Uma ukhulelwe, kungenzeka ukuthi uke wabona into ebizwa ngokuthi ' i-Nuchal Cord ' embikweni wakho we-scan. Noma kungenzeka ukuthi uke wezwa ngakho kumngane noma esihlotsheni. Kujwayelekile ukuthi umama azizwe esaba futhi ekhathazekile kancane lapho ezwa la mazwi. "Ingabe ingane yami izoba senkingeni? Ingabe izokuthola kunzima ukuphefumula?" Kufika imibuzo eminingi engqondweni. Kodwa iyini ngempela le Nuchal Cord? Ingabe lokhu kuyinto okufanele siyesabe? Ake sixoxe ngalokhu ngokucacile nangokulula.
Iyini ngempela i-Nuchal Cord?
Kalula nje, intambo ye-nuchal iyintambo yengane yakho egoqa intamo yayo kanye noma ngaphezulu.
Uyazi, le ntambo yesisu iyindlela yokuphila ethwala umoya-mpilo nazo zonke izakhamzimba ingane yakho ezidingayo ukuze ikhule futhi ikhule, futhi isusa nokungcola emzimbeni wengane yakho. Imane nje iyipayipi eliguquguqukayo. Inemithambo emibili kanye nomthambo ngaphakathi kwayo. Ukuze ivikele le mithambo yegazi, izungezwe yinto ekhethekile efana nejeli ebizwa ngokuthi 'ijeli likaWharton.'
Ngakho-ke le ntambo yenkaba iyintambo egoqa intamo yomntwana. Lokhu kugoqa ngezinye izikhathi kungaba nzima kakhulu, kanti ngezinye izikhathi kungaba nzima kancane. Lokhu kuhlukaniswe ngezinhlobo ezimbili eziyinhloko:
- Uhlobo A (Intambo Engavaliwe): Lokhu kufana nomgexo olula ozungeze intamo. Intambo yenkaba ihamba ngokukhululeka, ngakho-ke kungenzeka ukuthi iqaqeke lapho umntwana ehamba.
- Uhlobo B (Intambo Ekhiyiwe): Lolu uhlobo lwentambo eboshwe ngokuqinile njengefindo. Ngakho-ke, akunakwenzeka ukuthi lolu hlobo luzikhulule. Kodwa-ke, lolu hlobo `lohlobo B` aluvamile kakhulu.
Kungani intambo yesisu iboshwe kanje entanyeni?
Isizathu esiyinhloko salokhu ukunyakaza okuncane okwenziwa yingane yakho esibelethweni. Mcabange ehambahamba, ekhahlela, futhi evayizisa izingalo zakhe. Yingale kunyakaza lapho intambo yesisu ivame ukubhidlika khona entanyeni. Lokhu kuyinto yemvelo kakhulu.
Ngaphezu kwalokho, kungase kube nezinye izizathu eziningana:
- Ukwanda koketshezi lwe-amniotic: Uma inani loketshezi oluzungeze ingane liphakeme kancane kunokuvamile, inesikhala esiningi sokuhambahamba nokubhukuda. Kukhona futhi isikhala esikhulu sokuba intambo yesisu ibambeke.
- Ukwandiswa kwentambo yesisu: Izintambo zesisu zezingane ezithile zingase zibe zinde kancane kunokujwayelekile. Noma kunjalo, amathuba okubanjwa aphezulu.
Into ebalulekile ukuthi, lokhu akulona iphutha likamama. Akukho lutho olwenzayo olubangela lokhu. Lokhu kumane kuyisenzakalo esingahleliwe ngesikhathi sokukhulelwa .
Ingabe ukuba ne-Nuchal Cord kuyingozi ngempela?
Impendulo yalo mbuzo, ezimweni eziningi, ithi cha . I-Nuchal cord ivame kakhulu kunalokho esikucabangayo. Ucwaningo lubonisa ukuthi ingane eyodwa kwezine ezizalwayo (ezingaphezu kuka-25%) inalesi simo.
Ukwanda kwalesi simo kuyanda njengoba ukukhulelwa kuqhubeka. Isibonelo, emavikini angama-20, cishe ama-6% ezinsana anaso, kodwa emavikini angama-42, lelo nani likhuphuka lifike kuma-29%. Futhi kuvame kakhulu kubafana kunamantombazane.
