Cabanga ukhulelwe, bese kuthi ngesikhathi usukhulelwe, ukhulelwe omunye umntwana! Kuzwakala sengathi kuvela ebhayisikobho yesayensi eqanjiwe, akunjalo? Lesi simo esingavamile sezokwelapha saziwa ngokuthi i-superfetation . Akuvamile kakhulu ukuthi zimbalwa izimo ezike zabhalwa emlandweni wezokwelapha. Ake sihlole ukuthi i-superfetation iyini ngempela, ukuthi yenzeka kanjani, nokuthi ngabe kuyinto okudingeka ukhathazeke ngayo.
Kuyini i-Superfetation? Kalula nje…
Ngamafuphi, i-superfetation yenzeka lapho owesifazane ekhulelwa ngesikhathi esekhulelwe kakade. Ungase uzibuze, "Lokho kungenzeka kanjani?" Yileyo imfihlakalo! Ngokuvamile, umzimba wakho uhlelwe ngokwezinto eziphilayo ukuvimbela noma yikuphi ukukhulelwa okusha uma usukhulelwe kakade, okusebenza njengesivikelo semvelo.
Cabanga ngesibeletho sakho njengekhaya elilungiselelwe umntwana oyedwa. Uma inqubo yokwakha isidleke iqala, umnyango uvalwa ngempumelelo kunoma yikuphi ukufika okusha. Kodwa-ke, esimweni esingavamile kakhulu sokukhulelwa ngokweqile, lezi zithiyo zemvelo zebhayoloji ziyadlulwa. Lokhu akuvamile kangangokuthi izehlakalo zemvelo cishe azikho; amacala amaningi abikiwe ahlotshaniswa ne- Assistive Reproductive Technology (ART) , njengokwelashwa kokuzala.
Ingabe lokhu kufana nokuba namawele? Uyini umehluko?
Kungokwemvelo ukucabanga, "Ngakho-ke, lokhu kufana nokuba namawele?" Ngandlela thile, yebo, ngoba ugcina unezingane ezimbili ezikhula esibelethweni esisodwa, ezivame ukuzalwa ngosuku olufanayo.
Kodwa-ke, kunomehluko obalulekile. Amawele ajwayelekile (afanayo noma angomakhelwane) akhulelwa ngesikhathi esifanayo somjikelezo wokuya esikhathini . Akhula njengemibungu cishe ngesikhathi esifanayo. Ku-superfetation, akunjalo. Lapha, imibungu emibili ikhulelwa ngemijikelezo ehlukene yokuya esikhathini. Lokhu kusho ukuthi umntwana oyedwa uyakhulelwa, futhi ngemva kwesikhashana, kwenzeka ukukhulelwa kwesibili. Ngenxa yalokhu, izingane zineminyaka yokukhulelwa ehlukene. Empeleni, umntwana wokuqala udlula owesibili ngokwentuthuko, njengezingane zakubo ekilasini elifanayo ezishiyana ngezinyanga ezimbalwa ngobudala.
Kuvame kangakanani ukudlula ngokweqile? Ingabe kufanele ukhathazeke?
Njengoba ngishilo, lokhu akuvamile neze. Akuvamile kubantu kangangokuthi cishe amacala ayi-10 kuphela aqinisekisiwe ngokwezokwelapha. Akuvamile kangangokuthi noma yiliphi icala eliqinisekisiwe livame ukuba yizihloko zezokwelapha emhlabeni jikelele. Ngakho-ke, amathuba okuthi ubhekane nokutheleleka kwe-superfetation cishe ayi-zero.
Ngokuthakazelisayo, i-superfetation ivame kakhulu ukubonwa ezinhlotsheni ezithile zezilwane, njengezimpuku , izilwane ezincelisayo ezincane, kanye nezinhlanzi ezithile.
I-superfetation yemvelo ingenzeka kanjani?
Ukuze kwenzeke i-superfetation yemvelo ngaphandle kokungenelela kwezokwelapha, kuzodingeka ukuthi kwenzeke ukulandelana kwemicimbi ethile:
Umzimba wakho kuzodingeka ukuthi udlule emijikelezweni emibili elandelanayo yokuya esikhathini, lapho ukukhulelwa kwenzeka khona phakathi nomjikelezo ngamunye. Cabanga ngalokhu:
1. Umjikelezo wokuqala: Iqanda liyakhishwa esibelethweni sakho (ukukhiqizwa kwamaqanda). Uyakhulelwa, bese umbungu ufakwa odongeni lwesibeletho ukuze uqale ukukhula.
