Ụmụ ejima a kpọchiri akpọchi

Locked twins bu nsogbu nke afo IME do Karia out be umu abuo no na afo ga ekeko onwe ha onu tupu oge aga amu ha.

Nkọwa

E nwere ụdị ejima abụọ: breech / vertex na vertex / vertex. Na ngosi breech / vertex, nke a na-ahụkarị, ejima mbụ nọ n'ọnọdụ breech, na-egosi ụkwụ mbụ, na nke abụọ nọ n'ọkwa cephalic (vertex), na-egosi n'ụzọ dị mma. N'ọnọdụ ndị a, ntì nke ejima mbụ na-ekpochi n'azụ ntì nke abụọ mgbe ọ nọ n'akpa nwa ma ọ bụ ọwa ọmụmụ, na-egbochi ọmụmụ. Na ngosi vertex / vertex, ebe ejima abụọ ahụ nọ n'ọnọdụ maka mbubata isi, isi abụọ ahụ na-emechi na ọnụ ọnụ pelvic, na-egbochi nwa e bu n'afọ ịgafe n'ọnụ ụzọ pelvic na mbubata akụkụ ahụ nwanyị.[1]

Ihe ndị na-enye aka na interlocking nke ejima gụnyere hypertonicity nke akpa nwa, obere ogo nwa, na mbelata nke Mmiri amniotic na-esote mgbawa nke membranes. O yikarịrị ka ọ ga-eme na ụmụ nwanyị nwere nnukwu pelvises, ụmụ agbọghọ primigravidae (ụmụ agbọghọ na-eto eto na ime mbụ ha), na ime ime na ejima monoamniotic.

Nchịkwa

If locked twins are diagnosed in early delivery, before either twin is born, both fetuses can be delivered by Caesarean section. If one fetus has been partially born, attempts can be made to disimpact the twins manually, such as by the Zavanelli maneuver, with a view to performing an assisted delivery with ventouse or forceps. If the diagnosis is made only after the first locked twin has died in the birth canal, or if it is not expected to survive, the first twin may be decapitated and its head pushed up to allow safe delivery of the second twin.