Ingabe intambo yengane yakho iboshwe entanyeni yayo? (Intambo ye-Nuchal) Ungakhathazeki, ake sixoxe ngalokhu!

Njengoba usondela ekubeni ngumama, zonke izinhlobo zezinto ziyafika engqondweni ngomntwana wakho, akunjalo? Ngezinye izikhathi ngisho nezinto ezincane kakhulu zingase zesabe kakhulu. Yilokho okuzwakalayo uma uzwa, 'Intambo yesisu iboshwe entanyeni yomntwana.' Kuzwakala njengomthwalo omkhulu, akunjalo? Kodwa kuyini ngempela lokhu? Ingabe lokhu kuyingozi? Ake sixoxe ngakho namuhla.

Iyini i-Nuchal Cord?

Kalula nje, intambo ye-nuchal iyintambo yesisu egoqa intamo yomntwana, kungaba kanye noma kaningana. Igama elithi 'nuchal' lisho 'okuphathelene nentamo'. Lokhu kungenzeka ngesikhathi umntwana esesesibelethweni, noma kungenzeka ngesikhathi sokuzalwa.

Manje ungase uzibuze ukuthi iyini le ntambo yesisu. Intambo yesisu iyipayipi nje. Yiyo lapho umntwana ethola khona konke akudingayo kunina, njengomoya-mpilo, ukudla okunomsoco kanye negazi. Ngamanye amazwi, ifana nomzila wokuphila wengane. Le ntambo yesisu yiyo exhumanisa ingane ne-placenta .

Ngakho-ke, kuyinto evamile ukuzizwa wesaba uma uzwa ukuthi intambo yesisu iboshwe entanyeni yengane yakho. Kodwa into ebaluleke kakhulu okudingeka uyazi ukuthi ezimweni eziningi, le ntambo yesisu ayibangeli monakalo enganeni. Udokotela wakho noma umbelethisi wakho uzokutshela okwengeziwe ngalokhu.

Ingabe kukhona izinhlobo zekhodi yenuzi?

Yebo, kunezindlela eziningana odokotela abazisebenzisayo ukuchaza lokhu:

• Intambo Eyodwa Ye-Nuchal: Lokhu kusho ukuthi intambo yesisu izungezwa entanyeni yomntwana kanye kuphela.
• Izintambo Eziningi Ze-Nuchal: Lapha, intambo yesisu ingase iboshwe entanyeni yomntwana izikhathi ezingaphezu kwesisodwa, okungukuthi, kabili noma kathathu.

Futhi, kuye ngokuthi intambo yesisu iboshwe kanjani entanyeni, kuthiwa 'ikhululekile' noma 'iqinile'.

• Intambo Ekhululekile Ye-Nuchal: Lolu uhlobo oluvame kakhulu. Lapha, intambo ye-umbilical ayiboshelwe kahle entanyeni, kodwa iboshelwe kancane engonweni. Ngezinye izikhathi, ingaphuma yodwa njengoba umntwana ehambahamba esibelethweni.
• Intambo Eqinile Ye-Nuchal: Lokhu akuvamile. Lapha, intambo ye-umbilical ingase iboshwe ngokuqinile entanyeni yengane. Lolu hlobo lwentambo eqinile ye-nuchal lungase lubangele izinkinga kuneyodwa ekhululekile. Kodwa futhi akuvamile kakhulu.

Zingaki izingane ezibona le nuchal cord?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Cishe ingane eyodwa kwezine (25%) izalwa inentambo eyodwa ye-nuchal, okusho ukuthi intambo ye-umbilical izungezwa entanyeni kanye. Phakathi kwezingane ezimbili neziyisishiyagalombili kweziyikhulu (2.4% - 8.3%) zizalwa nentambo ye-umbilical izungezwe entanyeni kabili noma ngaphezulu, okusho izintambo eziningi ze-nuchal . Ngakho-ke ungabona ukuthi lokhu akuyona into okufanele ukhathazeke ngayo, akunjalo?

Yiziphi izimpawu zokuthi ungase ube nekhodi yenuzi?

