Ngo-2016 i-American Academy of Pediatrics yakhipha iziqondiso ezintsha odokotela kanye nabanye ochwepheshe bezokwelapha ngokubaluleka kokubambezeleka kwentambo yokubethela izinsana. Esiphakamisweni esisha esivunyelwe yi-American College of Obstetricians kanye namaGynecologists, i-AAP ikhishwe isitatimende esihluke kakhulu kunezincomo zabo zangaphambilini zokuqhafaza intambo.
Imikhombandlela endala yakhuthaza ukuthi zonke izinsana ezingakabiphi kufanele zizenzele ukubambezeleka kwezintambo zokubamba, kepha zathi i-jury yayisaphandle uma isimiso sokubambezeleka senkambiso singase sizuze zonke izinsana. Manje, ijaji likhulumile futhi seliphakamise ukubambezeleka kwezintambo zezintambo kuzo zonke izingane, kokubili ngaphambi kwesikhathi nangesikhathi.
Ukwehla kwekhanda Ukuchoboza
Uma uzibuza ukuthi yini emhlabeni owephuzile ukuphoqa intambo, ungakhathazeki-empeleni umkhuba olula. Ngokwesiko, lapho umntwana ezalwa, udokotela noma umbelethisi uzophoqa ngokushesha intambo yomntwana endaweni ethile eceleni kwetambo, kanti i-placenta isengaphakathi kumama. Lokhu kumisa ukugeleza kwegazi kusuka e-placenta kuya emntwaneni.
Udokotela wayezobeka enye insipho ephakeme kancane kune-first clamp kanti udokotela noma umlingani uzokwenza umkhosi "wokusika intambo" okhishwa ngokusemthethweni ingane evela kumama wayo. Inqubo yonke ngokuvamile ithatha imizuzwana engaphansi kwengu-30.
Nge-clamping yezintambo ezisheshayo, nokho, intambo ayifuni ngokushesha. Esikhundleni salokho, udokotela uvumela igazi ukuba liqhubeke ligeleza phakathi kwetambo kuze kuhanjiswe ukusuka komntwana kusuka ku-placenta. Angabuka kuze kube yilapho intambo iyeka ukudonsa, okubonisa ukuthi ukugeleza kwegazi kwe-placenta kuye kwaphela, noma ukulinda isikhathi esithile, njengamasekhondi ayisithupha, ngaphambi kokuphoqa intambo.
Izinzuzo Zenkambo Ukugwinya
I-AAP ne-ACOG ithole ubufakazi obuqinele bokuthi ukubambezeleka kokugubha izintambo kunenzuzo kubo bonke abantwana. Ezinganeni ezizalelwa isikhathi esigcwele (emva kwamasonto angu-37), zathola izinzuzo ezilandelayo:
- Ukwandisa i-hemoglobin (ama-red cells cells) ekuzalweni
- Isitolo se-iron esithuthukisiwe ohlelweni lwezingane ezinyangeni zokuqala eziningana zokuphila, ezixhunyaniswe nezindlela ezinhle zokuthuthukisa ezifana nokuziphatha, imoto, nokukwazi ukuqonda.
- Ukwedluliswa kwamasosha omzimba omzimba kusuka kumama kuya emntwaneni
Ngezinsana ezizalwa ngaphambi kwesikhathi (ezingaphansi kwamasonto angu-37), izinzuzo zokubamba izintambo zokubambezeleka zibaluleke nakakhulu. Izinzuzo zihlanganisa:
- Izinga eliphansi lochopho lomsindo
- Ukusakaza okungcono
- Amazinga wevolumu wegazi angcono
- Izinga eliphansi lokungenisa i-enterocolitis, i-disorder eyingozi emathunjini nasesisu
- Izinga eliphansi lokumpompela igazi
Izincomo Ezintsha
Ukuze uzuze izinzuzo zokubamba izintambo zokubambezeleka, i-AAP incoma ukuthi bonke odokotela nalabo abathumela izingane balinde okungenani imizuzwana engama-30 kuya kwengu-60 ngemva kokuzalwa komntwana ngaphambi kokubopha intambo. Isiphakamiso sesikhathi esiqondile sishiywa kuze kufike ekuqondeni kukadokotela futhi singahluka esibhedlela kuya esibhedlela. Ngokwesibonelo, iBritish College of Odstetricians, ikhuthaza ukunciphisa ukuqhuma kwentambo okungenani imizuzu emibili.
Ongakwenza
Khuluma nodokotela wakho mayelana nemikhuba yakhe yokubambezeleka kwentambo yokubambezeleka nokuthi ngabe uzimisele yini ukulandela izincomo ezintsha. Uma udokotela wakho engaqapheli lo mkhuba, wabelane naye ngocwaningo lwamuva futhi uqiniseke ukuthi wena nodokotela wakho usekhasini elifanayo nokuthi yini engcono kakhulu kumntanakho.
Kumele futhi wazi ukuthi kunezihlobo eziningana nezindleko ezikhulayo ze-jaundice ezinganeni ezisencane eziye zaphuza ukuphoqa kwezintambo, ngoba zandise umthamo we-cell cell obomvu. Lapho amangqamuzana egazi abomvu ehleka ngemuva kokuzalwa, akhipha i-bilirubin, edala i-jaundice.
Ezimweni eziningi, i-jaundice ayiyona eyingozi, kodwa kufanele uqaphele izimpawu nezimpawu ze-jaundice, ezifaka ukuphuziza kwesikhumba noma amehlo nokushintsha kokuziphatha komntanakho, njengokulala okuncane noma ukungafuni ukudla.
> Imithombo:
Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. (2017, Jan.) Umbono weKomidi: Ukugubha izintambo ezifakwe isikhathi eside. Ibuyiswe kusuka ku-http: //www.acog.org/Resources-And-Publications/Komidi-Opinions/Komidi-on-Obstetric-Practice/Delayed-Umbilical-Cord-Clamping-After-Birth