Uvavanyo lweCord lweGazi kunye neBhanki

Umxholo

• Luthini uvavanyo lweentambo zegazi kunye nentambo yebhanki yegazi?
• Uvavanyo lwentambo lusetyenziselwa ntoni?
• Yenzelwa ntoni intambo yegazi?
• Igazi lentambo liqokelelwa njani?
• Intambo yegazi ibhanki njani?
• Ngaba kukho naluphi na ulungiselelo olufunekayo lokuvavanywa kwegazi ngentambo okanye ukubhankisha?
• Ngaba bukhona ubungozi bokuvavanywa kwentambo okanye ukubhankisha?
• Zithini iziphumo zovavanyo lwegazi?
• Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa kwegazi ngentambo okanye ukubhankisha?
• Izalathiso

Luthini uvavanyo lweentambo zegazi kunye nentambo yebhanki yegazi?

Intambo yegazi ligazi elishiyeke kwimbambo emva kokuba umntwana ezelwe. Intambo yesambatho sisakhiwo esifana nentambo esidibanisa umama nosana lwakhe olungekazalwa ngexesha lokukhulelwa. Inemithambo yegazi ezisa ukondla emntwaneni kunye nokususa inkunkuma. Emva kokuba umntwana ezelwe, intambo iyanqunyulwa kushiyeke isiqwenga esincinci. Eli qhekeza liya kuphilisa kwaye lenze iqhosha lesisu somntwana.

Intambo yovavanyo lwegazi

Nje ukuba kunqunyulwe umbilini, umboneleli wezempilo unokuthatha isampulu yegazi kwintambo kuvavanyo. Olu vavanyo lunokulinganisa izinto ezahlukeneyo kunye nokujonga usulelo okanye ezinye iingxaki.

Intambo yebhanki yegazi

Abanye abantu bafuna ukugcina ebhankini (ukugcina nokugcina) igazi elivela kwinkaba yomntwana wabo ukuze isetyenziswe kwixesha elizayo kunyango lwezifo. Intambo yesizalo igcwele iiseli ezizodwa ezibizwa ngokuba zii-stem cells. Ngokungafaniyo nezinye iiseli, iiseli zeziqu ziyakwazi ukukhula ziye kwiindidi ezahlukeneyo zeeseli. Oku kubandakanya umongo wethambo, iiseli zegazi kunye neeseli zobuchopho. Iiseli zesinti kwigazi lentambo zingasetyenziselwa ukunyanga ukuphazamiseka kwegazi, kubandakanya i-leukemia, isifo seHodgkin, kunye nezinye iintlobo zeanemia. Abaphandi bafunda ukuba iiseli ezi-stem nazo zinokunyanga ezinye iintlobo zezifo.

Uvavanyo lwentambo lusetyenziselwa ntoni?

Ukuvavanywa kwegazi ngentambo kungasetyenziselwa:

• Linganisa iigesi zegazi. Oku kunceda ukubona ukuba igazi lomntwana linezinga eliphilileyo leoksijini nezinye izinto.
• Linganisa amanqanaba ebilirubin. I-Bilirubin yimveliso yenkunkuma eyenziwe sisibindi. Amanqanaba aphezulu e-bilirubin angangumqondiso wesifo sesibindi.
• Yenza inkcubeko yegazi. Olu vavanyo lunokwenziwa ukuba umboneleli ucinga ukuba umntwana unesifo.
• Linganisa iindawo ezahlukeneyo zegazi ngokubala okupheleleyo kwegazi. Oku kwenziwa rhoqo kwiintsana ezizelwe ngaphambi kwexesha.
• Jonga iimpawu zokuvezwa komntwana kwiziyobisi ezingekho mthethweni okanye ezingasetyenziswanga gwenxa amayeza umama anokuzithatha ngexesha lokukhulelwa. Intambo yegazi le-umbilical inokubonisa iimpawu zeziyobisi ezahlukeneyo, kubandakanya i-opiates; ezifana ne-heroin kunye ne-fentanyl; icocaine; intsangu; kunye namayeza okuthambisa. Ukuba naliphi na kula machiza lifunyenwe kwintambo yegazi, umboneleli wezempilo angathatha amanyathelo okunyanga umntwana kwaye ancede ukunqanda iingxaki ezinje ngokulibaziseka kophuhliso.

Yenzelwa ntoni intambo yegazi?

Unokufuna ukuthathela ingqalelo ukubhankisha igazi lentambo yomntwana wakho ukuba:

• Unembali yosapho yokuphazamiseka kwegazi okanye umhlaza othile. Iiseli zomntwana wakho ziya kuba ngumdlalo osondeleyo wemfuzo kumntakwabo okanye kwilungu losapho. Igazi linokuba luncedo kunyango.
• Ufuna ukukhusela umntwana wakho kwisifo esizayo, nangona kungenakulindeleka ukuba umntwana anyangwe ngeeseli zakhe. Kungenxa yokuba iiseli zomntwana ezizezakhe zinokuba nengxaki efanayo ekhokelele kwisifo kwasekuqaleni.
• Ufuna ukunceda abanye. Unokunikela ngegazi lentambo yomntwana wakho kwindawo ebonelela ngokusindisa ubomi kwiiseli zemithambo ezigulisayo.

