Ake sifunde ngentambo yengane yakho! Isibopho esimangalisayo phakathi kukamama nomntwana!

Uma ungumama ozayo, noma uma usanda kwamukela umntwana omusha ekhaya lakho, le nkulumo izoba yinto ebaluleke kakhulu kuwe. Namuhla sizokhuluma ngalolo xhumano olumangalisayo nolunikeza ukuphila phakathi komama nomntwana wakhe ongakazalwa - i-Umbilical Cord . Kufana nomugqa wokuphila phakathi komama nomntwana, into eyisimangaliso kakhulu, akunjalo?

Iyini intambo yesisu? Kwenzekani kuyo?

Kalula nje, intambo yesisu iyipayipi eliguquguqukayo, elinobukhulu obuncane elikuxhumanisa nengane yakho ekhulayo. Ithwala konke ingane yakho ekudingayo ukuze iphile futhi ikhule phakathi nokukhulelwa. Cabanga ngayo njengohlelo olukhethekile lwezintambo zokuxhumana ezivela kumama wakho ziye enganeni yakho.

Uyini umsebenzi we-umbilical cord?

Intambo yesisu kanye ne-placenta zisebenza ndawonye ukuze kugcinwe ukujikeleza kwegazi okufanele enganeni. Eqinisweni, lapho umntwana ekhula esibelethweni, imisebenzi eminingi yengane, njengamaphaphu engane, inhliziyo, kanye nohlelo lokugaya ukudla, yenziwa ngale placenta. Intambo yesisu yiyo exhumanisa ingane nale placenta.

Ungakucabanga ngale ndlela: Intambo yenkaba ifana nomgwaqo onezindlela ezimbili.

• Ngakolunye uhlangothi, igazi eligcwele umoya-mpilo nezakhamzimba ligeleza lisuka ku-placenta liye enganeni ngentambo yesisu. Yilokhu okunikeza umntwana amandla okukhula kahle.
• Ngakolunye uhlangothi, igazi elingenawo umoya-mpilo, eligcwele imfucuza efana ne-carbon dioxide ekhiqizwa umzimba womntwana, liyiswa emuva ku-placenta ngentambo yesisu. Umzimba wakho ube usususa leyo mfucuza.

Lokhu kugeleza kwegazi okuhamba ngezindlela ezimbili kuyaqhubeka kuze kube yilapho umntwana ezalwa. Ngemva kokuzalwa komntwana, umntwana akasadingi i-placenta kanye ne-umbilical cord ukuze anikeze ukudla okunomsoco kanye nomoya-mpilo. Lokhu kungenxa yokuthi izinhlelo zomzimba zomntwana (njengemaphaphu namathumbu) ziyathatha izintambo bese ziqala ukwenza lezo zinto zodwa.

Itholakala kuphi intambo yenkaba? Ibukeka kanjani?

Intambo yesisu ikhula ngaphakathi kwesibeletho sakho, phakathi nezinyanga ezintathu zokuqala zokukhulelwa. Ixhumanisa umntwana okhulayo ne-placenta. I-placenta iyisitho sesikhashana esinamathela odongeni lwesibeletho sakho.

Ngokuvamile, intambo yomntwana inamathele phakathi kwe-placenta ngakolunye uhlangothi kanye nesisu somntwana (lapho inkaba izokhula khona kamuva) ngakolunye uhlangothi.

Intambo yenkaba ibukeka njengentambo ebanzi, futhi ihlala ijijekile futhi igoqekile . Lawa ma-coil enza intambo ibe namandla futhi ayivikele ekucindezelweni njengoba umntwana ekhula esibelethweni. Izicubu ezixhumanisayo ezimhlophe, ezifana nejeli – ezibizwa ngokuthi ijeli likaWharton – zizungeze intambo, eziyivikelayo.

Intambo yesisu ivame ukuba ngamasentimitha angu-50 kuya kwangu-60 ubude ekupheleni kwekota yakho yesibili. Ubukhulu bayo (ububanzi) bungaphansi kwesentimitha elilodwa (cishe amasentimitha angu-1 kuya kwangu-2).

Yimiphi imithambo yegazi entanjeni yesisu?

Imithambo yegazi emithathu entanjeni evamile yenkabaZikhona. Cabanga nje, lezi zifana namapayipi amathathu amancane.

