Ua lohe paha ʻoe e pili ana i nā māhoe i hui pū ʻia ma nā nūpepa a ma ke TV. He kumuhana kupanaha loa ia a he mea koʻikoʻi iki hoʻi, ʻeā? Ke lohe mākou i kahi mea e like me kēia, nui nā nīnau e hiki mai ana i ko mākou manaʻo. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mau (Nā Māhoe i Hui Pū ʻia) a i ʻole nā māhoe i hui pū ʻia ma ka ʻōlelo Sinhala maʻalahi hiki iā ʻoe ke hoʻomaopopo.
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He aha ka inoa o nā māhoe i hui pū ʻia?
I ka ʻōlelo maʻalahi, ʻo nā māhoe i hui pū ʻia he ʻelua pēpē i hui pū ʻia ma ke kino, ʻo ia hoʻi, e nā ʻāpana kino. ʻAʻole maopopo i nā kauka pehea e hana ai kēia. Akā manaʻo lākou i ka wā e hoʻomaka ai kahi pēpē e ulu, ʻo ia hoʻi, i ka wā mua o ka embryonic i ka wā e hui pū ai ka hua o ka makuahine a me ka sperm o ka makuakāne, hiki i ka embryo ke māhele i ʻelua a pili pū me ka ʻole o ka hoʻokaʻawale loa ʻana, a i ʻole ʻelua mau embryo i hoʻokaʻawale mua ʻia e hui pū ma hope (fusion). ʻO nā māhoe a pau i hānau ʻia ma kēia ʻano ua like like . Eia kekahi, ʻoi aku ka pinepine ma mua o ka ʻole, hānau ʻia nā kaikamahine ma kēia ʻano.
Pehea ka maʻamau o kēia ʻano?
He ʻano maʻi laha ʻole kēia. Ma ke ʻano helu, loaʻa ia ma kahi o hoʻokahi i loko o 50,000 mau hāpai ʻana. I kekahi manawa, ke hui pū ʻia nā pēpē ʻelua ma kēia ʻano, ʻaʻole lawa ka ulu ʻana o nā ʻāpana kino i hui ʻia e ola ai. No laila, ʻo ka hapa nui o ka manawa (ma kahi o 60%) ua hānau make ʻia kēlā mau māhoe a make paha ma hope koke o ka hānau ʻana . He mea kaumaha kēia ke lohe ʻia, akā he ʻoiaʻiʻo.
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Check Availability →Ua hānau like ʻia nā māhoe i hoʻohui ʻia a pau?
ʻAe, e like me ka mea i ʻōlelo ʻia ma mua, ʻo nā māhoe i hānau ʻia ma kēia ʻano ua like mau lākou . ʻO ia hoʻi, he like ko lākou mau ʻano hoʻoilina. Eia kekahi, ua ʻōlelo ʻia he ʻoi aku ka nui o ko lākou lilo ʻana i mau kaikamahine.
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻElua mau manaʻo nui no kēia.
1. Manaʻo Fission: ʻO kēia ke kumumanaʻo i ka wā e hoʻomaka ai kahi pēpē e ulu, ʻo ka embryo, he pōpō liʻiliʻi o nā cell e like kekahi me kekahi, hoʻomaka e māhele i ʻelua. Eia naʻe, ʻaʻole ia e kaʻawale loa, akā e pili pū i kekahi manawa. A laila e ulu nā ʻāpana ʻelua i paʻa i ʻelua pēpē kaʻawale.
2. Kumumanaʻo Fusion: Ma kēia, aia ʻelua mau embryos kaʻawale (nā pōpō o nā cell) e ulu mua ana i mau māhoe. Eia nō naʻe, i ka ulu ʻana o kēia mau embryos ʻelua, hui pū lākou a pili i kekahi manawa.
Ua wehewehe kēia mau kumumanaʻo ʻelua pehea e hiki ai i nā māhoe i hui pū ʻia i loko o nā lā 12-14 mua ma hope o ka hoʻoulu ʻana. Eia naʻe, ʻaʻole hiki i nā kānaka ʻepekema ke kuhikuhi i ke kumu pololei o kēia hanana. ʻO ia hoʻi, ʻaʻole ia ma muli o ka hewa o kekahi.
