Ua ʻike paha ʻoe iā ia ma nā kiʻiʻoniʻoni, e pili ana i nā māhoe i hānau ʻia me ka hui pū ʻana. Hiki ke hana ʻia kēia, akā he maʻi lapaʻau kakaikahi loa ia. I ka ʻōlelo maʻalahi, ʻo nā māhoe i hui pū ʻia he mau māhoe i hānau ʻia me ke kino kekahi i kekahi. Hiki i kēia maʻi ke hana i nā pilikia i ka wā hāpai, i ka wā hānau keiki, a ma hope o ka hānau ʻana. ʻOiai he kumuhana koʻikoʻi ia e kamaʻilio ai, he mea nui e makaʻala i ia mea.
I kekahi manawa hiki ke hoʻokaʻawale pono ʻia kēia mau pēpē ma o ke ʻoki kino. Akā, ʻaʻole hiki ke hoʻokaʻawale ʻia lākou a pau. ʻO kēia ma muli o ke ʻano o ka pilina o nā pēpē a me nā ʻōpū o loko a lākou e kaʻana like ai. Ma mua o ka hoʻoholo ʻana inā hiki ke hoʻokaʻawale palekana ʻia lākou, hana nā loea i nā hoʻokolohua he nui. ʻO nā hoʻokolohua e like me nā scan ultrasound, nā scan MRI, a me ka echocardiography fetal, e lawe ana i ka palapala ʻāina o nā puʻuwai o nā pēpē, hiki ke kōkua iā mākou e hoʻomaopopo maikaʻi i nā ʻōpū a lākou e kaʻana like ai.
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻAʻole i loaʻa i nā kānaka ʻepekema kahi kumu hoʻokahi a paʻa no kēia, akā aia ʻelua mau manaʻo nui e wehewehe ana i ia mea.
1. Manaʻo Fission: Wahi a kēia manaʻo, hoʻomaka ka embryo i nā pae mua e māhele i ʻelua. Hoʻokumu ʻia nā māhoe maʻamau ( Identical Twins ) i ka wā e māhele loa ai kēia embryo i ʻelua. Akā ʻo ka mea e hana nei ma ʻaneʻi, ʻaʻole i māhele loa ka embryo i ʻelua a kaʻawale, akā e hoʻomau i ka ulu ʻana ma hope o ka hui pū ʻana i kekahi manawa.
2. Kumumanaʻo Fusion: Wahi a kēia kumumanaʻo, hoʻokaʻawale mua kahi hua manu hoʻokahi i ʻelua, e hana ana i ʻelua mau embryos like. Eia nō naʻe, i nā pae mua loa o ka ulu ʻana o ka embryonic, hui hou kēia mau embryos ʻelua.
He mea kākaʻikahi loa kēia ʻano. Hōʻike pinepine ʻia e loaʻa ana ma kahi o hoʻokahi i loko o 50,000 a i ʻole 60,000 mau hānau ʻana. He mea kūpono hoʻi e ʻike ʻia he 70% o kēia mau keiki he mau kaikamahine. ʻO ka mea kaumaha, nui nā keiki i hāpai ʻia ma kēia ʻano e make ana i loko o ka ʻōpū a i ʻole ma hope koke iho o ka hānau ʻana.
ʻO ka mea nui, ʻaʻole i hoʻopilikia ʻia kēia kūlana e ka makahiki o ka makuahine, ka lāhui, a i ʻole kekahi mea ʻē aʻe. Eia kekahi, ma hope o ia ʻano hāpai ʻana, ʻaʻohe mea keakea iā ʻoe e hāpai i kahi keiki ʻē aʻe ma ke ʻano maʻamau.
Pehea ka hopena o kēia maʻi i ka hāpai ʻana?
Ua manaʻo ʻia ka hāpai ʻana me nā māhoe i hoʻohui ʻia he pilikia kiʻekiʻe a pono e kiaʻi pono ʻia e nā kauka loea i loko o kēia wā.
Pehea ʻoe e ʻike ai i kēia?
Hiki i nā kauka ke ʻike i kēia kūlana i ka wā o ka ultrasound scan i ka wā hāpai, ʻo ia hoʻi i ka trimester mua a ʻelua paha. I kekahi manawa hiki ke ʻike ʻia i ka wā mua o 7-12 mau pule.
Inā hōʻoia ka scan i kēia, e kuhikuhi kāu kauka i kekahi mau hoʻokolohua hou aʻe:
- MRI (Magnetic Resonance Imaging): ʻAe kēia iā mākou e ʻike maopopo i kahi e pili ai nā keiki ʻelua a me nā ʻōkana a lākou e kaʻana like ai.
- Echocardiogram: Nānā kēia i ka hana o nā puʻuwai ʻelua o ke keiki a inā pili pū lāua.
He aha nā hōʻailona?
ʻAʻole hiki i ka makuahine hāpai ke ʻike inā he mau māhoe pili kāna ma o nā hōʻailona wale nō. Ua like nā hōʻailona me nā mea i loaʻa pinepine i ka wā hāpai māhoe, akā ʻoi aku ka koʻikoʻi.
- Luhi nui, ka nausea, a me ka luaʻi ʻana i nā wā mua o ka hāpai ʻana.
- ʻOi aku ka wikiwiki o ka ulu ʻana o ka ʻōpū ma mua o ka wā hoʻokahi wale nō pēpē.
Hana pinepine ʻia ka hānau ʻana ma o ka ʻoki ʻoki C , no ka palekana o ka makuahine a me ke keiki. I ka wā hānau , ua hoʻomākaukau ʻia nā hui lapaʻau kaʻawale no kēlā me kēia keiki.
He aha nā ʻano like ʻole e pili ai kēia mau keiki?