• Umthambo owodwa wenkaba: Yilapho igazi elihlanzekile nelicebile ngomoya-mpilo lithwalwa khona lisuka ku-placenta liye enganeni. Yileli gazi elisiza ingane ukuba ikhule.
• Imithambo emibili yenkaba: Le emibili ithwala igazi lomntwana elingenawo umoya-mpilo, eligcwele udoti libuyele e-placenta, njengohlelo lokulahla udoti.

Yiziphi izinkinga ezingaba khona ngentambo yomlomo?

Ngezinye izikhathi, kungaba nezinkinga ezithile ngentambo yomntwana. Ingozi enkulu yalokhu ukuthi igazi lomntwana liyancipha. Lokhu kungathinta ukukhula nokukhula komntwana. Kodwa khumbula, eziningi zalezi zinto azivamile , noma azivamile ukubangela izinkinga ezinkulu. Udokotela wakho uzokuqapha phakathi nokukhulelwa kwakho. Ukuskena kwe-ultrasound kungabonisa intambo yomntwana ngokucacile, ngakho odokotela bavame ukuhlonza noma yikuphi ukukhubazeka. Uma kukhona, bazokwazisa uma udinga ukuhlolwa okwengeziwe noma ukuqapha.

Nazi ezinye zezimo ezingase zivele:

• Ukugoqana kwentambo okungavamile: Intambo ingaba igoqekile kakhulu (igoqekile kakhulu) noma igoqekile kakhulu (igoqekile kakhulu). Lokhu kungabangelwa izinto ezifana nokushintsha kokugeleza kwegazi kanye nokunyakaza komntwana. Ngezinye izikhathi, kungahlotshaniswa nezinkinga ngesikhathi sokukhulelwa.
• Ukufakwa kwentambo emaphethelweni: Ngokuvamile, intambo yesisu ifakwa phakathi kwe-placenta. Kulesi simo, intambo yesisu inamathele ohlangothini olulodwa noma emaphethelweni e-placenta.
• Intambo ye-Nuchal: Yilapho intambo ye-umbilical igoqa khona intamo yomntwana. Esikhathini esiningi, ayinangozi uma isengonweni. Kodwa-ke, ngezinye izikhathi, uma iboshwe ngokuqinile, ingabangela izinkinga ezincane ngesikhathi sokukhulelwa noma lapho umntwana ezalwa.
• Umthambo we-umbilical owodwa / intambo ye-umbilical enemithambo emibili: Lokhu kwenzeka lapho intambo ye-umbilical inomthambo owodwa kanye nomthambo owodwa (ngokuvamile kufanele kube nemibili). Lokhu kungaba uphawu lwezimo ezithile zofuzo, njenge -trisomy . Ngezinye izikhathi kuhlotshaniswa nezinguquko zesakhiwo ezithweni zomntwana, njengenhliziyo.
• Ifindo langempela: Intambo yesisu empeleni yakha ifindo. Uma leli lifindo liqinile, izinkinga ezifana nokuncipha kokugeleza kwegazi enganeni zingavela.
• Ama-cyst e-umbilical cord: Ama-cyst agcwele uketshezi angakhula e-umbilical cord. Esikhathini esiningi, lawa awayona ingozi. Kodwa-ke, ngezinye izikhathi, i-cyst ingacindezela i-umbilical cord futhi ivimbele ukuhamba kwegazi.
• Ukuncipha kwentambo ye-umbilical:Intambo yesisu yehla ngesibeletho ngaphambi kokuba umntwana azalwe. Lesi yisimo esiphuthumayo sezokwelapha , futhi ngokuvamile sidinga ukuhlinzwa kwesisu (ukuhlinzwa kwesisu) .
• I-Vasa previa: Ukudlula kwemithambo yegazi engavikelekile kusuka entanjeni yesisu ngembobo yomlomo wesibeletho. Ukucindezeleka kokuzalwa komntwana kungabangela ukuthi le mithambo yegazi iqhume, okubangela ukopha ngokweqile. Ukutholwa kusenesikhathi kanye nokubeletha ngokuhlinzwa kungavimbela izinkinga ezinkulu noma ngisho nokufa.
• Ukufakwa kwentambo ethambile: Kulesi simo, intambo yesisu ayinamatheli kahle kwi-placenta. Esikhundleni sokunamathela kwi-placenta uqobo, inamathela ezingxeni ezingaphandle kwe-placenta. Lokhu kungabangela ezinye izinkinga, njengokukhula kancane komntwana.

