Kusho ukuthini incazelo "yokubopha intambo yomlomo entanyeni yentombazane"?
Lokhu kwakha kuzwakala ngabesifazane abaningi abane-ultrasound, kodwa akubona wonke umuntu oqonda kahle ukuthi kusho ukuthini, nokuthi isimo sinzima kangakanani empilweni yengane. Okokuqala, ake sikhulume ngalokho okushiwo yi-cord umbilical.
Intambo yomzimba yinto eyenziwe nge-anatomique, emele intambo lapho kukhona khona imithwalo yegazi. Nguye onesixhumanisi phakathi komama nomntwana, ngqo ngokusebenzisa intambo yomntwana kuya esikhathini esizayo zonke izinto ezidingekayo, futhi imikhiqizo ye-metabolism ihanjiswa.
Uma intambo yomzimba idala umsizi entanyeni yentombazane, odokotela bathi ukugoqa okukodwa. Isimo esinjalo akufanele sibangele ukwesaba umama wesikhathi esizayo nokwesaba, tk. Ezimweni eziningi, lesi sici sinyamalalala. Kodwa kuyadingeka ukusho ukuthi kungenzeka ukuthi lokho okulahlekile entanyeni yentambo yomntwana kuzovela futhi. Lokhu kubonakala, njengombuso, phakathi nokukhulelwa, lapho umsebenzi we-motor of the fetus uphezulu kakhulu.
Kungani intamo yesisu isongwe ngendophi?
Njengoba sekushiwo ngenhla, isizathu esiyinhloko sokuthuthukiswa kwalesi simo ukuhamba ngokweqile kwe-fetus, okungahle kube yile nqubo ye-hypoxia. Kodwa-ke, lesi senzakalo singagcinwa lapho:
- i-fetus inomsindo omude kakhulu (ngaphezulu kuka-70 cm);
- inani elikhulu lama-amniotic fluid (polyhydramnios).
Ngaphezu kwezizathu ezingenhla, kubalulekile futhi ukuthi ukuphulwa okunjalo kungakhula ngokuzenzekelayo, i. ngokungahleliwe (ngokwesibonelo, ingane iphendukile, futhi intambo yomlomo ihlanganiswe entanyeni yakhe).
Yimiphi imiphumela yalokho kwenzeka njengokulimala kwentambo?
Ngenxa yokuthi lesi senzakalo sivame ukunyamalala ngokuzenzekelayo, asidingi isenzo kunoma odokotela. Kodwa-ke, uma i-crook itholakale emavikini angu-37 nangemva kwalokho, owesifazane okhulelwe uthathwa kwi-akhawunti ekhethekile, okubandakanya ukuqapha isimo sezintambo ezinamandla, ngokuwenza ngokuphindaphindiwe i-ultrasound.
Ngokwezibalo, cishe amaphesenti angu-10 azo zonke izinsolo zokumangalela kubangelwa ukuthuthukiswa kwezinkinga. Okuyinhloko ukuphefumula futhi, ngenxa yalokho, i- hypoxia (ukuntuleka kwe-oxygen). Lokhu kungabonwa kuphela ngentambo ephindwe kabili, eqinile ngentambo ephakathi kwentamo, enemiphumela emibi. Ezimweni ezinjalo, ukuze kuhlolwe ngokugcwele isimo somntwana, i-cardiotocography ne-dopplerometry zenziwa, ezenza ukuhlukunyezwa ohlelweni lwe-cardiovascular, kanye nesimo sokugeleza kwegazi.
Ngokuqondene nezici zokubeletha ngentambo entanyeni, ukukhethwa kwamacebo okulethwa kuncike ngokuphelele kuhlobo lokumangalela. Ngakho-ke, uma ingane inezinhlamvu eziningi (ngaphezulu ezimbili noma ngaphezulu) ilenga evikini lika-38-39, khona-ke ukuzalwa kwenziwa ngesigaba se-cache.
Ngakho-ke, uma uqonde ukuthi kuyingozi ukumboza intambo emqaleni kwentombazane, singasho ukuthi lesi simo akufanele sibangele ukwesaba kumama ozayo, ikakhulukazi uma lokhu kungabodwa. Uma kukhona ukusola ukuthi kungenzeka ukuthuthukisa izinkinga, odokotela bahlale beqapha ngokucophelela isimo somntwana, beqhuba izivivinyo ezahlukene ze-hardware.