Yintoni iParasitic Twin? Makhe sithethe ngale meko ingaqhelekanga!

Namhlanje siza kuthetha ngemeko yezonyango engaqhelekanga ukuyiva, kwaye ikwayinto engaqhelekanga. Mhlawumbi ukhe weva ngamawele. Kodwa ngamanye amaxesha, kunqabile kakhulu, elinye lamawele linokukhula ngendlela engafanelekanga lize lihlale linamathele emzimbeni welinye. Yiloo nto siyibiza ngokuba liwele elinesifo esibangelwa zizinambuzane . Oku kusenokuvakala kuyoyikisa kancinci, kodwa masithethe ngayo ngokweenkcukacha nangokulula.

Yintoni kanye kanye iwele elinesifo sofuba?

Ngamafutshane, iwele elinesifo esibangelwa zizinambuzane kukukhulelwa kwamawele apho elinye i-fetus liyeka ukukhula kwaye lihlala linamathele kwelinye i-fetus esempilweni (iwele elilawulayo okanye elizenzekelayo). Oku kwenzeka kwangethuba kakhulu ekukhuleni kwe-fetus, xa umntwana esandula ukuqala ukukhula esibelekweni sikanina.

Iwele elikhubazekileyo alikhuli ngokupheleleyo. Kodwa lihlala linamathele emzimbeni wewele elisempilweni. Ngenxa yoko, xa umntwana osempilweni ezalwa, usenokuba namalungu, amalungu, okanye izicwili ezingaphezulu ezivela kwiwele elikhubazekileyo. Iwele elikhubazekileyo ngamanye amaxesha lisenokungabonakali okanye libonakale njengeqhekeza lenyama elingenamilo.

Into ebalulekileyo kukuba lo mntwana usempilweni (masimbize ngokuba liwele elilawulayo ) unokuba neengxaki ezahlukeneyo zempilo ngenxa yesi sizathu. Ngenxa yoko, udinga unyango emva kokuzalwa.

Oogqirha basebenzisa amanye amagama aliqela kule meko:

• Amawele adibeneyo angalinganiyo okanye angalinganiyo (`(Amawele adibeneyo angalinganiyo okanye angalinganiyo)`)
• Amawele angenazo iimfihlo (`(amawele angenazo iimfihlo)`)
• Umntwana ongaphakathi kwimveku (`(Umntwana ongaphakathi kwimveku)`)
• Amawele e-Heteropagus (`(amawele e-Heteropagus)`)

Ngaba kukho iintlobo zamawele anesifo sephepha?

Ewe, la mawele ane-parasitic ahlulwe ngokwendawo anamathele kuyo emzimbeni wewele elilawulayo. Cinga ngawo njengesebe lomthi elinamathele komnye umthi. Eli gama livela kwindawo yokuncamathisela. Nazi imizekelo embalwa:

• I-Cephalopagus: Idibene ngasemva kwentloko.
• I-Craniopagus: Idibene ekhayeni.
• I-Epigastric: Inxulumene nenxalenye ephezulu yesisu (ngaphezulu kanye kwesisu).
• Ischiopagus: Ukujoyina i-pelvis (inkqubo yesinqe).
• I-Omphalopagus: Ukunamathela esiswini (esiswini).
• I-Parapagus: Inamathele emzimbeni.
• I-Pygomelia: Ukubandakanyeka kweempundu (oku kunokubangela ingalo okanye umlenze owongezelelweyo).
• I-Pyopagus: Ukudibanisa nomqolo ongezantsi okanye umqolo.
• I-Rachipagus:Ukudibanisa okufanelekileyo phakathi komqolo.
• I-Thoracopagus: Idibanisa nesifuba.

Zonke ezi ntlobo zinqabile kakhulu. Ubunzima botyando buxhomekeke kwindawo echaphazelekayo.

Ngaba amawele anesifo sofuba kunye namawele adibeneyo ayinto enye?

Lo ngumbuzo olungileyo. Iwele elinobuthi liluhlobo lwamawele adibeneyo. Malunga ne-10% yawo onke amawele adibeneyo angamawele angenayo i-parasitic.

Kodwa kukho umahluko ophambili:

• Amawele adibeneyo ngamawele azalwa ekhule ngokupheleleyo (okanye uninzi lwawo) kwaye edibene ngaxesha lithile emzimbeni. Angabelana ngesitho esinye okanye ngaphezulu.
• Kwiwele elinesifo esibangelwa zizinambuzane , elinye iqanda likhula ngokupheleleyo, ngelixa elinye lingasebenzi. Iqanda elingavuthwanga alisebenzi kwaye liyafa ngexesha lokukhulelwa. Nangona kunjalo, amalungu ahlala edibene nomntwana ophilileyo.

