Kalmomin da suke haɗuwa da ciki biyu suna iya rikicewa da mamayewa. Gano cewa kana da ma'aurata ne kawai farkon kwarewa mai ban sha'awa; tare da daidaitawa game da ra'ayin kasancewar yara biyu a yanzu, akwai abubuwa da yawa su koyi! Anan jagora ne don fahimtar waɗannan kalmomi, da kuma abin da suke nufi ga tayin tayi.
Yayin da aka yi ciki biyu, mai yiwuwa ka ji kalmomin "Di / Di" ko "Mo / Di" da aka yi amfani da su wajen bayyana jima'i. Ana amfani da wadannan kalmomi don rarraba da bayyana ma'anar jima'i a cikin mahaifa. Ko da yake yana iya zama kamar mai yawa likita gobbledy-gook, suna da muhimmancin ra'ayi ga iyayensu saboda wasu ma'aurata suna fuskantar haɗari ga matsalolin.
Twins A cikin Womb
Bari mu fara da fahimtar yanayi. A cikin mahaifa, tayi yana girma a cikin mahaifa. Kwanciyar ta rataye bangon na mahaifa kuma tana aiki da dalili guda biyu na cire sharar gida da kuma samar da kayan abinci ga tayin. Yana haɗuwa ta hanyar igiya a cikin jariri. Tayin din yana cikin jakar da aka cika da ruwa wanda ke rufe jikin mutum wanda ake kira amnion. Wani membrane na biyu, wanda ake kira yakin, yana kewaye da jakar amniotic.
Terminology Magana
Bari mu karya shi.
- Mo = Daya
- Di = Biyu
- Chorion = Outer membrane
- Amnion = Labarin cikin jiki, wanda yake dauke da jaka da nauyin amniotic dauke da tayin
Lokacin da kake sanya guda tare, suna bayyana wadannan sharuddan:
Monochorionic - daya chorion
Monoamniotic (ko monoamnionic ) - daya amnion
Waɗannan sharuɗɗan sun bayyana ma'aurata - ko da yaushe ma'aurata guda biyu - wanda ke raba yanayi. An haɗa su a cikin nau'in mahaifa guda ɗaya da / ko ONE rawa.
Dichorionic - ƙungiyoyi guda biyu
Diamniotic - jakuna biyu na amnion / biyu
Wadannan sharuɗɗan sun bayyana ma'aurata - wanda zai iya zama monozygotic ko dizygotic - cewa kowanne yana da nasu, jumla daban. Akwai placentas guda biyu , ko da yake a wasu lokuta, placentas sun haɗa ɗaya cikin daya.
Don haka bari mu dubi su a hade.
Mafi yawan ma'aurata suna di / di, wato, dichorionic, diamniotic. Wannan yana nufin cewa sun ɓullo da bambanci, kowannensu yana da nasu ɗayanta da nasu jaka. Wannan shi ne yadda dukkanin mawuyacin hali - ko fraternal - tagwaye suna ci gaba. Bugu da ƙari, wasu ma'aurata guda biyu (kamar) ma zasu yi wannan hanya, dangane da yadda za a fara zubar da ƙwai. (Ƙara koyo game da ma'aurata monozygotic a nan.)
Duk da haka, wasu ma'aurata guda biyu zasu kasance mo / di ko mo / mo. Wannan yana nufin su ne monochorionic amma diamniotic, ko suna monochorionic da monoamniotic. Twins bazai zama di / mo ba. Idan akwai nau'i biyu, to, ba za su iya kasancewa a cikin jakar amniotic ba tun lokacin da yake cikin murfin zuciya, kuma, ta ma'anarsa, za'a raba su.
Bari mu karya shi.
Di / Di - dichorionic / diamniotic . Wadannan ma'aurata ne da suka bambanta, tare da ragamar da aka raba da kuma jakar amniotic. (Wani lokaci aka sanya shi a matsayin DCDA.)
Mo / di - monochorionic / diamniotic . Wadannan ma'aurata ne da suke cikin jakar amniotic daban amma suna dauke da su a cikin wannan membrane.
Akwai guda ɗaya, wanda aka raba. (Wani lokacin sanya shi a matsayin MCDA.)
Mo / Mo - monochorionic / monoamniotic. Wadannan ma'aurata ne da suke cikin jakar amniotic daya, tare da nau'ikan kaya guda. Akwai guda ɗaya, wanda aka raba. (Wani lokacin da ake kira MCMA.)
