Ma ke ʻano he makuahine e hiki mai ana, e hopohopo iki paha ʻoe a hopohopo hoʻi ke lohe ʻoe i ka huaʻōlelo 'nā māhoe parasitic'. Akā, mai hopohopo iki. No ka mea, he maʻi laha ʻole kēia. Eia nō naʻe, he mea nui loa ka ʻike pono ʻia e pili ana i nā mea āpau. No laila, i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia maʻi i kapa ʻia he mau māhoe parasitic, kona manaʻo, ke kumu e hana ʻia ai, a me ke ʻano o ka lāʻau.
He aha maoli ka māhoe parasitic?
I ka ʻōlelo maʻalahi, ʻo kahi māhoe parasitic kahi i hoʻopili ʻia ai nā ʻāpana o kekahi māhoe i ke kino o kekahi pēpē a ʻaʻole i ulu pono. Ua like loa kēia me ke ʻano i kapa ʻia he māhoe conjoined. Akā aia kahi ʻokoʻa koʻikoʻi. I nā māhoe conjoined, ua ulu maikaʻi nā pēpē ʻelua. I nā māhoe parasitic, ʻoiai ke olakino a ulu piha kekahi pēpē, ua pau ka ulu ʻana o kekahi māhoe i loko o ka ʻōpū a noho mau ma ke ʻano he ʻāpana hana ʻole.
Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia pēpē olakino maikaʻi a ulu maikaʻi ʻo ia ka 'autositic a dominant twin'. ʻO ka ʻāpana i ulu ʻole a hana ʻole ʻia ua kapa ʻia ʻo ka 'parasitic twin'.
Hiki i kēia ʻāpana parasitic ke hoʻopili i nā ʻāpana like ʻole o ke kino o ke keiki nui. ʻIke pinepine ʻia ia e hoʻopili ʻia ana i nā wahi e like me ke poʻo, ka ʻōpū, ka umauma, ka pelvis , ka puʻupuʻu a i ʻole ke kua. ʻO ka mea nui loa iā kākou a pau e hoʻomaopopo ma ʻaneʻi, ʻaʻole kēia ʻāpana parasitic he keiki ola a kaʻawale. Hoʻopau pinepine ʻia kēlā ʻāpana i loko o ka ʻōpū a i ka wā hānau paha.
He mea laha ʻole kēia ʻano maʻi a ʻōlelo nā loea hoʻokahi wale nō pēpē i hoʻopilikia ʻia e ia. ʻOiai he mea weliweli paha kēia e lohe ai, me nā holomua o ka lāʻau lapaʻau hou, hiki i kahi pēpē olakino ke ola i kahi ola maikaʻi loa. ʻO ka maʻamau, wehe nā kauka i ka parasite ma o ke ʻoki ʻana.
Aia ʻelua mau kūlana ʻē aʻe e like me kēia, akā hiki ke huikau.
1. Fetus-in-fetu: ʻO kēia ka ulu ʻana o kahi ʻano ʻē, e like me ka embryo, o nā ʻiʻo i uhi ʻia e ka ʻili i loko o ke kino o kahi pēpē olakino.
2. Teratoma makua: He ʻano maʻi kanesa kēia. I kekahi manawa hiki i kēia ke make.
He aha ke kumu o kēia kūlana?
No ka mea he mea kākaʻikahi loa ia, ke hoʻāʻo nei nā kānaka noiʻi e ʻike i ke kumu pololei. Akā aia ʻelua mau manaʻo nui. Pili nā mea ʻelua i nā mea e hana ʻia ana i nā wā mua o ka ʻōpū.
1. Kumumanaʻo Fission
Wahi a kēia kumumanaʻo, māhele ʻia ka hua i hoʻoulu ʻia i ʻelua i loko o nā pule ʻelua mua o ka hāpai ʻana, e hana ana i nā māhoe like . E noʻonoʻo, inā māhele ʻia ka hua i ʻelua ma kēia ʻano, ʻaʻole ia e kaʻawale loa, a pau ka ulu ʻana o kekahi ʻāpana i ka hapalua, a laila ʻōlelo kēia kumumanaʻo e kū mai ana kahi kūlana māhoe parasitic.
2. Kumumanaʻo Fusion
Manaʻo kēia kumumanaʻo i ka mea ʻē aʻe. ʻO ia hoʻi, inā paha e māhele pono ka hua manu i ʻelua ʻāpana, e hui hou nā ʻāpana ʻelua kekahi i kekahi a hui pū ma ka pae cellular. ʻO ka hopena, he mau māhoe i hui pū ʻia. Ke ʻōlelo nei kēia kumumanaʻo inā e pau ka ulu ʻana o kekahi ʻāpana o ka embryo ma hope o kēia hui ʻana, ʻo ia ke kūlana o nā māhoe parasitic.
Eia kekahi, ke aʻo nei nā kānaka noiʻi i kahi kemika i kapa ʻia ʻo Sonic Hedgehog protein (SHH) . He mea nui kēia protein no ka ulu ʻana o nā cell. Ua manaʻo ʻia ʻo ke kiʻekiʻe loa o kēia protein SHH ke kumu o ka parasitic twinning. Eia nō naʻe, pono ka noiʻi hou aku ma kēia.
