Kulandira chingwe cha umbilical pamutu wa mwanayo

O, ndipo ndi zovuta kukhala mayi wam'tsogolo. Pali nthenda zochepa zakuthupi ndi mitsempha yambiri ya mahomoni, kotero pali "ofuna bwino" ambiri omwe ali ndi chidwi chouza amayi omwe ali ndi pakati kuti "scarecrow". Mwachitsanzo, pafupifupi kawiri kawiri amalowa mu khosi la mwanayo. Tiyeni tiwone ngati tikuwopa "choopsa" ichi.

Kodi umbilical ndi chiyani?

Msolo wamtunduwu ndi mtundu wa "chingwe" chomwe chimagwirizanitsa thupi la mayi ndi fetus, kapena makamaka, kayendedwe ka kayendedwe kake. Msolo wa umbilical uli ndi zitsulo zitatu: mitsempha 1 ndi mitsempha iwiri. Kupyolera mu mitsempha, magazi opangidwa ndi okosijeni omwe ali ndi zakudya kuchokera mu thupi la mayi kudzera m'matumbo amalowa m'magazi a mwanayo, ndipo pambali ya mitsempha, magazi ndi zinthu za moyo wa mwana wamtsogolo amapita ku placenta ndikupita ku thupi la mayi.

Kutalika kwa mtambo wa umbilical, monga lamulo, ndi 40-60 masentimita.Ndipo chizindikiro ichi chimafalitsidwa ndi cholowa, ndiko kuti, mwana wako adzagwirizanitsidwa ndi iwe ndi umbilical chingwe chimodzimodzi monga chomwe chinakugwirizanitsa iwe ndi amayi ako.

Nchifukwa chiyani chingwe cha umbilical chikulumikizidwa pamutu wa mwanayo?

Zimakhala kuti mtambo wautali kwambiri umapangidwa, mwachitsanzo, masentimita 70 - izi palokha ndizochititsa kuonjezera chiopsezo chokhala ndi chikhomo cha umbilical chingwe.

Kawirikawiri timamva, makamaka kuchokera kwa oimira a m'badwo wokalamba, kuti kugunda kumabwera chifukwa chogwedeza, kusoka, kuvala pakati pa mimba. Mayi wamakono wamtsogolo ayenera kudziwa kuti izi si nthano chabe. Malingaliro amenewa analipo m'masiku akale, ndipo n'zosamveka kuti sizinapangidwe mu sayansi, mwa kufanana kwa chingwe cha umbilical chingwe ndi zokopa ndi nsonga za ulusi mu nsalu.

Komanso, nthano ndichitsimikizo kuti kukweza manja ndi kuchita masewera olimbitsa thupi pa nthawi ya mimba kungayambitse kuzingidwa kwa umbilical chingwe. Izo siziri choncho. Kukweza kanthawi kochepa kwa manja a mayi wapakati sikungakhudze malo a umbilical chingwe m'njira iliyonse. Kuchita maseŵera olimbitsa thupi kumathandiza kwambiri kwa amayi amtsogolo (ndithudi, ngati zovuta zolimbitsa thupi zimasankhidwa kwa inu ndi dokotala kapena mphunzitsi wathanzi wodziwika bwino akugwira ntchito ndi amayi apakati).

Pakali pano, chingwe cha umbilical chingwe chiri ndi zifukwa zenizeni, zomwe sizigwirizana ndi nthano. Madokotala amakono amasiyanitsa zifukwa zitatu zazikulu.

1. Kusokonezeka maganizo. Zochitika zolimba kapena kupanikizika kwambiri kwa mayi wamtsogolo zimadzetsa vuto, ndiko kuti, kuchulukitsidwa kwa adrenaline, zomwe zimapangitsa kuti mwanayo aziyenda bwino, motero mwayi wake wa "kusokoneza" chingwe cha umbilical.
2. Hypoxia wa mwana wosabadwa (osakhutira mpweya wokwanira magazi, womwe ukhoza kuyambitsidwa ndi zifukwa zosiyanasiyana). Pamene hypoxia imapanganso kukula kwa mwanayo.
3. Polyhydramnios. Ngati mimba ili yochepa, mwanayo amakhala ndi malo owonjezereka kuti ayende, zomwe zimapangitsanso chiopsezo chotsekedwa.

