Kuchepetsa kamwana kameneka ndi njira yogwiritsira ntchito kuchepetsa chiwerengero cha mazira a fetus pansi pa zojambulajambula pamimba ambiri. Kawirikawiri amagwiritsidwanso ntchito mimba yambirimbiri mu in vitro fertilization (IVF). Mkwatibwi wa mimba yambiri imakhala yaikulu kwambiri pambuyo poti mankhwala akuyambitsa mazira ndi IVF. M'nkhani ino, tikambirana njira ndi njira zothetsera mimba m'mimba yambiri.
Mimba yambiri ndi IVF
Ndondomeko ya mu vitro feteleza ndi kuika mazira angapo (4 mpaka 6) mu chiberekero cha uterine kotero kuti mmodzi mwa iwo akhoza kupulumuka. Koma zimakhalanso kuti mazira awiri kapena angapo amayamba mizu, kenako funso limayamba kuchepetsa. Zimakhalanso kuti kamwana kamodzi kamagawanika ndipo mapasa ofanana adzalandidwa.
Chiwerengero cha mazira omwe amasungidwa ndi IVF si oposa awiri. Musanayambe ndondomekoyi, mayi ayenera kumudziwa bwino ndi kuchenjeza za mavuto omwe angakhalepo, komanso amayi amafunika kuuzidwa kuti ngati kukanidwa, kuopsa kwa vuto la mimba ndi kubala kumawonjezeka kangapo. Ndizovomerezeka kutsatira malamulo onse a ukhondo ndi ukhondo, ziyeneretso zokwanira ndi chidziwitso cha dokotala, zaka zapakatikati pa masabata 5 mpaka 11. Kuti muchite ndondomekoyi, muyenera kupatsirana mwatsatanetsatane wa magazi, mayeso a HIV, syphilis ndi matenda a chiwindi B ndi C, komanso kuyesa mkodzo.
Zisonyezo za kuchepetsa fetus
Aliyense amadziwa kuti ndi kutenga mimba zambiri, chiopsezo kwa amayi ndi fetus chimakula. Ana obadwa ndi mapasa ndi atatu ali ndi chiopsezo chowonjezereka cha ubongo wakufa. Azimayi omwe ali ndi ana oposa mmodzi amatha kuvutika ndi gestosis. Kuonjezerapo, mwayi wovuta kubereka ndi waukulu kwambiri: kubala kwa mwana, kubereka msanga. Zisonyezero za kuchepa kwa fetus ndi kukhalapo kwa chiberekero cha mazira a mazira atatu kapena oposa.
Izi zikhoza kukhala chifukwa cha:
- multiple pregnancies pambuyo pa IVF;
- mimba yambiri pambuyo polimbikitsa.
Nthaŵi zina, kuchepetsa kwa mimba kumatha kukhazikitsidwa ndi mazira awiri achiberekero mu chiberekero, malinga ndi chilolezo cholembedwa cha mkaziyo.
Mimba yambiri pambuyo pa IVF ingakhale yosangalatsa mu moyo wa mayi yemwe wakhala akuyesetsa kuti azikhala mayi, komabe kumayambitsa mavuto aakulu kwa mkazi ndi ana ake amtsogolo. Choncho, ndi bwino kuganizira ngati kuli koyenera kuika moyo ndi thanzi la ana angapo kapena kuli bwino kukhala ndi mwana wathanzi.