Ngaba i-Umbilical Cord Prolapse iyingozi? Masiqaphele oku!

Uyazi, uhambo oluya kweli hlabathi ngamanye amaxesha lunokubangela imingeni kuwe nakumntwana wakho ongekazalwa. Enye yezona meko zixhaphakileyo nezinokuba yingozi ezinokwenzeka xa uza kuba nomntwana kuxa intambo yomntwana iphuma kwisini ngaphambi kokuba umntwana azalwe. Oogqirha babiza oku ngokuthi "Umbilical Cord Prolapse". Namhlanje, siza kuthetha ngezinto ezininzi ngendlela elula neqondakalayo, njengokuba yintoni kanye kanye le nto, kutheni isenzeka, kunye nento omawuyenze ukuba iyenzeka.

Kuthetha ukuthini xa intambo yomlomo iphuma kwangethuba?

Ngamafutshane, oku kwenzeka xa sele uza kuzala umntwana, nokuba emva nje kokuba amanzi ephumile okanye ngaphambi kokuba umntwana aphume, kwaye intambo yomntwana iphuma emlonyeni wakho ize ingene kwilungu lobufazi ngaphambi komntwana. Ngokwesiqhelo, xa umntwana ezalwa, umntwana uphuma kuqala, uze emva koko intambo yomntwana iphume. Kodwa kule meko ibizwa ngokuba yi-"Umbilical Cord Prolapse", intambo yomntwana iphuma kuqala. Khawucinge ukuba kwenzeka ntoni xa oko kusenzeka? Intambo yomntwana ephumileyo inendawo enkulu yokunamathela phakathi komzimba womntwana, umlomo wakho wesibeleko, kunye nelungu lobufazi.

Yintoni umsebenzi we-umbilical cord?

Ngoku mhlawumbi uyazibuza, "Yintoni ekhethekileyo ngentambo yesisu?" Intambo yesisu ifana nombhobho oguquguqukayo. Yiyo ethwala izondlo kunye neoksijini umntwana wakho ayifunayo kulo lonke ixesha lokukhulelwa kwakho. Ifana nomgca wobomi bomntwana.

Kuza kwenzeka ntoni ukuba intambo yomlomo iphuma kwangethuba?

Ukuphuma kwe-umbilical cord ngaphambi kwexesha kuthathwa njengengxamiseko yezonyango . Uyazi ukuba kutheni? Kuba xa oku kusenzeka, i-umbilical cord inokubanjwa kwaye igazi lomntwana kunye nomoya-mpilo zinokunqanyulwa. Khawuthelekelele, xa intloko okanye umzimba womntwana ucinezela i-umbilical cord, njengaxa umbhobho wamanzi ugobile, amanzi ayayeka ukuhamba, kwaye isondlo somntwana siyayeka. Akunjalo kuphela, kodwa xa unezintso zokuzala umntwana, isibeleko siyaqina ngakumbi. Emva koko i-umbilical cord inokubanjwa ngakumbi. Ngamanye amaxesha, xa i-umbilical cord iphuma kwilungu lobufazi kwaye ivezwe emoyeni, imithambo yegazi ekuyo inokuxinana kwaye inciphise ukuhamba kwegazi. Ngenxa yezi zizathu, umntwana unokuba neziphene ezinzulu, mhlawumbi ezisongela ubomi .

Ngaba kukho naziphi na iintlobo zokuphuma kwentambo yesisu ngaphambi kwexesha?

Ewe, oku kunokwahlulwahlulwa zibe ziintlobo ezimbini eziphambili: 1. Ukuqhekeka kwesisu okugqithisileyo: Kule meko, intambo yomlomo wesibeleko iphuma ngesibeleko iye kwilungu lobufazi ngaphambi komntwana, kwaye isenokubonakala nangaphandle kwelungu lobufazi. 2. Ukuqhekeka kwesisu okugqithisileyo: Kule meko, intambo yomlomo ayiphumi ngaphambi komntwana, kodwa xa umntwana ephuma, intambo yomlomo inokucinezelwa emzimbeni womntwana, oko kukuthi, entlokweni okanye emagxeni omntwana. Oku kunzima kancinci ukukuqonda kuba akubonakali ngaphandle.

Ixhaphake kangakanani le meko?

I-Umbilical Cord Prolapse ayisiyonto ixhaphakileyo. Ngokuqhelekileyo kuthiwa iyenzeka kumntu omnye kwabangama-300 abazalwayo. Nangona kunjalo, ezinye izifundo ezintsha zibonisa ukuba eli nani lisenokuba liphantsi nangakumbi, mhlawumbi liphantsi njengomntwana omnye kwabayi-1000 abazalwayo. Nangona kunjalo, kubalulekile ukukhumbula ukuba nangona kunqabile, kuseyingozi ukuba iyenzeka .

Ziziphi iimpawu eziphambili zentambo yomlomo ephuma ngaphambi kwexesha?

