Ungakhulelwa futhi noma usuvele ukhulelwe? (I-Superfetation) Indaba emangazayo!

Cabanga ukuthi usuzoba nomntwana, kodwa ngesikhathi esifanayo ukhulelwe omunye umntwana! Akumangalisi yini ukuzwa lokho? Lena yinto engavamile kakhulu esizokhuluma ngayo namuhla ebizwa ngokuthi i-Superfetation, okusho ukuthi ayenzeki kaningi. Eqinisweni, akuvamile ukuthi kube nezimo ezimbalwa ezinjalo ezibhalwe kumarekhodi ezokwelapha emhlabeni wonke. Ngakho-ke namuhla, ake sixoxe ngale nto emangalisayo (i-Superfetation), iyini ngempela, yenzeka kanjani, futhi ingabe kuyinto okufanele uyesabe?

Kuyini i-Superfetation? Kalula nje...

Kalula nje, i-superfetation yilapho ukhulelwa ngenkathi usukhulelwe kakade. Manje ungase uzibuze, "Kwenzeka kanjani lokho?" Yebo, yileyo mangaliso. Ngoba, ngokuvamile, imizimba yethu iklanyelwe ukuthatha zonke izinyathelo zokuvikela ukukhulelwa okunye ngemva kokukhulelwa okukodwa.

Cabanga ngakho, isibeletho sakho siyindlu ekhulayo, esilungele umntwana oyedwa, futhi uma sesiqala ukukhula lapho, ngokuvamile asivuli umnyango wokuba umntwana omusha angene. Kodwa, kulesi simo esingavamile kakhulu esibizwa ngokuthi i-superfetation, zonke lezi zithiyo zemvelo emzimbeni ziyanqotshwa bese kuba nokukhulelwa kwesibili. Lokhu akuvamile kangangokuthi amathuba okuthi lokhu kwenzeke ngokwemvelo aphansi kakhulu. Iningi lamacala abikiwe e-superfetation ahlotshaniswa ne- Assisted Reproductive Technology (ART) , njengokukhulelwa kwe-in vitro.

Ngakho-ke, ingabe la mawele afana? Ingabe kukhona umehluko omncane?

Uma uzwa lokhu, ungase ucabange, "O, ngakho-ke laba bafana namawele." Yebo, amawele afana ngandlela-thile. Phela, izingane ezimbili zikhula ndawonye esibelethweni esisodwa. Ngokuvamile, lezi zingane ezimbili zizalwa ngosuku olufanayo.

Nokho, kunomehluko obalulekile. Amawele afanayo noma amawele azalwa ngabazali akhulelwa ngesikhathi esifanayo somjikelezo wokuya esikhathini . Okusho ukuthi, womabili ama-embryo akhula cishe ngesikhathi esifanayo. Kodwa, ku-superfetation, akunjalo. Lapha, ama-embryo amabili akhula ngesikhathi somjikelezo wokuya esikhathini ohlukene. Okusho ukuthi, umntwana oyedwa uyakhulelwa kanti omunye uyakhulelwa ngemva kwesikhathi esifushane. Ngakho-ke, iminyaka yokukhulelwa yalaba bantwana ababili ihlukile. Kalula nje, umntwana okhulelwa kuqala ungaphambi komntwana okhulelwa owesibili. Kufana nezingane zakubo ezincane ekilasini elifanayo kodwa ezindala ngezinyanga ezimbalwa.

Ivame kangakanani le nto ebizwa ngokuthi i-superfetation? Ingabe ngempela kuyinto okufanele uyesabe?

Njengoba ngishilo ngaphambili, lokhu akuvamile kakhulu.I-Superfetation ayivamile kubantu kangangokuthi isayensi yezokwelapha ikwazile ukuqinisekisa inani elincane kakhulu lamacala, cishe ayi-10 esewonke. Eqinisweni, akuvamile kangangokuthi uma kwenzeka into efana nale, iba yizindaba ezinkulu emhlabeni jikelele. Ngakho-ke, kunembile ukusho ukuthi amathuba okuba ne-superfetation asondele ku-zero .