Kwenzekani ngentambo yesisu lapho umntwana ezalwa?

Ngemva kokuzalwa kwengane yakho, odokotela bazosika intambo yesisu bese beyihlukanisa ne-placenta. Isizathu ukuthi ingane isilungele ukuphefumula nokudla yodwa. Ngakho-ke, ayisadingi intambo yesisu. Kusele ingxenye encane esiswini somntwana, esiyibiza ngokuthi isiqu sentambo yesisu . Lokhu kuzoma emavikini ambalwa bese kuwa yodwa. Yilapho-ke kuzovela khona i-buttock yesisu enhle yengane yakho. Ukusika intambo yesisu kuyindlela elula kakhulu, evamile, futhi ngeke kulimaze ingane .

Ingabe kuyabuhlungu uma intambo yomntwana isikiwe?

Lutho neze. Akukho mizwa entanjeni yesisu. Ngakho-ke, umntwana akanawo umuzwa entanjeni yesisu. Umntwana akazizwa ubuhlungu lapho udokotela noma umhlengikazi esika intanjeni yesisu. Futhi, umntwana akazizwa ubuhlungu noma ukungakhululeki lapho ingxenye esele yentanjeni yesisu yoma, incipha, bese iwela. Ngakho-ke, ungakhathazeki ngakho, kulungile?

Ungasinakekela kanjani isiphunzi se-umbilical cord yomntwana osanda kuzalwa?

Uma ufika ekhaya, udokotela wakho noma umhlengikazi uzokunikeza imiyalelo yokuthi ungayinakekela kanjani i-umbilical cord stump yengane yakho. Ngokuvamile, into ebaluleke kakhulu ukugcina i-stump ihlanzekile futhi yomile . Lokhu kuzosiza ekuvimbeleni ukutheleleka (ikakhulukazi i-omphalitis) .

Nazi ezinye izinto ezizosiza:

• Geza isiponji kuze kube yilapho uqweqwe luwela: Lokhu kusho ukuthi esikhundleni sokugeza ingane yakho esitsheni samanzi, umane usule umzimba wengane ngendwangu enensipho. Shiya uqweqwe lome emoyeni. Ngemva kokuba luwile, ungaqala ukugeza ngokujwayelekile ezinsukwini ezimbili kuya kwezintathu.
• Goqa inabukeni phansi: Uma ufaka inabukeni lomntwana wakho, goqa ingaphambili lenabukeni ngaphansi kwengxenye esele yentambo yomntwana, uye esiswini somntwana. Lokhu kuzosiza ukuvimbela umchamo kanye nendle ukuthi kungangeni engxenyeni esele. Amanye amanabukeni asanda kuzalwa anezicucu ezikhethekile zale ntambo yomntwana.
• Hlanza uma kudingeka: umchamoUma ingxenye esele yentambo yenkaba ingcola, yihlanze ngendwangu emanzi. Bese uyishiya ivuliwe emoyeni ukuze yome.
• Linda ukuthi okunye kuwele kodwa: kuzokwenzeka ngokuzenzakalelayo.

Into ebaluleke kakhulu ukulinda kuze kube yilapho ingxenye esele yentambo yomlomo iwela yodwa. Ngisho noma ilenga ngentambo, ungayidonsi. Ukwenza kanjalo kungabangela ukopha okungadingekile futhi kungalimaza ingane.

• Qaphela izimpawu zokutheleleka: Ukubomvu, ukuvuvukala, ukuphuma koketshezi olufana nobomvu, iphunga elibi, noma ukuphuma kwegazi kungaba izimpawu zokutheleleka. Uma ubona noma yikuphi kwalokhu , shayela udokotela wezingane ngokushesha .

Kulungile yini ukufaka utshwala engxenyeni esele yenkaba?

Empeleni akuwona umqondo omuhle . Esikhathini esidlule, abazali abasha babesebenzisa utshwala bokuhlikihla ukuhlanza isiqu se-umbilical cord ngemva kokugeza noma ukushintsha inabukeni lomntwana. Kodwa ucwaningo lwamuva lukhombisile ukuthi ukwenza kanjalo kungabulala amagciwane anempilo asiza isiqu se-umbilical ukuba siwele ngokwemvelo.

