Njengoko usondela ekubeni ngumama, zonke iintlobo zezinto ziyafika engqondweni ngomntwana wakho, akunjalo? Ngamanye amaxesha nezinto ezincinci zinokuba ziyoyikisa kakhulu. Yiloo nto uvakalelwa ngayo xa usiva, 'Intambo yesisu ijikelezwe entanyeni yomntwana.' Kuvakala ngathi ngumthwalo omkhulu, akunjalo? Kodwa yintoni kanye kanye le? Ingaba oku kuyingozi? Makhe sithethe ngayo namhlanje.
Yintoni iNuchal Cord?
Ngamafutshane, intambo ye-nuchal yintambo ye-umbilical ejikeleza intamo yomntwana, nokuba kube kanye okanye kaninzi. Igama elithi 'nuchal' lithetha 'okuphathelele intamo'. Oku kungenzeka ngelixa umntwana esesesibelekweni, okanye kunokwenzeka xa ezalwa.
Ngoku usenokuba uyazibuza ukuba yintoni le ntambo yesisu. Intambo yesisu yityhubhu nje. Kungayo apho umntwana efumana yonke into ayidingayo kumama, njengeoksijini, isondlo, kunye negazi. Ngamanye amazwi, ifana nomgca wobomi bomntwana. Le ntambo yesisu yiyo edibanisa umntwana ne-placenta .
Ngoko ke, kuyinto eqhelekileyo ukuziva usoyika xa usiva ukuba intambo yomntwana ijikelezwe entanyeni yakhe. Kodwa eyona nto ibalulekileyo ekufuneka uyazi kukuba kwiimeko ezininzi, le ntambo yomntwana ayibangeli monakalo kumntwana. Ugqirha wakho okanye umbelethisi uza kukuxelela okungakumbi ngale nto.
Ngaba kukho iintlobo zekhowudi yenyukliya?
Ewe, kukho iindlela ezininzi oogqirha abazisebenzisayo ukuchaza oku:
- Intambo yeNuchal enye: Oku kuthetha ukuba intambo yesisu ijikeleziswa entanyeni yomntwana kube kanye kuphela.
- Iintambo ezininzi zeNuchal: Apha, intambo yesisu ingasongelwa entanyeni yomntwana ngaphezu kwesihlandlo esinye, oko kukuthi, kabini okanye kathathu.
Kwakhona, kuxhomekeke kwindlela intambo yesisu ejikelezwe ngayo entanyeni, kuthiwa 'ikhululekile' okanye 'iqinile'.
- Intambo ye-Nuchal ekhululekileyo: Olu lolona hlobo luqhelekileyo. Apha, intambo ye-umbilical ayisongelwanga kakuhle entanyeni, kodwa isongelwe ngokukhululekileyo kwingono. Ngamanye amaxesha, ingaziphumela yodwa njengoko umntwana ehambahamba esibelekweni.
- Intambo ye-Nuchal eQinileyo: Oku kunqabile kancinci. Apha, intambo ye-umbilical isenokubotshelelwa ngokuqinileyo entanyeni yomntwana. Olu hlobo lwentambo ye-nuchal eQinileyo lunokubangela iingxaki kuneyokhululekileyo. Kodwa ikwanqabile kakhulu.
Bangaphi abantwana abafumana ithuba lokubona le nuchal cord?
Oku kuqheleke kakhulu kunokuba unokucinga. Malunga nomntwana omnye kwabane (25%) uzalwa enentambo enye ye-nuchal, oko kuthetha ukuba intambo ye-umbilical ijikeleziswa entanyeni kube kanye. Phakathi kweentsana ezi-2 nezi-8 kwabali-100 (2.4% - 8.3%) zizalwa zinentambo ye-umbilical ejikelezwe entanyeni kabini nangaphezulu, oko kuthetha ukuba iintambo ezininzi ze-nuchal . Ngoko ungabona ukuba oku akuyonto yokukhathazeka ngayo, akunjalo?
Ziziphi iimpawu zokuba usenokuba nekhowudi yenyukliya?
