Icala le-cord umthambo litholakala ku-25-30% wabesifazane abakhulelwe. Okuyisisekelo salo kulele ukuthi entanyeni, umzimba noma izitho zomnsalo we-fetal siphendukekile njenge-loop, ngezinye izikhathi zibopha ngokuphindaphindiwe umzimba womntwana. Imithi yanamuhla iye yafunda ukubhekana nalezi zimo, futhi ingxenye enkulu yokubelethwa kwezintambo ziphumelele. Cabanga ngezinhlobo zezintambo zomgogodla, izimbangela zayo, ukuxilongwa nemiphumela.
Kunezinhlobonhlobo ezihlukahlukene zezintambo ze-umbilical:
- ongashadile - uma intambo yomlomo ishaywa intamo yentombazane;
- okuphindwe kabili noma okuphindwe kabili - ukuguquka okuphindaphindiwe kwezintambo zomlomo entanyeni;
- ukulenga kuphela entanyeni yesithelo kuyinto i-loop eyodwa;
- i-loop ehlanganisiwe - intambo yomzimba ihamba ngokuzungezile umzimba kanye / noma izitho zomntwana ozayo;
- intambo eqinile ngensimbi yomlomo;
- ukugxila okubuthakathaka.
I-string embilical ingase ibe nezimbangela eziningana:
- i-hypoxia noma i-oksijeni yindlala ye-fetus - ibangele ukunyakaza okusebenzayo kwe-intrauterine yengane engakazalwa, ngenxa yalokho okungenzeka ukuthi ingenelela yinkambo yomlomo;
- okuqukethwe okwandisiwe kwe-adrenaline egazini likaMama, okufaka isandla ekwandeni umsebenzi wokubanjwa komntwana futhi, ngenxa yalokho, intambo yokukhanda;
- i-long umbilical cord, engaphezu kuka-60 cm i-predisposes to fetal bump;
- i-polyhydramnios - phambi kwe-polyhydramnios ingane inesikhala esiningi sokunyakaza kanye namathuba amaningi okudideka emthonjeni womzungezo oseduze.
Ukuthola ukusoka kwe-strings
Okwamanje, kunezindlela eziningana zokuxilonga ukungena komgudu womzimba:
- Ukuxilongwa nge-Ultrasound - ngosizo lwe-ultrasound kunokwenzeka ukusungula ukuba khona kwe-cuff embilical ngesikhathi samaviki angu-17-18, futhi kunqume ukuthi yikuphi ukuvelela okwenzekayo - okukodwa, kabili noma okuhlangene;
- I-CTG isifundo se-cardiotocography lapho ukunyakaza nokulunywa kwe-fetus kubhalwe khona, ngokusho ukuthi ubukhona be-hypoxia nokuthi kungenzeka yini ukungena emtholampilo.
Ukwelashwa kwe-cord umbilical - imiphumela yengane
Udaba oluqakathekileko, olubaluleke kakhulu olukhathazayo omama abalindeleyo ingozi yenkambo yokuboshwa kwentambo, nokuthi yimiphi imiphumela yawo. Okuvamile kakhulu futhi okungenabungozi kwengane yinkambo eyodwa egcwele entanyeni. Kulokhu, lapho ebeletha, udokotela anganciphisa kalula intambo yomzimba bese uyisusa. Ukungena kokubili kwendwangu yomzimba kubhekwa njengengozi kakhulu, ngoba imiphumela engaba khona yinkinga ye-oksijeni kanye ne-microtrauma ye-vertebrae yomlomo wesibeletho. Izingane ezizalwa ezinenkinga yokubeletha okunjalo zingase zithinteke ikhanda, ingcindezi eyengeziwe noma i-hypotension, ukukhathala ngokushesha.
Intambo eqinile enezintambo zingase ibe nemiphumela efanayo echazwe ngenhla, kodwa ukubeletha nge-twist enjalo kungaba yinkimbinkimbi efana ne-asphyxia ye-fetus, esongela ukumisa ukuphefumula kwengane. Lokhu kungavamile kakhulu, kodwa ezimweni ezinjalo ngokuvamile izidakamizwa zithatha
Ngokuvamile, kufanele kuqondwe ukuthi uma intambo ihlanganiswe entanyeni, ingane ihlushwa yi-hypoxia, kodwa imiphumela ye-oksijeni yindlala ayibonakali kuzo zonke izingane futhi izinga lokukhuluma lingase lihluke. Kwalabanye abantwana, ukugwedla ngezintambo akuthinti impilo yabo esikhathini esizayo, kwabanye kubhekene ne-dystonia ye-vegetative-vascular, ukwephulwa kwesimo somzimba jikelele. Zonke lezi zimo ziphathwa ngempumelelo, futhi uma umbuso oqondile wosuku ugcinwa, ingane izokhula ibe namandla futhi inempilo.