Tambo yemwana wako yakabatana nemucheto weplacenta here? (Kuisa Tambo Yekumucheto) Ngatikurukurei nezvazvo!

Vanaamai vazhinji vanogara vachinetseka nezvehutano hwemwana wavo panguva yekuzvitakura, kana ari kukura zvakanaka, handiti? Saka, dzimwe nguva kana chiremba wako akaita ultrasound scan obva ataura chimwe chinhu chakadai sekuti, "Pane musiyano mudiki parukuvhute rwemwana, harisi pakati peplacenta, asi rakabatana nerutivi," zvakajairika kuti ungoerekana wanzwa kutya uye kunetseka. Ndizvo zvatinodaidza kuti mamiriro akaita seaya ``Marginal Cord Insertion''. Saka, ngatitaurei nezvazvo zvakajeka nhasi, nenzira yaunogona kunzwisisa here? Pane chekutya here, uye ngationei chaizvo zviri kuitika mune izvi.

Unoziva here kuti chii chinonzi Marginal Cord Insertion?

Zvichitaurwa zviri nyore, `(Marginal Cord Insertion)` kuchinja kudiki pakubatana kwetambo yemwana ye'(Umbilical Cord)` ne`(Placenta)` panguva yekuzvitakura. Unoziva, `(Umbilical Cord)` yakafanana netambo yehupenyu inobatanidza amai nemwana. Mwana anowana zvese zvinovaka muviri neokisijeni yaanoda kubva kuna amai kuburikidza netambo iyi yeumbilical. Tambo iyi yeumbilical yakabatana nenhengo chaiyo inonzi `(Placenta)`, iyo inongokura panguva yekuzvitakura chete.

Kazhinji, tambo yerukuvhute inofanira kunge yakabatana nepakati pe placenta, kana kuti pedyo nayo zvakanyanya. Izvi zvinodaro nekuti zvinovaka muviri zvinogona kufamba zvakanaka kubva kuna amai kuenda ku placenta uye kubva ipapo kuenda kumwana pasina chipingamupinyi. Ndiyo nzira yakachengeteka.

Zvisinei, kana paine `(Kuisa Kamba Yemukati)`, kamba kemucheche aka haabatani nepakati pekamba kemucheche, asi kanobatana nemucheto kana mumucheto wekamba kemucheche (anenge mamirimita makumi maviri kubva ipapo). Kutaura chokwadi, kubatana uku kuri masendimita maviri kana pasi kubva kumucheto wekamba kemucheche. Kana rudzi urwu rwekubatana rukaitwa kumucheto, dzimwe nguva (kwete nguva dzose) rwendo rwekudya kubva kukamba kemucheche kuenda kumwana runogona kunonoka zvishoma. Kana izvozvo zvikaitika, kukura kwemwana kunogona kunonoka zvishoma. Tinodaidza izvi kuti `(IUGR - Intrauterine Growth Restriction)`. Zvakare, dzimwe nguva kurova kwemoyo wemwana kunogona kuderera panguva yekusununguka.

Zvisinei, chinhu chinonyanya kukosha pano ndechekuti pamuviri pazhinji ne `(Marginal Cord Insertion)` panopera nekusununguka kwakanaka pasina matambudziko. Saka, zviri nani kusatya ipapo ipapo, handiti?

Dambudziko iri rakajairika zvakadii?

Dambudziko iri, rinonzi ``Marginal Cord Insertion'', rinowanzoitika mumadzimai ane pamuviri pakaberekwa vana vakawanda, semapatya kana vana vatatu, kupfuura mumadzimai ane pamuviri pakaberekwa vana vasina vana. Rinoitika pakati pe2% ne25% yemadzimai ane pamuviri. Mwero wekuzvitakura uyu wakaderera mumadzimai ane pamuviri pasina vana uye wakakwira mumadzimai ane pamuviri pakawanda.

Ndezvipi zviratidzo zvinogona kukubatsira kuziva kana uine Marginal Cord Insertion?

Heino pfungwa inokosha. Kazhinji, amai vane "Marginal Cord Insertion" havaratidzi zviratidzo zvacho.Ungasaona musiyano. Chiremba wako anowanzoona kubatana kwerukuvhute uku kusina kujairika panguva yekuongororwa kweultrasound panguva yekuzvitakura.

Sei izvi zvichiitika (Marginal Cord Insertion)? Ndezvipi zvinokonzera?

