Kungani kungase kube khona intambo eyodwa yomthambo womlomo entanyeni phakathi nokukhulelwa?
Masinyane wenze ukubhuka ukuthi lesi sizwe asiyingozi njengoba omama bacabanga. Noma kunjalo, kudinga ukuqapha njalo odokotela. Ingozi enkulu kunazo zonke kulo mkhuba ilele ekulindeni umntwana ngokuqondile ekuzaleni. Ngakho-ke, ababelethisi bahlale beqaphela isimo se-fetus esibelethweni, uma kutholakala isibhamu. Ezimweni eziningi, ukuhanjiswa komuntu oyedwa kungena ngaphandle kwezinkinga.
Uma sikhuluma ngokuqondile ngezizathu zokuthi lesi simo sibhekwa kanjani, ngakho-ke, njengombuso, kungukuthi:
- umthambo omude kakhulu (ngaphezulu kuka-70 cm). Njengomthetho, ubude bomthamo womzimba ngokwawo buxhomeke ezintweni eziphilayo;
- i-polyhydramnios - inani elikhulu le-amniotic fluid linikeza i-fetus isikhala esengeziwe sokunyakaza kwamahhala, ngenxa yalokho okushiwo umqondo;
- i-hypoxia, eyakhiwe ngenxa yokuphazanyiswa kwesistimu ye-placental, ingaholela ekwenzeni ukwandiswa kwemishini ye-fetus, okuholela ekuthuthukiseni intambo eyodwa, engekho embozwe entanyeni yentombazane.
Ngaphezu kwezizathu ezingenhla, isimo esifanayo singakhula futhi sengozi.
Ukuhlolwa kwalesi senzakalo kwenziwa kanjani?
Ukutholakala kokuphulwa okunjalo kungenzeka kuphela ngosizo lwe-ultrasound diagnostics. Kodwa-ke, ngisho nalapho, ngenxa yocwaningo, intambo yesigxobo semithi yayitholakala kanye nxazonke entanyeni ye-fetus, lokhu akusho ukuthi kuzohlala kuze kube yisikhathi sokubeletha.
Ukuthuthukiswa kwesimo esinjalo kungenzeka ngezinkomba ezimbili: ingane izokhipha futhi i-crochet izoshabalala noma, ngokuphambene nalokho, esikhundleni segama elilodwa, kuyoba khona kabili. Ngakho-ke, kubaluleke kakhulu kulokhu ukuziphatha kwe-ultrasound ku-dynamics. Ngokwezibalo zezokwelapha, izimo ezinjalo kuphela ezingu-10 kuphela eziphela ezinkingeni ezihlukahlukene.
Ukugxila ikakhulukazi ekuxilongweni kwalesi simo kunikezwa ukugeleza kwegazi. Qinisekisa ukwephulwa kwayo ngokusebenzisa i-cardiotocography. Yilokho okwenza kube lula ukunquma ngokunembile ukuthi ukushayisana kwamanje kuholela ku-hypoxia. Lapho kukhona i-hypoxia, i-dopplerometry yenziwa, evumela ukucacisa ukuphakama kwegazi.
Uma kukhona izinsolo zokuthi kungenzeka ukuthuthukisa i-hypoxia, ucwaningo luqhutshwa ngokuphindaphindiwe, ngoba lapho isikhundla se-fetus sishintsha, isimo somntwana singashintsha futhi.
Yini okufanele ngiyenze ngethambo eyodwa ngenduku yomlomo?
Cishe ngaphambi kweviki lama-37 lokukhulelwa, odokotela abagxila kulokhu, ngaphandle uma icala liholela ekuthuthukiseni kwe-hypoxia. Njengomthetho, lesi simo singavela futhi sinyamalale izikhathi eziningana ngaphambi kokuqala kwenqubo yokuzalwa. Ngakho-ke, noma yiziphi izinyathelo ezikhethekile kulokhu, odokotela abazithathi, babukele isimo somntwana nomama uqobo.
Ingozi enkulu kunazo zonke yilezi zingane, kodwa ayikho enye, kodwa izintambo eziningi zibopha entanyeni. Njengomthetho, ezimweni ezinjalo, ukuthuthukiswa kwendlala ye-oksijini kuyinto engenakugwemeka. Isimo esinjalo singabangela ukwephulwa kwentuthuko ye-intrauterine, kanye nomsebenzi wenyama yonke: izinqubo zokuguquguquka komzimba, amathuba okuguquguquka ancipha, isimiso sezinzwa se-fetus sonakalisiwe, njll. Isimo esifanayo singabangela nokuphulwa kwegazi ekugcineni nasezintweni eziphezulu. Uma kukhona ukudonsa okuqinile komthamo we-umbilical, ngenxa yokunciphisa ubude bawo ngenxa yokushayisana entanyeni, khona-ke kungenzeka ukuthi kukhona ukuthungatha isikhathi esingaphansi kwe-placenta nokulethwa ngokungazelelwe.