Ingabe Ukuncipha Kwentambo Yesibeletho Kuyingozi? Masiqaphele Lokhu!

Uyazi, uhambo oluya kuleli zwe ngezinye izikhathi lungaletha izinselele kuwe nakumntwana wakho ongakazalwa. Esinye sezimo ezivame kakhulu futhi ezingaba yingozi ezingase zenzeke lapho usuzoba nomntwana yilapho intambo yesisu iphuma esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe. Odokotela bakubiza ngokuthi ``Umbilical Cord Prolapse``. Namuhla, sizoxoxa ngezinto eziningi ngendlela elula neqondakalayo, njengokuthi lokhu kuyini ngempela, kungani kwenzeka, nokuthi yini okufanele uyenze uma kwenzeka.

Kusho ukuthini uma intambo yesisu iphuma kusenesikhathi?

Kalula nje, lokhu kwenzeka uma usuzoba nomntwana, kungaba ngemva nje kokuqhekeka kwamanzi noma ngaphambi nje kokuba umntwana esezophuma, futhi intambo yesisu iphuma emlonyeni wakho bese ingena esithweni sangasese ngaphambi komntwana. Ngokuvamile, lapho umntwana ezalwa, umntwana uphuma kuqala, bese kuba intambo yesisu iphuma. Kodwa kulesi simo esibizwa ngokuthi ``Umbilical Cord Prolapse``, intambo yesisu iphuma kuqala. Cabanga ukuthi kwenzekani uma lokho kwenzeka? Intambo yesisu ephumile inesikhala esikhulu sokunamathela phakathi komzimba womntwana, umlomo wakho wesibeletho, kanye nesitho sakho sangasese.

Uyini umsebenzi we-umbilical cord?

Manje cishe uyazibuza, "Yini ekhethekile kangaka ngentambo yesisu?" Intambo yesisu ifana nepayipi eliguquguqukayo. Yilokho okuthwala izakhamzimba nomoya-mpilo ingane yakho ewudingayo phakathi nokukhulelwa kwakho. Kufana nomzila wokuphila wengane.

Kwenzekani uma intambo yesisu iphuma kusenesikhathi?

Ukuphuma ngaphambi kwesikhathi kwentambo yesisu kubhekwa njengesimo esiphuthumayo sezokwelapha . Uyazi ukuthi kungani? Ngoba uma lokhu kwenzeka, intambo yesisu ingabambeka futhi igazi lomntwana nomoya-mpilo kunganqamuka. Cabanga nje, lapho ikhanda noma umzimba womntwana ucindezela intambo yesisu, njengalapho ipayipi lamanzi ligobile, amanzi ayayeka ukugeleza, futhi ukudla komntwana kuyayeka. Hhayi lokho kuphela, kodwa uma unezinsini zokubeletha umntwana, isibeletho siqina kakhulu. Khona-ke intambo yesisu ingabambeka kakhulu. Ngezinye izikhathi, lapho intambo yesisu iphuma esithweni sangasese sowesifazane futhi ivezwe emoyeni, imithambo yegazi ekuyo ingancipha futhi inciphise ukugeleza kwegazi. Ngenxa yalezi zizathu, umntwana kungenzeka kakhulu ukuba nokukhubazeka okukhulu, okungenzeka kube yingozi empilweni .

Ingabe zikhona izinhlobo zokuvela kwentambo yesisu ngaphambi kwesikhathi?

Yebo, lokhu kungahlukaniswa ngezinhlobo ezimbili eziyinhloko: 1. Ukusabalala kwesisu okusobala: Kulesi simo, intambo yesisu iphuma ngomlomo wesibeletho iye esithweni sangasese ngaphambi komntwana, futhi ingase ibonakale nangaphandle kwesitho sangasese. 2. Ukusabalala kwesisu okubonakalayo: Kulesi simo, intambo yesisu ayiphumi ngaphambi komntwana, kodwa lapho umntwana ephuma, intambo yesisu ingase icindezelwe emzimbeni womntwana, okungukuthi, ekhanda noma emahlombe omntwana. Lokhu kunzima kancane ukukubona ngoba akubonakali ngaphandle.

Sivame kangakanani lesi simo?

I-Umbilical Cord Prolapse ayiyona into evamile kakhulu. Ngokuvamile kuthiwa yenzeka cishe koyedwa kwabangu-300 abazalwa. Kodwa-ke, ezinye izifundo ezintsha ziphakamisa ukuthi leli nani lingase libe phansi nakakhulu, mhlawumbe libe phansi njengoyedwa kwabangu-1,000 abazalwa. Kodwa-ke, kubalulekile ukukhumbula ukuthi yize kungavamile, kuseyingozi uma kwenzeka .

Yiziphi izimpawu eziyinhloko ze-umbilical cord ephuma ngaphambi kwesikhathi?