Aia kekahi mau hōʻailona e hiki ke haʻi iā ʻoe i kēia mua?
Manaʻo ka poʻe he nui i loko o ke kūlana e like me kēia, e ʻike ka makuahine i kekahi mau hōʻailona . Akā ʻo ka ʻoiaʻiʻo, ʻaʻole ʻike ka makuahine i kekahi mau hōʻailona.
Hiki ke ʻike ʻia kēia maʻi ma o nā hoʻokolohua lapaʻau i ka wā hāpai. ʻIke nui ʻia ia ma o nā scans i hana ʻia e ke kauka.
- ʻO ke kiʻi ultrasound prenatal
- ʻO ke kiʻi MRI `( kiʻi resonance magnetic )`
- ʻO ke kiʻi CT `(Tomography Kamepiula)`
I loko o kēia mau scan, hiki i kāu kauka ke nānā i nā ʻano ʻē i ke kino o kāu pēpē, e like me nā ʻāpana o kahi māhoe parasitic. Inā pēlā, hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe, e like me ka echocardiogram, e nānā i ka hana puʻuwai olakino o ka pēpē.
Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke ʻike ʻia kēia parasite ʻoiai ke pēpē i loko o ka ʻōpū. I kēlā hihia, ʻike wale nā kauka i ke kūlana ma hope o ka hānau ʻana o ka pēpē, ke ʻike lākou i nā ʻiʻo keu.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
ʻO ke ʻoki ʻoki wale nō ka lāʻau lapaʻau no ka maʻi māhoe parasitic. ʻOiai paha he mea paʻakikī ke ʻōlelo ʻana e ʻoki ʻia ana kahi pēpē hānau hou, inā ʻaʻole e wehe ʻia kēia ʻāpana parasitic, hiki i ka pēpē olakino ke kū i nā pilikia like ʻole i ka wā e hiki mai ana. ʻO ia ke kumu e hana ʻia ai kēia ʻoki kino.
I ka wā o ke ʻoki ʻana, wehe pono nā kauka i nā ʻiʻo a pau, nā iwi, a me nā ʻōpū paha mai ka māhoe parasitic mai ke kino o ka pēpē olakino. I kekahi mau hihia, inā ua hoʻoulu ka māhoe parasitic i kekahi mau kīnā i ke kino o ka pēpē olakino, pono paha ke ʻoki hana hou e hoʻoponopono iā lākou.
Mahalo i nā holomua o ka ʻenehana ʻoki kino hou, ʻaʻole i loaʻa i ka hapa nui o nā keiki nā pilikia nui ma hope o ke ʻoki ʻana. Eia nō naʻe, pono paha kekahi mau keiki i ka nānā kūikawā ʻana ma ka ʻāpana mālama koʻikoʻi (ICU) ma hope o ke ʻoki ʻana.
Hiki ke loaʻa nā pilikia ma hope o ke ʻoki ʻana?
E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia e hiki ke loaʻa me kēia ʻoki kino. Akā pono mākou e hoʻomanaʻo e hoʻōla maikaʻi ka hapa nui o nā keiki. Eia kekahi mau pilikia maʻamau e hiki ke loaʻa ma hope o ke ʻoki kino.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| Nā maʻi | Nā huakino e komo ana ma o ka ʻeha ʻoki. |
| Nā Hernias | Ka puka ʻana mai o kahi ʻōkana o loko mai kahi i ʻoki ʻia ai. |
| Nā ʻano ʻē i ke kahe koko | Nā pilikia me ke kahe koko. |
| Ka hana ʻino ʻana o nā ʻōkana he nui | Ka nāwaliwali i ka manawa like o kekahi mau ʻōkana o ke kino. |
| Ka hāʻule ʻana o ka hanu | Paʻakikī ka hanu ʻana. Pono paha ka hanu hana. |
Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i ia mea. Hiki iā ia ke pane i kāu mau nīnau a pau a hoʻomaha i kou manaʻo. He mea kūpono loa ke ʻike i ke kauka loea i ka hāpai ʻana a me ka hānau keiki ʻana.
Leka Lawe-Home
- ʻO kahi māhoe parasitic kahi kūlana kahi i hoʻopili ʻia ai kahi ʻāpana o kahi māhoe i ulu ʻole i ke kino o kahi pēpē olakino. He kūlana kakaikahi loa kēia.
- ʻAʻole hiki ke ʻike ʻia kēia maʻi ma o nā hōʻailona i ʻike ʻia e ka makuahine. Hoʻomaopopo ʻia ia ma o nā scan i hana ʻia i ka wā hāpai.
- ʻO ke ʻano lapaʻau wale nō ka wehe ʻana i ka parasite ma ke ʻoki kino. I kēia mau lā, ma hope o kēia mau ʻoki kino, hiki i kahi keiki olakino ke ola i kahi ola maikaʻi loa.
- Inā he kānalua iki a makaʻu paha kou e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i ia mea. Mai hoʻomoe i nā makaʻu pono ʻole.
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