Ukukhulelwa lelona xesha lihle nelinobuzaza ebomini bomama. Ukususela kumhla akhulelwa ngawo de kube kuzalwa umntwana wakhe, umama unamathemba kunye noloyiko. "Ngaba umntwana wam uphilile?", "Ngaba ufumana ukutya nokusela okwaneleyo?" Imibuzo efana nale iphakama engqondweni yakho, akunjalo? Ngoko ke, eli nqaku liza kucacisa nayiphi na imibuzo kunye namathandabuzo onokuba nawo malunga "nentambo yesisu" edibanisa wena nomntwana wakho, efana nomgca wobomi bomntwana.
Okokuqala, masiqonde ukuba yintoni kanye kanye le ntambo yesisu?
Ngamafutshane, intambo yomntwana yityhubhu ekhethekileyo edibanisa umntwana wakho ne-placenta esibelekweni. Le yindlela yokuphila enika umntwana wakho yonke into ayidingayo, kuquka i-oxygen kunye nesondlo, ngelixa esesesibelekweni. Ifana 'nomgca wokubonelela' womntwana.
Ngokwesiqhelo, intambo yesisu esempilweni ineentlobo ezintathu zemithambo yegazi.
- Iimithambo-luvo ezimbini: Ezi zithwala igazi elinokungcola kunye nekhabhoni diokside ukusuka emzimbeni womntwana ukuya kwi-placenta.
- Umthambo Omnye: Kulapho igazi elicocekileyo, elizele yioksijini kunye nezondlo, elivela emzimbeni wakho lithwalwa liye emzimbeni womntwana.
Lonke ulusu lwe-umbilical lwenziwe ngento ekhethekileyo efana nejeli ekhusela le mithambo-luvo mithathu. Oku kukhusela ulusu lwe-umbilical ekubeni lubhideke kwaye lutyumke lula.
Ziziphi iingxaki eziqhelekileyo ezinokubakho kwi-umbilical cord?
Uninzi lwexesha, intambo yomlomo yenza umsebenzi wayo ngokugqibeleleyo ngexesha lokukhulelwa ngaphandle kweengxaki. Nangona kunjalo, kunqabile kakhulu ukuba kubekho ezinye iimeko ezinengxaki. Kubaluleke kakhulu ukuzazi ezi zinto kwangethuba. Kodwa ungoyiki ukufunda ngazo. Uninzi lwezi meko ngoku zinokubonwa kwangethuba nge-advanced scans .
1. Umthambo omnye weUmbilical (SUA)
Njengoko besitshilo ngaphambili, intambo eqhelekileyo yesisu inemithambo emibini kunye nomthambo omnye. Nangona kunjalo, ngamanye amaxesha ayinakubakho imithambo, kwaye kukho umthambo omnye kunye nomthambo omnye. Oku kubizwa ngokuba yi-'Single Umbilical Artery` (SUA) okanye 'intambo yemithambo emibini'.
Le meko ibonwa kuphela kwi-1% yokukhulelwa, ngoko ke ayiqhelekanga kangako.
Oku kunokubonwa lula ngugqirha wakho ngexesha lokuskena, njengokuhlolwa okungaqhelekanga. Ezinye iintsana ezine-SUA zinokuba nezinye iingxaki zempilo ezincinci (ezifana notshintsho oluncinci entliziyweni okanye kwizintso), ngoko ugqirha wakho unokunikela ingqalelo engakumbi koku aze acele uvavanyo olongezelelekileyo. Kodwa uninzi lwexesha, azikho ezinye iingxaki.Umntwana ophilileyo uyazalwa.
2. I-Vasa Previa
Oku kuyaxhalabisa kancinci, kodwa yimeko engaqhelekanga kakhulu. Okwenzekayo apha kukuba imithambo yegazi yomntwana kwi-umbilical cord ayidibani kakuhle nodonga lwesibeleko, kodwa endaweni yoko idlula kwi-amniotic sac, kufutshane nomlomo wesibeleko.
Ingozi yoku kukuba xa amanzi akho eqhekeka ngexesha lokubeleka, le mithambo yegazi inokuqhekeka. Ukuba oko kuyenzeka, umntwana ungopha kakhulu aze afe.
Kodwa eyona nto ingcono kukuba le meko ngoku inokubonwa kwangethuba nge-ultrasound scans. Ukuba ifunyenwe, oogqirha banokwenza utyando olucwangcisiweyo ngaphambi kokuba umntwana azalwe, ngesiqhelo phakathi kweeveki ezingama-34-37, ukuze umntwana azalwe ngokukhuselekileyo. Ke ngoko , kubaluleke kakhulu ukuya ekliniki yakho ngexesha kwaye wenze ii-scan zakho ngexesha.
3. Intambo yeNuchal
Mhlawumbi ukhe weva ngale nto. 'I-Nuchal Cord' ligama elisetyenziselwa ukuchaza i-umbilical cord ejikeleza intamo yomntwana kanye okanye ngaphezulu njengoko umntwana ehambahamba esibelekweni. Oomama abaninzi bayoyika xa besiva oku.
Kodwa ungakhathazeki. Oku kuqheleke kakhulu kunokuba ucinga. Kwi-20-30% yokukhulelwa, oko kuthetha ukuba ngumntwana omnye kwabathathu, intambo yosana isenokubotshelelwa entanyeni yakhe ngaxa lithile.