Ka yi tunani a wannan hanya ....
Di / Di ma'aurata kamar gida biyu ne a wannan unguwa. Kowace jariri yana zaune a gidansa kuma yana kula da kansa.
Mo / Di ma'aurata kamar gida biyu ne a cikin ginin. Kowace jariri yana zaune a cikin ginin, amma suna da wurin kansu. Ana raba su da ganuwar ciki da kuma kofofin, amma an rarraba waje na ginin.
Muddin Mo / Mo kamar mutum biyu ne suke zaune a cikin ɗaki a cikin ɗakin ko gidan. Sun raba albarkatun da suka shiga cikin sararin samaniya.
Ta Yaya aka Amince Chorionicity Biyu?
A lokacin daukar ciki, jarrabawa (s) da membranes ta hanyar duban dan tayi zasu iya tabbatar da kullun. Wani samfurin dan tayi, yawanci a lokacin daukar ciki, zai duba daya ko biyu placentas da kuma kauri na membranes. Tsakanin tsofaffi zai iya nuna ma'aurata / di biyu, yayin da bakin jikin mutum ko rashi membrane zai iya nuna alama ga ma / di ko ma'aurata mo / mo. Sonographers kuma iya duba "alama biyu" - wanda ake kira "lambda sign" saboda yadda yake kama da harafin Helenanci: λ. Ya zama inda wuraren biyu da jaka biyu suka shiga cikin jima'i / di biyu. Tsarin T-shaped zai iya nuna motsi / di biyu.
Tabbataccen tabbaci na di / da ma'aurata a lokacin daukar ciki shine lokacin da aka gano jarirai a matsayin yaro daya da yarinya daya. Idan sun kasance daban-daban jima'i, sun kasance nau'i ne. ( Tare da rare banda .) Ka tuna, duk ma'aurata masu ciki suna di / di, yayin da ma'aurata guda biyu zasu iya zama di / di, mo / di ko mo / mo. Bayan bayarwa, nazarin ilimin lissafi na ƙwayar cuta da membranes na iya ba da basira, amma yana da mahimmanci don ƙayyade ƙwaƙwalwa a lokacin daukar ciki don saka idanu da magance matsalolin da zai iya yiwuwa.
Menene Ramifications?
Sanin haɓaka da ma'aurata zasu iya taimakawa wajen tantance haɗari da kuma ƙayyade tsarin kulawa don samar da kulawar kulawa ta dacewa ta hanyar kulawa mafi kyau na ciki biyu. Dichorionic / diamniotic (di / di) twins kullum ba m ƙarin kasada. Duk da haka, ya kamata a kula da ma'aurata / mo / mo da biyu a hankali domin suna cikin haɗarin haɗari ga matsalolin. Hanyoyin Cigaba da Twin-Twin (TTTS) ko Twin Anemia-Polycythemia Zaka (TAPS) na iya bunkasa a cikin ma / biyu. Za a iya amfani da tagwayen Mo / Mo ta hanyar yin amfani da igiya.
Sources:
Fox, Traci B. "Turawa da yawa: Tabbatarda Chorionicity da Amnionicity." Thomas Jefferson Univeristy Department of Radiologic Sciences Faculty Paper. Samun shiga Yuli 27, 2015. http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1000&context=rsfp
Moise, Kenneth J., da Argotti, Pedro S. "Muhimmancin kayyade daidaituwa a cikin gestations biyu". Contemporary OB / GYN. Samun damar Yuli 27, 2015. http://contemporaryobgyn.modernmedicine.com/contemporary-obgyn/news/modernmedicine/modern-medicine-feature-articles/importance-determining-chori?page=full
Al Riyami, Nihal, Al-Rusheidi, Asamaa, Al-Khabori, Murtadha. "Halitta na Halitta na Monochorionic a Daidaita da Harkokin Jiki biyu na Dichorionic." Oman Medical Journal. , Mayu 28, 2013, pg. 173.
Morgan, Matt A. da Radswiki et. al. "Harkokin jima'i na biyu na Dichorionic twin ciki." Radiopaedia.org. Samun shiga Yuli 27, 2015. http://radiopaedia.org/articles/dichorionic-diamniotic-twin-pregnancy
Trop, Isabelle. "Alamomi a cikin Hotuna: Alamar Hanya na Twin." Cibiyar Rediyo na Arewacin Amirka. Samun shiga Yuli 27, 2015. http://pubs.rsna.org/doi/full/10.1148/radiology.220.1.r01jl1468