Nokho, kuhle ukuqaphela ezinye zezinkinga ezingavamile ezingaba khona. Kodwa khumbula, eziningi zazo azivamile.
| Inkinga Engaba Khona | Incazelo elula |
|---|---|
| Amafindo entanjeni yesisu | Ukugoqana kwentambo yesisu kungabangela ukuphazamiseka kokugeleza kwegazi. |
| Ukuncipha kokuxakeka kwengane | Ingane ingase izizwe ingakhululekile futhi inciphe ukunyakaza ngenxa yokuthi intambo yesisu iyacindezelwa. |
| Umkhawulo wokukhula kwesisu (IUGR) | Ukwehla kwesisindo somntwana ngenxa yokungondleki kahle kanye nokutholakala komoya-mpilo. |
| Ukwanda kwe-asidi egazini (i-Metabolic acidosis) | Amazinga e-asidi akhuphukile egazini ngenxa yokuntuleka komoya-mpilo. |
| Ukuzalwa Komntwana Ofile | Lena inkinga enzima kakhulu, eyenzeka kaningi kakhulu. |
Ngezinye izikhathi, uma intambo yomgogodla iboshwe ngokuqinile entanyeni, isimo esibizwa ngokuthi i-`tCAN (tight cord around neck) syndrome` singavela. Kufana nokuklinywa kwentamo. Ngemuva kwalokho ungase ubone amabala amancane egazi abomvu `(petechiae)` ebusweni bomntwana, entanyeni, nasemahlweni. Kodwa lokhu futhi akuvamile kakhulu.
Kutholakala kanjani lokhu? Kuyini ukwelashwa?
Ukuhlonza
Ukuba khona kwentambo ye-nuchal ngezinye izikhathi kungabonakala ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwakho. Kodwa-ke, ngokuvamile akutholakali kuze kube yilapho umntwana ezalwa. Odokotela nababelethisi bavame ukuhlola intambo ye-nuchal ngesikhathi sokubeletha. Kuyingxenye yenqubo evamile.
Ukwelashwa nokuphathwa
Into ebaluleke kakhulu ukuthi akukho ukwelashwa noma indlela yokuvimbela le nuchal cord ngaphambi kokuba umntwana azalwe .
Odokotela bamane nje bakuqapha wena kanye nomntwana eduze.
- Ngaphambi kokubeletha: Uma ukuhlolwa kubonisa intambo ye-nuchal, udokotela wakho angase akucebise ukuthi unake kakhulu ukushaya kwenhliziyo nokunyakaza kwengane.
- Ngesikhathi sokubeletha:
- Esikhathini esiningi, intambo yesisu ikhululeke kakhulu. Lapho udokotela ekhipha umntwana, uyidonsa ngokucophelela phezu kwekhanda lomntwana bese eyisusa. Lokhu kuyinto elula kakhulu.
- Uma intambo yesisu iboshwe ngokuqinile kakhulu , kungadingeka uyibophe ngaphambi kokuba ukhiphe umntwana ngokuphelele. Lokhu kwenzelwa ukuvimba intambo ekudonseni nasekudonseni kude ne-placenta. Lena futhi indlela ephephile kakhulu.
- Uma intambo yesisu ibangela ukushaya kwenhliziyo kwengane yakho kwehle , udokotela wakho angakucela ukuthi ushintshe izikhundla. Lokhu kungasiza ekunciphiseni ingcindezi entanjeni yesisu. Bangase bakunike noketshezi olwengeziwe noma umoya-mpilo.
- Kodwa-ke, uma isimo singathuthuki, kungacatshangelwa imithi yokwelapha izinhlungu noma yokuhlinzwa . Zonke lezi zinqumo zenziwa ukuqinisekisa ukuphepha okuphezulu komama nomntwana.
Ngakho-ke, kufanele ngikwesabe lokhu?
Impendulo emfushane ithi, cishe akunjalo . Intambo ye-Nuchal ivame kakhulu kunalokho ongase ucabange. Futhi kufanele uqonde ukuthi ayivamile ukubangela ukulimala noma izinkinga zesikhathi eside enganeni.
Izingane ezizalwa zinentambo ye-nuchal ngokuvamile azinawo amaphuzu aphansi e-Apgar, izinkinga zokukhula noma zokukhula, noma ingozi eyengeziwe yokuzalwa zishonile. Amaqembu ezokwelapha aqeqeshwe kahle ukuphatha lesi simo.
Kodwa-ke, uma wena, njengomama, unemibuzo, ukwesaba, noma ukungabaza ngalokhu, ungazigcini wedwa. Khuluma nodokotela wakho ngakho ngokukhululekile. Lokho okuzwayo ku-inthanethi noma kubantu ongabazi kungakudida kakhulu. Ngakho-ke, indawo engcono kakhulu yokuthola ulwazi olunembile noluthembekile kakhulu udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Intambo ye-Nuchal iyisimo esivame kakhulu ngesikhathi sokukhulelwa, futhi ngokuvamile ayiyona ingozi.
- Lokhu kungenxa yokuthi umntwana uhamba ngokwemvelo esibelethweni. Lokhu akulona iphutha likamama.
- Nakuba kungekho ukwelashwa kwalokhu ngaphambi kokubeletha, odokotela baqapha impilo yomntwana ngokucophelela.
- Ngesikhathi sokubeletha, amaqembu ezokwelapha ayazi ukuthi angaphatha kanjani intambo yesisu ngokuphephile.
- Izinkinga ezinkulu azivamile.
- Uma unokwesaba noma ukungabaza ngalokhu, xoxa ngakho nodokotela wakho kuphela, hhayi nabanye.
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