Yu dɔn yɛri bɔt twin dɛn we dɛn jɔyn? Lɛ wi tɔk bɔt dis!

Sɔntɛm yu dɔn yɛri bɔt twin dɛn we dɛn jɔyn togɛda na nyuspepa ɛn na TV. Na tɔpik we rili sɔprayz ɛn we rili sɛnsitiv, nɔto so? We wi yɛri sɔntin lɛk dis, bɔku kwɛstyɔn dɛn kin kam na wi maynd. So tide, lɛ wi tɔk bɔt dɛn `(Conjoined Twins)` ɔ conjoined twins ya insay simpul Sinhala we yu kin ɔndastand.

Wetin dɛn kɔl twin dɛn we dɛn jɔyn togɛda?

Fɔ tɔk am simpul wan, twin dɛn we dɛn jɔyn na tu bebi dɛn we dɛn bɔdi jɔyn togɛda, dat na di pat dɛn na dɛn bɔdi. Dɔktɔ dɛn stil nɔ shɔ ustɛm dis kin apin. bכt dεn tink se we di pikin bigin fכ divεlכp, dat na di εli εmbrayo stej we di mama in eg εn di papa in sεl dεm de kam togεda, di εmbrayo kin split insay tu εn stכk togeda we i nכ go sεparayt kכmplit, כ tu εmbrayo dεm we bin de fכs fכs kin fכs tכgeda (fyushכn). Ɔl di twin dɛn we dɛn bɔn dis we na di sem . Dɔn bak, bɔku tɛm, dɛn kin bɔn gyal pikin dɛn dis we.

Aw dis sik kin kɔmɔn?

Dis na rili wan sik we nɔ kin apin so ɔltɛm . Fɔ sho se i kin apin to lɛk wan pan ɛvri 50,000 bɛlɛ dɛn. Sɔntɛnde, we tu pikin dɛn jɔyn togɛda dis we, di bɔdi pat dɛn we jɔyn nɔ kin divɛlɔp bɛtɛ fɔ mek dɛn kɔntinyu fɔ liv. So, bɔku tɛm (lɛk 60%) dɛn kayn twin dɛn ya kin bɔn day ɔ day jɔs afta dɛn bɔn dɛn . Dis kin sɔri fɔ yɛri, bɔt na tru.

Yu tink se dɛn bɔn ɔl twin dɛn we dɛn jɔyn di sem?

Yɛs, lɛk aw wi bin dɔn tɔk, twin pikin dɛn we dɛn bɔn dis kayn we kin fiba ɔltɛm . Dat min se dɛn gɛt di sem tin dɛn we dɛn kin gɛt frɔm dɛn jɛnɛtiks. Dɔn bak, dɛn se dɛn kin bi gyal pikin dɛn mɔ.

Wetin mek dis de apin? Wetin na di rizin?

Tu men tin dɛn de we pipul dɛn kin tink bɔt dis.

. Bɔt i nɔ kin separet ɔl, bɔt i kin stik togɛda sɔm tɛm. Dɔn di tu pat dɛn we stɔp fɔ bi tu difrɛn bebi dɛn.

2. fכs tiori: insay dis, tu difrεnt εmbriyo dεm (bol dεm fכ sεl dεm) de fכs we de divεlכp to twin. כltu, as dεn tu εmbrayo dεm ya de divεlכp, dεn kin aksidεntli kam togεda εn kכnεkt sכm tεm.

dεn tu tiori dεm ya de εksplen aw kכnjכyn twin dεm kin apin insay di fכs 12-14 de dεm afta fεtilayzכn. Bɔt sayɛnsman dɛn stil nɔ ebul fɔ no di rayt tin we mek dis tin apin. Dis min se nɔto bikɔs ɔf ɛnibɔdi in fɔlt.

Di kayn dɛn de bay aw dɛn kɔnɛkt?

Yɛs, dɛn kin sheb dɛn tin ya akɔdin to di say we di bɔdi de usay di tu pikin dɛn jɔyn togɛda. Dɛn kin yuz spɛshal mɛrɛsin nem dɛn fɔ tɔk bɔt dɛn kayn tin ya.

• if i involv di bכdi (bεlε): `(Omphalopagus)`
• if dεn kכnekt am to di chεst εria: `(Thoracopagus)` - dis na di tכp we kכmכn pas כl.
• frכm di tכp pat pan di ed to di nos, di fes de kכnekt to di fes: `(Cephalopagus)`
• If na di ed nכmכ de involv: `(Craniopagus)`
• if di bכdi kכnekt to di fes, dεn kכl am: `(Ischiopagus)`
• if di bכdi jכyn sayd to sayd: `(Parapagus)`
• Rump-to-rump nem dɛn we gɛt fɔ du wit am: `(Pygopagus)`
• Nem dεm we riliyt to di vεrbral kכlכm: `(Rachipagus)`

εvri wan pan dεn kayn dεm ya de sho aw dεn de sheb di pikin in insay כgan dεm, if dεn kin separet dεm, εn di risk fכ dεn layf.

Aw yu kin no dis we yu gɛt bɛlɛ?