2. Umjikelezo olandelayo: Iqanda lakho likhipha elinye iqanda, bese ukhulelwa futhi. Lo mbungu omusha ube usuya esibelethweni bese ufakwa eceleni kwelokuqala.
Kunzima ukukubona ngeso lengqondo ngoba akunakwenzeka ngokwezibalo. Njengoba sizoxoxa ngokulandelayo, umzimba wakho usebenza kanzima ukuvimbela lokhu ukuthi kungenzeki.
Kungani abesifazane bevame ukungakhulelwa ngesikhathi bekhulelwe? Yiziphi izinyathelo zokuphepha zomzimba?
Uma usukhulelwe, umzimba wakho uthumela izimpawu ezithi, "Sesivele sinamandla." Kunezizathu ezimbalwa zalokhu:
- Izinguquko zama-hormone : Ngesikhathi sokukhulelwa, amazinga ama-hormone akho—ikakhulukazi i-progesterone—ashintsha kakhulu. La ma-hormone acindezela ukuvuthwa kwamaqanda, avala ngempumelelo “isango” ukuze kungabikho amaqanda amasha akhishwayo.
- I-Mucus plug: Umlomo wakho wesibeletho —indlela ephakathi kwesitho sakho sangasese sowesifazane nesibeletho—ivalwa nge-mucus plug ebanzi. Lokhu kusebenza njengesivikelo esivikelayo, esivimbela isidoda ukuba singangeni esibelethweni futhi sifinyelele emapayipini e-fallopian .
- Ulwelwesi lwesibeletho luyashintsha: Ngemva kokufakelwa kokuqala kombungu, ulwelwesi lwesibeletho luyashintsha, lungabi samukeli ukufakelwa okuqhubekayo. Kufana nombhede wengadi lapho inhlabathi isivele ithathwe yisitshalo esisodwa; ayilungiselelwanga ukuba esinye simile izimpande.
Ngenxa yalezi zivikelo ezinamandla zemvelo, cishe akunakwenzeka ukukhulelwa usuvele ukhulelwe.
Ngakho-ke, lesi simo esingavamile senzeka kanjani? Ziyini izimbangela?
Empeleni, ngenxa yokuthi i-superfetation ayivamile, abacwaningi abakwazanga ukuthola imbangela eqondile. Azikho nje izimo ezanele ezibhalwe phansi zokufunda kabanzi.
Kodwa-ke, iningi lamacala aqoshiwe ahlotshaniswa ne-Assistive Reproductive Technology (ART) , njenge:
- Ukuvundiswa Kwe-In Vitro (IVF): Kule nqubo, amaqanda avundiswa elebhu bese ama-embryo adluliselwa esibelethweni. Ezimweni ezingavamile, ukukhulelwa kwemvelo kungenzeka kanye nokudluliselwa kwe-embryo.
- Imithi yokukhuthaza i-ovary: Ezinye izindlela zokwelapha izinselele zokuzala zihlanganisa imithi yokukhuthaza ukuvuthwa kweqanda. Ezimweni ezingavamile, lokhu kungaholela ekuphuzeni kweqanda okubambezelekile okuholela ekukhulelweni kwesibili.
Khumbula, ngisho nange-ART, amathuba okukhulelwa ngokweqile mancane kakhulu. Uma unenkinga ngesikhathi sokukhulelwa kwakho, xhumana nomhlinzeki wakho wezempilo noma uvakashele umnyango wezimo eziphuthumayo wesibhedlela esiseduze nawe ukuze uthole ukuthula kwengqondo. I-Nirogi Lanka ilapha ukukusekela ohambweni lwakho.
Ake sibheke ezinye izimo zangempela
Ukuze sikusize uqonde lesi simo kangcono, ake sihlole amacala ambalwa aqoshiwe.
- Icala elihilela i-In Vitro Fertilization (IVF): Owesifazane oyedwa wakhulelwa amawele nge-IVF, kwathi ama-embryo amabili adluliselwa ngempumelelo esibelethweni sakhe. Kodwa-ke, lapho odokotela bemhlola emasontweni amathathu kamuva, bathola i-embryo yesithathu! Le embryo yesithathu ayizange ivele enkambisweni ye-IVF; yayakhiwe ngokwemvelo ngemva kokuba ama-embryo amabili okuqala efakwe.
- Icala elihilela ukufuya ngokwenziwa: Omunye wesifazane wakhuthazwa ngesibeletho kanye nokufuya ngokwenziwa. Kwakungesikhathi sokuhlolwa kokulandelela ukuqinisekisa ukukhulelwa lapho odokotela bathola khona ukuthi usekhulelwe kakade—kodwa enokukhulelwa okuphuma ngaphandle kwesibeletho. Lokhu kusho ukuthi umbungu wokuqala wawufakwe ngaphandle kwesibeletho , ngokuvamile epayipini le-fallopian. Ngeshwa, lezi zinhlobo zokukhulelwa azikwazi ukusebenza.
