Ukuba ukhulelwe, kusenokwenzeka ukuba ubone into ebizwa ngokuba yi- 'Nuchal Cord ' kwingxelo yakho yeskeni. Okanye usenokuba uve ngayo kumhlobo okanye kwisalamane. Kuqhelekile ukuba umama azive esoyika kwaye enovalo xa esiva la mazwi. "Ngaba umntwana wam uza kuba sengxakini? Ngaba uza kuba nobunzima bokuphefumla?" Imibuzo emininzi ifika engqondweni. Kodwa yintoni kanye kanye le Nuchal Cord? Ngaba le yinto esifanele siyoyike? Masithethe ngayo ngokucacileyo nangokulula.
Yintoni kanye kanye iNuchal Cord?
Ngamafutshane, intambo ye-nuchal yintambo ye-umbilical yomntwana wakho ejikeleza intamo yakhe kanye okanye ngaphezulu.
Uyazi, le ntambo yesisu yindlela yokuphila ethwala ioksijini nazo zonke izondlo umntwana wakho azidingayo ukuze akhule aze akhule, kwaye ikwasusa inkunkuma emzimbeni womntwana wakho. Yityhubhu eguquguqukayo nje. Inemithambo emibini kunye nomthambo ngaphakathi kuyo. Ukukhusela le mithambo yegazi, ijikelezwe yinto ekhethekileyo efana nejeli ebizwa ngokuba yi-'Wharton's jelly.'
Ngoko ke le ntambo yesisu yintambo ejikeleza intamo yomntwana. Le ntambo yokusonga ngamanye amaxesha inokuba nkulu kakhulu, kwaye ngamanye amaxesha ingaba lukhuni kancinci. Ezi zahlulwe zibe ziintlobo ezimbini eziphambili:
- Uhlobo A (Intambo Engavulekanga): Oku kufana nomgexo olula ojikeleze intamo. Intambo yesisu ihamba ngokukhululekileyo, ngoko ke kunokwenzeka ukuba ikhululeke xa umntwana eshukuma.
- Uhlobo B (Intambo Etshixiweyo): Olu luhlobo lwentambo ebotshelelwe ngokuqinileyo njengeqhina. Ngenxa yoko, akunakwenzeka ukuba olu hlobo luzikhulule. Nangona kunjalo, olu hlobo `Uhlobo B` lunqabile kakhulu.
Kutheni intambo yesisu ijikelezwe ngolu hlobo entanyeni?
Isizathu esiphambili soku kukunyakaza okuncinci okwenziwa ngumntwana wakho ngaphakathi esibelekweni. Khawucinge nje ehambahamba, ekhaba, kwaye eshukumisa iingalo zakhe. Kungale ntshukumo apho intambo yesisu idla ngokubhijeka entanyeni. Le yinto yendalo kakhulu.
Ukongeza, kunokubakho ezinye izizathu ezininzi:
- Ukwanda kolwelo lwe-amniotic: Ukuba ubungakanani bolwelo olujikeleze usana luphezulu kancinci kunesiqhelo, lunendawo enkulu yokuhambahamba nokudada. Kukwakho nendawo enkulu yokuba intambo yesisu ibambeke.
- Ukwandiswa kwentambo ye-umbilical: Iintambo ze-umbilical zezinye iintsana zinokuba zinde kancinci kunesiqhelo. Nangona kunjalo, amathuba okubanjwa aphezulu.
Eyona nto ibalulekileyo kukuba, oku akulotyala likamama. Akukho nto uyenzayo ebangela oku. Oku kwenzeka nje ngequbuliso ngexesha lokukhulelwa .
Ngaba ukuba neNuchal Cord kuyingozi ngokwenene?
Impendulo yalo mbuzo, kwiimeko ezininzi, ithi hayi . I-Nuchal cord ixhaphake kakhulu kunokuba sicinga. Uphando lubonisa ukuba umntwana omnye kwabane abazelweyo (ngaphezulu kwama-25%) unale meko.
Ukuxhaphaka kwale meko kuyanda njengoko ukukhulelwa kuqhubeka. Umzekelo, kwiiveki ezingama-20, malunga ne-6% yeentsana zinayo, kodwa kwiiveki ezingama-42, elo nani linyuka liye kuma-29%. Ikwaxhaphake kancinci kubafana kunamantombazana.
