Pa kuyendera kwa US patatha masabata 30 a mimba, dokotala nthawi zonse amafufuza kukhalapo kwa chingwe cha umbilical pafupi ndi khosi la chipatso. Ndipo ngati muyeso pafupi ndi nkhope za mwana wosabadwa umsolo umakhala pafupifupi nthawizonse, ndiye kukwera kwathunthu kumachitika kawirikawiri.
Chingwe chimodzi chozungulira pakhosi - ndi chiyani?
Kulunjika kwapadera sikuli kudwala konse ndipo sikungakhale kutsutsana kwa kupereka kwachibadwa. Ndikofunika kwambiri kudziwa ngati chingwe chimodzi kapena zingapo chikugwedezeka ndi umbilical chingwe cha fetal khosi , chifukwa chokhala ndi zovuta zambiri, zovuta zingayambitse chifukwa chofupikitsa kutalika kwake kwa umbilical chingwe. Koma kawirikawiri ndi kubereka kozolowereka ndi milandu yambiri sizingayambitse mavuto aakulu.
Kubereka ndi chingwe chimodzi umbilical chingwe
Kubadwa kumatsogolera mwachibadwa, popanda kugwiritsa ntchito gawo la Kaisareya. Koma kupachikidwa kwa umbilical chingwe kungakhale chiopsezo china choyambitsa chifuwa cha msana kapena chachikulu. Kuthamangitsidwa kolimba kapena kamodzi kambiri ka umbilical chingwe kungayambitse kuima kwa lumen wa chingwe cha umbilical ndi fetal hypoxia. Chifukwa cha kukhalapo kwa chinthu chimodzi kapena zingapo, mzere wa umbilical umayang'aniridwa osati ndi yachibadwa ultrasound, komanso ndi dopplerography ya umbilical chingwe, koma ngati chingwe amachititsa hypoxia wa mwanayo pogwiritsa ntchito chingwe mothandizidwa ndi cardiotocography (CTG). Ngati kayendedwe ka mwana kamene kamachepetsa kuchepa kwa mtima
Kuteteza umbilical cord kulowa
Nthaŵi zambiri, mlanduwu umapezeka ndi polyhydramnios ndi intrauterine hypoxia ya fetus, pamene, chifukwa cha kuchuluka kwa magalimoto komanso kukhala ndi mphamvu yosambira momasuka madzi ochulukirapo, mwanayo amatha kuyendetsa chingwe pamutu. Koma ngakhale panthawi yomwe imakhala ndi pakati, umbilical chingwe amatha kuzungulira khosi. Koma kusuntha kapena zochitika za amayi omwe ali ndi pakati sizingakhale chifukwa cha kulapa, ndipo mawuwo enieni salowerera pa ntchito yachizolowezi.