Diamnioticheskaya amawele dichorionic - ntoni na? Iingxaki zophuhliso diamnioticheskoy amawele dichorionic

Diamnioticheskaya amawele dichorionic - ivamile kule mihla. Iinkcukacha-manani ibonisa ukuba uninzi oku ukukhulelwa ezininzi amabhinqa abaneminyaka engama-35 ukuya 39. Izizathu zoku ukuchumisa bakholelwa utshintsho hormone emzimbeni, kuquka hormone ukuvuselela kwi unyango ukuphazamiseka yamanina. amawele enjalo wazalwa ngo-30% amatyala abakhulelweyo ezininzi. Ukuba nezihlandlo amawele masihambelane inani nokukhulelwa singleton, ngoko wonke yokuzalwa eziqhelekileyo 100 ezi 4-5 amawele diamnioticheskih dichorionic.

Yintoni diamnioticheskaya amawele dichorionic?

Xa amayeza, kukho iindidi ezine amawele, leyo kuvela kuphela kwendlela ezimbini kwesisu:

• Xa ngexesha elifanayo okanye ngamakhefu de kwiveki ezimbini iqanda ngababini isidoda ezahlukeneyo. Wonke kid kwi sac eyahlukileyo amniotic kwaye beendawo yayo. Le ukukhulelwa ibizwa diamnioticheskoy amawele dichorionic. Abantwana banokuba isini ezahlukeneyo ubheka ezahlukeneyo.
• Xa iseli iyahlula zibe yinxalenye emibini epheleleyo emva kwexesha elithile emva kokukhulelwa. Ukuba ukwahlukana kwenzeka kwiintsuku 2-3, iziqhamo ngamnye inokuba sac eyahlukileyo amniotic kunye beendawo yayo. Ukuba ukwahlukana kwenzeke kwixesha kamva, ukususela amatakane kunye chorion, kunye amnion zixhaphakile. It kungabelwana chorion kuphela okanye kuphela sac fluid. Le ukukhulelwa kuthiwa amawele monochorionic (diamnioticheskoy okanye monoamniotic). Abantwana efanayo zofuzo kunye nenkangeleko efana kunye nesini.

Twins diamnioticheskaya dichorionic neveki

Ukumisela ubukho amawele yentsimbi ayikwazi 5-6 kuphela iiveki sokukhulelwa. Usola ebusweni abantwana ababini ugqirha angakwazi xa zingajongwa kuphela ukusuka kwiveki 9-10 th. Kuphela eli xesha, isibeleko siqalisa ukukhula ngakumbi gqitha yaye isithuba ne ngokwamacala. Ukukhulelwa amawele soloko ilandelwa yi toxicosis ekuqaleni. Oku kwenzeka kakhulu nzima ngaphezu zokukhulelwa singleton, unako ukubuyela emva. Le ukukhulelwa kangangoko ngakumbi oomama nabantwana ngaphezu monochorionic. Cinga ngendlela ekuphuhliseni diamnioticheskaya amawele dichorionic iiveki.

ekhulelwe

• 1-4-th veki akazange zahlukile nokukhulelwa singleton, kuphela - toxicosis babonakale iveki emva kokukhulelwa.
• 5-8 iiveki I: ubude umntwana ngamnye 2 cm ekupheleni kweveki 8. Tau eyakhiwe ngokupheleleyo. Kwakukho iminwe, kodwa kusafuneka ukuba ndizayo. Obumbe imfesane yosana, ngumkhaya usaqhubeka nokuguquguquka. Umama toxicosis. Yeyona xesha yingozi isisu.
• iiveki 9-12: ixesha lokwenza ultrasound. Uphando lungqina ukuba abafazi diamnioticheskaya amawele dichorionic. Zingane wabeka amazinyo, ekupheleni kwekota amalungu esini akhiwa. Abantwana babe ubude 6 cm kunye nobunzima 6-9 g Ekupheleni kweveki 12 amathuba ucutho kwezisu.

ezintathu yesibini

• kwiiveki 13-16: isisu okhulelweyo ukhangela abangaboniyo ngo-2 iiveki ezimbini ngaphezu zokukhulelwa singleton, sele ibonakale ngokucacileyo. Abantwana ngenkuthalo ezihambayo, zobuso, wanyisa iminwe, balale iqashiso, bavuke malunga kanye iyure.
• 17-20 iiveki: amatakane imilenze elungileyo bethenga neengalo, ukukhula ukuba zimalunga-25 cm kunye nobunzima 300 g Xa abantwana sele asebenza ngokupheleleyo amathumbu, bona ngokuzimeleyo babhala fluid, ehlaziywa izihlandlo eziliqela ngemini. Kungenzeka polyhydramnios.
• kwiveki 21-24-th: ziqala ukuvuthwa emiphungeni. A ukhulelwe buhlungu ngasemva kunye imilenze ukudumba. Kids inobunzima 600 Ngeli thuba, i-scan ultrasound Ungakwazi ukucacisa isini, ukuba ukufumanisa ubukho okanye ukungabikho malformations iziphene, amawele diamnioticheskaya dichorionic kwifoto nto ibonakala ngokucacileyo.