Igazi lentambo liqokelelwa njani?

Kungekudala emva kokuba umntwana wakho ezelwe, intambo iya kusikwa ukwahlula usana emzimbeni wakho. Intambo yayiqhele ukunqunyulwa kanye emva kokuzalwa, kodwa imibutho yezempilo ekhokelayo ngoku icebisa ukuba ulinde umzuzu omnye ngaphambi kokusika. Oku kunceda ukuphucula ukuhamba kwegazi emntwaneni, okunokuba nezibonelelo zexesha elide kwezempilo.

Emva kokuba intambo inqunyulwe, umboneleli wezempilo uya kusebenzisa isixhobo esibizwa ngokuba yi-clamp ukunqanda intambo ukuba ingophi. Umboneleli uya kuthi emva koko asebenzise inaliti ukurhoxisa igazi kwintambo. Igazi lentambo liya kupakishwa kwaye lithunyelwe kwilebhu kuvavanyo okanye kwibhanki yegazi yentambo yokugcina ixesha elide.

Intambo yegazi ibhanki njani?

Zimbini iintlobo zebhanki yegazi.

• Iibhanki zabucala. Ezi zibonelelo zigcina intambo yegazi lomntwana wakho kusetyenziso lobuqu losapho lwakho. Ezi zibonelelo zibiza intlawulo yokuqokelela kunye nokugcina. Nangona kunjalo, akukho siqinisekiso sokuba igazi lentambo liya kuba luncedo ekunyangeni usana lwakho okanye ilungu losapho lwakho kwixa elizayo.
• Iibhanki zikarhulumente. La maziko asebenzisa intambo yegazi ukunceda abanye nokwenza uphando. Igazi lentambo kwiibhanki zikawonkewonke linokusetyenziswa nangubani na olifunayo.

Ngaba kukho naluphi na ulungiselelo olufunekayo lokuvavanywa kwegazi ngentambo okanye ukubhankisha?

Akukho malungiselelo akhethekileyo afunekayo kuvavanyo lwentambo yegazi. Ukuba ufuna ukubhankisha intambo yegazi lomntwana wakho, thetha nomboneleli wakho wezempilo kwangoko xa ukhulelwe. Oku kuya kukunika ixesha lokufumana ulwazi ngakumbi kwaye uphonononge ukhetho lwakho.

Ngaba bukhona ubungozi bokuvavanywa kwentambo okanye ukubhankisha?

Akukho bungozi bokuvavanywa kwegazi ngentambo. Intambo yokubhankisha igazi kwindawo yabucala inokubiza kakhulu. Iindleko zihlala zingahlawulwa yi-inshurensi.

Zithini iziphumo zovavanyo lwegazi?

Iziphumo zovavanyo lwegazi Cord ziya kuxhomekeka ekubeni zeziphi izinto ezilinganisiweyo. Ukuba iziphumo bezingaqhelekanga, thetha nomboneleli wakho wezempilo ukuze ubone ukuba ngaba umntwana wakho ufuna unyango.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa kwegazi ngentambo okanye ukubhankisha?

Ngaphandle kokuba unembali yosapho yokuphazamiseka kwegazi okanye umhlaza, akunakulindeleka ukuba intambo yegazi lomntwana wakho incede usana lwakho okanye usapho lwakho. Kodwa uphando luyaqhubeka kwaye ikamva lokusebenzisa iiseli zeziqu kunyango lubonakala luthembisa. Kwakhona, ukuba ugcina igazi lentambo yosana lwakho kwibhanki yentambo yoluntu, unokukwazi ukunceda abaguli ngoku.

Ngolwazi oluthe kratya ngentambo yegazi kunye / okanye iiseli zeziqu, thetha nomboneleli wakho wezempilo.