Ngakho-ke esikhundleni sokusebenzisa utshwala, sula kancane ingxenye esele yenkaba yomntwana ngesiponji noma indwangu emanzi bese uyishiya ivuliwe emoyeni ukuze yome.

Iwa nini ingxenye esele yentambo yomlomo?

Ingxenye esele yentambo yesisu ivame ukoma bese iwela phakathi nesonto elilodwa kuya kwamathathu ngemva kokuzalwa . Uma isanamathele ngemva kwamasonto amathathu, bheka udokotela wezingane. Kungaba uphawu lwesimo sempilo esingaphansi.

Njengoba ingxenye esele yoma, iyancipha futhi ishintshe umbala. Ishintsha kusuka kophuzi-luhlaza ibe nsundu, bese kuba mnyama, bese iwela yodwa. Ngemva kokuwa, ungayisusa.

Ingabe kuvamile ukuthi indawo engaphansi kwenkaba ibe phuzi ngemva kokuwa kwenkaba?

Uma ubona noma yiziphi izinguquko esikhumbeni somntwana wakho, kungcono njalo ukukhuluma nodokotela wezingane zakho. Okungenzeka ukuthi ubona iqhubu lezicubu zesilonda ezivamile, ezingenangozi ezibizwa ngokuthi i-umbilical granuloma . Lokhu kungavela enkabeni yesisu somntwana wakho ngemva kokuba ingxenye esele yentambo yesisu isiwile. Le granuloma ingase futhi ikhiphe uketshezi oluphuzi olukhanyayo.

Ngokuvamile, lolu hlobo lwe-granuloma ebeleni luzophola ngokwalo cishe ngesonto. Uma lusekhona ngemva kwesonto, udokotela wakho wezingane angalususa ngokwelashwa okulula okungenziwa ehhovisi lakhe.

Yini okufanele uyenze uma ingxenye esele yenkaba yomntwana iwa?

Uma intambo yesisu iwela, ingane yakho ingase yophe kancane . Kujwayelekile ukopha kancane. Sula igazi kancane. Kodwa uma uqhubeka nokopha ngisho nangemva kokusula, shayela udokotela wezingane.

Futhi, uma intambo yomntwana ikhishwa ngengozi, kungase kube nokopha. Uma kunjalo, iseluleko siyafana: sula igazi, futhi uma ukopha kuqhubeka, funa iseluleko sikadokotela.

Kufanele ufune nini iseluleko sezokwelapha?

Shayela udokotela wezingane uma ubona noma yiziphi izinto ezilandelayo mayelana nesiqu sentambo yengane yakho:

• Uma ingawi ngemva kwamasonto amathathu.
• Uma ubomvu noma olunye uketshezi luphuma.
• Uma kukhona ukuvuvukala noma indawo ezungezile ibomvu/ishintshile umbala.
• Uma ukopha kungayeki.

Futhi, bona udokotela uma ingane yakho inanoma yiziphi zalezi zimpawu:

• Uma unomkhuhlane.
• Uma ungaphuzi ubisi ngendlela evamile.
• Uma ubonakala ulele kakhulu noma ukhathele kunokujwayelekile.
• Uma ingane yakho ikhala lapho uthinta ingxenye esele yentambo yomlomo noma isikhumba esizungezile.

Ekugcineni, into okufanele uyikhumbule

Intambo yesisu iyinto ebaluleke kakhulu ngesikhathi sokukhulelwa, isindisa izimpilo. Futhi, ungase uzizwe sengathi iwuphawu lobuhlobo phakathi kwakho nomntwana wakho. Ngakho-ke, ukusika leyo ntambo lapho umntwana wakho ezalwa kungaba yisikhathi esidabukisayo nesimnandi. Kodwa, leyo nto encane enhle ekwenza uhleke njalo uma ushintsha inabukeni lomntwana wakho? Izoba lapho kuze kube phakade, ikukhumbuze ngalobo buhlobo obukhethekile obukhona phakathi kwenu nobabili kuphela. Akukuhle yini?

Intambo yesisu , ukukhulelwa, usana olusanda kuzalwa, i-placenta, ukunakekelwa kwentambo yesisu, izifo, impilo yomntwana