Ngaba ufuna ukwazi nge-umbilical cord yomntwana wakho (iTrue Knot)? Ungakhathazeki, masithethe!

Njengomama ozayo, mhlawumbi ucinga kakhulu ngomntwana osesiswini sakho, akunjalo? Ngaba baphilile, ngaba bafumana ukutya okwaneleyo kunye neoksijini, ngaba baphilile? Ngoko ke, namhlanje siza kuthetha ngento edla ngokuboyikisa oomama kancinci, kodwa engaqhelekanga kangako. Oko kukwakheka kweqhina kwintambo yomntwana, ingakumbi imeko ebizwa ngokuba yi-'true knot' . Nokuba uziva unexhala xa usiva eli gama, ungakhathazeki. Masithethe ngale nto ngokweenkcukacha nangokulula.

Yintoni iqhina kwintambo yomlomo? Ingaba lifana nomtya wesihlangu?

Ngamafutshane, ewe. Kanye njengokuba imitya yezihlangu zakho inokubhideka, intambo yesisu somntwana wakho inokubhideka. La maqhina anokwakheka njengoko umntwana wakho ehamba esibelekweni. Kodwa uninzi lwexesha, la maqhina mancinci awabangeli ngxaki inkulu kumntwana wakho. Ngaphezu koko, adla ngokuzikhulula eyedwa.

Kukho isizathu soku. Ngaphakathi kwi-umbilical cord, kukho into efana nejeli ebizwa ngokuba yi -'Wharton's jelly.' Yile nto ikhusela i-umbilical cord. Ngoko ke nokuba iqhina elincinci lenzeka, le jeli ayivumeli ukuba iqine. Ayimangalisi na?

Kutheni ibizwa ngokuba yi-'True Knot'?

Nangona kunjalo, kwiimeko ezingaqhelekanga, eli qhina linokuba lukhuni kancinci. Oogqirha babiza iqhina eliqinileyo kangaka ngokuthi 'yiQhuna lokwenyani' . Alifani namaqhina amancinci akhankanyiweyo ngaphambili, kwaye alikhululeki lula. Xa eli qhina liqina, linokuthintela ukuhamba kweoksijini kunye nezondlo kumntwana ngentambo yesisu. Lifana nombhobho wamanzi obotshelelweyo kwaye ukuhamba kwamanzi kunciphile. Oku kunokubangela iingxaki ezithile ngexesha lokukhulelwa nangexesha lokuzalwa komntwana. Kuba umntwana akafumani ezi zinto zibalulekileyo ebomini.

Kodwa khumbula, ezi zinto zibizwa ngokuba yi-'True Knots' aziqhelekanga. Oko kuthetha ukuba azenzeki rhoqo. Nangona kunjalo, kwiimeko ezininzi, umntwana uzalwa esempilweni. Ngoko ke, kungcono ukungoyiki kwangaphambili, akunjalo?

Yintoni intambo yosana? Ibaluleke kangakanani kumntwana?

Uyazi ukuba i-umbilical cord ixabiseke kangakanani kumntwana? Kufana nonxibelelwano phakathi komntwana kunye ne-placenta kamama. Yonke into umntwana ayidingayo ukuze akhule esibelekweni ifumaneka ngale-umbilical cord.

• Yile nto ithwala ioksijini esuka kwi-placenta iye kumntwana.
• Oku kukwathwala izondlo ezifunwa ngumntwana.
• Kwakhona, yile ntambo yesisu enceda ekuthwaleni inkunkuma eveliswa emzimbeni womntwana ibuyele kwi-placenta ize iphume emzimbeni kamama.

Ngoko ke uyaqonda ukuba intambo yosana ifana nomgca wobomi bomntwana.

Zixhaphake kangakanani ngokwenene ezi knots?

Oomama abaninzi bayoyika xa besiva ngale nto, ngoko ke kulungile ukwazi ukuba ixhaphake kangakanani. Ngokomyinge, malunga nokukhulelwa oku-1 kwabayi-100 kuya kuba nohlobo oluthile lweqhina kwi-umbilical cord. Kodwa ayizizo zonke ezo qhina 'eziyiqhina lokwenyani' ebesithetha ngalo. Enyanisweni, 'iiqhina lokwenyani' zenzeka ngaphantsi kwe-1% yazo zonke iimikhuhlane. Oko kunqabile kakhulu.

Kutheni le nto ezi ntambo zenkaba zibhidana? Ngaba kukho umntu onetyala?

Ixesha elininzi, noogqirha abakwazi ukuchaza ngqo ukuba kutheni la maqhuma esenzeka. Kodwa bayazi ukuba kukho izinto ezithile ezinokunyusa umngcipheko. Kwakhona, kukho amaxesha apho la maqhuma eyenzeka xa umntwana ehambahamba esibelekweni, ejikeleza. Yinto yendalo kakhulu leyo.

