Ngaba nawe unamawele? Masifunde yonke into malunga nokukhulelwa kwamawele!

Molo! Uyakhumbula ngamanye amaxesha sithetha sithi, 'Owu Thixo wam, kukho umntu ozalelwe amawele'? Xa usiva iindaba ezinjalo, uziva uvuyo kwaye umangalisiwe, akunjalo? Ngoko ke namhlanje siza kuthetha ngokukhulelwa kwamawele. Usenokuba nemibuzo malunga noku, mhlawumbi ulindele amawele, okanye mhlawumbi sele ulindele amawele. Makhe sijonge oku ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye ukukhulelwa kwamawele?

Ngamafutshane, ukukhulelwa kwamawele kwenzeka xa iintsana ezimbini (iimveku) zikhula ngaphakathi kwesibeleko sakho ngaxeshanye. Ngokwesiqhelo kukho umntwana omnye kuphela, kodwa nantsi kukho ababini. Khawucinge nje, abantu ababini baphila esibelekweni esinye! Ayisiyonto ikhethekileyo loo nto? Oku kwenzeka kuphela kumntwana omnye kwabangama-250 abakhulelweyo. Oko kunqabile kancinci.

Zithini amathuba okuba namawele?

Amathuba okuba namawele aphantsi kakhulu. Amawele akhulelwa ngokwendalo kumntwana omnye kwabangama-250 abakhulelweyo. Oko kuthetha ukuba ayinguye wonke umntu onamawele. Kodwa kukho izinto ezithile ezinokwandisa eli thuba. Siza kuthetha ngaloo nto kamva.

Zithini iimpawu zokukhulelwa kwamawele? Ngaba nawe unazo ezi?

Ukuba uthwele amawele, ungabonisa iimpawu ezithile ezikhethekileyo. Kodwa ukuba nje unale mpawu akuthethi ukuba uza kuba namawele, akunjalo? Kufuneka ubone ugqirha ukuze wazi ngokuqinisekileyo.

Nazi ezinye iimpawu, ezinye zazo ezinokubonakala kwiiveki zokuqala zokukhulelwa:

• Ukuva umntwana wakho eshukuma kwangethuba: Usenokuva umntwana wakho eshukuma kwangethuba kunesiqhelo.
• Ukuva umntwana eshukuma kwiindawo ezininzi esiswini: Ukuba uziva iintshukumo kwiindawo ezimbini endaweni yeyodwa, oko kungaba luphawu.
• Ukuphakama kwe-fundal kungaphezulu kunokulindelekileyo kwixesha lokukhulelwa: Xa ugqirha ehlola isisu sakho, banokuthi isisu sakho sikhulu kuneseveki ohlala kuyo. Ngamafutshane, kuthetha ukuba isisu sakho sibonakala sikhulu kunokuba bekulindelwe.
• Ukwanda kobunzima ngokukhawuleza: Usenokuziva ngathi ukhula ngokukhawuleza kunabanye.
• Amanqanaba aphezulu e-hCG hormone okanye i-alpha-fetoprotein (AFP): Ezi zizinto ezikhethekileyo ezikhutshwa ngexesha lokukhulelwa. I-`hCG` yi-hormone yokukhulelwa. I-`AFP` yiproteni eveliswa sisibindi somntwana. Ukuba la manqanaba aphezulu kunesiqhelo, inokuba luphawu lwamawele.
• Ukuva ukubetha kwentliziyo okungaphezu kwesinye kwi-Doppler yosana olusandul’ ukuzalwa: Ukuba ugqirha uva ukubetha kwentliziyo okungaphezu kwesinye xa emamele ukubetha kwentliziyo yosana, oko kukwaluphawu olukhulu.

Zithini iimpawu zokukhulelwa kwamawele?

Iimpawu zokukhulelwa kwamawele ziyafana nezokukhulelwa kwe-singleton. Nangona kunjalo, ezi mpawu zinokuba nzima ngakumbi.

Ungafumana izinto ezinje:

• Ukuthamba kwamabele: Amabele akho anokuba thambile ngakumbi kunesiqhelo, njengangaphambi kokuba uye exesheni, kodwa asenokuvakala ethambile kancinci.
• Ukudinwa: Ungaziva udiniwe kabini kunomama okhulelweyo oqhelekileyo kuba ukhulisa ubomi babantu ababini emzimbeni wakho.
• Ukuchama rhoqo: Njengoko isibeleko sikhula, uxinzelelo kwisinyi luyanda, nto leyo ebangela ukuba kufuneka uye kwindlu yangasese rhoqo.
• Ukwanda komnqweno wokutya: Ekubeni ufuna ukutya abantu ababini, umdla wakho wokutya unokwanda kakhulu.
• Ukucaphuka kwasekuseni: Oku kunokuba nzima kakhulu kwabanye abantu. Ukucaphuka kunokuhlala imini yonke.

Indlela yokuqinisekisa ngokuchanekileyo ukukhulelwa kwamawele?

