Ingabe nawe unamawele? Ake sifunde konke mayelana nokukhulelwa kwamawele!

Sawubona! Uyakhumbula ngezinye izikhathi sikhuluma sithi, 'Hawu Nkulunkulu, kukhona ozala amawele'? Uma uzwa izindaba ezinjalo, uzizwa ujabule futhi umangale, akunjalo? Ngakho-ke namuhla sizokhuluma ngalokhu kukhulelwa kwamawele. Ungase ube nemibuzo ngalokhu, mhlawumbe ulindele amawele, noma mhlawumbe usuvele ulindele amawele. Ake sibheke lokhu kalula, ngendlela ongayiqonda.

Kuyini ngempela ukukhulelwa kwamawele?

Kalula nje, ukukhulelwa kwamawele kwenzeka lapho izingane ezimbili (ama-fetus) zikhula ngaphakathi kwesibeletho sakho ngesikhathi esisodwa. Ngokuvamile kuba nomntwana oyedwa kuphela, kodwa nansi ezimbili. Cabanga nje, ababili baphila esibelethweni esisodwa! Akuyona into ekhethekile lokho? Lokhu kwenzeka kuphela koyedwa kwabangu-250 abakhulelwe. Lokho akuvamile.

Angakanani amathuba okuba namawele?

Amathuba, noma ithuba, lokuba namawele liphansi kakhulu. Amawele akhulelwa ngokwemvelo cishe koyedwa kwabangu-250 abakhulelwe. Lokho kusho ukuthi akuwona wonke umuntu onawo amawele. Kodwa kunezici ezithile ezingandisa leli thuba. Sizoxoxa ngalokho kamuva.

Ziyini izimpawu zokukhulelwa kwamawele? Ingabe nawe unazo lezi zimpawu?

Uma uthwele amawele, ungase ubonise izici ezithile ezikhethekile. Kodwa ukuthi unalezi zimpawu akusho ukuthi unamawele, akunjalo? Udinga ukubona udokotela ukuze wazi ngokuqinisekile.

Nazi ezinye izimpawu, ezinye zazo ezingabonakala emasontweni okuqala okukhulelwa:

• Ukuzwa ingane yakho inyakaza kusenesikhathi: Ungase uzizwe ingane yakho inyakaza kusenesikhathi kunokujwayelekile.
• Ukuzwa umntwana enyakaza ezindaweni eziningi esiswini: Uma uzwa ukunyakaza ezindaweni ezimbili kuneyodwa, lokho kungaba uphawu.
• Ukuphakama kwe-fundal kukhulu kunalokho obekulindelwe eminyakeni yokukhulelwa: Lapho udokotela ehlola isisu sakho, bangase bathi isisu sakho sikhulu kunawe ngesonto osukulo. Kalula nje, kusho ukuthi isisu sakho sibukeka sikhulu kunalokho obekulindelwe.
• Ukukhuluphala okusheshayo: Ungase uzizwe sengathi uthola isisindo ngokushesha kunabanye.
• Amazinga aphezulu e-hCG hormone noma i-alpha-fetoprotein (AFP): Lezi yizinto ezikhethekile ezikhishwa ngesikhathi sokukhulelwa. I-`hCG` iyi-hormone yokukhulelwa. I-`AFP` iyiprotheni ekhiqizwa yisibindi somntwana. Uma la mazinga ephakeme kunokuvamile, ingaba uphawu lwamawele.
• Ukuzwa ukushaya kwenhliziyo okungaphezu kokukodwa ku-fetal Doppler: Uma udokotela ezwa ukushaya kwenhliziyo okungaphezu kokukodwa lapho elalele ukushaya kwenhliziyo kwengane, lokho nakho kuyisibonakaliso esikhulu.

Ziyini izimpawu zokukhulelwa kwamawele?

Izimpawu zokukhulelwa kwamawele zifana nezokukhulelwa kwengane eyodwa. Kodwa-ke, lezi zimpawu zingase zibe zimbi kakhulu.