Olunye uphawu olunokubonwa ngamanye amaxesha xa umntwana esesibelekweni okanye sele eza kuzalwa kukuba kukho intambo ye-nuchal.Ukujonga izinga lentliziyo yosana olusandul’ ukuzalwa kunokubonisa utshintsho kwizinga lentliziyo. Ngokukodwa, imeko ebizwa ngokuba yi -'variable decelerations' inokubonwa. Ngamafutshane, kulapho izinga lentliziyo yosana, oko kukuthi, isantya sentliziyo, lihla ngequbuliso kancinci lize libuyele esiqhelweni.
Oku kuguquguquka kwesantya sentliziyo kudla ngokubonisa ukuba kukho ukuthintelwa kokuhamba kwegazi kwi-umbilical cord. Oku kusenokubangelwa kukucinezelwa kwemithambo yegazi kwi-umbilical cord. Oku kusenokubangelwa yi-nuchal cord . Nangona kunjalo, ezinye izizathu ezifana ne-knot kwi-cord okanye i-umbilical cord prolapse nazo zinokubangela olu tshintsho kwisantya sentliziyo.
Kodwa eyona nto ibalulekileyo kukuba ukuba ubona utshintsho olunje kwisantya sentliziyo yomntwana wakho, oogqirha bakho kunye nabongikazi baya kuthatha amanyathelo ngokukhawuleza baze benze konke okusemandleni abo ukukhusela wena nomntwana wakho. Ngoko ke musani ukoyika.
Zithini izizathu zekhowudi yenyukliya?
Iintambo zeNuchal zenzeka ngequbuliso. Oku kuthetha ukuba kunzima ukuba nabani na atsho ukuba yintoni kanye kanye ebangela ukuba zibe njalo. Nangona kunjalo, kufunyenwe ukuba ezi zinto zilandelayo zinokunyusa kancinci umngcipheko wokwenza intambo yenuchal:
- Ukushukuma okugqithisileyo komntwana ongekazalwa: Ukuba umntwana ukhuthele kakhulu, intambo yomntwana ingabanjwa entanyeni njengoko ijika isiya phambili nangasemva.
- Intambo ende ye-umbilical: Ukuba intambo ye-umbilical inde ngaphezu kwee-intshi ezingama-27 (malunga neesentimitha ezingama-70), kunokwenzeka ukuba ibambeke.
- Ukwanda kolwelo lwe-amniotic kwisibeleko (i-Polyhydramnios): Ukuba kukho ulwelo oluninzi kakhulu olujikeleze umntwana, intambo ye-umbilical inokuxinana kuba umntwana unendawo engakumbi yokuhambahamba.
Akukho nto unokuyenza ukulawula ezi zinto zinobungozi. Ukuba umntwana wakho une-nuchal cord, ayilotyala lakho. Ngoko ke ungakhathazeki ngayo.
Ziziphi iingxaki ezinokwenzeka ngenxa yentambo ye-nuchal?
Njengoko benditshilo ngaphambili, iintambo ezikhululekileyo ze-nuchal azixhaphakanga. Xa umntwana ezelwe, ugqirha okanye umongikazi unokutsala kancinci iluphu yentambo phezu kwentloko yomntwana njengoko iphuma kumjelo wokuzalwa.
Nangona kunjalo, iintsana ezinentambo eqinileyo ye-nuchal - hayi zonke, kodwa ngamanye amaxesha - zinokufumana ezi ngxaki zincinci emva kokuzalwa:
- Ukopha kwegazi okubangelwa yi-subconjunctival (umthambo wegazi omncinci okwiliso uyaqhuma)
- Uxinzelelo lwegazi oluphantsi (iHypotension )
- Ukwehla komthamo wegazi emzimbeni ( i-Hypovolemia )
- Uxinzelelo oluncinci lokuphefumla
- Amachaphaza amancinci abomvu okopha phantsi kolusu lobuso ( i-petechiae yobuso )
- Imikrwelo emincinci kulusu olujikeleze intamo
- Utshintsho lwexeshana kumbala wobuso
Kodwa khumbula, ezi ngxaki azisoloko zinkulu kwaye azibangeli naziphi na iingxaki zempilo zexesha elide.
