Nuchal Cord: Kodi ndi chinthu chodetsa nkhawa nacho?

Ngati muli ndi pakati, mwina mwawonapo chinthu chotchedwa ' Nuchal Cord ' pa lipoti lanu la scan. Kapena mwina mwamvapo za izi kuchokera kwa mnzanu kapena wachibale. Ndizachilendo kuti mayi achite mantha pang'ono komanso mantha akamva mawu awa. "Kodi mwana wanga adzakhala ndi vuto? Kodi adzavutika kupuma?" Mafunso ambiri amabwera m'maganizo. Koma kodi Nuchal Cord iyi ndi chiyani kwenikweni? Kodi ichi ndi chinthu chomwe tiyenera kuopa? Tiyeni tikambirane za izi momveka bwino komanso mosavuta.

Kodi chingwe cha Nuchal ndi chiyani kwenikweni?

Mwachidule, chingwe cha nuchal ndi chingwe cha umbilical cha mwana wanu chomwe chimazungulira khosi lake kamodzi kapena kangapo.

Mukudziwa, chingwe cha umbilical ichi ndi chingwe chopulumutsa moyo chomwe chimanyamula mpweya ndi zakudya zonse zomwe mwana wanu amafunikira kuti akule ndikukula, ndipo chimachotsanso zinyalala m'thupi la mwana wanu. Ndi chubu chosinthasintha. Chili ndi mitsempha iwiri ndi mtsempha mkati mwake. Kuti chiteteze mitsempha yamagazi iyi, chimazunguliridwa ndi chinthu chapadera chonga jelly chotchedwa `Wharton's jelly.'

Kotero chingwe cha umbilical ichi ndi chingwe chomwe chimazungulira khosi la mwana. Kukulunga uku nthawi zina kumakhala komasuka kwambiri, ndipo nthawi zina kumakhala kolimba pang'ono. Izi zagawidwa m'mitundu iwiri ikuluikulu:

• Mtundu A (Chingwe Chosatsegulidwa): Ichi chili ngati mkanda wosavuta kuzungulira khosi. Chingwe cha umbilical chimayenda momasuka, kotero n'zotheka kuti chingamasulidwe mwana akasuntha.
• Mtundu B (Chingwe Chotsekeka): Uwu ndi mtundu wa chingwe chomwe chimakulungidwa mwamphamvu ngati mfundo. Chifukwa chake, sizingatheke kuti mtundu uwu udzimasulire wokha. Komabe, mtundu uwu wa `Mtundu B` ndi wosowa kwambiri.

N’chifukwa chiyani chingwe cha umbilical chimazunguliridwa motere pakhosi?

Chifukwa chachikulu cha izi ndi kayendedwe kakang'ono kamene mwana wanu amachita m'mimba. Tangoganizani akuyendayenda, akukankha, ndikugwedeza manja ake. Ndi kayendedwe aka komweko komwe nthawi zambiri chingwe cha msana chimamangiriridwa pakhosi. Ichi ndi chinthu chachilengedwe kwambiri.

Kuphatikiza apo, pakhoza kukhala zifukwa zina zingapo:

• Kuchuluka kwa madzi amniotic: Ngati kuchuluka kwa madzi ozungulira mwana kuli kokwera pang'ono kuposa masiku onse, kumakhala ndi malo ambiri oti azitha kuyenda ndi kusambira. Palinso malo ambiri oti chingwe cha umbilical chigwire.
• Kutalikirana kwa chingwe cha umbilical: Ma chingwe a ana ena amatha kukhala ataliatali pang'ono kuposa masiku onse. Ngakhale zili choncho, mwayi woti agwidwe ndi wokwera.

Kodi kukhala ndi Nuchal Cord ndi koopsadi?

Yankho la funsoli, nthawi zambiri, ndi ayi . Nuchal cord ndi yofala kwambiri kuposa momwe timaganizira. Kafukufuku akusonyeza kuti mwana m'modzi mwa anayi obadwa (oposa 25%) ali ndi vutoli.

