvangin vawiin hian he naupai hun chhung hi fapa mal emaw a aia tam emaw i neih hun chhung (Multiple Pregnancy) chungchang zawng zawng hi han sawi ila.

‘Multiple Pregnancy’ tih hi eng nge ni?

A awlsam zawngin, ‘multiple pregnancy’ tih awmzia chu i nausen pum chhungah naute pakhat aia tam neih tihna a ni a, chu chu a ruala naute pahnih, pathum, a aia tam lo piang chhuak tihna a ni.

• Twins: Naupai khata naute pahnih naupai.
• Triplets: Naupai laia naute pathum neih dan.

Chutiang chuan naute tam tak i pai chuan naupai hun chhung hi naute pakhat chauh i pai ai chuan a hlauhawm deuh thei a ni. Mahse chutiang chu hlauh a ngai lo. Doctor thupek uluk taka zawm a, hrisel taka i awm chuan he hun chhung hi hlawhtling takin i zo thei ang.

Engtin nge hetiang hian twins hi an pian?

Twins naupai dan tlangpui pahnih a awm. Heng hmanraw pahnih hi "identical twins" emaw "fraternal twins" emaw kan tih hi a ni.

1. Egg pakhat fertilized splitting: Hei hi egg pakhat chu sperm pakhatin a fertilized a, a chhuak embryo chu uterus-a dah hmain hmun hnih (a aia tam)-ah a inthen a ni. Hetianga lo piang naute hian genetic information inang chiah chiah an nei a.

2. Ovum hran pahnih hi fertilized a ni: Hei hi a ruala nu ovary atanga egg pakhat aia tam (e.g. egg pahnih) a chhuah a, chu egg pahnih chu sperm hrang hrang pahnih hmanga fertilized a nih chuan a ni. Heng naute genetic information hi a danglam hle.

Heng hmanraw pahnih hmanga nau piang twins inthlauhna hi tlem tal chiang zawkin i hrethiam ang u.

Trilet emaw a aia tam emaw an naupai chuan naute chu an inang vek thei a, unaupa an ni vek thei a, a nih loh leh an pahnih inzawmkhawm an ni thei bawk.

Eng thilte nge twins neih theihna tipung?

A tlangpuiin tu pawhin twins an nei thei a, mahse thil engemaw tak chuan he chance hi a tipung deuh a ni.

• Kum: Hmeichhia kum 30 hnuai lam chuan vawi khatah egg pakhat aia tam an chhuah tam zawk. Chuvangin egg pahnih a chhuah chuan fraternal twins neih theihna chance a sang zawk.
• Chhungkaw chanchin: I chhungkuaah hian twins an awm a nih chuan, a bik takin i nu lam atang chuan nang pawhin twins i neih a rinawm zawk.
• Fertility Treatments: Fertility treatment thenkhatah chuan ovary atang hian vawi khatah egg tam tak a chhuak thei a. Tin, IVF (In Vitro Fertilization) ang chi enkawlna hian hlawhtlinna rate tihsan nan embryo pakhat aia tam uterus-ah transfer-in twins neih theihna a tipung thei bawk.
• San zawng leh rih zawng: Zirchianna thenkhatah chuan hmeichhia chu a tlangpui aia sang emaw, body mass index (BMI) sang zawk emaw chuan twins an nei tlem zawk tih hmuhchhuah a ni.

Twins i nei tih hriatna a awm em?

Dik tak chuan naute engzat nge i neih tih chiang taka hriat theihna awmchhun chu ultrasound scan neih hi a ni. Mahse, a chang chuan naute pakhat chauh i neih ai chuan a natna lan chhuah dan chu a na deuh thei a ni.

• Zing natna tam tak: Hormone level sang vangin luak leh luak chhuak hi a na hle thei.
• Trimester hmasa berah chuan taksa rihna a pung chak hle.
• Hnute natna leh sensitivity a tipung.
• Thisen leh zun-ah hormone `hCG` (human chorionic gonadotrophin) a tam hle.
• Doctor-in naute lungphu a ngaihthlak laiin heartbeat vawi khat aia tam hriat (fetal Doppler scan).

Twin pregnancy avanga harsatna awm thei te chu engte nge ni?

Eng naupai lai pawhin harsatna a awm thei. Mahse, twins emaw a aia tam emaw i neih chuan doctor-te chuan chu naupai chu "high-risk"-ah an ngai a ni. Chu chu naute pakhat chauh aiin harsatna a thlen theihna chance a sang deuh vang a ni. Mahse, lungngai suh. "High-risk" tih hian harsatna i nei ngei ang tihna a ni lo. Doctor ten nang leh i naute chu uluk zawk leh tam zawkin an lo enkawl dawn tihna chauh a ni .

