Ingabe ikhona inkinga ngendlela intambo yomntwana wakho enamathela ngayo ku-placenta? Ake sifunde ngokufaka intambo yomntwana!

Uma ungumama okhulelwe, kumelwe ukuthi ukhathazeke kakhulu ngempilo yengane yakho, akunjalo? Ngezinye izikhathi ngesikhathi sokukhulelwa, kungavela izinkinga ezincane esingazicabangi nhlobo. Esinye isimo esinjalo, esingavamile ukuzwakala ngaso, kodwa esibaluleke kakhulu ukusazi, sibizwa ngokuthi `(Ukufakwa Kwentambo Ene-Velamentous)`. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini lokhu (Ukufakwa Kwentambo Ene-Velamentous)? Ake siqonde kahle!

Kalula nje, "Ukufakwa kwe-Velamentous Cord" kuyinkinga engenzeka ngesikhathi sokukhulelwa. Kulokhu, i-umbilical cord yomntwana ayixhumi ne-placenta, enikeza umntwana ukudla, njengoba kufanele.

Bheka manje, yilokhu okuvame ukwenzeka:

I-placenta ikhula ngaphakathi kwesibeletho sakho. Ifana nefektri eyondla ingane yakho. Ingane ithola izakhamzimba nomoya-mpilo eyidingayo kuwe ngale placenta. I-umbilical cord ifana nebhuloho elixhumanisa ingane ne-placenta. Le-umbilical cord kufanele ixhunywe ngqo esiswini somntwana iye kwi-placenta. Kulapho kuphela lapho ingane ingathola khona ukudla okulula.

Enye into ukuthi kukhona into efana nejeli ebizwa ngokuthi ``i-Wharton's jelly'' ngaphakathi kwe-umbilical cord ukuvikela imithambo yegazi. Yilokhu okuvimbela imithambo e-umbilical cord ukuthi ingasonteki futhi icindezelwe, futhi kuyivikela.

Kodwa-ke, uma kwenzeka `(Ukufakwa Kwentambo Ene-Velamentous)`, intambo yesisu ayinamathele ngqo kwi-placenta, kodwa inamathele ezithweni ezincane ezingaphandle kwe-placenta. Cabanga ngayo njengepayipi lamanzi elingaxhumekile ngqo empompini oyinhloko, kodwa endaweni ebuthakathaka eqhele kancane empompini.

Ngakho-ke kwenzekani uma lokhu kwenzeka?

Imithambo yegazi evela entanjeni yesisu kufanele ihambe ibanga elide ukuze ithole izakhamzimba ezivela entanyeni. Futhi, le mithambo ayitholi ukuvikelwa yi-`(ijeli likaWharton)`. Kufana nocingo olungenalo igobolondo elivikelayo. Ngenxa yalokhu, le mithambo inamathuba amaningi okuchotshozwa, ukuphuka, nokopha. Futhi, njengoba i-placenta ingatholi izakhamzimba kalula, ukukhula komntwana kungase kube kancane. Uyaqonda?

Ingabe lesi simo sivame kangakanani? Ingabe siyenzeka kuwo wonke umuntu?

Cha, `(Ukufakwa Kwentambo Ene-Velamentous)` empeleni kuyisimo esingavamile kakhulu. Ngokuvamile sibonakala cishe ku-1% wokukhulelwa kwe-singleton. Kodwa-ke, kumawele, leli nani liphakeme kancane, okungukuthi, cishe ku-6%. Ikakhulukazi kumawele abelana nge-placenta efanayo (amawele e-MCDA), lesi simo singakhuphuka sibe ngu-15%.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Eqinisweni, imbangela eqondile ye-`(Velamentous Cord Insertion)` ayikatholakali okwamanje. Kodwa-ke, kutholakale ukuthi kungenzeka kakhulu ukuthi ibonakale ngaphansi kwezimo ezithile zokukhulelwa. Uma wena nodokotela wakho nizazi lezi zinkinga, kulula ukuthatha izinyathelo zokuphepha ezidingekayo.

