Uma ulindele umntwana, kungenzeka ukuthi uke wezwa okuningi ngokubeletha. Ngokuvamile, umntwana ufika emhlabeni kuqala, bese kuphuma intambo yesisu kanye ne-placenta. Kodwa-ke, akuvamile kakhulu ukuthi intambo yesisu iphume esithweni sangasese sowesifazane ngaphambi kokuba umntwana aphume. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi i- umbilical cord prolapse . Nakuba lokhu kungaba yinto eyesabekayo kancane, kubalulekile ukuqaphela lokhu.
Kalula nje, kusho ukuthini lokhu?
Cabanga ngakho, intambo yesisu iyindlela yokuphila yomntwana osesibelethweni. Lesi sakhiwo esifana nethubhu sixhumanisa umntwana ne-placenta. Imithambo yegazi engaphakathi kwayo inikeza umntwana igazi elinomoya-mpilo kanye nezakhamzimba. Iphinde isuse imfucuza emzimbeni womntwana.
Ngakho-ke, ku-"Umbilical Cord Prolapse", intambo yesisu ingena esithweni sangasese sowesifazane lapho umlomo wesibeletho uvuleka ngaphambi kokuba umntwana angene emgudwini wokubeletha. Uma lokhu kwenzeka, intambo yesisu inamathela phakathi komzimba womntwana namathambo akho esinqeni. Cabanga ngakho njengomuntu onyathela ipayipi lamanzi bese amanzi eyeka ukugeleza.
Uma intambo yesisu ibanjwa ngale ndlela, ukugeleza kwegazi kuya enganeni kuyanqamuka. Lokhu kusho ukuthi inani lomoya-mpilo umntwana alitholayo liyancipha ngokuzumayo. Lesi yisimo esiphuthumayo esiyingozi kakhulu enganeni.
Uma lokhu kwenzeka, umntwana kufanele abelethwe ngokushesha ngangokunokwenzeka ukuze kuvinjelwe noma yikuphi ukulimala okungenzeka empilweni yomntwana. Lesi simo asivamile kakhulu. Sivela cishe koyedwa kwabayi-1,000 abazalwa. Kodwa-ke, kubalulekile ukuqaphela lokhu ngenxa yobucayi baso.
Ubani osengozini enkulu?
Omama abanezinkinga ezithile zokukhulelwa banamathuba amaningi okuthola le ``Umbilical Cord Prolapse`. Ake sibone ukuthi iyini.
| Isici Sengozi | Kuchazwe kalula |
|---|---|
| Ukuba namawele noma izingane eziningi esibelethweni | Ngenxa yokuthi kunesikhala esiningi esibelethweni, intambo yesisu ingaba nendawo yokwehla ngemva kokuzalwa komntwana wokuqala. |
| Ukubeletha ngaphambi kwesikhathi | Uma umntwana ezalwa ngaphambi kwesikhathi, ikhanda lomntwana alibekwanga kahle ethangeni, ngakho lingangena entanjeni yesisu. |
| Isisindo esiphansi sokuzalwa | Ngenxa yokuthi umntwana mncane, kunendawo eyengeziwe eduze komlomo wesibeletho futhi intambo yesisu ingahla. |
| Isethulo se-Breech | Uma izinqe noma imilenze yengane iphansi esikhundleni sekhanda, lezo zingxenye aziwuvali kahle umlomo wesibeletho. Intambo yesisu ingadlula kuleso sikhala. Ucwaningo lukhombisile ukuthi lesi yisona sizathu samacala anjalo angu-36.5%. |
| Ukwanda koketshezi lwe-amniotic (i-Polyhydramnios) | Uma inani lamanzi azungeze umntwana landa kakhulu, intambo yesisu ingashesha ukwehla kanye namanzi njengoba isikhwama samanzi siphuka. |
| Ukuqhekeka kwama-membrane ngaphambi kwesikhathi | Uma amanzi ephuka ngaphambi kwamasonto angu-37, ikhanda lomntwana alikakafiki phansi ngokugcwele, okuvumela indawo yenkaba. |
Ngaphezu kwalokho, le ngozi ingavela nangesikhathi sezinqubo ezithile zezokwelapha . Isibonelo, ezimweni lapho udokotela ephula khona isikhwama samanzi (i-amniotomy), kukhona le ngozi uma ikhanda lomntwana lingabekwanga kahle.
Odokotela bakuthola kanjani lokhu?
Lesi simo sitholakala ngesikhathi sokuhlolwa kwezokwelapha. Ungase uzwe into efana nentambo idonswa esithweni sakho sangasese sowesifazane. Noma ungase uyizwe lapho udokotela noma umhlengikazi ekuxilonga.
Kodwa-ke, isikhathi esiningi, lokhu kutholakala ngokushintsha kwesilinganiso senhliziyo yengane. Isilinganiso senhliziyo yengane siyehla ngokuzumayo ngendlela engavamile. Lokhu kungenxa yokuthi, lapho intambo yesisu iboshwe, ukugeleza kwegazi kwengane kuyehla, okubangela ukuba umntwana acindezeleke futhi abe noshintsho kwesilinganiso senhliziyo. Lesi yisibonakaliso sokuqala ezimweni ezingama-67%.
