Mukati
Kubata kwepamuviri kunoonekwa neyakaomesesa maitiro ayo maitiro. Vakadzi vakatakura vana vaviri vari pasi pekutariswa kwepedyo kwechiremba munguva yese yepamuviri. Vanotarisira amai vanonyorerwa mishonga yakasarudzika inoita kuti kubata kuve nyore uye nekudzora njodzi yekuparara. Kunyangwe mumatanho ekutanga epamuviri, maficha anoonekwa anoratidza maitiro ekuziva nezve nhumbu yakadaro.
Kubata pamuviri kwakawanda ndiko kukura kwevaviri kana kupfuura fetus mu uterine cavity.
Nezve nhumbu yakawandisa
Kuwanda kwekuonekwa kwemimba yakawanda inobva ku1.5-2.5%. Sezvo mutemo, pamuviri ane 2 kana kupfuura fetus inowedzera mune avo vakaroorana apo mumwe kana vabereki vose vakazvarwa mumapatya / katatu. Ichi chirwere chekudzivirira chinowanzoparidzirwa kuburikidza nemutsara wevakadzi. Munguva pfupi yapfuura, kuwanda kwekuzvitakura kwakawanda kwakawedzera nekuda kwekushandiswa kwemaitiro ekubatsira kubereka nzira. Imwe mupiro inoitwawo nehomoni yekudzivirira kubata pamuviri, mushure mekubviswa kwayo, kazhinji 2 kana kupfuura oocyte inotanga kukura mu ovary. Zvadaro, vanogona kusangana ne 2 spermatozoa, izvo zvinozotungamirira mukugadzirwa kwe dichorionic diamniotic mapatya.
Kuzvitakura kwakawanda imimba ine njodzi huru uye kuzvara mwana. Kubata kwakadaro kwakabatana nenhamba yakawanda yezvinetso panguva yekuzvitakura uye kubereka, uye kudiwa kunowanzodiwa kwechikamu cheKesariya. Munguva yepuerperal, chibereko chaive chakanyanyisa kudarika chinowanzoita kuderera zvakanyanya kupfuura mushure mekuita mimba ye singleton. Somugumisiro, kuwanda kwehutachiona uye kuputika kwemashure ekuberekwa kunowedzera. Kubudirira kwekosi uye kupedzwa nenguva kweiyo gestational process kunoenderana, kune rumwe rutivi, pamamiriro emuviri waamai uye chorionicity yemapatya, uye kune rumwe rutivi, pahunyanzvi hwevanachiremba vanobata pamuviri uye. kuzvara.
Zvinoenderana nemirairo yekiriniki, ine nhumbu dzakawanda, zvinodikanwa kuti uone chiyero chechorionality uye amnionality. Ngatione kuti chii.
- Chorion ndiyo placenta yeramangwana. Sarudzo yakanyanya kunaka ndeye kana fetus imwe neimwe ine chorion yayo. Ichi chimiro chinopa chikafu kune chiri kukura chipenyu uye chinokonzeresa metabolic maitiro.
- Amnion ndiyo membrane ye fetus inoumba amniotic sac. Iyo yekupedzisira mukati izere neamniotic fluid (amniotic fluid). Kana fetus imwe neimwe ine amnion yayo uye placenta yayo, saka pamuviri wakadaro une njodzi dzakaderera dzekudzivirira kana ichienzaniswa nemonochorionic monoamniotic mapatya.
Nekuzvitakura kwakawanda, kuwanda kweiyo yakarongwa ultrasound inorongeka yehukuru hwepamusoro pane ine singleton nhumbu. Izvi zvakakosha pakutanga kuongororwa kwezvipingamupinyi zvakananga zvekudzivirira, izvo zvinogona kuitika chete ne 2 kana kupfuura fetus muchibereko. Nhamba yekuongorora ultrasounds inobva pane chorionicity ye fetus.
Zviratidzo zvepamuviri pamuviri
Kune mhando mbiri dzenhumbu dzakadai: monozygotic uye kaviri zai. Mhando yega yega ine hunhu hwayo, izvo zvakakosha kuti zviongororwe kana uchitakura vana.
