Ukutyunjwa kweTwin (for twins joint) kudla ngokuhlasela iindaba, ezibandakanya oogqirha kunye neeyure ezininzi. Ngaba wayenomdla malunga nokuba utyando olunje luquka ntoni?
Ukuqonda amawele amakhosikazi
Utyando lokuhlukanisa i-Twin lwenzeka xa oogqirha behlukanisa amawele azalwe ngokuzalwa xa ezalwa. Ukudibanisa amawele ahlanganiswe ndawonye, emibini ngaphakathi emzimbeni ngokwabelana ngamalungu athile okanye iinxalenye zomzimba, kunye nangaphandle kwesikhumba.
Zihlala zifana namawele, oku kuthetha ukuba baya kuba ngesondo esifanayo. Ukudibana amawele awanqabile kakhulu, acingelwa ukuba malunga ne-50,000 ukuya kuma-100,000 amawele ehlabathini lonke.
Xa iimbini ezimbini zidibaniswa ndawonye kwindawo enye, zibizwa ngokuba ngamawele ayingqamaniso. Kwezinye iimeko, elinye lamadama adibeneyo alinakuphilisa kwaye mhlawumbi libizwa ngokuba yi-"parasitic" iwele. Elinye iwele liyakuthi liphuhliswe kwaye likwazi ukuhlala ngaphandle kwesibeleko, ngelixa elinye iwele lingaphumeleli kakuhle ukuze ligcine ubomi.
Amamawele amabhinqa anakho ukuxhamla amawele ahlukeneyo, ngelixa abantwana besilisa bevame ukuba neengxaki zamanye amawele angama-parasitic. Nangona oogqirha abaqinisekanga ukuba kutheni, amawele amabhinqa adibeneyo afana nethuba eliphezulu lokusinda. Ngamanye amaxesha, amabini amawele angasayi kuhambelana nobomi ngenxa yophuhliso olungavumelekanga kunye nokuxuba. Amawele adibeneyo, ukuba aphile, asemngciphekweni weengxaki ezininzi zezempilo kunye neengxaki.
Ziyintoni i-Twin Separation Surgery?
Ukutyunjwa kwetawundlu yokuhlukanisa amawele adibeneyo ahlukeneyo, kuxhomekeke kwindlela amawele adibana ngayo. Ngokomzekelo, amanye amawele angabelana ngesondlo sokutya okanye inxalenye yenkqubo yabo yokujikeleza. Inkqubo echaphazelekayo yinkqubo echaphazelekayo, yinkqubo enkulu yokuhlinzwa.
Ngokutsho kweYunivesithi yaseMaldan, kukho izigaba ezilishumi elinambini ezahlukileyo zamawele ezihlangeneyo eziza kubona uhlobo luni lotyando olufunekayo. Amawele angabambisana emagqeni abo angaphezulu kwaye abelane ngenhliziyo, okwenza kube nzima ukwenza uphando oluphumelelayo. Ezinye iintlobo zamawele zingabelana nomzimba ophezulu kunye namaziko athile, afana nesibindi okanye i-GI phetshana, kodwa kungekhona intliziyo, okwenza utyando lukhetho. Uhlobo oluxhatshazayo lweamawele ahlangeneyo ngama-craniopagus amawele, adibeneyo entloko.
Ngokomlando, ukuhlinzwa ngokuhlukana kwamawele kwakungekho nto kwaye amawele adibeneyo awayephila nawo ahlala edibanise ubomi babo. Ngokomzekelo, enye yeethase ezidumileyo zamamawele kwakuyiNg and Chang Bunker. Abazalwana bazalwa eThailand, ebizwa ngokuba ngu "Siam," ngo-1811, kunye nelokuba bahlala behlangene ekugqibeleni baholelwa kwigama elithi "amawele e-Siamese." Eli gama, nangona kunjalo, ayisasetyenziswanga njengamawele adibeneyo akanayo nantoni apho abantwana bezalwa khona.
Yiyiphi Isiphumo SokuPhelelwa Kwenziwe NgamaTwin?
Isiphumo sokuhlinzwa ngokuzibandakanya kwama-twin kuya kuxhomekeka kwindlela kwaye amawele adibana ngayo. Ngelishwa, ugqirha akakwazi ukuxelela isantya sokudibanisa ade azalwe iintsana, ngoko nayiphi na iinqununu kunye neenkcukacha ezithile malunga nohlobo oluthile lotyando olufunekayo kufuneka ulinde de emva kokuzalwa kweintsana.
Kwisifundo esinye esasilandela iinewele ezilishumi elinesibini ezahlukaniswa ngophezulu emva kokuzalwa, iisefa ezine zamasta zaza zahlala zawa mabini mawele kwaye ezo zidiza ezine zifunwa ngaphezu kokuhlinzwa omnye ngaphambi kokugqitywa. Nangona kunjalo, onke amawele kwiisethi ezihlala zilandelwa oogqirha kwaye zibonisa ukuphuhliswa okufanelekileyo nokuqhelekileyo. Nangona kwezinye iimeko, amawele ahlukeneyo angadinga uncedo olongezelelweyo okanye unyango kwiintsiba zabo ngokukodwa, kuba abaninzi babo abazange bakha ngokufanelekileyo.
Njengoko iteknoloji iqhubekile, amawele adibeneyo angakwazi ukufumana inzuzo ekusebenziseni ama-twin ahlukeneyo ngaphandle kweengxaki ezinkulu.
Imithombo
Xie, J., Zhou, L., Yang, Z., & Sun, H. (2012). Ii-epigastric heteropagus ezihlangene namawele: iiphando ezimbini kunye ne-DNA ehlalutyo. Iiklinikhi , 67 (5), 527-529.
UVotteler TP 1, uLipsky K. (2005, uEpreli). Iziphumo zexesha elide ezili-10 ezidibeneyo. J Pediatr Surg. 2005 Matshi; 40 (4): 618-29.