Sɛ́ ɛna a ɔbɛyɛ ɛna no, ebia wobɛte ehu ne dadwen kakra nka bere a wote asɛmfua ‘parasitic twins’ no. Nanso mma ɛnhaw wo koraa. Efisɛ eyi yɛ tebea a ɛntaa nsi koraa. Nanso, ɛho hia paa sɛ wɔbɔ biribiara ho amanneɛ yiye. Enti ɛnnɛ, momma yɛnka tebea a wɔfrɛ no parasitic twins yi ho asɛm tiawa koraa, nea ɛkyerɛ, nea enti a ɛba, ne nea ɛyɛ ayaresa no.
Dɛn ankasa ne mmanoma a wɔsɛe nnɔbae?
Sɛ yɛbɛka no tiawa a, mmanoma a wɔsɛe nnɔbae ne nea mmanoma foforo no afã horow bata akokoaa biako nipadua ho na ennyin yiye. Eyi te sɛ tebea bi a wɔfrɛ no mmanoma a wɔaka abom no ara pɛ. Nanso nsonsonoe titiriw bi wɔ hɔ. Wɔ mmanoma a wɔaka abom mu no, nkokoaa abien no nyinaa taa nyin yiye. Wɔ mmanoma a wɔsɛe nnɔbae mu no, bere a akokoaa biako wɔ apɔwmuden na wanyin koraa no, mmanoma foforo no nyin gyae wɔ awotwaa no mu na ɛkɔ so yɛ ɔfã a ɛnyɛ adwuma.
Wɔ aduruyɛ mu no, wɔfrɛ saa akokoaa a wanyin yiye na ɔwɔ apɔwmuden yi ‘a ɔtositic anaa dominant twin’. Wɔfrɛ ɔfã a ennyaa nkɔso, a ɛnyɛ adwuma no ‘parasitic twin’.
Saa ɔfã a ɛyɛ mmoawa yi tumi bata abofra titiriw no nipadua no afã horow ho. Wɔtaa hu no sɛ ɛbata mmeae te sɛ ti, yafunu, koko, akyi berɛmo , akyi anaa akyi. Ade a ɛho hia sen biara sɛ yɛn nyinaa te ase wɔ ha ne sɛ saa ɔfã a ɛyɛ mmoawa yi nyɛ abofra a ɔte ase a wɔatew ne ho. Mpɛn pii no, saa ɔfã no nyɛ adwuma koraa wɔ awotwaa mu anaa bere a wɔawo no.
Saa tebea yi ho yɛ na araa ma abenfo ka sɛ nkokoaa ɔpepem biako biara mu biako pɛ na ɛka no. Bere a eyi bɛyɛ te sɛ nea ɛyɛ hu sɛ wɔbɛte no, esiane nkɔso a aba wɔ nnɛyi nnuruyɛ mu nti, akokoaa a ɔwɔ apɔwmuden betumi atra ase pa ara. Mpɛn pii no, nnuruyɛfo nam oprehyɛn so yi ɔyare mmoawa no fi hɔ.
Tebea afoforo abien wɔ hɔ a ɛte sɛ eyi, nanso wobetumi ayɛ basaa.
1. Fetus-in-fetu: Eyi ne ntini a ɛnyɛ ne kwan so a ɛte sɛ awotwaa a honam ani kata so wɔ akokoaa a ɔwɔ apɔwmuden nipadua mu no nyin .
2. Teratoma a ɛho akokwaw: Eyi yɛ kokoram tebea. Ɛtɔ mmere bi a, eyinom betumi akum nnipa.
Dɛn na ɛde tebea yi ba?
Esiane sɛ ɛntaa nsi nti, nhwehwɛmufo da so ara rebɔ mmɔden sɛ wobehu nea ɛde ba ankasa. Nanso nsusuwii atitiriw abien na ɛwɔ hɔ. Nneɛma abien no nyinaa ne nea ɛkɔ so wɔ akokoaa no mfiase no wɔ abusuabɔ.
1. Fission Nkyerɛkyerɛmu
Sɛnea saa nsusuwii yi kyerɛ no, nkesua a wɔahyɛ no ma no mu paapae abien wɔ nyinsɛn no adapɛn abien a edi kan no mu, na ɛyɛ mmanoma a wɔyɛ pɛ . Fa no sɛ, sɛ ɛmo no mu paapae abien wɔ saa kwan yi so, ɛntetew mu koraa, na ɔfã biako nyin gyae fã a, ɛnde saa nsusuwii yi ka sɛ tebea bi a ɛyɛ mmanoma a ɛyɛ parasitic ba.
2. Fusion Nsusuwii
Saa nsusuwii yi kyerɛ nea ɛne eyi bɔ abira. Ɛne sɛ, sɛ ɛmo no kyekyɛ mu yiye mpo a, afei afã abien no san di nkitaho bio na ɛka bom wɔ nkwammoaa no fã. Eyi ma wonya mmanoma a wɔaka abom. Saa nsusuwii yi ka sɛ sɛ awotwaa no fã biako gyae nyin wɔ saa nkabom yi akyi a, mmanoma a wɔyɛ mmoawa a wɔsɛe nnɔbae tebea no fi mu ba.
Nea ɛka ho no, nhwehwɛmufo reyɛ nnuru bi a wɔfrɛ no Sonic Hedgehog protein (SHH) ho ade . Saa protein yi ho hia ma nkwammoaa nyin. Wosusuw sɛ ebia SHH protein yi dodow a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so no na ɛde parasitic twinning ba. Nanso, nhwehwɛmu foforo ho hia wɔ eyi ho.
