Ngaba wakha weva ngamawele adibeneyo? Masithethe ngale nto!

Usenokuba ukhe weva ngamawele adibeneyo kumaphephandaba nakumabonwakude. Yinto emangalisa kakhulu kwaye ibucayi kancinci, akunjalo? Xa sisiva into efana nale, imibuzo emininzi ifika ezingqondweni zethu. Ngoko ke namhlanje, masithethe ngala '(amawele adibeneyo)' okanye amawele adibeneyo ngesiSinhala esilula onokusiqonda.

Zibizwa ngokuba yintoni iiwele ezidibene?

Ngamafutshane, amawele adibeneyo ziintsana ezimbini ezidityaniswe ngokwasemzimbeni, oko kukuthi, ngamalungu omzimba. Oogqirha abakaqiniseki ukuba oku kwenzeka njani. Kodwa bacinga ukuba xa umntwana eqala ukukhula, oko kukuthi, kwinqanaba lokuqala lokukhula kweqanda xa iqanda likamama kunye nesidoda sikatata zidityaniswe, umbungu unokwahlukana kubini kwaye unamathele ngaphandle kokwahlukana ngokupheleleyo, okanye iimbumba ezimbini ezazihlukanisiwe ekuqaleni zinokudibana kamva (ukudibana). Onke amawele azelwe ngale ndlela afana . Kwakhona, rhoqo, amantombazana azalwa ngale ndlela.

Ixhaphake kangakanani le meko?

Esi sisifo esingaqhelekanga ngokwenene. Ngokwezibalo, senzeka kumntu omnye kwabangama-50,000 abakhulelweyo. Ngamanye amaxesha, xa abantwana ababini bedibene ngale ndlela, amalungu omzimba adibeneyo awakhuli ngokwaneleyo ukuze aphile. Ke ngoko, uninzi lwexesha (malunga nama-60%) amawele anjalo azalwa efile okanye afe emva nje kokuzalwa . Oku kuyadanisa ukuva, kodwa kuyinyani.

Ngaba onke amawele adibeneyo azalwa elingana?

Ewe, njengoko bekutshiwo ngaphambili, amawele azalwa ngolu hlobo ahlala efana . Oko kuthetha ukuba aneempawu ezifanayo zemfuza. Kwakhona, kuthiwa anokuba ngamantombazana.

Kutheni oku kusenzeka? Yintoni unobangela?

Kukho izimvo ezimbini eziphambili ngale nto.

1. Ithiyori yokuqhekeka: Le yithiyori yokuba xa umntwana eqala ukukhula, i-embryo, eyibhola encinci yeeseli ezifanayo, iqala ukwahlukana ibe zimbini. Nangona kunjalo, ayihlukani ngokupheleleyo, kodwa inamathelana ngaxa lithile. Emva koko iindawo ezimbini ezinamatheleyo zikhula zibe ziintsana ezimbini ezahlukeneyo.

2. Ithiyori yokuhlanganiswa: Kule nto, kukho iimbumba ezimbini ezahlukeneyo (iibhola zeeseli) eziqala zikhule zibe ngamawele. Nangona kunjalo, njengoko ezi mbumba zimbini zikhula, zihlangana ngengozi zize ziqhagamshelane ngaxa lithile.

Zombini ezi ngcamango zichaza indlela amawele adibeneyo anokwenzeka ngayo kwiintsuku zokuqala ezili-12-14 emva kokumitha. Nangona kunjalo, izazinzulu azikakwazi ukufumana unobangela ochanekileyo wale nto. Oku kuthetha ukuba ayibangelwanga yimpazamo yomntu.

Ngaba kukho iintlobo ezisekelwe kwindlela ezidibene ngayo?

Ewe, ezi zahlulwe ngokwendawo umzimba apho abantwana babini badityaniswe khona. Amagama akhethekileyo ezonyango asetyenziswa ukuchaza ezi ntlobo.

• Ukuba ibandakanya isisu (isisu): `(Omphalopagus)`
• Ukuba iqhagamshelwe kwindawo yesifuba: `(Thoracopagus)` - Olu lolona hlobo luqhelekileyo.
• Ukusuka phezulu entloko ukuya empumlweni, ubuso buqhagamshelwe ebusweni: `(Cephalopagus)`
• Ukuba intloko kuphela echaphazelekayo: `(Craniopagus)`
• Ukuba i-pelvis idibene nobuso, ibizwa ngokuba yi: `(Ischiopagus)`
• Ukuba i-pelvis idibene ecaleni: `(Parapagus)`
• Amagama anxulumeneyo ukusuka kwi-rump ukuya kwi-rump: `(Pygopagus)`
• Amagama anxulumene nekholamu yomqolo: `(Rachipagus)`

Uhlobo ngalunye kwezi lumisela indlela amalungu angaphakathi abantwana abelana ngayo, nokuba anokwahlulwa na, kunye nomngcipheko kubomi babo.

