Amanyathelo alandelayo emva koVavanyo lweNtambo ezimbini

Umxholo

• Yintoni intambo yeenqanawa ezimbini?
• Yintoni ebangela intambo yeenqanawa ezimbini?
• Ichongwa njani intambo yeenqanawa ezimbini?
• Ngaba kufanelekile ukuba uxhalabe malunga nokuchongwa kweenqanawa ezimbini?
• Uza kujongwa njani ngokwahlukileyo ukuba unesifo seVessel Cord Diagnosis?
• Ukuthatha

Ngokwesiqhelo, intambo yesibeleko ineemithambo ezimbini kunye nomthambo omnye. Nangona kunjalo, ezinye iintsana zinomthambo omnye kunye nomthambo. Le meko yaziwa njengokuchongwa kwentambo yenqanawa ezimbini.

Oogqirha bakubiza oku njenge-artery umbilical (SUA). NgokukaKaiser Permanente, uqikelelo lwepesenti enye yokukhulelwa inentambo yeenqanawa ezimbini.

Yintoni intambo yeenqanawa ezimbini?

Umtya we-umbilical ujongene nokuhambisa igazi eline-oksijini usana kunye nokususa igazi elingenayo i-oxygen kunye neemveliso zenkunkuma emntwaneni.

Umthambo uhambisa igazi eline-oksijini usana. Iimbilini zemithambo zithwala igazi elingenayo i-oxygen kude nomntwana kwaye liye kwi-placenta. Umkhaya ke ubuyisela inkunkuma egazini likanina, kwaye nezintso ziyazisusa.

Iintambo ezininzi ezingaqhelekanga zikhona, kubandakanya intambo emfutshane kakhulu okanye ende. Enye intambo yenqanawa ezimbini okanye iSUA. Olu hlobo lwentambo lunomthambo omnye kunye nomthambo endaweni yemithambo emibini kunye nomthambo.

Yintoni ebangela intambo yeenqanawa ezimbini?

Oogqirha abazi ngqo ukuba yintoni ebangela ukuba kuphuhle intambo yeenqanawa ezimbini. Enye ithi ithi umthambo awukhuli kakuhle esibelekweni. Enye into kukuba umthambo awusahluli kubini njengoko ubuqhele ukwenza.

Abanye abantu basetyhini kunokwenzeka ukuba babe nentambo yeenqanawa ezimbini kunabanye. Imiba yomngcipheko kwintambo yeenqanawa ezimbini ibandakanya:

• ukuba ngumntu omhlophe
• ukuba mdala kuneminyaka engama-40
• ukhulelwe intombi
• ukuba nembali yeswekile okanye iziqwenga zeswekile egazini ngexesha lokukhulelwa
• ukhulelwe abantwana abaninzi, njengamawele okanye abathathu
• ukuthatha amayeza aziwa ngokuchaphazela ukukhula komntwana, njengephenytoin

Nangona kunjalo, le micimbi yomngcipheko ayiqinisekisi ukuba umama uya kuba nosana olunentambo yeenqanawa ezimbini.

Ichongwa njani intambo yeenqanawa ezimbini?

Oogqirha bahlala bechonga intambo yeenqanawa ezimbini ngexesha lokukhulelwa kokubeleka. Olu luphononongo lokucinga ngomntwana.

Oogqirha bahlala bejonga imithambo yeembilical kuvavanyo lwesibini lweenyanga ezintathu kwiiveki ezili-18. Nangona kunjalo, ngamanye amaxesha isikhundla somntwana senza ukuba kube nzima kugqirha wakho ukujonga ngokupheleleyo intambo.

Olunye ukhetho kukuhambisa umbala kumatshini we-Doppler ultrasound, onokunceda ugqirha ukuba abone intambo yeenqanawa ezimbini ngaphambili. Oku kudla ngokuba malunga neeveki ezili-14 zokumitha. Ukuba unenkxalabo malunga nomngcipheko womntwana wakho kwintambo yeenqanawa ezimbini, thetha nogqirha wakho.

Ngaba kufanelekile ukuba uxhalabe malunga nokuchongwa kweenqanawa ezimbini?

Kubafazi abathile, ukuxilongwa ngentambo yeenqanawa ezimbini akubangeli nantlukwano ebonakalayo ekukhulelweni kwabo. Zininzi iintsana ezinomthambo omnye onokukhulelwa okusempilweni kunye nokuzala.

