Parasitic twin tih hi eng nge ni? Hemi chungchang hi awlsam takin han sawi ila.

Nu nih angin ‘parasitic twins’ tih thumal i hriat hian hlauthawng leh lungkham deuh i nei thei. Mahse, lungngai suh. A chhan chu hei hi thil awm lo tak tak a nih vang a ni. Amaherawhchu, engkim hi dik taka hriattir a pawimawh hle. Chuvangin vawiin hian he parasitic twins an tih hi awlsam takin sawi ila, a awmzia, engvangin nge a lo awm tih leh a enkawlna chu eng nge ni tih te hi han sawi ila.

Parasitic twin chu eng nge ni tak tak?

A awlsam zawngin, parasitic twin chu twin dang peng thenkhat chu naute pakhat taksaah a inzawm a, a lo thanglian tha lo tihna a ni. Hei hi conjoined twins an tih condition nen a inang hle. Mahse, danglamna pawimawh tak a awm. Conjoined twins-ah chuan naute pahnih hi an lo thanglian tha hle tlangpui. Parasitic twins-ah chuan naute pakhat chu a hrisel a, a lo thanglian kim vek laiin, twin dang chu nausen pum chhungah a tawp a, non-functional part angin a awm reng thung.

Damdawi lam hawi chuan he naute lo thanglian tha tak, hrisel tak hi ‘autositic or dominant twin’ an ti a. A lo thanglian lo, a thawk thei lo chu ‘parasitic twin’ an ti a.

He parasitic part hi naupang bulpui taksa peng hrang hrangah a inzawm thei a ni. Lu, pum, rilru, pelvis , hnute emaw hnungzang emaw hmuna innghatin hmuh tur a awm tam ber. Heta kan hriatthiam tur pawimawh ber chu he parasitic part hi naupang nung, inthen a ni lo tih hi a ni. Chu pêng chu nausen pum chhungah emaw, pian laiin emaw a thawk thei lo vek fo ṭhîn.

Hetiang dinhmun hi a tlem em em a, mithiamte chuan nausen maktaduai khat zinga pakhat chauh hi a vei niin an sawi. Hei hi hriat tur rapthlak tak angin a lang thei a, mahse tunlai damdawi lama hmasawnna a awm avangin naute hrisel tak chuan nun tha tak a nei thei a ni. A tlangpuiin doctor-te chuan operation hmangin parasite hi an paih chhuak thin.

Hemi ang chiah hi condition dang pahnih a awm a, mahse a buaithlak thei.

1. Fetus-in-fetu: Hei hi nausen hrisel tak taksa chhunga vun in a khuh, embryo ang chi mass of tissue awm dan pangngai lo, embryo ang maia lo piang chhuak hi a ni.

2. Mature teratoma: Hei hi cancer natna a ni. A châng chuan hengte hi thihna thlen thei a ni.

Hetiang dinhmun a lo awm chhan hi eng nge ni?

A tlem em avangin zirchiangtute chuan a chhan dik tak hriat tumin an la bei mek a ni. Mahse theory lian pahnih a awm. An pahnih hian nausen pian tirh lama thil thleng nen an inzawm a ni.

1. Fission chungchanga ngaihdan (Fission Theory) a ni

He theory ang hian naupai atanga kar hnih chhungin egg fertilized chu pahnih ah a inthen a, twins inang chiah chiah a siam thin. Ngaihtuah teh, hetiang hian egg chu pahnih-ah a inthen a, a inthen vek lo va, a hmun khata hmasawnna chu a chanve vel a tawp a nih chuan he theory hian parasitic twin situation a awm tih a sawi a ni.

2. Fusion Theory tih hi a ni

He theory hian a kalh zawngin a rawn rawt a ni. Chu chu, egg chu hlawhtling takin hmun hnih-ah a inthen a nih pawhin, chu hmun pahnih chu an inzawm leh a, cellular level-ah an inzawm khawm leh a ni. Hei hian conjoined twins a siam a ni. He theory hian he inzawmna hnu hian embryo hmun khat chu a lo thang lian tawh lo a nih chuan parasitic twins dinhmun a lo chhuak thin niin a sawi.

Hei bakah hian zirchiangtute chuan chemical pakhat Sonic Hedgehog protein (SHH) tih an zirchiang mek bawk. He protein hi cell thanna atan a pawimawh hle. He SHH protein hi a tlangpuiin a sang lutuk hi parasitic twinning thlentu a ni thei niin an ngai. Mahse, hemi chungchangah hian zirchian belh a ngai a ni.

Hei hi a hmaa hrilh thei che symptoms a awm em?

He natna hi naupai laiin medical test hmang chauhvin hriat theih a ni. Doctor-in scan a tih hmanga hriatchhuah a ni ber.

• Nau neih hmaa ultrasound scan hmanga enfiah thin
• MRI scan `( magnetic resonance imaging )` hmanga tih a ni
• CT scan `(Computer hmanga Tomography)` hmanga tih a ni

Heng scan neih chhung hian i doctor chuan i naute taksaah thil danglam a awm leh awm loh a enfiah thei a, chu chu parasitic twin hmun thenkhat a ni. Chutiang a nih chuan naute thinlung hrisel taka a thawh dan enfiah nan test dang, echocardiogram ang chi tih an ti mai thei.

Mahse, a chang chuan nausen pum chhunga a awm lai hian he parasite hi hmuh theih a ni lo. Chutiang a nih chuan doctor-te chuan naute a pian hnuah chauh, chu chu extra tissue an hmuh hunah chauh a natna chu an hmuchhuak ṭhin.

Treatment atan eng nge i tih?

Parasitic twin disease enkawlna awmchhun chu surgical excision a ni . Nausen piang thar zai a ni tih sawi chu a harsa deuhin a lang thei a, mahse he parasitic part hi lakchhuah a nih loh chuan nakin lawkah naute hrisel chuan harsatna hrang hrang a tawk thei a ni. Chuvang chuan he surgery hi tih a ni.

Surgery an neih lai hian doctor-te chuan naute hrisel tak taksa aṭanga parasitic twin aṭanga tissue, ruh, leh a nih theih organ zawng zawng chu uluk takin an la chhuak vek a ni. A then phei chuan parasitic twin hian naute hrisel tak taksaah deformity eng emaw a thlen a nih chuan, chu chu siamthat nan reconstructive surgery neih a ngai mai thei.

Tunlai surgical technology lama hmasawnna avang hian naupang tam zawk chuan operation hnuah harsatna lian tham an tawk lo. Mahse, naupang thenkhat chu operation hnuah intensive care unit (ICU)-ah special monitoring an mamawh thei a ni.

Operation hnuah pawh complication a awm thei em?

Surgery dang ang bawkin, he surgery hmang hian hlauhawm leh harsatna a awm thei a ni. Mahse naupang tam zawk hi chu an dam tha hle tih kan hre reng tur a ni. Surgery hnua harsatna awm fo thin thenkhat chu hetiang hi a ni.

Hemi chungchangah hian zawhna emaw rinhlelhna emaw i neih chuan a tha ber chu i doctor nen zalen taka sawipui hi a ni. I zawhna zawng zawng a chhang thei a, i rilru a hahdam thei bawk. A bik takin naupai leh nau neih dan lama mithiam doctor pan a tha hle.