Njengomama oza kuzala, usenokuba noloyiko okanye unomdla wokubeleka. Kuqhelekile kakhulu. Nokuba ucinga ukuba yonke into iza kuhamba kakuhle, ngamanye amaxesha kunokuvela iingxaki esingazange sizicinge ukuba zinokwenzeka. Namhlanje, sithetha ngengxakeko enokwenzeka ngexesha lokubeleka, kodwa inqabile kakhulu, kodwa ifuna ingqalelo ekhawulezileyo. Oku kubizwa ngokuba yi-Umbilical Cord Prolapse.
Ngamafutshane, ithetha ukuthini le ntambo yenkaba ephumayo?
Kulungile, ngaphambi kokuba sikuqonde oku, masiqale sibone ukuba yintoni intambo yomntwana. Njengoko usazi, umntwana osesiswini ufumana yonke ioksijini kunye nezondlo azidingayo ngale ntambo yomntwana, eqhagamshelwe esiswini somntwana kwi-placenta kamama. Ngamafutshane, le yindlela yokuphila yomntwana.
Xa umntwana ezalwa ngendlela eqhelekileyo, umntwana uphuma ngelungu lobufazi kuqala, aze emva koko i-placenta iphume kunye nelungu lobufazi. Nangona kunjalo, kwimeko ebizwa ngokuba yi-"Umbilical Cord Prolapse", kwenzeka okwahlukileyo. Oko kukuthi, ngaphambi kokuba umntwana aphume, i-umbilical cord yehla ngelungu lobufazi ize ingene kwilungu lobufazi.
Khawucinge nje, kuya kwenzeka ntoni ukuba, xa umntu ezama ukuphuma ngomnyango omxinwa, into efana nombhobho esandleni sakhe iphuma kuqala? Xa loo mntu ephuma, loo mbhobho uyabhajwa, akunjalo? Yiloo nto eyenzekayo nalapha.
Xa intambo yosana ihla ngaphambi kokuba umntwana azalwe, intloko okanye umzimba womntwana unokubanjwa kwisibeleko sikanina nakwilungu lobufazi. Yiyo loo nto oku kuthathwa njengemeko engxamisekileyo neyingozi kakhulu .
Kwenzeka ntoni xa intambo yomlomo ibambeka?
Intambo yesisu yeyona ndlela iphambili enika umntwana ioksijini negazi. Ngoko ke xa icinezelwe, igazi liyanqanyulwa ngokupheleleyo.
- Xa igazi liphela: Umntwana akafumani ioksijini ayidingayo.
- Xa isibeleko sifinyela (xa ukuzala kuqala): Oku kuqina kuyanda.
- Ukuvezwa kwe-umbilical cord emoyeni: Imithambo yegazi ekwi-umbilical cord iyancipha, nto leyo ebangela ukuba ukuhamba kwegazi kuphazamiseke ngakumbi.
Ezi meko zinokubangela ingozi enkulu okanye ukukhubazeka okungapheliyo kumntwana. Yiyo loo nto oogqirha bejonga oku njenge "ngxamiseko yokubeleka."
Kukho iintlobo ezimbini eziphambili zale meko.
Oogqirha bakubona oku ngeendlela ezimbini eziphambili.
1. Ukuqhekeka kwesisu okubonakalayo: Oku kwenzeka xa intambo yomlomo wesibeleko yehla ngokupheleleyo ingena kwisini ngaphambi kokuba umntwana azalwe.
2. Ukuncipha kwe-Occult:Apha, intambo yomntwana ayiphumi ngaphambi kokuba umntwana abelekwe. Endaweni yoko, iphuma nomzimba womntwana, oko kuthetha ukuba yehla ecaleni ize inamathele entlokweni okanye egxalabeni lomntwana. Oku kunzima ukukubona kuba akubonakali ngaphandle.
Ixhaphake kangakanani le meko? Kwaye zithini iimpawu zayo?
Le ayisiyongxaki ixhaphakileyo. Ngokwezibalo, le meko yenzeka kumntwana omnye kwabangama-300 abazalwayo. Ezinye izifundo ezintsha zithi le meko inciphile ngakumbi ngoku, ukuya kumntwana omnye kwabangama-1000 abazalwayo.
