Kwakuvame ukuthi lowo mbuzo kwakuwukuthi ngubani okufanele anqume intambo ngemuva kokuzalwa kwengane yakho. Ngisho nanamuhla, uma kuziwa emthonjeni womzimba, kunezinto eziningi okufanele uzicabangele ngemuva kokuzalwa kwengane yakho. Nakhu okudingeka ukwazi ukwenza izinqumo ezinolwazi.
Iyini i-Umbilical Cord?
Umthambo we-umbilical ngokuvamile uqoqo lwezinto ezimbili zomzimba kanye nomswakama ohlanganiswe nezinto ezibizwa ngokuthi i-Wharton's Jelly.
I-jelly ivimbela imishanguzo kanye ne-vein ekucindezelweni ngesikhathi sokukhulelwa kanye nangesikhathi sokuzalwa. (Ezinye izingane zinomshini owodwa owodwa owaziwayo njengezintambo ezimbili zomkhumbi.)
Umntanakho uthola i-oxygen nezakhi ngokusebenzisa le ndlela yokulethwa kwezidingo. Ingane yakho izophinde ichithe imfucuza ngendlela efanayo. Intambo yomzimba ihlanganiswe ne- placenta . Yilapho imithwalo yegazi yomama nengane, ngenkathi ingaxhunywanga ngokuqondile, ukushintshanisa izinto ingane ezidinga izinto okumele ingane idinge ukuyilahla egazini labo.
Uma usana lwakho luzalwa, intambo yomzimba izoqala ukuqeda lokhu kwezidingo. I-placenta iyilungu elilahlwayo, okusho ukuthi ngokukhulelwa okusha, umama uzodala i-placenta entsha yalowo okhulelwe yedwa.
Isigaba Esithathu Somsebenzi
Uma ingane isuswe ngaphandle kwesibeletho futhi izalwa noma ihanjiswa nge-cearean, isigaba sesithathu sokuqala sisebenza.
Lokhu kuvame ukucatshangelwa kuphela ukulethwa kwe-placenta. Ekuzalweni kwesisu, kukhona iwindi elingu-5 kuya kwezingu-30 iwindi lapho i-placenta iqala ukuhlukanisa khona ekugcineni ixoshwe nge-vagina. Ngemuva kwesigaba se-cearean , i-placenta isuke isuswe ngesandla esiswini.
Ngakho Kwenzekani Kulolu Cord?
Yilapho izinketho zezintambo zomzimba zingena khona. Esikhathini esidlule, intambo ye-umbilical iye yahlungwa futhi yasika ngokushesha, yahlukanisa umntwana nomama ngisho nangaphambi kokubelethwa kwe-placenta. Ucwaningo olusha kule minyaka eyishumi eyedlule luye lwabonisa ukuthi kunezinzuzo kokubili izinsana ezingakabi isikhathi esifushane nezesikhathi esigcwele ukuba ziphuze ukuphoqelela intambo.
Intambo echezekile Ukugubha noma Ukulinda Kuze Kuvele Ikhamera Ukuqhuma
Ukuphoqa ukukhwehlela kwetambo kungase kube yisikhathi esididekayo. Incazelo evamile kakhulu yokubambezeleka kwentambo yokulibazisa ukulibaziseka okulula kokusika nokubopha intambo isikhathi esincane noma emibili. Lokhu kuvumela ingane ukuthi ithole okungaphezulu kwegazi eligcinwe ku-placenta, okuyivumela ukuba ligelekele kumntanami njengoba intambo iqhubeka ishayela.
Enye indlela ukulinda kuze kube yilapho intambo iyeka ukudonsa ukuyisika. Lokhu kuthiwa ukuvumela lonke igazi elizoya kumntanami ukuze empeleni litholwe ngumntwana.
Yiziphi Izinzuzo Zokulinda?
Kuzinsana zesikhathi esigcwele, izinzuzo zokubambezela ukuphoqa nokusika ziwukuthi kunciphise ingozi yokuntula i-anemia yensimbi ezinyangeni zokuqala eziyisithupha zokuphila. Kubalulekile ukuthi uqaphele ukuthi ngenkathi ingane ithola igazi emthonjeni womzimba, isebenza njengendlela yokuvuselelwa kwemvelo yomzimba.
Uma ingane yakho isengakapheli, iba yinto ebaluleke nakakhulu empilweni yabo. Eqinisweni, ezinye izinyunithi zokunakekelwa kwe-neonatal ezinamandla (NICU) zenze intambo yokubambezeleka iphoqa izinga labo lokunakekelwa. Ngalezi zingane, zinganciphisa kokubili isidingo sokumpompela kanye nesifo se-intraventricular hemorrhage (IVH), ngaphezu kokunciphisa i-anemia.
Yiziphi Izingozi Zesivinini Sokunciphisa?