Aia kekahi mau ʻano ma muli o ke ʻano o ko lākou pili ʻana?
ʻAe, ua hoʻokaʻawale ʻia kēia mau mea e like me kahi o ke kino kahi i hui pū ʻia ai nā keiki ʻelua. Hoʻohana ʻia nā inoa lapaʻau kūikawā e wehewehe i kēia mau ʻano.
- Inā pili ia i ka ʻōpū ): (Omphalopagus)
- Inā pili i ka ʻāpana umauma: (Thoracopagus) - ʻO kēia ke ʻano maʻamau.
- Mai luna o ke poʻo a i ka ihu, ua pili ka maka i ka maka: (Cephalopagus)
- Inā wale nō ke poʻo e pili ana: (Craniopagus)
- Inā pili ka pelvis i ka maka, ua kapa ʻia ʻo ia: (Ischiopagus)
- Inā pili ka pelvis ma ka ʻaoʻao a ma ka ʻaoʻao: (Parapagus)
- Nā inoa pili i ka ʻūhā a i ka ʻūhā: (Pygopagus)
- Nā inoa e pili ana i ke kolamu vertebral: (Rachipagus)
Hoʻoholo kēlā me kēia ʻano pehea e kaʻana like ʻia ai nā ʻōpū o loko o nā keiki, inā hiki ke hoʻokaʻawale ʻia, a me ka pilikia i ko lākou ola.
Pehea e ʻike ai i kēia i ka wā hāpai?
ʻIke pinepine ʻia kēia ʻano i ka wā hāpai me kahi scan ultrasound . I kekahi manawa hiki ke ʻike ʻia i ka wā mua o 12 mau pule o ka hāpai ʻana . A laila, hiki ke hana ʻia kahi scan MRI e hōʻoia hou aku a ʻike pono pehea e hoʻopili ʻia ai nā pēpē a pehea e hoʻolaha ʻia ai nā ʻōpū o loko.
Me kēia ʻike mua ʻana, hiki i nā kauka ke manaʻo mua i nā pilikia e hiki mai ana a hoʻolālā no ka mea e hana ai ke hānau ʻia ke pēpē.
Hiki ke kū mai nā pilikia i ka hāpai ʻana e like me kēia?
ʻAe, i ka wā he mau māhoe e like me kēia, ʻoi aku ka nui o ka hānau ʻana o ka makuahine i ka wā ʻōpiopio. Eia nō naʻe, inā ʻike mua ʻia kēia ʻano, hiki i nā kauka ke hoʻāʻo e kāohi iā ia a hāʻawi i nā pēpē i ka manawa e pono ai lākou e ulu pono.
I ka hapanui o nā hihia, hānau ʻia nā pēpē ma o ka ʻoki cesarean (C-section) . ʻO kēia ke ala palekana loa no ka makuahine a me ke pēpē.
Hiki ke hoʻokaʻawale ʻia kēia mau māhoe?
ʻO kēia ka nīnau nui loa no nā kānaka he nui. I kekahi manawa hiki, i kekahi manawa ʻaʻole. Aia ia i nā kumu he nui, e like me ke ʻano o ka pilina o nā keiki, nā ʻōkana a lākou e kaʻana like ai, a pēlā aku.
I mea e hana pono ai i kēia, pono nā loea mai nā ʻano like ʻole, me nā kauka a me nā kauka ʻokiʻoki, e hana pū ma ke ʻano he hui. Kōkua nā ʻenehana kiʻi kiʻi holomua (e like me nā scans) a me nā hoʻokolohua ʻē aʻe i ka hoʻomaopopo pololei ʻana i ke anatomy a me ka physiology o nā keiki ʻelua.
He mea paʻakikī loa i kekahi manawa ka hoʻoholo ʻana e hoʻokaʻawale i nā keiki, a hiki ke hāpai i nā nīnau pono.I nā manawa e like me kēia, ua hoʻoholo ʻia ka hoʻoholo ma hope o ke kūkākūkā nui ʻana ma waena o nā mākua, ka hui lapaʻau, nā alakaʻi hoʻomana paha, a me nā loea pili pono lapaʻau.
