Ukuphikisana Okuvamile Kodwa Okuyingozi
I-cord inserted cord is a complication complication lapho insimu embilical kufakwe ngokungavamile ngaphakathi placenta. Ngokukhulelwa okujwayelekile, izithambo zegazi zomntwana zihamba zisuka enkabeni ye-placenta zingene emntwaneni ngeyodwa. Ngenhlanganisela yokufaka i-cord, imithwalo yegazi yengane ayivikelekile, into ejwayele ukuyizungezile (i-Wharton's jelly) ayitholakali.
Esikhathini esikhwameni esivamile sokugcoba, umthamo womzimba ufakwa phakathi kwe-placenta futhi uhlanganiswe ngokuphelele esikhwameni se-amniotic. Ngenhla yokufaka, i-cord iyazifaka emlonyeni we-amniotic kunokuba i-placenta. Izitsha zegazi zengane zizokwelula ulwelwesi phakathi kwephuzu lokufaka kanye ne-placenta.
Ukufakwa kocingo oludakayo kungabangela ukucindezeleka okukhulu kokukhulelwa, okufana ne- vasa previa . I-Vasa previa yenzeke lapho imithwalo yegazi yengane isondela eduze kwengxenye yangaphakathi yomlomo wesibeletho-izicubu ezihlukanisa isibeletho esiswini. Ngenxa yendawo yabo, le mithini yegazi isengozini yokukhishwa. Lesi simo singabulala cishe ngamaphesenti angu-50 amacala angatholakali aholela ekufeni kokufelwa. Cishe ngamaphesenti angu-6 okukhulelwa okukodwa kanye nezingane okufakiwe ukufakwa kwetambo izoba ne-vasa previa.
Ukufakelwa kwetambo lokuhlushwa kungaxilongwa nge-ultrasound.
Kungase kube nzima ukubona ngesikhathi sokuqala kokukhulelwa kodwa kulula ukubona ngeso lengqondo ngesikhathi se-trimester yesibili. Uma ngabe uthola ukuthi unesiqiniseko sokufaka, udokotela wakho angase afune ukwenza isigaba c .
Ama-Rick Factors
Ukungeniswa okufakiwe ku-1.1% we-single-baby pregnancy kanye namaphesenti angu-8.7 amabili okukhulelwa.
Lolu hlobo lokufaka luvame kakhulu ekuqaleni kokukhulelwa. Ezimweni zokukhipha isisu okuzenzekelayo, ukufakwa kwetambo lokudabuka kwenzeka cishe nxazonke ezingu-33 zesikhathi lapho ukukhulelwa kuqeda phakathi kwamasonto ayisishiyagalolunye nesishiyagalolunye. Ekukhulelweni kokuphela kwamaviki angu-13 no-16, izinga liphansi kancane kuma-26%.
Ezinye izinto ezibeka ingozi zihlanganisa ukuba ne-placenta ene-lobed ezimbili, izimo eziphuthumayo ze-uterine, ne-fetus ene-artery eyodwa.
Ezinye izinhlobo zezintambo ezifakiwe
Ngaphandle kokufaka ukufakwa kwetambo elidakayo, kunezindlela ezihlukahlukene ngezindlela ezehlukene umthamo we-umbilical ungajoyina i-placenta:
- Ukungeniswa okuphakathi (amaphesenti angu-90): Ukubekwa kwe-umbilical okuvamile phakathi nendawo ye-placenta
- Ukufakelwa kwentambo yangaphakathi (amaphesenti angu-7): Intambo yomzimba engaphansi kwezingu-2 cm emgodini ophansi. Ukufakelwa kwetambo lokungena ngaphakathi kungahle kube ukufaka okufakiwe.
Ezinye izinengozi ezihambisana ne-Velamentous Cord Ukufakwa
Ukufakwa kwetambo lokugcoba kungaphazamisa ukuthi ingane ikhula kanjani, yandisa ingozi ye-pre-eclampsia, ukuzalwa ngaphambi kwesikhathi, nesidingo sesigaba c. Uma ingane izalwa, kungenzeka ukuthi idluliselwe ku-unit neonatal yokunakekelwa okunamandla (NICU), ibe nesilinganiso esiphansi se-Apgar (isimo sesimo sangempela somntwana), isisindo sokuzalwa esincane, isilinganiso senhliziyo esingavamile, noma enye izinkinga zomzimba.
Ukungena ngokufakela phambili kubuye kwandisa ingozi yokuba nomntwana osanda kuzalwa.
Umthombo:
I-International Vasa Previa Foundation, "Ukufakela Ngokweqile Ye-Umbilical Cord."