Izalathiso

1. I-ACOG: I-American Congress ye-Obstetricians kunye ne-Gynecologists [i-Intanethi]. IWashington DC: I-American Congress ye-Obstetricians kunye ne-Gynecologists; c2020. I-ACOG icebisa ukuCothwa kweNtambo yokuLibamba kuzo zonke iintsana ezisempilweni; I-2016 Dec 21 [icatshulwe kwi-2020 ka-Agasti 10]; [malunga nezikrini ezi-3]. Iyafumaneka kwihttps://www.acog.org/news/news-releases/2016/12/acog-recommends-delayed-umbilical-cord-clamping-for-all-healthy-infants
2. I-ACOG: I-American Congress ye-Obstetricians kunye ne-Gynecologists [i-Intanethi]. IWashington DC: I-American Congress ye-Obstetricians kunye ne-Gynecologists; c2019. Uluvo lweKomiti ye-ACOG: I-Umbilical Cord Blood Banking; 2015 Dec [icatshulwe ngo-2019 ngo-Agasti 21]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Genetics/Umbilical-Cord-Blood-Banking
3. U-Armstrong L, uStenson BJ. Ukusetyenziswa kohlalutyo lwentambo yegazi kuvavanyo lweentsana. IArch Dis yabantwana abaza kuzalwa uEdatal. [Intanethi]. 2007 Nov [icatshulwe ngo-2019 ka-Agasti 21]; Ngama-92 (6): F430-4. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2675384
4. I-Calkins K, Roy D, Molchan L, Bradley L, Grogan T, Elashoff D, Walker V. Ixabiso lokuxela kwangaphambili ngentambo yegazi ye-bilirubin ye-hyperbilirubinemia kwii-neonates ezisemngciphekweni wokungahambelani kweqela loomama abakhulelweyo kunye nesifo se-hemolytic somntwana osandul 'ukuzalwa. J Neonatal Perinatal Med. [Intanethi]. 2015 Oct 24 [icatshulwe nge-2019 ka-Aug 21]; 8 (3): 243-250. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699805
5. UCarroll PD, uNankervis CA, u-Iams J, uKelleher K. Igazi lentambo yegazi njengomthombo othatha indawo yolwamkelo olupheleleyo lwegazi kwiintsana ezingaphambi kwexesha. J Perinatol. [Intanethi]. 2012 Feb; [icatshulwe nge-2019 ka-Agasti 21] 32 (2): 97–102. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3891501
6. I-ClinLab Navigator [kwi-Intanethi]. IiklinikhiLabNavigator; c2019. IiCord zeGazi leeCord [ezicatshulwe ngowama-2019 ku-Agasti 21]; [malunga nezikrini ezi-2]. Ifumaneka kwi: http://www.clinlabnavigator.com/cord-blood-gases.html
7. UFarst KJ, uValentine JL, iHolo RW. Ukuvavanywa kweziyobisi ekuvezeni usana olusanda kuzalwa kwizinto ezingekho mthethweni ekukhulelweni: imigibe kunye neeperile. Int J Isilwanyana. [Intanethi]. 2011 Jul 17 [icatshulwe ngo-2019 ka-Agasti 21]; Ngo-2011: 956161. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139193
8. Ukupapashwa kwezeMpilo eHarvard: Isikolo seHarvard Medical [kwi-Intanethi]. IBoston: IYunivesithi yaseHarvard; 2010-2019. Kutheni abazali kufuneka basindise intambo yabo yegazi-kwaye bayinike; 2017 Oct 31 [icatshulwe nge-2019 ka-Aug 21]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.health.harvard.edu/blog/parents-save-babys-cord-blood-give-away-2017103112654
9. HealthyChildren.org [Intanethi]. I-Itasca (IL): Iziko laseMelika labantwana; c2019. I-AAP ikhuthaza ukusetyenziswa kweeBhanki zeNtambo zikaRhulumente; 2017 Oct 30 [icatshulwe nge-2019 ka-Aug 21]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.healthychildren.org/English/news/Pages/AAP-Encourages-Use-of-Public-Cord-Blood-Banks.aspx
10. Impilo yaBantwana kwiNemours [kwi-Intanethi]. UJacksonville (FL): Isiseko seNemours; c1995–2019. ICord Blood Banking [icatshulwe nge-2019 ka-Agasti 21]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://kidshealth.org/en/parents/cord-blood.html
11. Ngomhla we-Dimes [kwi-Intanethi]. Arlington (VA): Matshi weeDimes; c2019. ImiQathango ye-Umbilical Cord [icacisiwe nge-2019 ka-Agasti 21]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.marchofdimes.org/complications/umbilical-cord-conditions.aspx
12. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Yintoni intambo yebhanki yegazi-kwaye kungcono ukusebenzisa indawo yoluntu okanye yabucala? 2017 uEpreli 11 [icatshulwe nge-2019 ka-Aug 21]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/expert-answers/cord-blood-banking/faq-20058321
13. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Uvavanyo lwegazi lweBilirubin: Amagqabantshintshi [ahlaziywa ngo-2019 Agasti 21; cited 2019 Aug 21]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/bilirubin-blood-test
14. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Intambo yokuvavanywa kwegazi: Isishwankathelo [ihlaziyiwe i-2019 Aug 21; cited 2019 Aug 21]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/cord-blood-testing
15. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. I-Health Encyclopedia: ICord Blood Banking [icatshulwe nge-2019 ka-Agasti 21]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=160&contentid=48
16. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ulwazi lwezeMpilo: Ukukhulelwa: Ngaba ndifanele ndiyibhankise igazi lomnxeba womntwana wam? [ihlaziywe ngo-2018 Sep 5; cited 2019 Aug 21]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/decisionpoint/pregnancy-should-i-bank-my-baby-s-umbilical-cord-blood/zx1634.html

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.