- Icala lokukhulelwa ngokwesivumelwano: Umama okhulelwe ngokwesivumelwano ephethe umbungu nge-IVF wathola ezinyangeni eziyisithupha kamuva ukuthi umbungu wesibili wawukhula. Ngemva kophenyo, kwatholakala ukuthi lo mbungu wesibili wawungumntwana wakhe, owakhulelwa ngokwemvelo ngemva kokufakelwa umbungu wokuqala we-IVF. Lesi yisenzakalo esingavamile kakhulu sokukhulelwa komuntu esenezinyanga eziyisithupha.
Ingabe i-Superfetation inezimpawu ezithile?
Cha. Azikho izimpawu ezithile ezitholakala ku-Superfetation kuphela. Ubungabhekana nezimpawu ezifanayo nezokukhulelwa okuvamile.
Odokotela bakubona kanjani lokhu? Ingabe bangenza iphutha?
Ukuhlonza i-Superfetation kungaba yinselele enkulu ngoba ivame ukulingisa ezinye izimo ezihilela ukukhulelwa okuningi. Ngokuvamile, ngesikhathi sokuhlolwa kwe-ultrasound okuvamile ekukhulelweni kwakho, udokotela angase abone izingane ezimbili noma ngaphezulu. Bese beqaphela ukuthi umbungu owodwa usekhulile kakhulu kunomunye , okusho ukuthi iminyaka yabo yokukhulelwa ihlukile.
Kodwa-ke, abacwaningi baphawula ukuthi ezinye izimo zingaphambaniswa ne-Superfetation. Izibonelo zifaka:
- I-Twin-to-twin transfusion syndrome (TTTS): Lokhu kwenzeka lapho amawele abelana ngezakhamzimba ezivela kunina ngokungalingani. Ingane eyodwa ithola ukudla okunomsoco omningi kanti enye ithola okuncane kakhulu. Ngenxa yalokho, ingane eyondlekile kahle ibonakala inkulu kakhulu ekuhlolweni.
- Ukungapheleli kwe-placenta: I-placenta yisitho esihlinzeka nge-oxygen nezakhamzimba kumntwana okhulayo. Ekukhulelweni kwamawele, uma i-placenta ingakwazi ukunikeza ukudla okwanele kokubili, ingakhula ngamazinga ahlukene.
Ngaphezu kwalokho, iphutha elincane ngesikhathi sokuhlolwa kwe-ultrasound lingase liholele ekutheni ukukhulelwa kwamawele kuhlonzwe ngokungeyikho njengokukhulelwa kwe-singleton. Kamuva, lapho kutholakala umntwana wesibili, kungase kuthiwe kubangelwa yi-Superfetation.
Lolu hlobo lokukhulelwa luphathwa kanjani?
Ekukhulelweni kwe-Superfetation, ngoba umbungu owodwa ukhule kakhulu kunomunye, kunengozi yokuzalwa ngaphambi kwesikhathi kombungu omncane. Lokhu kusho ukuthi bangase bazalwe bengakavuthwa ngokugcwele.
Ngenxa yalokhu, udokotela wakho cishe uzoncoma ukuhlinzwa ngokuhlinzwa kokubeletha okuhleliwe. Lokhu kwenzelwa ukwandisa amathuba okuba izingane zombili zizalwe ngokuphephile ngaphandle kwezinkinga. Udokotela wakho uzonquma isikhathi esiphephile nesifanele kakhulu sokubeletha.
Ingabe kukhona engingakwenza ukuvimbela lokhu?
I-Superfetation iyindaba ethakazelisayo, kodwa akuyona into okudingeka uyesabe noma ukhathazeke ngayo. Njengoba kushiwo ngaphambili, amathuba okuthi ubhekane ne-Superfetation acishe abe yi-zero. Ngakho-ke, akukho lutho oluqondile okudingeka ulwenze—futhi akuyona into okudingeka uyivimbele.
Kwenzekani uma nginalesi simo? Ingabe kufanele ngesabe?
Ngisho noma unalesi simo esingavamile kakhulu, amathuba okukhulelwa okunempilo kanye nokubeletha okuphephile aphezulu kakhulu. Ezimweni eziningi eziqinisekisiwe ze-Superfetation, igebe leminyaka phakathi kwezinsana lingamaviki ambalwa kuphela (ngokuvamile amasonto amabili kuya kwamane). Udokotela wakho uzokhetha isikhathi esingcono kakhulu sokuba zombili izingane zizalwe ziphilile futhi uzohlela ukubeletha ngokufanele. Sicela ungakhathazeki ngokungadingekile.
Kungenzeka yini ukukhulelwa unezinyanga eziyisithupha ukhulelwe?
Icala lokweba ingane esixoxe ngalo ekuqaleni liyisibonelo salokhu. Uthole ngomntwana wakhe wemvelo ezinyangeni eziyisithupha ngemuva kokuqala kokukhulelwa kwakhe nge-IVF. Kodwa-ke, lo mbiko owodwa, ohlukile. Amathuba okuthi lokhu kwenzeke kuwe cishe ayi-zero, ngakho-ke asikho isidingo sokukhathazeka.
Ingakanani igebe lesikhathi elivamile phakathi kwezingane ezikhulelwa ngale ndlela?
Ezimweni eziningi ze-Superfetation, umehluko wobudala bokukhulelwa phakathi kwalezi zibungu ezimbili uvame ukuba phakathi kwamasonto amabili namane (amasonto amabili kuya kwamane). Igebe elikhulu liyivelakancane kakhulu.
Ingabe i-Superfetation ne-Superfecundation ziyinto efanayo? Uyini umehluko?
Nakuba amagama ezwakala efana, abhekisela ezimweni ezimbili ezahlukene.
- Ukukhulelwa Okukhulu: Isimo ebesixoxa ngaso. Lapha, kwakheka imibungu emibili ngesikhathi semijikelezo emibili ehlukene yokuya esikhathini. Lokhu kusho ukuthi ukukhulelwa okukodwa kuqala, futhi ngemva kwesikhathi esithile, kuqala ukukhulelwa kwesibili.
- Ukuzala Okukhulu: Kulesi simo, amaqanda amabili noma ngaphezulu akhishwa ngesikhathi esifanayo somjikelezo wokuya esikhathini.Iqanda ngalinye livundiswa yisidoda. Isidoda singavela kumlingani ofanayo noma kubalingani/abanikeli abahlukene. Ama-embryo aphumayo aneminyaka efanayo yokukhulelwa, afana namawele azalwa ngabazali.
Ngamafuphi: I-Superfetation “iwukukhulelwa futhi usekhulelwe kakade,” kuyilapho i-Superfecundation “iwukuqanda okuningi okufakwa umanyolo ngaphakathi komjikelezo ofanayo.”
Amacala angavamile e-Superfetation aqokomisa indlela imizimba yethu evimbela ngayo ukukhulelwa kwesibili ngokwemvelo. Ngisho nasekukhulelweni okubandakanya i-Assisted Reproductive Technology (ART), ukwenzeka kwalokhu akuvamile kakhulu—cishe akunakwenzeka. Abacwaningi bayaqhubeka nokutadisha ukuthi kungani lokhu kukhulelwa okungajwayelekile, okulandelanayo kwenzeka. Kungakhathaliseki ukuthi, uma ukhulelwe njengamanje, sicela ungesabi ukuthi uzophinde ukhulelwe.
Yini ebalulekile etholakala kule ndaba?
Izinto ezibaluleke kakhulu okufanele uziqonde endabeni ye-Superfetation yilezi:
- I-Superfetation yisimo esingavamile kakhulu. Akukho nhlobo isizathu sokuba ukhathazeke noma wesabe.
- Imizimba yethu yaklanywa ngezivikelo zemvelo ezinamandla ezivimbela ukukhulelwa kwesibili uma usuvele ukhulelwe.
- Iningi lamacala aqoshiwe e-Superfetation ahlotshaniswa ne -Assisted Reproductive Technology (ART). Ngisho nange-ART, amathuba okuthi lokhu kwenzeke mancane kakhulu.
- Uma unalesi simo (noma kungenzeki), kunethuba elikhulu kakhulu lokubeletha okunempilo. Ithimba lakho lezokunakekelwa kwempilo eNirogi Lanka lizokunikeza ukunakekelwa okungcono kakhulu.
Nakuba lesi kuyisenzakalo sezokwelapha esithakazelisayo ngempela futhi esingavamile kakhulu, kubalulekile ukwazi ukuthi akuyona into ezothinta impilo yakho yansuku zonke noma imbangela yokukhathazeka. Uma ukhulelwe njengamanje, sicela ugxile ekujabuleleni lesi sikhathi esikhethekile, ulandele isiqondiso sikadokotela wakho, futhi uqiniseke—yilokho kuphela okudingeka ukwenze!
Amagama angukhiye: Ukukhulelwa, ukukhulelwa, amawele, umbungu, isibeletho, impilo yokuzala, izimo ezingavamile