Ungase uhlangabezane nezinto ezifana nalezi:

• Ukuthamba kwebele: Amabele akho angase abe mnene kakhulu kunokujwayelekile, njengangaphambi kokuya esikhathini, kodwa angase azizwe ethambile kancane.
• Ukukhathala: Ungase uzizwe ukhathele kabili kunomama okhulelwe ojwayelekile ngoba ukhulisa izimpilo ezimbili emzimbeni wakho.
• Ukuchama njalo: Njengoba isibeletho sikhula, ingcindezi kwesinye iyanda, okubangela isidingo sokuya endlini yangasese njalo.
• Ukwanda kwesifiso sokudla: Njengoba ufuna ukudla abantu ababili, isifiso sakho sokudla singakhula kakhulu.
• Ukucasuka kwasekuseni: Lokhu kungaba nzima kakhulu kwabanye abantu. Ukucasuka kungaqhubeka usuku lonke.

Ungakuqinisekisa kanjani ngokunembile ukukhulelwa kwamawele?

Indlela ethembeke kakhulu yokuqinisekisa ukuthi ukhulelwe amawele yini ukwenza i-ultrasound yokukhulelwa. Lokhu kusebenzisa amaza omsindo ukuthatha isithombe sesibeletho sakho. Lokhu kungabonisa ngokucacile ukuthi ukhulelwe yini izingane ezimbili. Lokhu ngokuvamile kungatholakala ngesikhathi sokuhlolwa kokuqala kwe-ultrasound.

Ingabe kukhona umehluko esiswini uma unezingane ezimbili? Uma kuqhathaniswa nesisu esinengane eyodwa?

Yebo, isisu sakho sizoqala ukukhula kusenesikhathi uma usunamawele. Ungase futhi ufune ukuqala ukugqoka izingubo zokubeletha ngokushesha nje lapho uthola ukuthi ukhulelwe. Futhi, izingubo zakho zingase ziqine ngoba uthola isisindo esiningi kunokujwayelekile. Nakuba kuvamile ukukhulisa cishe amakhilogremu angu-30 ngomntwana oyedwa, kuvamile ukukhulisa cishe amakhilogremu angu-50 ngamawele.

Yiziphi izinhlobo zamawele?

Kunezinhlobo ezimbili eziyinhloko zamawele. Lezi yizi:

• Amawele azalwa ngokuzalwa: Lawa ngezinye izikhathi abizwa ngokuthi “amawele azalwa ngokuzalwa.” Kalula nje, lokhu kwenzeka lapho amaqanda amabili evundiswa yisidoda esibili. Lokhu kusho ukuthi izingane ezimbili zizalwa ngamaqanda amabili ahlukene. Ngakho-ke, lezi zingane ezimbili zinezibeletho ezimbili ezihlukene. I-DNA yala mawele ifana neyezingane zakubo zobudala obuhlukene emndenini ofanayo. Lokhu kusho ukuthi zingase zibukeke zifana noma zihluke ngokuphelele. Zingase futhi zibe ubulili obufanayo (owesifazane/owesifazane noma owesilisa/owesilisa), noma zingase zibe ubulili obuhlukile (owesifazane/owesilisa).
• Amawele afanayo: Lawa abizwa nangokuthi "amawele e-monozygotic." Yilapho umbungu, ovundiswa yiqanda elifanayo kanye nesidoda, uhlukana kabili. Yingakho ebizwa ngokuthi "ofanayo" ngoba i-DNA yawo iyafana. Lawa mawele angabelana nge-placenta eyodwa noma angaba nama-placenta ahlukene. Lokhu kuncike ekutheni umbungu uhlukana nini.Amawele afanayo ahlala ewobulili obufanayo. Lokho kusho ukuthi angamantombazane noma bobabili abafana.