Uyibona njani le nto ngexesha lokukhulelwa?

Le meko idla ngokufunyaniswa ngexesha lokukhulelwa nge -ultrasound scan . Ngamanye amaxesha inokubonwa kwangethuba kwiiveki ezili-12 zokukhulelwa . Emva koko, i-MRI scan ingenziwa ukuqinisekisa ngakumbi nokubona ngokuchanekileyo indlela abantwana abanamathele ngayo kunye nendlela amalungu angaphakathi asasazeke ngayo.

Ngokufumana oku kwangoko, oogqirha banokuqikelela iingxaki ezinokubakho baze bacebe into abanokuyenza xa umntwana ezelwe.

Ngaba iingxaki zingavela xa ukhulelwe ngolu hlobo?

Ewe, xa kukho amawele anje, umama unokuba nokuzala kwangethuba. Nangona kunjalo, ukuba le meko ifunyenwe kwangethuba, oogqirha banokuzama ukuyilawula baze banike abantwana ixesha abalidingayo ukuze bakhule ngokufanelekileyo.

Kwiimeko ezininzi, abantwana bazaliswa nge-cesarean section (C-section) . Le yeyona ndlela ikhuselekileyo kumama nakumntwana.

Ngaba la mawele angahlulwa?

Lo ngumbuzo omkhulu kubantu abaninzi. Ngamanye amaxesha kunokwenzeka, ngamanye amaxesha akunakwenzeka. Kuxhomekeke kwizinto ezininzi, ezifana nendlela abantwana abadibene ngayo, amalungu abo abelana ngawo, njl.

Ukuze oku kwenzeke ngempumelelo, iingcali ezivela kwiinkalo ezahlukeneyo, kuquka oogqirha kunye noogqirha botyando, kufuneka zisebenzisane njengeqela. Ubuchwepheshe obuphambili bokufota (obufana neeskeni) kunye nezinye iimvavanyo zinceda ukuqonda i-anatomy kunye ne-physiology yabantwana bobabini.

Ukwenza isigqibo sokuhlukanisa abantwana ngamanye amaxesha kunzima kakhulu, kwaye kunokuphakamisa nemibuzo yokuziphatha.Ngamaxesha anje, isigqibo senziwa emva kwengxoxo ende phakathi kwabazali, iqela lezonyango, mhlawumbi iinkokheli zonqulo, kunye neengcali zokuziphatha kwezonyango.

Emva kokuba abantwana bezelwe, bahlulwe babe ziindidi ezintathu eziphambili zokwahlulwa:

1. Akukho kwahlukana: Ngamanye amaxesha, ukwahlula abantwana kunokuba yingozi okanye kubangele ukukhubazeka okukhulu. Kwiimeko ezinjalo, utyando lokwahlukana luqwalaselwa kuphela emva kokuqwalasela ngononophelo umgangatho wobomi babantwana kwixesha elizayo.

2. Ukwahlukana ngoko nangoko: Kwezinye iimeko ezingxamisekileyo, ukwahlukana ngoko nangoko ngotyando kuyimfuneko ukusindisa ubomi bomntwana omnye okanye bobabini.

3. Ukwahlukana okulibazisekileyo: Ukuba impilo yabantwana izinzile, iqela lezonyango linokulibazisa utyando lokwahlukana okwethutyana. Oku kuya kunika abantwana ixesha lokukhula nokukhula. Oku kuya kwandisa amathuba abo okusinda emva kotyando. Oogqirha abaninzi bakholelwa ukuba kungcono ukwenza olu tyando xa abantwana bemalunga neenyanga ezili-9-12 ubudala . Emva koko, le meko inokwahlulwa ngaphambi kokuba ichaphazele ingqondo yabo. Abantwana abahlulwa kamva banomlinganiselo ophezulu wokusinda (malunga nama-80%) kunabo bahlulwa ngoko nangoko.

Ngaba ikho indlela yokuthintela le meko?

Le yinyaniso ebuhlungu kakhulu. Ngenxa yokuba singayazi eyona nto ibangela amawele adibene, akukho ndlela yokuwathintela ngexesha lokukhulelwa. Kubalulekile ukuqonda ukuba oku akulona ityala likamama okanye likatata.

