Mhlawumbi ukubonile kwiimuvi, malunga namawele azalwa edibene. Oku kunokwenzeka, kodwa yimeko engaqhelekanga yezonyango. Ngamafutshane, amawele adibeneyo ngamawele azalwa edibene ngokwasemzimbeni. Le meko inokubangela iingxaki ngexesha lokukhulelwa, ngexesha lokubeleka, nasemva kokuzalwa. Nangona ingaba yingongoma ebucayi ukuthetha ngayo, kubalulekile ukuyiqonda .
Ngamanye amaxesha ezi zingane zinokwahlulwa ngempumelelo ngotyando. Kodwa azingobo bonke abanokwahlulwa. Oku kungenxa yendlela ezidibene ngayo iintsana kunye namalungu angaphakathi abelana ngawo. Ngaphambi kokuba bagqibe ekubeni banokwahlulwa ngokukhuselekileyo na okanye hayi, iingcali zenza uvavanyo oluninzi. Uvavanyo olufana nee-ultrasound scans, ii-MRI scans, kunye ne-fetal echocardiography, ezithatha imephu yeentliziyo zeentsana, zinokusinceda siqonde ngcono ukuba zeziphi izitho ezabelana ngazo.
Kutheni oku kusenzeka? Yintoni unobangela?
Izazinzulu azikafumani sizathu sicacileyo sale nto, kodwa kukho iingcamango ezimbini eziphambili ezichaza oku.
1. Ithiyori yoKwahlulwa: Ngokwale thiyori, i-embryo kwizigaba zokuqala iqala ukwahlukana ibe zimbini. Amawele aqhelekileyo ( amawele afanayo ) akhiwa xa le mbryo yahlukana ibe zimbini ngokupheleleyo. Kodwa okwenzekayo apha kukuba i-embryo ayihlukani ngokupheleleyo ibe zimbini kwaye yahlukene, kodwa iyaqhubeka nokukhula emva kokuba idibene kunye ngaxa lithile.
2. Ithiyori yoKudityaniswa: Ngokwale thiyori, iqanda elinye elichunyisiweyo liqala lahlulwe libe zimbini ngokupheleleyo, lenze iimbumba ezimbini ezifanayo. Nangona kunjalo, kwizigaba zokuqala zokukhula kwembumba, ezi mbumba zimbini ziyadibana kwakhona.
Le meko ayiqhelekanga kakhulu. Idla ngokubikwa ukuba yenzeka kumntu omnye kwabangama-50,000 okanye abangama-60,000 abazelweyo. Kwakhona kuyaphawuleka ukuba malunga nama-70% aba bantwana ngamantombazana. Okubuhlungu kukuba, abantwana abaninzi abakhulelweyo ngale ndlela bafela esibelekweni okanye emva nje kokuzalwa.
Into ebalulekileyo kukuba le meko ayichaphazeleki bubudala bomama, uhlanga, okanye nantoni na enye. Kwakhona, emva kokukhulelwa okunjalo, akukho mqobo wokuba ukhulelwe omnye umntwana ngokuqhelekileyo.
Le meko ikuchaphazela njani ukukhulelwa?
Ukukhulelwa kwamawele adibene kuthathwa njengomngcipheko omkhulu kwaye kufuna ukubekwa esweni ngokusondeleyo ngoogqirha abaziingcali kulo lonke eli xesha.
Uyibona njani le nto?
Oogqirha badla ngokuyibona le meko ngexesha lokuhlolwa kwe-ultrasound ngexesha lokukhulelwa, ngesiqhelo kwi-trimester yokuqala okanye yesibini. Ngamanye amaxesha inokubonwa kwangethuba kwiiveki ezisi-7-12.
Ukuba iskeni iyakuqinisekisa oku, ugqirha wakho uya kucebisa ezinye iimvavanyo ezininzi:
- I-MRI (iMagnetic Resonance Imaging): Oku kusenza sibone ngokucacileyo apho aba bantwana babini badibene khona kunye namalungu omzimba abawabelana ngawo.
- I-Echocardiogram: Oku kujonga ukusebenza kweentliziyo zomntwana ezimbini kunye nokuba zidibene na.
Zithini iimpawu?
Umama okhulelweyo akanakwazi ukubona ukuba uneamawele adibeneyo ngeempawu zodwa. Iimpawu ziyafana nezo zihlala zenzeka ngexesha lokukhulelwa kwamawele, kodwa zinzima kancinci.
- Ukudinwa kakhulu, isicaphucaphu, kunye nokuhlanza kwasekuqaleni kokukhulelwa.
- Isibeleko sikhula ngokukhawuleza kunokuba bekukho umntwana omnye kuphela.
Ukuzala kudla ngokwenziwa ngotyando lwe-C-section , ukuze kukhuseleke umama nomntwana. Ngexesha lokubeleka , amaqela ezonyango ahlukeneyo alungiselelwe umntwana ngamnye.
