Ngaba kukho ingxaki ngendlela intambo yomntwana wakho enamathela ngayo kwi-placenta? Masifunde ngokufakwa kwentambo yeVelamentous!

Ukuba ungumama oza kuzala, kufuneka ukhathazeke kakhulu ngempilo yomntwana wakho, akunjalo? Ngamanye amaxesha ngexesha lokukhulelwa, kunokuvela iingxaki ezincinci esingazicingiyo. Enye imeko enjalo, engaqhelekanga ukuviwa ngayo, kodwa kubaluleke kakhulu ukuyazi, ibizwa ngokuba yi-`(Velamentous Cord Insertion)`. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni le (Ukufakwa kweNtambo yeVelamentous)? Masiqonde kakuhle!

Ngamafutshane, "Ukufakwa kweNtambo Eyomeleleyo" yingxaki enokwenzeka ngexesha lokukhulelwa. Kule meko, intambo yomntwana ayidibani ne-placenta, enika umntwana ukutya, njengoko kufanele.

Ngoku khangela, oku kudla ngokwenzeka:

I-placenta ikhula ngaphakathi kwesibeleko sakho. Ifana nomzi-mveliso otyisa umntwana wakho. Umntwana ufumana izondlo kunye neoksijini ayidingayo kuwe ngale placenta. I-umbilical cord ifana nebhulorho edibanisa umntwana ne-placenta. Le plenta ye-umbilical kufuneka iqhagamshelwe ngqo ukusuka esiswini somntwana ukuya kwi-placenta. Kulapho kuphela apho umntwana anokufumana khona izondlo ngokulula.

Enye into kukuba kukho into efana nejeli ebizwa ngokuba yi-"Wharton's jelly" ngaphakathi kwi-umbilical cord ukukhusela imithambo yegazi. Yiyo le nto igcina imithambo ekwi-umbilical cord ingajijeki kwaye icinezelwe, kwaye iyayikhusela.

Nangona kunjalo, kwimeko `(Ukufakwa kweNtambo yeVelamentous)`, intambo yesisu ayincamatheliswanga ngqo kwi-placenta, kodwa inamathele kwiinwebu ezincinci ezingaphandle kwe-placenta. Cinga ngayo njengombhobho wamanzi ongancamatheliswanga ngqo kwimpompo ephambili, kodwa kwindawo ebuthathaka ekude kancinci nempompo.

Ngoko ke kwenzeka ntoni xa oku kusenzeka?

Imithambo yegazi evela kwi-umbilical cord kufuneka ihambe umgama omde ukuze ifumane izondlo kwi-placenta. Kwakhona, le mithambo ayifumani khuseleko lwe-`(ijeli kaWharton)`. Ifana nocingo olungenasigqubuthelo sokukhusela. Ngenxa yoku, le mithambo inamathuba amaninzi okutyumzwa, ukuqhekeka, nokopha. Kwakhona, ekubeni i-placenta ingafumani izondlo lula, ukukhula komntwana kusenokucotha kancinci. Uyaqonda?

Ixhaphake kangakanani le meko? Ngaba iyenzeka kuye wonke umntu?

Hayi, `(Ukufakwa kweNtambo yeVelamentous)` yimeko engaqhelekanga kakhulu. Idla ngokubonakala malunga ne-1% yokukhulelwa kwe-singleton. Nangona kunjalo, kumawele, eli nani liphezulu kancinci, oko kukuthi, malunga ne-6%. Ingakumbi kumawele abelana nge-placenta efanayo (amawele e-MCDA), le meko inokunyuka iye kwi-15%.

Kutheni oku kusenzeka? Zithini izizathu?

Enyanisweni, unobangela ochanekileyo we-`(Velamentous Cord Insertion)` awukafunyanwa. Nangona kunjalo, kufunyenwe ukuba kunokwenzeka ukuba ibonakale phantsi kweemeko ezithile zokukhulelwa. Ukuba wena nogqirha wakho niyazi ngezi ngxaki, kulula ukuthatha amanyathelo okhuseleko afunekayo.