So sɛnkyerɛnne ahorow bi wɔ hɔ a ebetumi ama woahu eyi ntɛm?
Nnipa pii susuw sɛ wɔ tebea a ɛte sɛɛ mu no, ɛna no bɛte sɛnkyerɛnne ahorow bi nka . Nanso nokwasɛm ne sɛ, ɛna no nte yare no ho sɛnkyerɛnne biara nka.
Wobetumi ahu saa tebea yi denam aduruyɛ mu nhwehwɛmu a wɔyɛ bere a wɔyem nkutoo so. Wɔnam mfonini ahorow a oduruyɛfo no yɛ so titiriw na ehu.
- Ultrasound a wɔde yɛ ansa na wɔawo
- MRI scan `( magnetic resonance mfoninitwa )`
- CT scan `(Kɔmputa so Tomography)`
Wɔ saa scan ahorow yi mu no, wo duruyɛfo betumi ahwɛ sɛ ebia biribiara a ɛnteɛ wɔ wo ba no nipadua mu, te sɛ twin a ɔyare mmoawa a wɔsɛe nnɔbae no afã horow bi anaa. Sɛ ɛte saa a, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo te sɛ echocardiogram de hwɛ sɛnea akokoaa no koma yɛ adwuma yiye.
Nanso, ɛtɔ mmere bi a, wontumi nhu saa ɔyare mmoawa yi bere a akokoaa no da so wɔ awotwaa mu no. Sɛ ɛba saa a, nnuruyɛfo hu tebea no bere a wɔawo akokoaa no akyi nkutoo, bere a wohu ntini a ɛboro so no.
Dɛn na woreyɛ sɛ ayaresa?
Ayaresa biako pɛ a wɔde sa mmanoma a ɛyɛ nwansena ne oprehyɛn a wɔde yi nipadua no . Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ katee kakra sɛ wɔbɛka sɛ wɔreyɛ akokoaa a wɔawo no foforo oprehyɛn de, nanso sɛ wɔannyi saa ɔfã a ɛyɛ ɔyare mmoawa yi a, akokoaa a ɔwɔ apɔwmuden no betumi ahyia nsɛnnennen ahorow daakye. Ɛno nti na wɔyɛ oprehyɛn yi.
Bere a wɔreyɛ oprehyɛn no, nnuruyɛfo de ahwɛyiye yi ntini, nnompe, ne ebia akwaa mpo a ɛwɔ mmanoma a ɔyɛ ɔyare mmoawa no mu nyinaa fi akokoaa a ɔwɔ apɔwmuden no nipadua mu. Wɔ tebea horow bi mu no, sɛ mmanoma a ɔyare mmoawa no de dɛmdi biara aba akokoaa a ɔwɔ apɔwmuden no nipadua mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie no bio.
Esiane nkɔso a aba wɔ nnɛyi oprehyɛn mfiridwuma mu nti, mmofra dodow no ara nhyia ɔhaw akɛse wɔ oprehyɛn akyi. Nanso, ebia ɛho behia sɛ wɔhwɛ mmofra binom so titiriw wɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) bere a wɔayɛ wɔn oprehyɛn awie no.
So nsɛnnennen betumi aba wɔ oprehyɛn akyi?
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne nsɛnnennen bi wɔ hɔ a ebetumi aba wɔ oprehyɛn yi mu. Nanso ɛsɛ sɛ yɛkae sɛ mmofra dodow no ara ho tɔ wɔn yiye. Nsɛnnennen a ɛtaa ba a ebetumi aba wɔ oprehyɛn akyi ni.
| Nsɛnnennen a ɛba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nyarewa a wɔde nyarewa ba | Mmoawa a ɛfa oprehyɛn kuru no mu hyɛn mu. |
| Hernias a ɛma obi ho yɛ hyew | Akwaa bi a ɛwɔ nipadua no mu a ɛpuepue fi baabi a wɔyɛɛ oprehyɛn no. |
| Mogya a ɛkɔ nipadua no mu a ɛnteɛ | Ɔhaw ahorow a ɛba wɔ mogya a ɛkɔ nipadua no mu ho. |
| Akwaa ahorow pii a ɛnyɛ adwuma yiye | Nipadua akwaa pii a ɛyɛ mmerɛw bere koro mu. |
| Ɔhome a entumi nyɛ adwuma yiye | Ɔhome a ɛyɛ den. Ebia ɛho behia sɛ wɔhome a wɔde nsa ayɛ. |
Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ eyi ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa afa ho pefee. Obetumi abua wo nsɛmmisa nyinaa na wama w’adwene adwo. Ɛyɛ papa titiriw sɛ wobɛkɔ oduruyɛfo a ne ho akokwaw wɔ nyinsɛn ne awo mu nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Parasitic twin yɛ tebea a ɛma twin fã bi a ennyaa nkɔso bata akokoaa a ɔwɔ apɔwmuden nipadua ho. Eyi yɛ tebea a ɛntaa nsi koraa.
- Wontumi mfa sɛnkyerɛnne ahorow a ɛna no nya so nhu saa tebea yi. Wɔnam scan ahorow a wɔyɛ bere a wɔyem no so hu.
- Ayaresa biako pɛ ne sɛ wɔbɛyɛ oprehyɛn ayi ɔyare mmoawa no afi hɔ. Mprempren, wɔ oprehyɛn ahorow yi akyi no, abofra a ɔwɔ apɔwmuden betumi atra ase pa ara.
- Sɛ wowɔ adwenem naayɛ anaa ehu ketewaa bi mpo wɔ eyi ho a, wo ne wo duruyɛfo nka ho asɛm. Mfa ehu a ɛho nhia nsie.
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