Ma hope o ka hānau ʻana o nā pēpē, ua māhele ʻia lākou i ʻekolu mau ʻano nui no ka hoʻokaʻawale ʻana:
1. ʻAʻohe hoʻokaʻawale: I kekahi manawa, hiki i ka hoʻokaʻawale ʻana i nā keiki ke hoʻoweliweli i ke ola a i ʻole ke kumu o nā kīnā koʻikoʻi. I ia mau hihia, ua noʻonoʻo ʻia ke ʻoki hoʻokaʻawale ma hope o ka noʻonoʻo pono ʻana i ke ʻano o ke ola o nā keiki i ka wā e hiki mai ana.
2. Hoʻokaʻawale koke: I kekahi mau pilikia, pono ka hoʻokaʻawale koke ʻana e hoʻopakele i ke ola o kekahi a i ʻole nā pēpē ʻelua.
3. Hoʻokaʻawale lohi: Inā paʻa ke olakino o nā keiki, hiki i ka hui lapaʻau ke hoʻopanee i ke ʻoki hoʻokaʻawale no kekahi manawa. E hāʻawi kēia i nā keiki i ka manawa e ulu a hoʻomohala. E hoʻonui pū kēia i ko lākou manawa e ola ai ma hope o ke ʻoki ʻana. Manaʻo ka nui o nā kauka he ʻoi aku ka maikaʻi o ka hana ʻana i kēia ʻoki ʻana i ka wā e hiki ai i nā keiki ma kahi o 9-12 mau mahina . A laila, hiki ke hoʻokaʻawale ʻia kēia kūlana ma mua o ka hoʻopilikia ʻana i ko lākou noʻonoʻo. ʻOi aku ka kiʻekiʻe o ka helu ola o nā keiki i hoʻokaʻawale ʻia ma hope (ma kahi o 80%) ma mua o ka poʻe i hoʻokaʻawale koke ʻia.
Aia kekahi ala e pale aku ai i kēia kūlana?
He mea kaumaha loa kēia. No ka mea, ʻaʻole mākou i ʻike i ke kumu pololei o nā māhoe i hui pū ʻia, ʻaʻohe ala e pale aku ai iā lākou i ka wā hāpai. He mea nui e hoʻomaopopo ʻaʻole kēia ka hewa o ka makuahine a i ʻole ka makuakāne.
He aha ka mea hiki ke ʻōlelo ʻia e pili ana i ka wā e hiki mai ana o kēia mau keiki? (Wānana)
ʻO ka nui o ke ola a me ke ʻano o ke ola o nā keiki e hilinaʻi nui ʻia ma ke ʻano o ka pilina o nā keiki ʻelua. Eia nā nui o ke ola e ʻike pinepine ʻia no kēlā me kēia ʻano:
- ʻOmphalopagus: Ma kahi o 82% o ka ʻōpū .
- Pūhaka (Pygopagus): Ma kahi o 68%.
- ʻIschiopagus: Ma kahi o 63%.
- Thoracopagus: He haʻahaʻa ka manawa e ola ai kēia.
- Parapagus: He haʻahaʻa loa kēia o ka manawa e ola ai.
- Kephalopagus: Mai luna o ke poʻo a i lalo: Haʻahaʻa loa ka manawa e ola ai.
- Poʻo wale nō (Craniopagus): ʻOi aku ka liʻiliʻi o ka manawa e ola ai.
- ʻO ke kaula kuamoʻo (Rachipagus): ʻAʻole hiki ke hoʻokaʻawale ʻia kēia ʻano keiki.
Ma kahi o 60% wale nō o nā keiki e hana ʻia ana i ke ʻoki hoʻokaʻawale e ola ana. Eia nō naʻe, hiki i nā kauka ke kōkua i ka hoʻokele ʻana i nā pilikia a hoʻomaikaʻi i ka nānā ʻana no nā keiki.
Hiki anei ke ola i ke ola olakino ʻoiai inā ua hānau ʻia ʻoe me ka pilina?