Nazi ezinye zeemeko ezinjalo:

• Ukukhulelwa kwamawele: Ingakumbi ukuba kukho amawele abelana nge-placenta efanayo.
• Ukukhulelwa nge-IVF (In Vitro Fertilization): Lo mngcipheko uphezulu kancinci koomama abakhulelweyo ngonyango lwe-IVF.
• Oomama abaqalayo ukuzala: Le meko inokubonwa nakoomama abakhulelwe umntwana wabo wokuqala.
• I-Placenta Previa: Ukuba unesifo esibizwa ngokuba yi-"Placenta Previa", apho i-placenta ikwinxalenye esezantsi yesibeleko, kufutshane nomlomo wesibeleko .
• I-Vasa Previa: Oku kunokunxulunyaniswa nemeko ebizwa ngokuba yi-"Vasa Previa", apho imithambo yegazi engakhuselekanga yentambo yesisu idlula emlonyeni wesibeleko . Makhe sijonge oku ngeenkcukacha ezithe vetshe.

Ngaba ukufakwa kwentambo yeVelamentous kuyingozi?

Ewe, oku kuthathwa njengemeko enobungozi. Kuba, njengoko besitshilo ngaphambili, oku kunokucothisa ukukhula komntwana. Kwakhona, ekubeni '(ijeli kaWharton)' ingakhuselekanga, kukho ithuba elikhulu lokuba imithambo yegazi ye-umbilical cord iqhekeke kwaye yophe. Ezi meko zinobungozi zinokuchaphazela ukukhulelwa kwakho kunye nomntwana wakho.

Ngokufaka intambo ethi `(Velamentous Cord Insertion)`, ezi zinto zilandelayo zinokwenzeka kakhulu:

Iingxaki ezinokubakho kumama:

• Ukuzalwa kwangaphambi kwexesha: Umntwana usenokufuneka azalwe ngaphambi komhla wokuzalwa.
• Ukuzalwa komntwana ngotyando/ utyando lwe-C: Ugqirha wakho unokucebisa ukuba umntwana abelekwe kwangethuba. Okanye, ukuba wopha kakhulu ngexesha lokubeleka, unokufuna ukuba wenze utyando lwe-C olungxamisekileyo.
• Ukuqhawuka kwe-placenta: Le yimeko enobungozi.
• I-Preeclampsia: Uxinzelelo lwakho lwegazi lunokunyuka ngequbuliso emva kweeveki ezingama-20 zokukhulelwa.

Iziphumo ezinokwenzeka kumntwana:

• Banobunzima obungaphantsi kobo babanye abantwana abasandul’ ukuzalwa kwaye banokubonakala bebancinci.
• Kunokufuneka unonophelo olukhethekileyo kwi-Infatal ICU/NICU.
• Amanqaku aphantsi e-Apgar anokwenzeka: Kwimizuzu emihlanu yokuqala yokuzalwa, umntwana wakho uya kunikwa uvavanyo lwe-"Apgar." Olu vavanyo lulinganisa ukuphefumla komntwana, izinga lokubetha kwentliziyo, imeko yemisipha, ukusabela komzimba, kunye nombala wolusu, kwaye lumnika amanqaku (0-10). Amanqaku aphantsi athetha ukuba umntwana udinga uncedo olongezelelweyo lokuphefumla kunye nokuqhelana nobomi obungaphandle komzimba.

Eyona ngxaki iyingozi kakhulu ehambisana nokufakwa kwentambo yeVelamentous: (Vasa Previa)

Malunga ne-6% yabakhulelweyo abane-Velamentous Cord Insertion banesinye isifo esibi esibizwa ngokuba yiVasa Previa, apho imithambo yegazi engakhuselekanga ye-umbilical cord idlula okanye isondele kakhulu emlonyeni wesibeleko.

Khawucinge nje, xa kuqala ukuzala, njengoko umntwana etyhala umlomo wesibeleko, kubakho uxinzelelo olukhulu kule mithambo ingakhuselekanga. Emva koko umngcipheko wokuba le mithambo iqhekeke uphezulu kakhulu.Ukuba oku kuyenzeka, umama nomntwana bangopha kakhulu. Malunga nesiqingatha sale mikhuhlane siphela ngokuzalwa komntwana oswelekileyo.