Kunqabile kakhulu, oko kuthetha ukuba kwiimeko ezinqabileyo, intambo eqinileyo ye-nuchal inokubangela izinto ezinje:
- Ukulahleka kwegazi okukhulu
- Ukwanda kwe-asidi egazini (i-Acidosis )
- I-anemia (ukungabikho kwegazi)
Ukuba kwenzeka into efana nale, oogqirha kunye nabongikazi abanyanga umntwana wakho bayazi indlela yokujongana nezo meko kakuhle. Ngoko ke ungakhathazeki ngayo.
Ungazi njani ngokuqinisekileyo ukuba unekhowudi yenyukliya?
Ugqirha wakho unokubona intambo ye-nuchal ngexesha lokuhlolwa kwe-ultrasound ngexesha lokukhulelwa kwakho. Nangona kunjalo, ngamanye amaxesha basenokungakuxeleli ngayo. Oku kungenxa yokuba intambo ye-nuchal ixhaphake kakhulu kwaye idla ngokuthathwa njengeqhelekileyo. Ukuba ukuhamba kwegazi kwintambo ye-umbilical kuqhelekile, akukho nto ifanele ixhalabe ngayo. Ugqirha wakho angasebenzisa i-Doppler ultrasound ukujonga ukuba ukuhamba kwegazi kuqhelekile na.
Njengoko umntwana wakho esondela ekuzalweni, ugqirha wakho angenza uvavanyo lomzimba ukujonga ukuba akukho nuchal cord. Oku kuquka ukucinezela kancinci entanyeni yomntwana wakho, ngaphezulu nje kwesisu sakho. Ukuba isantya sentliziyo yomntwana wakho siyehla, oko kungabonisa ukuba i-umbilical cord isengozini yokucinezelwa. Ukuba oku kuyenzeka, ugqirha wakho uya kuqhubeka nokujonga isantya sentliziyo yomntwana wakho aze athathe inyathelo ukuba kukho ingxaki.
Benza ntoni oogqirha ukuba umntwana une-nuchal cord xa ezalwa?
Ukuba umntwana une-umbilical cord xa ezalwa, akukho ndlela yokuyisusa okanye yokuyilungisa. Oogqirha kunye nabongikazi baya kujonga izinga lentliziyo yomntwana ngaphambi nangexesha lokuzalwa ukuze bajonge naziphi na iingxaki nge-umbilical cord. Ukuba izinga lentliziyo yomntwana liphantsi, iqela lezonyango liya kuthatha amanyathelo afunekayo. Oku kudla ngokuquka:
- Ukutshintsha indawo ohlala kuyo (umzekelo, ukujika ukusuka kwelinye icala ukuya kwelinye)
- Ukunika i-saline (IV fluids) ukuba kuyimfuneko
- Ukunika unyango lweoksijini
Xa umntwana ezelwe, emva kokuba intloko yomntwana iphumile kwilungu lobufazi, ugqirha okanye umongikazi uza kubeka izandla zakhe entanyeni yomntwana ukuze ajonge ukuba akukho ntambo yomntwana. Ukuba kukho intambo ye-nuchal ekhululekileyo , badla ngokuyisusa ngokuyitsala kancinci phezu kwentloko yomntwana.
Ukuba intambo yomlomo ibambeke ngequbuliso (intambo eqinileyo ye-nuchal), ugqirha unokwenza 'i-Somersault maneuver'.Ukubeleka umntwana wakho usebenzisa indlela ebizwa ngokuba yi-"breech delivery." Oku kuquka ukugcina intloko yomntwana kufutshane ne-pelvis yakho kwaye umkhuphe umntwana ngononophelo ukuze i-umbilical cord ingaxinwa entanyeni njengoko umzimba womntwana wonke uphuma kwi-vagina.
Ngaba umntwana one-umbilical cord angazalwa ngendlela eqhelekileyo?
Kwiimeko ezininzi, intambo ye-nuchal ayiphazamisi ukuzala, oko kuthetha ukuba ungabeleka ngendlela eqhelekileyo njengoko bekucwangcisiwe.