Kodwa-ke, phakathi kwezinye izinhlobo zezilwane, isibonelo, amagundane , izilwane ezincelisayo ezincane, kanye nezinhlanzi , lesi simo (i-superfetation) sibonakala kakhulu kunakubantu.

Kudingekani ukuze ube yi-superfetation?

Cabanga nje, ukuze ukukhulelwa kwemvelo (okungaphezu kwamandla) kwenzeke ngaphandle kobuchwepheshe bokusiza ekuzaleni (ART), into efana nale ingenzeka:

Umzimba wakho kufanele ube nemijikelezo emibili elandelanayo yokuya esikhathini. Umjikelezo ngamunye kufanele uholele ekukhulelweni. Ngamanye amazwi:

1. Umjikelezo wokuqala wokuya esikhathini: Iqanda likhishwa kwelinye lama-ovary akho (ukuvuthwa). Uya ocansini. Lelo qanda lihlangana nesidoda bese livundiswa, kwakha umbungu. Lelo mbungu lifakwa olwelwesini lwesibeletho sakho bese liqala ukukhula.

2. Umjikelezo olandelayo wokuya esikhathini: Futhi, njengakuqala, elinye iqanda liyakhishwa kwelinye lama-ovari akho. Uya ocansini futhi. Lelo qanda liyavundiswa bese kwakheka umbungu omusha. Lombungu omusha ube usuya esibelethweni esifanayo nesangaphambilini, lapho umila khona bese uqala ukukhula.

Kunzima ukucabanga, akunjalo? Yebo, amathuba okuba lokhu kwenzeke mancane kakhulu. Ngoba, njengoba sizoxoxa ngakho ngokulandelayo, ngemva kokukhulelwa, umzimba wakho ngokwemvelo uthatha izinyathelo eziningi zokuvimbela ukukhulelwa kwesibili okunje.

Kungani singakhulelwa futhi ngemva kokukhulelwa? Yiziphi izindlela zokuphepha emizimbeni yethu?

Uma ukhulelwa, umzimba wakho uqala ukusebenza sengathi uthi, "Kulungile, ingane eyodwa iyeza, enye ayikwazi ukuza manje." Kunezizathu eziningana zalokhu:

• Izinguquko zama-hormone : Ngemva kokukhulelwa, amazinga ama-hormone emzimbeni wakho (ikakhulukazi i-progesterone) ayashintsha. La ma-hormone avimba ama-ovari akho ekukhipheni iqanda elisha (ukuvuthwa). Kufana "nokuvala indlela yokuphuma kweqanda." Ngakho-ke, akuvamile kakhulu ukuthi ukuvuthwa kweqanda kuphinde kwenzeke ngesikhathi sokukhulelwa.
• Ukwakheka kwe -mucus plug: Umlomo wakho wesibeletho) – okungukuthi, indlela encane phakathi kwesitho sangasese sowesifazane nesibeletho – imbozwe yi-mucus plug ejiyile. Lokhu kusebenza njengesivikelo esivikelayo. Lokhu kuvimbela kakhulu isidoda ukuthi singangeni esibelethweni. Ngakho-ke, noma ngabe uya ocansini ngesikhathi sokukhulelwa, mancane kakhulu amathuba okuthi isidoda sizofika esibelethweni noma emapayipini e-fallopian , lapho iqanda livundiswa khona.
• Izinguquko ongqimbeni lwesibeletho: Ngemva kokufakelwa kwe-embryo yokuqala ongqimbeni lwesibeletho, ungqimba nalo luyashintsha. Alulungele ukuthola olunye umbungu. Kufana nokutshala isitshalo ebhodweni, futhi uma izimpande sezizinzile, kunzima ukutshala esinye isitshalo ebhodweni elifanayo.

Ngakho-ke, ngenxa yokuthi lezi zivikelo zemvelo zinamandla kakhulu, akuvamile ukuthi uphinde ukhulelwe ngenkathi usukhulelwe kakade.