Nazi ezinye izimo ezinjalo:

• Ukukhulelwa kwamawele: Ikakhulukazi uma kukhona amawele abelana nge-placenta efanayo.
• Ukukhulelwa nge-IVF (In Vitro Fertilization): Le ngozi iphakeme kancane komama abakhulelwe ngokwelashwa nge-IVF.
• Omama abaqalayo ukubeletha: Lesi simo singabonakala nakomama abakhulelwe ingane yabo yokuqala.
• I-Placenta Previa: Uma unesifo esibizwa ngokuthi ``Placenta Previa'', lapho i-placenta itholakala engxenyeni engezansi yesibeletho, eduze komlomo wesibeletho .
• I-Vasa Previa: Lokhu kungabuye kuhlotshaniswe nesimo esibizwa ngokuthi "i-Vasa Previa", lapho imithambo yegazi engavikelekile yentambo yesisu idlula khona emlonyeni wesibeletho . Ake sibheke lokhu ngemininingwane ethe xaxa.

Ingabe ukufakwa kwentambo ye-Velamentous kuyingozi?

Yebo, lokhu kubhekwa njengesimo esiyingozi. Ngoba, njengoba sixoxile ngaphambili, lokhu kungalibazisa ukukhula komntwana. Futhi, njengoba '(ijeli likaWharton)' lingaphephile, kunethuba elikhulu lokuthi imithambo yegazi ye-umbilical cord iphuke futhi yophe. Lezi zimo eziyingozi zingathinta ukukhulelwa kwakho kanye nengane yakho.

Ngokufaka i-`(Velamentous Cord)`, izinto ezilandelayo kungenzeka kakhulu:

Izinkinga ezingaba khona kumama:

• Ukuzalwa ngaphambi kwesikhathi: Ingane kungadingeka ibelethwe ngaphambi kosuku lokuzalwa.
• Ukubeletha ngokuhlinzwa / ukuhlinzwa ngokuhlinzwa: Udokotela wakho angase akuncome ukuhlinzwa ngokuhlinzwa ngokuhlinzwa kwangaphambi kwesikhathi. Noma, uma wopha kakhulu ngesikhathi sokubeletha, kungadingeka ukuthi wenze ukuhlinzwa ngokuhlinzwa ngokuhlinzwa okuphuthumayo.
• Ukuqhekeka kwe-placenta: Lesi futhi yisimo esiyingozi.
• I-Preeclampsia: Umfutho wegazi lakho ungase ukhuphuke ngokuzumayo ngemva kwamasonto angu-20 okukhulelwa.

Imiphumela engaba khona enganeni:

• Zingase zibe nesisindo esingaphansi kwesezinye izingane ezisanda kuzalwa futhi zingase zibukeke zincane.
• Kungadingeka ukunakekelwa okukhethekile e-Babynatal ICU/NICU.
• Amaphuzu aphansi e-Apgar angenzeka: Phakathi nemizuzu emihlanu yokuqala yokuzalwa, ingane yakho izonikezwa "ukuhlolwa kwe-Apgar." Lokhu kulinganisa ukuphefumula kwengane, izinga lokushaya kwenhliziyo, isimo semisipha, ukusabela, nombala wesikhumba, futhi kuyinika amaphuzu (0-10). Amaphuzu aphansi asho ukuthi ingane idinga usizo olwengeziwe lokuphefumula nokujwayela impilo engaphandle komzimba.

Inkinga eyingozi kakhulu ehambisana nokufakwa kwentambo ye-Velamentous: (Vasa Previa)

Cishe u-6% wokukhulelwa nge-Velamentous Cord Insertion unesinye isimo esibi esibizwa ngokuthi i-Vasa Previa, lapho imithambo yegazi engavikelekile ye-umbilical cord idlula khona noma eduze kakhulu nomlomo wesibeletho.

Cabanga nje, lapho kuqala ukubeletha, njengoba umntwana esunduza umlomo wesibeletho, kuba nokucindezeleka okukhulu kule mithambo engavikelekile. Khona-ke ingozi yokuthi le mithambo iqhume iphezulu kakhulu.Uma lokhu kwenzeka, umama nomntwana bangopha igazi ngokweqile. Cishe ingxenye yalokhu kukhulelwa iphetha ngokuzalwa kwengane isishonile.