Wenzani uma kwenzeka into efana nale ekhaya?
Uma usekhaya futhi amanzi akho ephuka futhi uzwa okuthile okufana nentambo kuphuma esithweni sakho sangasese sowesifazane, kuyisimo esiphuthumayo .
- Shayela i-ambulensi ngokushesha. Ungachithi isikhathi.
- Kuze kufike i-ambulensi, kukhona into eyodwa ebaluleke kakhulu ongayenza. Gcina amadolo nezandla zakho phansi, isifuba sakho siseduze nomhlaba ngangokunokwenzeka, nezinqe zakho ziphakeme. Lokhu kunciphisa amandla adonsela phansi entanjeni yesisu, okunciphisa ingcindezi kuyo. Lokhu kusiza ukwandisa isikhathi umntwana athola ngaso umoya-mpilo.
Iphathwa kanjani?
Uma ubona ukuthi intambo yomlomo iphumile esithweni sangasese sowesifazane, okuwukuphela kwento okufanele uyenze ukubeletha umntwana ngokushesha okukhulu. Ochwepheshe bathi umntwana kufanele abelethwe zingakapheli imizuzu engama-30 kusukela lokhu kutholakale.
- Ukuhlinzwa Okuphuthumayo: Esikhathini esiningi, uma lesi simo senzeka kumama osesigabeni sokuqala sokubeletha, kwenziwa ukuhlinzwa okuphuthumayo (C-section) ngokushesha.
- Ukubeletha ngesitho sangasese sowesifazane: Kwezinye izimo, isibonelo, uma umama esezofika esiphethweni esiphelele, kungenzeka ukuthi abelethe umntwana ngesitho sangasese sowesifazane kunokuba kudingeke alungiselele ukuhlinzwa. Kuleso simo, odokotela bazokhetha indlela esheshayo.
Ngesikhathi belungiselela ukuhlinzwa, abasebenzi bezokwelapha esibhedlela benza izinto eziningana.
- Usesimweni sokuma uqondene nedolo nesifuba.
- Udokotela noma umuntu oqeqeshiwe uzofaka isandla sakhe esithweni sangasese sowesifazane bese ephakamisa kancane ingxenye engezansi yekhanda lomntwana ukuze avimbele intambo yesisu ukuba ingabambeki. Lokhu kwenziwa kuze kube yilapho kuqala ukuhlinzwa.
- Ngezinye izikhathi, isinyi sakho sigcwele isixazululo sikasawoti, esiza ekusunduzeni ikhanda lomntwana futhi sinciphise ingcindezi entanyeni.
Khumbula, umzuzwana ngamunye lapho ukwelashwa kubambezeleka kwandisa ingozi yokuphila noma yokulimala kobuchopho enganeni. Uma kwenzeka into efana nale ngaphandle kwesibhedlela, ingozi engaba khona enganeni iphindwe izikhathi ezingu-18 kunokuba ingenzeka esibhedlela. Yingakho sithi kufanele uye esibhedlela ngokushesha uma kukhona ingozi noma uma ukubeletha sekuqalile.
Ingabe ikhona indlela yokuvimbela lokhu?
Lona umbuzo abantu abaningi abawubuzayo. Impendulo eqondile ithi cha. Ayikho indlela yokuvimbela lokhu.Futhi, akunakwenzeka ukubikezela ukuthi lokhu kuzokwenzeka yini kusengaphambili. Njengoba intambo yesisu ihamba kakhulu ngesikhathi sokukhulelwa, akunakwenzeka ukusho ukuthi lokhu kuzokwenzeka noma cha ngisho nangokuskena. Lokhu kungenzeka ngisho nakumuntu ongenazo izici eziyingozi.
Kodwa-ke, uma unezinye zezinto eziyingozi okukhulunywe ngazo ngenhla (isibonelo, uma ingane yakho isesimweni sokukhwehlela), udokotela wakho angakweluleka ukuthi uhlale esibhedlela uze usondele ekubelethweni. Ngale ndlela, uma kukhona isimo esiphuthumayo, abasebenzi bezokwelapha bangasabela ngokushesha. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Umbilical Cord Prolapse iyisimo esiphuthumayo sezokwelapha esingavamile kodwa esiyingozi kakhulu.
- Ingozi enkulu lapha ukuthi umoya-mpilo womntwana uyanqamuka ngenxa yokuthi intambo yesisu iyacindezelwa.
- Uma uzwa into efana nentambo iphuma esithweni sakho sangasese ngemuva kokuqhekeka kwamanzi, bheka njengesimo esiphuthumayo bese uya esibhedlela noma ushayele i-ambulensi ngokushesha.
- Uma uhlangabezana nalesi simo ekhaya, unganciphisa ingcindezi entanjeni yesisu ngokubeka amadolo nezandla zakho phansi ngokushesha bese ugcina izinqe zakho ziphakeme (indawo yamadolo nesifuba).
- Nakuba lokhu kungenakuvinjelwa kusenesikhathi, uma unezici eziyingozi ezifana `(ukubonakaliswa kokubeletha)`, khuluma nodokotela wakho ukuze unqume uhlelo lokubeletha oluphephile. Kubaluleke kakhulu ukulandela iseluleko sezokwelapha.
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