Ngakho-ke lesi simo esingavamile esibizwa ngokuthi i-superfetation senzeka kanjani? Ziyini izimbangela?

Eqinisweni, i-superfetation ayivamile kangangokuthi abacwaningi abakakwazi ukuthola imbangela yayo. Ngenxa yokuthi azikho izimo ezanele zokufunda, kunezimbalwa kuphela zamacala aqinisekisiwe.

Eziningi zalezi zenzakalo ezibikiwe zihlobene ne-Assisted Reproductive Technology (ART) . Isibonelo:

• Ukuvundiswa Kwe-In Vitro (IVF): Le ndlela ihilela ukuthatha amaqanda kamama, ukuwavundisa ngesidoda sikababa noma somnikeli ngaphandle komzimba (elabhorethri), bese kufakwa ama-embryo aphumayo esibelethweni sikamama. Ngezinye izikhathi, ngemva kwalokhu kufakelwa, ukukhulelwa okunye kungenzeka ngokwemvelo okwamanje.
• Imithi yokukhuthaza ama-ovary: Abanye besifazane banikezwa imithi yokukhuthaza ama-ovary ukuze bakhiqize amaqanda engeziwe njengokwelapha ukungabi nabantwana. Kulesi simo, noma ngabe iqanda elilodwa livundisiwe futhi kukhulelwa, kunethuba elincane lokuthi elinye iqanda lizovundisiwe ezinsukwini ezimbalwa kamuva.

Kodwa, khumbula, ngisho nalezi zindlela ze-ART, amathuba okuba kwenzeke i-superfetation aphansi kakhulu.

Ake sibheke ezinye zezenzakalo ezenzeke ngempela.

Ukuze sicacise le ndaba kakhudlwana, ake sibheke ezinye zezigameko ezibikiwe.

• Isigameko esihlobene nokukhulelwa kwe-in vitro (IVF): Owesifazane wakhulelwa amawele ngokukhulelwa kwe-in vitro (IVF). Kwafakwa ama-embryo amabili esibelethweni sakhe. Kodwa-ke, lapho odokotela bemhlola emavikini amathathu kamuva, bathola i-embryo yesithathu esibelethweni sakhe! Le embryo yesithathu ayizange idalwe nge-IVF, kodwa ngokwemvelo, ngemva kokuba ama-embryo amabili okuqala efakwe.
• Isigameko esihlobene nokufakelwa kwesidoda okwenziwe ngokwenziwa:Omunye wesifazane wathatha imithi yokuvuselela isibeletho futhi wafakwa isidoda ngokufakelwa. Lapho odokotela bemhlola ukuze babone ukuthi ukhulelwe ngaleyo ndlela yini, bathola ukuthi wayesekhulelwe futhi! Kodwa-ke, lokhu kukhulelwa kokuqala kwakuyi-ectopic pregnancy. Lokhu kusho ukuthi i-embryo ifakwa ndawana thize ngaphandle kwesibeletho , ngokuvamile epayipini le-fallopian. Ukukhulelwa okunjalo akuphumelelanga.
• Umama ozalelwe: Umama ozalelwe owafakelwa omunye umbhangqwana esibelethweni sakhe nge-IVF, uthola ukuthi ngemva kwezinyanga eziyisithupha umbungu wesibili ukhula esibelethweni sakhe. Kwavela ukuthi umbungu wesibili ungumntwana wakhe, owakhulelwa ngokwemvelo ngemva kokufakelwa umbungu wokuqala! Lesi yisimo esingavamile kakhulu sowesifazane owakhulelwa futhi ngemva kokukhulelwa izinyanga eziyisithupha.

Ingabe zikhona izimpawu ezikhethekile ze-superfetation?

Cha. Azikho izimpawu ezithile eziqondene ne-superfetation. Izimpawu ziyafana nalezo ezibonakala ekukhulelweni okuvamile.

Odokotela bakubona kanjani lokhu? Ingabe bangaba nephutha?