ʻAʻole pili like nā māhoe i hoʻohui ʻia. Ua hoʻokaʻawale ʻia lākou e like me kahi o ko lākou pilina. E nānā i ka papa ma lalo nei e hoʻomaopopo pono i kēia ʻike.
| ʻAno | Kahi a me ka wehewehe ʻana o ka pilina |
|---|---|
| Mai ka umauma (Thoracopagus) | ʻO ke ʻano maʻamau. Hoʻopili ʻia lākou he alo a he alo ma ka umauma. Hoʻokahi pinepine lākou i ka puʻuwai a me ke akepaʻa. |
| Mai ka ʻōpū (Omphalopagus) | Ua hoʻopili ʻia ma lalo o ka iwi umauma, kokoke i ka sternum. Hiki iā ia ke kaʻana like i ke akepaʻa, ka ʻōpū a me nā ʻāpana o luna o ka ʻōnaehana hoʻoheheʻe. |
| Mai ke kua haʻahaʻa (Pyopagus) | Hoʻolōʻihi ia mai ke kua a pili i ke kua haʻahaʻa. Hiki iā ia ke kaʻana like i nā ʻōpū wahine, ka ʻōnaehana mimi, a me nā ʻāpana haʻahaʻa o ka ʻōnaehana hoʻoheheʻe. |
| Mai ka pelvis (Parapagus) | Hoʻopili ʻia ke pelvis i nā ʻaoʻao ma o ka pelvis. |
| Mai ke poʻo (Craniopagus) | Ua pili ka iwi poʻo ma luna. Ua pili pinepine ka lolo, akā, ʻaʻole i nā manawa a pau. |
| Ma ke kuamoʻo (Rachipagus) | Kākaʻikahi loa. Ma ke kua, pili mau ka iwi kuamoʻo holoʻokoʻa. |
Hiki ke hoʻokaʻawale ʻia kēia mau keiki ma o ke ʻoki ʻana?
ʻO kēia ka pilikia nui loa no nā kānaka a pau. ʻAʻole hiki ke hoʻokaʻawale ʻia nā māhoe i hui pū ʻia. ʻOiai inā kaʻana like lāua i hoʻokahi ʻāpana koʻikoʻi, e like me ka puʻuwai hoʻokahi, ʻaʻole hiki ke hana ʻoki kino.
ʻO ka maʻamau, kali nā kauka ma waena o 3 mau mahina a me hoʻokahi makahiki ma hope o ka hānau ʻana o ke keiki ma mua o ka hoʻoholo ʻana i ke ʻoki kino. ʻO kēia ke hāʻawi i ke keiki i ka manawa e ikaika ai e kū i ke ʻoki kino. Hāʻawi pū ia i nā kauka i ka manawa kūpono e aʻo maikaʻi i ke ʻano o ko lākou kino a me ka hoʻolaha ʻana o nā ʻōkana.
Eia nō naʻe, i kekahi mau pilikia , pono paha ke ʻoki kino pilikia . No ka laʻana, inā make kekahi keiki a loaʻa paha kahi maʻi e hoʻoweliweli ana i ke ola, pono paha e hana koke ʻia ke ʻoki kino e hoʻopakele i ke ola o kekahi keiki.
He paʻakikī loa kēia mau ʻoki kino. Pono lākou i kahi haukapila me ka ʻike kūikawā a me nā pono hana. ʻOiai ma hope o ke ʻoki kino, pono nā keiki i nā ʻano lapaʻau like ʻole, e like me ka hoʻōla kino, no ka manawa lōʻihi.
He aha nā kūlana e ola ai?
ʻO ka mea pōʻino, ʻaʻole kiʻekiʻe loa ka nui o ke ola o kēia mau keiki.
- ʻOi aku ma mua o 50% o nā hāpai māhoe i hoʻohui ʻia e pau i ka hāʻule ʻana o ka manawa a i ʻole ka hānau make ʻana.
- Ma kahi o 35% o nā pēpē i hānau ʻia e make i loko o 24 mau hola no ka mea ʻaʻole hiki i ko lākou mau kino ke kākoʻo i ʻelua kino.
- He helu liʻiliʻi wale nō, ma kahi o 25%, o nā keiki ola i kūpono no ke ʻoki kino.
- Ma kahi o 60% o nā keiki i hoʻokaʻawale ʻia e ke ʻoki ʻana e ola ana.
Akā, aia ka nūhou maikaʻi. Mahalo i ka ʻenehana scan i hoʻomaikaʻi ʻia a me nā ʻano hana ʻoki kino, ʻoi aku ka nui o nā māhoe i hoʻohui ʻia e ola nei a ke hoʻokaʻawale pono ʻia nei i kēia lā ma mua o ka wā ma mua.
Leka Lawe-Home
- He ʻano māhoe laha ʻole nā māhoe i hānau ʻia a hui pū ʻia i ka wā hānau.
- ʻAʻole i hoʻoholo paʻa ʻia ke kumu o kēia ʻano, a ʻaʻole ia he hewa na ka makuahine.
- He mea pilikia loa kēia ʻano hāpai ʻana a ʻike ʻia ma o nā scan e like me ka ultrasound a me ka MRI.
- Inā hiki ke hoʻokaʻawale ʻia nā māhoe a ʻaʻole paha, pili ia i ke ʻano o ko lāua pili ʻana a me nā ʻōkana a lāua e kaʻana like ai. He hana paʻakikī loa ia.
- Inā he kānalua kou e pili ana i ia kūlana, he mea nui loa e kamaʻilio ākea me kāu kauka e pili ana i ia mea a loaʻa iā ʻoe ka ʻōlelo aʻoaʻo a me ke alakaʻi kūpono.
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