Diamnioticheskaya monochorionic menyuam ntxaib. monochorionic menyuam ntxaib

Diamnioticheskaya monochorionic menyuam ntxaib - qhov no yog feem ntau cov ntaub ntawv ntawm tib menyuam ntxaib. Yuav kom leej, nws yog tus menyuam ntxaib. Tab sis nyob rau hauv cov tshuaj lawv tseem xa mus rau raws li cov menyuam ntxaib. Lub sij hawm "monochorionic" txhais tau hais tias cov me nyuam ib tug rau ob lub tsev me nyuam. Ntawm cov hoob kawm, nws tsis yog nyuaj rau twv hais tias qhov no yog tsis zoo heev. Nws feem ntau tshwm sim hais tias ib tug me nyuam hauv plab tsim sai heev suppresses lwm yam, absorbing ntau cov as-ham. Raws li ib tug tshwm sim, cov me nyuam yuav yug los nrog ib tug tseem ceeb sib txawv nyob rau hauv ceeb thawj.

hom menyuam ntxaib

Zoo siab niam tos menyuam ntxaib, ib txwm intriguing lo lus nug ntawm seb nws cov me nyuam me zoo li txhua lwm yam, los yog lawv cov kev zoo sib thooj yuav tsis tseem ceeb. Tu siab, nws yog ib txwm ib tug surprise. Nyob rau hauv ua ntej thiab tseeb rau tshawb nrhiav qhov kev loj hlob ntawm cov menyuam ntxaib tsis tau tsis muaj tus kws kho mob. Tab sis, yog hais tias heev meej txiav txim uas cov menyuam ntxaib ib tug poj niam, nws yuav tau mus ua ib tug txaus bold hau kev yuav txog cov me nyuam thiab lawv cov degree ntawm kev zoo sib thooj. Yuav kom ua tau li ntawd, tshwj xeeb tshaj yog nyob rau hauv thaum ntxov ua sawv ntawm cev xeeb tub, nws yog ib qho yooj yim.

Tsuas muaj ob hom ntawm cov menyuam ntxaib: monozygotic thiab dizygotic menyuam ntxaib. Nyob rau hauv lem, lawv yuav tsum tau muab faib mus rau hauv subtypes. Nyob rau hauv qhov tseeb, hais tias yog dab tsi tus menyuam ntxaib niam, lom zem ntau thiab txiav txim seb lub complexity ntawm lub tswv yim uas cev xeeb tub, txaus ntshai thiab mob txuam nrog lub sij hawm uas cev xeeb tub thiab cov me nyuam yug txheej txheem. Nws pom hais tias diamnioticheskaya monochorionic menyuam ntxaib (ib tug yees duab ntawm cov menyuam ntxaib muaj nyob rau hauv no tsab xov xwm) tshwm sim thaum cov me nyuam tsim los ntawm ib tug qe ntau.

monozygotic menyuam ntxaib

"Monozygotic" ntxaib yog hu ua, uas muaj hloov zuj zuj los ntawm ib tug lub qe. Tshwm sim no division ntawm lub zygote tej zaum yuav muaj ntau theem. Uas yog vim li cas monozygotic menyuam ntxaib yog ob peb hom. Nyob ntawm qhov chaw uas sib cais tshwm sim, paub qhov txawv biamnioticheskie, bihorialnye, diamnioticheskie, dichorionic menyuam ntxaib. Raws li ib tug dav dav txoj cai, raws li ob peb, monozygotic menyuam ntxaib ntawm tib pw ua ke, yog cov tub hluas los yog hluas nkauj. Nyob rau tib lub sij hawm lawv yog heev npaum li cas zoo ib yam, thiab qhov sib txawv nyob rau hauv tsos lawv yuav tshwm sim xwb nrog lub hnub nyoog.

Hom monozygotic menyuam ntxaib

Diamnioticheskaya monochorionic menyuam ntxaib tshwm sim ntau zaus. Nws tshwm sim 4-8 hnub tom qab fertilization. Tab sis qhov no yuav tsum tshwm sim nruj me ntsis ua ntej lub zygote yog implanted nyob rau hauv lub uterine phab ntsa.

Lub sij hawm "monochorionic" txhais hais tias cov lub fetus yog powered los ntawm ib tug lub tsev me nyuam. Qhov no, ntawm chav kawm, nrog los ntawm kev pheej hmoo ntawm qhov tshwm sim ntawm tej txheej xwm. Yuav luag ib txwm tom qab yug tus me nyuam ntawm cov me nyuam nws yuav pom tias ib tus me nyuam yog me ntsis loj thiab ntau tsim dua lwm yam. Qhov no yog vim hais tias nws yog suppressing nws tus tij laug los yog tus muam, haus loj nyiaj ntawm cov as-ham. Yog hais tias ib tug poj niam yog tsis tau txais txaus cov zaub mov thiab vitamins, lub thib ob tus me nyuam yuav tsis ciaj sia.