Pili nō hoʻi kēia i ke ʻano o ka pilina o nā pēpē. Me ka holomua o ka ʻepekema lapaʻau a me ka ʻenehana ʻoki kino, hiki i kekahi mau pēpē i hānau ʻia me ka pilina ke ola maʻamau a olakino ma hope o ka hoʻokaʻawale ʻana. I kekahi manawa, ʻoiai inā ʻaʻole hiki ke hoʻokaʻawale ʻia, hiki iā lākou ke mālama i kahi ola maikaʻi ma lalo o ka nānā pono ʻana o ke kauka.
I ka manawa hea e hiki ai ke ʻike ʻia kēia i ka wā hāpai?
ʻO ka maʻamau, hiki ke ʻike ʻia nā māhoe i hoʻohui ʻia i ka wā mua o 12 mau pule o ka hāpai ʻana . Hiki i kāu kauka ke hōʻoia i kēia me kahi scan anomaly ma kahi o 20 mau pule.
He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?
He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke aʻo ʻoe i kahi mea e like me kēia. Mai hopohopo. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia mau mea a ʻike pono:
- Pehea ka pilina o kaʻu mau keiki ʻelua? He aha nā ʻōkana a lākou e hoʻohana pū ai?
- E hiki anei ke hoʻokaʻawale i kaʻu mau keiki?
- Pono ʻoe i kahi hoʻopaʻa koke?
- He aha nā mea e hiki ke hana ʻia e pale aku ai i ka hānau mua ʻana?
- Aia kekahi hui o nā kauka kūikawā e mālama a mālama i kaʻu mau keiki ma mua a ma hope o ko lākou hānau ʻana?
Ma ke ʻano he mau mākua, ʻo ka mea hope loa āu e makemake ai e lohe, ua loaʻa kahi mea i manaʻo ʻole ʻia i kāu pēpē i hānau ʻole ʻia. ʻOiai ʻaʻole mākou i ʻike i ke kumu o ka loaʻa ʻana o nā māhoe i hui pū ʻia, ʻaʻohe ala e pale aku ai iā lākou. Ma hope o kahi hōʻailona e like me kēia, pono ʻoe e hana pū me kahi hui o nā loea lapaʻau akamai loa. Hiki iā lākou ke nānā i ka ulu ʻana o kāu pēpē, hoʻolālā i ka hānau ʻana, a kūkākūkā i nā hana ʻoki kino. ʻO ke ʻano o ka mālama ʻana i kāu pēpē e pili ana i kahi i hui pū ʻia ai lākou a me ka nui o kā lākou kaʻana like ʻana i nā kino. Eia nō naʻe, he nui nā māhoe i hui pū ʻia he mau koho ʻoki kino a me nā koho lapaʻau. He mea maʻamau ka manaʻo ʻana i nā ʻano manaʻo like ʻole i kēia manawa, me ka makaʻu, ka huhū, ka hewa, a me ke kaumaha. E hoʻomanaʻo, aia kāu hui lapaʻau e kākoʻo iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
He maʻi laha ʻole nā māhoe i hui pū ʻia. ʻAʻole ʻike ʻia ke kumu pololei, no laila ʻaʻole hiki ke pale ʻia. Eia nō naʻe, he mea nui loa ka ʻike mua ʻana a me ka mālama pono ʻana i ke olakino. Me ka holomua o ka ʻepekema lapaʻau, ua hoʻokaʻawale maikaʻi ʻia kekahi mau keiki a loaʻa iā lākou ka manawa kūpono e ola ai i kahi ola maikaʻi. He mea paʻakikī i nā mākua ke noho ikaika i ka noʻonoʻo ma ia ʻano kūlana, akā he mea nui loa ka ʻike i ka ʻike kūpono, kamaʻilio ākea me nā kauka, a loaʻa ke kākoʻo e pono ai. E nīnau i kāu kauka i kāu mau nīnau a pau a mai makaʻu.
nā māhoe pili, nā māhoe Siamese, nā māhoe, nā keiki pili, hāpai keiki, ʻoki kino, lāʻau lapaʻau
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