Diamnioticheskaya twins dichorionic - kuyini? Izinkinga zokuthuthukiswa diamnioticheskoy twins dichorionic

Diamnioticheskaya twins dichorionic - akukhona okungavamile ukuba likhithike kulezizinsuku. Izibalo ebonisa ukuthi iningi lokhu nokukhulelwa izingane eziningi ngasikhathi besifazane oneminyaka engu-35 kuya ku-39. Izizathu zalokhu kokukhulelwa bakholwe ukushintsha kwama-hormone emzimbeni, kuhlanganise i-hormone ukushukuma ekwelapheni izifo gynecological. twins okunjalo sizalelwe 30% amacala kaningana. Uma ukuvama twins correlate nge isibalo sokukhulelwa Singleton, wabe esekhonza iminyaka yonke ukubeletha evamile 100 kukhona 4-5 diamnioticheskih twins dichorionic.

Kuyini diamnioticheskaya twins dichorionic?

Kwezokwelapha, kukhona izinhlobo ezine amawele, okuyinto kuphakama kuphela ezimbili izindlela isisu:

• Lapho ngesikhathi esifanayo noma ngezikhawu kuze amasonto amabili iqanda eselivundisiwe ngu isidoda ezimbili ezihlukene. Njalo izinyane ungaphakathi ehlukile sac amniotic futhi ine-placenta lalo. Lokhu sokukhulelwa libizwa diamnioticheskoy twins dichorionic. Izingane zingaba ubulili ezahlukene kanye ukubukeka ezahlukene.
• Lapho leli ngqamuzana liyahlukana egcwele ingxenye ezimbili ngemva kwenkathi ethile yesikhathi emva kokukhulelwa. Uma division iphutha phakathi nezinsuku ezingu-2-3, izithelo ngamunye kungaba ahlukene sac amniotic futhi placenta yayo. Uma division livelile esikhathini kamuva, kusukela izingane kanye chorion, futhi amnion zivamile. It zinganikezwa chorion kuphela noma nje sac fluid. Lokhu sokukhulelwa ibizwa ngokuthi amawele monochorionic (diamnioticheskoy noma monoamniotic). Izingane kufanele isethi efanayo-chromosomes futhi ukubukeka ezifanayo nobulili.

Twins diamnioticheskaya dichorionic ngeviki

Nquma khona amawele hardware can 5-6 kuphela esesibelethweni. Usola phambi kwezingane ezimbili wezifo zabesifazane can uma zibhekwa kuphela kusukela 9-10 ngesonto th. Ngalesi sikhathi, isibeletho siqala ukufinyela ukhule ngezinga elikhulu futhi isikhathi kungahambisani Ubukhulu. Ukukhulelwa amawele ngokuvamile ehambisana nobutha toxicosis ekuseni. Kwenzeka nzima kakhulu kunokuba e ukukhulelwa Singleton, ungabuyela emuva kwesikhathi. Lokhu ekhulelwe elilungile esengeziwe omama nezingane kuka monochorionic. Cabanga indlela ukuthuthukisa diamnioticheskaya twins dichorionic amasonto.

senyanga yokuqala

• 1-4-th ngesonto akazange zihluke ukukhulelwa Singleton, kuphela - toxicosis zingavela ngesonto emva kokukhulelwa.
• amasonto 5-8 mina: ubude ingane ngayinye ingani 2 cm ekupheleni kwesonto 8. Tau bakheké ngokuphelele. Kwakukhona iminwe, kodwa asenawo ulwelwesi. Kwakheka umzanyana, placenta namanje aqhubeka aguquka. Umama toxicosis. Kuyinto inkathi eyingozi kakhulu ukuba ngisikhiphe isisu.
• amasonto 9-12: isikhathi ukwenza i-ultrasound. Ucwaningo luqinisekisa ukuthi abesifazane diamnioticheskaya twins dichorionic. Izingane wabeka amazinyo, ekupheleni ethemini kwezitho zobulili akhiwa. Izingane abe nobude 6 cm kanye isisindo 6-9 g ngu ekupheleni kwesonto 12 amathuba liyancipha yisisu.

senyanga yesibili

• amasonto 13-16: esiswini abakhulelwe ubukeka zibukeke kumaviki awu 2 amabili isikhathi eside kunaleso e ukukhulelwa Singleton, isivele kuyabonakala. Izingane ukukhuthalele ezihambayo, uhwaqabale, ncela iminwe, ukulala eziningi, uvuke cishe kanye ngehora.
• amasonto 17-20: izingane imilenze ezinhle umsindo izingalo, ukukhula sebezofunda 25 cm kanye isisindo 300 g Ezinganeni kakade esebenza ngokugcwele amathumbu, bona ngokuzimela wabhala kwi-amniotic fluid, lokuyintfo olusha izikhathi eziningana ngosuku. Kungenzeka polyhydramnios.
• ngesonto 21-24-th: ziqala ukuvuthwa emaphashini. A ukhulelwe kungaphumela ubuhlungu emhlane nasemilenzeni zigcwala. Izingane nesisindo 600 Ngalesi sikhathi, i-ultrasound scan lungacacisa ubulili, ukuxilonga khona noma ukungabi khona kombungu esizalweni, dichorionic diamnioticheskaya amawele isithombe sibonwa.