Nangona kunjalo, ezinye iintsana ezinomthambo omnye zisengozini yokufumana iziphene zokuzalwa. Imizekelo yeziphene zokuzalwa ezithi iintsana ezinokuxilongwa kweenqanawa ezimbini zinokubandakanya:

• iingxaki zentliziyo
• iingxaki zezintso
• iziphene zomqolo

Intambo yeenqanawa ezimbini ikwadityaniswa nomngcipheko omkhulu wokungaqhelekanga kofuzo owaziwa ngokuba yiVATER. Oku kumela iziphene ze-vertebral, i-anal atresia, i-transesophageal fistula ene-esophageal atresia, kunye ne-radial dysplasia.

Iintsana ezinentambo yeenqanawa ezimbini zinokuba semngciphekweni omkhulu wokungakhuli ngokufanelekileyo. Oku kunokubandakanya ukuhanjiswa kwangaphambi kwexesha, ukukhula kancinci kunokukhula kwesiqhelo komntwana, okanye ukuzalwa komntwana oswelekileyo. Ugqirha wakho unokuxoxa nawe ngale mngcipheko.

Uza kujongwa njani ngokwahlukileyo ukuba unesifo seVessel Cord Diagnosis?

Oogqirha bahlala bebona uninzi lweengxaki umntwana anokuzifumana ngenxa yentambo yeenqanawa ezimbini kwisisombululo esiphakamileyo se-ultrasound.

Ukuba ugqirha wakho okanye uchwepheshe we-ultrasound ufumanisa intambo yeenqanawa ezimbini ngenkcazo esezantsi ye-ultrasound, banokucebisa ngesisombululo esiphakamileyo sokujonga ngokuthe ngqo ukubonwa komzimba womntwana wakho. Ngamanye amaxesha ugqirha wakho unokucebisa i-amniocentesis. Olu vavanyo lunokunceda ukumisela ukukhula kwemiphunga kunye nezinye iimeko ezinxulumene nophuhliso.

Olunye uvavanyo okanye uphononongo ugqirha anokucebisa lubandakanya:

• imbali yezonyango
• Imbali yonyango yosapho
• i-echocardiogram yomntwana (ukujonga amagumbi kunye nokusebenza kwentliziyo yomntwana)
• Ukuvavanywa kokungaqhelekanga kwemfuza ekukhulelweni, njengokuvavanywa kwe-aneuploidy

Ukuba usana lwakho alubonakali ngathi luneziphumo ezibi ezivela kwintambo yeenqanawa ezimbini, oku kwaziwa njenge-artery umbilical artery eyodwa (i-SUA).

Ukuba ugqirha wakho akayikrokreli ukuba umntwana wakho ufumana naziphi na iziphumo ebezingalindelekanga ezivela kuxilongo lwentambo yeenqanawa ezimbini, banokucebisa nge-ultrasound kwikamva. Oku kunokubandakanya inyanga nenyanga okanye ngokulula kwi-trimester yakho yesithathu, ukuqinisekisa ukuba umntwana wakho ukhula ngokulinganayo kubudala babo. Nokuba ugqirha ubize intambo yakho yeenqanawa ezimbini i-SUA eyahlukileyo, usekho umngcipheko wokucotha kunokukhula kwesiqhelo komntwana. Oku kwaziwa ngokuba sisithintelo sokukhula kwangaphakathi (IUGR).

Ukuba nentambo yeenqanawa ezimbini ayihambelani nomngcipheko omkhulu wecandelo le-C xa kuthelekiswa nokuhanjiswa kwelungu lobufazi. Nangona kunjalo, ukuba umntwana wakho unokungasebenzi kakuhle komzimba, banokufuna ukhathalelo kwiyunithi yokhathalelo olunzulu lwe-neonatal (NICU) emva kokuzalwa.

Ukuthatha

Ukuba ugqirha wakho ufumanise ukuba umntwana wakho unentambo yeenqanawa ezimbini, kuyafuneka kuvavanywe ngakumbi.

Ngelixa ezinye iintsana zingenangxaki njengempembelelo yecala kwintambo yeenqanawa ezimbini, ezinye zinako. Ugqirha kwaye mhlawumbi ingcali yemfuza unokunceda ukumisela amanyathelo alandelayo kunye nokuxilongwa kunye neqabane lakho.