Iimpawu eziphambili zokuchonga oku zezi:
- Emva kokuba amanzi ephumile: Ugqirha okanye umongikazi unokuziva okanye abone i-umbilical cord ngexesha lovavanyo lwelungu lobufazi.
- Ukwehla ngequbuliso kwesantya sentliziyo yomntwana: Oogqirha bacinga ukuba oku kwenzeka ukuba isantya sentliziyo yomntwana siyehla ngequbuliso kakhulu (bradycardia) kumatshini we-CTG, oko kuthetha ukuba siyehla ngaphantsi kwe-120 beats ngomzuzu.
Le meko idla ngokuvela emva kokuba umama ephumile amanzi. Izifundo zibonisa ukuba ngaphezulu kwe-50% yee-prolapses zenzeka kwimizuzu emi-5 yokuqala emva kokuba amanzi ephumile, kwaye malunga ne-70% zenzeka kwiyure enye.
Ziziphi izinto ezibangela umngcipheko wokuqhekeka kwentambo yesisu?
Kunzima ukukhomba unobangela omnye okhethekileyo woku. Kodwa kukho izinto ezininzi ezibangela umngcipheko wokufumana esi sifo. Ukuba unesinye okanye ngaphezulu kwezi, ugqirha wakho uya kuyinika ingqalelo ekhethekileyo.
| Into enobungozi | Ingcaciso elula |
|---|---|
| Ukuboniswa kosana olungekazalwa | Ukubonakaliswa kwesisu : Intloko yomntwana ayiphantsi, kodwa ibekwe ecaleni okanye ngaphesheya komlomo wesibeleko. Intloko ayiwugqumi ngokupheleleyo umlomo wesibeleko, nto leyo evumela ukuba i-umbilical cord iphume. |
| Ukukhulelwa Okuninzi | Xa uneewele okanye amawele amathathu, intambo yosana inokwehla emva kokuba umntwana wokuqala ezelwe nangaphambi kokuba umntwana wesibini afike. |
| Ulwelo olugqithisileyo lwe-amniotic (i-Polyhydramnios) | Ukuba ubungakanani bamanzi (i-amniotic fluid) ejikeleze usana buphezulu kakhulu, xa ingxowa yamanzi iqhekeka, amanzi anokutyhala ngokukhawuleza intambo yesisu. |
| Ukuzalwa Kwangaphambi Kwexesha | Ukuba ingxowa yamanzi iyaphuka ingekazali, umlomo wesibeleko awuyi kuvaleka kakuhle kuba umntwana mncinci. Intambo yesisu inokwehla ngaloo mngxuma. |
| Intambo yesisu engaqhelekanga | Ukuba intambo yesisu inde kakhulu, kukho ithuba elikhulu lokuba iwe. |
| I-Placenta Previa | I-placenta ifumaneka ezantsi kwesibeleko. |
| Inani labantwana | Lo mngcipheko uphezulu kumama osele enabantwana abahlanu nangaphezulu. |
Ukongeza koku, izinto ezinje ngobunzima obuphantsi bokuzalwa, ukunyuka kobunzima obugqithisileyo (i-macrosomia), kunye nogqirha ophula ingxowa yamanzi (i-amniotomy) nazo zinokunyusa umngcipheko.
Zeziphi iingxaki ezinokubangela oku?
Njengoko bekutshiwo ngaphambili, le yimeko engxamisekileyo. Ukuba ayinyangwa ngokukhawuleza, umntwana unokuba nemiphumo emibi kuba ingqondo nomzimba womntwana ziya kunqongophala ioksijini.
- I-Hypoxia: Ukunqongophala kweoksijini emzimbeni.
- Ukuphelelwa ngamandla kokuzalwa (HIE): Ukonakala kwengqondo okubangelwa kukungabikho komoya-mpilo.
- I-Cerebral Palsy: Iingxaki zokunyakaza ezingapheliyo ezibangelwa kukonakala kwengqondo.
- Ukonakala kwengqondo okungapheliyo.
- Ukuzalwa kwengane ifile: Ukufa okubuhlungu kosana olusesibelekweni.