Ngamafutshane, amawele adibeneyo ngabantwana ababini abadibeneyo kwaye bakhule ngendlela efanayo. Iwele elinesifo esibangelwa zizinambuzane liwele elingakhuliyo, elingasebenziyo elinamathele kumntwana okhule ngokupheleleyo.

Ixhaphake kangakanani le meko?

Usenokumangaliswa kukuva oku, kodwa amawele adibeneyo anqabile kakhulu. Ehlabathini lonke, le meko iyenzeka kwiintsana ezingaphantsi kwesinye kwisigidi . Ngoko ke ungakhathazeki ngayo ngokungeyomfuneko.

Zithini iimpawu zokuba newele elinesifo sofuba?

Enyanisweni, umama usenokungabi nazimpawu zithile ngexesha lokukhulelwa. Usana lusenokungazi nokuba imeko ikhona de kube emva kokuzalwa.

Kutheni oku kusenzeka? Yintoni unobangela?

Abaphandi abakafumani unobangela ochanekileyo woku, kodwa zimbini iingcamango eziphambili ezixoxwa kakhulu:

1. Ithiyori yokuqhekeka : Ngokwale thiyori, isizathu kukuba iqanda eliqhamkileyo aliqhekeki ngokupheleleyo libe zimbini. Ngokwesiqhelo, ukuba iqanda eliqhamkileyo liqhekeka ngokupheleleyo libe zimbini, livelisa amawele afanayo. Nangona kunjalo, ukuba olu qhekeko aluveli ngqo, okanye ukuba luqhekeka phakathi, amawele adibeneyo anokwakheka. Iwele eliyi-parasitic lenziwa xa enye yeembumba ezimbini ezidityaniswe ngale ndlela iyeka ukukhula.

2. Ithiyori yokudibanisa : Ngokwale thiyori, le meko inokwenzeka xa amaqanda amabini ahlukeneyo aqhamliweyo edibana kwangethuba ekukhuleni kombungu. Elinye lala maqanda mabini liyayeka ukukhula lize lihlale linamathele kwelinye.

Kukho enye ingcamango yokuba oku kusenokuba kungenxa yeengxaki ezithile ngokunikezelwa kwegazi (inkqubo yemithambo yegazi) njengoko umntwana ongekazalwa ekhula esibelekweni.

Nangona kunjalo, kubalulekile ukuqonda ukuba oku akubangelwanga sisiphene semfuza okanye nayiphi na ingxaki ngabazali.

Oogqirha bayixilonga njani le meko?

Amaxesha amaninzi, oogqirha banokukrokrela le meko ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa. Ukuba kuvela ukukrokrela okunjalo, kuya kufuneka uvavanyo olongezelelekileyo ukuze kufunyaniswe ukuba iwele elinesifo esibangelwa zizifo lidibene njani newele eliphambili kunye nokuba zeziphi izitho zomzimba ezibandakanyekayo.

Ezi mvavanyo zezi:

• Umzobo weMagnetic Resonance (MRI)
• Iskeni yeTomography ekwikhompyutha (i-CT scan)

Xa kurhanelwa ukuba iwele elinesifo esibangelwa zizinambuzane, kunokwenziwa i-echocardiogram ukuze kubonwe ukuba oku kubeka uxinzelelo entliziyweni yewele elilawulayo.

Ngamanye amaxesha, iwele eliyi-parasitic alibonakali de kube semva kokuzalwa kwewele elilawulayo. Oku kusenokuba kungenxa yokuba iwele lincinci kakhulu, okanye kuba libonakala nje njengeqhekeza lenyama.

Iphathwa njani le nto?

Ukuba ayinyangwa, iwele elilawulayo linokuba nezifo ezahlukeneyo kunye neengxaki ngenxa yale nxalenye ye-parasitic enamathele emzimbeni wayo. Oku kungenxa yokuba inxalenye engasebenziyo ikwanondliwa ngandlela thile ngumzimba womntwana ophilileyo.

Ngoko ke, emva kokuba iwele elilawulayo lizelwe, oogqirha bahlola umntwana ngononophelo ukuqinisekisa ukuba intliziyo yakhe, imiphunga, kunye nezinye izitho zisebenza kakuhle. Imeko nganye yahlukile. Unyango luxhomekeke ekubeni iwele elinesifo esibangelwa ziintsholongwane lichaphazeleka njani kwaye lifikelela kwinqanaba elingakanani.