Dɛn kin no dis sik we uman gɛt bɛlɛ wit ɔltra saund skan . Sɔntɛnde dɛn kin no am as ali as 12 wiks we uman gɛt bɛlɛ . afta dat, dεn kin du MRI skan fכ kכnfכm mכr εn fכ si εksεkshכn aw di pikin dεm de atak εn aw di insay כgan dεm de sheb.

We dɛn no dis kwik kwik wan, di dɔktɔ dɛn kin no di prɔblɛm dɛn we kin apin ɛn plan fɔ wetin fɔ du we dɛn bɔn di pikin.

Yu tink se kɔmplikeshɔn kin apin we uman gɛt bɛlɛ lɛk dis?

Yɛs, we twin pikin dɛn lɛk dis, i kin izi fɔ mek di mama bɔn bifo tɛm. Bɔt if dɛn no dis sik kwik kwik wan, dɔktɔ dɛn kin tray fɔ kɔntrol am ɛn gi di pikin dɛn di tɛm we dɛn nid fɔ divɛlɔp fayn fayn wan.

Bɔku tɛm, dɛn kin bɔn pikin dɛn bay sizarian sɛkshɔn (C-section) . Dis na di we we nɔ bad fɔ mama ɛn pikin.

Yu tink se dɛn twins ya kin separet?

Dis na di big kwɛstyɔn fɔ bɔku pipul dɛn. Sɔntɛnde i pɔsibul, sɔntɛnde i nɔ pɔsibul. I dipen pan bɔku tin, lɛk aw di pikin dɛn gɛt kɔnekshɔn, us ɔgan dɛn de sheb, ɛn ɔda tin dɛn.

Fɔ mek dɛn ebul fɔ du dis fayn fayn wan, spɛshal pipul dɛn we kɔmɔt na difrɛn say dɛn, lɛk dɔktɔ dɛn ɛn dɔktɔ dɛn we de du ɔpreshɔn, nid fɔ wok togɛda as wan tim. di advans imej tεknכlכji dεm (lεk skan) εn כda tεst dεm de εp fכ כndastand di bכdi pikin dεm εn di fysioloji kכrekt wan.

Sɔntɛnde, fɔ disayd fɔ separet pikin dɛn kin rili kɔmpleks, ɛn i kin ivin mek wi aks kwɛstyɔn bɔt aw fɔ biev.Insay tɛm dɛn lɛk dis, dɛn kin disayd fɔ du dis afta we di mama ɛn papa, di dɔktɔ dɛn, sɔntɛm di lida dɛn na rilijɔn, ɛn di wan dɛn we sabi bɔt aw fɔ mɛn pipul dɛn dɔn tɔk bɔku tɛm.

afta dεn bכn pikin dεm, dεn kin sheb dεm to tri men kכtכgrεf fכ separeshכn:

1. Nɔ separeshɔn: Sɔntɛnde, fɔ separet pikin dɛn kin mek dɛn layf de pan denja ɔ mek dɛn gɛt siriɔs disabiliti. Insay dɛn kayn tin ya, dɛn kin tink bɔt ɔpreshɔn fɔ separet di pikin dɛn afta dɛn dɔn tek tɛm tink bɔt aw di pikin dɛn go liv dɛn layf tumara bambay.

2. Fɔ separet kwik kwik wan: Insay sɔm imejensi, i nid fɔ separet kwik kwik wan we dɛn du ɔpreshɔn fɔ sev wan pikin ɔ ɔl tu di pikin dɛn layf.

3. Dilɛy fɔ separet: If di pikin dɛn wɛlbɔdi stebul, di mɛdikal tim kin put di ɔpreshɔn fɔ separeshɔn bifo fɔ sɔm tɛm. Dis go gi di pikin dɛn tɛm fɔ gro ɛn divɛlɔp. Dis go mek dɛn gɛt mɔ chans bak fɔ liv afta di ɔpreshɔn. Bɔku dɔktɔ dɛn biliv se i bɛtɛ fɔ du dis ɔpreshɔn we di pikin dɛn ol lɛk 9-12 mɔnt . Dɔn, dɛn kin separet dis kɔndishɔn bifo i afɛkt dɛn maynd. Pikin dεm we dεn separet leta gεt hכy rεt fכ liv (bכt 80%) pas di wan dεm we dεn sεparayt wantεm wantεm.

Yu tink se we de fɔ mek dis tin nɔ apin?

Dis na tru tin we rili sɔri. Bikɔs wi nɔ no di rayt tin we kin mek twin pikin dɛn we dɛn jɔyn togɛda, no we nɔ de fɔ mek dɛn nɔ gɛt dɛn we dɛn gɛt bɛlɛ. I impɔtant fɔ ɔndastand se dis nɔto di mama ɔ di papa in fɔlt.

