Ingabe nawe unamawele? (Ukukhulelwa Okuningi) Ake sixoxe ngakho konke!

Uma udokotela wakho engathi ngokuzumayo, "Ngibona izinhliziyo ezimbili ezincane zishaya lapha," ngesikhathi sokuhlolwa kwe-ultrasound, ubungazizwa kanjani? Ukumangala, injabulo, mhlawumbe ukwesaba okuncane kanye nenjabulo... Kuvamile ukuzizwa konke lokhu ngesikhathi esisodwa. Ukuba nezingane ezimbili noma ezintathu esikhundleni soyedwa kusho ukuthi injabulo iphindwe kabili, kodwa lokho kuza nomthwalo wemfanelo nezinto okudingeka uzazi. Ngakho-ke namuhla, ake sixoxe ngakho konke ngalesi sikhathi sokukhulelwa lapho unezingane ezimbili noma ngaphezulu (Ukukhulelwa Okuningi).

Kuyini 'Ukukhulelwa Okuningi'?

Kalula nje, 'ukukhulelwa okuningi' kusho ukuba nezingane ezingaphezu kweyodwa esibelethweni sakho, okusho ukuthi izingane ezimbili, ezintathu, noma ngaphezulu zikhula ngesikhathi esisodwa.

• Amawele: Ukukhulelwa kwezingane ezimbili ngesikhathi sokukhulelwa okufanayo.
• Ama-triplets: Ukukhulelwa kwezingane ezintathu ngesikhathi sokukhulelwa okufanayo.

Ngale ndlela, uma ukhulelwa izingane eziningi, isikhathi sokukhulelwa singaba yingozi kakhulu kunokuba ukhulelwa umntwana oyedwa nje. Kodwa asikho isidingo sokwesaba lokho. Uma ulandela imiyalelo kadokotela wakho ngokucophelela futhi uhlala uphilile, ungasiqeda ngempumelelo lesi sikhathi.

Amawele azalwa kanjani kanje?

Kunezindlela ezimbili eziyinhloko zokukhulelwa amawele. Lezi zindlela ezimbili yilokho esikubiza ngokuthi "amawele afanayo" noma "amawele angomakhelwane."

1. Ukuqhekeka kweqanda elilodwa elivundisiwe: Lokhu kwenzeka lapho iqanda elilodwa livundisiwe yisidoda esisodwa bese umbungu ophumayo uhlukana ube izingxenye ezimbili (noma ngaphezulu) ngaphambi kokuba ufakwe esibelethweni. Izingane ezikhula ngale ndlela zinolwazi olufana ngokuphelele nolwezakhi zofuzo.

2. Amaqanda amabili ahlukene ayavundiswa: Lokhu kwenzeka lapho kukhishwa amaqanda angaphezu kwelilodwa (isib. amaqanda amabili) esibelethweni sikamama ngesikhathi esisodwa, futhi lawo maqanda amabili avundiswa yisidoda esihlukene. Ulwazi lwezakhi zofuzo lwalezi zingane luhlukile.

Ake siqonde umehluko phakathi kwamawele azalwa esebenzisa lezi zindlela ezimbili ngokucacile.

Uma kukhulelwa izingane ezintathu noma ngaphezulu, izingane zingaba zifana zonke, zonke zibe ngabazalwane, noma zihlanganiswe zombili.

Yiziphi izinto ezandisa amathuba okuthola amawele?

Ngokuvamile, noma ubani angaba namawele, kodwa izici ezithile zandisa leli thuba kancane.

• Ubudala: Abesifazane abaseminyakeni yabo-30 banamathuba amaningi okukhipha amaqanda angaphezu kwelilodwa ngesikhathi. Ngakho-ke uma kukhishwa amaqanda amabili, kunethuba elikhulu lokuthola amawele angabozalwane.
• Umlando womndeni: Uma kukhona amawele emndenini wakho, ikakhulukazi ohlangothini lukamama wakho, kungenzeka kakhulu ukuthi nawe ube namawele.
• Ukwelashwa Kokuzala: Ezinye izindlela zokwelapha ukuzala zingabangela ukuba amaqanda amaningi akhishwe kuma-ovari ngesikhathi esisodwa. Futhi, izindlela zokwelapha ezifana ne-IVF (In Vitro Fertilization) zingandisa amathuba okuba namawele ngokudlulisela umbungu ongaphezu koyedwa esibelethweni ukuze kwandiswe izinga lempumelelo.
• Ukuphakama nesisindo: Ezinye izifundo zibonise ukuthi abesifazane abade kakhulu kunesilinganiso noma abane-body mass index ephezulu (BMI) banamathuba amancane okuthola amawele.

Ingabe zikhona izimpawu zokuthi unamawele?

Eqinisweni, okuwukuphela kwendlela yokwazi ukuthi zingaki izingane ozizalayo ukwenza i-ultrasound scan. Kodwa-ke, ngezinye izikhathi izimpawu zingaba zimbi kakhulu kunokuba ube nomntwana oyedwa nje.

• Ukucasuka kwasekuseni okuvamile: Ukuhlanza kanye nesicanucanu kungaba kubi kakhulu ngenxa yamazinga aphezulu ama-hormone.
• Ukwanda kwesisindo ngokushesha ku-trimester yokuqala.
• Ubuhlungu obukhulu kanye nokuzwela emabeleni.
• Amazinga aphezulu kakhulu e-hormone ethi `hCG` (i-human chorionic gonadotrophin) egazini nasemchameni.
• Ukuzwa ukushaya kwenhliziyo okungaphezu kokukodwa lapho udokotela elalele ukushaya kwenhliziyo komntwana (i-fetal Doppler scan).