Kodwa, ungesabi! Ukutholwa kwalesi simo kusenesikhathi kungavimbela le miphumela eyingozi. Uma udokotela wakho ebona umthambo wegazi ongavikelekile entanjeni yesisu eduze komlomo wesibeletho ngesikhathi sokuhlolwa kwe-ultrasound, cishe uzoncoma ukuhlinzwa kwe-C-section. Uma kwenziwa ukuhlinzwa kwe-C-section esimweni se-Vasa Previa, amathuba okusindisa impilo yengane aphezulu afinyelela ku-97% kuya ku-99%.

Yiziphi izimpawu zokufakwa kwe-Velamentous Cord? Wazi kanjani?

Ngezinye izikhathi, ikakhulukazi ku-trimester yesithathu yokukhulelwa kwakho, ukuphuma kwegazi esithweni sangasese sowesifazane kungaba uphawu lwesimo esibizwa ngokuthi "Ukufakwa Kwentambo Ene-Velamentous." Kodwa-ke, abanye abantu bangase bangabi nazimpawu.

Lokhu kuvame ukutholakala ngudokotela wakho ngokuskena kwe-ultrasound kanye nokubheka ingane yakho. Ingane yakho ingaba nezimpawu ezifana nalezi:

• Inhliziyo ishaya kancane.
• Ukuncipha kokunikezwa kwegazi.

Lesi simo sihlolwa kanjani ngokunembile?

Ngekota yesibili yokukhulelwa kwakho, udokotela wakho angabona ukuthi intambo yesisu inamathele kuphi nge-ultrasound scan. Lokhu kungabonakala ngokucacile nge-color Doppler ultrasound.

Kodwa-ke, njengoba ingane isikhule kakhulu ngekota yesithathu, ngezinye izikhathi kungaba nzima ukuhlola ngokunembile intambo yesisu. Yingakho kubalulekile ukwenza ama-scan ngesikhathi.

Ingabe kukhona ukwelashwa kokufakwa kwentambo ye-Velamentous? Kwenziwani?

Uma ngikhuluma iqiniso, akukho ukwelashwa okuqondile kwalesi simo `(Ukufakwa Kwentambo Ene-Velamentous)`. Okusho ukuthi, ayikho indlela yokulungisa intambo yesisu exhunywe ngendlela engafanele. Kodwa, ungakhathazeki! Odokotela bathatha izinyathelo zokuphepha ezengeziwe ukuze banciphise izingozi ezingabangelwa yilokhu.

Udokotela wakho angenza izinto ezifana nalezi:

• Ukuqapha ukukhula komntwana njalo emavikini angu-4-6: Kuhlolwa ukuze kubonakale ukuthi umntwana ukhula kahle yini.
• Yenza njalo i-Non-Stress Test (NST) enganeni yakho: I-NST ilinganisa izinga lokushaya kwenhliziyo yengane yakho kanye nokunyakaza kwayo. Lokhu kuhlolwa kuphephile ngokuphelele kuwe nakumntwana wakho.
• Ukulaliswa esibhedlela ngesikhathi sokuzalwa komntwana: Ungalaliswa esibhedlela izinsuku ezimbalwa ngaphambi kosuku lokuzalwa komntwana.
• Uma kukhona ukusola ukuthi umthambo wegazi ungaqhuma futhi ubangele ukopha ngokweqile, njengasesimeni se-"Vasa Previa", ukuhlinzwa "kokuhlinzwa ngokuhlinzwa kwe-C" kungase kuhlelwe cishe emavikini angu-34: Lokhu kwenzelwa ukuvikela ingane.
• Uma ubeletha umntwana wakho ngesitho sangasese sowesifazane, qalisa ukubeletha cishe emavikini angu-40: Ngalesi sikhathi, inani le-amniotic fluid esibelethweni selinciphile, okungabeka ingcindezi enkulu emithanjeni yegazi.
• Ukunaka ngokukhethekile izimpawu ezibalulekile zomntwana ngesikhathi sokubeletha nokubeletha ukuze kuqinisekiswe ukuthi ukubeletha kuphephile.

Ingabe ikhona indlela yokuvimbela ukufakwa kwentambo ye-Velamentous?

Cha, awukwazi ukuvimbela ukufakwa kwentambo ye-Velamentous ukuthi ingenzeki. Kodwa-ke, khumbula ukuthi amathuba okuba lokhu kwenzeke mancane kakhulu.