Wetin wi kin tɔk bɔt di tumara bambay fɔ dɛn pikin ya? (Prɔgnosis) .

di rεt we di pikin dεm de liv εn di kwaliti fכ layf de dipכnt כlsay pan aw di tu pikin dεm kכnεkt. Na di rεt dεm we dεn kin si fכ εvri kayn:

• Omphalopagus: Na lɛk 82% pan di bɛlɛ .
• Bɔt (Pygopagus): Na lɛk 68%.
• Ischiopagus: Na lɛk 63%.
• Thoracopagus: Dis gɛt smɔl chans fɔ liv.
• Parapagus: Dis bak gɛt smɔl chans fɔ liv.
• Sɛfalopagɔs: Frɔm di tap pat pan di ed to di dɔŋ: Di chans fɔ liv rili smɔl.
• Hεd nכmכ `(Craniopagus)`: Sכm chans fכ liv.
• di spεnal kכd (Rachipagus): Dis kayn pikin dεm nכ kin separet.

na lεk 60% pan di pikin dεm we dεn du separeshכn כpεrayshכn de liv. Bɔt dɔktɔ dɛn kin ɛp fɔ mɛn di prɔblɛm dɛn we kin apin to pikin dɛn ɛn mek di we aw pikin dɛn de si tin bɛtɛ.

Yu tink se i pɔsibul fɔ liv fayn layf ilɛksɛf dɛn bɔn yu togɛda?

dis dipכnt bak pan aw di pikin dεm kכnεkt. We di tin dɛn we dɛn dɔn lan bɔt mɛrɛsin ɛn ɔspitul tɛknɔlɔji dɔn go bifo, sɔm pikin dɛn we dɛn bɔn we dɛn mared kin liv nɔmal layf ɛn gɛt wɛlbɔdi afta dɛn dɔn separate. Sɔntɛnde, ilɛksɛf i nɔ pɔsibul fɔ separet, dɛn kin kɔntinyu fɔ liv fayn layf ɔnda gud dɔktɔ we de kia fɔ dɛn.

Ustɛm dɛn kin no dis we uman gɛt bɛlɛ?

Bɔku tɛm, dɛn kin no di twin dɛn we dɛn jɔyn togɛda as ali as 12 wiks we dɛn gɛt bɛlɛ . Yu dɔktɔ kin kɔnfɔm dis wit anomaly skan arawnd 20 wik.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn dɛn we yu lan sɔntin lɛk dis. Nɔ wɔri. Yu kin aks yu dɔktɔ bɔt dɛn tin ya ɛn no fɔ tru:

• Aw mi tu pikin dɛn gɛt kɔnekshɔn? Us ɔgan dɛn dɛn kin yuz togɛda?
• Yu tink se i go pɔsibul fɔ mek mi pikin dɛn separet?
• Yu nid fɔ rɛzɛv wantɛm wantɛm?
• Wetin dɛn kin du fɔ mek dɛn nɔ bɔn pikin bifo tɛm?
• Yu tink se wan tim de we gɛt spɛshal dɔktɔ dɛn fɔ kia ɛn trit mi pikin dɛn bifo ɛn afta dɛn bɔn dɛn?

As mama ɛn papa, di las tin we una want fɔ yɛri na dat sɔntin we una nɔ bin de ɛkspɛkt dɔn apin to di pikin we nɔ bɔn yet. Bikɔs wi nɔ no wetin mek conjoined twins kin apin, no we nɔ de fɔ mek dɛn nɔ apin. Afta yu dɔn gɛt diagnosis lɛk dis, yu go nid fɔ wok wit wan tim we gɛt ay kwaliti mɛdikal pɔrsin. Dɛn kin wach aw yu pikin de gro, plan aw fɔ bɔn pikin, ɛn tɔk bɔt aw fɔ du ɔpreshɔn. di we aw dεn de trit yu pikin go dipכnt pan usay dεn jכyn εn aw dεn de sheb כgan dεm. Bɔt bɔku twin pikin dɛn we dɛn jɔyn kin gɛt ɔpreshɔn ɛn mɛrɛsin. Na nɔmal tin fɔ fil difrɛn kayn filin dis tɛm, lɛk fɔ fred, vɛks, fil gilti, ɛn sɔri. Mɛmba se yu mɛdikal tim de fɔ sɔpɔt yu ɛvri step we yu de du.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Twins we dɛn jɔyn togɛda na tin we nɔ kin apin so ɔltɛm. Wi nɔ no di rayt rizin, so dɛn nɔ go ebul fɔ stɔp dɛn. Bɔt fɔ no am kwik kwik wan ɛn fɔ mɛn di mɛrɛsin fayn fayn wan rili impɔtant. We mɛrɛsin sayɛns de go bifo, sɔm pikin dɛn kin kɔmɔt nia dɛnsɛf fayn fayn wan ɛn dɛn kin gɛt di chans fɔ liv gud layf. I nɔ kin izi fɔ mek mama ɛn papa dɛn kɔntinyu fɔ gɛt strɔng maynd pan dis kayn tin, bɔt i rili impɔtant fɔ no di rayt tin, tɔk to dɔktɔ dɛn opin wan, ɛn gɛt di sɔpɔt we dɛn nid. Aks yu dɔktɔ ɔl yu kwɛstyɔn dɛn ɛn nɔ fred.

` conjoined twins, siamese twins, twins, conjoined pikin, bɛlɛ, ɔpreshɔn, mɛrɛsin