Conjoined twins tih hi i hre tawh em? Hemi chungchang hi han sawi ila!

Chanchinbuah leh TV-ah te conjoined twins chungchang hi i hre tawh mai thei. Topic mak tak leh sensitive deuh a ni a, a ni lawm ni? Hetiang thil kan hriat hian kan rilruah zawhna tam tak a lo lang thin. Chuvangin vawiin hian heng `(Conjoined Twins)` emaw conjoined twins te hi Sinhala tawng awlsam takin i hriatthiam theih tur chungchang hi han sawi ila.

Conjoined twins hi eng nge an tih?

A awlsam zawngin, conjoined twins chu naute pahnih taksa lama inzawmkhawm, chu chu taksa peng hrang hranga inzawmkhawm an ni. Doctor-te chuan hetiang thil hi engtin nge a awm tih chiang takin an la hre chiang lo. Mahse naute a lo than chhoh tan chuan, chu chu nu egg leh a pa sperm an inzawm khawm chuan embryo hmasa lamah chuan embryo chu pahnih ah a inthen a, inthen vek lovin a inzawm khawm thei a, a nih loh leh a tir lama inthen embryo pahnih chu a hnuah an inzawm khawm thei niin an ngai (fusion). Hetianga piang twins zawng zawng hi an inang vek . Tin, a tam zawkah chuan hmeichhe naupang hi hetiang hian an piang thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm lo tak a ni . Statistically chuan naupai 50,000 zinga pakhat vel ah a awm thin. A châng chuan hetianga naute pahnih an inzawm khawm chuan taksa peng hrang hrang inzawmkhawmte chu dam khawchhuahna tur khawpin an lo thanglian lo. Chuvangin, a tam zawkah chuan (60%) chutiang twins chu thi an piang emaw, an pian hnu lawkah an thi emaw a ni . Hei hi hriat a lungchhiatthlak hle a, mahse a dik a ni.

Conjoined twins zawng zawng hi an piang vek em?

Ni e, a hmaa kan sawi tawh ang khan, hetianga piang twins hi an inang reng a ni . Chu chu an genetic characteristic inang an nei tihna a ni. Tin, hmeichhe naupang an nih an ring zawk niin an sawi bawk.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Hemi chungchangah hian ngaihdan lian tak pahnih a awm a.

1. Fission theory: Hei hi nausen a lo than chhoh tan tirh chuan embryo, cell ball te tak te, a in ang chiah chiah te chu pahnih ah a inthen tan thin tih hi a ni. Mahse, a inthen vek lo va, engtik lai pawhin a inzawm tlat thung. Tichuan, a peng pahnih inzawm chu naute hran pahnih ah an lo thang lian ta a ni.

2. Fusion theory: Hemiah hian embryo hrang hrang (balls of cells) pahnih a awm a, a tir lamah chuan twins-ah an lo thang lian a. Mahse, heng embryo pahnih hi an lo thanglian chhoh zel chuan accident-in an inzawm khawm a, engtik lai pawhin an inzawm khawm ta a ni.

Heng theory pahnihte hian fertilization hnu ni 12-14 chhunga conjoined twins an lo awm theih dan an sawifiah a ni. Mahse, scientist-te chuan he thil thleng chhan dik tak hi an la hre chiang thei lo. Chumi awmzia chu tu sual vang a ni lo tihna a ni.

An inzawm dan a zirin chi hrang hrang a awm em?

Ni e, hengte hi naupang pahnih inzawmkhawmna taksa awmna hmun azirin an thliar hrang a ni. Heng chi hrang hrangte sawina atan hian damdawi lam hming bik hman a ni.

• Pum (belly) a huam chuan: `(Omphalopagus)`
• Chest area nena inzawm a nih chuan: `(Thoracopagus)` - Hei hi a tam ber chi a ni.
• Lu chung lam atanga hnar thlengin hmai chu hmai nen a inzawm a: `(Cephalopagus)`
• Lu chauh a inrawlh a nih chuan: `(Craniopagus)`
• Pelvis hi hmai nen a inzawm chuan: `(Ischiopagus)` an ti a
• Pelvis chu a sir lehlamah inzawm a nih chuan: `(Parapagus)`
• Rump-to-rump nena inzawm hming: `(Pygopagus)`
• Vertebral column nena inzawm hmingte: `(Rachipagus)`

Heng chi hrang hrangte hian naupang chhungril taksa peng hrang hrangte insem dan te, an inthen theih leh theih loh te, an nunna atana hlauhawmna te a hril vek a ni.