Eyona ndlela ithembekileyo yokuqinisekisa ukuba ukhulelwe amawele kukwenza i-ultrasound yokukhulelwa. Oku kusebenzisa amaza esandi ukuthatha umfanekiso wesibeleko sakho. Oku kungabonisa ngokucacileyo ukuba ukhulelwe abantwana ababini. Oku kunokubonwa ngexesha lokuhlolwa kokuqala kwe-ultrasound.

Ingaba kukho umahluko esiswini xa uneamawele? Xa kuthelekiswa nesisu esinomntwana omnye?

Ewe, isisu sakho siza kuqala ukukhula kwangethuba xa uneamawele. Usenokufuna ukuqala ukunxiba iimpahla zokubeleka kwangoko nje ukuba ufumanise ukuba ukhulelwe. Kwakhona, iimpahla zakho zinokuba nzima kuba utyeba ngaphezu kwesiqhelo. Nangona kuqhelekile ukuzuza malunga neekhilogram ezingama-30 ngomntwana omnye, kuqhelekile ukuzuza malunga neekhilogram ezingama-50 ngamawele.

Ziziphi iintlobo zamawele?

Kukho iintlobo ezimbini eziphambili zamawele. Nazi:

• Amawele azalwa ngootata: La ngamanye amaxesha abizwa ngokuba "ngamawele azalwa ngootata." Ngamafutshane, kulapho amaqanda amabini exutywa khona sisidoda. Oku kuthetha ukuba abantwana ababini bazalwa ngamaqanda amabini ahlukeneyo. Ngoko ke, abantwana ababini bane-placenta ezimbini ezahlukeneyo. I-DNA yala mawele ifana neyabantwana bakowabo abaneminyaka eyahlukeneyo kusapho olunye. Oku kuthetha ukuba banokubonakala befana okanye bahluke ngokupheleleyo. Basenokuba ngabesini esifanayo (ibhinqa/ibhinqa okanye indoda/indoda), okanye banokuba ngabesini esahlukileyo (ibhinqa/indoda).
• Amawele afanayo: La akwabizwa ngokuba "ngamawele e-monozygotic." Kulapho i-embryo, evundiswe liqanda elinye kunye nesidoda, yahlukana kabini. Yingakho ebizwa ngokuba "i-embryo" kuba i-DNA yabo iyafana. La mawele anokwabelana nge-placenta enye okanye anokuba ne-placentas ezahlukeneyo. Oku kuxhomekeke ekubeni i-embryo yahlukana nini.Amawele afanayo ahlala esini esinye. Oko kuthetha ukuba omabini ngamantombazana okanye ngamakhwenkwe.

Amawele adibeneyo ayimeko engaqhelekanga. Oku kwenzeka xa i-embryo efanayo yamawele ingahlukani ngokupheleleyo. Imizimba yomntwana emva koko idityaniswa, kwaye inokwabelana ngezitho ezibalulekileyo (umzekelo, isibindi okanye intliziyo). Oku kunqabile kakhulu.

Zeziphi izinto ezandisa amathuba okukhulelwa amawele?

Kukho izinto ezithile ezibangela amathuba okuba namawele. Nazi:

• Ubudala: Ukuba uneminyaka engaphezu kwama-35 ubudala, unamathuba amaninzi okukhupha amaqanda angaphezu kwelinye ngexesha.
• Imbali yosapho: Ukuba unamawele angamaqabane kwicala likamama wakho (oko kukuthi, umama wakho, oodade bomama wakho, umakhulu wakho), unamathuba amaninzi okuba namawele ngokwendalo.
• Unyango lokuchuma: Abo bafumana unyango lokuchuma olufana ne-'IVF' (In Vitro Fertilization) banethuba eliphezulu lokuzala amawele.
• Ukutyeba kakhulu: Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-30, unamathuba amaninzi okukhulelwa amawele.
• Ukukhulelwa kwangaphambili: Ukuba ukhe waba namawele ngaphambili, kusenokwenzeka ukuba uphinde ube namawele.

Unyango lokuzala luwandisa njani amathuba okuba namawele?

Kukho iindlela ezahlukeneyo zokufumana amawele ngonyango lokuzala:

• Ukuba usebenzisa amayeza abangela ukuba kukhutshwe amaqanda angaphezu kwelinye ngexesha.
• Ukuba unyangwa nge-IVF kwaye iimbumba ezingaphezulu kwesinye zidluliselwa kwisibeleko.
• Ukuba i-embryo ifakelwe kwisibeleko emva konyango lwe-IVF, iyahlukana kabini kwangethuba ekukhulelweni.

Ingakanani ixesha lokukhulelwa "kwexesha elipheleleyo" kumawele?

Ixesha eliqhelekileyo lokukhulelwa kwe-singleton ziiveki ezingama-37. Nangona kunjalo, ukukhulelwa kwamawele akufani nokuhlala ixesha elide kangaka. Ukukhulelwa kwamawele kudla ngokuhlala phakathi kweeveki ezingama-35 ukuya kwezingama-36 . Oku kuthetha ukuba kukho amathuba aphezulu okuzala ngaphambi kwexesha.

