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  • August, 26 2014: Twin To Twin Transfusion Syndrome

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    Rian Segal Hidajat
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    This document discusses Twin to Twin Transfusion Syndrome (T3S). It begins by explaining twin pregnancies can be either dizygotic or monozygotic, and monozygotic twins can further be categorized. It then describes how vascular anastomoses between twins' placentas, especially for monochorionic twins, can lead to a third circulation and T3S. T3S occurs when blood is transfused disproportionately from one twin (donor) to the other (recipient), causing anemia in the donor and polycythemia in the recipient. The pathophysiology and diagnosis of T3S are also explained.

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    Twin to Twin

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    This document discusses Twin to Twin Transfusion Syndrome (T3S). It begins by explaining twin pregnancies can be either dizygotic or monozygotic, and monozygotic twins can further be categorized. It then describes how vascular anastomoses between twins' placentas, especially for monochorionic twins, can lead to a third circulation and T3S. T3S occurs when blood is transfused disproportionately from one twin (donor) to the other (recipient), causing anemia in the donor and polycythemia in the recipient. The pathophysiology and diagnosis of T3S are also explained.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    13 views9 pages

    August, 26 2014: Twin To Twin Transfusion Syndrome

    Uploaded by

    Rian Segal Hidajat
    This document discusses Twin to Twin Transfusion Syndrome (T3S). It begins by explaining twin pregnancies can be either dizygotic or monozygotic, and monozygotic twins can further be categorized. It then describes how vascular anastomoses between twins' placentas, especially for monochorionic twins, can lead to a third circulation and T3S. T3S occurs when blood is transfused disproportionately from one twin (donor) to the other (recipient), causing anemia in the donor and polycythemia in the recipient. The pathophysiology and diagnosis of T3S are also explained.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 9

    Twin to Twin Transfusion Syndrome

    August, 26th 2014


    Supervisor:
    dr. Agus Thoriq, SpOG
    DM Jaga:
    Santi, Ria, Ayu, Yuli

    T3 S
    Objective
    Kehamilan

    kembar
    Anastomosis vaskular
    Twin to twin transfusion syndrome

    T3 S
    Twin Pregnancies

    Dizigotik
    Monozigotik
    Diamniotik/dikorionik
    Diamniotik/monokorionik
    Monoamniotik/monokorionik
    Kembar siam

    T3 S
    Anastomosis Vaskular
    Umumnya

    kembar plasenta monokorion

    ~ 100%
    Arteri arteri ~75%
    Vena vena ~50%
    Arteri vena ~50%
    Third

    circulation
    twin to twin
    transfusion syndrome

    T3 S
    Twin to Twin Transfusion
    Syndrome
    Darah

    ditransfusikan

    Donor anemis ~~ plasenta


    Resepien polisitemia

    T3 S
    Patofisiologi
    Anastomosis

    Superfisial aliran lebih seimbang


    menghambat T3S
    Dalam aliran lebih keras T3S

    Tergantung

    tekanan darah arteri pada

    fetus donor
    Kerusakan otak

    Donor iskemia, hipotensi


    Resepien multikistik, hipertensi

    T3 S
    Diagnosis
    Perbedaan

    Hb 5 mg/dl

    USG

    Polihidramnion >< oligohidramnion

    Discordant Twin
    Bayi

    kembar yang
    bertentangan
    Penyebab pasti belum
    diketahui hipotesa
    sementara akibat
    anastomosis plasenta

    .. Thank
    You ..

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