Kodwa, musani ukoyika! Ukufunyaniswa kwangethuba kwesi simo kunokuthintela ezi ziphumo ziyingozi. Ukuba ugqirha wakho ubona umthambo wegazi ongakhuselekanga kwintambo yesisu kufutshane nomlomo wesibeleko ngexesha le-ultrasound scan, kusenokwenzeka ukuba acebise ukuba kwenziwe utyando lwe-C. Ukuba kwenziwe utyando lwe-C kwimeko ye-Vasa Previa, amathuba okusindisa ubomi bomntwana aphezulu ukuya kuthi ga kwi-97% ukuya kwi-99%.

Zithini iimpawu zokufakwa kwentambo yeVelamentous? Uyazi njani?

Ngamanye amaxesha, ingakumbi kwikota yesithathu yokukhulelwa kwakho, ukopha igazi kwisini kungaba luphawu lwemeko ebizwa ngokuba yi-"Velamentous Cord Insertion." Nangona kunjalo, abanye abantu basenokungabi nazo naziphi na iimpawu.

Oku kudla ngokuchongwa ngugqirha wakho ngokusebenzisa i-ultrasound scan kunye nokujonga umntwana wakho. Umntwana wakho usenokuba neempawu ezifana nezi:

• Intliziyo ibetha kancinci.
• Ukuncipha kokunikezelwa kwegazi.

Ifunyanwa njani le meko ngokuchanekileyo?

Kwikota yesibini yokukhulelwa kwakho, ugqirha wakho angabona apho intambo yesisu incamathele khona nge-ultrasound scan. Oku kunokubonakala ngokucacileyo nge-color Doppler ultrasound.

Nangona kunjalo, ekubeni umntwana ekhula kakhulu kwikota yesithathu, ngamanye amaxesha kunokuba nzima ukuvavanya ngokuchanekileyo intambo yomntwana. Yiyo loo nto kubalulekile ukuba kwenziwe iiskeni ngexesha.

Ngaba kukho naluphi na unyango lokufaka intambo yeVelamentous? Kwenziwa ntoni?

Inyaniso kukuba, akukho nyango luthe ngqo lwesi sifo `(Velamentous Cord Insertion)`. Oko kukuthi, akukho ndlela yokulungisa i-umbilical cord enamathele ngendlela engafanelekanga. Kodwa, ungakhathazeki! Oogqirha bathatha amanyathelo okhuseleko angaphezulu ukunciphisa iingozi ezinokubakho ngenxa yoku.

Ugqirha wakho angenza izinto ezifana nezi:

• Ukujonga ukukhula komntwana rhoqo emva kweeveki ezi-4-6: Kuyenziwa iiskeni ukuze kubonwe ukuba umntwana ukhula kakuhle na.
• Yenza uvavanyo olungengoxinzelelo rhoqo kumntwana wakho: I-NST ilinganisa izinga lokubetha kwentliziyo kunye nokuhamba kwentliziyo yomntwana wakho. Olu vavanyo lukhuselekile ngokupheleleyo kuwe nakumntwana wakho.
• Ukulaliswa esibhedlele xa umntwana eza kuzalwa: Ungalaliswa esibhedlele iintsuku ezimbalwa ngaphambi komhla wokuzalwa.
• Ukuba kukho ukurhaneleka kokuba umthambo wegazi ungagqabhuka uze ubangele ukopha kakhulu, njengakwimeko ye-"Vasa Previa", utyando lwe-"C-section" lunokucwangciswa malunga neeveki ezingama-34: Oku kwenzelwa ukukhusela umntwana.
• Ukuba uzalisa umntwana wakho ngesini, qalisa ukuzalisa malunga neeveki ezingama-40: Ngeli xesha, ubungakanani bolwelo lwe-amniotic esibelekweni bunciphile, nto leyo enokubangela uxinzelelo olukhulu kwimithambo yegazi.
• Ukunikel’ ingqalelo ekhethekileyo kwiimpawu ezibalulekileyo zomntwana ngexesha lokubeleka nokubeleka, nto leyo enceda ekubelekeni umntwana ngokukhuselekileyo.

Ngaba ikho indlela yokuthintela ukufakwa kwentambo yeVelamentous?

Hayi, awunakuthintela ukufakwa kwentambo yeVelamentous ukuba ingenzeki. Nangona kunjalo, khumbula ukuba amathuba okuba oku kwenzeke mancinci kakhulu.