Esinye isibonakaliso esingabonakala ngezinye izikhathi lapho umntwana esesibelethweni noma esezozalwa ukuthi kukhona intambo ye-nuchal.Ukuqapha izinga lokushaya kwenhliziyo kwengane engakazalwa kungabonisa izinguquko ezingeni lokushaya kwenhliziyo. Ikakhulukazi, isimo esibizwa ngokuthi 'ukuguquguquka kokushintshashintsha' singabonakala. Kalula nje, yilapho izinga lokushaya kwenhliziyo kwengane, okungukuthi, ijubane lokushaya kwenhliziyo, lincipha ngokuzumayo kancane bese libuyela esimweni esijwayelekile.

Lokhu kuguquguquka kwesilinganiso senhliziyo kuvame ukukhombisa ukuthi kukhona ukuvinjelwa kokugeleza kwegazi ngentambo yesisu. Lokhu kungaba ngenxa yokucindezelwa kwemithambo yegazi entanjeni yesisu. Lokhu kungaba ngenxa yentambo yesisu. Kodwa-ke, ezinye izimbangela ezifana nefindo entanjeni noma ukuwohloka kwentambo yesisu nakho kungabangela lezi zinguquko esivinini senhliziyo.

Kodwa into ebaluleke kakhulu ukuthi uma ubona ushintsho olufana nalolu ekushayeni kwenhliziyo yengane yakho, odokotela bakho nabahlengikazi bazokwenza ngokushesha futhi benze konke abangakwenza ukuze bavikele wena nomntwana wakho. Ngakho-ke ungesabi.

Yiziphi izimbangela zekhodi yenuzi?

Izintambo ze-Nuchal empeleni zenzeka ngokungahleliwe. Lokhu kusho ukuthi kunzima kunoma ubani ukusho ukuthi yini ebangela lokhu. Kodwa-ke, kutholakale ukuthi izinto ezilandelayo zingandisa kancane ingozi yokuthuthukisa intambo ye-nuchal:

• Ukunyakaza ngokweqile kombungu: Uma umntwana ekhuthele kakhulu, intambo yesisu ingabanjwa entanyeni njengoba iphenduka iye phambili naphambili.
• Intambo ende yenkaba: Uma intambo yenkaba ingaphezu kwamasentimitha angu-70 ubude, kungenzeka kakhulu ukuthi ibambeke.
• Inani elikhulayo loketshezi lwe-amniotic esibelethweni (i-Polyhydramnios): Uma kunoketshezi oluningi kakhulu oluzungeze umntwana, intambo yesisu ingabanjwa ngoba umntwana unesikhala esiningi sokuhambahamba.

Akukho ongakwenza ukulawula lezi zinto eziyingozi. Uma ingane yakho ine-nuchal cord, akulona iphutha lakho. Ngakho ungakhathazeki ngakho.

Yiziphi izinkinga ezingaba khona ngenxa yentambo ye-nuchal?

Njengoba ngishilo ngaphambili, izintambo ezikhululekile ze-nuchal azivamile. Lapho umntwana ezalwa, udokotela noma umhlengikazi angadonsa ngobumnene iluphu yentambo phezu kwekhanda lomntwana njengoba iphuma emgodini wokuzalwa.

Kodwa-ke, izingane ezinentambo eqinile ye-nuchal - hhayi zonke, kodwa ngezinye izikhathi - zingase zibe nalezi zinkinga ezincane ngemva kokuzalwa:

• Ukopha kwegazi okungaphansi kwe-conjunctival (ukuqhuma komthambo wegazi omncane esweni)
• Umfutho wegazi ophansi (i-Hypotension )
• Ukwehla komthamo wegazi emzimbeni ( i-Hypovolemia )
• Ukucindezeleka okuncane kokuphefumula
• Amachashazi amancane abomvu okopha ngaphansi kwesikhumba sobuso ( i-petechiae yobuso )
• Imihuzuko emincane esikhumbeni esizungeze intamo
• Ushintsho lwesikhashana kumbala wobuso

Kodwa khumbula, lezi zinkinga ngokuvamile azizimbi kakhulu futhi azibangeli izinkinga zempilo zesikhathi eside.

