Ukuvakasha kwe-Umbilical Cord
Kungenzeka ukuthi uke wazizwa e-ultrasound yakho ukuthi unezintambo ezintathu zomkhumbi noma ukuthi befuna intambo yesithathu yomkhumbi. Iyini intambo yomkhumbi amathathu?
Ake siqale ngezinsizakalo zezintambo zomlomo . Intambo yomzimba iwukuxhumana phakathi komntanakho kanye ne-placenta. Insimu ejwayelekile yomlomo iqukethe imithambo emibili kanye nomvuthwandaba owodwa, lokhu kuyaziwa ngokuthi intambo yesithathu yomkhumbi.
Ihlanganiswe yi-substance enamandla e-gelatinous eyaziwa ngokuthi i-Wharton's Jelly. I-vein ifaka oksijini nezondlo kumntwana kusuka kumama. Imishanguzo isetshenziselwa ukuthutha udoti kude nomntwana kuya kumama ngezinso zakhe.
Intambo yomzimba iqala ukwakha ekuqaleni kokukhulelwa, ngeviki lesihlanu lokubeletha. Kuzothola isikhathi eside futhi uthathe umumo odumile wekhoyili njengoba wenza. Ubude obude bomthamo womzimba buyizingalo ezingamashumi amabili nambili kuya kwangu-24.
Ukuhlolwa kwePlacental ne-Umbilical Cord Nge-Ultrasound
Uma une- mid-pregnancy ultrasound , eyaziwa nangokuthi ucwaningo lwe-fetal anatomy, i-ultrasonagrapher yakho izohlola i-placenta. Bafuna izinto eziningi. Bazozama ukubona kokubili imishanguzo kanye ne-vein ngesikhathi sokuhlolwa kwakho. Lokhu kulula kwenziwe ngombala we-Doppler ultrasounds kodwa kungenziwa ngomshini wakho ovamile we-ultrasound. Kungenzeka noma bangasho lutho ngokuhlolwa. Ubukhulu nendawo yendawo ye-placenta ne-umbilical zizophawulwa.
I-Jelly ne-Knots e-Wharton ku-Cube Umbilical
I-Wharton's Jelly inkulu kakhulu futhi isiza ukuvikela imishanguzo kanye ne-vein ekucindezelweni ngesikhathi ukhulelwe njengoba ingane yakho ikhula futhi intambo igxilile futhi ingase ifakwe cishe ngamaphesenti owodwa kuwo wonke ukuzalwa. Lokhu kuvame kakhulu ekukhulelweni kwezinhlangothi ezimbili ezifanayo noma uma intambo yomntanakho isinde kunokujwayelekile.
Amafindo amaningi ahlala ehlulekile futhi angabi usongo kumntanakho, kodwa ukholelwa ukuthi uyimbangela engamaphesenti ayisihlanu emindeni. Ukuqapha kwe-Fetal kuyindlela eyodwa esetshenziselwa ukubheka izinkinga zezintambo, futhi uma izinguquko ezithile zenhliziyo zenzeka, ukuzalwa kwe-laarean kungaba yindlela engcono kakhulu yengane yakho.
Umbilical Cord Ama-Cysts
I-umbilical cord cysts etholakala ngamaphesenti amathathu kuphela wezintambo. Kunezinhlobo ezimbili eziyinhloko: ama-cyst weqiniso nama-cysts amanga. Ama-cysts amanga ahlobene ne-Wharton's Jelly futhi agcwele uketshezi. Ama-cysts eqiniso anezansi okushiwo yizingxenye zokuqala zokukhulelwa. Njengoba i-cysts ingahlotshaniswa nokukhubazeka kokuzalwa, udokotela noma umbelethisi wakho angancoma ukuhlolwa okuqhubekayo kubandakanya i-amniocentesis ukuhlola isizathu. Izikhathi eziningi lezi azitholakali kuze kube sekupheleni kokuzalwa.
I-Single Umbilical Artery
Ngamaphesenti ayisithupha azo zonke izinsana zizoba nomkhumbi wombili womkhumbi, okuyi-artery eyodwa (Single Umbilical Artery) kunamabili. Uzophinde ubone lokhu cishe ngamaphesenti amahlanu okukhulelwa lapho kunezingane ezingaphezu kweyodwa (amawele, ama-triplets, njll). Uma lokhu kutholakala, kufanele uthunyelwe nge-ultrasound eningiliziwe. Isizathu sokuthi enye i-ultrasound yenziwe ukuphinda uhlole okutholakele futhi uqinisekise ukuthi ingane yakho ayinalo okungajwayelekile.
Cishe ngamaphesenti angamashumi amabili ezinsana ezinezintambo ezilodwa kuphela emgqeni womzimba ziyoba nezinkinga.
Vasa Previa
Lapha lapho umkhumbi wegazi ovela entanjeni ungavikelwe yi-Wharton's Jelly futhi empeleni uwele umlomo wesibeletho. Lokhu kungaholela ekuqothulweni komkhumbi ngesikhathi sokuzalwa, ukuxubha, noma ngisho nokucindezela ekupheleni kokukhulelwa. Kuyinkimbinkimbi enkulu. Ngenhlanhla, kungavamile ukuthi kungavamile ukuzalwa kwabantu abangamashumi amabili nanhlanu kuphela. Ukuxilongwa kwangaphambili nge-ultrasound kuyisihluthulelo sokuzalwa okuphephile kwalokhu kukhulelwa. Lapho kutholakala ngaphambi kokukhulelwa, futhi i-cesarean ivame ukuqhutshwa ngesonto elilodwa ngamashumi amathathu nanhlanu ukuvimbela ukulimala komkhumbi.
Ngokuvamile ungabona ukuphuma okungenabuhlungu emithathu noma yesithathu noma uthathwa ku-ultrasound evamile.
Ukufakwa okufakiwe
Ukufakelwa kwetambo ngokudambisa kusho ukuthi kufaka phakathi izimbungulu zangempela kunezikhungo ze-placenta. Lokhu kushiya izitsha zivezwe ezindaweni, okwenze kwenzeke ukuthi zicindezeleke njengoba ingane ikhula.
Izindaba ezinhle ukuthi iningi lesikhathi asikho izinkinga nge-cord umbilical. Isakhiwo esithakazelisayo esisebenza ne- placenta nomntwana.
Imithombo:
I-Balkawade NU, uShinde MA. Ukutadisha Ubude be-Umbilical Cord kanye nomphumela we-Fetal: Isifundo sokudilizwa okungu-1,000. J Obstet Gynaecol India. 2012 Okthoba 62 (5): 520-5.
I-Obstetrics: Ukulungiswa Okuvamile Nezinkinga. IGabbe, S, Niebyl, J, Simpson, JL. Uhlelo lwesihlanu.
Thummala MR, Raju TN, Langenberg P. Isolated Single Umbilical Umshini Anomaly kanye Ingozi For Congenital Malformations: A Meta-Ukuhlaziywa. J Pediatr Surg. 1998, Apr. 33 (4): 580-5.
Umbilical Cord Ukungahleleki. March we-Dimes. http://www.marchofdimes.org/complications/umbilical-cord-abnormalities.aspx NgoFebhuwari 2008. Kugcine ukufinyelelwa ngoFebhuwari 6, 2016.
I-Weiner E, i-Fainstein N, i-Schreiber L, i-Sagiv R, i-Bar J, i-Kovo M. I-Association phakathi kwe-Umbilical Cord Ukungahleleki kanye nokuthuthukiswa kwezinga elingenalo eliqinisayo le-Heart Heart Feting towards the Emergent Deliveries Cesarean. J Perinatol. 2015 Aug 20.