Mzere wosakanikirana pakati pa khosi la mwanayo

Kawirikawiri, pa ultrasound pamene ali ndi mimba, mayi amamva dokotala maganizo ngati chingwe chimodzi chozungulira khosi la mwanayo. Izi zimayambitsa mantha pakati pa amayi onse omwe akukumana nawo. Tiyeni tiyesere kuzilingalira ndikupeza kuti: Ndi chinthu choopsya chotere ndipo zingakhale zotani kuti mwana akhale ndi chingwe chimodzi chozungulira khosi ndi chingwe?

Nchiyani chimayambitsa mawuwo?

Choyamba, ziyenera kunenedwa kuti chochitika cha mtundu umenewu chitha kudzuka ndikudziwonera paokha. Ndicho chifukwa madokotala sakufulumizitsa kuganiza, ndipo nthawi zambiri amakhala ndi kuyembekezera ndikuwona machenjerero. Monga lamulo, ngati mlanduwu unkapezeka pafupifupi pakati pa nthawi yogonana, ndiye kuti ultrasound imachitidwa kale musanabadwe, pamasabata 37 a chiwerewere.

Pogwiritsa ntchito chingwe chimodzi chokha ndi umbilical cord, akatswiri amatchula zinthu zotsatirazi motere:

• kutalika kwake kwa umbilical chingwe ndi masentimita 70;
• Kukhalapo kwa madzi ambiri amniotic madzi - polyhydramnios;
• oxygen njala ya mwana - hypoxia.

Choncho, ali ndi polyhydramnios, mwanayo ali ndi malo akuluakulu oyendayenda, omwe kawirikawiri amachititsa kuti chingwe cha umbilical chitheke osati kokha thupi lonse, komanso khosi.

Koma hypoxia, nthawi zambiri imakhala ngati yochititsa chidwi, i.e. Kutaya mpweya wabwino kwa mwana wosabadwa kudzera mumtambo wa umbilical kungachititse kuwonjezeka kwa magalimoto. Pamapeto pake, mwanayo amangogwera mu imodzi mwa zingwe za umbilical.

Kodi ndichite chiyani ndi chingwe chimodzi chozungulira khosi la mwanayo?

Malingana ndi chiwerengero, pafupifupi 10% mwazochitika za mtundu uwu wa zochitika zimabweretsa mavuto. Ndi chifukwa chake mayi wamtsogolo sayenera kukhala ndi nkhawa komanso mantha pa izi. Komanso, chisangalalo cha amayi chikhoza kupititsidwa kwa mwana, zomwe zingangowonjezera mkhalidwewo.

Ponena za zochita za madokotala, monga momwe tafotokozera kale, ngati chingwecho chikupezeka pa khosi sichimafalikira chipatsocho, kuti madokotala amasankha kugwiritsa ntchito machenjerero a kuyembekezera, mwachitsanzo, dikirani pafupi mpaka kubereka.

Pofuna kudziwa momwe mwanayo aliri ndi chingwe chimodzi ndi msoli wa khosi lake, cardiotocography (CTG) ndi dopplerometry akhoza kulamulidwa . Phunziro loyamba limaphatikizapo kujambula kugunda kwa mtima kwa mwanayo, ndipo pogwiritsira ntchito yachiwiri, dziwani momwe zimakhalira m'magazi omwe ali mumtambo womwewo.

Kodi ndi zoopsa zotani?

Chingwe chimodzi, chosagwirizana ndi umbilical, monga lamulo, sichitha kuwonetsa thanzi labwino la mwanayo. Pakati pa mimba, chodabwitsachi chikhoza kuchitika mobwerezabwereza ndikudzidzimitsa, chomwe chimatsimikiziridwa ndi ultrasound pa nthawi ya mimba.

Monga lamulo, kuopsa kwa thanzi la mwana wam'tsogolo ndikumveka kawiri kawiri. Ndi chodabwitsa ichi, chitukuko cha mpweya wa mpweya chikupezeka. Matendawa amakhudza kwambiri njira za intrauterine zomwe zimapangitsa mwanayo kukula komanso kukula kwa ubongo makamaka. Choncho, chifukwa chake, pangakhale kuchepa kwa mphamvu zowonongeka, kuphwanya njira zamagetsi, kuwonongeka kwa dongosolo lamanjenje. Mphamvu ya zotsatira zolakwika zimadalira kukula kwa mpweya wa mpweya wa mwana wosabadwa.

Ndiyeneranso kuzindikira kuti kuthamanga kwakukulu kwa umbilical chingwe, chifukwa cha kuchepetsedwa kwa kutalika kwake konse chifukwa cha kuloŵedwa, nthawi zambiri kumatsogolera kuchitetezo cham'mbuyo mwa placenta, chomwe chimafuna kuthandizidwa ndi madokotala.

Motero, monga momwe tikuonera m'nkhani ino, chingwe chimodzi chozungulira kuzungulira chingwe cha mwanayo pamutu sichiyenera kuyambitsa moni kwa mayi wamtsogolo, tk. sizimakhudza chitukuko chake m'njira iliyonse.