Ukukhulelwa kwengane kungaba nzima kancane ukukuthola, njengoba kungafana nezinye izimo ezibangela amawele. Ngokuvamile, ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwakho, udokotela wakho uzobona izingane ezimbili noma ngaphezulu. Yilapho ebona khona ukuthi ingane eyodwa ikhula ngokushesha kunenye , okusho ukuthi iminyaka yokukhulelwa yalezi zinsana ezimbili ihlukile.

Kodwa-ke, abanye abacwaningi bakholelwa ukuthi kunezinye izimo ngezinye izikhathi ezingabhekwa kabi njenge-superfetation. Isibonelo:

• I-Twin-to-twin transfusion syndrome: Yilapho amawele amabili abelana khona izakhamzimba azithola kunina ngokungalingani. Ingane eyodwa ithola ukudla okunempilo okwengeziwe kanti enye ithola okuncane. Bese kuthi, ekuhlolweni, ingane ethola ukudla okunempilo okuningi ibonakale inkulu kunenye ingane.
• Ukuntuleka kwe-placenta: I-placenta yisitho esisesibelethweni esihlinzeka ngomoya-mpilo kanye nezakhamzimba ezivela kumama ziye enganeni ekhulayo. Endabeni yamawele, uma i-placenta ingakwazi ukondla kahle izingane zombili, zingakhula ngamazinga ahlukene.

Futhi, ngezinye izikhathi, ngenxa yephutha elincane ekuhlolweni kwe-ultrasound, ukukhulelwa kwamawele kungatholakala ngephutha njengomntwana oyedwa kuphela. Kamuva, lapho kutholakala umntwana wesibili, kungacatshangwa ngephutha ukuthi kungenxa ye-superfetation.

Ukuphatha kanjani ukukhulelwa okunje?

Ekukhulelweni kwe-superfetation, ingane eyodwa ikhula ngokushesha kunomunye, okungaholela ekuzalweni kwangaphambi kwesikhathi kwengane encane.Lokho kusho ukuthi, angazalwa engakakhuli ngokugcwele.

Ngakho-ke, udokotela wakho cishe uzoncoma ukuhlinzwa ngokuhlinzwa okuhleliwe . Lokhu kwenzelwa ukwandisa amathuba okuba izingane zombili zizalwe ziphilile futhi zingenazo izinkinga. Udokotela uzonquma ukuthi yisiphi isikhathi esingcono nesiphephile sazo zombili izingane.

Ingabe kukhona engingakwenza ukuvimbela lokhu ukuthi kungenzeki?

I-Superfetation iyinto exakile futhi ethokozisayo ukuyazi. Kodwa-ke, akuyona into okufanele uyesabe, ucabanga ukuthi, "O, ingabe kuzokwenzeka nakimi, ngingakuvimbela kanjani?" Njengoba ngishilo ngaphambili, amathuba okuba ube nesifo se-superfetation acishe abe yi-zero. Ngakho-ke, akukho lutho ongakwenza ukuze uvimbele, futhi akuyona into okufanele uyigweme.

Kuzokwenzekani uma nginalesi simo? Ingabe kufanele ngesabe?

Ngisho noma unalesi simo esingavamile kakhulu, amathuba akho okukhulelwa okunempilo nokubeletha okunempilo aphezulu kakhulu. Ezimweni eziningi eziqinisekisiwe zokukhulelwa ngokweqile, izingane zishiyana ngamasonto ambalwa kuphela (ngokuvamile amasonto amabili kuya kwamane). Udokotela wakho uzohlela ukubeletha kwakho ngokusekelwe esikhathini esingcono kakhulu sokuba izingane zombili zizalwe ziphilile. Ngakho-ke, ungakhathazeki ngokungadingekile.

Kungenzeka yini ukukhulelwa futhi ngemva kwezinyanga eziyisithupha zokukhulelwa?

Isibonelo salokhu yindaba kamama okhulelwe esikhulume ngaye ngaphambilini. Uthole ukuthi ezinyangeni eziyisithupha ngemuva kokukhulelwa nge-IVF ukuthi ukhulelwe ingane yakhe. Kodwa-ke, lesi yisimo esisodwa esibikiwe. Amathuba okuba into efana nale ikwehlele empeleni acishe abe yi-zero. Ngakho-ke, ungakhathazeki ngakho.