Kancane kakhulu, okusho ukuthi ezimweni ezingavamile kakhulu, intambo eqinile ye-nuchal ingabangela izinto ezinjengalezi:

• Ukulahlekelwa igazi okukhulu
• Ukwanda kwe-asidi egazini (i-Acidosis )
• I-anemia (ukuntuleka kwegazi)

Uma kwenzeka into efana nale, odokotela nabahlengikazi abelapha ingane yakho bayazi ukuthi bangazisingatha kanjani lezo zimo kahle kakhulu. Ngakho-ke ungakhathazeki nangalokho.

Wazi kanjani ukuthi unekhodi yenuzi?

Udokotela wakho angase abone intambo ye-nuchal ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwakho. Kodwa-ke, ngezinye izikhathi bangase bangakutshela ngakho. Lokhu kungenxa yokuthi izintambo ze-nuchal zivame kakhulu futhi ngokuvamile zibhekwa njengezijwayelekile. Uma ukugeleza kwegazi ngentambo ye-umbilical kuyinto evamile, ngokuvamile akukho okufanele ukhathazeke ngakho. Udokotela wakho angasebenzisa i-Doppler ultrasound ukuhlola ukuthi lokhu kugeleza kwegazi kuyinto evamile yini.

Njengoba ingane yakho isondela ekuzalweni, udokotela wakho angase enze ukuhlolwa ngokomzimba ukuhlola intambo ye-nuchal. Lokhu kuhilela ukucindezela kancane entanyeni yengane yakho, ngaphezu kwesisu sakho. Uma ukushaya kwenhliziyo kwengane yakho kwehla, kungabonisa ukuthi intambo yesisu isengozini yokucindezelwa. Uma lokhu kwenzeka, udokotela wakho uzoqhubeka nokuqapha ukushaya kwenhliziyo kwengane yakho futhi athathe isinyathelo uma kunenkinga.

Odokotela benzani uma umntwana enentambo ye-nuchal lapho ezalwa?

Uma ingane ine-umbilical cord lapho izalwa, ayikho indlela yokuyisusa noma yokuyilungisa. Odokotela nabahlengikazi bazoqapha izinga lokushaya kwenhliziyo yengane ngaphambi nangesikhathi sokuzalwa ukuze bahlole noma yiziphi izinkinga nge-umbilical cord. Uma izinga lokushaya kwenhliziyo yengane liphansi, ithimba lezokwelapha lizothatha izinyathelo ezidingekayo. Lokhu kuvame ukufaka:

• Ukushintsha indawo yakho (isibonelo, ukujika usuka kolunye uhlangothi uye kolunye)
• Ukunikeza usawoti (i-IV fluids) uma kudingeka
• Ukunikeza ukwelashwa komoya-mpilo

Uma umntwana ezelwe, ngemva kokuba ikhanda lomntwana liphumile esithweni sangasese sowesifazane, udokotela noma umhlengikazi uzobeka izandla zakhe entanyeni yomntwana ukuze ahlole intambo yomntwana. Uma kukhona intambo ye-nuchal ekhululekile , bavame ukuyisusa ngokuyidonsa kancane phezu kwekhanda lomntwana.

Uma intambo yesisu inamathela ngokuzumayo (intambo yesisu eqinile), udokotela angenza 'i-Somersault maneuver'.Ukubeletha ingane yakho usebenzisa indlela ebizwa ngokuthi "ukubeletha nge-breech." Lokhu kuhilela ukugcina ikhanda lomntwana liseduze ne-pelvis yakho bese ususa umntwana ngokucophelela ukuze i-umbilical cord ingacindezelwa entanyeni njengoba ingxenye esele yomzimba womntwana iphuma esithweni sangasese sowesifazane.

Ingabe ingane enenkaba ingazalwa ngendlela evamile?

Ezimweni eziningi, intambo ye-nuchal ayiphazamisi ukubeletha, okusho ukuthi ungabeletha ngendlela evamile njengoba kuhleliwe.