Nangona kunjalo, kulungile ukuqaphela ezinye zeengxaki ezingaqhelekanga ezinokubakho. Kodwa khumbula, uninzi lwazo alunakwenzeka.
| Ingxaki enokubakho | Ingcaciso elula |
|---|---|
| Amaqhina kwintambo yomlomo | Ukuqhina kwentambo yesisu kunokubangela ukuphazamiseka kokuhamba kwegazi. |
| Ukuncipha kokuxinana komntwana | Umntwana usenokungakhululeki kwaye angakwazi ukuhamba ngenxa yokuba intambo yomntwana icinezelwe. |
| Uthintelo lokukhula kwesisu (IUGR) | Ukuncipha kobunzima bomntwana ngenxa yokungondleki kakuhle kunye nokunikezelwa kweoksijini. |
| Ukwanda kwe-asidi egazini (i-Metabolic acidosis) | Ukwanda kwamanqanaba e-asidi egazini ngenxa yokunqongophala kweoksijini. |
| Ukuzalwa komntwana eswelekile | Le yeyona ngxaki inzima kakhulu, eyenzeka rhoqo. |
Ngamanye amaxesha, ukuba intambo yomntwana ibotshelelwe ngokuqinileyo entanyeni, imeko ebizwa ngokuba yi-`tCAN (tight cord around neck) syndrome` inokwenzeka. Ifana nokukrwitshwa kwentamo. Emva koko ungabona amabala amancinci egazi abomvu `(petechiae)` ebusweni bomntwana, entanyeni, nasemehlweni. Kodwa oku kunqabile kakhulu.
Ifunyaniswa njani le nto? Luluphi unyango?
Ukuchongwa
Ukubakho kwe-nuchal cord ngamanye amaxesha kunokubonwa ngexesha le-ultrasound scan ngexesha lokukhulelwa kwakho. Nangona kunjalo, ayifumaneki de umntwana azalwe. Oogqirha kunye nababelekisi badla ngokujonga i-nuchal cord ngexesha lokubeleka. Yinxalenye yenkqubo eqhelekileyo.
Unyango kunye nolawulo
Eyona nto ibalulekileyo kukuba akukho nyango okanye indlela yokuthintela le nuchal cord ngaphambi kokuba umntwana azalwe .
Oogqirha bakujonga nje wena nomntwana wakho ngokusondeleyo.
- Ngaphambi kokuzalwa: Ukuba iskeni ibonisa intambo ye-nuchal, ugqirha wakho unokukucebisa ukuba unikele ingqalelo engakumbi kwintliziyo yomntwana kunye neentshukumo zakhe.
- Ngexesha lokubeleka:
- Ixesha elininzi, intambo yomntwana ikhululekile kakhulu. Xa ugqirha emkhupha umntwana, umtsala ngononophelo phezu kwentloko yomntwana aze amsuse. Le yinto elula kakhulu.
- Ukuba intambo yosana ibotshelelwe ngokuqinileyo , kunokufuneka uyibambe ngaphambi kokuba ukhuphe umntwana ngokupheleleyo. Oku kwenzelwa ukuthintela intambo ekutsaleni nasekutsaleni kwi-placenta. Le yindlela ekhuselekileyo kakhulu.
- Ukuba intambo yosana ibangela ukuba isantya sentliziyo yomntwana wakho sehle , ugqirha wakho angakucela ukuba utshintshe indlela ohlala ngayo. Oku kunokunceda ekunciphiseni uxinzelelo kwintambo yosana. Banokukunika ulwelo olongezelelweyo okanye ioksijini.
- Nangona kunjalo, ukuba imeko ayiphucuki, kusenokucingelwa ukuba kukho amayeza okudambisa iintlungu okanye utyando lotyando . Zonke ezi zigqibo zenziwa ukuqinisekisa ukhuseleko oluphezulu kumama nomntwana.
Ngoko ke, ngaba kufuneka ndiyoyike le nto?
Impendulo emfutshane yile, mhlawumbi akunjalo . Intambo yeNuchal ixhaphake kakhulu kunokuba unokucinga. Kwaye kufuneka uqonde ukuba ayibangeli monakalo okanye iingxaki zexesha elide kumntwana.
Iintsana ezizelwe zine-nuchal cord azihlali zine-Apgar scores ephantsi, iingxaki zokukhula okanye zophuhliso, okanye umngcipheko wokuzalwa zifile. Amaqela ezonyango aqeqeshwe kakuhle ukulawula le meko.
Nangona kunjalo, ukuba wena, njengomama, unemibuzo, uloyiko, okanye amathandabuzo ngale nto, musa ukuyigcina kuwe. Thetha nogqirha wakho ngayo ngokukhululekileyo. Oko ukuvayo kwi-intanethi okanye kubantu ongabaziyo kunokukubhida ngakumbi. Ke ngoko, eyona ndawo ilungileyo yokufumana ulwazi oluchanekileyo noluthembekileyo ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Nuchal cord yimeko eqhelekileyo ngexesha lokukhulelwa, kwaye ayisoloko iyingozi.
- Oku kungenxa yokuba umntwana uhamba ngokwendalo esibelekweni. Asikuko oku okubangelwa ngumama.
- Nangona kungekho nyango loku ngaphambi kokuba umntwana azalwe, oogqirha bayijonga ngononophelo impilo yomntwana.
- Ngexesha lokubeleka, amaqela ezonyango ayazi indlela yokulawula i-umbilical cord ngokukhuselekileyo.
- Iingxaki ezinzima aziqhelekanga kakhulu.
- Ukuba uneenkxalabo okanye amathandabuzo ngale nto, thetha nogqirha wakho kuphela, hayi nabanye abantu.
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