Njengomama okhulelwe, ungase wesabe kancane noma ube nesifiso sokubeletha. Kuyinto evamile kakhulu. Ngisho noma ucabanga ukuthi konke kuzohamba kahle, ngezinye izikhathi kungavela izinkinga esingakaze sizicabange ukuthi zingenzeka. Namuhla, sikhuluma ngesimo esiphuthumayo esingase senzeke ngesikhathi sokubeletha, kodwa esingavamile kakhulu, kodwa sidinga ukunakekelwa okusheshayo. Lokhu kubizwa ngokuthi i-Umbilical Cord Prolapse.
Kalula nje, kusho ukuthini lokhu kuphuma kwenkaba?
Kulungile, ngaphambi kokuba sikuqonde lokhu, ake siqale sibone ukuthi iyini intambo yesisu. Njengoba wazi, umntwana osesiswini uthola wonke umoya-mpilo nezakhamzimba azidingayo ngale ntambo yesisu, exhunywe esiswini somntwana kusuka ku-placenta kamama. Kalula nje, lena yindlela yokuphila yengane.
Ekubelethweni okuvamile, umntwana uphuma ngesitho sangasese sowesifazane kuqala, bese kuthi i-placenta iphume kanye ne-umbilical cord. Kodwa-ke, esimweni esibizwa ngokuthi ``Umbilical Cord Prolapse``, kwenzeka okuphambene nalokho. Okusho ukuthi, ngaphambi kokuba umntwana aphume, i-umbilical cord yehla ngesibeletho bese ingena esitho sangasese sowesifazane.
Cabanga nje, bekuzokwenzekani uma, lapho othile ezama ukuphuma ngomnyango omncane, into efana nepayipi esandleni sakhe iphuma kuqala? Lapho lowo muntu ephuma, lelo payipi liyabhajwa, akunjalo? Yilokho okwenzekayo nalapha.
Uma intambo yesisu yehla ngaphambi kokuba umntwana azalwe, ikhanda noma umzimba womntwana ungabhajwa emlonyeni wesibeletho sikamama kanye nasemlonyeni wesitho sangasese sowesifazane. Yingakho lokhu kubhekwa njengesimo esiphuthumayo nesiyingozi kakhulu .
Kwenzekani uma intambo yesisu inamathela?
Intambo yesisu iyindlela eyinhloko enikeza ingane umoya-mpilo negazi. Ngakho-ke uma icindezelwa, igazi liyanqamuka ngokuphelele.
- Uma igazi liphela: Ingane ayitholi umoya-mpilo eyidingayo.
- Lapho isibeletho sifinyela (lapho kuqala ukubeletha): Lokhu kuqina kuyanda.
- Ukuvezwa kwe-umbilical cord emoyeni: Imithambo yegazi e-umbilical cord iyancipha, okwenza ukugeleza kwegazi kuphazamiseke kakhulu.
Lezi zimo zingadala umonakalo omkhulu noma ngisho nokukhubazeka unomphela enganeni. Yingakho odokotela bebheka lokhu "njengesimo esiphuthumayo sokubeletha."
Kunezinhlobo ezimbili eziyinhloko zalesi simo.
Odokotela bakubona lokhu ngezindlela ezimbili eziyinhloko.
1. Ukuwohloka okusobala: Lokhu kwenzeka lapho intambo yomlomo wesibeletho yehla ngokuphelele ngomlomo wesibeletho iye esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe.
2. Ukuncipha kwe-occult:Lapha, intambo yesisu ayiphumi ngaphambi komntwana. Kunalokho, iphuma nomzimba womntwana, okusho ukuthi yehla eceleni bese inamathela ekhanda noma ehlombe lomntwana. Lokhu kunzima ukukubona ngoba akubonakali ngaphandle.
Sivame kangakanani lesi simo? Futhi yiziphi izimpawu zaso?
Lesi akusona isimo esivamile kakhulu. Ngokwezibalo, lesi simo senzeka cishe koyedwa kwabangu-300 abazalwa. Ezinye izifundo ezintsha zithi lesi simo sesinciphile nakakhulu, saya koyedwa kwabangu-1,000 abazalwa.