Ziziphi iindlela ezahlukeneyo aba bantwana abanxibelelana ngazo?
Amawele adibeneyo awadibani ngendlela efanayo onke. Ahlulwe ngokwendawo adibaniswe kuyo. Jonga itheyibhile engezantsi ukuze uqonde olu lwazi ngokucacileyo.
| Uhlobo | Indawo kunye nenkcazo yonxibelelwano |
|---|---|
| Ukusuka esifubeni (iThoracopagus) | Uhlobo oluqhelekileyo. Zidibene ubuso ngobuso esifubeni. Zihlala zabelana ngentliziyo nesibindi esinye. |
| Ukusuka esiswini (i-Omphalopagus) | Incamatheliswe ngaphantsi kwesifuba, kufutshane ne-sternum. Ingabelana ngesibindi, inyongo, kunye namacandelo angaphezulu enkqubo yokugaya ukutya. |
| Ukusuka kumqolo ongezantsi (iPyopagus) | Isuka ngasemva kwaye iqhagamshelwe kumqolo ongezantsi. Ingabelana ngamalungu esini, inkqubo yomchamo, kunye namacandelo asezantsi kwinkqubo yokugaya ukutya. |
| Ukusuka kwi-pelvis (iParapagus) | I-pelvis idibene namacala nge-pelvis. |
| Ukusuka entloko (iCraniopagus) | Intloko idibene phezulu. Ingqondo idla ngokudibana, kodwa ayisoloko idibana. |
| Ngasemqolweni (iRachipagus) | Kunqabile kakhulu. Ngasemva, umqolo wonke uhlala udibene. |
Ngaba aba bantwana bangahlukaniswa ngotyando?
Le yeyona ngxaki inkulu kubo bonke abantu. Ayizizo zonke iiwele ezidibene ezinokwahlulwa. Ingakumbi ukuba zombini zabelana ngesitho esinye esibalulekileyo, njengentliziyo enye, utyando lusenokungenzeki.
Oogqirha badla ngokulinda phakathi kweenyanga ezi-3 nonyaka emva kokuba umntwana ezelwe ngaphambi kokuba bagqibe ekubeni benze utyando. Oku kukunika umntwana ixesha lokuba namandla ngokwaneleyo okumelana notyando. Kukwanika oogqirha ithuba lokufunda ngcono ulwakhiwo lomzimba wabo kunye nokusasazwa kwamalungu omzimba.
Nangona kunjalo, kwezinye iimeko ezingxamisekileyo , utyando olungxamisekileyo lunokufuneka. Umzekelo, ukuba umntwana omnye uyafa okanye ufumana imeko esongela ubomi, utyando lunokufuneka lwenziwe ngokukhawuleza ukuze kusindiswe ubomi bomnye umntwana.
Olu tyando lunzima kakhulu. Lufuna isibhedlele esinolwazi olukhethekileyo kunye nezibonelelo. Kwanasemva kotyando, abantwana bafuna unyango olwahlukeneyo, olufana nonyango lomzimba, ixesha elide.
Zithini amathuba okusinda?
Okubuhlungu kukuba, izinga lokusinda kwaba bantwana aliphezulu kakhulu.
- Ngaphezulu kwama-50% okukhulelwa kwamawele adibeneyo kuphelisa ukuphuphuma kwesisu okanye ukuzalwa komntwana eswelekile.
- Malunga nama-35% eentsana ezizalwayo ziyafa zingadlulanga iiyure ezingama-24 kuba amalungu azo omzimba awakwazi ukuxhasa imizimba emibini.
- Linani elincinci kuphela, malunga nama-25%, labantwana abasindileyo abafanelekela utyando.
- Malunga nama-60% abantwana abahlulwe ngotyando bayasinda.
Kodwa kukho iindaba ezimnandi. Ngenxa yobuchwepheshe obuphuculweyo bokuskena kunye neendlela zotyando, amawele amaninzi adibeneyo ayasinda kwaye ahlukana ngempumelelo namhlanje kunangaphambili.
Umyalezo Wokuya Ekhaya
- Amawele adibeneyo luhlobo olungaqhelekanga kakhulu lwamawele azalwa edibene ngexesha lokuzalwa.
- Unobangela wale meko awukaqinisekiswa ngokuqinisekileyo, kwaye asilotyala likamama.
- Olu hlobo lokukhulelwa luyingozi kakhulu kwaye lufunyaniswa nge-scan ezifana ne-ultrasound kunye ne-MRI.
- Ukuba amawele anokwahlulwa okanye akunjalo kuxhomekeke kwindlela adibene ngayo kunye namalungu omzimba abelana ngawo. Yinkqubo enzima kakhulu le.
- Ukuba unamathandabuzo malunga nemeko enjalo, kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho ngayo kwaye ufumane icebiso nesikhokelo esifanelekileyo.
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