Ukuphazamiseka okungahleliwe kuxhumene namaphesenti angu-10 okubeletha
Ngokusho kocwaningo olusuka ku-Stillbirth Collaborative Research Network, izingozi zezintambo ze-cube zenza cishe amaphesenti angu-10 ezinsana zokuzalwa . Ngenkathi abantu bevame ukucabanga ukuthi ukufa kubangelwa ukukhwabanisa ngengozi, ngokuvamile kubangelwa ukuphazanyiswa ngokungazelelwe kokunikezwa kwegazi kwengane.
Izinhlobo Zengozi
Umthambo womugqa uqukethe imithwalo emine yegazi nemithwalo emibili futhi unesibopho sokunikezela umntwana ngegazi elenziwe nge-oksijeni, elinomsoco kusuka ku-placenta.
Izingozi zingenzeka uma intambo ingonakalisiwe, iphukile noma icindezelekile. Uma kwenzeka lokhu, ukuhlinzeka nge-oksijini kungabangela ukukhubazeka kakhulu. Ngaphandle kokuba inkinga ixazululwe ngokushesha, ukuxoshwa, ukulimala kwengqondo, ngisho nokufa kungaholela.
Izingozi zihlobene kakhulu nentambo engavamile, izinkinga zokukhulelwa, ukuphazanyiswa okungahleliwe kwegazi, noma ukuhlanganiswa kwezenzakalo. Phakathi kwazo:
- Uma kunamanzi amniotic amancane esikhwameni sokugaya, intambo ingakwazi ukucindezelwa phakathi komntwana nodonga lwesibeletho.
- Uma kunamanzi amaningi amniotic, intambo yomzimba ingasheshe isheshe isheshe ivele lapho amanzi eqhuma futhi eqhutshwa.
- Uma intambo ye-umbilical ide isikhathi eside, yayifakiwe.
- Ukubeletha okuningi kungabangela isibeletho futhi kwandise ingozi yokucindezela.
- Ingane esesiswini sokuqala se-breech ingayinciphisa intambo yomzimba ngokuyihlanekezela ngokungafani.
- Isimo esingasongela ukuphila esibizwa ngokuthi i- vasa previa senzeke uma omunye noma ngaphezulu kwemithwalo yegazi emthonjeni we-umbilical ewela ukungena komgudu wokuzalwa ngaphansi kwengane. Uma umlomo wesibeletho uphazamisa, imithwalo yegazi ingacindezelwa noma ihlukane.
Ingozi nokuvimbela
Ukuze konke ukukhathazeka okunengqondo umuntu angase abe nakho ngengozi yendiza yomzimba, empeleni akuyona into engavamile.
Lokhu kungenxa yokuthi intambo igcwala into elula ebizwa ngokuthi i-Wharton's jelly ejikeleza futhi iqhube imishanguzo kanye ne-vein. Ngakho-ke, ngokukhuluma, lapho okuthile kucindezela phezu kwetambo, izitsha zangaphakathi ziyakwazi ukukhipha indlela yokulimaza, njengokungathi ibha yomanzi insipho ngokuqinile.
Ngenkathi izingozi eziningi zezintambo zomzimba zingasetshenziswa ngokungahleliwe (futhi, njengoba kunjalo, azikwazi ukuvinjelwa), kunezinkomba eziningi ezibonisa ukuthi ingozi ingenzeka. Phakathi kwazo:
- Ukuphelelwa amandla kwe-fetal, ukugwaza, noma i-hiccups (eyenzeka nsuku zonke nangaphezulu izikhathi ezine nsuku zonke) kuhlotshaniswa nengozi eyengeziwe yokucindezela intambo.
- Izintambo ze-umbilical ezingenalo ukubonakala okunamahlangothi, okubonakala njengezintambo zivame ukukhombisa ingozi yokufa kwabantu.
- Abesifazane abakhulelwe nge- in vitro fertilization (IVF) , balindele izingane eziningi, noma babe ne- placenta previa (isimo lapho i-placenta ihlanganisa khona noma yonke umlomo wesibeletho) inengozi eyengeziwe ye-vasa previa.
Nakuba ezinye zalezi zimo zingatholakala ngesikhathi sokunakekelwa kokubeletha , abanye (njengokungathi ukukhulelwa komntwana) bangadinga i-ultrasound ukukhomba noma yikuphi okungavamile. Uma kutholakala, ukuhlolwa esibhedlela kunganconywa ukuba kuqashwe ingane okungenani amahora angu-24 kokubili i-ultrasound ne-fetal rate rate monitor.
> Imithombo:
> Collins, J. "Izingozi ze-umbilical cord." Ukukhulelwa kokubeletha kwe-BMC. 2012; 12 (I-Suppl 1): A7.
> Iqembu lokuBamba iqhaza lokuBamba iqhaza lokuCwaninga. "Izimbangela zokufa phakathi kwezinyanga zokuzalwa." I-JAMA. 2011; 306 (22: 2459-68.