Yiziphi izinkinga ezingaba khona zokukhulelwa kwamawele?

Izinkinga zingavela nganoma yikuphi ukukhulelwa. Kodwa uma ukhulelwe amawele noma ngaphezulu, odokotela babheka lokho kukhulelwa "njengokuyingozi enkulu." Lokho kungenxa yokuthi amathuba ezinkinga aphezulu kancane kunangengane eyodwa. Kodwa ungakhathazeki. "Ingozi enkulu" akusho ukuthi uzoba nenkinga nakanjani. Kusho nje ukuthi odokotela bazokugada wena nengane yakho eduze kakhulu futhi kaningi .

Nazi ezinye zezinkinga ezivame kakhulu:

• Ukubeletha ngaphambi kwesikhathi kanye nokubeletha: Lena inkinga evame kakhulu ebonakala ekukhulelweni kwamawele. Umgomo ngokuvamile ukuqeda amasonto angu-37. Uma izingane zizalwa ngaphambi kwalokho, cishe zizoba nesisindo esiphansi kanye nezinye izinkinga zempilo.
• Ukucindezeleka Komfutho Wegazi Kokukhulelwa kanye ne-Preeclampsia: Omama abanamawele basengozini enkulu yokuba nomfutho wegazi ophezulu ngesikhathi sokukhulelwa . Uma kungelashwa, lesi simo singaba yisimo esiyingozi esibizwa ngokuthi "i-Preeclampsia."
• Isifo Sikashukela Sokukhulelwa: Ingozi yalesi simo iphezulu ngenxa yokwanda kwama-hormone akhishwa yi-placenta.
• Ukuqhekeka kwe-Placenta: Lokhu kwenzeka lapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kokuba umntwana azalwe. Lokhu kuyisimo esiphuthumayo.
• Umkhawulo Wokukhula Kwengane Esanda Kuzalwa (IUGR): Ingane eyodwa noma zonke azikhuli ngesivinini esifanele. Lokhu kungabangela ukuthi izingane zizalwe zinesisindo esincane.

Izinkinga eziqondene namawele afanayo

Uma amawele afanayo ehlanganyela i-placenta efanayo (i-monochorionic), angase abe nezinkinga eziningana eziqondene nawo ngqo.

• I-Twin-to-Twin Transfusion Syndrome (TTTS): Lokhu kwenzeka lapho igazi eliningi kakhulu lidlula lisuka kumntwana oyedwa liye komunye ngemithambo yegazi ekwi-placenta. Lokhu kubangela ukuthi umntwana oyedwa angatholi igazi nezakhamzimba ezanele, kuyilapho omunye umntwana ethola igazi eliningi kakhulu. Lokhu kungaba yingozi kuzo zombili izingane.
• I-Twin Anemia Polycythemia Sequence (TAPS): Lesi yisimo esifana ne-``(TTTS)``. Kulesi simo, ingane eyodwa ihlushwa yi-anemia (inani eliphansi legazi) kanti enye ingane inamaseli abomvu egazi amaningi egazini layo.
• I-IUGR Ekhethiwe: Ingane eyodwa ikhula kahle kanti enye ikhula kancane kakhulu.

Udokotela uqapha zonke lezi zimo nge-ultrasound scan bese ezithumela ukuze zithole ukwelashwa okudingekayo.

Ingabe kuyadingeka ukwenza ukuhlinzwa kokubeletha (C-section) uma ubeletha amawele?

Akudingeki ngempela, kodwa kunezizathu eziningana zokuthi kungani ukuhlinzwa kokubeletha kungenzeka kakhulu ekuzalweni kwamawele.

• Ngokuvamile, zombili izingane azikho esimweni esifanele ( ikhanda libheke phansi) ngesikhathi sokubeletha.
• Ukubeletha okuvamile kungaba yingozi kumama noma enganeni ngenxa yezinkinga ngesikhathi sokukhulelwa.

Njengoba usondela osukwini lwakho lokuzalwa, udokotela wakho uzokuxilonga futhi axoxe nawe ngokuthi iyiphi indlela ephephile kuwe nakumntwana wakho.

Ungahlala kanjani uphilile phakathi nalesi sikhathi sokukhulelwa?

Ukuba namawele kusho ukuthi kufanele ucabange kabili ngomzimba wakho.

• Ukudla Okunomsoco: Udinga ukudla okunomsoco okungaphezu komama ongayedwa. Njengomthetho, ingane eyodwa idinga amakhalori engeziwe angaba ngu-300 ngosuku. Lokho kusho ukuthi uma uthwele amawele, udinga amakhalori engeziwe angaba ngu-600 ngosuku. Yidla ukudla okunamaprotheni amaningi, imifino nezithelo. Futhi uphuze amanzi amaningi usuku lonke.
• Phumula: Uzozizwa ukhathele kakhulu. Ngakho-ke phumula ngangokunokwenzeka. Lala kancane emini. Uma imilenze yakho ivuvukele, yigcine iphakeme.
• Ukuhlolwa kwezokwelapha: Kuzodingeka ubone udokotela futhi wenze ama-scan kaningi kunomama onengane eyodwa. Ungaphuthelwa yinoma iyiphi yalezi zikliniki futhi uye njalo. Kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.
• Ukuzivocavoca: Ukuzivocavoca kuhle, kodwa kufanele nakanjani ubuze udokotela wakho ngakho. Ukuzivocavoca okulula njengokubhukuda nokuhamba ngokuvamile kulungile. Kodwa kuwukuhlakanipha ukuyeka ukuzivocavoca okunzima njengokugijima nokugxuma.