Naupai lai hian engtin nge hei hi i hriat theih?

He natna hi naupai laiin ultrasound scan hmanga hriat theih a ni tlangpui . A châng chuan naupai kar 12 hnuah pawh hriat theih a ni . Tichuan, MRI scan hmangin finfiah belh lehin naute inzawm dan leh chhungril taksa peng hrang hrangte insem dan dik tak hriat theih a ni.

Hetianga hriat hmasakna hmang hian doctor-te chuan harsatna awm thei turte chu an lo thlir lawk thei a, naute pian huna an tih tur chu an ruahman thei bawk.

Hetiang naupaiah hian harsatna a awm thei em?

Ni e, hetiang twins an awm hian nu hian nau neih hma a nei tam zawk. Mahse, he natna hi a hmaa hriatchhuah a nih chuan doctor-te chuan thunun tumin an bei thei a, naute chu an thanlenna tur atana an mamawh hun an pe thei a ni.

A tam zawkah chuan naute hi cesarean section (C-section) hmangin an piang thin . Hei hi nu leh naute tan pawh a him ber a ni.

Heng twins te hi an inthen thei ang em?

Hei hi mi tam tak tan chuan zawhna lian ber a ni. A chang chuan a theih a, a chang chuan a ni lo. Thil tam takah a innghat a, chu chu naupangte inzawmna, eng taksa peng nge an insem, etc. te hi a ni.

Hei hi hlawhtling taka tih theih nan hian doctor leh surgeon te pawh tiamin field hrang hrang atanga specialist te hian team anga thawhhona tha tak an neih a ngai a ni. `Imaging` technology hmasawn tak tak (scan ang chi) leh test dangte hian naupang pahnih taksa peng hrang hrang leh taksa peng hrang hrangte hriatthiamna a pe a ni.

Naupang inthen tura thutlukna siam hi a chang chuan a buaithlak hle a, ethical question pawh a siam thei bawk.Hetiang hun lai hian, thu tlûkna siam chu nu leh pate, damdawi lam team, sakhaw hruaitute pawh ni thei, leh damdawi lam nungchang lama mithiamte inkâra nasa taka sawiho a nih hnua siam a ni.

Naute an pian hnuah inthen nan chi thum ah then an ni a:

1. Inthen loh: A chang chuan, naupang inthen hi nunna atana hlauhawm emaw, rualbanlohna nasa tak thlentu emaw a ni thei. Chutiang hunah chuan separation surgery hi naupangte hmalam hun atana an nunphung ṭhat dan tur uluk taka ngaihtuah hnuah chauh ngaihtuah a ni.

2. Inthen nghal: Emergency thenkhatah chuan naute pakhat emaw, pahnih emaw nunna chhanhim nan surgery hmanga inthen nghal a ngai thin.

3. Inthen tlai: Naupangte hriselna a nghet a nih chuan medical team-in inthenna surgery chu hun engemaw chen atan an sawn hla thei. Hei hian naupangte chu an thanlenna leh thanlenna hun a pe ang. Hei hian operation hnua an damchhuah theihna a tipung bawk ang. Doctor tam tak chuan naupang thla 9-12 vel an nih laiin he surgery hi tih a tha zawk an ti . Tichuan, he dinhmun hian an rilru a nghawng hmain an inthen thei a ni. Naupang inthen hnua awmte chu inthen nghal te aiin damchhuahna rate (80% vel) an nei sang zawk.

Hetiang dinhmun hi ven dan tur a awm em?

Hei hi thil lungchhiatthlak tak a ni. Conjoined twins awm chhan dik tak kan hriat loh avangin naupai laiin ven dan tur a awm lo. Hei hi nu leh pa sualna a ni lo tih hi hriatthiam a pawimawh.