Unyango lokuthintela ukuzalwa kwangaphambi kwexesha lulinganiselwe, kwaye alusoloko luphumelela. Wakuba uqalile ukuzala, akukho ndlela yokulumisa.

Unyango lokukhulelwa lwahluke njani kukukhulelwa kwamawele?

Kukukhulelwa kwamawele, kukho umngcipheko omkhulu weengxaki kuwe nakubantwana bakho. Ngoko ke, kufuneka uye kuhlolwa rhoqo ngaphambi kokukhulelwa ngexesha lokukhulelwa kwamawele. Ngale ndlela, ukuba kukho ingxaki, inokubonwa kwangethuba.

Ukukhulelwa kwamawele kuthathwa njengomngcipheko omkhulu.Oku kungenxa yokuba zininzi iingxaki ezinokubakho. Uninzi lwexesha, uya kufumana unyango lokukhulelwa kwiingcali zonyango lomama nosana . Aba ngabantu abanolwazi lokuthintela, ukuxilonga, kunye nokunyanga iingxaki zokukhulelwa okunobungozi obukhulu.

Ziziphi iingxaki ezinokubakho xa ukhulelwe amawele?

Ezinye zeengxaki ezinokunxulunyaniswa nokukhulelwa kwamawele ziquka:

• I-anemia: Ukwehla komthamo wegazi emzimbeni.
• Iimeko zokuzalwa: Umzekelo, iimeko ezikhoyo ekuzalweni, ezifana ne-spina bifida.
• Isifo seswekile sokukhulelwa: Isifo seswekile esenzeka ngexesha lokukhulelwa.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-Preeclampsia): Le inokuba yimeko eyingozi.
• Uthintelo Lokukhula Kwangaphakathi Kwesibeleko (IUGR): Iintsana azityebi ngokufanelekileyo.
• I-Oligohydramnios: Ukuncipha kolwelo lwe-amniotic olujikeleze umntwana.
• Ukuqhawuka kwe-placenta: Ukwahlukana kwe-placenta nodonga lwesibeleko.
• Ukubeletha ngaphambi kwexesha: Ukuzalwa komntwana ngaphambi komhla wokuzalwa.
• IiPolyhydramnios: Ukwanda kolwelo olujikeleze umntwana.
• I-Twin-to-twin transfusion syndrome (TTTS): Oku kwenzeka xa amawele afanayo abelana nge-placenta, nto leyo ebangela ukuba umntwana omnye kuphela afumane igazi elaneleyo.

Ezinye iingxaki ezinokwenzeka kumawele angaphambi kwexesha:

Njengoko bekutshiwo ngaphambili, kuba amawele adla ngokuzalwa ngaphambi kwexesha, asengozini yokufumana ezinye iingxaki:

• Ubuchopho buphuma igazi.
• Iingxaki zokuphefumla, ezifana ne-apnea (ukuyeka kancinci ukuphefumla), okubangelwa kukungakwazi kokukhula kakuhle kwemiphunga .
• Ubunzima bokuhlala ufudumele.
• Iingxaki zokutya.
• Ubunzima obuphantsi bokuzalwa.
• Iingxaki zokubona, umzekelo, i-retinopathy yobuntwana ngaphambi kwexesha.

Uzala njani amawele?

Kukukhulelwa kwamawele , amathuba okuzala abantwana ngotyando (C-section) aphezulu. Nangona kunjalo, ukuba ulindele amawele kwaye akukho ngxaki zikhethekileyo, ungazama nokuzala ngesisu. Kuya kufuneka uthethe nogqirha wakho ngale nto uze ugqibe ukuba yeyiphi indlela efanelekileyo kuwe.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Xa ufumanisa ukuba unamawele, kwelinye icala...Kuqhelekile ukuziva uxinezelekile kwaye udidekile, kodwa uzive uxinezelekile kwaye uxinezelekile. Imibuzo efana nokuthi "Uza kubanyamekela njani abantu ababini?" "Ngaba ndiza kuyidinga kabini yonke into?" isenokuvela. Oko kuqhelekile kakhulu.

Eyona nto ibalulekileyo kukuba kubalulekile ukuya kuhlolwa rhoqo ngugqirha ngexesha lokukhulelwa kwamawele. Kuba, njengoko bekutshiwo ngaphambili, umngcipheko weengxaki uphezulu. Kwakhona, kukho ithuba elikhulu lokuba abantwana bakho ababini bangene emhlabeni kwangethuba kancinci.

Nangona amawele edla ngokuzalwa ngotyando lwe-C-section, thetha nogqirha wakho malunga nokuba ungabeleka na nge-vaginal. Yabelana ngayo nayiphi na imibuzo okanye iinkxalabo onazo nogqirha wakho. Bakho ukukunceda. Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Ndikunqwenelela okuhle wena nabantwana bakho!

Ukukhulelwa Kwamawele , Amawele, Ukukhulelwa, Ukhathalelo Lwangaphambi Kokubeleka, Ukuzalwa Kwamawele, Iingxaki Zokukhulelwa