Uke wazibuza ukuthi kwenzekani uma intambo yomntwana iseduze nentamo lapho izalwa? Abazali bavame ukwesaba ukucabanga ngentambo yomntwana ehlala entanyeni ekuzalweni, ebizwa nangokuthi intambo ye-nuchal. Iqiniso liwukuthi lokhu kuyisenzakalo esivamile kakhulu, okwenzeka cishe kwesithathu kwezo zonke izinhlobo zokuzalwa. Intambo iboshwe entanyeni ngesikhathi sokukhulelwa njengoba umntwana ehamba nxazonke.
Intambo yomzimba ihlanganiswe nesembatho esivikelayo esibizwa ngokuthi i-Wharton's Jelly. Lokhu kufana ne-gristle ekuthunjweni futhi kuvimbela ingane ukuba ikwazi ukucindezela imishanguzo kanye ne-vein ehamba ngentambo. Ngakho intambo ehlanganiswe ngokuvamile ayiyona inkinga yengane.
Ukuthola Ukuxilongwa Kwentambo Emhlabathini Owenziwe Ngenduku
Okwamanje ubuchwepheshe be-ultrasound abuzuzisi kakhulu ekunqumeni intambo ye-nuchal. Ucwaningo olulodwa lubonisa ukuthi kwakungamaphesenti angamashumi ayisithupha nanhlanu kuphela okuthola ithuba lokuthola intambo entanyeni nge-ultrasound. Kwakukhona futhi amaphesenti ayisishiyagalolunye wamaphesenti amazinga amanga, okusho ukuthi cishe owesifazane kwabahlanu kwaba utshele ukuthi kwakukhona intambo ezungeze intanyane lapho engekho. Lokhu, njengoba ungacabanga, kubangela ukukhathazeka okukhulu. Ngesikhathi sokuzalwa, lapho ikhanda lomntanami seliphuma, umbelethisi noma udokotela uzohlola insizwa yomntwana ngokutholakala kwentambo yomlomo.
Kwenzekani Uma Intambo Ikhona Emgodleni
Uma ngabe udokotela enqume ukuthi kukhona intambo, bazokhipha isinqumo sokuthi kufanele uqhubeke kanjani.
Ngokujwayelekile intambo ihlanganiswe ngokukhululekile ngokwanele ukuze intambo iphotshwe phezu kwekhanda lomntwana. Uma intambo ihlanganiswe izikhathi eziningi lokhu kungathatha isikhathi esithile. Ngokujwayelekile uzocelwa ukuba ungacindezeli okwesikhashana kuyilapho lokhu kwenzeka.
Ngezinye izikhathi intambo ihlanganiswe kakhulu futhi intambo izokwekwa ngaphambi kokuba ingane izalwe.
Lokhu kwenziwa ngumbelethisi wakho noma udokotela ngokubeka izintambo ezimbili zezintambo nokusika phakathi kwabo. Lokhu kudinga ukuzalwa komntwana ngokusheshisa ngoba engasatholi izakhi ezivela kumama nge-placenta.
Ngezinye izikhathi umntwana uzozalwa ngokushesha kangangokuthi ayikho enye yalezi zindlela ezingasetshenziswa. Udokotela onamakhono uzobamba ikhanda lomntana ngisho nalapho eseduzane nomzimba womama njengoba umzimba wezingane uzalwa ngentambo. Lokhu kubonakala sengathi ingane iphuma lapho izalwa. Intambo ehlala entanyeni ngokuvamile ayidingi ukunakekelwa okungeziwe kwengane noma umama.
Ezinye ze-Umbilical Cord Izinkinga zokuzalwa
Kunezinye izinkinga ngezintambo ezingabangela izinkinga. Lokhu kufaka phakathi ukucindezelwa kwentambo kanye nencambo yokuguquka. Ukuncintisana kwezintambo yilapho kuqhutshwa khona intambo ye-umbilical, ngokuvamile phakathi kwezingane ne-pelvis, ngokucindezela kanzima ukuze kubangele ukuphazanyiswa. Ngezinye izikhathi lokhu kuncishiswa ngokuba nomama ashintshe isikhundla, ngisho nento elula njengokugwedla ukusuka ohlangothini lwakhe lokunene kuya ohlangothini lwakhe lwesobunxele. Kungase futhi kusho ukuthi ezinye izindlela zokungenelela zingadingeka, njenge-oxygen kumama, noma i-amnioinfusion. (Yilapho lapho amanzi ehlelwa khona esibelethweni ukuze ahlinzekwe umthamo womntwana kanye nentambo ye-umbilical.) Ngezinye izikhathi uma ukushintsha kwezinga lenhliziyo yengane kunzima ngokwanele noma kungaphenduli ukwelashwa, kungenzeka ukuthi kudingeke ukuthi kuzalwe ukubeletha.
I-cord prolapse ivela lapho intambo yomgogodla ingena emgodini wokuzalwa (isitho sangasese) kanti ingane isemva kwayo. Lokhu kungabangela isimo esiphuthumayo ngenxa yokuthi ukugeleza kwegazi kwetambo kungaphoqwa ngokucindezelwa phakathi kwekhanda nomzimba wengane. Iningi lesikhathi, umntwana ophethe intambo ehamba phambili uzoba nokubeletha okuphuthumayo . Lokhu kungase kusho nokuthi i- anesthesia jikelele iyadingeka.
Ukuba nentambo entanyeni kuyinto engeke ibuye ibuyele ekuzalweni okuzayo. Futhi akubangelwa ukuphakamisa izingalo zakho phezu kwekhanda lakho ekukhulelweni, njengabantu abaningi abaqashile abaqashile ukuthanda ukuthanda ukukholelwa.
Uma ukhathazekile, khuluma nodokotela noma umbelethisi wakho mayelana nendlela abaphatha ngayo lokhu ngesikhathi sokuzalwa.
> Imithombo:
> Hofmeyr GJ, Lawrie TA. I-Amnioinfusion ye-potential or suspected cord umbilical compression in labor. Database Cochrane Yokuhlolwa Okuhlelekile 2012, Issue 1. Art. Cha: CD000013. I-DOI: 10.1002 / 14651858.CD000013.pub2.
> Peregrine E. O'Brien P. Jauniaux E. Ukutholakala kwe-Ultrasound yentambo ye-nuchar ngaphambi kokufakwa kwebasebenzi kanye nobungozi besigaba saseKesariya. I-Ultrasound Obstet Gynecol 2005; 25: 160-4.
> I-Sheiner E, i-Abramowicz JS, iLevy A, i-Silberstein T, i-Mazor M, i-Hershkovitz R. Nuchal intambo ayihlotshaniswa nomphumela omubi we-perinatal. I-Arch Gynecol Obstet. 2006 Meyi; 274 (2): 81-3. Epub 2005 Dec 23.
> Wilson B. Sonography of the Placenta kanye Umbilical Cord. I-Radiologic Technology. 2008; 79 (Mashi / Ephreli): 333S.