Yu go mɔs dɔn si am na fim dɛn, bɔt twin pikin dɛn we dɛn bɔn we jɔyn togɛda. Dis kin apun, bɔt na wan mɛrɛsin wae nɔr kin bɔrku. Fɔ tɔk am simpul wan, twin dɛn we dɛn jɔyn na twin dɛn we dɛn bɔn we jɔyn dɛnsɛf pan bɔdi. Dis kכndyushכn kin mek i gεt kכmplikεshכn we uman bεlε, we i de bכn pikin, εn afta i bכn. Pan ɔl we i kin bi tɔpik we rili impɔtant fɔ tɔk bɔt, i impɔtant fɔ no bɔt am.
Sɔntɛnde, dɛn kin ebul fɔ separet dɛn pikin ya fayn fayn wan tru ɔpreshɔn. Bɔt nɔto ɔl dɛn kin separet. dis na bikoz fכ di we aw di pikin dεm de kכnekt εn di insay כgan dεm we dεn de sheb. Bifo dɛn disayd if dɛn go ebul fɔ separet dɛn sef wan ɔ nɔ go sef, spɛshal pipul dɛn kin du bɔku tɛst dɛn. Tεst dεm lεk כltra saund skan, MRI skan, εn fetal εkokadyografi, we de tek map fכ di pikin dεm in at, kin εp wi fכ כndastand bεtεh us כgan dεm dεn sheb.
Wetin mek dis de apin? Wetin na di rizin?
Sayɛnsman dɛn stil nɔ fɛn wan rizin we rili klia fɔ dis, bɔt tu men tin dɛn de we de ɛksplen am.
1. Fishכn Tiori: akɔdin to dis tiori, di εmbrayo we de fכs stej de bigin fכ sheb to tu. nכmal twin dεm ( Identical Twins ) de fכm we dis εmbrayo divayd kכmplit wan to tu. bכt wetin de apin ya na di εmbrayo nכ de divayd kכmplit to tu εn sεparat, bכt i de kכntinyu fכ gro afta i jכyn togeda sכm tεm.
. כltu, insay di fכs stej dεm we di εmbrayo de divεlכp, dεn tu εmbrayo dεm ya de fכs tכgeda bak.
Dis sik nɔ kin apin so ɔltɛm. Bɔku tɛm dɛn kin ripɔt se i kin apin to lɛk wan pan ɛvri 50,000 ɔ 60,000 pikin dɛn we dɛn bɔn. I fayn bak fɔ no se lɛk 70% pan dɛn pikin ya na gyal pikin dɛn. I sɔri fɔ no se bɔku pikin dɛn we dɛn gɛt bɛlɛ dis kayn we kin day na dɛn bɛlɛ ɔ jɔs afta dɛn bɔn dɛn.
De impɔtant tin na dat dis sik nɔr kin afɛkt di mama in ej, in trayb, ɔr ɛni ɔda tin. Dɔn bak, afta da kayn bɛlɛ de, natin nɔ de we go ambɔg yu fɔ gɛt ɔda pikin nɔmal wan.
Aw dis sik kin afɛkt di bɛlɛ?
we uman bεlε wit twin dεm we dεn kכnjɔy dεn kin tek am se i gɛt ay risk εn spɛshal dכkta dεm nid fכ de wach am gud gud wan ɔlsay na dis tεm.
Aw yu no dis?
Dɔktɔ dɛn kin no dis sik we dɛn de du ɔltra saund skan we uman gɛt bɛlɛ, bɔku tɛm na di fɔs ɔ sɛkɔn trimɛst. Sɔmtɛm dɛn kin no am as ali as 7-12 wik.
If di skan sho se dis, yu dɔktɔ go tɛl yu fɔ du sɔm ɔda tɛst dɛn:
- MRI (Magnetic Resonance Imaging): Dis de mek wi si klia wan usay di tu pikin dɛn gɛt sɔntin fɔ du wit dɛnsɛf ɛn us ɔgan dɛn de sheb.
- Echocardiogram: Dis de chɛk aw di pikin in tu at dɛn de wok ɛn if dɛn gɛt kɔnekshɔn togɛda.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Mama we gɛt bɛlɛ nɔ kin ebul fɔ no if i gɛt twin pikin dɛn we i dɔn mared bay di sayn dɛn nɔmɔ. di sayn dεm na di sem lεk di wan dεm we kin apin we twin bεlε, bכt dεn kin tranga sכmtεm.
- Taya pasmak, nɔs, ɛn vɔmit ali we uman gɛt bɛlɛ.
- di uterus de gro fast pas if na wan pikin nכmכ bin de.
Bɔku tɛm, dɛn kin du di pikin bay we dɛn de yuz C-section , fɔ mek di mama ɛn di pikin sef. We dɛn de bɔn pikin , dɛn kin rɛdi difrɛn mɛdikal tim dɛn fɔ ɛni pikin.
Wetin na di difrɛn we dɛn we dɛn pikin ya gɛt kɔnekshɔn?
