Ọrịa ejima-ka-ejima

Nsogbu mmịnye ejima na-ejima bụ ọnọdụ na-adịghị adịkarị nke na-eme nanị n'ime ejima ndị yiri ibe ha ka ha nọ n'afọ.

Ọrịa ejima-na-ejima (TTTS) na-eme mgbe ọnye ọbara nke otu ejima na-agagharị na nke ọzọ site na placenta ahụ. A na-akpọ ejima ahụ ọbara ya na-ejichi onye na-enye onyinye. A na-akpọ ejima ahụ na-anara ọbara ejima ahụ na-enweta ya.

Infmụaka abụọ a nwere ike inwe nsogbu, dabere n ’oke ọbara a na-esite n’otu gaa n’ọzọ. Ejima na-enye onyinye nwere ike inwe obere ọbara, nke ọzọ nwekwara ike ịbara ọbara.

Ọtụtụ mgbe, ejima ahụ na-enye onyinye pere mpe karịa ejima ọzọ na-amụ nwa. Nwatakịrị na-enwekarị anaemia, akpịrị ịkpọ nkụ, ọ na-adịkwa ọcha.

A mụrụ ejima nnabata buru ibu, na-acha ọbara ọbara na anụ ahụ, ọbara dị ukwuu, na ọbara mgbali elu. Ejima ahụ nke na-eribiga ọbara ókè nwere ike ịmalite ịrịa ọrịa obi n'ihi oke ọbara. Nwa ọhụrụ ahụ nwekwara ike ịchọ ọgwụ ka obi sie ike.

A na-ezo aka na-enweghị aha nke ejima yiri nke ahụ dị ka ejima na-enweghị nghọta.

A na-ahụkarị ọnọdụ a site na ultrasound n'oge afọ ime.

Mgbe amuchara ha, umu aka a gha enweta ule ndia:

• Nnyocha ọmụmụ ọbara, gụnyere oge prothrombin (PT) na oge thromboplastin ele mmadụ anya n'ihu (PTT)
• Comprehensive metabolic panel iji chọpụta nkwụsịtụ electrolyte
• Ọnwụ ọbara zuru ezu
• Igbe x-ray

Ọgwụgwọ nwere ike ịchọ ugboro ugboro na-amniocentesis n’oge afọ ime. Enwere ike ịwa ahụ nwa ebu n'afọ n'afọ iji gbochie ọbara na-erugharị site n'otu ejima ruo na nke ọzọ n'oge ime.

Mgbe amụrụ nwa, ọgwụgwọ dabere na mgbaàmà nke nwa ọhụrụ. Ejima na-enye onyinye pụrụ ịchọ mmịnye ọbara iji mesoo anaemia.

Ejima na-anabata ya nwere ike ọ dị mkpa iji belata olu nke mmiri ahụ. Nke a nwere ike ịgụnye mmịnye mgbanwe.

Ejima nnata nwekwara ike ị takeụ ọgwụ iji gbochie nkụda mmụọ.

Ọ bụrụ na mmịnye ejima ahụ na-ejighị nwayọọ, ụmụaka abụọ ahụ na-agbakarị nke ọma. Ọnọdụ ọjọọ pụrụ ịkpata ọnwụ nke ejima.

TTTS; Ọrịa transfusion nke nwa ebu n'afọ

Malone FD, D'alton ME. Otutu oge: njirimara na njikwa. Na: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Nkà Mmụta Nne na Nwa nke Creasy na Resnik: Prinkpụrụ na Omume. 8th ed. Philadelphia, PA: Elsevier; 2019: isi 40.

Newman RB, Unal ER. Otutu gestations. Na: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Ime nke Nsogbu na Nsogbu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 32.

Obican SG, Odibo AO. Invasiri usoro nwa ebu n’afọ. Na: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Nkà Mmụta Nne na Nwa nke Creasy na Resnik: Prinkpụrụ na Omume. 8th ed. Philadelphia, PA: Elsevier; 2019: isi 37.