Igebe lesikhathi phakathi kwezingane lingahlala isikhathi esingakanani uma likhulelwa ngale ndlela?

Ezimweni eziningi zokukhulelwa okungavamile, umehluko wobudala bokukhulelwa phakathi kwalezi zinsana ezimbili uphakathi kwamasonto amabili kuya kwamane . Akuvamile kakhulu ukuthi kube negebe elingaphezu kwalokho.

Ingabe (i-Superfetation) kanye (i-Superfecundation) ziyizinto ezimbili ezihlukene? Uyini umehluko?

Nakuba la magama amabili ezwakala efana kancane, abhekisela ezimweni ezimbili ezahlukene.

• Ukukhulelwa Okukhulu: Sekuyisikhathi eside sikhuluma ngalokhu. Kulokhu, kuvela imibungu emibili ngemijikelezo emibili eyahlukene yokuya esikhathini yanyanga zonke. Okusho ukuthi, ukukhulelwa okukodwa kuqala, bese ukukhulelwa kwesibili kuqala ngokushesha ngemva kwalokho.
• Ukuzala Okukhulu: Lokhu kwenzeka lapho umzimba wakho ukhipha amaqanda amabili noma ngaphezulu ngesikhathi esifanayo somjikelezo wokuya esikhathini. Iqanda ngalinye livundiswa yisidoda. Lesi sidoda singavela kumlingani ofanayo noma kubalingani/abanikeli ababili abahlukene. Ama-embryo akhula lapha aneminyaka efanayo yokukhulelwa, njengamawele avamile.

Ngamafuphi, i-superfetation "ukukhulelwa futhi ngenkathi usukhulelwe kakade", kanti i-superfecundation "ukufaka umquba emaqandeni amaningi emjikelezweni ofanayo".

Ngisho nezimo ezimbalwa zokukhulelwa kwesisu esikhulume ngazo zibonisa ukuthi imizimba yethu ihlakaniphe kangakanani ekuvimbeleni ukukhulelwa okunye uma sesikhulelwe. Ukukhulelwa kwesisu kuyinto engavamile, uma kungenzeki, eyenzeka ngisho nangobuchwepheshe bokuzala obusizayo (ART). Abacwaningi basazama ukuthola ukuthi yini ebangela lokhu kukhulelwa okungavamile okubili kulandelana. Kodwa-ke, uma usuvele ukhulelwe, ungakhathazeki, "Ingabe ngizophinde ngikhulelwe?"

Ngakho-ke yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?

Into ebaluleke kakhulu okudingeka siyiqonde kule ndaba emangalisayo ye-superfetation yile:

• I-Superfetation yisimo esingavamile kakhulu. Awunaso isizathu sokukhathazeka noma sokwesaba ngakho.
• Imizimba yethu yaklanywa ngezivikelo zemvelo eziqinile kakhulu ukuvimbela ukukhulelwa kwesibili ngemva kokukhulelwa.
• Iningi lamacala abikiwe okutheleleka kwe-superfetation ahlotshaniswa nobuchwepheshe bokuzala obusizayo (ART) . Kodwa-ke, ngisho nange-ART, amathuba okuthi lokhu kwenzeke aphansi kakhulu.
• Ngisho noma unalesi simo (nakuba amathuba ephansi kakhulu), unethuba elihle lokuba nomntwana onempilo. Odokotela bakho bazokunakekela kangcono ukuqinisekisa lokho.

Ngakho-ke, kuhle ukwazi ukuthi lokhu kuyinto engavamile kakhulu kwezokwelapha. Kodwa-ke, lokhu akuyona into okufanele uyesabe ezothinta impilo yakho yansuku zonke. Uma ukhulelwe, vele ujabulele ukukhulelwa kwakho, landela iseluleko sikadokotela wakho, bese kuphelela lapho!

` Ukukhulelwa, ukukhulelwa, amawele, umbungu, isibeletho, impilo yokuzala, izifo ezingavamile