Nangona kunjalo, kunqabile kakhulu ukuba intambo yesisu eqinileyo ithintele ukuhamba kwegazi kwintambo yesisu, nto leyo ebangela ukubandezeleka komntwana ongekazalwa. Ukuba oku kuyenzeka, kunokufuneka wenze utyando lwe-C-section olungxamisekileyo .
Kwakhona, ukuba umntwana ukwimeko yokuqhobosha isisu kwaye kukho intambo ye-nuchal, ugqirha akasoloko ecebisa ukuba umntwana abelekwe ngaphandle kwe-cephalic version (ECV ) okanye abelekwe kwilungu lobufazi. Nangona kunjalo, kusenokubakho ukucetyiswa ukuba umntwana abelekwe ngotyando.
Ngoko ke ngaba kufuneka ndiyoyike ikhowudi yenyukliya?
Enyanisweni, kwiimeko ezininzi, intambo ye-nuchal ayiyonto ibalulekileyo ukuyikhathaza. Ayifunyaniswanga ukuba ibangela ukuzalwa komntwana eswelekileyo okanye iingxaki zempilo ezinzulu. Ugqirha wakho uya kwazi indlela yokulawula intambo ye-nuchal. Ukuba ibangela ukungakhululeki kumntwana ( ukukhathazeka kosana olungekazalwa), baya kukuxelela. Ngoko ke ungakhathazeki ngokungeyomfuneko.
Ngaba kukho into endinokuyenza ukuthintela intambo yesisu ukuba ingasondeli entanyeni?
Akukho nto unokuyenza ukuthintela ukwakheka kwentambo ye-nuchal. Awunakulawula indlela umntwana wakho ahamba ngayo esibelekweni okanye indlela intambo ye-umbilical ehamba ngayo. Kwakhona, ukuba intambo ye-umbilical ixabene, akukho nto unokuyenza ukuyikhulula. Iqela lakho lezonyango liya kwazi kakuhle ukuba lenze ntoni ukuba umntwana wakho unentambo ye-nuchal ekuzalweni kwakhe.
Nangona kusenokuvakala kusoyikisa ukuva ukuba umntwana wakho unentambo yesisu ejikelezileyo entanyeni yakhe, ungaqiniseka ukuba iingxaki ezivela kwintambo yesisu aziqhelekanga kakhulu. Ayisoloko ibangela iingxaki zempilo kumntwana wakho. Kwimeko engalindelekanga yokuba umntwana wakho azive engonwabanga ngenxa yentambo yesisu, iqela lakho lezonyango likulungele ukuzala umntwana wakho ngokukhuselekileyo kangangoko.
Izinto ezibaluleke kakhulu ekufuneka uzikhumbule
Kulungile, ngoko ke, ngokwezinto esithethe ngazo, nazi izinto eziphambili ekufuneka uzikhumbule:
- Intambo yeNuchal yintambo yesisu ejikeleze intamo yomntwana. Oku kuqhelekile kakhulu.
- Ixesha elininzi, le ayisiyongozi. Umntwana unethuba elikhulu lokuzalwa ngaphandle kokwenzakala.
- Oku kwenzeka ngequbuliso, kwaye akulona ityala lakho. Ngoko ke ungakhathazeki ngako.
- OogqirhaSijonga oku ngokusebenzisa iiskeni kwaye sijonga isantya sentliziyo yomntwana.
- Kwiimeko ezininzi, umntwana angazalwa ngendlela eqhelekileyo. Utyando lotyando lufuneka kuphela xa kukho imeko engxamisekileyo.
- Iingxaki azixhaphakanga kakhulu, kodwa ukuba ziyenzeka, azisoloko zinzima.
- Akukho nto unokuyenza ukuthintela oku. Kodwa oogqirha bakho kunye nabahlengikazi bakulungele nayiphi na imeko.
Ngoko ke, ukuba ugqirha ukuxelela ngentambo ye-nuchal, ungoyiki, mbuze yonke imibuzo onayo. Baza kukuchazela yonke into. Konke okuhle kuwe nakumntwana wakho!
Intambo ye- Nuchal, ukuvalelwa kwentambo ye-umbilical, ukukhulelwa, ukuzala, impilo yomntwana, intambo ye-umbilical, ukubetha kwentliziyo yomntwana ongekazalwa
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