Cishe uke wakubona kuma-movie, mayelana namawele azalwa ehlangene. Lokhu kungenzeka, kodwa kuyisimo sezokwelapha esingavamile kakhulu. Kalula nje, amawele ahlangene angamawele azalwa ehlangene ngokomzimba. Lesi simo singabangela izinkinga ngesikhathi sokukhulelwa, ngesikhathi sokubeletha, nangemva kokuzalwa. Nakuba kungaba yindaba ebucayi ukukhuluma ngayo, kubalulekile ukuqaphela .
Ngezinye izikhathi lezi zingane zingahlukaniswa ngempumelelo ngokuhlinzwa. Kodwa akuzona zonke ezingahlukaniswa. Lokhu kungenxa yendlela izingane ezixhumene ngayo kanye nezitho zangaphakathi ezihlanganyelayo. Ngaphambi kokunquma ukuthi zingahlukaniswa ngokuphephile noma cha, ochwepheshe benza izivivinyo eziningi. Izivivinyo ezifana ne-ultrasound scans, i-MRI scans, kanye ne-fetal echocardiography, ezithatha imephu yezinhliziyo zezingane, zingasisiza siqonde kangcono ukuthi yiziphi izitho ezihlanganyelayo.
Kungani lokhu kwenzeka? Iyini imbangela?
Ososayensi abakasitholi isizathu esisodwa nesiqinisekile salokhu, kodwa kunemibono emibili eyinhloko echaza lokhu.
1. Ithiyori Yokuhlukana: Ngokwale thiyori, umbungu ezigabeni zokuqala uqala ukuhlukana kabili. Amawele ajwayelekile ( Amawele Afanayo ) akheka lapho lombungu uhlukana ngokuphelele kabili. Kodwa okwenzekayo lapha ukuthi umbungu awuhlukani ngokuphelele kabili futhi uhlukane, kodwa uyaqhubeka nokukhula ngemva kokuhlanganiswa ndawonye ngesikhathi esithile.
2. I-Fusion Theory: Ngokwalo mbono, iqanda elilodwa elivundisiwe liqala lihlukane ngokuphelele libe yizimbili, lenze imibungu emibili efanayo. Kodwa-ke, ezigabeni zokuqala zokukhula kombungu, le mibungu emibili iyahlangana futhi.
Lesi simo asivamile kakhulu. Ngokuvamile kubikwa ukuthi senzeka cishe koyedwa kwabangu-50,000 noma abangu-60,000 abazalwayo. Kuyaphawuleka futhi ukuthi cishe u-70% walaba bantwana bangamantombazane. Ngokudabukisayo, izingane eziningi ezikhulelwa ngale ndlela zifela esibelethweni noma ngokushesha ngemva kokuzalwa.
Into ebalulekile ukuthi lesi simo asithinteki ngenxa yobudala bomama, uhlanga, noma yini enye. Futhi, ngemva kokukhulelwa okunjalo, akukho sithiyo sokuba ukhulelwe omunye umntwana ngendlela evamile.
Lesi simo sithinta kanjani ukukhulelwa?
Ukukhulelwa ngamawele ahlangene kubhekwa njengengozi enkulu futhi kudinga ukubhekwa eduze odokotela abangochwepheshe phakathi nalesi sikhathi.
Ukubona kanjani lokhu?
Odokotela bavame ukubona lesi simo ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa, ngokuvamile ku-trimester yokuqala noma yesibili. Ngezinye izikhathi singabonakala emavikini angu-7-12.
Uma ukuskena kuqinisekisa lokhu, udokotela wakho uzophakamisa ezinye izivivinyo eziningana:
- I-MRI (I-Magnetic Resonance Imaging): Lokhu kusenza sibone ngokucacile ukuthi izingane ezimbili zixhumene kuphi nokuthi yiziphi izitho ezihlanganyela kuzo.
- I-Echocardiogram: Lokhu kuhlola ukusebenza kwezinhliziyo ezimbili zengane nokuthi zixhumene yini.
Ziyini izimpawu?
Umama okhulelwe akakwazi ukubona ukuthi unezimpaphe ezihlangene ngenxa yezimpawu zodwa. Izimpawu ziyafana nalezo ezivame ukwenzeka ngesikhathi sokukhulelwa kwamawele, kodwa zimbi kakhulu.
- Ukukhathala okukhulu, isicanucanu, nokuhlanza ekuqaleni kokukhulelwa.
- Isibeletho sikhula ngokushesha kunokuba bekukhona umntwana oyedwa kuphela.
Ukubeletha kuvame ukwenziwa ngokuhlinzwa kokubeletha , ukuze kuphephe umama nomntwana. Ngesikhathi sokubeletha , amaqembu ezokwelapha ahlukene ayalungiselelwa ingane ngayinye.
Yiziphi izindlela ezahlukene laba bantwana abaxhumana ngazo?
