Ukubheka ngokucophelela i-Term Nuchal Cord
Ithembo lensiza ye-nuchal libhekisela esimweni lapho intambo yomzimba ihlanganiswe khona noma ngaphezulu izikhathi ezungeze entanyeni yentombazane engakazalwa. Yize kungase kuzwakale okokuqala ukuthi isimo esinjalo singabangela ingozi enkulu yokweqa umntwana esibelethweni, lokhu akuvamile ukuthi kwenzeke.
Intambo ye-nuchal yisimo esivamile, esivela ku-okwesithathu kwayo yonke yokudiliva kanye nezinhlobo ezimbili (A no-B).
Thayipha A kusho ukuthi intambo ihlanganiswe ngokungahambisani, bese uthayipha uB kusho ukuthi intambo iboshwe kakhulu entanyeni yentombazane. Thayipha izintambo ze-nuchal azivamile ukuba nezinkinga futhi ngokuvamile zilawulwa udokotela noma umbelethisi oqeqeshwe ukufaka intambo phezu kwentamo yomntwana ngesikhathi sokubeletha ukuvimbela ukucindezelwa. Ezingxenyeni ezimbalwa, ukuthayipha izintambo ze-B nuchal kubonakala kubangele ukukhula kwesigaba se-C , kepha izifundo eziningi azitholi ingozi eyengeziwe yokwanda kwezinkinga nanoma yiluphi uhlobo lwetambo le-nuchal elibonwe yi-ultrasound.
Ekuqondeni izintambo ze-nuchal, kusiza ukukhumbula ukuthi izinsana ezingakazalwa aziphefumuli emlonyeni wazo esibelethweni. I-oksijeni ihlinzeka ngegazi lomama nge- placenta kanye nentambo ye-umbilical, futhi intambo yakhiwe ngendlela yokuthi ukunyakaza okujwayelekile kanye nokuhlangana komntwana ongakazalwa ngokuvamile ngeke kuphazamise igazi ukugeleza ngentambo. Ngesikhathi sokubeletha, odokotela abaqeqeshiwe noma ababelethisi bayakwazi ukuqapha intambo ye-nuchal futhi bathathe ukungenelela okufanele uma kudingeka futhi ngakho-ke akuvamile ukuthi isimo sibangele noma yiziphi izinkinga.
Imithombo:
Ingxenye yeKesariya yencambo ye-nuchal - ibhange lombuzo. Meyi 2009. Ikholeji yaseRoyal of Obstetricians kanye namaGynecologists. Kufinyelelwe: Feb 2010.
Collins, Jason H. "Uhlobo lweNuchal uhlobo A nohlobo B." Am J Obstet Gynecol. 1997 Jul; 177 (1): 94.
Izinkinga ze-Fetus noma Izinsana. I-Merck Manual Home Edition. Kufinyelelwe: Feb 2010. http://www.merck.com/mmhe/sec22/ch261/ch261c.html
I-Mastrobattista JM, i-Hollier LM, i-Yeomans ER, i-Ramin SM, i-Day MC, i-Sosa A, i-Gilstrap LC yesithathu. "Imiphumela yethambo ye-nuchal ekuzalweni kokubeletha kanye nemiphumela ye-neonatal ngokushesha." Am J Perinatol. 2005 Feb; 22 (2): 83-5.
E. Peregrine, uP. O'Brien, E. Jauniaux. "Ukutholakala kwe-Ultrasound yentambo ye-nuchali ngaphambi kokuqalwa kokusebenza nokubeka ingozi yesigaba se-Caesarea" i-Ultrasound ku-Obstetrics ne-Gynecology. Umqulu 25 Issue 2, Amakhasi 160 - 164
Sheiner E, Abramowicz JS, Levy A, Silberstein T, Mazor M, Hershkovitz R. "Intambo kaNuchal ayihlotshaniswa nomphumela omubi we-perinatal." I-Arch Gynecol Obstet. 2006 Meyi; 274 (2): 81-3. Epub 2005 Dec 23.
Umbilical Cord Ukungahleleki. March we-Dimes. Kufinyelelwe: Feb 2010. http://www.marchofdimes.com/professionals/14332_4546.asp#nuchal