Kuchuluka kwa matendawa kumawonjezeka pamene mimba ikupita patsogolo. Mwachitsanzo, pa masabata 20, pafupifupi 6% ya makanda amakhala ndi vutoli, koma pofika masabata 42, chiwerengerocho chimakwera kufika pa 29%. Komanso ndi chofala pang'ono mwa anyamata kuposa atsikana.

Komabe, ndi bwino kudziwa mavuto ena osowa omwe angachitike. Koma kumbukirani kuti ambiri mwa mavutowa ndi osowa kwambiri.

Nthawi zina, ngati chingwe cha umbilical chakulungidwa mwamphamvu pakhosi, vuto lotchedwa `tCAN (tight cord around neck) syndrome` lingachitike. Zimakhala ngati kutsekeka kwa khosi. Kenako mutha kuwona madontho ang'onoang'ono ofiira a magazi `(petechiae)` pankhope, pakhosi, ndi m'maso mwa mwana. Koma izi sizichitika kawirikawiri.

Kodi matendawa amapezeka bwanji? Kodi chithandizo chake ndi chiyani?

Kudziwika

Kupezeka kwa nuchal cord nthawi zina kumawoneka panthawi ya ultrasound scan mukakhala ndi pakati. Komabe, nthawi zambiri sizimaonekera mpaka mwana atabadwa. Madokotala ndi azamba nthawi zambiri amafufuza nuchal cord panthawi yobereka. Ndi gawo la njira yachizolowezi.

Chithandizo ndi kasamalidwe

Madokotala akungokuyang'anirani inu ndi mwana wanu mosamala.

• Musanabereke: Ngati scan ikuwonetsa chingwe cha nuchal, dokotala wanu angakulangizeni kuti musamale kwambiri kugunda kwa mtima ndi mayendedwe a mwana.
• Pa nthawi yobereka:
• Nthawi zambiri, chingwe cha umbilical chimakhala chomasuka kwambiri. Dokotala akatulutsa mwana, amamukoka mosamala pamutu pa mwana ndikumuchotsa. Ichi ndi chinthu chosavuta kwambiri.
• Ngati chingwe cha umbilical chakulungidwa mwamphamvu kwambiri , mungafunike kuchigwira musanachotse mwana kwathunthu. Izi zimachitika kuti chingwecho chisakoke ndikuchoka pa placenta. Iyi ndi njira yotetezeka kwambiri.
• Ngati chingwe cha umbilical chikupangitsa kuti kugunda kwa mtima kwa mwana wanu kuchepe , dokotala wanu angakufunseni kuti musinthe malo ake. Izi zingathandize kuchepetsa kupanikizika kwa chingwe cha umbilical. Angakupatseninso madzi owonjezera kapena mpweya.
• Komabe, ngati vutoli silikuchira, mankhwala ochepetsa ululu kapena opaleshoni angaganizidwe. Zisankho zonsezi zimapangidwa kuti zitsimikizire kuti mayi ndi mwana onse ali otetezeka kwambiri.

Ndiye, kodi ndiyenera kuopa izi?

Yankho lalifupi ndilakuti, mwina ayi . Nuchal cord ndi yofala kwambiri kuposa momwe mungaganizire. Ndipo muyenera kumvetsetsa kuti nthawi zambiri siyimayambitsa mavuto kwa nthawi yayitali kapena mavuto kwa mwana.

Makanda obadwa ndi nuchal cord nthawi zambiri sakhala ndi Apgar scores yotsika, mavuto a kukula kapena chitukuko, kapena chiopsezo chowonjezeka cha kubadwa kwa mwana wakufa. Magulu azachipatala ali ophunzitsidwa bwino kuthana ndi vutoli.

Komabe, ngati inu, monga mayi, muli ndi mafunso, mantha, kapena kukayikira pankhaniyi, musazibise nokha. Lankhulani ndi dokotala wanu za izi poyera. Zimene mumamva pa intaneti kapena kuchokera kwa alendo zingakusokonezeni kwambiri. Chifukwa chake, malo abwino kwambiri opezera chidziwitso cholondola komanso chodalirika ndi dokotala wanu.