Heng naupangte hmalam hun tur hi eng nge sawi theih ang? (Prognosis) tih a ni.

Naupang damchhuah zat leh nunphung chu naupang pahnih inzawmnaah a innghat vek a ni. Hengte hi chi hrang hranga damchhuah zat hmuh tlangpui chu a ni:

• Omphalopagus: Pum chhunga 82% vel .
• A hnute (Pygopagus): 68% vel a ni.
• Ischiopagus: 63% vel a ni.
• Thoracopagus: Hei hian damchhuahna chance a nei tlem hle.
• Parapagus: Hei pawh hian dam theihna chance a nei tlem hle.
• Cephalopagus: Lu chung lam atanga hnuai lam thleng: Dam theihna chance a tlem hle.
• Lu chauh `(Craniopagus)`: Dam theihna chance a tlem.
• Spinal cord (Rachipagus): Hetiang nausen hi inthen theih a ni lo.

Naupang separation surgery nei zinga 60% vel chauh an dam. Mahse, doctor-te chuan harsatna awmte enkawl kawngah an pui thei a, naupangte thlirna pawh a ti ṭha thei bawk.

Conjoined-a piang pawh ni ila nun hrisel tak neih theih a ni em?

Hei pawh hi naute inzawm danah a innghat bawk. Medical science leh surgical technology lama hmasawnna avang hian naute inzawmkhawma piang thenkhat chu an inthen hnuah pawh nun pangngai tak, hrisel takin an nung thei a ni. A châng chuan inṭhen theih loh pawh ni se, damdawi lam enkawlna ṭha hnuaiah nunphung ṭha tak an nei thei a ni.

Naupai lai hian engtikah nge hei hi hriat theih ang?

A tlangpuiin, conjoined twins hi naupai kar 12 hnuah pawh hmuhchhuah theih a ni . I doctor chuan kar 20 vel chhungin anomaly scan hmangin hei hi a nemnghet thei a ni.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Hetiang thil i zir hian zawhna tam tak neih hi thil pangngai a ni. Lungngai suh. Heng thilte hi i doctor zawt la, i hre thei ang:

• Engtin nge ka fate pahnih hi an inzawm? Eng taksa peng nge an hman dun?
• Ka fate inthen theih a ni ang em?
• Reservation nghal tur i mamawh em?
• Nau piang hmaa nau neih loh nan eng nge tih theih ang?
• Ka fate hi an pian hma leh an pian hnua enkawl leh enkawltu tur specialized doctor team an awm em?

Nu leh pa i nih angin i hriat duh hnuhnung ber chu i naute piang lai chungah beisei loh thil a thleng tih hi a ni. Conjoined twins a lo awm chhan kan hriat loh avangin ven theih a ni lo. Hetiang diagnosis i neih hnuah hian medical professional thiam tak tak team nen i thawh dun a ngai dawn a ni. I naute than dan an enfiah thei a, nau neih dan tur an ruahman thei a, surgical intervention chungchang pawh an sawiho thei bawk. I naute enkawl dan tur chu khawiah nge an inzawm tih leh an taksa peng hrang hrang an insem danah a innghat ang. Mahse, conjoined twins tam tak chuan surgical leh medical option an nei a ni. Hetih lai hian rilru natna hrang hrang, hlauhna, thinrimna, sualna leh lungngaihna te pawh a awm fo thin. I medical team te chu i kalna apiangah tanpui turin an awm tih hre reng ang che.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Conjoined twins hi a awm lo hle. A chhan dik tak hriat a la ni lo a, chuvangin an dang thei lo. Amaherawhchu, a hmaa hriatchhuah leh damdawi lam enkawl dan dik a pawimawh hle. Damdawi lam thiamna a lo thang chho zel a, naupang thenkhat chu hlawhtling takin an inthen a, nun tha neih theihna hun remchang an nei ta a ni. Chutiang dinhmunah chuan nu leh pate tan rilru lama chak taka awm reng chu thil harsa tak a ni a, mahse thu dik tak hriat a pawimawh hle a, doctor-te nen zalen taka inbiakna neih a, a tul anga tanpuina dawn a pawimawh hle. I zawhna zawng zawng doctor zawt la, hlau suh.

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