Amawele ahlangene awaxhunyanisiwe ngendlela efanayo. Ahlukaniswa ngokwendawo axhumene kuyo. Bheka ithebula elingezansi ukuze uqonde lolu lwazi ngokucacile.
| Uhlobo | Indawo kanye nencazelo yoxhumano |
|---|---|
| Kusukela esifubeni (i-Thoracopagus) | Uhlobo oluvame kakhulu. Zixhumene ubuso nobuso esifubeni. Zivame ukwabelana ngenhliziyo nesibindi esisodwa. |
| Kusukela esiswini (i-Omphalopagus) | Inamathele ngaphansi kwethambo lesifuba, eduze kwe-sternum. Ingase ihlanganyele isibindi, inyongo, kanye nezingxenye ezingaphezulu zesistimu yokugaya ukudla. |
| Kusukela emhlane ongezansi (iPyopagus) | Isuka emhlane futhi ixhumene nomhlane ongezansi. Ingabelana ngezitho zangasese, uhlelo lomchamo, kanye nezingxenye ezingezansi zohlelo lokugaya ukudla. |
| Kusukela ethangeni (i-Parapagus) | I-pelvis ixhunywe ezinhlangothini nge-pelvis. |
| Kusukela ekhanda (i-Craniopagus) | Ugebhezi luxhumene phezulu. Ubuchopho buvame ukuxhumeka, kodwa hhayi njalo. |
| Ngasemgogodleni (iRachipagus) | Akuvamile kakhulu. Emhlane, wonke umgogodla uhlala uxhumene. |
Ingabe laba bantwana bangahlukaniswa ngokuhlinzwa?
Lena yinkinga enkulu kuwo wonke umuntu. Akuwona wonke amawele ahlangene angahlukaniswa. Ikakhulukazi uma womabili abelana ngesitho esisodwa esibalulekile, njengenhliziyo efanayo, ukuhlinzwa kungenzeka kungenzeki.
Odokotela bavame ukulinda phakathi kwezinyanga ezintathu nonyaka ngemva kokuzalwa kwengane ukuze banqume ukuthi bazohlinzwa kanjani. Lokhu kwenzelwa ukunika ingane isikhathi sokuba namandla anele okumelana nokuhlinzwa. Kuphinde kunikeze odokotela ithuba lokufunda kangcono isakhiwo somzimba wabo kanye nokusabalala kwezitho zomzimba.
Kodwa-ke, kwezinye izimo eziphuthumayo , ukuhlinzwa okuphuthumayo kungadingeka. Isibonelo, uma ingane eyodwa ishona noma iba nesimo esisongela ukuphila, ukuhlinzwa kungadingeka kwenziwe ngokushesha ukuze kusindiswe impilo yomunye umntwana.
Lokhu kuhlinzwa kuyinkimbinkimbi kakhulu. Kudinga isibhedlela esinolwazi olukhethekile kanye nezindawo zokusebenza. Ngisho nangemva kokuhlinzwa, izingane zidinga ukwelashwa okuhlukahlukene, njengokwelashwa ngokomzimba, isikhathi eside.
Angakanani amathuba okusinda?
Ngokudabukisayo, izinga lokusinda kwalezi zingane aliphezulu kakhulu.
- Ngaphezu kwama-50% okukhulelwa kwamawele ahlangene kugcina ngokuphuphuma kwesisu noma ukuzalwa komntwana eseshonile.
- Cishe ama-35% ezinsana ezizalwayo ziyafa zingakapheli amahora angama-24 ngoba izitho zazo zomzimba azikwazi ukusekela imizimba emibili.
- Inani elincane kuphela, cishe ama-25%, ezingane ezisindile ezifanelekela ukuhlinzwa.
- Cishe ama-60% ezingane ezihlukaniswa ngokuhlinzwa ziyasinda.
Kodwa kunezindaba ezinhle. Ngenxa yobuchwepheshe obuthuthukisiwe bokuskena kanye namasu okuhlinzwa, amawele amaningi ahlangene ayasinda futhi ahlukaniswa ngempumelelo namuhla kunanini ngaphambili.
Umlayezo Wokuya Nawe Ekhaya
- Amawele ahlangene ayizinhlobo ezingavamile kakhulu zamawele azalwa ehlangene ngesikhathi sokuzalwa.
- Imbangela yalesi simo ayikakaqinisekiswa ngokusobala, futhi akulona iphutha likamama.
- Lolu hlobo lokukhulelwa luyingozi kakhulu futhi lutholakala ngokusebenzisa ama-scan anjenge-ultrasound kanye ne-MRI.
- Ukuthi amawele angahlukaniswa noma cha kuncike ekutheni axhumene kanjani nokuthi abelana ziphi izitho zomzimba. Kuyinqubo eyinkimbinkimbi kakhulu.
- Uma unokungabaza ngesimo esinjalo, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngaso futhi uthole iseluleko nesiqondiso esifanele.
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