Kune mhando mbiri dzenhumbu dzakadai, imwe neimwe iine hunhu hwayo.
- Rumwe-zai mhando. Mushure mekusangana, zai rechikadzi rakakamurwa kuita zvikamu zvakaenzana. Nekuda kweizvozvo, vana vanozvarwa zvakafanana: ndevepabonde rimwe chete, zvakafanana pakuonekwa, vane mavara akafanana, pamwe nehumwe maitiro ehurwere. Izvi zvinokonzerwa netsaona yegadziriro yemagen'a mumuviri wevana.
- Maviri-akatarisana mhando. Kuti nhumbu iyi iitike, zvinofanirwa kuti mukadzi ave nemazai maviri panguva imwe chete, inozoiswa urume nehurume. Vana vakadaro havana kufanana zvakanyanya kune vamwe, vanogona kunge vaine hunhu hwakasiyana uye neakasiyana magene.
Rudzi rwechipiri rwepamuviri rwakajairika uye rwune hunhu hwakasiyana. Nenhumbu yakadai, bonde revana rinowanzove rakasiyana.
Kuratidzwa kwezviratidzo zvepamuviri nemapatya
Zviratidzo zveiyi nhumbu ndezvi:
- Toxicosis inozviratidza kwazvo kutanga, kazhinji mumazuva ekutanga ekunonoka;
- Dhimini;
- Iko kushatirwa kwakanyanya uye kunouya pakutanga;
- Iko kugona kwekuona kubata nepamuviri nemuedzo pakutanga kwekunonoka kunowedzera. Mutsara wechipiri unogona kuoneka kare mumazuva ekutanga;
- Kukura kwedumbu kunopfuura zvakajairika;
- Paunenge uchipa ropa kune hCG, zviyero zvepamusoro zvinoonekwa.
- Kurera huremu zvakare kunokurumidza;
Zvakaoma kusarudzira hunhu hwepamuviri hwakadai, nekuti zvinowirirana zvakanyanya nehunhu hwepamuviri, asi mutsauko wavo mukuru kusimba kwavo kwakasimba.
Mimba yakadai inonetsa pamuviri wemukadzi kupfuura zvakajairwa.
Pamatambudziko akajairika anomuka mukuita kwawo, anotevera anowanzoitika:
- Mapapu nematambudziko emwoyo. Nekuda kwekuwedzera kukuru muchibereko, basa renhengo idzi rinodzikira, saka mukadzi ane nhumbu anofanira kunge ari pasi pekutariswa kwepedyo nenyanzvi.
- Kufema kwekufema. Nekuda kwematambudziko nemapapu nemoyo, pamwe nekuwedzera uremu, vakadzi vanoona kushomeka kwakanyanya kwekufema, uye zvinobva zvavaomera kuti vaite chero chiitiko.
- Kuneta. Inomuka nekuda kwezvikonzero zvakafanana. Vasikana vane nhumbu yemapatya kazhinji havana simba rekuita chero basa repamba kana zvimwe zviitwa.
- Panogona zvakare kuve nematambudziko neakanyanya system yemuviri. Nekuda kwekuwedzera kwehukuru hwechibereko, kuzvimbirwa uye kugara uchikurudzira kuita weti kunogona kuoneka.
Nekuda kwekunetseka kwakadai, chiremba ari pasi pekutarisa musikana ane nhumbu anofanira kunyatso chenjera. Zvakare, amai vari kutarisira ivo pachavo vanofanira kuongorora mamiriro avo.
Kunyangwe zvingave zvakaoma kubata pamuviri nevana vaviri, nekutarisirwa kwakakodzera, vana vanozozvarwa vaine hutano. Vakadzi vakatakura vana vaviri vanogona kuve nekuzvara kwavo kana kuve nechikamu chekuregedza. Dzimwe nguva sarudzo yechipiri haidzivisike nekuda kwenzvimbo isiriyo yevana vari mudumbu kana zvimwe zvikonzero. Panguva yekuzvitakura, mukadzi anofanira kutora mavitamini kuti abatsire kusimbisa hutachiona hwevana vake, pamwe nekudzora njodzi yekuzvarwa nekuremara mavari.