Kuye kwaba nokukhathazeka okuningi okuhlongozwayo mayelana nezingozi zokubamba izintambo zokubambezeleka. Izindaba ezinhle wukuthi ukubambezeleka kwentambo yokubambezeleka akuhlobene nokulahleka kwegazi kumama. Ngenkathi ezinye izifundo zibonisa ukuthi izinsana zesikhathi esigcwele zingase zibe yengozini encane yokugaya i-jaundice, akusona isizathu sokudlula ukwelashwa okubambezelekayo okugxilwe ukukhwabanisa kuyatholakala lapho ubeletha khona.
Kukhona idatha ebonisa ukuthi kungase kube nokwanda kancane kwe-polycythemia ngezingane ezigcwele, okuphambene ne-anemia (amanye amangqamuzana egazi obomvu egazini lomntwana). Lokhu, noma kunjalo, akudingeki ukwelashwa noma kubonakale kuwumphumela oqondile we-cording cording delay.
Ungayithola kanjani i-Cord yokugxila?
Isinyathelo sokuqala ukukhuluma njalo nodokotela noma umbelethisi wakho ukuze abone ukuthi umkhuba wabo ovamile uzalwa nini. Uma ukubambezeleka kokubamba intambo akuyona inqubo yabo yokunakekelwa, ungachaza isifiso sakho kumsebenzi wakho futhi ndawonye unqume uhlelo lokunakekelwa.
Ukunciphisa Kanjani Ukugwinywa Kungenakwenzeka?
Ngezinye izikhathi into eyenzekayo ekuzalweni idinga ukuthi intambo igalelwe ngokushesha. Isibonelo esisodwa singase sibe uma intambo iboshelwe ngokuqinile entanyeni yomntwana lapho ibeletha futhi udokotela akakwazi ukuletha phezu kwekhanda lomntwana ngaphambi kokuzalwa. Lokhu akuvamile. Kodwa, kubalulekile ukuqaphela ukuthi ngenkathi izinzuzo zokubamba izintambo zokubambezeleka zilungile kumntanakho, uma ungakwazi ukukwenza ngokuphepha, ngokuvamile akuyona into engakwazi ukunqotshwa ngezinye izinyathelo.
Ezinye izinto okufanele uzicabange uma ukubambezeleka kokugqinisa intambo akuyona inketho:
1. Ingane idinga ukunakekelwa kokubeletha ngokushesha noma ukuvuselelwa, njengoba kungaba njalo ekukhululweni okuvela ngokushesha noma kwezinye izimo zokungabi nesikhathi sokuqala
Ukuhlukaniswa kwangaphambi kwesikhashana kwe-placenta kusuka odongeni lwe-uterine kungabangela ukulahlekelwa igazi ngokweqile kokubili umntwana nomama, njengamacala okuphazamiseka kwamapayipi noma nge-placenta previa lapho ukulahleka kwegazi okusheshayo kungaba yinkinga.
3. Isifiso sokuqoqa i-cord blood for banking lapho imiqulu emincane yeqoqo legazi eliphansi lingabangela amasampula angenele okugcina.
Ubani Ongayinqamula Intambo?
Ngemikhaya yokuphoqa imithwalo yokuphuza ngokuvamile ikwazi ukukhetha okuningi ukuthi ubani ongayinqamula intambo . Ivumela isikhathi somlingani wakho noma ukuthi ubambe iqhaza kulokhu uma unesithakazelo. Qiniseka ukuthi uhlole nodokotela wakho ngalolu khetho kuhlelo lwakho lokuzalwa .
Imithombo:
UMcdonald, uSusan J., uPhilippa Middleton, uThese Dowswell noPeter S. Morris. "Impumelelo Yesikhathi Se-Umbilical Cord Ukunqotshwa Kwezingane Zengane Emiphumeleni Yomama Neonatal." Impilo Yomntwana Evidence Based Based Health Evid: E-Cochrane Review Journal 9.2 (2014): 303-97.
I-Mercer, i-JS "I-Cord echelekile Ukugcoba ezinsaneni ezisencane kakhulu kunciphisa ukulimala kwe-Intraventricular Hemorrhage ne-Sepsis esebenzayo esikhathini esizayo: Isivivinyo Esingahleliwe, Esilawulwayo." I-Pediatrics 117.4 (2006): 1235-242.
Nevill, Elizabeth, noMichael P. Meyer. "Umthelela weNcambo Echelekile Ukugwinya (DCC) Ngokuphefumula Nokuguqulwa Ekuzalweni Ekubelethweni Ezinsana Ezisengaphambili." Ukuthuthukiswa Kwabantu Ekuqaleni 91.7 (2015): 407-11.
URabe, Heike, uJose Luis Diaz-Rossello, Lelia Duley, noThese Dowswell. "Impumelelo Yesikhathi Se-Umbilical Cord Ukugwinya Nokunye Amasu Okuthonya Ukuguqulwa Kwendawo Engakazalwa Ngaphambi Kokuzalwa Emiphumeleni Yomama Nezingane." I-Cochrane Database Yokubuyekeza Okuhlelekile Ukubuyekeza (2012): n. pag.