Ukukhulelwa yisikhathi esihle kakhulu nesibucayi empilweni kamama. Kusukela osukwini akhulelwa ngalo kuze kube yilapho umntwana wakhe ezalwa, umama unethemba nokwesaba. "Ingabe ingane yami iphilile?", "Ingabe ithola ukudla nokuphuza okwanele?" Imibuzo efana nalena iphakama engqondweni yakho, akunjalo? Ngakho-ke, lesi sihloko sihloselwe ukuxazulula noma yimiphi imibuzo nokungabaza ongase ube nakho mayelana "nentambo yesisu" exhumanisa wena nengane yakho, efana nomzila wokuphila wengane.
Okokuqala, ake siqonde kahle ukuthi iyini le ntambo yenkaba?
Kalula nje, intambo yesisu iyipayipi ekhethekile exhumanisa ingane yakho ne-placenta esibelethweni. Lena yindlela yokuphila enikeza ingane yakho konke ekudingayo, okuhlanganisa umoya-mpilo kanye nokudla okunomsoco, ngesikhathi isesesibelethweni. Kufana 'nomugqa wokunikeza' wengane.
Ngokuvamile, intambo yesisu enempilo inezinhlobo ezintathu zemithambo yegazi.
- Imithambo Emibili: Le ithwala igazi eliqukethe imfucuza kanye ne -carbon dioxide kusuka emzimbeni womntwana kuyibuyisele ku-placenta.
- Umthambo Owodwa: Yilapho igazi elihlanzekile, eligcwele umoya-mpilo nezakhamzimba, elivela emzimbeni wakho liyiswa emzimbeni womntwana.
Intambo yonke yenkaba yenziwe ngento ekhethekile efana nejeli evikela lezi zinzwa ezintathu. Lokhu kuvikela intambo yenkaba ekuxabaneni nasekuchotshozweni kalula.
Yiziphi izinkinga ezivamile ezingase zivele entanjeni yesisu?
Esikhathini esiningi, intambo yesisu yenza umsebenzi wayo kahle phakathi nokukhulelwa ngaphandle kwezinkinga. Kodwa-ke, akuvamile kakhulu ukuthi kube nezinkinga ezithile. Kubaluleke kakhulu ukuzazi kusengaphambili. Kodwa ungesabi ukufunda ngazo. Eziningi zalezi zimo manje zingatholakala kusenesikhathi ngokuskena okuthuthukisiwe.
1. I-Umbilical Artery Eyodwa (SUA)
Njengoba sixoxile ngaphambili, intambo evamile yesisu inemithambo emibili kanye nomthambo owodwa. Kodwa-ke, ngezinye izikhathi akubi khona umthambo, kodwa kube nomthambo owodwa kanye nomthambo owodwa. Lokhu kubizwa ngokuthi 'i-Single Umbilical Artery' (SUA) noma 'intambo yemithambo emibili'.
Lesi simo sibonakala cishe ku-1% kuphela wokukhulelwa, ngakho-ke asivamile kakhulu.
Lokhu kungatholakala kalula ngudokotela wakho ngesikhathi sokuskena, njengokuskena okuvamile okungajwayelekile. Ezinye izingane ezine-SUA zingase zibe nezinye izinkinga ezincane zempilo (njengezinguquko ezincane enhliziyweni noma ezinso), ngakho udokotela wakho angase akunake kakhulu lokhu futhi acele ukuhlolwa okwengeziwe. Kodwa isikhathi esiningi, azikho ezinye izinkinga.Kuzalwa ingane enempilo .
2. I-Vasa Previa
Lokhu kuyakhathaza kancane, kodwa kuyisimo esingavamile kakhulu. Okwenzekayo lapha ukuthi imithambo yegazi yomntwana entanjeni yesisu ayixhumani kahle nodonga lwesibeletho, kodwa kunalokho idlula esikhwameni se-amniotic, eduze komlomo wesibeletho.
Ingozi ngalokhu ukuthi uma amanzi akho ephuka ngesikhathi sokubeletha, le mithambo yegazi ingaqhuma. Uma lokho kwenzeka, ingane ingase yophe kakhulu futhi ife ngisho nokufa.
Kodwa into engcono kakhulu ukuthi lesi simo manje singatholakala kusenesikhathi ngokuskena nge-ultrasound. Uma kutholakala, odokotela bangenza ukubeletha okuhleliwe ngaphambi kokubeletha, ngokuvamile phakathi kwamasonto angu-34-37, ukuze babelethe umntwana ngokuphephile. Ngakho-ke , kubaluleke kakhulu ukuya emtholampilo wakho ngesikhathi futhi wenze ukuskena kwakho kwenziwe ngesikhathi.
3. Intambo ye-Nuchal
Cishe uke wezwa ngalena. I-'Nuchal Cord' yigama elisetshenziswa ukuchaza i-umbilical cord egoqa intamo yomntwana kanye noma ngaphezulu njengoba umntwana ehambahamba esibelethweni. Omama abaningi bayesaba lapho bezwa lokhu.
Kodwa ungakhathazeki. Lokhu kuvame kakhulu kunalokho ongakucabanga. Ku-20-30% wokukhulelwa, lokho cishe ingane eyodwa kwezintathu, intambo yesisu ingase iboshwe entanyeni yayo ngesikhathi esithile.
