Masiku ano, kawirikawiri mumatha kuona amayi omwe ali ndi mapasa, katatu, ndipo nthawi zina ndi kotala. Chifukwa cha kukula kwa mapasa, tifunikira choyamba kuyamikila matebulo amakono. Komabe, kwa amayi ena kuthekera kwa kutenga mimba zambiri kumakhala kobadwa mthupi. Taganizirani momwe kukula kwa mimba yambiri imachitikira sabata.
Mimba yambiri m'mayambiriro oyambirira
Kutenga ndi zipatso zingapo, monga lamulo, kumakhala kovuta kwambiri, pangozi yowonjezereka kwambiri, nthawi ya mimba imatha kuchepa: mapasa amawonekera pafupi masabata 37, katatu - pamasabata makumi atatu, masabata makumi asanu ndi atatu.
Masabata oyambirira a mimba zambiri amakhala ofanana ndi mwana mmodzi. Komabe, ndi mphindi ino (pamasabata 2-4 okhudzidwa ndi mimba) kuti ndi ana angati omwe adzabadwa posachedwapa. Pa sabata lachisanu ndi chimodzi pali kuchedwa, ndipo mkaziyo amapeza za "malo osangalatsa", ngakhale chiwerengero cha ana chikadali chinsinsi chake. Komabe, kumayambiriro kwa mimba yambiri kungakhazikitsidwe mothandizidwa ndi ultrasound. Ngati pathupi pakhala pothandizidwa ndi IVF, mimba yambiri yobereka pa masabata asanu ndi asanu ndi asanu ndi asanu ndi awiri ndi asanu ndi awiri ndizofunikira.
Chizindikiro china cha mimba zambiri ndi kuchuluka kwa chorionic gonadotropin m'magazi a mayi wamtsogolo. Monga lamulo, zomwe zili ndi hCG pa nthawi zingapo zimakhala zofulumira, mofanana ndi chiwerengero cha zipatso.
Pa masabata 6 mpaka 9 ndi kukhazikitsidwa kwa ziwalo zonse ndi machitidwe, ndipo iyi ndiyo nthawi yoopsa kwambiri, popeza kuti kulephera kulikonse kungayambitse chitukuko, kutaya pathupi kapena kutenga pakati (kamwana kamodzi kokha kamatha kufa, mazira otsala amakhala ndi mwayi wopulumuka). Panthawiyi, madokotala amalimbikitsa kuti mayi wamtsogolo azipewa kugonana. Kuonjezerapo, ndi nthawi ino yomwe mayi amaphunzira zokondweretsa za toxicosis. Toxicosis mu mimba yambiri imakhudza pafupifupi amayi onse apakati, imakhala yovuta kwambiri komanso yotalika - mpaka masabata 16.
Pakadutsa sabata lachisanu ndi chiwiri ndi mimba yambiri, mimba yayamba kale kuonekera ndipo idzapitirira kukula mofulumira kusiyana ndi kukhala ndi pakati. Ana amapangidwa mwakhama ndipo amatha kusuntha.
Pa masabata khumi ndi awiri ndi mimba yambiri, ultrasound yachitidwa ngati gawo la kuyang'ana koyamba pa nthawi ya mimba . Nthawi zina ndi nthawi yomwe mayi amadziwa kuti akuyenera kukhala mayi wa ana angapo nthawi imodzi. Gawo loopsa lidapitsidwanso: chiopsezo chotenga padera chimachepetsedwa.
Kukula pamodzi
Pa masabata 13-17, chipatso chimakula mofulumira, zomwe zikutanthauza kuti chilakolako cha mayi wam'tsogolo chimakula. Zakudya zabwino zokhudzana ndi mimba zingapo ziyenera kukhala zoyenera, zakudyazo ziyenera kukhala ndi zakudya zambiri zomwe zili ndi mapuloteni, ma vitamini B, C, komanso calcium ndi chitsulo. Idyani bwino pang'ono pokha, koma nthawi zambiri (kasachepera kasanu pa tsiku).
Pa nthawi ya masabata 16 mpaka 22, kuyerekezera kachiwiri kumachitika, zomwe zikhoza kuwonetsa kuchuluka kwa chiwerengero cha AFP ndi hCG - chifukwa cha mimba yambiri izi ndi zachilendo. Amayi ambiri amayamba kukhala ndi moyo watsopano mwawo wokha: mavuto omwe amabwera chifukwa chokhala ndi pakati amamvekanso nthawi imodzimodzimodzi ndi singleton. Ana amadziwa kale kukhalapo kwa wina ndi mzake, kukhudza anansi awo, kugona ndi kukhala maso nthawi yomweyo.
Kuchokera pa sabata lachisanu ndi chiwiri la mimba, makombo amamva bwino, amasiyanitsa pakati pa kuwala ndi mdima. Koma amayi anga ali ndi vuto: mimba ikukula siimapweteka pachifuwa chonse ndi kupindika, pangakhale ululu kumbuyo ndi miyendo, kutsekemera kumaonekera pakhungu, kupweteka kwa mtima ndi kudzimbidwa. Thupi limagwira ntchito pang'onopang'ono, choncho varicose, magazi, magazi, ndi gestosis ndi mimba yambiri imabwera nthawi zambiri. Panthawi imeneyi, chipatala kuchipatala cha amayi otha msinkhu n'chotheka.
Pa masabata 25-29 ndikutuluka kwa mchitidwe wamanjenje ndi kupuma, ana amayamba kutaya mafuta, kukula kwawo kumayima. Kale tsopano ndi kofunika kuti mukhale ndi khadi losinthanitsa ndi inu nthawi zonse. Kuchokera pa masabata makumi asanu ndi atatu (28) amayi omwe ali ndi pakati amachoka pa nthawi ya amayi oyembekezera, yomwe idzatha masiku okwana 194.
M'masabata omaliza a mimba yambiri, mayi nthawi zambiri amakhala kuchipatala, moyang'aniridwa ndi madokotala nthawi zonse. Ultrasound (ndipo pambali pake dopplerometry ndi CTG ya mwana wosabadwa ) tsopano ikhoza kuchitika mlungu uliwonse. Panthawi ya ultrasound, yesani mkhalidwe wa placenta ndi kuthekera kwa kubereka kwa thupi (ngati zipatso ziri pansi). Komabe, kugwira ntchito mu mimba yambiri mu 70% ya milandu imachitidwa mothandizidwa ndi gawo la chakudya.