Uke wezwa ngamawele ahlangene? Ake sixoxe ngalokhu!

Kungenzeka ukuthi uke wezwa ngamawele ahlangene emaphephandabeni naku-TV. Kuyindaba emangazayo kakhulu futhi ebucayi, akunjalo? Uma sizwa into efana nale, kufika imibuzo eminingi ezingqondweni zethu. Ngakho-ke namuhla, ake sixoxe ngalawa mawele athi ((amawele ahlangene)` noma ahlangene ngesiSinhala esilula ongasiqonda.

Amawele ahlangene abizwa ngokuthini?

Kalula nje, amawele ahlangene ayizingane ezimbili ezihlanganiswe ngokomzimba, okungukuthi, yizitho zomzimba. Odokotela abakaqiniseki ukuthi lokhu kwenzeka kanjani ngempela. Kodwa bacabanga ukuthi lapho umntwana eqala ukukhula, okungukuthi, esigabeni sokuqala sombungu lapho iqanda likamama nesidoda sikababa kuhlangana, umbungu ungahlukana kabili futhi unamathele ndawonye ngaphandle kokuhlukana ngokuphelele, noma imibungu emibili eyayihlukene ekuqaleni ingahlangana kamuva (ukuhlangana). Wonke amawele azalwa ngale ndlela afana ncamashi . Futhi, kaningi, amantombazane azalwa ngale ndlela.

Sivame kangakanani lesi simo?

Empeleni lesi yisimo esingavamile kakhulu . Ngokwezibalo, kwenzeka cishe koyedwa kwabangu-50,000 abakhulelwe. Ngezinye izikhathi, lapho izingane ezimbili zihlanganiswa ngale ndlela, izingxenye zomzimba ezihlanganisiwe azikhuli ngokwanele ukuze ziphile. Ngakho-ke, isikhathi esiningi (cishe ama-60%) amawele anjalo azalwa efile noma afe ngokushesha ngemva kokuzalwa . Lokhu kuyadabukisa ukuzwa, kodwa kuyiqiniso.

Ingabe wonke amawele ahlangene azalwa efanayo?

Yebo, njengoba kushiwo ngaphambili, amawele azalwa ngale ndlela ahlala efana . Lokho kusho ukuthi anezimpawu ezifanayo zofuzo. Futhi, kuthiwa maningi amathuba okuba ngamantombazane.

Kungani lokhu kwenzeka? Iyini imbangela?

Kunemibono emibili eyinhloko ngalokhu.

1. Ithiyori Yokuhlukana: Lona umbono wokuthi lapho umntwana eqala ukukhula, umbungu, okuyibhola elincane lamaseli afanayo, uqala ukuhlukana kabili. Kodwa-ke, awuhlukani ngokuphelele, kodwa unamathelana ngesikhathi esithile. Bese izingxenye ezimbili ezinamathele zikhula zibe izingane ezimbili ezihlukene.

2. Ithiyori yokuhlanganiswa: Kulokhu, kunezinhlobo ezimbili ezihlukene zama-embryo (amabhola amaseli) eziqala ukukhula zibe amawele. Kodwa-ke, njengoba lezi zimo ezimbili zikhula, ziyahlangana ngengozi futhi zixhumane ngesinye isikhathi.

Zombili lezi zinkolelo-mbono zichaza ukuthi amawele ahlangene angavela kanjani ezinsukwini zokuqala ezingu-12-14 ngemva kokukhulelwa. Kodwa-ke, ososayensi abakakwazi ukuthola imbangela eqondile yalesi simo. Lokhu kusho ukuthi akubangelwanga yiphutha lomuntu.

Ingabe zikhona izinhlobo ezisekelwe endleleni ezixhumene ngayo?

Yebo, lezi zihlukaniswa ngokwendawo yomzimba lapho izingane ezimbili zihlanganiswe khona. Amagama akhethekile ezokwelapha asetshenziswa ukuchaza lezi zinhlobo.

• Uma kuhilela isisu (isisu): `(Omphalopagus)`
• Uma ixhunywe endaweni yesifuba: `(Thoracopagus)` - Lolu uhlobo oluvame kakhulu.
• Kusukela phezulu ekhanda kuya ekhaleni, ubuso buxhunywe ebusweni: `(Cephalopagus)`
• Uma nje ikhanda lihilelekile: `(Craniopagus)`
• Uma i-pelvis ixhunywe ebusweni, ibizwa ngokuthi: `(Ischiopagus)`
• Uma i-pelvis ihlangene eceleni: `(Parapagus)`
• Amagama ahlobene ne-rump-to-rump: `(Pygopagus)`
• Amagama ahlobene nekholomu yomgogodla: `(Rachipagus)`

Uhlobo ngalunye lwalezi zinhlobo lunquma ukuthi izitho zangaphakathi zezingane zabelwana kanjani, ukuthi zingahlukaniswa yini, kanye nengozi empilweni yazo.