Unyango oluphambili lutyando lokususa iwele elinesifo sephepha kwiwele elilawulayo. Ugqirha ususa ngononophelo la mathambo, amalungu omzimba, kunye nezicubu kumntwana ophilileyo.

Kukho iingozi ezithile ngolu tyando, ezinje ngosulelo, i-hernia, okanye ezinye iingxaki ezihambisana notyando. Kodwa kwiimeko ezininzi, iqela lezonyango elinobuchule linokwenza olu tyando ngempumelelo.

Ngaba into efana nale ingathintelwa?

Ngelishwa, akukho ndlela yokuthintela ukuzalwa kwewele elinesifo sofuba. Oku kwenzeka kwangethuba ekukhuleni kwe-embryo, kwaye asinakukwazi ukuyilawula.

Liyintoni ikamva lamawele adibene? (Imbono)

• Iwele elinobuthi: Eli lungu aliphili. Liyafa esibelekweni, kodwa lihlala linamathele kwiwele elilawulayo.
• Iwele elilawulayo (eliphilileyo):Lo mntwana unokusinda. Kodwa kuya kufuneka unyango olunzulu ukuze kususwe esi silwanyana. Ngamanye amaxesha, iingxaki zokuphefumla kunye neengxaki zentliziyo zinokubakho, ngoko ke kuya kufuneka ahlale ejongiwe ngugqirha.

Nangona iimeko zamawele anezibungu zinqabile kakhulu, uninzi lwexesha amawele alawulayo ayasinda.

Ngaba iwele elinesifo sofuba kunye newele elinyamalalayo ziyafana?

Ewe, ezi ziimeko ezimbini ezahlukeneyo ngokupheleleyo.

• Iwele Elinyamalalayo: Kulapho iskeni ibonisa ukuba kukho amawele kwasekuqaleni kokukhulelwa, kodwa kamva, kukho umntwana omnye kuphela. Omnye umntwana ufunxwa yi-placenta, elinye iwele, okanye isibeleko sikamama. Kwimeko enjalo, abantwana ababini abadibani.
• Amawele Aneziphene: Kule nto, inxalenye yewele eliye layeka ukukhula ayifunxwa. Ihlala inamathele kwiwele elilawulayo. Kwakhona, amawele aneziphene luhlobo lwamawele adibeneyo. Amawele anyamalalayo awadibani ngale ndlela.

Ingaba iwele elinesifo esibangela iintsholongwane liyaphila?

Hayi. Iwele elinesifo esibangela iintsholongwane liyafa ngexesha lokukhulelwa. Iwele elikhule ngokupheleleyo elilawulayo lidla ngokusinda.

Amawele anesifo sephepha luhlobo olungaqhelekanga kakhulu lwamawele adibeneyo. Oku kwenzeka xa, kwasekuqaleni kokukhula kombungu, isiqingatha sembungu sidibana nesinye (umntakwabo/udade waso oliwele). Esinye isibungu sikhula ngokwesiqhelo, ngelixa esinye isiqingatha siyeka ukukhula, kodwa sihlala sidibene nesinye. Umntwana ophilileyo unokuzalwa enemilenze eyongezelelweyo okanye iqhekeza lenyama apho iwele lalikhona ngaphambili.

Ngenxa yokuba le meko ingaqhelekanga, uphando alukho kangako ngayo. Iingcali zonyango zisafunda okungakumbi ngayo.

Izinto ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuziva wothukile kwaye usoyika xa usiva ngesi sifo singaqhelekanga. Kodwa kukho izinto ezimbalwa ezibalulekileyo ekufuneka siziqonde:

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* Amawele aneziphene zizinto ezingaqhelekanga kakhulu. Oku kwenzeka kumntu omnye kwabasisigidi abazalwayo.

* Oku akubangelwanga yimpazamo yabazali, kwaye akunakuthintelwa.

* Iwele elikhula ngamandla lidla ngokuba namandla okusinda, kodwa utyando lokususa inxalenye ye-parasitic lubalulekile.

* Ukuba ukhulelwe kwaye unenkxalabo okanye uloyiko malunga noku, kungcono ukuthetha nogqirha wakho. Banokukunika ulwazi kunye nenkxaso oyifunayo.

Ndiyathemba ukuba olu lwazi luza kukunceda. Xa uxoxa ngemicimbi yezonyango enzima kangaka, kuyinto eqhelekileyo ukuba kubekho into enye engqondweni. Kodwa ukuxhotyiswa ngolwazi kusinika amandla okujongana nayo nantoni na.

Amawele Anezimuncu , Amawele Adibeneyo, Uphuhliso Lwesibeleko, Utyando, Ukukhulelwa, Izifo Ezingaqhelekanga