Vaongorori havasati vaziva kuti chii chinokonzera Kuiswa kweMarginal Cord. Zvisinei, zvimwe zvinhu zvinofungidzirwa kuti zvinowedzera njodzi yerudzi urwu rwekuisa tambo. Sezvatakambotaura, zvinowanzoitika mupamuviri wevana vakawanda (senge mapatya). Pamusoro pezvo, kune zvimwe zvinhu zvakawanda zvinogona kukonzera:

• Kushandisa zvinodhaka kana doro panguva yekuzvitakura.
• Kuva nechirwere chisingaperi chakadai sechirwere cheshuga.
• Zera raamai rine makore makumi matatu nemashanu zvichikwira ( zera raamai rakura ).
• Uku ndiko kuzvarwa kwako kwekutanga (`Nulliparity`).
• Kushandisa IUD (Intrauterine Device) usati wabata pamuviri.
• Kubata pamuviri kuburikidza nehunyanzvi hwekubereka hwekugadzira (ART - Artificial Reproductive Technology) (semuenzaniso vana vanoberekwa nechubhu yekuyedza).

Asi yeuka, kungoti une chimwe chezvinhu izvi kana zvakawanda hazvirevi kuti uchava neMarginal Cord Insertion. Semuenzaniso, vanhu vazhinji vanobata pamuviri kuburikidza neART vanogona kuva nekamwe katsika kekuisirwa kwerukuvhute. Chinhu chakakosha ndechekuti kunyangwe paine chimwe chinhu chisina kujairika pakuisirwa kwerukuvhute, vanhu vazhinji vanoenderera mberi nekuva nepamuviri pakanaka.

Kuiswa kweMarginal Cord kunowanzoonekwa riini?

Mhando idzi dzezvirwere zvisina kunaka zverukuvhute zvinowanzoonekwa panguva yekuongororwa kweultrasound mukati memwedzi mitatu yechipiri (vhiki 14 kusvika 27) . Zvisinei, dzimwe nguva, zvinogona kuomera chiremba kuona nzvimbo chaiyo iyo rukuvhute rwakabatana neplacenta.

Muzviitiko zvakadaro, chiremba anogona kushandisa nzira yakakosha inonzi Doppler panguva yekuongororwa kweultrasound. Izvi zvinokubatsira kuona zvakajeka kuyerera kweropa pakati peplacenta nemwana, zvinoreva nzira iyo mwana anodyiswa nayo. Kuongororwa kweDoppler uku kunobatsira kuwana nzvimbo chaiyo yekubatanidza umbilical cord.

Ndezvipi zvinorapwa izvi?

Parizvino hapana mushonga chaiwo unogona "kugadzirisa" chirwere chinonzi ``Marginal Cord Insertion''. Izvi zvinoreva kuti tambo yerukuvhute haigoni kuchinjwa. Pane kudaro, chiremba wako achakutarisa iwe nemwana wako zvakanyanya munguva yese yekuzvitakura kwenyu. Izvi zvinoitirwa kudzivirira chero matambudziko angamuka. Vachatarisawo kuti vaone kana mwana ari kukura zvakanaka uye kana paine zvimwe zvinhu zvinogona kukonzera njodzi. Mune zvimwe zviitiko, kuvhiyiwa kwemwana nepamuviri (C-section) kunogona kukurudzirwa kana paine njodzi.

Nekunyatso tarisa, njodzi dzinogona kuderedzwa zvakanyanya. Saka vimba navanachiremba vako uye ita zvavanotaura.

Pane nzira yekudzivirira Kuiswa kweMarginal Cord here?

Kwete. Haugone kudzivirira kuti muromo wemwana usapinde. Hazvisi zvinhu zvaunogona kudzora. Asi unogona kushanda pamwe chete nachiremba wako, kunyatsoongorora nhumbu yako, uye kuita zvese zvaunogona kuti uve nemwana ane hutano uye kubereka zvakanaka.

Dambudziko iri (Marginal Cord Insertion) rinopora roga here?

Zvingangoitika. Kazhinji, `(Kuisa Kamba Yekumucheto)` hazvikonzeri njodzi huru pamuviri, uye hazvitadzise mwana kuwana chikafu chaanoda. Kana zvakadaro, haufanirwe kunetseka zvakanyanya nezvekuti kamba yerukuvhute yakabatana sei. Pane kudaro, vimba kuti chiremba wako achanyatsoongorora kukura kwemwana, uye achatarisa pakuchengetedza hutano hwako panguva yekuzvitakura.

Kuiswa kweMarginal Cord idambudziko rine njodzi here?

Kana paine chimwe chinhu chisina kujairika pakubata tambo yerukuvhute, zvinogona kukonzera njodzi panguva yekuzvitakura. Zvisinei, usafunge kuti zvakaipa kana ukaonekwa uine `(Marginal Cord Insertion)`. Nekuti kazhinji kacho ukaonekwa uine `(Marginal Cord Insertion)`, pamuviri pakanaka uye vana vane hutano vanozvarwa.