Ukubona kanjani lokhu ngesikhathi sokukhulelwa?

Lesi simo sivame ukutholakala ngesikhathi sokukhulelwa nge -ultrasound scan . Ngezinye izikhathi singatholakala emavikini angu-12 okukhulelwa . Ngemuva kwalokho, kungenziwa i-MRI scan ukuqinisekisa kabanzi nokubona kahle ukuthi izingane zinamathele kanjani nokuthi izitho zangaphakathi zisakazwa kanjani.

Ngokuthola lokhu kusenesikhathi, odokotela bangabikezela izinkinga ezingaba khona futhi bahlele ukuthi benzeni lapho umntwana ezalwa.

Ingabe izinkinga zingavela ekukhulelweni okunje?

Yebo, uma kunamawele anjengalawa, umama unamathuba amaningi okubeletha ngaphambi kwesikhathi. Kodwa-ke, uma lesi simo sitholakala kusenesikhathi, odokotela bangazama ukusilawula futhi banike izingane isikhathi ezisidingayo ukuze zikhule kahle.

Ezimweni eziningi, izingane zizalwe nge-cesarean section (C-section) . Lena yindlela ephephile kakhulu kumama nengane.

Ingabe la mawele angahlukaniswa?

Lona umbuzo omkhulu kubantu abaningi. Ngezinye izikhathi kungenzeka, ngezinye izikhathi akunjalo. Kuncike ezintweni eziningi, njengokuthi izingane zixhumene kanjani, ukuthi yiziphi izitho ezabelana ngazo, njll.

Ukuze lokhu kwenzeke ngempumelelo, ochwepheshe abavela emikhakheni eyahlukene, okuhlanganisa odokotela nodokotela abahlinzayo, badinga ukusebenzisana njengeqembu. Ubuchwepheshe obuthuthukisiwe bokuthwebula izithombe (njengokuskena) kanye nezinye izivivinyo kusiza ukuqonda ukwakheka komzimba kanye nokusebenza komzimba kwezingane zombili.

Ukwenza isinqumo sokuhlukanisa izingane ngezinye izikhathi kunzima kakhulu, futhi kungaphakamisa nemibuzo yokuziphatha.Ezikhathini ezinjengalezi, isinqumo senziwa ngemva kwengxoxo ende phakathi kwabazali, ithimba lezokwelapha, mhlawumbe abaholi benkolo, kanye nochwepheshe bezokuziphatha kwezokwelapha.

Ngemva kokuzalwa kwezingane, zihlukaniswa ngezigaba ezintathu eziyinhloko zokuhlukaniswa:

1. Akukho ukuhlukaniswa: Ngezinye izikhathi, ukuhlukanisa izingane kungaba yingozi empilweni noma kubangele ukukhubazeka okukhulu. Ezimweni ezinjalo, ukuhlinzwa kokuhlukaniswa kucatshangelwa kuphela ngemva kokucabanga ngokucophelela ngekhwalithi yempilo yesikhathi esizayo yezingane.

2. Ukuhlukana ngokushesha: Kwezinye izimo eziphuthumayo, ukuhlukana ngokushesha ngokuhlinzwa kuyadingeka ukuze kusindiswe impilo yomntwana oyedwa noma bobabili.

3. Ukuhlukana okulibazisekile: Uma impilo yezingane izinzile, ithimba lezokwelapha lingase lihlehlise ukuhlinzwa kokuhlukana isikhashana. Lokhu kuzonikeza izingane isikhathi sokukhula nokuthuthuka. Lokhu kuzokwandisa namathuba azo okusinda ngemva kokuhlinzwa. Odokotela abaningi bakholelwa ukuthi kungcono ukwenza lokhu kuhlinzwa lapho izingane sezineminyaka engaba ngu-9-12 ubudala . Ngemuva kwalokho, lesi simo singahlukaniswa ngaphambi kokuba sithinte ingqondo yazo. Izingane ezihlukaniswa kamuva zinezinga lokusinda eliphakeme (cishe u-80%) kunalezo ezihlukaniswe ngokushesha.

Ingabe ikhona indlela yokuvimbela lesi simo?

Leli iqiniso elibuhlungu kakhulu. Ngenxa yokuthi asiyazi imbangela eqondile yamawele ahlangene, ayikho indlela yokuwavimbela ngesikhathi sokukhulelwa. Kubalulekile ukuqonda ukuthi lokhu akulona iphutha likamama noma likababa.

