Ukulindela ukuba ngumama liphupha kuwo wonke umfazi. Kodwa kuthekani ukuba iskeni sakho sibonisa ukuba uneentsana ezintathu esibelekweni sakho endaweni yomnye? Kunokuba ngamava amangalisayo, mhlawumbi othusayo kancinci. Kunye nolo vuyo, kuyinto eqhelekileyo ukuzibuza, "Ngaba ndiza kukwazi ukwenza oku?" Kodwa ungakhathazeki. Awuwedwa. Siza kuthetha ngayo yonke into ekufuneka uyazi malunga nendlela yokujongana nokukhulelwa okunje.
Kutheni ukukhulelwa kwe-triplets kwenzeka?
Ukuba kukho abantwana abangaphezu komnye esibelekweni, sikubiza ngokuba "kukukhulelwa okuninzi." Olu hlobo lokukhulelwa okuninzi lwenzeka malunga ne-3 kwi-100 yokuzalwa okuqhelekileyo. Zimbini iindlela oku okunokwenzeka ngazo.
Ngamafutshane, ukuba elinye lamaqanda kamama livundiswe yiseli yesidoda aze ahlukane abe ziinxalenye ezimbini okanye ezintathu ngaphambi kokuba atyalwe esibelekweni, kuzalwe amaqanda afanayo. Enye indlela kukuba amaqanda amaningana kamama avundiswe ziiseli zesidoda ngaxeshanye aze atyalwe esibelekweni. Amaqanda amaninzi azalwa ngabazali. Ngamaqela amathathu, zombini ezi ndlela zinokudityaniswa. Oko kukuthi, kunokubakho amawele amabini afanayo nomnye obonakala eyahlukileyo.
Kukho izizathu ezahlukeneyo ezibangela ukuba amathuba okuba namawele amathathu akhule ngale ndlela.
| Isizathu | Ingcaciso elula |
|---|---|
| Ilifa | Ukuba umntu kusapho lwakho, njengomama okanye umakhulu wakho, ukhe waba namawele, nawe unamathuba amaninzi okuba namawele. |
| Ubudala | Abafazi abangaphezu kweminyaka engama-30 ubudala banamathuba amaninzi okukhulelwa amaxesha amaninzi. |
| Ukukhulelwa kwangaphambili | Ukuba ukhe wakhulelwa ngaphambili, ingakumbi ukuba ubunawo amawele, kusenokwenzeka ukuba uphinde ukhulelwe. |
| Unyango lokuchuma | Ukukhulelwa okuninzi kunokwenzeka xa amaqanda amaninzi ekhutshwa ngaxeshanye ngexesha lokusetyenziswa kwamayeza avuselela ukukhutshwa kweqanda (umz., i-clomiphene citrate, i-FSH), okanye xa iimbumba ezingaphezulu kwesinye zidluliselwa kwisibeleko ngexesha lonyango olufana nokuchumisa i-in vitro (IVF). |
Zeziphi iingozi ekufuneka ziqwalaselwe xa kukhulelwa abantwana abathathu?
Ukukhulelwa kwamawele amathathu kuthathwa njengokukhulelwa okunobungozi obukhulu, ngoko ke kubalulekile ukuba nolwazi olupheleleyo nokusebenzisana ngokusondeleyo nogqirha wakho .
1. Ukuzalwa Kwangaphambi Kwexesha
Le yeyona ngozi inkulu ekukhulelweni kwe-triplets. Ixesha lokukhulelwa, elihlala lithatha iiveki ezingama-40, linokuphela malunga neeveki ezingama-32 kwi-triplets. Oku kuthetha ukuba umngcipheko wokuzala ngaphambi kwexesha uphezulu kakhulu.
2. Ukuhanjiswa
Ukuzala kwe-triplet kudla ngokwenziwa ngotyando lotyando ukuze kukhuseleke umama kunye nabantwana abathathu. Ukuba ukuzala kunokwenzeka na kuxhomekeke kwizinto ezifana nendawo abantwana abakuyo, ubunzima babo, kunye nobukhulu besinqe sikamama. Ugqirha wakho ngumntu ofanelekileyo ukwenza esi sigqibo.
Kufuneka uhlale uqaphela iimpawu zokubeletha ngaphambi kwexesha. Ukuba ezi zifunyenwe kwangethuba, kunokwenzeka ukuba ukubeletha kuyekwe kwaye abantwana bakhulele esibelekweni ixesha elide.
Zithini iimpawu zokubeleka ngaphambi kwexesha?
