Umbilical chingwe cirference kuzungulira khosi 1 nthawi

Nthawi zina amayi amtsogolo akadzafufuza dokotala pogwiritsira ntchito ultrasound, amamva madokotala kuti mwana wake ali ndi chingwe chozungulira pamtambo 1 nthawi. Tiyeni tione mwatsatanetsatane zomwe zotsatira za zochitikazi zingakhalepo komanso ngati ziri zoopsa, monga akunena.

Nchifukwa chiyani pangakhale chingwe chimodzi cha umbilical khosi pakhosi pa nthawi ya mimba?

Nthawi yomweyo perekani chiwonetsero kuti dziko lino si loopsa monga amayi amtsogolo akuganiza. Komabe, kumafunika kuyang'aniridwa ndi madokotala nthawi zonse. Choopsa chachikulu mu zochitikazi ndizo kuyembekezera mwanayo pakapita nthawi. Choncho, azamba nthawi zonse amayang'ana malo a mwana wosabadwa m'chiberekero, ngati chikwapu chikupezeka. Kawirikawiri, kuperekedwa limodzi ndi chingwe chimodzi kumakhala popanda mavuto.

Ngati tikulankhula momveka bwino za zifukwa zomwe zochitikazi zikuwonetsedwa, ndiye kuti, monga lamulo, ndi:

• Mtambo wautali kwambiri (masentimita oposa 70). Monga lamulo, kutalika kwa chingwe cha umbilical chokha chimadalira pa cholowa;
• polyhydramnios - kuchuluka kwa amniotic madzi kumapangitsa mwanayo kukhala ndi malo ochuluka a kayendetsedwe kaufulu, chifukwa cha zomwe mawuwo angapangidwe;
• hypoxia, yomwe idapangidwa chifukwa cha kusokonezeka kwa malo otsetsereka, ingachititse kuti mwanayo asamangidwe kwambiri, zomwe zimayambitsa chingwe chimodzi, chosasunthika pamutu wa mwanayo.

Kuwonjezera pa zifukwa zapamwambazi, zofanana zomwezi zingathe kukhalapo komanso mwangozi.

Kodi chidziwitso cha chodabwitsachi chachitika bwanji?

Kuzindikira kwa kuphwanya kotereku kungatheke pokhapokha ngati chithandizo cha ultrasound chikuthandizidwa. Komabe, ngakhale pamene, chifukwa cha phunzirolo, chingwe cha umbilical chingwe chinapezeka kamodzi pamutu wa mwana wosabadwa, izi sizikutanthauza kuti izo zidzakhalabe mpaka nthawi yobereka.

Kukula kwa zinthu zoterezi n'kotheka mwazigawo ziwiri: mwanayo adzachotsa ndipo crochet idzatha kapena, m'malo mwake, m'malo mwa mawu amodzi, padzakhala kawiri. Choncho, chofunikira kwambiri pa izi ndi khalidwe la ultrasound mu mphamvu. Malingana ndi chiwerengero cha zachipatala, 10 peresenti ya zochitika zoterezi zimathera m'mavuto osiyanasiyana.

Kusamala kwakukulu kwa matendawa kumaperekedwa ku magazi. Onetsetsani kuphwanya kwake pogwiritsira ntchito kujambula. Ndizomwezi zimathandiza kuti mudziwe bwinobwino ngati kugwedeza kwamtunduwu kumabweretsa hypoxia. Pamaso pa hypoxia, dopplerometry imachitidwa, yomwe imalola kuzindikira kukula kwa magazi.

Ngati pali zokayikira za mwayi wokhala ndi hypoxia, kafukufuku ukuchitika mobwerezabwereza, chifukwa pamene malo a fetus amasintha, chikhalidwe cha mwana chingasinthe.

Kodi ndichite chiyani ndi chingwe chimodzi ndi chingwe cha umbilical?

Pafupifupi sabata 37 ya mimba, madokotala samangoganizira za izi, pokhapokha ngati chitsutso chimayambitsa chitukuko cha hypoxia. Monga lamulo, izi zingawonekere ndi kutha nthawi zingapo kumayambiriro kwa kubadwa. Choncho, njira iliyonse yapaderayi pankhaniyi, madokotala samatenga, kuyang'ana mkhalidwe wa mwanayo komanso amayi ake.

Vuto lalikulu kwambiri kwa mwanayo ndi lolimba, osati laling'ono, koma chingwe chokwanira chikukulunga mozungulira khosi. Monga lamulo, muzochitika zoterezi, chitukuko cha mpweya wa njala chimakhala chosapeŵeka. Mkhalidwe woterewu ukhoza kuchititsa kusokoneza intrauterine, komanso ntchito ya thupi lonse: njira zamagetsi zimasinthika, njira zowonongeka zimachepa, dongosolo lamanjenje la mwana wosabadwa limasokonekera, ndi zina zotero. Mkhalidwe wofananawo ukhoza kuchititsanso kuphulika kwa magazi kumadera akutali ndi khosi. Ngati pali chikoka cholimba cha umbilical, chifukwa chofupikitsa kutalika kwake chifukwa cha kugunda pamutu, ndiye kuti n'zotheka kukhala ndi chida choyambirira cha placenta ndi kubweredwa mwadzidzidzi.