Lub sij hawm "diamnioticheskie" txhais tau tias txhua txiv hmab txiv ntoo nws tus kheej amniotic sac nyob rau hauv uas nws loj hlob thiab tsim. Tab sis monochorionic menyuam ntxaib tej zaum yuav monoamniotic, nws yog ntau npaum li cas txaus ntshai kev xaiv.

Monoamniotic monochorionic menyuam ntxaib

Monoamniotic monochorionic menyuam ntxaib, yog ib lub feem ntau txaus ntshai. Nyob rau hauv cov ntaub ntawv no, qhov kev sib cais tshwm sim rau 8 thiab nyob hnub 12 tom qab fertilization. Feem ntau, qhov no tshwm sim nyob rau ib lub sij hawm thaum lub zygote yog implanted nyob rau hauv lub endometrium. Cov no hais tias ob lub txiv hmab txiv ntoo xwb tsis muaj ib qho tsev me nyuam, tab sis kuj cov amniotic sac.

Ntawm cov hoob kawm, diamnioticheskaya monochorionic menyuam ntxaib - nws yog txaus ntshai, tab sis nyob rau hauv cov ntaub ntawv ntawm monoamniotic yog txuam nrog rau cov kev loj hlob ntawm qhov yuav tshwm ntawm txawm ntau teeb meem. Piv txwv li, cov me nyuam yuav tau hma nyob rau hauv txoj hlab ntaws ntawm txhua lwm yam. Ntxiv mus, xws li ib tug cev xeeb tub muab ib tug loj tus naj npawb ntawm variations. Cov feem ntau txaus ntshai yog cov me nyuam yug ntawm Siamese menyuam ntxaib. Tab sis yog hais tias tus division yuav tshwm sim nyob rau hauv vim lub sij hawm, thiab cev xeeb tub yuav tsis muaj teeb meem, cov me nyuam yug los yuav muaj tib lub pw ua ke thiab cov ntshav hom. Thiab kom paub qhov txawv rau lawv raws li ib tug me nyuam yuav tsis yooj yim mus txawm lawv tus kheej cov niam txiv.

dizygotic menyuam ntxaib

Fraternal menyuam ntxaib no yog hu ua "dizygotic". Lawv muaj tsis tsuas txhua yam ntawm nws amniotic sac, tab sis kuj nws tus kheej lub tsev me nyuam. Nyob rau hauv Feem ntau, qhov no yog ib yam dab tsi uas yog txawv los ntawm tus menyuam ntxaib menyuam ntxaib. Lawv tsis tas yuav nyiam txhua lwm yam zoo nkaus li. Ntshav kuj sib txawv. Nyob rau hauv cov ntaub ntawv ntawm dizygotic menyuam ntxaib yug los me nyuam yuav tsum yog tib yam nrog txiv neej pw thiab opposite-poj niam txiv. Lawv zoo li cov kwv tij thiab cov muam uas yug los ntawm cov tib cov niam txiv, tab sis nyob rau txawv sij hawm.

Yuav ua li cas kom tau cev xeeb tub nrog menyuam ntxaib?

Yuav ua li cas diamnioticheskaya monochorionic menyuam ntxaib - menyuam ntxaib, qhov no yog to taub, tab sis yog nws ua tau rau ua cas ntxias ib tug cev xeeb tub? Lo lus nug no yog tsa los ntawm txhiab ntawm cov poj niam. Ntawm cov hoob kawm, koj muaj peev xwm nrhiav tau ntau yam tswv yim tsoos tshuaj, tab sis lawv yog cov tag nrho cov laus poj niam 'taleas. Ntxias ib tug ntau yam uas cev xeeb tub yuav tsuas yuav nyob rau hauv cov ntaub ntawv ntawm cov khoom cua insemination. Qhov no cim khoom plig kws kho mob cov niam txiv, uas rau ntau xyoo twb tsis tau xeeb tub ib tug me nyuam.

Tab sis nyob rau hauv tag nrho cov lwm tus neeg mob nws yog koob hmoov. Qhov no yog ib tug tshwj xeeb txiaj ntsim ntawm txoj hmoo, ib tug tsis tshua muaj thiab yog li ntawd zoo heev khoom plig. Ntau cev xeeb tub tshwm sim ib tug nyob hauv ib tug puas. Ntawm cov hoob kawm, yog tias tsev neeg yog nyob rau hauv lub ascending kab muaj tau yug los menyuam ntxaib, tus poj niam muaj feem ntau zog. Tab sis txawm qhov tseeb tsis tau lees tias nws ib tug coveted menyuam ntxaib.

Thaum nws yog ua tau rau nruab ntau cev xeeb tub?

