Kwakuqhele ukuba loo mbuzo kwakufuneka ngubani owomnqumle intambo emva kokuzalwa komntwana wakho. Nangona namhlanje, xa kuziwa kwintambo yomlomo, kukho izinto ezininzi zokuqwalasela emva kokuzalwa komntwana wakho. Nantsi oku kufuneka ukwazi ukuba wenze izigqibo ezinolwazi.
Iyintoni Intambo yeMbilical?
Intambo yomtya ngokuqhelekileyo iqoqo leemibhobho ezimbini kunye nomgubo ohlanganiswe kwizinto ezibizwa ngokuthi i-Wharton's Jelly.
I-jelly ikhusela iirribhethi kunye ne-vein ekubeni ixineke ngexesha lokukhulelwa kunye nokuzalwa. (Ezinye iintsana zinomnye umzobo owaziwa njengezixhobo zombini.)
Ingane yakho ifumana i-oksijeni kunye nezondlo ngokusebenzisa le nkqubo yokuhambisa. Ingane yakho iya kukhangela inkunkuma ngendlela efanayo. Intambo yomthamo ifakwe kwi- placenta . Le yilapho imithwalo yegazi yomama nosana, ngelixa kungengokuthintana ngokuthe ngqo, utshintshisise izinto umntwana afuna zona izinto umntwana kufuneka azilahle egazini labo.
Emva kokuba umntwana wakho azalwe, intambo yomdaka iya kuqala ukuqalisa le ntlawulo. I-placenta iyilungu elilahlayo, oku kuthetha ukuba nganye ngokukhulelwa okutsha, umama uya kudala i-placenta entsha yokukhulelwa yedwa.
IsiGaba sesithathu seMisebenzi
Xa umntwana sele ekhutshwe ngaphandle kwesibeleko aze azalwe okanye ahanjiswe nge-cearean, iqela lesithathu labasebenzi liqala.
Oku kudlalwa nje ngokuba kuhanjiswa kwepentecenta. Ekuzalweni kwesisu, kukho i-window yemizuzu engamahlanu ukuya kwe-30 apho i-placenta iqala ukuhlukana kwaye igqitywa ngokugqithiswa ngebhinqa. Emva kwecandelo le-laarean , i-placenta ivele isuswe kwisisu.
Ngoko Yintoni eyenzekayo kwiCord?
Le yilapho okukhethwa khona intambo yomnxeba. Kwixesha elidlulileyo, intambo yesigidi sele iphoswe kwaye igalelwe ngokukhawuleza, ihlule umntwana kumama phambi kokuhanjiswa kwephacenta. Uphando olutsha kule minyaka elishumi edlulileyo lubonise ukuba kukho iingenelo zombini kunye neentsana ezizeleyo ezize zifikelele ukulibazisa intambo.
Intambo echelekileyo Ukutywina okanye Ukulinda de kube iNtambo ikhuphe ukuPhukisa
Ukubethelwa kwetambo yokunciphisa kungabakho ixesha elididekayo. Inkcazo eqhelekileyo yokubambezela intambo yokulibaziseka kukulibaziseka okulula ukukhawula kunye nokubethelela intambo kwithuba lesibini okanye ezimbini. Oku kuvumela umntwana ukuba athole ngaphezulu kwegazi eligcinwe kwi-placenta, ukuvumela ukuba luqhubekele kumntwana njengoko intambo iqhubeka ishayela.
Enye inketho kukulinda de intambo iyeke ukutshiza ukuyinquma. Oku kuthiwa avumele lonke igazi eliya kumntwana ukuba lifumaneke umntwana.
Ziziphi iinzuzo zokulinda?
Kwiintsana ezizeleyo, iingeniso zokulibazisa ukubetha kunye nokukhawula kukuba kukho ukungcipheka komngcipheko wokunqongophala kwe-anemia kwinyanga yokuqala ezintandathu zokuphila. Kwakhona kubalulekile ukuba uqaphele ukuba ngelixa umntwana efumana igazi kwintambo yomzimba, wenza njengendlela yokuvuselelwa kwendalo.
Ukuba umntwana wakho usemva, kubaluleke nakakhulu kwimpilo yabo. Enyanisweni, iiyunithi ezinonophelo zokunakekelwa kwe-neonatal (NICU) zenze intambo yokulibaziseka iphoqa umgangatho wabo wokunyamekela. Ngale ntsana, inokunciphisa kokubili isidingo sokumpontshelwa igazi kunye neziganeko ze-intraventric hemorrhage (IVH), ngaphezu kokunciphisa i-anemia.
Ziziphi iingozi zokunciphisa intambo?