Enye into kukuba ngamanye amaxesha iqhina linokuba lukhuni ngakumbi njengoko umntwana esondela kwaye ngenxa yoxinzelelo oluvela ekubelekeni nasekubelekeni.

Eyona nto ibalulekileyo kukuqonda ukuba olu hlobo lweqhina alubangelwa yinto oyenzileyo okanye yimpazamo yakho. Musa ukukhathazeka ngayo.

Amaqhina amancinci, alula adla ngokuba yinto engenamsebenzi. Nangona kunjalo, iingxaki zinokuvela ukuba iqhina liqina lize libe 'yiqhina lokwenyani'. Oku kunokubangela uxinzelelo kwi-umbilical cord kwaye kuthintele ioksijini kumntwana. Ugqirha wakho uya kujonga oku, ingakumbi ukuba uneengxaki zomngcipheko.

Ngubani onokuba nethuba elikhulu lokufumana olu hlobo lweqhubu? (Izinto ezibangela umngcipheko)

Ngamanye amaxesha la mathumba anokukhula ngaphandle kwezizathu ezinobungozi. Nangona kunjalo, oogqirha bathi le ngozi inokwanda kancinci kubantu abanezi zinto zilandelayo:

• Ukuba umntwana akakhuli kakuhle: Oko kukuthi, ukuba umntwana mncinci kakhulu xa ekhulelwe.
• Ukuba intambo yesisu inde kakhulu: Ukuba intambo yesisu inde kunesiqhelo, kukho ithuba elikhulu lokuba amaqhina akheke.
• Ukuba uthwele amawele e-monoamniotic: Oko kukuthi, ukuba kukho amawele amabini kwi-amniotic sac efanayo, kukho ithuba elikhulu lokuba iintambo ze-umbilical ziya kubhideka kwaye zixakane njengoko zihambahamba.
• Ukuba kukho ulwelo lwe-amniotic oluninzi kakhulu: Oku kubizwa ngokuba yi-``polyhydramnios``. Okukhona ulwelo luninzi, kokukhona umntwana enendawo eninzi yokuhambahamba, nto leyo enokubangela amaqhina.
• Ukuba ukhe wazala abantwana ababini okanye ngaphezulu ngaphambili (ubuninzi).
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba uziva ukuncipha kwentshukumo yosana olusandul’ ukuzalwa ngexesha le-trimester yesithathu, oku ngamanye amaxesha kungaba sisizathu sokujonga ukuba akukho qhina.

Ezi zezona zinto zibalulekileyo ezinobungozi ezichongiweyo.

Kwenzeka ntoni ukuba kukho iqhina kwi-umbilical cord?

Eyona ndlela ilungileyo yokucinga 'ngeQhuzu lokwenyani' kukucinga ngento eyenzekayo xa ubopha iqhina kwipayipi yegadi. Iqhina lithintela amanzi ukuba angahambi kakuhle, akunjalo? Kunjalo ke ngale. Umntwana akanayo ioksijini kunye nezondlo ezifunekayo ukuze aphile. Oku kunokuchaphazela ukukhula nempilo yomntwana.

Zeziphi iingxaki umntwana anokuba nazo ngenxa 'yeTrue Knot'?

Amaqhina okwenyani kwintambo yosana anokubangela iingxaki ezinkulu kumntwana, kuba anokumisa ukunikezelwa komoya-mpilo kumntwana. Iziphumo zexesha elide zixhomekeke ekubeni iqhina liqine kangakanani.

• Ukuba iqhina liqinile kakhulu: Umntwana usenokuba ne-hypoxia enzima. Ngamanye amaxesha, inokuba yingozi ebomini.
• Ukuba iqhina likhululekile kancinci: Nokuba umbane weoksijini uphazamisekile kancinci (`i-hypoxia encinci`), kusenokungabikho monakalo wexesha elide.

Ezinye iziphumo zexesha elide zinokuba zezi:

• I-Cerebral Palsy: Imeko ebangelwa kukunqongophala kweoksijini engqondweni.
• I-Hypoxic-ischemic encephalopathy (HIE): Oku kukwangumonakalo wengqondo obangelwa kukuncipha kweoksijini kunye nokunikezelwa kwegazi engqondweni.
• Ukonakala kwengqondo.
• Ukulibaziseka kophuhliso okanye kwengqondo.

Ezi zinto ziyoyikisa ukuva. Kodwa khumbula, ezi zinto azifane zenzeke.

Ngaba kunokwenzeka ukuba umntwana aphulukane neqhina elinje? (Ukuzalwa kwengane efileyo)

Ewe, okubuhlungu kukuba, kwiimeko ezingaqhelekanga, 'iqhina lokwenyani' linokubangela ukuzalwa komntwana oswelekileyo. Nangona kunjalo, uninzi lokukhulelwa nokuzala luphelela kumntwana ophilileyo. Ngoko ke ungakhathazeki kakhulu ngaloo nto.

Sazi njani ukuba kukho 'iTrue Knot' kwi-umbilical cord?