Izici eziyinhloko zokuhlonza lokhu yilezi:
- Ngemva kokuphuka kwamanzi: Udokotela noma umhlengikazi angawuzwa noma awubone umthambo wesisu ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane.
- Ukwehla okungazelelwe kwesilinganiso senhliziyo yengane: Odokotela basola lokhu uma izinga lokushaya kwenhliziyo yengane lincipha ngokuzumayo kakhulu (i-bradycardia) emshinini we-CTG, okusho ukuthi lehla ngaphansi kwama-beats angu-120 ngomzuzu.
Lesi simo sivame ukwenzeka ngemva kokuphukelwa amanzi kukamama. Izifundo zibonisa ukuthi ama-prolapse angaphezu kwama-50% ayenzeka phakathi kwemizuzu emihlanu yokuqala ngemva kokuphukelwa kwamanzi, kanti cishe ama-70% ayenzeka phakathi nehora.
Yiziphi izici eziyingozi zokuwa kwentambo yesisu?
Kunzima ukukhomba imbangela eyodwa ethile yalokhu. Kodwa kunezici eziningana eziyingozi ezandisa ingozi yakho yokuthola lesi simo. Uma unesinye noma ngaphezulu salezi, udokotela wakho uzosinaka ngokukhethekile.
| Isici sengozi | Incazelo elula |
|---|---|
| Ukwethulwa Kwengane Esanda Kuzalwa | Ukuvezwa kwesisu : Ikhanda lomntwana aliphansi, kodwa libekwe eceleni noma ngaphesheya komlomo wesibeletho. Ikhanda alimbozi ngokuphelele umlomo wesibeletho, okuvumela intambo yomlomo wesibeletho ukuba iphume. |
| Ukukhulelwa Okuningi | Uma kuzalwa amawele noma amawele amathathu, intambo yesisu ingase yehle ngemva kokuzalwa komntwana wokuqala nangaphambi kokuba kufike umntwana wesibili. |
| Uketshezi oluningi lwe-amniotic (i-Polyhydramnios) | Uma inani lamanzi (i-amniotic fluid) elizungeze umntwana liphezulu kakhulu, lapho isikhwama samanzi siphuka, amanzi angasunduza intambo yesisu ngokushesha. |
| Ukuzalwa Ngaphambi Kwesikhathi | Uma isikhwama samanzi siphuka singakagcwali, umlomo wesibeletho ngeke uvaleke kahle ngoba umntwana mncane. Intambo yesisu ingadlula kulowo mngxuma. |
| Intambo yesisu engavamile | Uma intambo yesisu inde kakhulu, kunethuba elikhulu lokuthi yehle. |
| I-Placenta Previa | I-placenta itholakala phansi kwesibeletho. |
| Inani lezingane | Le ngozi iphakeme kakhulu kumama osevele enezingane ezinhlanu noma ngaphezulu. |
Ngaphezu kwalokhu, izinto ezifana nesisindo esiphansi sokuzalwa, ukukhuluphala ngokweqile (i-macrosomia), kanye nodokotela ophula isikhwama samanzi (i-amniotomy) nakho kungandisa ingozi.
Yiziphi izinkinga ezingabangelwa yilokhu?
Njengoba kushiwo ngaphambili, lesi yisimo esiphuthumayo. Uma ingane ingelashwa ngokushesha, ingaba nemiphumela emibi ngoba ubuchopho nomzimba wengane kuzoncishwa umoya-mpilo.
- I-Hypoxia: Ukuntuleka komoya-mpilo emzimbeni.
- Ukuphelelwa umoya ngesikhathi sokuzalwa (HIE): Ukulimala kobuchopho okubangelwa ukuntuleka komoya-mpilo.
- I-Cerebral Palsy: Ukuphazamiseka kokunyakaza okungapheli okubangelwa ukulimala kobuchopho.
- Ukulimala kobuchopho okungapheli.
- Ukuzalwa kwengane isishonile: Ukufa okubuhlungu komntwana esibelethweni.
Lokhu kungase kuzwakale kusabisa kuwe, kodwa khumbula, lokhu kuyinto engavamile kakhulu. Futhi uma lokhu kwenzeka esibhedlela, ithimba lezokwelapha lizothatha isinyathelo ngokushesha futhi lenze konke okusemandleni alo ukusindisa umntwana.