Kukho izizathu ezibini eziphambili zokuba ugqirha okanye umongikazi wakho asenokukrokrela into efana nale:

• Emva kokuba amanzi ephumile, ngaba uyakwazi ukuyiva okanye ukuyibona intambo yomntwana xa uyijonga.
• Ukuba isantya sentliziyo yomntwana siyehla ngequbuliso, sibetha ngokukhawuleza kakhulu, okanye sitshintsha ngendlela engaqhelekanga.

Nangona kunjalo, ngamanye amaxesha oku kunokwenzeka ngaphandle kweempawu zangaphandle. Olunye uphando lufumanise ukuba ngaphezulu kwesiqingatha sezi ntambo ziqhuma ngaphambi kwexesha zenzeka kwimizuzu emihlanu emva kokuqhekeka kwamanzi, kwaye malunga nama-70% zenzeka kwiyure emva kokuqhekeka kwamanzi.

Kubalulekile: Ukuba uziva into engaqhelekanga emva kokuba uphumile amanzi, okanye ukuba ukhathazekile ngento ethethwa ngugqirha, lumka.

Ziziphi izizathu zokuba intambo yomlomo iphume kwangethuba?

Kunzima ukutsho ngqo ukuba yintoni ebangela oku. Kodwa kukho izinto ezininzi ezibangela umngcipheko. Uninzi lwexesha, oku kwenzeka emva kokuba amanzi ephumile, kwaye oogqirha bayazi ukuba ulwelo olungaphakathi kwesibeleko (i-amniotic fluid) luyavuza. Kodwa asikuko kuphela kwesizathu. Kukho izinto ezininzi eziphambili ezinegalelo:

• Ukubonakaliswa kwesisu: Oku kuthetha ukuba umntwana ukwindawo eyahlukileyo ngaphandle kwentloko ezantsi. Oku kuthetha ukuba iimpundu okanye imilenze yomntwana ijonge ezantsi.
• Ukuba ukhulelwe amawele okanye amawele amathathu, " ukhulelwe izihlandlo ezininzi".
• I-Polyhydramnios kukubakho kolwelo oluninzi kakhulu lwe-amniotic kwisibeleko.
• Ukuqhekeka kwangaphambi kwexesha kwee-membranes.

Ngubani osengozini enkulu?

Ukuqhekeka kweNtambo yoMbilical kunokwenzeka ngaphandle kwezinto ezinobungozi. Nangona kunjalo, kukho iimeko ezithile ezenza kube lula ukwenzeka. Ukongeza kwezi zizathu zikhankanyiweyo, kukho nezinye izinto ezininzi ezinobungozi:

• Ezinye izifo ezenzeka xa umntwana ezalwa zibizwa ngokuba yi-"Fetal congenital disorders".
• I-placenta previa iyenzeka xa i-placenta isezantsi esibelekweni.
• Imo engaqhelekanga yentambo yomlomo (umzekelo, inde kakhulu, ibhityile kakhulu).
• Ukuncedisa ekubelekeni kwangasese kubandakanya ukusebenzisa izixhobo ezifana ne-vacuum okanye i-forceps xa kuzalwa umntwana.
• Ubunzima obuphantsi bokuzalwa (ubunzima bokuzalwa bungaphantsi kwe-2.5 kg).
• Ukuba ukhe wazala abantwana abangaphezu kwesihlanu ngaphambili (abanezibeleko ezininzi).
• Ukungaqheleki kwindlela intambo yombilical enamathele ngayo kwi-placenta (ukufakwa kwentambo yeVelamentous).
• Ukuphakama kwesithuba somntwana ongekazalwa - ukuba umntwana usezantsi kangakanani kwisinqe njengoko kusondela ixesha lokubeletha.
• Usana olukhulu kunesiqhelo lubizwa ngokuba yi-"Macrosomia".
• Xa oogqirha besenza izinto ezinje ngokuphula ingxowa yamanzi (i-Amniotomy) okanye ukufaka iyeza lokuvula umlomo wesibeleko ngokukhawuleza (ibhaluni yokuvuthwa komlomo wesibeleko).

Ziziphi iingxaki eziyingozi ezinokuvela koku?

Nangona ukuhla kwentambo ngaphambi kwexesha kungaqhelekanga, kunokuba yingxaki esongela ubomi. Ukuba intambo icinezelwe, umntwana akayi kufumana ioksijini eyaneleyo. Ke ngoko, unyango olukhawulezileyo luyimfuneko. Ngaphandle koko, iziphumo ezibi zinokubakho. Iingxaki ezinokubakho ziquka:

• Ukungabikho komoya-mpilo kumntwana (iHypoxia).
• Ukonakala kwengqondo ngenxa yokunqongophala kweoksijini (i-Hypoxic-ischemic encephalopathy - HIE) okanye (i-Birth asphyxia)
• Iimeko ezifana ne-cerebral palsy .
• Ukonakala kwengqondo okungapheliyo.
• Ukuzalwa efile.