Amawele ahlangene ayisimo esingavamile kakhulu. Lokhu kwenzeka lapho umbungu ofanayo wamawele ungahlukani ngokuphelele. Imizimba yezingane iyahlanganiswa, futhi zingase zabelane ngezitho ezibalulekile (isibonelo, isibindi noma inhliziyo). Lokhu akuvamile kakhulu.

Yiziphi izinto ezandisa amathuba okukhulelwa amawele?

Kunezici ezithile ezandisa amathuba akho okuthola amawele. Lezi yizi:

• Ubudala: Uma uneminyaka engaphezu kwengu-35 ubudala, kungenzeka kakhulu ukuthi ukhulule amaqanda angaphezu kwelilodwa ngesikhathi.
• Umlando womndeni: Uma unamawele angabazalwane ohlangothini lukamama wakho (okungukuthi, umama wakho, odadewabo bomama wakho, ugogo wakho), kungenzeka kakhulu ukuthi ube namawele ngokwemvelo.
• Ukwelashwa Kokuzala: Labo abathola ukwelashwa kokuzala okufana ne-'IVF' (In Vitro Fertilization) banethuba eliphezulu lokuthola amawele.
• Ukukhuluphala ngokweqile: Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kuka-30, kungenzeka kakhulu ukuthi ukhulelwe amawele.
• Ukukhulelwa kwangaphambilini: Uma uke waba namawele ngaphambili, kungenzeka kakhulu ukuthi uphinde ube namawele.

Ukwelashwa kokuzala kwandisa kanjani amathuba okuthola amawele?

Kunezindlela eziningana zokuthola amawele ngokwelashwa kokuzala:

• Uma uthatha izidakamizwa ezibangela ukuthi kukhishwe amaqanda angaphezu kwelilodwa ngesikhathi.
• Uma uthatha ukwelashwa kwe-IVF futhi umbungu ongaphezu koyedwa udluliselwa esibelethweni.
• Uma umbungu ufakwe esibelethweni ngemva kokwelashwa nge-IVF uhlukana kabili ekuqaleni kokukhulelwa.

Ukukhulelwa "kwesikhathi esigcwele" kuthatha isikhathi esingakanani kumawele?

Isikhathi sokukhulelwa esimaphakathi sengane eyodwa singamaviki angu-37. Kodwa-ke, ukukhulelwa kwamawele akuvamile ukuhlala isikhathi eside kangaka. Ukukhulelwa kwamawele kuvame ukuhlala phakathi kwamasonto angu-35 kuya kwangu-36 . Lokhu kusho ukuthi kunethuba elikhulu lokubeletha ngaphambi kwesikhathi.

Ukwelashwa kokuvimbela ukubeletha ngaphambi kwesikhathi kulinganiselwe, futhi akuphumeleli ngaso sonke isikhathi. Uma usuqalile ukubeletha okusebenzayo, ayikho indlela yokukuvimba.

Ukunakekelwa kokubeletha kuhluke kanjani ekukhulelweni kwamawele?

Ekukhulelweni kwamawele amabili, kunengozi enkulu yezinkinga kuwe nakubantwana bakho. Ngakho-ke, udinga ukuya kohlolwa ngaphambi kokubeletha kaningi ngesikhathi sokukhulelwa kwamawele amabili. Ngaleyo ndlela, uma kunenkinga, ingatholakala kusenesikhathi.

Ukukhulelwa kwamawele kubhekwa njengengozi enkulu.Lokhu kungenxa yokuthi kunezinkinga eziningi ezingase zenzeke. Esikhathini esiningi, uzothola ukunakekelwa kokubeletha kochwepheshe bezokwelapha komama nomntwana . Laba ngabantu abanolwazi lokuvimbela, ukuxilonga, kanye nokwelapha izinkinga zokukhulelwa okuyingozi kakhulu.

Yiziphi izinkinga ezingaba khona ngokukhulelwa kwamawele?