Oku kusenokuvakala kusoyikisa kuwe, kodwa khumbula, oku kuyinto engaqhelekanga. Kwaye ukuba oku kwenzeka esibhedlele, iqela lezonyango liya kuthatha inyathelo ngoko nangoko kwaye lenze konke okusemandleni alo ukusindisa umntwana.
Oogqirha baphatha njani oku?
Xa kufunyaniswe ukuba kukho i-Umbilical Cord Prolapse, yonke imizuzwana iyabalwa. Injongo yeqela lezonyango kukuzala umntwana ngokukhawuleza.
1. Utyando lwe-C olungxamisekileyo: Kwiimeko ezininzi, utyando lwe-C olungxamisekileyo yeyona ndlela ikhuselekileyo nekhawulezayo yokusindisa umntwana wakho. Uza kusiwa kwindawo yotyando ngoko nangoko.
2. Ukunciphisa uxinzelelo kwi-umbilical cord: Ngexesha lokulungiselela utyando, iqela lezonyango liza kuzama ukunciphisa uxinzelelo kwi-umbilical cord. Iindlela ezahlukeneyo zisetyenziswa koku:
- Ukutshintsha indawo kamama: Umama ubekwa kwindawo eguqe ngamadolo esifubeni. Oku kuvumela amandla ombane ukuba anyuse umntwana kancinci, nto leyo enciphisa uxinzelelo kwi-umbilical cord.
- Ukutyhala umntwana ngesandla: Ugqirha okanye umongikazi oqeqeshiweyo ubeka isandla sakhe kwilungu lobufazi aze atyhale intloko yomntwana kancinci ukuze akhulule intambo yosana. Kuya kufuneka uhlale kule ndawo de kube kuqale utyando lotyando.
Konke oku kwenzelwa ukubuyisela umbane kwi-oxygen nokuzala umntwana ngokukhuselekileyo.
Ngaba umntwana angasinda kule meko?
Ewe, kunokwenzeka ngokuqinisekileyo. Ukuba le meko iyenzeka esibhedlele, amathuba okusindisa umntwana aphezulu kakhulu. Izinga lokufa esibhedlele liphantsi kakhulu, malunga ne-3%. Kodwa ukuba into efana nale iyenzeka ngaphandle kwesibhedlele, umzekelo ngexesha lokubeleka ekhaya, imeko iyingozi kakhulu. Kuba akukho zibonelelo zokwenza utyando ngoko nangoko. Yiyo loo nto kubalulekile ukubelekisa umntwana esibhedlele.
Ngaba ikho indlela yokuthintela oku?
Ngelishwa, akukho nto sinokuyenza ukuthintela i-Umbilical Cord Prolapse. Akunakwenzeka ukwazi oku kwangaphambili ngexesha lokukhulelwa, kuba umntwana kunye ne-umbilical cord zihlala zijikeleza ngaphakathi esibelekweni.
Le yingxakeko engenakuphepheka nengaqhelekanga. Esimele sikwenze kukwazi izinto ezinokubangela umngcipheko size sikhethe isibhedlele esiza kusisa kuso. Emva koko, ukuba kwenzeka loo ngxakeko, iqela lakho lezonyango liya kuthatha amanyathelo afunekayo ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Umbilical Cord Prolapse kuxa i-umbilical cord ingena kwi-vagina ngaphambi kokuba umntwana azalwe.
- Le yingxamiseko enkulu yezonyango ephazamisa ukunikezelwa komoya-mpilo kunye negazi lomntwana.
- Izinto ezifana nendlela umntwana ami ngayo (umqala), amawele, kunye nokwanda kwamanzi kunokunyusa umngcipheko.
- Uphawu oluphambili kukuba intambo yosana ibonakala okanye ivakale kakuhle emva kokuba amanzi ephumile kwaye ukubetha kwentliziyo yomntwana kuyehla ngequbuliso.
- Unyango olulodwa loku kukuzala umntwana ngoko nangoko, rhoqo ngotyando olungxamisekileyo lwe-C-section.
- Nangona oku kungenakuthintelwa, ukubeleka umntwana esibhedlele kunokwenzeka ngakumbi ukuba kusindise ubomi bomama nomntwana kwimeko engxamisekileyo efana nale.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho