Nammude Arogyam July 2018 | Page 91

-¡m³ km[y-X-bp-ïv. C¯cw Cc-«-IÄ ( DCDA Twins ) ImgvN-bn an¡ -hmdpw hyXy-kvX-am-bn -cn¡pw. C§-s\-bmWv km [m-cW \mw ImWp¶ Cc« KÀ`-§Ä Dïm-Ip-¶-Xv. C¶v \½psS kaq-l -¯n hÔy-X-tbdn hcp-I -bm-Wv. AtXm-sSm¸w hÔy-X-bpÅ ]e-X-c-¯n -epÅ tlmÀtam¬ NnIn -Õ-bpw, sF.-hn.-F^v NnIn-Õm-co-Xn-Ifpw aäpw. kv{Xo¡v tlmÀtam¬ acp-¶p-IÄ \ÂIp-t¼mÄ IqSp-X AÞ-§Ä hf-cm-\pÅ km[y-X-tb-sd -bm-Wv. AXp-t]mse sF. -hn.-F^v NnIn-Õ-bnepw H¶n IqSp-X {`qW -§Ä KÀ`m-i-b-¯n \nt£-]n-¡p-¶Xv A\-h[n KÀ`-§Ä Dïm-Im-\pÅ km[yX Iq«p-¶p. Nne-cn ]mc-¼-cy-am-bn«pw Cc-«-KÀ` -¯n\pw km[yX ImWp-¶p. F§-s\-bm-WnXv kw`-hn-¡p-¶Xv _oP-k-¦-e-\-¯n\v tijw {`qWw DSs\ thÀs]«v (5 Znh-kw) cïmbm cïv hyXykvX adp-]n-Åbv¡pw (Placenta) Ad-IÄ¡pw DÅn Ipªp-§Ä hf-cm-\n-S-bpïv (dichorionic diammotic twins) CXn Xs¶ {`qWw 3þ8 Znh-k-¯n\v tij-amWv hn`-Pn-¡p-¶-sX -¦nÂ, Chbv¡v cà-¡p-g-epw, adp-]n-Åbpw H¶m-bn-cn -¡p¶ Ah-Ø-bmWv (Monochorionic diamniotic twins) 8-þ13 Znh-k-¯n\p DÅnem-sW-¦n (Monochorionic Monoamutic ) Ch H¶n¨v InS¶v s]m¡nÄsImSn Npän acWw kw` -hn-¡m³ km[y-X-tb-sd-bm-Wv. 13 Znh-k-¯n\v tij-am-sW-¦nÂ, Ah H«n-bn-cp¶v kbm-aokv Cc-«-IÄ¡v (Conjoint Twins) CS-bm-¡p-¶p. ta hnh-cn¨ Cc-«-I-fmWv Htc enwK-¯n Htc t]mse-bpÅ Ipªp-§-fm-Im³ km[y-X-bp-Å-Xv. {]iv\-§Ä Fs´-Ãm-amWv? Cc« Ip«n-I-fm-sW-¦n FÃm KÀ`-Ime {]iv\ -§fpw IqSp-X-em-bn-cn-¡pw. DZm-l-c-W-¯n-\v, BZy-am -k-§-fnse OÀ±n, HmÀ¡m- -\w, £oWw, Xe-Np-ä Ch IqSp-X-em-bn-cn-¡pw. sNdnb cà-{kmhw apX KÀ`-On-{Z-¯n-\pÅ km[y -X-sb-sd-bm-Wv. Nne-t¸mÄ aq¶v amkw XnI-bp-t¼m -tg¡pw Cc-«-I-fn H¶ns\ ImWm³ Ign-bm-Xmhpw (Vanishing twin syndrome). IqSmsX 4þ5 amk-¯n- \n-Sbv¡v KÀ`m-ibw Xpd¶v t]mbn KÀ`-On-{Z-¯n-\pÅ km[y-Xbpw Gsd-bmWv (Cervical incompetance). KÀ` -Ime hfÀ¨, Xq¡w Ch Ipd-bm-\pw, {]ta-lw, cà-k-½À±w, adp-]nÅ thÀs]-S (abruption) F¶o KÀ`-Im-e-tcm-K-§Ä¡pÅ km[y-Xtbsd-bmWv. IqSm-sX, MCMA twins (Htc Ad-bn P\n-¡p¶ Cc-« \½p-sS B-tcm-Kyw | Pqsse 2018 91