Into ebalulekileyo kukuba ukuba ufunyaniswe une-Velamentous Cord Insertion, oko kuthetha ukuba ugqirha wakho uza kukujonga ngokusondeleyo naziphi na iingxaki ezinokubakho ngexesha lokukhulelwa kwakho. Ukufunyaniswa kwangethuba kunye nokuhlolwa ngokusondeleyo yeyona ndlela ilungileyo yokuba nokukhulelwa okunempilo kunye nomntwana osempilweni.

Ukuba ndinayo (iVelamentous Cord Insertion), ndimele ndilindele ntoni?

Ugqirha wakho uza kukhathalela ngokukodwa ukukhulelwa kwakho ukuze ukwazi ukuzala umntwana wakho ngokukhuselekileyo. Oku kungabandakanya ukuskena rhoqo nge-ultrasound kunye novavanyo olungenaxinzelelo. Usenokuba notyando lwe-C-section okanye ukuzala kwilungu lobufazi. Ugqirha wakho unokucebisa ukuba ubelethe umntwana wakho ngomhla wakho wokuzalwa okanye kwiiveki ezimbalwa ngaphambi kwexesha. Umntwana wakho usenokufuna unyango olongezelelweyo kwi-NICU emva kokuzalwa.

Ugqirha wakho angakunika icebiso elihle malunga nokuba loluphi ucwangciso olufanelekileyo lokukhulelwa kwakho, into omawuyilindele kwiintsuku ezikhokelela ekuzalweni komntwana wakho, kunye nento omawuyilindele emva kokuba umntwana wakho ezelwe.

Ndingenza ntoni ukuba ndine (Velamentous Cord Insertion)?

Thetha nogqirha wakho ukuze uqonde kakuhle indlela iVelamentous Cord Insertion eza kuyichaphazela ngayo ukukhulelwa kwakho. Unyango kunye neengcebiso oza kuzifumana ziya kuba zezahlukileyo kwimeko yakho. Landela imiyalelo kagqirha wakho ngokuchanekileyo.

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Ndingenza imisebenzi engakanani ngosuku?
• Zeziphi izivivinyo endinokuzenza ngokukhuselekileyo?
• Ngaba kukho imisebenzi endifanele ndiyiphephe okanye endingayenziyo?
• Ndifanele nditye ukutya okunjani?
• Ndifanele ndiphumle kangakanani ngosuku?
• Ndifanele ndilale ixesha elingakanani ebusuku?

Ukufunda ngeengxaki ezinokubakho zeVelamentous Cord Insertion kunokuba yinto eyoyikisayo. Kodwa khumbula, iingxaki azixhaphakanga. Kuya kufuneka ujongwe ngokusondeleyo ngexesha lokukhulelwa kwakho kunye nokubeleka, kodwa olu nyango lungakumbi lunokukunceda ube nemiphumo engcono xa ukhulelwe ngeVelamentous Cord Insertion. I-Velamentous Cord Insertion yakho iyichaphazela njani isicwangciso sakho sokukhulelwa?Thetha nogqirha wakho malunga nemiphumo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-`(Velamentous Cord Insertion)`, akunjalo? Into ebalulekileyo kukuba nangona le yimeko engaqhelekanga, ukuba ifunyenwe kwangethuba kwaye iphantsi kweliso elifanelekileyo logqirha, ungazisa umntwana ophilileyo emhlabeni ngaphandle kweengxaki.

• Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Musa ukutsiba iiskeni ezicwangcisiweyo kunye novavanyo olungelulo uxinezeleko.
• Ukuba uneempawu ezingaqhelekanga, ezinje ngokopha kwegazi kwilungu lobufazi, xelela ugqirha wakho ngoko nangoko.
• Musa ukoyika, phumla nje. Iqela lakho lezonyango liza kwenza okulungileyo kuwe nakumntwana wakho.

Ndikunqwenelela impilo entle wena nomntwana wakho!

Intambo yoMbilical, iPlacenta, Iingxaki zokukhulelwa, Ukufakwa kwentambo eValamentous, iVasa Previa, utyando lwe-C, i-Ultrasound, Impilo yokukhulelwa