Kodwa-ke, akuvamile kakhulu ukuthi intambo yesisu eqinile ingavimba ukuhamba kwegazi ngentambo yesisu, okubangela ukucindezeleka kombungu. Uma lokhu kwenzeka, kungadingeka ukuthi wenze ukuhlinzwa kwe-C-section okuphuthumayo .

Futhi, uma ingane isesimweni sokukhumula isisu futhi inentambo ye-nuchal, udokotela ngeke avame ukuncoma uhlobo lwe-cephalic lwangaphandle (i-ECV ) noma ukubeletha ngesitho sangasese sowesifazane. Ngisho noma kunjalo, ukuhlinzwa kokubeletha cishe kunconywa kakhulu.

Ngakho-ke kufanele ngisabe ikhodi yenuzi?

Eqinisweni, ezimweni eziningi, intambo ye-nuchal ayiyona into okufanele ikhathazeke ngayo. Akutholakalanga ukuthi ibangela ukuzalwa kwengane ishonile noma izinkinga ezinkulu zempilo. Udokotela wakho uzokwazi ukuthi angayisebenzisa kanjani intambo ye-nuchal. Uma ibangela ukungakhululeki enganeni ( ukucindezeleka kombungu), bazokutshela. Ngakho-ke ungakhathazeki ngokungadingekile.

Ingabe kukhona engingakwenza ukuvimbela intambo yesisu ukuthi ingasondeli entanyeni?

Akukho ongakwenza ukuvimbela ukwakheka kwentambo ye-nuchal. Awukwazi ukulawula indlela ingane yakho ehamba ngayo esibelethweni noma indlela intambo ye-umbilical ehamba ngayo. Futhi, uma intambo ye-umbilical iphithene, akukho ongakwenza ukuyikhulula. Ithimba lakho lezokwelapha lizokwazi kahle ukuthi yini okufanele uyenze uma ingane yakho inentambo ye-nuchal lapho izalwa.

Nakuba kungase kuzwakale kusabisa ukuzwa ukuthi ingane yakho inentambo yesisu eboshwe entanyeni yayo, ungaqiniseka ukuthi izinkinga ezivela kuntambo yesisu azivamile kakhulu. Ngokuvamile azibangeli izinkinga zempilo enganeni yakho. Uma kwenzeka ingane yakho ingezwani kahle ngenxa yentambo yesisu, ithimba lakho lezokwelapha likulungele ukubeletha ingane yakho ngokuphepha ngangokunokwenzeka.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto eziyinhloko okudingeka uzikhumbule:

• Intambo ye-Nuchal iyintambo yesisu egoqa intamo yomntwana. Lokhu kuvame kakhulu.
• Esikhathini esiningi, lesi akusona isimo esiyingozi. Ingane inethuba elikhulu kakhulu lokuzalwa ngaphandle kokulimala.
• Lokhu kwenzeka ngokungahleliwe, futhi akulona iphutha lakho. Ngakho ungakhathazeki ngakho.
• OdokotelaSiqapha lokhu ngokusebenzisa ama-scan kanye nokuqapha ukushaya kwenhliziyo kwengane.
• Esikhathini esiningi, umntwana angabelethwa ngendlela evamile. Ukuhlinzwa kwesisu kuyadingeka kuphela uma kunesimo esiphuthumayo.
• Izinkinga azivamile kakhulu, kodwa uma zenzeka, ngokuvamile azibi zimbi kakhulu.
• Akukho ongakwenza ukuvimbela lokhu. Kodwa odokotela bakho nabahlengikazi bakulungele ukubhekana nanoma yisiphi isimo.

Ngakho-ke, uma udokotela ekutshela ngentambo ye-nuchal, ungesabi, vele umbuze noma yimiphi imibuzo onayo. Bazokuchazela konke. Konke okuhle kuwe kanye nengane yakho!

Intambo ye- nuchal, ukuvalelwa kwentambo ye-umbilical, ukukhulelwa, ukubeletha, impilo yomntwana, intambo ye-umbilical, ukushaya kwenhliziyo kwengane