Ezi zinto zinokuba yinto eyoyikisayo ukuziva. Kodwa khumbula, ezi zinto azifane zenzeke. Kwaye, ukuba into efana nale yenzeka esibhedlele, oogqirha baya kuthatha amanyathelo ngokukhawuleza.

Oogqirha baqala njani ukuyiqonda le nto?

Nantsi indlela iqela lezonyango elihlala liyixilonga ngayo le meko:

• Xa kuhlolwa i-vagina , i-umbilical cord inokuvakala okanye ibonwe.
• Isantya sentliziyo yomntwana esicothayo ngendlela engaqhelekanga (`(Bradycardia)` - oko kukuthi, ngaphantsi kwe-120 beats ngomzuzu).
• Ukubona utshintsho olukhawulezileyo kuxinzelelo lwakho lwegazi.

Luluphi unyango lwe-umbilical cord efika ngaphambi kwexesha?

Ngenxa yokuba le yingxamiseko yokubeleka, umntwana uhlala edinga ukuzalwa ngokukhawuleza. Eyona ndlela ikhuselekileyo nekhawulezayo yokuzala umntwana idla ngokwenziwa ngotyando (C-section). Iqela lezonyango liza kuqala lizame ukunciphisa uxinzelelo lwentambo. Oku kunokubandakanya ukukuguqula ube yindawo yokuguqa ngamadolo esifubeni, okanye ugqirha angazama ukuphakamisa umntwana kancinci ukuze akhulule intambo. Oku kuya kunciphisa okwethutyana umngcipheko wokunqongophala kweoksijini. Nangona kunjalo, umntwana kufuneka azalwe ngokukhawuleza ukuze asindise ubomi bomntwana. Ukuba ingxaki yoxinzelelo lwentambo ingasonjululwa ngokukhawuleza, umntwana angasindiswa ngaphandle kokwenzakala. Nangona kunjalo,Okukhona ukulibaziseka kuqhubeka ixesha elide, kokukhona amathuba okuba neengxaki ayanda.

Ngaba ikho indlela yokuthintela intambo yomlomo ukuba ingaphumi kwangethuba?

Ngelishwa, akukho ndlela ithile yokuthintela oku. Kwakhona, kunzima ukukubona kwangethuba ngexesha lokukhulelwa. Kuba intambo yosana kunye nosana zihlala zihambahamba ngaphakathi esibelekweni. Into ekuphela kwayo iqela lezonyango elinokuyenza kukuthatha amanyathelo ngokukhawuleza ukuba oku `(Umbilical Cord Prolapse)` kuyenzeka.

Ngaba umntwana angasinda ukuba intambo yosana iphuma kwangethuba?

Ewe, iintsana zihlala zinokusindiswa kule meko. Ukuba oku kwenzeka esibhedlele, izinga lokufa komntwana kuthiwa limalunga ne-3% (ezinye izifundo zithi liphezulu njenge-7%). Nangona kunjalo, ukuba oku kwenzeka ngaphandle kwesibhedlele, oko kukuthi, ekhaya, imeko imbi kakhulu. Kwiimeko ezinjalo, umngcipheko wokufa uphezulu ngokuphindwe ngama-20. Ukuzalwa kwe-umbilical cord ngaphambi kwexesha kukuzalwa okungaqhelekanga, okungenakuphepheka, okungxamisekileyo. Ukuba iqela lakho lezonyango liyakuqonda oku, liza kusebenza ekubelekeni umntwana wakho ngokukhawuleza. Nangona kungekho nto unokuyenza ukuthintela oku ukuba kwenzeke, ukuqaphela izinto ezinobungozi nokwazi ukuba wenze ntoni ukuba kuyenzeka kunokukunceda kule meko ingaqhelekanga.

Izinto ekufuneka sizikhumbule koku

Kulungile, ngoko ke, kukho izinto ezimbalwa ekufuneka uziqwalasele kwizinto esithethe ngazo.

• I-Umbilical Cord Prolapse yimeko eyenzeka ngequbuliso kwaye enokuba yingozi.
• Oku akunakuthintelwa , kwaye kunzima nokukubona kwangethuba ngexesha lokukhulelwa.
• Ukuba, emva kokuba amanzi ephumile, uva into ethile iphuma kwilungu lobufazi bakho, okanye ukuba ubona utshintsho olukhawulezileyo kwiintshukumo zomntwana wakho, yiya esibhedlele okanye ufumane ingcebiso kagqirha ngoko nangoko .
• Oku kwenzeka rhoqo, ngoko ke ungoyiki ngokungeyomfuneko.
• Nangona kunjalo, ukuba into efana nale iyenzeka esibhedlele, iqela lezonyango liza kusebenza ukuze lisindise umntwana ngokukhawuleza. Ke ngoko, ukuba nomntwana esibhedlele yeyona ndlela ikhuselekileyo kwimeko enjalo.

Sinethemba lokuba ukukhulelwa kwakho kuya kuba mnandi kwaye uza kuzisa umntwana ophilileyo kweli hlabathi!