Kunezizathu ezimbili eziyinhloko ezenza udokotela noma umhlengikazi wakho angase asole ngento efana nale:

• Ngemva kokuphuka kwamanzi, uma ungayizwa noma uyayibona intambo yenkaba uma uyihlola.
• Uma ukushaya kwenhliziyo kwengane kwehla ngokuzumayo, kushaya ngokushesha okukhulu, noma kushintsha ngendlela engavamile.

Kodwa-ke, ngezinye izikhathi lokhu kungenzeka ngaphandle kwezimpawu zangaphandle. Ucwaningo olulodwa luthole ukuthi okungaphezu kwengxenye yalokhu kuqubuka kwentambo ngaphambi kwesikhathi kwenzeka kungakapheli imizuzu emihlanu kusukela ekuphukeni kwamanzi, kanti cishe u-70% kwenzeka kungakapheli ihora kusukela ekuphukeni kwamanzi.

Okubalulekile: Uma uzizwa into engavamile ngemva kokuphuza amanzi, noma uma ukhathazekile ngalokho okushiwo udokotela, qaphela.

Yiziphi izizathu ezenza intambo yesisu iphume kusenesikhathi?

Kunzima ukusho ukuthi yini ngempela ebangela lokhu. Kodwa kunezici eziningana ezandisa ingozi. Esikhathini esiningi, lokhu kwenzeka ngemva kokuqhekeka kwamanzi, futhi odokotela bayazi ukuthi uketshezi olungaphakathi kwesibeletho (uketshezi lwe-amniotic) luyavuza. Kodwa akusona sodwa isizathu. Kunezici eziningana eziyinhloko ezifaka isandla:

• Ukuvezwa kwesisu: Lokhu kusho ukuthi umntwana usesikhundleni esihlukile kunekhanda elibheke phansi. Lokhu kusho ukuthi izinqe noma imilenze yomntwana ibheke phansi.
• Uma ukhulelwe amawele noma amawele amathathu, " ukhulelwe kaningi".
• I-Polyhydramnios ukuba khona koketshezi oluningi kakhulu lwe-amniotic esibelethweni.
• Ukuqhekeka kwezicubu ngaphambi kwesikhathi.

Ubani osengozini enkulu?

Ukuncipha kwe-Umbilical Cord kungenzeka ngaphandle kwezizathu eziyingozi. Kodwa-ke, kunezimo ezithile ezenza kube nokwenzeka kakhulu. Ngaphezu kwezimbangela ezibalwe ngenhla, kunezinye izici eziningana eziyingozi:

• Ezinye izifo ezenzeka lapho umntwana ezalwa zibizwa ngokuthi "izinkinga zokuzalwa ze-Fetal".
• I-placenta previa yilapho i-placenta iphansi esibelethweni.
• Ukuma okungavamile kwentambo yesisu (isibonelo, inde kakhulu, incane kakhulu).
• Ukusiza ekubelethweni kwesitho sangasese sowesifazane kuhilela ukusebenzisa imishini efana ne-vacuum noma i-forceps lapho kubeletha umntwana.
• Isisindo sokuzalwa esiphansi (isisindo sokuzalwa esingaphansi kuka-2.5 kg).
• Uma uke wazala izingane ezingaphezu kwezinhlanu ngaphambili (eziningi).
• Ukungajwayelekile endleleni intambo yesisu enamathele ngayo ku-placenta (ukufakwa kwentambo ye-Velamentous).
• Ingane ibekwe phezulu kakhulu esibelethweni (isikhundla esiphezulu sengane - ukuthi ingane iphansi kangakanani esinqeni njengoba kusondela isikhathi sokubeletha).
• Ingane enkulu kunejwayelekile ibizwa ngokuthi "iMacrosomia".
• Uma odokotela benza izinto ezifana nokuphula isikhwama samanzi (i-Amniotomy) noma ukufaka umuthi wokuvula umlomo wesibeletho ngokushesha (ibhaluni lokuvuthwa komlomo wesibeletho).

Yiziphi izinkinga eziyingozi ezingavela kulokhu?

Nakuba ukuwohloka kwentambo ngaphambi kwesikhathi kungavamile, kungaba yisimo esiphuthumayo esisongela impilo. Uma intambo icindezelwa, umntwana ngeke athole umoya-mpilo owanele. Ngakho-ke, ukwelashwa okusheshayo kuyadingeka. Ngaphandle kwalokho, kungase kube nemiphumela emibi kakhulu. Izinkinga ezingaba khona zifaka:

• Ukuntuleka komoya-mpilo enganeni (i-Hypoxia).
• Ukulimala kobuchopho ngenxa yokuntuleka komoya-mpilo (i-Hypoxic-ischemic encephalopathy - HIE) noma (i-Birth asphyxia)
• Izimo ezifana ne-cerebral palsy .
• Ukulimala kobuchopho okungapheli.
• Ukuzalwa kwengane ifile.

Lezi zinto zingase zesabe ukuzwa. Kodwa khumbula, lezi zinto azivamile ukwenzeka. Futhi, uma kwenzeka into efana nale esibhedlela, odokotela bazothatha isinyathelo ngokushesha.