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu esiswini esisezantsi | Uxinzelelo okanye ubunzima obungaqhelekanga kwindawo ye-pelvic. |
| Umqolo obuhlungu | Intlungu entsha okanye eqatha ngakumbi, ingakumbi emqolo. |
| Utshintsho ekukhutshweni kolwelo lwesitho sangasese sowesifazane | Ukukhupha amanzi amaninzi okanye igazi elininzi kunesiqhelo. |
| Ukushwabana kwesibeleko | Ukuqunjelwa rhoqo kunye nentlungu okanye ukwanda kokuqunjelwa. |
Ukuba ufumana naziphi na kwezi mpawu, yazisa ugqirha wakho ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
3. Iingxaki zePlacenta
I-placenta sisitho esibonelela ngegazi, ioksijini, kunye nezondlo ezivela kumama ukuya kwi-fetus ngentambo yesisu. Xa i-placenta enye inika izondlo kwi-fetus ezininzi, inokuguga ngokukhawuleza. Kwakhona, ngamanye amaxesha izondlo ezifunyanwa zi-fetus ezintathu azilingani, kwaye enye i-fetus ikhula kakuhle ngelixa enye i-fetus ikhula kakubi.
4. I-Preeclampsia
Le yimeko eyingozi ebangelwa luxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa. Le ngozi iphezulu kwiintsana ezintathu. Iimpawu zayo zezi:
- Igazi elonyukayo
- Ubukho beprotheyini kumchamo
- Ukudumba kwezandla, iinyawo, ubuso, mhlawumbi nomzimba wonke
- Intloko ebuhlungu kunye notshintsho lombono
- Isicaphucaphu, iintlungu zesisu, kunye nobunzima bokuphefumla
5. Isifo Seswekile Sokukhulelwa
Le meko ixhaphakile phakathi kwabantwana abathathu. Kodwa akukho nto ibalulekileyo, njengoko inokwenzeka nakubafazi abakhulelweyo abaqhelekileyo, kwaye oogqirha bayazi indlela yokuyilawula.
6. Iingxaki kwiintsana ezisandul' ukuzalwa
Ubunzima obuqhelekileyo bamawele amathathu xa ezalwa bumalunga ne-1800 grams (phantse iikhilogram ezi-4). Ngenxa yokuzalwa kwawo kwasekuqaleni, amalungu awo anjengemiphunga, amehlo, ubuchopho, kunye nenkqubo yokujikeleza kwegazi asenokungakhuli ngokupheleleyo.
Ngenxa yesi sizathu, bonke abantwana bakho abathathu kuya kufuneka bahlale kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU) okwethutyana emva kokuzalwa. Ungakhathazeki ngaloo nto. Le yindawo ekhuselekileyo kubo yokufumana unyango olukhethekileyo abaludingayo ukuze bakhule kakuhle baze bomelele.
Oku kukhulelwa kukuchaphazela njani njengomama?
Ukuba ukhulelwe amawele amathathu, uya kufuna unyango olungaphezulu kunomama okhulelweyo oqhelekileyo. Nokuba yonke into ihamba kakuhle, kuya kufuneka ubonane nogqirha wakho rhoqo kunesiqhelo ukuze ujonge impilo yeentsana zakho kunye nawe.
Kwakhona, unokufumana ukungakhululeki okuqhelekileyo kokukhulelwa okufana nokurhawuzelelwa sisisu, ii-hemorrhoids, ukuqhina, kunye nentlungu yomqolo. Njengoko umzimba wakho ukhula ngokukhawuleza, unokufuna isicwangciso esikhethekileyo sesondlo okanye iivithamini ezongezelelweyo. Musa ukwenza izigqibo wedwa, kodwa thetha nogqirha wakho uze nesicwangciso esikusebenzelayo.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa kwe-triplets yimeko eyahlukileyo neyingozi kakhulu, ngoko ke kubalulekile ukuba nolwazi olupheleleyo kwaye ungoyiki.
- Sebenza ngokusondeleyo nogqirha wakho. Ungaphoswa yimiyalelo kunye namadinga anikiweyo.
- Hlala uqaphela iimpawu zokubeletha ngaphambi kwexesha (iintlungu zesisu esisezantsi, iintlungu zomqolo, ukukhupha ulwelo ngendlela engaqhelekanga). Ukuba unamathandabuzo, funa ingcebiso kagqirha ngokukhawuleza.
- Ukufumana ukutya okunempilo kunye nokuphumla kangangoko kunokwenzeka kubalulekile kwimpilo yakho neyabantwana bakho abathathu.
- Yabelana ngeemvakalelo zakho nosapho kunye nabahlobo abanokukuxhasa ngokwengqondo nangokomzimba kolu hambo. Khumbula ukuba awuwedwa.
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