senyanga yesithathu

• kwiiveki 25-28: abantwana namafutha, okhulayo luvo inkqubo, umbono kunye nokuva, izixhobo vestibular. UMama ezantsi isibeleko liphuma ku-30 cm ukusuka kwindawo zikawonke wonke.
• kwiiveki 29-32: kids lokukhula eliyi-37 cm kunye nobunzima 1.3-1.6 kg. Ngeli xesha, wenze ultrasound, nto leyo evumela ukuba ukujonga ukukulungela kwabantwana ukuya ekuzalweni, ukuba ukungaphili kwi chorion kunye omnione, ukuqikelela kunye nesicwangciso ngemigudu.
• kwiiveki 33-36, iintsana nobunzima-2 kg, iyangongoza kufuneka malunga 120 ibetha ngomzuzu. Intloko umntwana omnye ehla, le yesibini ngokuqhelekileyo akhiwe kule breech. Kwiveki 36, kukho umfazi kuzala nangawuphi na umzuzu.
• kwiiveki 37-40: i kids ngokupheleleyo ulungele azalwe, ubunzima ubude, barhuqe emva noontanga babo singleton. Amaninzi, abantwana baya kuba 37-38 ngeveki th. A okuba eliphezulu ulondolozo olucwangcisiweyo ukukhulelwa phambi kokuzalwa. Eli xesha ukhula ubunzima Umama ngu 15-17 kg.

Umfazi kuzala amawele ngokunokwabo?

Ukuba umfazi diamnioticheskaya dichorionic amawele, ukunikezelwa zingenzeka njenge ndlela yendalo, yaye ngoncedo kwicandelo ekunokukhethwa ngoqhaqho. Konke kuxhomekeke ikhondo ukukhulelwa kunye nezigulo ezinxulumene. Ukuba uhlobo okhulelweyo nolokungcungcuthekisa toxemia kade, yokukhulelwa, imithambo kakhulu varicose, kunye nezinye iingxaki mandundu kusenokwenzeka kwicandelo ngoqhaqho. Omama oluqhutywa phaya ezinqamlezayo okanye breech zombini iintsana. Isigqibo esithathwe amagqirha imiphumela ultrasound ezininzi kunye kokuma ikhondo yokukhulelwa. karhulumente eliphezulu ukuzalwa yendalo intshumayelo cephalic zombini abantwana, kwamkelekile njengoko ntetho cephalic womnye kubo nonyawo - yesibini. Kwezinye iimeko, amathuba omkhulu ekwenzeni ngoqhaqho.

Twins ultrasound

Ukuba kuyakrokreleka amawele diamnioticheskaya dichorionic, photo ultrasound kungqina oko ngesithuba kuphela ngeveki 5-6. Kumanqanaba kamva (iiveki 32-36) ingaba zekhompyutha "kokulahlekelwa" watsho omnye umntwana. Oku kungenxa yokuba usana kwi ultrasound esilala owesibini nowokugqibela iba umatshini ezingabonakaliyo. Twins Pregnancy ifuna iimviwo ultrasound lwaqho ngokunxulumene umngcipheko ezingaqhelekanga kunye neengxaki ebantwaneni. Olu phando yenza kube lula ukuseka:

• chwetheza zygosity kwamawele;
• ugqitho lwe abantwana;
• amaqhinga elizayo ulawulo lwabasebenzi;
• wavakalisa abantwana ngezifo okanye omnye wabo;
• ubukho polyhydramnios okanye oligohydramnios ngamnye kubo;
• iibhayometrikh, uphuhliso, ingqinelana nexesha yokukhulelwa;
• eshona enye imibungu ngalo naliphi na ixesha ungagcina umntwana wesibini phantsi kweemeko kakuhle, ukuba nokwenzeka yokuphuhlisa izifo kunye malformations kwi umntwana ophilayo ayikho ngaphezu kwe-10%.

iingozi amawele

amawele Dichorionic diamnioticheskaya iphuhlise ngakumbi kakuhle ngaphezu monozygotic. Oku kubangelwa yinto yokuba abantwana bazahlule fluid sac kunye ngumkhaya, ke komnye bazimele. Noko ke, aba bantwana nazo usengozini. Enye yazo ebunayo omnye imibungu. Ungakhathazeki malunga kufuneka kube. Ukuba ebunayo yenzekile ngexesha leenyanga ezintathu yesibini yaye kamva zidumbu engekazalwa abafileyo oko kuyingozi ukuba umama umntwana wakhe wesibini. Ingozi yesibini yindlela polyhydramnios ukwenzeka ngenxa yokuba ngalo igazi shunt phakathi komgcantsi kwakhona ukuba abantwana omnye omkhulu, ngenxa apho ngakumbi pisaet baby, yaye ngokuthe ngcembe bakha hydramnion. Kule nkalo, abantwana ziyahluka ubunzima. Ukuqalisa ukusuka kwiveki 32 th, abantwana baqala barhuqe emva ekukhuleni kunye nobunzima. Kuba abantwana ukuba akuyongozi, ayichaphazeli uphuhliso engqondweni nasemzimbeni ngayo oku. Le lag kungenxa yokuba isibeleko ihlala kancinane. Emva kokuzalwa zamatakane ngokukhawuleza ukubamba phezu ubude kunye nobunzima noontanga babo.