Esikhathini esiningi, lokhu akunangozi. Into efana nejeli entanjeni yesisu ivikela imithambo yegazi ekucindezelweni. Ingaphinde iqaqeke lapho umntwana ehamba. Ngesikhathi sokubeletha, udokotela noma umbelethisi uzokuqapha lokhu futhi akususe ngokucophelela ngokushesha nje lapho umntwana ezalwa. Ezimweni ezingavamile kuphela, lapho intanjeni yesisu iboshwe ngokuqinile kangangokuthi ukushaya kwenhliziyo kwengane kuyehla, lapho udokotela eyothatha khona izinyathelo zokubeletha umntwana ngokushesha.
4. Amafindo Entambo Yenkaba
Lokhu kungenzeka nalapho umntwana elwa esibelethweni. Kungabangela ifindo entanjeni yesisu, okufana nentambo yesicathulo. Kunezinhlobo ezimbili zamafindo:
- Amafindo Amanga: Lawa akuwona amafindo ngempela. Angukuvuvukala okuncane komthambo wegazi entanjeni yesisu okubukeka njengefindo. Lawa awayona ingozi.
- Amafindo Angempela: Yilapho ifindo lakhiwa khona ngempela. Lawa avame ukukhululeka kakhulu, njengentambo elula eboshwe engonweni. Ngakho-ke, akukho mingcele ekugelezeni kwegazi enganeni.
Kodwa akuvamile kakhulu, ngaphansi kwe-1% yesikhathi, leli findo lingaqina. Uma lokhu kwenzeka, umntwana angase aswele umoya-mpilo nezakhamzimba. Odokotela bazohlala beqapha ukushaya kwenhliziyo nokunyakaza kwengane ukuze bahlole le ngozi.
| Inkinga | Kalula nje... | Ingabe kufanele wesabe? | Ungazibona kanjani? |
|---|---|---|---|
| Umthambo Wesibeletho Esisodwa (i-SUA) | Ukuba nemithambo yegazi emibili esikhundleni semi-3. | Cishe akukho okubi ngakho. Udokotela uzoqaphela kakhulu. | Ukuskena nge-ultrasound. |
| I-Vasa Previa | Indawo yemithambo yegazi eduze komlomo wesibeletho. | Yebo, kudingeka uqaphele, kodwa uma ukuthole kusenesikhathi, kuphephile ngokuphelele. | Ukuskena nge-ultrasound. |
| Intambo yeNuchal | Ukusonga intambo yenkaba entanyeni. | Ngokuvamile akukho okubi okwenziwayo. Kuvamile kakhulu. | Kusukela ekuskeni noma ngesikhathi sokubeletha. |
| Ifindo Lentambo Yenkaba | Ifindo entanjeni yesisu. | Esikhathini esiningi, ifindo liyakhululeka futhi alibangeli monakalo. Akuvamile ukuthi liqine. | Ukusola kungasolwa ngokuqapha ukushaya kwenhliziyo kwengane. |
Ngakho-ke, kufanele ngenzeni?
Into ebaluleke kakhulu ukufunda ngalezi zinto futhi ungesabi ngokungadingekile, kodwa wenze ngokuthula nangokuhlakanipha. Udokotela wakho kanye nesisebenzi sezempilo somndeni bazoba khona ukuze bakunakekele phakathi nokukhulelwa kwakho.
- Yiya emitholampilo yakho ngesikhathi. Thola zonke izivivinyo ngesikhathi.
- Qiniseka ukuthi uthola amaskeni anqunywe udokotela wakho. I-Anomaly Scan ibaluleke kakhulu.
- Uma ubona ushintsho olukhulu ezindleleni zokunyakaza kwengane yakho (isib., uma ingashukumi njengenjwayelo), yazisa udokotela wakho noma isibhedlela ngokushesha.
- Uma unemibuzo noma ukukhathazeka, ungazigcini wedwa futhi ukhathazeke ngakho, kodwa buza udokotela wakho.
Khumbula, isayensi yezokwelapha ithuthuke kakhulu namuhla. Odokotela namuhla bangabona eziningi zalezi zimo kusenesikhathi, bathathe izinyathelo ezidingekayo, futhi babelethe ingane enempilo ngaphandle kokulimaza umama nengane.
Umlayezo Wokuya Nawe Ekhaya
- Intambo yesisu iyindlela yokuphila yengane. Ezimweni eziningi zokukhulelwa, azikho izinkinga ngayo.
- Izinkinga ngentambo yomlomo azivamile. Izimo ezivamile njengentambo ye-nuchal ngokuvamile azinangozi.
- Ungayeki noma yimiphi imitholampilo yakho ehleliwe kanye nokuskena. Lokhu kungabona izinkinga eziningi kusenesikhathi.
- Uma udokotela wakho ekhuluma ngenkinga, ungesabi ukuyibuza, kodwa lalela ngokucophelela ukuze uthole ukuthi iyini nokuthi yiziphi izinyathelo okufanele uzithathe ngokulandelayo.
- Jabulela ukukhulelwa kwakho ngaphandle kokwesaba okungadingekile, ngenjabulo nangokuphilile. Udokotela wakho uhlala ekuqapha wena nomntwana wakho.
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