Kunokuthiwani ngekamva laba bantwana? (Ingxelo yokuqikelela)

Amanqanaba okusinda kunye nomgangatho wobomi babantwana kuxhomekeke ngokupheleleyo kwindlela abadibene ngayo abantwana ababini. Nazi iindlela zokusinda eziqhele ukubonwa kuhlobo ngalunye:

• I-Omphalopagus: Malunga ne-82% yesisu .
• Iimpundu (iPygopagus): Malunga ne-68%.
• Ischiopagus: Malunga ne-63%.
• I-Thoracopagus: Oku kunethuba eliphantsi lokusinda.
• I-Parapagus: Oku kukwanamathuba amancinci okusinda.
• I-Cephalopagus: Ukusuka phezulu entloko ukuya ezantsi: Amathuba okusinda mancinci kakhulu.
• Intloko kuphela `(Craniopagus)`: Amathuba amancinci okusinda.
• Intambo yomqolo (Rachipagus): Olu hlobo lomntwana alunakwahlulwa.

Kuphela malunga nama-60% abantwana abenza utyando lokwahlukana baya kusinda. Nangona kunjalo, oogqirha banokunceda ekulawuleni iingxaki kunye nokuphucula indlela abantwana abajongana ngayo.

Ingaba kunokwenzeka na ukuba uphile ubomi obusempilweni nokuba uzalwe udibene?

Oku kuxhomekeke kwindlela abantwana abadibene ngayo. Ngenxa yokuqhubela phambili kwesayensi yezonyango kunye nobuchwepheshe botyando, abanye abantwana abazalwa bedibene banokuphila ubomi obuqhelekileyo nobusempilweni emva kokwahlukana. Ngamanye amaxesha, nokuba ukwahlukana akunakwenzeka, banokugcina umgangatho wobomi ulungile phantsi kweliso elilungileyo lezonyango.

Oku kungafunyanwa nini ngexesha lokukhulelwa?

Ngokwesiqhelo, amawele adibeneyo anokubonwa kwangethuba kwiiveki ezili-12 zokukhulelwa . Ugqirha wakho angakuqinisekisa oku nge-anomaly scan malunga neeveki ezingama-20.

Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?

Kuqhelekile ukuba nemibuzo emininzi xa ufunda into efana nale. Ungakhathazeki. Ungabuza ugqirha wakho ngezi zinto uze ufumane ngokuqinisekileyo:

• Badibana njani abantwana bam ababini? Ngawaphi amalungu omzimba abawasebenzisa kunye?
• Ngaba kuza kwenzeka ukuba abantwana bam bahlukaniswe?
• Ngaba ufuna ukubhukisha kwangoko?
• Yintoni enokwenziwa ukuthintela ukuzalwa ngaphambi kwexesha?
• Ngaba kukho iqela loogqirha abakhethekileyo abanyamekela kwaye banyange abantwana bam ngaphambi nasemva kokuba bezelwe?

Njengabazali, into yokugqibela ofuna ukuyiva kukuba kukho into engalindelekanga eyenzekileyo kumntwana wakho ongekazalwa. Ekubeni singazi ukuba kutheni amawele adibeneyo esenzeka, akukho ndlela yokuwathintela. Emva kokuxilongwa ngolu hlobo, kuya kufuneka usebenzisane neqela leengcali zonyango ezifanelekileyo. Banokujonga uphuhliso lomntwana wakho, bacebe ukuzala, kwaye baxoxe ngokungenelela kotyando. Indlela umntwana wakho aphathwa ngayo iya kuxhomekeka ekubeni udibene phi kwaye amalungu omzimba abelana kangakanani. Nangona kunjalo, amawele amaninzi adibeneyo aneendlela zotyando kunye nezonyango. Kuqhelekile ukuba uzive uneemvakalelo ezahlukeneyo ngeli xesha, kubandakanya uloyiko, umsindo, ukuziva unetyala, kunye nosizi. Khumbula, iqela lakho lezonyango likho ukukuxhasa kuyo yonke inyathelo lendlela.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Amawele adibeneyo ayimeko engaqhelekanga. Isizathu esichanekileyo asikaziwa, ngoko ke asinakuthintelwa. Nangona kunjalo, ukufunyanwa kwangethuba kunye nolawulo olufanelekileyo lwezonyango kubaluleke kakhulu. Ngokuhambela phambili kwesayensi yezonyango, abanye abantwana bayahlukana ngempumelelo kwaye banethuba lokuphila ubomi obuhle. Kunzima kubazali ukuhlala bomelele engqondweni kwimeko enjalo, kodwa kubaluleke kakhulu ukwazi ulwazi olufanelekileyo, ukuthetha ngokukhululekileyo noogqirha, kunye nokufumana inkxaso efunekayo. Buza ugqirha wakho yonke imibuzo yakho kwaye ungoyiki.

amawele adibeneyo, amawele aseSiamese, amawele, abantwana abadibeneyo, ukukhulelwa, utyando, amayeza