Ezinye zezinkinga ezingase zihlotshaniswe nokukhulelwa kwamawele zifaka:

• I-anemia: Ukwehla komthamo wegazi emzimbeni.
• Izimo zokuzalwa: Isibonelo, izimo ezikhona lapho kuzalwa, njenge-spina bifida.
• Isifo sikashukela sokukhulelwa: Isifo sikashukela esenzeka ngesikhathi sokukhulelwa.
• Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (i-Preeclampsia): Lesi kungaba yisimo esiyingozi.
• Umkhawulo Wokukhula Kwangaphakathi Kwesibeletho (IUGR): Izingane azikhuli kahle.
• I-Oligohydramnios: Ukwehla kwenani loketshezi lwe-amniotic oluzungeze ingane.
• Ukuphazamiseka kwe-placenta: Ukuhlukaniswa kwe-placenta nodonga lwesibeletho.
• Ukubeletha ngaphambi kwesikhathi: Ukubeletha umntwana ngaphambi kosuku lokuzalwa.
• Ama-Polyhydramnios: Ukwanda kwenani loketshezi oluzungeze umntwana.
• I-Twin-to-twin transfusion syndrome (TTTS): Lokhu kwenzeka lapho amawele afanayo abelana nge-placenta, okuholela ekutheni umntwana oyedwa kuphela athole igazi elanele.

Izinkinga ezengeziwe ezingase zenzeke kumawele angakazalwa ngaphambi kwesikhathi:

Njengoba kushiwo ngaphambili, ngenxa yokuthi amawele avame ukuzalwa ngaphambi kwesikhathi, asengozini yokuthola ezinye izinkinga:

• Ubuchopho buphuma igazi.
• Izinkinga zokuphefumula, njenge-apnea (ukuphumula okufushane kokuphefumula), okubangelwa ukuthi amaphaphu awakhuli kahle .
• Ubunzima bokuhlala ufudumele.
• Izinkinga zokudla.
• Isisindo esiphansi sokuzalwa.
• Izinkinga zokubona, isibonelo, i-retinopathy yokuguga ngaphambi kwesikhathi.

Uzala kanjani amawele?

Ekukhulelweni kwamawele , amathuba okubeletha izingane ngokuhlinzwa (C-section) aphezulu. Kodwa-ke, uma ulindele amawele futhi kungekho zinkinga ezikhethekile, ungazama nokubeletha ngesitho sangasese sowesifazane. Kufanele ukhulume nodokotela wakho ngalokhu bese unquma ukuthi iyiphi indlela engcono kakhulu kuwe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma uthola ukuthi unamawele, ngakolunye uhlangothi...Kuvamile ukuzizwa ukhungathekile futhi udidekile, kodwa futhi nokuzizwa ukhungathekile futhi ukhungathekile. Imibuzo efana nokuthi "Uzobanakekela kanjani abantu ababili?" "Ingabe ngizodinga okuphindwe kabili kukho konke?" ingase ivele. Lokho kungokwemvelo kakhulu.

Into ebaluleke kakhulu ukuthi kubalulekile ukuya kohlolwa njalo kwezokwelapha ngesikhathi sokukhulelwa kwamawele. Ngoba, njengoba kushiwo ngaphambili, ingozi yezinkinga inkulu. Futhi, kunethuba elikhulu lokuthi izingane zakho ezimbili zizoza kuleli zwe kusenesikhathi.

Nakuba amawele evame ukubeletha ngokuhlinzwa kokubeletha, khuluma nodokotela wakho mayelana nokuthi ungabeletha yini ngesitho sangasese sowesifazane. Yabelana nganoma yimiphi imibuzo noma ukukhathazeka onakho nodokotela wakho. Bakhona ukukusiza. Akudingeki ukuthi udlule kulolu hambo wedwa. Ngikufisela inhlanhla wena nezingane zakho!

Ukukhulelwa Kwamawele , Amawele, Ukukhulelwa, Ukunakekelwa Kwangaphambi Kokubeletha, Ukuzalwa Kwamawele, Izinkinga Zokukhulelwa