Harsatna awm fo thin thenkhat chu hetiang hi a ni:

• Nau neih hma leh nau neih: Hei hi naupai pahnih (twin pregnancies)-a hmuh tam ber a ni. Tum ber chu kar 37 chhung tihfel a ni tlangpui. Chumi hmaa naute lo piang an nih chuan nau piang rihna hniam leh hriselna lama harsatna dang an nei tam zawk.
• Gestational Hypertension leh Preeclampsia: Nu pahnih nei te chu naupai laiin thisen sang an vei theihna a sang hle . Enkawl loh chuan he natna hi natna hlauhawm takah a lo chang thei a, chu chu ``Preeclampsia'' tih a ni.
• Gestational Diabetes: Hetiang natna hi a tam zawk chhan chu nausen atanga hormone chhuak tam vang a ni.
• Placenta Abruption: Hei hi nausen pian hmaa uterine wall atanga placenta a inthen hi a ni. Hei hi emergency a ni.
• Fetal Growth Restriction (IUGR): Nausen pakhat emaw, a vai emaw chu a rate dik takah an thang lo. Hei hian nausen pian tirh laia rihna hniam tak neia piang tir thei a ni.

Twins inang chiah chiah te tan complication bik

Twins inang chiah chiah hian placenta inang (monochorionic) an neih chuan an tan bik complication engemaw zat an tawk thei a ni.

• Twin-to-Twin Transfusion Syndrome (TTTS): Hei hi nausen pakhat atanga a dang hnena thisen tam lutuk chu nausen chhunga thisen kalna kawng kaltlanga a kal chuan a thleng thin. Hei hian nausen pakhatin thisen leh chaw tha a dawng tlem phah a, naute dang erawh chuan a tam lutuk thung. Hei hi naute pahnih tan pawh a hlauhawm thei hle.
• Twin Anemia Polycythemia Sequence (TAPS): Hei hi ``(TTTS)`` ang chi natna a ni. Hetiang a nih chuan naute pakhatin thisen tlakchhamna (thisen tlem) a vei a, naute dang erawh chuan an thisenah thisen sen (red blood cells) a tam lutuk thung.
• Selective IUGR: Naute pakhat chu a thang tha hle a, naute dang erawh chu a thang zawi hle thung.

Doctor chuan heng natna zawng zawng hi ultrasound scan hmangin a enfiah vek a, a tul anga enkawlna atan a refer thin.

Twins neih hunah cesarean section (C-section) neih a ngai em?

A ngai hauh lo a, mahse twin birth-a cesarean section tih a nih theihna chhan hi a chhan hrang hrang a awm.

• Vawi tam tak chu naute pahnih hi nau neihna tur hmun dik takah ( lu hnuai lam) an awm lo.
• Nau neih dan pangngai chu naupai laiin harsatna a awm avangin nu emaw naute tan pawh hlauhawm tak a ni thei.

I nau neih hun i hnaih chuan i doctor chuan a enfiah ang che a, nang leh i naute tan pawh eng method nge him ber tih a sawipui ang che.

He naupai chhung zawng hian engtin nge hrisel taka kan awm theih ang?

Twins neih hian i taksa chungchang hi ngaihtuah nawn leh a ngai tihna a ni.

• Nutrition: Nu pakhat chauh nei ai chuan nutrition i mamawh tam zawk. Rule of thumb angin naute pakhat hian ni khatah calorie 300 vel extra a mamawh a ni. Chumi awmzia chu twins i phur a nih chuan ni khatah calorie 600 vel extra i mamawh tihna a ni. Protein tamna ei tur, thlai leh thei chi hrang hrang ei tam rawh. Tin, nilengin tui tam tak in bawk ang che.
• Chawlh hahdam: I chau hle ang. Chuvangin a theih ang anga chawlh hahdam rawh. Nitin mut hahdam rawh. I ke a hring a nih chuan chawi sangin dah la.
• Medical checkups: Naute pakhat nei nu aiin doctor i hmuh a ngai ang a, scan pawh i nei tam zawk ang. Heng clinic zinga pakhat mah hi tlawh lo la, kal fo rawh. I leh i naute himna atan a pawimawh hle.
• Exercise: Exercise hi a tha a, mahse i doctor hnenah i zawt ngei ang. Exercise light tak tak, tui chawi leh kea kal ang chi hi a tha tlangpui. Mahse tlan leh zuang ang chi exercise hahthlak tak tak atanga inthiarfihlim hi a finthlak hle.