Ixesha elininzi, awuyazi ukuba une-'true knot' kwi-umbilical cord de kube semva kokuba umntwana ezelwe. Nangona kunjalo, abanye abantu banokuziva bengenantshukumo kangako yosana ngexesha le-trimester yesithathu yokukhulelwa. Le yingxaki ye-'true knot'. Yiyo loo nto kufuneka uxelele ugqirha wakho ngoko nangoko ukuba uziva ungashukumi kangako.

Ngamanye amaxesha, oogqirha banokubona 'iqhina lokwenyani' ngexesha lokukhulelwa nge-ultrasound ukuba baphawula utshintsho kwisantya sentliziyo yomntwana okanye kwindlela yakhe yokushukuma. Nangona kunjalo, la maqhina kunzima kakhulu ukuwabona nge-ultrasound ngexesha lokukhulelwa. Yiyo loo nto edla ngokufunyanwa emva kokuba umntwana ezelwe.

Ngamanye amaxesha, ugqirha unokurhanela ukuba ifindo liqhuma xa kukho utshintsho olukhawulezileyo kwisantya sentliziyo yomntwana ngexesha lokubeleka nokubeleka. Ukuba oku kuyenzeka, ugqirha kuya kufuneka athathe amanyathelo ngokukhawuleza aze agqibe ekubeni kusakhuselekile na ukubeleka umntwana ngesini.

Oogqirha benza ntoni ngale nto?

Nokuba iqhina lifunyenwe, oogqirha abanakulikhulula. Eyona nto ibalulekileyo ekulawuleni 'iqhina lokwenyani' kukwazi izinto ezinokubangela umngcipheko kwaye uqaphele iingxaki ukuba umntu unesifo esinokubangela umngcipheko.

• Ukuba kufunyenwe iqhuma kwi-ultrasound ngaphambi kokuba umntwana azalwe: Ugqirha wakho uza kujonga ngokusondeleyo ukukhulelwa kwakho, ingakumbi kwi-trimester yesithathu. Oku kungabandakanya ii-ultrasound ezongezelelweyo, izifundo zeDoppler (i-scan ejonga ukuhamba kwegazi kwi-umbilical cord), kunye nokuhlolwa rhoqo ukujonga ukukhula kunye neentshukumo zomntwana.
• Ukuba ubona iqhina ngexesha lokubeleka: Ukuba oku kungenxa yotshintsho kwisantya sentliziyo yomntwana, kufuneka umjongele phantsi umntwana ukuze abone ukuba unengxaki kangakanani na. Ukuba kukho 'iqhina lokwenyani', iqhina linokuba liqinile ngenxa yokubhitya ngexesha lokubeleka. Yiyo loo nto oogqirha benika ingqalelo engakumbi kwisantya sentliziyo yomntwana njengoko ukubeleka kuqhubeka. Ukuba umntwana ubonakala enengxaki okanye eswele ioksijini, kunokufuneka ukuba ahlinzwe ngotyando olungxamisekileyo .

Nangona oku kusenokuvakala kusoyikisa, 'ii-true knots' azixhaphakanga. Nangona kunjalo, oogqirha benza konke okusemandleni abo ukuthintela ukuba zingabangeli umonakalo ongunaphakade.

Ngoko ke zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule ngale nto? (Umyalezo Wokubuyela Ekhaya)

Kulungile, masikukhumbuze ngezinye zezona zinto zibalulekileyo esikhe sathetha ngazo.

• Amaqhina Okwenene Anqabile Kakhulu: Nangona kusenokuba yinto eyoyikisayo ukuva ngamaqhina entambo yesisu, 'amaqhina okwenene' anzima kakhulu.
• Iintsana zihlala zizalwa ziphilile: Nokuba kukho iqhina, kwiimeko ezininzi iintsana zizalwa ziphilile ngaphandle kweengxaki.
• Asikuko ityala lakho: Iqhina alizange lenzeke ngenxa yento oyenzileyo. Ungakhathazeki ngayo.
• Hlala ujonge iintshukumo zomntwana wakho: Ukuba uziva ungaphantsi kwentshukumo yomntwana, ingakumbi xa ukhulelwe, xelela ugqirha wakho.
• Thetha nogqirha wakho: Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho. Baza kukunika iingcaciso kunye nenkxaso oyifunayo.

Ukukhulelwa lixesha lokulindela okukhulu, kodwa likwalixesha loloyiko oluncinci. Endaweni yokuxhalaba kakhulu ngentambo yosana, gxila kwimpilo yakho nolonwabo lwakho. Ukuba ugqirha wakho uthi ukukhulelwa kwakho kuhamba kakuhle kwaye umntwana wakho ukhula kakuhle, amathuba okuba olu hlobo lwengxaki lwenzeke mancinci kakhulu.

Iqhina lentambo yomntwana, iqhina lokwenyani, ukukhulelwa, impilo yomntwana, iqhina lentamo, iingxaki zokuzalwa, iqhina lokwenyani, iqhina lentambo yomntwana