Ixesha elininzi, oku akunabungozi. Into efana nejeli ekwi-umbilical cord ikhusela imithambo yegazi ekubeni icinezelwe. Ingakhululeka xa umntwana ehamba. Ngexesha lokubeleka, ugqirha okanye umbelethisi uya kukwazi oku aze akususe ngononophelo kwangoko nje ukuba umntwana azalwe. Kuphela kwiimeko ezingaqhelekanga kakhulu, njengaxa i-umbilical cord ibotshelelwe ngokuqinileyo kangangokuba ukubetha kwentliziyo yomntwana kuyehla, apho ugqirha angathatha amanyathelo okubelekisa umntwana ngokukhawuleza.
4. Amaqhina eNtambo yeNkumba
Oku kunokwenzeka naxa umntwana esokola esibelekweni. Kungabangela iqhina kwintambo yomlomo, efana nomtya wesihlangu. Kukho iintlobo ezimbini zamaqhina:
- Amaqhina Obuxoki: La ngamaqhina ngokwenene. Kukudumba okuncinci komthambo wegazi kwi-umbilical cord ofana neqhina. La ngamaqhina angenabungozi.
- Amaqhina Okwenene: Kulapho iqhina livela khona ngokwenene. La maqhina adla ngokukhululeka kakhulu, njengentambo elula ebotshelelwe kwingono. Ngoko ke, akukho mqathango wokuhamba kwegazi kumntwana.
Kodwa kunqabile kakhulu, ngaphantsi kwe-1% yexesha, eli qhina linokuba lukhuni. Ukuba oku kuyenzeka, umntwana usenokungafumani ioksijini kunye nezondlo. Oogqirha baya kuhlala bejonga ukubetha kwentliziyo kunye neentshukumo zomntwana ukuze bajonge lo mngcipheko.
| Ingxaki | Kalula nje... | Ngaba ufanele woyike? | Ungamchonga njani? |
|---|---|---|---|
| Umthambo weSingle Umbilical (SUA) | Ukuba nemithambo yegazi emibini endaweni yemi-3. | Mhlawumbi akukho nto imbi kuloo nto. Ugqirha uza kuba nomdla ngakumbi. | Iskeni ye-ultrasound. |
| I-Vasa Previa | Indawo yemithambo yegazi kufutshane nomlomo wesibeleko. | Ewe, kufuneka uqaphele, kodwa ukuba uyibonile kwangethuba, ikhuselekile ngokupheleleyo. | Iskeni ye-ultrasound. |
| Intambo yeNuchal | Ukusongela intambo yesisu entanyeni. | Ngokwesiqhelo akukho monakalo wenziweyo. Ixhaphake kakhulu. | Ukusuka kwi-scan okanye ngexesha lokubeleka. |
| Iqhina leNtambo yeNkumba | Iqhina kwintambo yomlomo. | Ixesha elininzi, iqhina liyakhululeka kwaye alibangeli monakalo. Amaxesha amaninzi, linokuba lukhuni. | Ukurhanelwa kunokukrokrelwa ngokujonga ukubetha kwentliziyo yomntwana. |
Ngoko ke, ndimele ndenze ntoni?
Eyona nto ibalulekileyo kukufunda ngezi zinto kwaye ungoyiki ngokungeyomfuneko, kodwa wenze izinto ngoxolo nangobulumko. Ugqirha wakho kunye nomsebenzi wezempilo wosapho baya kuba lapho ukukhathalela kulo lonke ixesha lokukhulelwa kwakho.
- Yiya kwiikliniki zakho ngexesha. Fumana zonke iimvavanyo ngexesha.
- Qiniseka ukuba ufumana iiskeni ezichazwe ngugqirha wakho. I-Anomaly Scan ibaluleke kakhulu.
- Ukuba ubona utshintsho olukhulu kwiindlela zokunyakaza komntwana wakho (umz., ukuba akashukumi njengesiqhelo), yazisa ugqirha wakho okanye isibhedlele ngoko nangoko.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, musa ukuzigcina wedwa kwaye uzixhalabise ngazo, kodwa buza ugqirha wakho.
Khumbula, isayensi yezonyango iphucuke kakhulu namhlanje. Oogqirha namhlanje banokubona uninzi lwezi meko kwangethuba, bathathe amanyathelo afunekayo, baze bazale umntwana osempilweni ngaphandle kokwenzakalisa umama nomntwana.
Umyalezo Wokuya Ekhaya
- Intambo yosana yeyona nto iphambili kubomi bomntwana. Kumaxesha amaninzi okukhulelwa, akukho ngxaki ngayo.
- Iingxaki nge-umbilical cord azixhaphakanga. Iimeko eziqhelekileyo ezifana ne-nuchal cord zihlala zingenabungozi.
- Musa ukulibazisa naziphi na iikliniki zakho ezicwangcisiweyo kunye neeskeni. Ezi zinokubona iingxaki ezininzi kwangethuba.
- Ukuba ugqirha wakho ukhankanya ingxaki, ungoyiki ukuyibuza, kodwa mamela ngononophelo ukuze ufumane ukuba yintoni na kwaye ngawaphi amanyathelo omawuwathathe ngokulandelayo.
- Yonwabele ukukhulelwa kwakho ngaphandle koloyiko olungeyomfuneko, wonwabile kwaye usempilweni. Ugqirha wakho uhlala ekujonga wena nomntwana wakho.
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