Yini engathiwa ngekusasa lalaba bantwana? (Isibikezelo)

Amazinga okusinda kanye nekhwalithi yokuphila kwezingane kuncike ngokuphelele endleleni izingane ezimbili ezixhumene ngayo. Nazi amazinga okusinda avame ukubonakala kuhlobo ngalunye:

• I-Omphalopagus: Cishe u-82% wesisu .
• Izinqe (i-Pygopagus): Cishe u-68%.
• Ischiopagus: Cishe ama-63%.
• I-Thoracopagus: Lokhu kunethuba eliphansi lokusinda.
• I-Parapagus: Lokhu kunethuba eliphansi lokusinda.
• I-Cephalopagus: Kusukela phezulu ekhanda kuye phansi: Amathuba okusinda mancane kakhulu.
• Ikhanda kuphela `(Craniopagus)`: Amathuba amancane okusinda.
• Umgogodla (Rachipagus): Lolu hlobo lomntwana alunakuhlukaniswa.

Cishe ama-60% kuphela ezingane ezihlinzwa ngokwehlukana ezisindayo. Kodwa-ke, odokotela bangasiza ekubhekaneni nezinkinga futhi bathuthukise isimo sengqondo sezingane.

Kungenzeka yini ukuphila impilo enempilo noma ngabe wazalwa uhlangene?

Lokhu kuncike ekutheni izingane zixhumene kanjani. Ngokuthuthuka kwesayensi yezokwelapha kanye nobuchwepheshe bokuhlinzwa, ezinye izingane ezizalwa zihlangene zingaphila impilo evamile nenempilo ngemva kokuhlukana. Ngezinye izikhathi, noma ngabe ukuhlukana akunakwenzeka, zingalondoloza izinga lempilo elihle ngaphansi kokuqashwa okuhle kwezokwelapha.

Lokhu kungatholakala nini ngesikhathi sokukhulelwa?

Ngokuvamile, amawele ahlangene angatholakala emavikini angu-12 okukhulelwa . Udokotela wakho angakuqinisekisa lokhu ngokuskena okungajwayelekile cishe emavikini angu-20.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?

Kuvamile ukuba nemibuzo eminingi uma ufunda into efana nale. Ungakhathazeki. Ungabuza udokotela wakho ngalezi zinto bese uthola ngokuqinisekile:

• Izingane zami ezimbili zixhumene kanjani? Yiziphi izitho zomzimba ezizisebenzisa ndawonye?
• Ingabe kuzokwenzeka ukuhlukanisa izingane zami?
• Udinga ukubhukha ngokushesha?
• Yini engenziwa ukuvimbela ukuzalwa ngaphambi kwesikhathi?
• Ingabe kukhona ithimba lodokotela abangochwepheshe abazonakekela futhi belapha izingane zami ngaphambi nangemva kokuzalwa kwazo?

Njengabazali, into yokugcina ofuna ukuyizwa ukuthi kwenzeke into engalindelekile enganeni yakho engakazalwa. Njengoba singazi ukuthi kungani amawele ahlangene eba khona, ayikho indlela yokuwavimbela. Ngemva kokuxilongwa okufana nalokhu, kuzodingeka usebenze nethimba lochwepheshe bezokwelapha abaqeqeshiwe kakhulu. Bangaqapha intuthuko yengane yakho, bahlele ukubeletha, futhi baxoxe ngokungenelela kokuhlinzwa. Indlela ingane yakho ephathwa ngayo izoncika ekutheni ihlanganiswe kuphi nokuthi ihlanganyela kangakanani izitho zomzimba. Kodwa-ke, amawele amaningi ahlangene anezinketho zokuhlinzwa nezezokwelapha. Kuvamile ukuzizwa unemizwa eyahlukahlukene ngalesi sikhathi, okuhlanganisa ukwesaba, intukuthelo, umuzwa wecala, nokudabuka. Khumbula, ithimba lakho lezokwelapha likhona ukukusekela kuzo zonke izinyathelo zendlela.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Amawele ahlangene ayisimo esingavamile. Imbangela eqondile ayaziwa, ngakho-ke ayinakuvinjelwa. Kodwa-ke, ukutholakala kusenesikhathi kanye nokuphathwa kahle kwezokwelapha kubaluleke kakhulu. Ngokuthuthuka kwesayensi yezokwelapha, ezinye izingane ziyahlukana ngempumelelo futhi zibe nethuba lokuphila impilo enhle. Kunzima ngabazali ukuhlala beqinile engqondweni esimweni esinjalo, kodwa kubaluleke kakhulu ukwazi ulwazi olufanele, ukukhuluma ngokukhululekile nodokotela, nokuthola ukwesekwa okudingekayo. Buza udokotela wakho yonke imibuzo yakho futhi ungesabi.

Amawele ahlangene, amawele aseSiamese, amawele, izingane ezihlangene, ukukhulelwa, ukuhlinzwa, imithi