Kodi mungapewe bwanji umbilical cord kulowa?

Kuchokera pa zomwe zatchulidwa pamwambazi zimayambitsa mitsempha ya umbilical, mankhwalawa ndi osavuta. Pewani kupanikizika ndi kupanikizika kwambiri, kukhala ndi mpweya watsopano, komanso ndi chizoloŵezi cha polyhydramnios - muwone kuchuluka kwa madzi akumwa.

Kodi chingwe choopsa chimapachikidwa?

Choyamba, ziyenera kunenedwa kuti pali mitundu yosiyanasiyana ya milandu, ndipo sizinenezo zonse zoopsa. Mlandu wa umbilical cord ndi wosakwatiwa, wowirikiza ndi wambiri; wosakanizidwa ndi wosakhala wowonongeka; Odzipatula komanso ophatikizana (pamene chingwe cha umbilical chimafika, kuwonjezera pa khosi, komanso chiwalo cha mwanayo).

Kachilombo kosalekeza komanso kosasunthika sikungakhale koopsa, pakubadwa mzamba amamasula mosavuta mutu wobadwa kuchokera mumtambo wa umbilical.

Chingwe chophatikizana ndi chachiwiri, cholimba ndi umbilical chingwe chikhoza kukhala ndi zotsatira zovuta kwambiri za fetal hypoxia ndi kusokonezeka kosalekeza kumapeto kwa mimba ndi panthawi yobereka. Komabe, ndimayesetsa kutsimikizira amayi amtsogolo omwe amasonyeza zizindikiro za umbilical cuffing: m'mabuku amenewa, zonse sizili zoopsa kwambiri. Choyamba, mwanayo ali m'mimba mwa mayi saleka kusunthira mpaka kubadwa kwake, ndipo amatha kusokoneza chingwe cha umbilical komanso kusokoneza. Ndipo kachiwiri, madokotala akhala akuyesa njira yowonetsera mimba ndi kubereka ndi chingwe chozungulira kuzungulira umbilical.

Momwe mungabereke ndi chingwe chilonda kuzungulira chingwe?

Ngati palibe chokhachokha kapena chachiwiri, nthawi zambiri kubadwa kumachitika mwachibadwa. Panthawi ya kubala, chifuwa cha mtima cha fetus chimayang'aniridwa maola theka lililonse komanso pambuyo poyesera. Ngati msinkhu wa mwanayo sukugwirizana ndi chizoloŵezi, dokotala angasankhe kufulumizitsa kubereka mwa kukakamiza. Mutu atangoyamba kumene, mzamba amamuchotsa pamtambo kuti asagwedezeke kwambiri ndi kusokonezeka kwa magazi.

Pankhani ya mimba yokhazikika, kubala mwachibadwa ndi koopsa chifukwa cha chiopsezo cha hypoxia ndi fetus asphyxia komanso kusagwedezeka kwa msana. Kawirikawiri, ndi kumangiriza mwamphamvu, gawo lokonzekera lokhazikika pamapeto pakatha masabata 37.

Kotero, ife tazindikira kuti ndi chitukuko chamakono chamakono komanso ngati ali ndi mtima wololera komanso womvera pa mimba, chingwe cha umbilical chingwe sichingawononge amayi ndi mwana. Choncho, mukhoza kulangiza amayi amtsogolo kuti asadandaule ndi izi, khulupirirani dokotala wawo ndi kuyembekezera mphindi yosangalatsa ya maonekedwe a mwanayo.

Pomalizira, ndikuwona kuti wolemba nkhaniyi anabadwa pang'onopang'ono ndi ndodo yachiwiri yolimba, mwachirengedwe. Ndipo popeza mukuwerenga izi, zikutanthauza kuti izi sizinalepheretse kukula, kupeza maphunziro komanso kukhala mayi.