Into ebalulekile ukuthi uma kutholakala ukuthi une-Velamentous Cord Insertion, kusho ukuthi udokotela wakho uzobe ekuqapha eduze nganoma yiziphi izinkinga ezingaba khona phakathi nokukhulelwa kwakho. Ukutholwa kusenesikhathi kanye nokuqapha eduze kuyindlela engcono kakhulu yokuba nokukhulelwa okunempilo kanye nomntwana onempilo.

Uma ngine (i-Velamentous Cord Insertion), yini okufanele ngiyilindele?

Udokotela wakho uzokunakekela ngokukhethekile ukukhulelwa kwakho ukuze ukwazi ukubeletha umntwana wakho ngokuphephile. Lokhu kungafaka phakathi ukuhlolwa okuvamile kwe-ultrasound kanye nokuhlolwa okungenangcindezi. Ungase ube nokuhlinzwa kwe-C-section noma ukubeletha ngesitho sangasese sowesifazane. Udokotela wakho angase futhi asikisele ukuthi ubelethe umntwana wakho ngosuku lwakho lokuzalwa noma amasonto ambalwa ngaphambi kwesikhathi. Ingane yakho ingadinga ukunakekelwa okwengeziwe ku-NICU ngemva kokuzalwa.

Udokotela wakho angakunikeza iseluleko esingcono kakhulu mayelana nokuthi yiluphi uhlelo olungcono kakhulu lokukhulelwa kwakho, ukuthi yini ongayilindela ezinsukwini eziholela ekuzalweni komntwana wakho, nokuthi yini ongayilindela ngemva kokuzalwa komntwana wakho.

Yini okufanele ngiyenze uma ngine-(Velamentous Cord Insertion)?

Khuluma nodokotela wakho ukuze uqonde kahle ukuthi ukufakwa kwe-Velamentous Cord kuzokuthinta kanjani ukukhulelwa kwakho. Ukwelashwa nezeluleko ozothola kuzoba ngokwehlukile esimweni sakho. Landela imiyalelo kadokotela wakho ngqo.

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Kufanele ngenze umsebenzi ongakanani ngosuku?
• Yimiphi imithambo engingayenza ngokuphephile?
• Ingabe kukhona imisebenzi okufanele ngiyigweme noma ngingayenzi?
• Hlobo luni lokudla okufanele ngiludle?
• Kufanele ngiphumule kangakanani ngosuku?
• Kufanele ngilale isikhathi esingakanani ebusuku?

Ukufunda ngezinkinga ezingaba khona zokufakwa kwe-Velamentous Cord kungaba yinto eyesabekayo. Kodwa khumbula, izinkinga azivamile. Kuzodingeka uqashwe ngokucophelela ngesikhathi sokukhulelwa kwakho kanye nokubeletha, kodwa lokhu kunakekelwa okwengeziwe kungakusiza ube nomphumela ongcono ekukhulelweni nge-Velamentous Cord Insertion. Ukufakwa kwe-Velamentous Cord yakho kuyithinta kanjani uhlelo lwakho lokukhulelwa?Khuluma nodokotela wakho ngemiphumela.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-`(Velamentous Cord Insertion)`, akunjalo? Into ebalulekile ukuthi yize lesi kuyisimo esingavamile, uma sitholakala kusenesikhathi futhi ngaphansi kokuqashwa okufanele kwezokwelapha, ungaletha umntwana onempilo emhlabeni ngaphandle kwezinkinga.

• Landela imiyalelo kadokotela wakho ngqo.
• Ungaweqi amaskeni ahleliwe kanye nokuhlolwa okungenazo ingcindezi.
• Uma unezimpawu ezingavamile, njengokuphuma kwegazi esithweni sangasese sowesifazane, tshela udokotela wakho ngokushesha.
• Ungesabi, phumula nje. Ithimba lakho lezokwelapha lizokwenza okungcono kakhulu kuwe nakumntwana wakho.

Ngikufisela impilo enhle wena nomntanakho!

Intambo Yesibeletho, I-Placenta, Izinkinga Zokukhulelwa, Ukufakwa Kwentambo Ephukile, I-Vasa Previa, Ukuhlinzwa Kwesibeletho, I-Ultrasound, Impilo Yokukhulelwa