Iyini iParasitic Twin? Ake sixoxe ngalesi simo esingavamile!

Namuhla sizokhuluma ngesimo sezokwelapha esimangazayo kancane ukusizwa, futhi esingavamile kakhulu. Cishe uke wezwa ngamawele. Kodwa ngezinye izikhathi, akuvamile kakhulu, elinye lamawele lingakhula ngendlela engafanele futhi lihlale linamathele emzimbeni wenye. Yilokho esikubiza ngokuthi amawele adla izinambuzane . Lokhu kungase kuzwakale kuyesabisa kancane, kodwa ake sixoxe ngakho ngokuningiliziwe nangokulula.

Iyini ngempela iwele eliyi-parasite?

Kalula nje, iwele eliyi-parasitic liwukukhulelwa kwamawele lapho enye ingane ingasakhuli khona bese ihlala inamathele kwenye ingane enempilo (iwele elibusayo noma elizimele). Lokhu kwenzeka ekuqaleni kakhulu ekukhuleni kwengane, lapho ingane isanda kuqala ukukhula esibelethweni sikanina.

Iwele elikhubazekile alikhuli ngokugcwele. Kodwa lihlala linamathele emzimbeni wewele eliphilile. Ngenxa yalokho, lapho umntwana ophilile ezalwa, angase abe nemilenze eyengeziwe, izitho, noma izicubu ezivela kuwele elikhubazekile. Iwele elikhubazekile ngezinye izikhathi lingase lingabonakali noma libukeke njengenyama engenasimo.

Into ebalulekile ukuthi lo mntwana ophilile (masimbize ngokuthi iwele elibusayo ) angaba nezinkinga zempilo ezahlukahlukene ngenxa yalokhu. Ngakho-ke, udinga ukwelashwa ngemva kokuzalwa.

Odokotela basebenzisa amanye amagama amaningana kulesi simo:

• Amawele ahlangene angalingani noma angalingani (`(amawele ahlangene angalingani noma angalingani)`)
• Amawele angenazo izimpahla (`(amawele angenazo izimpahla)`)
• Ingane engaphakathi kwengane (`(Ingane engaphakathi kwengane)`)
• Amawele e-Heteropagus (`(amawele e-Heteropagus)`)

Ingabe zikhona izinhlobo zamawele adla izimuncagazi?

Yebo, la mawele adla izinambuzane ahlukaniswa ngokuya ngokuthi anamathele kuphi emzimbeni wewele elibusayo. Cabanga ngakho njengegatsha lomuthi elinamathele komunye umuthi. Igama lisuselwa endaweni yokunamathela. Nazi izibonelo ezimbalwa:

• I-Cephalopagus: Ihlangene ngemuva kwekhanda.
• I-Craniopagus: Ihlangene ekhanda.
• I-Epigastric: Ehlobene nengxenye engenhla yesisu (ngenhla kwesisu).
• Ischiopagus: Ukujoyina i-pelvis (uhlelo lwe-hip).
• I-Omphalopagus: Ukunamathela esiswini (esiswini).
• I-Parapagus: Inamathele esifubeni.
• I-Pygomelia: Ukubandakanyeka kwezinqe (lokhu kungabangela ingalo noma umlenze owengeziwe).
• I-Pyopagus: Ukuxhumana nomhlane ongezansi noma umgogodla.
• I-Rachipagus:Ukuxhumana okufanele phakathi nomgogodla.
• I-Thoracopagus: Ukuxhuma esifubeni.

Zonke lezi zinhlobo azivamile. Ubunzima bokuhlinzwa buxhomeke endaweni ehilelekile.

Ingabe amawele adla izimuncagazi namawele ahlangene ayinto efanayo?

Lona umbuzo omuhle. Iwele eliyi-parasitic empeleni liwuhlobo lwamawele ahlangene. Cishe u-10% wawo wonke amawele ahlangene angamawele ayi-parasitic.

Kodwa kukhona umehluko omkhulu:

• Amawele ahlangene angamawele azalwa ephelele (noma ikakhulukazi) akhule futhi ahlangene ngesikhathi esithile emzimbeni. Angase abelane ngesitho esisodwa noma ngaphezulu.
• Kumawele anesifo esibangelwa amagciwane , umbungu owodwa ukhula ngokugcwele, kanti omunye awukhuli. Umbungu ongakavuthwa awusebenzi futhi uyafa ngesikhathi sokukhulelwa. Kodwa-ke, izingxenye zihlala zixhumene nomntwana ophilile.