Chiremba wako anogona kukurukura chero zvinokunetsa zvaungave nazvo nezvenhoroondo yako yezvekurapa uye mhedzisiro yeultrasound. Chimwe chezvinhu zvinokunetsa zvikuru ndechekuti mwana wako anogona kunge ari kukura zvishoma nezvishoma, chirwere chinonzi Intrauterine Growth Restriction (IUGR). Kana mwana asiri kuwana kudya kwakakwana kubva muplacenta, anogona kunge ari panjodzi yeIUGR. Zvinotevera zvinogona kuitika kumwana wako achangoberekwa:

• Kuberekwa kusina huremu: Mwana anozvarwa achirema pasi pemapaundi mashanu nemaunzi masere (anenge makirogiramu maviri nehafu), kazhinji.
• Chiyero cheApgar chakaderera: Kuongororwa kweApgar inzira yekuongorora hutano hwemwana mushure mekuzvarwa. Chiyero cheApgar chakaderera chinogona kuratidza kuti mwana anogona kunge aine dambudziko remwoyo kana mapapu. Vana vakadaro vangangoda kutarisirwa zvakanyanya.
• Mikana yakawanda yekugara muNharaunda Yekuchengetedza Vana Vachiri Kuyaruka (NICU): Mwana anogona kuchengetwa muNICU kuti awane rubatsiro rwakawedzerwa kusvika mwana apora uye anogona kutamisirwa kuchipatara chenguva dzose.

Kana chiremba wako achifunga kuti pane njodzi kwauri kana kumwana wako, anogona kukurudzira kuti mwana avhiyiwe section (C-section).

Ko (Marginal Cord Insertion) inogona kuva (Velamentous Cord Insertion) here?

Dambudziko rinonzi "Marginal Cord Insertion", kunyanya panguva yechitatu chemwedzi mitatu (vhiki 29 kusvika 40) yekuzvitakura, rinogona kuchinja kuita chirwere chinonzi "Velamentous Cord Insertion". Zvisinei, izvi hazviwanzoitiki.Kupinza tambo yeVelamentous kunoitika kana tambo yeumbilical isina kubatana zvakananga neplacenta, asi nema membrane ari kunze kweplacenta. Dambudziko iri hariwanzoitiki kupfuura Kupinza tambo yeMarginal (inoitika muinenge 1% yevakadzi vane pamuviri) uye rinoda kutariswa zvakanyanya.

Chiremba wako achaongorora mabatirwo akaitwa tambo yerukuvhute uye achakubatsira kuwana mhedzisiro yakanaka mumamiriro ese ari maviri, ``Marginal Cord Insertion'' uye ``Velamentous Cord Insertion''.

Saka, ndinofanira kunetseka here nezveMarginal Cord Insertion?

Kwete, hamufaniri kunetseka. Vanhu vazhinji vane Marginal Cord Insertion vane vana vane hutano hwakanaka. Kana mwana ari kuwana kudya kwakakodzera kwaanoda kuti akure, kuva neMarginal Cord Insertion hakukanganisi pamuviri wako.

Taura nachiremba wako nezvechero zvinokunetsa. Pane zvinhu zvakawanda zvinogona kuwedzera njodzi yematambudziko panguva yekuzvitakura. Kusarongeka kwerukuvhute kunogona kuva njodzi kana kusave njodzi. Chiremba wako anogona kukutungamira panguva yekuzvitakura kwako uye kukupa ongororo yakavimbika.

Ndeipi mibvunzo inokosha yekubvunza chiremba wako?

Zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako panguva yakaita seiyi. Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Kangani pandinofanira kuongororwa ne ultrasound kuti ndione kana ndine pamuviri?
• Ndinofanira kuita mimwe miedzo here?
• Pane mukana wakadini wekuti Marginal Cord Insertion ichakanganisa pamuviri pangu?
• Pane mimwe miedzo ichadiwa here kuti mwana aone kana mwana ari kukura zvakanaka?
• Ndingagadzirisa sei kudya kwangu, kurovedza muviri, uye zvepabonde kuti ndive nepamuviri pakanaka?
• Ndinofanira kurara kwenguva yakareba sei pazuva? Ndinofanira kuzorora kwenguva yakareba sei pazuva?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti unzwe kutya zvishoma paunonzwa kuti une `(Marginal Cord Insertion)`. Zvisinei, usarega kuongororwa uku kuchikukonzera kushushikana kusingakoshi pamuviri wako. `(Marginal Cord Insertion)` ingangoda kutariswa kana kutarisirwa zvakanyanya. Zvinogonekawo kuti chirwere ichi hachizokanganisi pamuviri wako zvachose.

Chinhu chinonyanya kukosha ndechekuti chiremba wako azive kuti une chirwere ichi. Ruzivo urwu ruchavabatsira kuchengetedza iwe nemwana wako muine hutano hwakanaka sezvinobvira. Yeuka, vanaamai vazhinji vane chirwere ichi vanozobereka vana vane hutano hwakanaka. Saka funga zvakanaka, tevera zano rachiremba wako, uye zvese zvichave zvakanaka!

Tambo yeUmbilical , placenta, pamuviri, kukura kwemwana, ultrasound, Kuiswa kweTambo yeMarginal, IUGR