Odokotela bakubona kanjani lokhu okokuqala?

Nansi indlela ithimba lezokwelapha elivame ukuxilonga ngayo lesi simo:

• Uma kuhlolwa isitho sangasese sowesifazane , intambo yomlomo ingazwakala noma izwakale.
• Ukushaya kwenhliziyo kwengane okuhamba kancane ngendlela engavamile (`(Bradycardia)` - okungukuthi, ngaphansi kokushaya okungu-120 ngomzuzu).
• Ukubona ushintsho olusheshayo ekucindezelweni kwegazi lakho.

Iyini indlela yokwelapha i-umbilical cord ngaphambi kwesikhathi?

Ngenxa yokuthi lesi yisimo esiphuthumayo sokubeletha, umntwana uvame ukudinga ukubeletha ngokushesha. Indlela ephephile nesheshayo yokubeletha umntwana ngokuvamile iwukuhlinzwa ngokuhlinzwa (C-section). Ithimba lezokwelapha lizoqala lizame ukunciphisa ukucindezeleka kwentambo. Lokhu kungase kuhilele ukukuguqula ube sesimweni sokuguqa ngamadolo esifubeni, noma udokotela angazama ukuphakamisa umntwana kancane ukuze akhulule intambo. Lokhu kuzonciphisa okwesikhashana ingozi yokushoda komoya-mpilo. Kodwa-ke, umntwana kumele abelethwe ngokushesha ngangokunokwenzeka ukuze asindise impilo yengane. Uma inkinga yokucindezeleka kwentambo ingaxazululwa ngokushesha, umntwana angasindiswa ngaphandle kokulimala. Kodwa-ke,Uma ukubambezeleka kuqhubeka isikhathi eside, kulapho amathuba okuba nezinkinga enyuka khona.

Ingabe ikhona indlela yokuvimbela intambo yesisu ukuthi ingaphumi kusenesikhathi?

Ngeshwa, ayikho indlela eqondile yokuvimbela lokhu. Futhi, kunzima ukukubona kusenesikhathi ngesikhathi sokukhulelwa. Ngoba intambo yesisu kanye nomntwana kuhlala kuhambahamba ngaphakathi esibelethweni. Okuwukuphela kwento ithimba lezokwelapha elingayenza ukuthatha isinyathelo ngokushesha uma kwenzeka lokhu `(Umbilical Cord Prolapse)`.

Ingabe ingane ingasinda uma intambo yesisu iphuma kusenesikhathi?

Yebo, izingane zivame ukusindiswa kulesi simo. Uma lokhu kwenzeka esibhedlela, izinga lokufa kwengane kuthiwa licishe libe ngu-3% (ezinye izifundo zithi liphezulu njengo-7%). Kodwa-ke, uma lokhu kwenzeka ngaphandle kwesibhedlela, okungukuthi, ekhaya, isimo sibi kakhulu. Ezimweni ezinjalo, ingozi yokufa iphakeme ngokuphindwe ka-20. Ukwehla kwentambo ngaphambi kwesikhathi kuyisimo sokuzalwa esingavamile, esingenakugwenywa, esiphuthumayo. Uma ithimba lakho lezokwelapha likubona lokhu, lizosebenza ukubeletha ingane yakho ngokushesha okukhulu. Nakuba kungekho lutho ongakwenza ukuvimbela lokhu ukuthi kwenzeke, ukuqaphela izici eziyingozi nokwazi ukuthi yini okufanele uyenze uma kwenzeka kungakusiza kulesi simo esingavamile.

Izinto okudingeka sizikhumbule kulokhu

Kulungile, ngakho-ke, kunezinto ezimbalwa okufanele uzicabangele kulokho esikhulume ngakho.

• Ukuncipha kwentambo yomgogodla kuyisimo esiphuthumayo futhi esingaba yingozi.
• Lokhu akukwazi ukuvinjelwa , futhi kunzima nokukubona kusenesikhathi ngesikhathi sokukhulelwa.
• Uma, ngemva kokuphuma kwamanzi, uzwa okuthile kuphuma esithweni sakho sangasese sowesifazane, noma uma ubona ushintsho olusheshayo ekunyakazeni kwengane yakho, iya esibhedlela noma ufune iseluleko sezokwelapha ngokushesha .
• Lokhu kwenzeka kaningi kakhulu, ngakho ungesabi ngokungadingekile.
• Kodwa-ke, uma kwenzeka into efana nale esibhedlela, ithimba lezokwelapha lizosebenza ukusindisa umntwana ngokushesha okukhulu. Ngakho-ke, ukuba nomntwana esibhedlela kuyindlela ephephile kakhulu esimweni esinjalo.

Sithemba ngobuqotho ukuthi ukukhulelwa kwakho kuzokujabulisa nokuthi uzoletha umntwana onempilo kuleli zwe!