Kalula nje, amawele ahlangene ayizingane ezimbili ezihlangene futhi ezikhule ngendlela efanayo. Amawele anesifo sofuba yiwele elingakhuli kahle, elingasebenzi kahle elinamathele enganeni ekhulile ngokugcwele.

Sivame kangakanani lesi simo?

Ungase umangale ukuzwa lokhu, kodwa amawele ahlangene awavamile kakhulu. Emhlabeni wonke, lesi simo senzeka ezinganeni ezingaphansi kweyodwa kwesigidi . Ngakho ungakhathazeki ngakho ngokungadingekile.

Yiziphi izimpawu zokuba newele eliyi-parasite?

Eqinisweni, umama angase angabi nazo izimpawu ezithile ngesikhathi sokukhulelwa. Ingane ingase ingazi nokuthi lesi simo sikhona kuze kube ngemva kokuzalwa.

Kungani lokhu kwenzeka? Iyini imbangela?

Abacwaningi abakayitholi imbangela eqondile yalokhu, kodwa imibono emibili eyinhloko ixoxwa kakhulu:

1. Ithiyori yokuhlukana : Ngokwale thiyori, isizathu siwukuthi iqanda elivundisiwe alihlukani ngokuphelele libe kabili. Ngokuvamile, uma iqanda elivundisiwe lihlukana ngokuphelele libe kabili, likhiqiza amawele afanayo. Kodwa-ke, uma lokhu kuhlukana kungenzeki ngqo, noma uma kuhlukana phakathi, amawele ahlangene angakhiwa. Iwele eliyi-parasitic lakhiwa lapho enye yemibungu emibili exhunywe ngale ndlela iyeka ukukhula.

2. Ithiyori yokuhlanganiswa : Ngokwale thiyori, lesi simo singavela lapho amaqanda amabili ahlukene avundisiwe ehlangana ndawonye ekuqaleni kokukhula kombungu. Elinye lala ma-embryo amabili liyayeka ukukhula bese lihlala linamathele kwelinye.

Kukhona omunye umbono wokuthi lokhu kungase kubangelwe yizinkinga ezithile ngokutholakala kwegazi (uhlelo lwemithambo yegazi) njengoba ingane ikhula esibelethweni.

Nokho, kubalulekile ukuqonda ukuthi lokhu akubangelwa yisici sofuzo noma iphutha labazali.

Odokotela bakuthola kanjani lesi simo?

Ngokuvamile, odokotela bangase basole lesi simo ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa. Uma kuvela ukusola okunjalo, kuzodingeka ukuhlolwa okwengeziwe ukuthola ukuthi iwele eliyi-parasite lixhumene kanjani newele eliholayo nokuthi yiziphi izitho ezihilelekile.

Ukuhlolwa okunjalo yilokhu:

• Isithombe Sokuzwakala Kwe-Magnetic (MRI)
• Ukuskena kwe-Tomography yekhompyutha (i-CT scan)

Uma kusolwa ukuthi iwele elinesifo esibangelwa amagciwane, kungenziwa i-echocardiogram ukuze kubonakale ukuthi lokhu kubeka noma yikuphi ukucindezela enhliziyweni yewele elibusayo.

Ngezinye izikhathi, iwele eliyi-parasitic alibonakali kuze kube yilapho kuzalwe iwele elilawulayo. Lokhu kungaba ngoba iwele lincane kakhulu, noma ngoba libukeka njengesigaxa senyama.

Kuphathwa kanjani lokhu?

Uma ingelashwa, iwele elinamandla lingahlakulela izifo nezinkinga ezahlukahlukene ngenxa yale ngxenye enamathela emzimbeni wayo. Lokhu kungenxa yokuthi ingxenye engasebenzi nayo yondliwa ngezinga elithile ngumzimba womntwana ophilile.

Ngakho-ke, ngemva kokuzalwa kwewele elilawulayo, odokotela bahlola ingane ngokucophelela ukuqinisekisa ukuthi inhliziyo yayo, amaphaphu, kanye nezinye izitho zomzimba zisebenza kahle. Isimo ngasinye sihlukile. Ukwelashwa kuncike ekutheni iwele eliyi-parasite lihilelekile kanjani futhi ngezinga elingakanani.

Ukwelashwa okuyinhloko ukuhlinzwa ukuze kususwe iwele eliyi-parasitic kwiwele eliyinhloko. Udokotela ohlinzayo ususa ngokucophelela la mathambo, izitho zomzimba, nezicubu kumntwana ophilile.

