Ngo-2016 i-American Academy ye-Pediatrics ikhuphele izikhokelo ezintsha zoogqirha kunye nabanye oogqirha bezokwelapha ngokubaluleka kokubambezela intambo yokubethelela iintsana. Kwisiluleko esitsha esivunyelwe yi-American College of Ostrstricians kunye namaGynecologists, i-AAP ikhishwe isitatimende esincinci sincinane kuneziphakamiso zabo zangaphambili zokuqhawula intambo.
Izikhokelo ezindala zinconywa ukuba zonke iintsana ezinokuqala zifanele zizenze ukukhawuleza ukubethelwa kwentambo, kodwa zathi i-jury yayisaphumile ukuba i-cording cording delayed cording inokunceda bonke abantwana. Ngoku, ijaji ithe wathetha kwaye icebise ukulibazisa intambo yokubethela zonke iintsana, kokubili ngaphambi kwexesha kunye nexesha.
Ukunciphisa Intambo yokucwina
Ukuba uyazibuza ukuba yintoni ephazamisekile ukubethelwa kwentambo, ungakhathazeki-ngokwenene isenzo esilula. Ngokwesiko, xa umntwana esele azalwa, ugqirha okanye umbelethisi uza kukhawuleza intambo yomntwana endaweni ethile ngentambo, ngelixa i-placenta isengaphakathi kumama. Oku kumisa ukuhamba kwegazi ukusuka kwi-placenta ukuya kumntwana.
Ugqirha wayeza kufaka esinye isikhonkwane esincinci esincinci kunokuba umgqomo wokuqala okanye ugqirha okanye iqabane liza kwenza "ukusika intambo" ekhupha ngokusemthethweni umntwana usuka kunina. Yonke inkqubo ithatha imizuzu engaphantsi kwama-30.
Ngoxinzelelo lwentambo yokulibazisa, nangona kunjalo, intambo ayifumanwanga ngokukhawuleza. Endaweni yoko, ugqirha uvumela igazi ukuba liqhubeke lihamba phakathi kwetambo ukuya kumsakazo womntwana ukusuka kwi-placenta. Unako ukubukela de intambo iyeke ukukhupha, ibonisa ukuba ukuhamba kwegazi kwephacenta kuye kwayeka, okanye kulinda ixesha elithile, njengemizuzwana engamashumi amathandathu, ngaphambi kokumisa intambo.
Izinzuzo zeCord Clamping
I-AAP kunye ne-ACOG baye bafumana ubungqina obuqinileyo bokuthi ukulibazisa ukubetha kwentambo kunenzuzo kuzo zonke iintsana. Kwiintsana ezizalwe ngexesha elipheleleyo (emva kweiveki ezingama-37), zifumene ezi zinzuzo ezilandelayo:
- Ukwandisa i-hemoglobin (amaseli obomvu wegazi) ekuzalweni
- Ukuphuculwa kwesitoreli sesebe kwinkqubo yezingane kwiinyanga eziqala zokuphila, ezidibaniswa nezinto ezintle zokuphuhlisa ezifana nokuziphatha, imoto kunye nokukwazi ukuqonda.
- Ukuphuculwa kwamaseli omzimba omama ukusuka kumama ukuya kumntwana
Kwiintsana ezizalwe ngaphambi kwexesha (ezingaphantsi kweeveki ezingama-37), iinzuzo zokubambisa intambo yokubambezeleka zibaluleke ngakumbi. Izibonelelo ziquka:
- Izinga elingaphantsi kwengqondo
- Ukuhamba kakuhle
- Izinga lomqulu wegazi
- Izinga eliphantsi lokungena kwi-enterocolitis, ingozi eyingozi kwimathumbu nasesisu
- Ixabiso eliphantsi lokumpontshelwa igazi
Iingcebiso ezintsha
Ukuvuna izibonelelo zokubambezeleka kwetambo, i-AAP ikhuthaza ukuba bonke oogqirha kunye nabo bazisa iintsana balinde okungenani imizuzwana engama-30 ukuya kweyama-60 emva kokuba umntwana azalwe ngaphambi kokubetha intambo. Ixesha elichanekileyo linconywa liye lashiya ukuqonda kwugqirha kwaye lingahlukahluka esibhedlele kwisibhedlele. Ngokomzekelo, iBrithani yeBritish College of Ostrijist, ikhuthaza ukuba kulungiswe intambo yokubethelela okungenani imizuzu emibini.
Into onokuyenza
Thetha ugqirha malunga neendlela zakhe zokubambezela ngentambo yokubambezeleka kwaye nokuba okanye akayi kuceba ukulandela iziphakamiso ezintsha. Ukuba ugqirha wakho akaqapheli ukuba uyayisebenzisa, wabelane naye ngophando olutsha kunye kwaye uqiniseke ukuba wena kunye nogqirha wakho kwiphepha elifanayo kunye nento engcono kumntwana wakho.
Kufuneka uqaphele ukuba kukho ubudlelwane kunye neerhafu ezikhulayo zeentsana zeentsana eziye zalibazisa ukubetha kwentambo, ngenxa yokuba yandisa inani labo elibomvu legazi. Xa amangqamuzana egazi abomvu ehla emva kokuzalwa, akhulula i-bilirubin, ebangela i-jaundice.
Kwiimeko ezininzi, i-jaundice ayingozi, kodwa kufuneka uqaphele iimpawu kunye neempawu ze-jaundice, eziquka ukuphuka kwesikhumba okanye amehlo kunye nokutshintsha kwindlela yokuziphatha komntwana wakho, njengokunyuka ukulala okanye ukungafuni ukutya.
> Imithombo:
Ikholeji yase-American College of Obstetricians kunye neGynecologists. (2017, uJan.) Umbono wekomiti: Ukubethelwa kwentambo yokunciphisa. Ukufunyanwa kwi-http: //www.acog.org/Imithombo-I-Publications/Ikomiti-Opinions/Ikomiti-on-Obstetric-Practice /Delayed-Umbilical-Cord-Clamping-After-Birth