Ntawm cov hoob kawm, muaj ntau ntau yam, uas yog ib qho yooj yim mus nrhiav kom tau ib tug uas cev xeeb tub. Diamnioticheskaya monochorionic menyuam ntxaib tib yuav yuav ntes tau nkaus xwb los ntawm ultrasound. Tus thawj xav tias cov menyuam ntxaib yuav ua tau ib tug gynecologist. Feem ntau ib tug kws nyob rau hauv lawv cov teb, muaj ib co kev nyob rau hauv qhov kev txiav txim ntawm cov menyuam ntxaib yuav to taub dab tsi twb tshwm sim txawm nyob rau hauv daim ntawv qhia rau cov account nyob rau hauv cev xeeb tub cov poj niam txoj kev kuaj mob. Yuav kom qhov no nws yuav qhia ib tug unusually loj lub tsev me nyuam mus rau lub neej loj. Feem ntau, xws li ib tug ntshiab txim hluav taws xob yuav tsum pom raws li thaum ntxov raws li 11 lub lis piam.

Tej zaum yog vim li cas yuav kom txiav txim seb qhov gestational hnub nyoog. Tab sis lub unusually loj loj ntawm lub tsev me nyuam qhia rau tus kws kho mob xa ib tug poj niam rau ib tug ntxiv kev soj ntsuam. Nws kis tau tus thawj ultrasound ntawm 6 lub lis piam lawm. Qhov no yog lub sij hawm rau kev tshawb nrhiav ntau yam uas cev xeeb tub yooj yim. Nrog lub nce nyob rau hauv lub sij hawm ntawm me nyuam hauv plab kev loj hlob mus ua nws ua nyuaj. Muaj mob thaum ib tug thib ob tus me nyuam nyob rau hauv lig cev xeeb tub, cov kws kho mob tsuas yog tsis pom. Raws li ib tug tshwm sim ntawm cov me nyuam yug ntawm tsis ib tiam sis ob tug me nyuam rau cov hluas niam ua ib tug surprise.

Lub complexity ntawm ntau yam uas cev xeeb tub

Monochorionic menyuam ntxaib, tsis zoo li dichorionic nws muaj nws teeb meem. Cov me nyuam yuav noj los ntawm ib tug ntau lub tsev me nyuam, uas txhais tau tias ib tug me nyuam ntawm cov as-ham tsis tau mus ntsib tsis tau. Me nyuam nyob rau hauv cov neeg mob tshwm sim nyob rau hauv lub 34-36 lub lim tiam. Cov me nyuam mos yug los tsis lawm thiab ntawm caesarean seem. Yog li ntawd ntau npaum li cas nyob xeeb dua qub rau cov me nyuam thiab rau cov niam. Feem ntau ntawm menyuam tsis muaj phaus yog ib tug tseem ceeb sib txawv. Nws yuav ua tau 500 grams.

, Ib tug poj niam yuav tsum tau noj nyuaj, saib xyuas lawv cov kev kho mob yam xyuam xim ua ob cov me nyuam, noj tag nrho cov tshuaj uas cov kws kho los ntawm ib tug kws kho mob. Heev pab tau ruaj khov huab cua ntshiab. Nyob rau hauv ib tug poj niam lub cev yuav tsum muaj kom ntau txaus cov vitamins thiab minerals.

Diamnioticheskaya monochorionic menyuam ntxaib. yug

Poj niam daug lawm menyuam ntxaib yuav tsum tau ntau kom zoo zoo saib xyuas los ntawm ib tug gynecologist. Qhov no, ntawm chav kawm, vim txoj kev pheej hmoo ntawm cov teeb meem. Heev nyob rau hauv ntau yam uas cev xeeb tub yuav ntxov ntxov yug. Yog hais tias, kev pab lawv ib tug me nyuam, ib tug poj niam dohazhivaet rau 39-40 lub lis piam, nyob rau hauv cov ntaub ntawv ntawm cov menyuam ntxaib yog tsis tshua muaj heev. Feem ntau, cov me nyuam mos yug los nyob rau hauv lub sij hawm ntawm 32 mus 37 ib lub lim tiam.

Me nyuam lawm daws los ntawm cov kws kho mob xwb nyob rau hauv cov ntaub ntawv ntawm kom zoo me nyuam hauv plab kev nthuav qhia thiab cov tsis tuaj kawm ntawv ntawm cov teeb meem thiab txaus ntshai. Tab sis ua phais plab seem ntau. Nws yog tshwj xeeb yog txaus ntshai nyob rau hauv cov ntaub ntawv ntawm tej yam ntuj tso tau me nyuam monoamniotic monochorionic cev xeeb tub. Cov me nyuam muaj peev xwm ua entangled nyob rau hauv txoj hlab ntaws ntawm txhua lwm yam, thiab ces tseg lawv yuav tsis yooj yim. Nws tseem yog txaus ntshai rau leej niam. Diamnioticheskaya monochorionic menyuam ntxaib tej zaum yuav yug nyob rau hauv ib tug tej yam ntuj tso txoj kev, tab sis cov kws kho mob pub xws tus me nyuam yuav tsis tshua muaj. Cov poj niam, daug lawm ib co txiv hmab txiv ntoo, nws yog pom zoo kom mus rau lub preservation ntawm 28 lub lim piam ntawm hnub.