Odokotela bakuphatha kanjani lokhu?
Uma sekutholakale ukuthi i-Umbilical Cord Prolapse inesifo, umzuzwana ngamunye uyabalwa. Umgomo wethimba lezokwelapha kuphela ukubeletha umntwana ngokushesha okukhulu.
1. Ukuhlinzwa Kwesibeletho Esiphuthumayo: Ezimweni eziningi, ukuhlinzwa kwesibeletho esiphuthumayo kuyindlela ephephile nesheshayo yokusindisa ingane yakho. Uzoyiswa ehholo lokuhlinzwa ngokushesha.
2. Ukunciphisa ingcindezi entanyeni: Ngesikhathi sokulungiselela ukuhlinzwa, ithimba lezokwelapha lizozama ukunciphisa ingcindezi entanyeni. Izindlela eziningana zisetshenziswa kulokhu:
- Ukushintsha isikhundla sikamama: Umama ubekwa endaweni esukela edolweni kuya esifubeni. Lokhu kuvumela amandla adonsela phansi ukuthi ashukumise umntwana kancane, okunciphisa ingcindezi entanyeni yesisu.
- Ukusunduza umntwana ngesandla: Udokotela noma umhlengikazi oqeqeshiwe ubeka isandla sakhe esithweni sangasese sowesifazane bese esunduza ikhanda lomntwana kancane ukuze akhulule intambo yomntwana. Kuzodingeka uhlale kulesi simo kuze kube yilapho kuqala ukuhlinzwa.
Konke lokhu kwenzelwa ukubuyisela umoya-mpilo wengane kanye nokubeletha umntwana ngokuphephile.
Ingabe ingane ingasinda kulesi simo?
Yebo, kungenzeka nakanjani. Uma lesi simo senzeka esibhedlela, amathuba okusindisa umntwana aphezulu kakhulu. Izinga lokufa esibhedlela liphansi kakhulu, cishe ngo-3%. Kodwa uma into efana nalena isenzeka ngaphandle kwesibhedlela, isibonelo ngesikhathi sokubeletha ekhaya, isimo siyingozi kakhulu. Ngoba azikho izindawo zokwenza ukuhlinzwa ngokushesha. Yingakho kubalulekile njalo ukubeletha umntwana esibhedlela.
Ingabe ikhona indlela yokuvimbela lokhu?
Ngeshwa, akukho esingakwenza ukuvimbela i-Umbilical Cord Prolapse. Akunakwenzeka ukwazi lokhu kusenesikhathi ngesikhathi sokukhulelwa, ngoba umntwana kanye ne-umbilical cord zihlala zihamba ngaphakathi esibelethweni.
Lesi yisimo esiphuthumayo esingenakugwenywa futhi esingavamile. Okudingeka sikwenze nje ukuqaphela izici eziyingozi bese sikhetha isibhedlela esizosiletha. Uma kwenzeka isimo esiphuthumayo esinjalo, ithimba lakho lezokwelapha lizothatha izinyathelo ezidingekayo ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Umbilical Cord Prolapse yilapho i-umbilical cord ingena esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe.
- Lesi yisimo esiphuthumayo sezokwelapha esingathi sína kakhulu esiphazamisa umoya-mpilo kanye nokutholakala kwegazi kwengane.
- Izici ezifana nesimo somntwana (i-breech), amawele, kanye nokuqukethwe kwamanzi amaningi kungandisa ingozi.
- Uphawu oluyinhloko ukuthi intambo yesisu ivele ibonakale noma izwakale ngemva kokuphuka kwamanzi kanye nokushaya kwenhliziyo kwengane kwehla ngokuzumayo.
- Ukuphela kokwelashwa kwalokhu ukubeletha umntwana ngokushesha, ngokuvamile ngokuhlinzwa okuphuthumayo.
- Nakuba lokhu kungenakuvinjelwa, ukubeletha umntwana esibhedlela cishe kuzosindisa impilo kamama nomntwana esimweni esiphuthumayo njengalesi.
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