Twin dɛn we dɛn jɔyn nɔ ɔl gɛt kɔnekshɔn di sem we. Dɛn kin sheb dɛn akɔdin to di say we dɛn kɔnekshɔn de. Si di tebul we de dɔŋ fɔ ɔndastand dis infɔmeshɔn klia wan.
| Kayn | Usay ɛn diskripshɔn fɔ di kɔnɛkshɔn |
|---|---|
| Frɔm di chɛst (Toracopagus) . | Di kayn we we kɔmɔn pas ɔl. Dɛn kin kɔnɛkt dɛn fes to fes na di chɛst. Bɔku tɛm, dɛn kin gɛt wan at ɛn wan liva. |
| Frɔm di bɛlɛ (Omphalopagus) . | i de atak dכn di brεstbon, nia di stεnכm. I kin sheb di liva, gal blad, ɛn ɔp pat dɛn na di dijestiv sistɛm. |
| Frɔm di ɔda pat we de dɔŋ (Pyopagus) . | I de kכmכt frכm di bak εn i kכnekt to di lכw bak. i kin sheb di jεnital dεm, di urinary sistεm, εn di lכw pat dεm na di dijestiv sistεm. |
| Frɔm di bɔdi we de na di bɔdi (Parapagus) . | di bכdi de kכnekt to di sayd dεm tru di bכdi. |
| Frɔm di ed (Craniopagus) . | Di skel de kɔnɛkt na di tap. Bɔku tɛm, di bren kin kɔnɛkt, bɔt nɔto ɔltɛm. |
| Along di spayna (Rachipagus) . | Rili rare. along di bak, di wan ol spayna de stil kכnekt. |
Yu tink se dɛn kin du ɔpreshɔn fɔ sheb dɛn pikin ya?
Dis na di big prɔblɛm fɔ ɔlman. Nɔto ɔl twin dɛn we dɛn jɔyn kin separet. Ɛspɛshali if dɛn ɔl tu gɛt wan impɔtant ɔgan lɛk di sem at, i nɔ go pɔsibul fɔ mek dɛn du ɔpreshɔn.
Dɔktɔ dɛn kin wet bitwin 3 mɔnt ɛn wan ia afta dɛn bɔn pikin bifo dɛn disayd fɔ du ɔpreshɔn. Dis na fɔ gi di pikin tɛm fɔ mek i strɔng fɔ ebul fɔ bia we dɛn du am ɔpreshɔn. I de gi dɔktɔ dɛn di chans bak fɔ stɔdi mɔ bɔt aw dɛn bɔdi tan ɛn aw dɛn de sheb dɛn ɔgan dɛn.
Bɔt insay sɔm imejensi , i kin nid fɔ du ɔpreshɔn kwik kwik wan . Fɔ ɛgzampul, if wan pikin day ɔ gɛt wan sik we go mek i day, dɛn go nid fɔ du ɔpreshɔn kwik kwik wan fɔ sev di ɔda pikin in layf.
Dɛn ɔpreshɔn dɛn ya rili kɔmpleks. Dɛn nid ɔspitul we gɛt spɛshal no ɛn tin dɛn fɔ du. Ivin afta dɛn dɔn du di ɔpreshɔn, pikin dɛn nid difrɛn tritmɛnt dɛn lɛk fɔ trit dɛn bɔdi fɔ lɔng tɛm.
Wetin na di chans fɔ mek pɔsin nɔ day?
I sɔri fɔ no se di we aw dɛn pikin ya kin liv nɔ kin rili bɔku.
- mכr dan 50% pan di twin bεlε dεm we dεn kכnjכn de dכn wit miskεriכshכn כ we dεn bכn pikin we dεn day.
- כlmost 35% pan di pikin dεm we dεn bכn de day insay 24 awa biכs dεn כgan dεm nכ kin ebul fכ sכpכt tu bכdi.
- Na smɔl nɔmba nɔmɔ, lɛk 25%, pan di pikin dɛn we stil de alayv kin kwalifay fɔ ɔpreshɔn.
- Na lɛk 60% pan di pikin dɛn we dɛn kin du ɔpreshɔn fɔ separet kin liv.
Bɔt gud nyus de. Tɛnki fɔ di impɔtant skan tɛknɔlɔji ɛn ɔspitul tɛknik, mɔ twin dɛn we gɛt wanwɔd de liv ɛn dɛn de separet fayn fayn wan tide pas aw i bin de bifo.
Mɛsej we dɛn kin kɛr go na os
- Conjoined twins na wan kayn twins we rili rare we dεn bכn jכyn togeda we dεn bכn.
- Dɛn nɔ dɔn no klia wan yet wetin mek dis sik, ɛn nɔto di mama in fɔlt.
- dis kayn bεlε kin rili risky εn dεn kin no am tru skan lεk כltra saund εn MRI.
- if di twin dεm kin separet כ nכ kin separet i dipכnt pan aw dεn kכnekt εn us כgan dεm dεn sheb. Na wan tin we rili kɔmpleks.
- If yu gɛt ɛni dawt bɔt dis kayn tin, i rili impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt am ɛn gɛt di rayt advays ɛn gayd.
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