Kukho ezininzi iinkxalabo ezicetywayo malunga neengozi zokukhawulela intambo. Iindaba ezilungileyo kukuba ukubetha kwentambo yokulibaziseka akuhambelani nokunyuka kwegazi kumama. Nangona uphando oluthile lubonisa ukuba intsana epheleleyo ihlala yengozini yokunyuka kwe-jaundice, akusiyo isizathu sokunqumla intambo yokubambisa intambo yokubambisa itholakale apho ubeletha khona.
Kukho idatha ebonisa ukuba kunokunyuka okwenyuka kwe-polycythemia kwiintsana ezizeleyo, okuchasene ne-anemia (iiseli zegazi ezibomvu kwigazi lomntwana). Oku, nangona kunjalo, akufuneki unyango okanye akubonakali ukuba yiphumo elichanekileyo lokubetha kwentambo yokulibazisa.
Indlela yokuLawula iCord yoCwina?
Isinyathelo sokuqala kukuhlala uthetha nodokotela wakho okanye umbelethisi ukuze ubone ukuba isenzo esiqhelekileyo sisekuzalweni. Ukuba ukubambezeleka kwentambo akusiyo imilinganiselo yabo yokunyamekela, unokucacisa umnqweno wakho kumsebenzi wakho kunye kunye kunye kunye nesigqibo kwisicwangciso sokunyamekela.
Ixesha lokunciphisa i-Cord Ukubambisa akunakwenzeka?
Ngandlela-thile into eyenzekayo ekuzalweni ifuna ukuba intambo ihlulwe kungekudala. Omnye umzekelo unokuba ukuba intambo iboshwe ngokuqinileyo entanyeni yomntwana ekuzalweni kwaye ingcali ayikwazi ukuyibeka phezu kwentloko yomntwana ngaphambi kokuzalwa. Oku akunjalo. Kodwa, kubalulekile ukuqaphela ukuba ngelixa izibonelelo zokubambezela ngentambo yokulibazisa zilungele umntwana wakho, ukuba awukwazi ukwenza ngokukhuselekileyo, ngokuqhelekileyo akuyiyo into engakwazi ukunqotshwa ngamanye amanyathelo.
Ezinye izinto oza kuziqwalasela xa ukulibazisa intambo yokukhangela akuyona inketho:
1. Ingane idinga ukunakekelwa kwangaphambili kwesoonatal okanye ukuvuselelwa, njengoko kunokwenzeka ukuba kuveliswe ngokukhawuleza okanye kwezinye iimeko zokungabikho kokuqala
Ukwahlula kwangaphambili kwipentecenta ukusuka eludongeni lwe-uterine kunokubangelwa ukulahlekelwa kwegazi ngokugqithiseleyo kokubili umntwana kunye nomama, njengakwiimeko zokuphazamiseka kweplantshi okanye nge-placenta previa apho ukulahleka kwegazi ngokukhawuleza kungabangela umba.
3. Umnqweno wokuqokelela intambo yegazi kwi-bhanki apho iincinci ezincinci zeqoqo legazi elingenakho ukuphumela kwisampuli ezinganeleyo zokugcina.
Ngubani Ongayinqumla Intambo?
Ngeentambo zokubetha intambo ezilibaziseko ngokuqhelekileyo zinokukwazi ukukhetha ngakumbi malunga nokuba ngubani ongayinqumla intambo . Ivumela ixesha lakho iqabane okanye ukuba uthathe inxaxheba kule nto ukuba unomdla. Qiniseka ukuba uhlolisise nongcali yakho malunga nale khetho kwisicwangciso sakho sokuzalwa .
Imithombo:
UMcdonald, uSusan J., uFilia Middleton, uThese Dowswell kunye noPeter S. Morris. "Impembelelo yexesha le-Umbilical Cord Ukutyunjwa kweintsana zesikhashana kwiZiphumo zoMama kunye neNonatal." I-Evid.-Based Based Health Health Ubungqina Bomntwana Abantwana: I-Cochrane Review Journal 9.2 (2014): 303-97.
I-Mercer, i-JS "Intambo echelekileyo Ukubambisa kwiintsana eziphambili kakhulu kunciphisa umonakalo weHlangano lokuHlala kunye neSepsis eziLungeleleneyo. Iingcali 117.4 (2006): 1235-242.
Nevill, Elizabeth, noMichael P. Meyer. "Impembelelo yeCord Claying (DCC) ekuPhephekweni nasekuTshintshisweni koMntwana kwiintsana ezinokuqala." Uphuhliso lwabantu bokuqala 91.7 (2015): 407-11.
URabe, Heike, uJose Luis Diaz-Rossello, uLilelia Duley, noThese Dowswell. "Impembelelo yexesha le-Umbilical Cord Ukubambisa kunye namanye amacebo okuba nefuthe lokuThuthukiswa kwePlacental kwi-Preterm Birth on Iziphumo zabaMama kunye nabantwana. I-Cochrane Idata yeeNkqubo eziPhononongo eziPhononongo (2012): n. phedeni.