Kunezingozi ezithile ngalokhu kuhlinzwa, njengokutheleleka, i-hernia, noma ezinye izinkinga ezihambisana nokuhlinzwa. Kodwa ezimweni eziningi, ithimba lezokwelapha elinekhono lingakwenza lokhu kuhlinzwa ngempumelelo.

Ingabe into efana nale ingavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela ukuzalwa kwewele eliyi-parasitic. Lokhu kwenzeka ekuqaleni kokukhula kombungu, futhi asikwazi ukukulawula.

Liyini ikusasa lamawele ahlangene? (I-Outlook)

• Iwele eliyi-parasitic: Le ngxenye ayiphili. Iyafa esibelethweni, kodwa ihlala inamathele kuwele elibusayo.
• Iwele elinamandla (eliphilile):Lo mntwana cishe angasinda. Kodwa kuzodinga ukwelashwa okubanzi ukuze kususwe igciwane. Ngezinye izikhathi, kungaba nobunzima bokuphefumula nezinkinga zenhliziyo, ngakho kuzodingeka abe ngaphansi kokuqashwa njalo kwezokwelapha.

Nakuba amacala amawele anesifo sofuba engavamile kakhulu, isikhathi esiningi amawele amakhulu ayasinda.

Ingabe iwele eliyisimungulu kanye newele elinyamalalayo liyinto efanayo?

Yebo, lezi yizimo ezimbili ezihluke ngokuphelele.

• Iwele Elinyamalalayo: Lokhu kwenzeka lapho ukuhlolwa kukhombisa ukuthi kunamawele ekuqaleni kokukhulelwa, kodwa kamuva, kuba nomntwana oyedwa kuphela. Omunye umntwana umuncwa yi-placenta, elinye iwele, noma isibeletho sikamama. Kulokhu, izingane ezimbili azixhumene.
• Amawele Anezimila: Kulokhu, ingxenye yewele eliyekile ukukhula ayimuncwa. Ihlala inamathele kwiwele elibusayo. Futhi, amawele anezimila awuhlobo lwamawele ahlangene. Amawele anyamalalayo awaxhunywanga ngale ndlela.

Ingabe iwele eliyi-parasite liyaphila?

Cha. Iwele eliyi-parasitic liyafa ngesikhathi sokukhulelwa. Iwele elinamandla elikhule ngokugcwele livame ukusinda.

Amawele anesifo sofuba ayizinhlobo ezingavamile kakhulu zamawele ahlangene. Lokhu kwenzeka lapho, ekuqaleni kakhulu kokukhula kombungu, ingxenye eyodwa yombungu ihlangana nenye (umfowabo/udadewabo oyiwele). Enye imbungu ikhula kahle, kanti enye ingxenye iyeka ukukhula, kodwa ihlala ixhumene nenye. Ingane enempilo ingazalwa inemilenze eyengeziwe noma inqwaba yenyama lapho imbungu yayikhona.

Ngenxa yokuthi lesi simo asivamile, kuncane ucwaningo ngaso. Ochwepheshe bezokwelapha basafunda okwengeziwe ngaso.

Izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa ushaqekile futhi wesaba kancane uma uzwa ngesimo esingavamile kangaka. Kodwa kunezinto ezimbalwa ezibalulekile okudingeka siziqonde:

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* Amawele anesifo sofuba ayisifo esingavamile kakhulu. Lokhu kwenzeka cishe koyedwa kwabayisigidi abazalwayo.

* Lokhu akubangelwa yinoma yiliphi iphutha labazali, futhi akunakuvinjelwa.

* Iwele elikhula ngamandla livame ukuba namandla okusinda, kodwa ukuhlinzwa kokususa ingxenye ye-parasite kubalulekile.

* Uma ukhulelwe futhi unenkinga noma ukwesaba ngalokhu, kungcono ukukhuluma nodokotela wakho. Bangakunikeza ulwazi kanye nokusekelwa okudingayo.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uxoxa ngezindaba zezokwelapha eziyinkimbinkimbi kangaka, kuyinto evamile ukuthi kufike into eyodwa engqondweni. Kodwa ukuhlonyiswa ngolwazi kusinika amandla okubhekana nanoma yini.

Amawele Anezimuncagazi, Amawele Ahlangene, Ukuthuthukiswa Kwesibeletho, Ukuhlinzwa, Ukukhulelwa, Izifo Ezingavamile