Ukuphazamiseka okungaqhelekanga okuxhomekeke kwi-10 ekhulwini yezinzala
Ngokomphando ovela kwi-Networkbird Research Collaborative Network Network, izingozi zentambo ye-strings account account for around 10 percent of pregnancy . Ngelixa abantu baninzi becinga ukuba ukufa kubangelwa ukutyunjwa ngokukhawuleza, zidla ngokubakho ukuphazamiseka ngokukhawuleza kwegazi kumntwana.
Iintlobo zeengozi
Intambo yomlo iqulethe imvini enye kunye nemibhobho emibili kwaye ixanduva lokubonelela umntwana nge-oxygenated, igazi elicebileyo eliphuma kwi-placenta.
Izingozi ziyakwenzeka xa intambo ibonakaliswe, ikhutshiwe, okanye icinezelekile. Xa oko kwenzeka, i-oksijini enokubakho iyakhathazeka kakhulu. Ngaphandle kokuba ingxaki ixazululwe ngokukhawuleza, i-asphyxiation, umonakalo wengqondo, kunye nokufa kungabangela.
Izingozi zixhomekeke kumkhonto womzimba ongaqhelekanga, iingxaki zokukhulelwa, ukuphazanyiswa ngokukhawuleza kwegazi, okanye ukudibanisa iziganeko. Phakathi kwabo:
- Ukuba kukho i- amniotic encinci yamanzi kwisikhwama somzimba, intambo ingaxinwa phakathi kwentsana kunye nodonga lwesisu.
- Ukuba kukho i-amniotic yamanzi, intambo yomlomo ingasasazeka ngaphambi kokuba umntwana aphephe xa amanzi ephuphuma aze ahlaziywe.
- Ukuba intambo yomlenze ingapheli ngokwemfuneko, yadibana.
- Ukuzalwa okuninzi kunokubangela isibeleko kunye nokwandisa umngcipheko wokunyanzelisa.
- Umntwana osemgangathweni-unyawo lokuqala unobungozi angakwazi ukuphazamisa intambo yomlomo ngokuwuphikisa ngokungaqhelekanga.
- Isimo esisongela ubomi esibizwa ngokuthi i- vasa previa senzeke xa enye okanye imithwalo yegazi ngaphezulu kwintambo yomgca iwela umnyango wecala lokuzalwa phantsi komntwana. Xa umlomo wesibeleko uphazamisa, imithwalo yegazi inokuxinwa okanye iphule.
Ingozi no Khuselo
Kuzo zonke iinkxalabo ezinokuthi umntu unokuba nazo malunga neengozi zentambo, abanenqabile.
Oku kungenxa yokuba intambo igcwele into ephosayo ebizwa ngokuba yi-jhawon ye-Wharton ejikeleze kwaye iqhube imirhoxo kunye ne-vein. Ngoko, ngokuqhelekileyo uthetha, xa into ethile iphosa intambo, iinqwelo zangaphakathi ziyakwazi ukuphuma kwingozi, kunokuba ibhanti yamanzi isepha ngokubambelela.
Nangona ezininzi iingozi zentambo zenzeke ngokungaqhelekanga (kwaye, njengokuba kunjalo, akunakunqandwa), kukho izikhokelo ezibonisa ukuba ingozi ingenzeka. Phakathi kwabo:
- Ukutshatyalaliswa kwe-fetal, ukugubha, okanye i-hiccups (eyenzeka imihla ngemihla nangaphezulu kwamaxesha amane ngosuku) idibene nomngcipheko wokunyanzeliswa kwentambo.
- Iimbambo ze-umbilical ezingenanto ebonakalayo, enjengentambo ebonakalayo ibonisa ukuba yingozi enkulu yokufa.
- Abafazi abakhulelwe nge- vitro fertilization (IVF) , balindele iintsana ezininzi, okanye babe ne- placenta previa (imeko apho i-placenta ihlanganisa ezinye okanye i-cervix) inomngcipheko ophezulu we-vasa previa.
Nangona ezinye zeemeko zingabonwa ngexesha lokunakekelwa kwangaphambi kokubeleka , abanye (njengobunzima bokutshatyalaliswa komntwana) bangadinga i-ultrasound ukufumanisa nayiphi na into engafanelekiyo. Ukuba zifunyenwe, ukunyangwa kwezibhedlele kunganconywa ukuba kuqaphele umntwana ubuncinane ubuncinane iiyure ezingama-24 kunye zombini we-ultrasound kunye nesantya se-heart fetal.
> Imithombo:
> Collins, J. "Izingozi ze-umbilical cord." Ukukhulelwa kokubeletha kweBMC. 2012; 12 (iSiza 1): A7.
> Iqela lokuBhala loLwazi lokuBambisana loNxibelelwano lwangaphandle. "Izizathu zokufa phakathi kokuzalwa." JAMA. 2011; 306 (22: 2459-68.