Chifukwa cha zomwe zimachitika kuti chingwe chikugwedezeka ndi umbilical wa mwanayo?
Monga lamulo, chodabwitsa choterechi monga chingwe chimakhalapo sabata la 32 la mimba, ndipo lakhala likuwonetsedwa kale pa 2 yomwe yatsimikiziridwa ndi ultrasound (masabata 20-22). Izi zimachitika pa zifukwa zingapo. Kaŵirikaŵiri kaŵirikaŵiri kawirikawiri imakhala ikuwonjezeka, mpweya wa oxygen, umene umapangitsa kuti mwanayo aziwonjezeka kwambiri.
Chinthu chachiwiri chomwe chimayambitsa vuto lofanana ndilo ndilo lalitali kwambiri la fetus. Izi zimawonekera pamene kutalika kwake kumadutsa masentimita 70. Chifukwa cha kukula kwa fetus mu mimba ya amayi, mitsempha ya umbilical imapangidwa, yomwe imagwera pamutu wa mwanayo.
Madokotala amagwira ntchito bwanji ngati pali chingwe cha umbilical pamutu pa sabata 32?
Monga lamulo, asanakhalepo tsikuli, madokotala samvetsera zochitika izi, akufotokozera izi kuti mpaka nthawi yobereka, mwanayo adzasintha malo ake kuposa nthawi khumi ndi ziwiri. Chotsatira chake, chikwangwani chikhoza kusindikizidwa kapena kupangidwa kachiwiri.
Pankhani ya kudziwika kwa chingwe chimodzi ndi chingwe cha umbilical pa sabata 32, mkaziyo ali ndi mphamvu yapadera. Choncho, pafupi ndi masabata 37, bwerezani ultrasound. Ngati pangakhale phokoso pamutu, amalingalira mfundo imeneyi kumayambiriro kwa nthawi yoberekera, komanso mwachindunji pakubereka.
Kodi chingwe choopsa chimapachikidwa?
Chowopsa kwambiri, mwinamwake, choopsa cha chodabwitsa ichi ndicho kugwidwa, ndipo chifukwa chake - hypoxia wa mwana wosabadwayo. Ngati chingwe cha umbilical chimawoneka pa ultrasound pasanathe milungu makumi awiri ndi awiri (32), kufufuza kwina, monga doppler ndi cardiotocography, kukhoza kulamulidwa. Ndi mitundu iyi ya maphunziro yomwe ikhoza kupatula hypoxia.
Kuyankhula za ngati ndizovuta kuyika chingwe ndi umbilical pa sabata 32, nkoyenera kunena kuti chirichonse chimadalira kuti ndi chiani ndi zingati. Choncho, kupititsa patsogolo kawiri pa sabata la 32 la mimba ndi chizindikiro chothandizira kuwunika kwa chikhalidwe cha mwana wamwamuna ndi wamimbayo. Zikatero, mwayi wokhala ndi kutupa ndi wabwino kwambiri, momwe kukakamizidwa kwa ntchito kapena ngakhale gawo loperewera likhoza kulangizidwa, ngati izi zilipo kale mu anamnesis mwa amayi amtsogolo.
Kotero, chirichonse chimadalira pa ziganizo zapamwambazi. Koma nthawi zambiri, chodabwitsa chotero, monga chingwe ndi chingwe cha umbilical, sichifuna thandizo la mankhwala, tk. Nthawi yambiri imakhala yosasokonezeka ndi nthawi yobereka.