Uhambo lweCord Umbilical
Usenokuva kwi-ultrasound yakho ukuba unentambo yentsimbi yesithathu okanye ukuba babekhangela intambo yentsimbi yesithathu. Iyintoni intambo yentsimbi yesithathu?
Masiqale ngokusekelwe kwintambo yomlomo . Intambo yomthamo unxulumano phakathi kwentsana yakho kunye ne-placenta. Intambo eqhelekileyo yomdaka unemibhobho emibini kunye nesinye isisu, oku kwaziwa ngokuba yintambo yentambo yesithathu.
Ihlanganiswa yinto enobuninzi be-gelatin ebizwa ngokuba yi-Wharton's Jelly. I-vein ifake i-oxygen kunye nezondlo kumntwana kusuka kumama. Imithambo iyasetyenziselwa ukuthutha inkunkuma kude nomntwana kunyoko ngeentso zakhe.
Intambo yesibindi iqala ukudala ekuqaleni kokukhulelwa, malunga neveki yesihlanu yesisu. Kuya kufikelela ixesha elide kwaye kuthathe uhlobo oludumile lwekhoyili njengoko lwenziwa. Ubungakanani obude bomkhonto wecala lubangamashumi amabini anesibini ukuya kwemashumi amabini anesine.
Ukuhlolwa kwePlacental kunye ne-Umbilical Cord nge-Ultrasound
Ukuba unesiphakamiso esiphakathi kwe-pregnancy ultrasound , eyaziwa nangokuthi uphando lwe-fetal anatomy, i-ultrasonagrapher yakho iya kuhlola i-placenta. Bafuna izinto ezininzi. Baya kuzama ukubona zombini iirriyiti kunye nesisu ngexesha lokuhlola kwakho. Oku kuyenziwe lula nge-color Doppler ultrasounds kodwa kunokukwenziwa ngomshini wakho oqhelekileyo we-ultrasound. Basenokuthi okanye bangathethi nantoni na uvavanyo. Ubungakanani kunye nendawo ye-placenta kunye nentambo yomlomo iya kuqatshelwa.
I-Wharton's Jelly kunye neNokot kwiCord Umbilical
I-Wharton's Jelly yinyameko kwaye inceda ukukhusela imirhoxo kunye ne-vein ekuxininiswe ngexesha lokukhulelwa xa umntwana wakho ekhula kwaye intambo iyancatshiswa kwaye inokuthi ifakwe kwiphesenti enye yazo zonke izizalo. Oku kuqheleke kakhulu ekukhulelweni kweembini ezifanayo okanye ukuba intambo yakho yomntwana ide ngaphezu kweqhelekileyo.
Uninzi lwamaqhina aluhlali lukhuni kwaye aluyi kusongela umntwana wakho, kodwa kukholelwa ukuba yimbangela malunga neepesenti ezintlanu zokuzalwa. Ukubeka iliso kwe-Fetal yindlela enye esetyenziselwa ukukhangela i-anomalies yentambo, kwaye xa iinguqu ezithile zentliziyo zitshintsha, ukuzalwa okusemthethweni kungase kube yindlela ekhethekileyo yengane yakho.
Umbilical Cord Cysts
Umkhonto we-umbilical csts ofunyenwe kwiingcingo ezintathu kuphela. Kukho iintlobo ezimbini ezibalulekileyo: ii-cysts zinyani kunye nama-cysts amanga. Ama-cysts amanga axhamene ne-Wharton's Jelly kwaye izaliswe ngamanzi. Amaqhosha okwenene anokuqulethe okushiye kwiindawo zokuqala zokukhulelwa. Ekubeni i-cysts inokudibaniswa neziphene zokuzalwa, ugqirha okanye umbelethisi wakho unokuncoma uvavanyo olongezelelweyo kuquka i-amniocentesis ukujonga isizathu. Amaninzi amaninzi afunyanwanga ukuza emva kokuzalwa.
I-Umbilical Artery
Phantse enye ipesenti yazo zonke iintsana ziya kuba neetyhulo ezimbini zombini, okuyi-artery enye (i-Single Umbilical Artery) kunokubini. Uyakukubona oku malunga neepesenti ezi-5 zokukhulelwa apho kukho umntwana ongaphezu kweyodwa (amawele, ama-triplets, njl.). Xa oku kufumaneka, kufuneka uhanjiswe kwi-ultrasound epheleleyo. Isizathu sokuba elinye i-ultrasound lenzelwe ukuphinda uhlolisise iziphumo kunye nokuqinisekisa ukuba umntwana wakho akanakho ukungaqhelekanga.
Phantse iipesenti ezimashumi amabini ezisezintwaneni ezinomnye umthamo omnye kwintambo yomnxeba iya kuba neentlungu.
Vasa Previa
Le yilapho umkhumbi wegazi ovela kwintambo ungakhuselekwanga yi-Wharton's Jelly kwaye uyayinqumla isibeleko somlomo. Oku kunokukhokelela ekugqobeni isitya ngexesha lokuzalwa, ukuhluthwa, okanye ukunyanzelisa nje ekupheleni kokukhulelwa. Ingxaki enkulu. Ngombulelo kukuba akunqabile ukuba kwenzeke kuphela kwimizi engamashumi amabini anamanci mahlanu. Ukuxilongwa kwangaphambili nge-ultrasound kuyisitshixo ekuzalweni okukhuselekileyo kokukhulelwa. Xa ufunyanwe ngaphambi kokukhulelwa, kwaye i-cearean iqhutyelwa ngeveki engamashumi amathathu anesihlanu ukukhusela umonakalo kwisitya.
Ngokuqhelekileyo unokubona ukuphaphazeleka okungenakubuhlungu kwi-trimesters yesibini okanye yesithathu okanye kuthathwa kwi-ultrasound.
Ukufakwa kweVelamentous
Ukufakelwa kwetambo ngokunyanisekileyo kuthetha ukuba kufaka kwiimbumba zangaphambili kunokuba liziko lepentecenta. Oku kushiya iimpahla ezibonakaliswe kwiindawo, okwenza ukuba bakwazi ukunyanzeliswa njengoko umntwana ekhula.
Iindaba ezilungileyo kukuba ininzi yexesha akukho zixazululo kunye nentambo yomlomo. Isakhiwo esithakazelisayo esisebenza kunye ne- placenta kunye nosana.
Imithombo:
Balkawade NU, uShinde MA. UkuFundela Ubude beCord Umbilical kunye neSiphumo se-Fetal: Isifundo se-1,000 Deliveries. J Obstet Gynaecol India. 2012 I-Oct. 62 (5): 520-5.
I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. Gabbe, S, Niebyl, J, Simpson, JL. Uhlobo lwesihlanu.
UThummala MR, uRaju TN, iLenenberg P. Ikhutshwe nge-Single Umbilical Artery i-Anomaly kunye noNengozi yokuLawulwa kweeNtsholongwane: I-Meta-Analysis. J Pediatr Surg. Ngo-1998 kuMatshi 33 (4): 580-5.
I-Umbilical Cord Ukungasebenzi. Matshi weDimes. http://www.marchofdimes.org/complications/umbilical-cord-abnormalities.aspx Febhuwari 2008. Ukugqibela kufinyelelwe ngoFebruwari 6, 2016.
Weiner E, Fainstein N, Schreiber L, Sagiv R, uBar J, Kovo M. Umbutho Phakathi kweNtambo ye-Umbilical Ukungahambi kakuhle kunye nokuPhuhliswa kweNtsholongwane yeNtliziyo engapheliyo yokuThuthukiswa kweNtliziyo. J Perinatol. 2015 Aug 20.