yokuthathu yesithathu

• amasonto 25-28: Izingane buthelela namanoni, ekuthuthukiseni kwemizwa uhlelo, umbono nokuzwa, apharathasi vestibular. Umama phansi kwesibeletho antante cm 30 kusukela endaweni pubic.
• amasonto 29-32: izingane libe maphesende ama-37 cm kanye isisindo 1.3-1.6 kg. Phakathi nale nkathi, ukwenza i-ultrasound, okuyinto ikuvumela ukuba kutholakale ukulungela izingane lokuzalwa, ukuthola kwezinso ku chorion futhi omnione, ukubikezela kanye nepulani lokuqalisa i-labour.
• amasonto 33-36, izingane nesisindo mayelana 2 kg, palpitations babe amabhithi mayelana 120 ngomzuzu. I kwekhanda lengane ngayinye liyashona, wesibili ngokuvamile itholakala breech. Ngu ngesonto lama-36, owesifazane angaba abelethe nganoma yisiphi isikhathi.
• amasonto 37-40: izingane ngokugcwele ukulungele azalwe, ukuphakama kanye nesisindo, abasaleli ngemuva ontanga yabo Singleton. Ngokuvamile, izingane izoba 37-38 ngesonto th. A awokuthi kulondolozwe kuhlelwe yokukhulelwa ngaphambi kokuzalwa. Ukuze lesi sikhathi umama isisindo inyuka ngo 15-17 kg.

Owesifazane ubelethe amawele bebodwa?

Uma owesifazane dichorionic diamnioticheskaya amawele, ukulethwa kungenzeka njengendlela yemvelo, futhi ngosizo yokuqokwa Ukubeletha. Konke kuncike inkambo sokukhulelwa kanye nezinkinga ezihlobene. Uma uhlobo oluthile abakhulelwe okunzima toxemia ngasekupheleni, preeclampsia, emithanjeni ezinzima varicose nezinye izinkathazo ngodlame Cishe Ukubeletha. Omama eyenziwa ngaleso transverse noma breech kokubili izingane. Isinqumo esithathwe yi-odokotela emiphumeleni ultrasound amaningi futhi kugcinwa inkambo sokukhulelwa. isimo eliphezulu ukuzalwa zemvelo kuyinto isethulo cephalic kokubili izingane, uyamukeleka njengoba isethulo cephalic Kolunye lwazo futhi ngezinyawo - yesibili. Kwezinye izimo, awokuthi kokwenza caesarean.

Twins kanye ultrasound

Uma esolwa dichorionic diamnioticheskaya amawele, isithombe ultrasound kuyalifakazela iqinisweli kuphela inkathi 5-6 ngesonto. Ezigabeni kamuva (amasonto 32-36) kungaba hardware "ukulahlekelwa" ingane eyodwa. Lokhu kungenxa yokuthi umntwana ultrasound ligamanxa yesibili nezokugcina iba umshini ongabonakali. Twins Ukukhulelwa kudinga njalo ultrasound Luhlolo ngokuqondene ingozi kwezinso kanye nezinkinga ezinganeni. Ucwaningo kwenza kube nokwenzeka ukusungula:

• thayipha zygosity kwamawele;
• ukubaluleka izingane;
• amacebo ikusasa ekuphathweni labour;
• uzwakalise zokugula izingane noma omunye wabo;
• khona polyhydramnios noma oligohydramnios ngamunye wabo;
• ibhayomethrikhi, ukuthuthukiswa, kulingana inkathi sokukhulelwa;
• kucwila ka omunye imibungu ngasiphi isigaba ungagcina umntwana wesibili ngaphansi kwezimo ezikahle, amathuba asathuthuka izifo futhi kombungu e ingane ephilayo akuyona ezingaphezu kuka-10%.

izingozi twins

Dichorionic twins diamnioticheskaya eba ngaphezulu kahle kuka monozygotic. Lokhu kungenxa yokuthi izingane ukwehlukanisa amniotic sac futhi yi-placenta, bekulokhu kukhona kusukela nomunye zizimele. Noma kunjalo, lezi zingane nazo asengozini. Omunye wabo wokudamba of omunye imibungu. Ukhathazeke akufanele kube. Uma wokudamba okuye kwaba khona phakathi senyanga yesibili futhi kamuva mummified umbungu efile ukuthi akuyona eyingozi kukamama kanye nengane yakhe yesibili. I ingozi yesibili ematfuba nesenzakalo polyhydramnios ngenxa yokuthi ngegazi shunt phakathi placentas kabusha izingane eyodwa enkulu, ngenxa okuyinto ngaphezulu pisaet umntwana, futhi kancane kancane kwakheka hydramnion. Kule ndaba, izingane zingaba ziyashiyana ngesisindo. Kusukela 32 ngesonto th, izingane ziqala ukuba zisale ngemuva ekukhuleni kanye nesisindo. Ezinganeni-ke akuyona ingozi, it akuphazamisi ukuthuthukiswa engqondweni nasemzimbeni leli qiniso. I-lag kungenxa yokuthi kwesibeletho uhlala isikhala kancane. Emva kokuzalwa izingane ngokushesha abambe kuze phezu ubude nesisindo ontanga yabo.