Chii chingaita kuti tambo imwe chete yerutsigiro rwemubilical ruchipoteredza mutsipa panguva yekuzvitakura?
Nenguva pfupi ita chiitiko chokuti hurumende iyi haisi yengozi kana vanaamai vanouya vachifunga. Zvisinei, inoda kugara ichiongororwa navanachiremba. Nengozi huru pane iyi inenge iri mukumirira mwana zvakananga munguva yekubereka. Nokudaro, vananyamukuta nguva dzose vanocherechedza nzvimbo ye fetus mubereki, kana chikwata chinowanikwa. Muzviitiko zvakawanda, kutengeswa nekodzero imwe chete yakagadzikana inoitika pasina zvinetso.
Kana tikataura zvakananga pamusoro pezvikonzero izvo zvinoitika izvi zvinoonekwa, zvino, sekutonga, ndeikuti:
- iyo yakareba yakareba umbilical cord (inopfuura 70 cm). Sezvo mutemo, kureba kwembambo yeumbilical pachayo kunofanirwa nezvikonzero zvekuzvarwa;
- polyhydramnios - yakawanda yemamniotic fluid inopa fetus ine nzvimbo yakawanda yekusununguka kusununguka, semugumisiro weshoko rinogona kukura;
- hypoxia, yakagadziriswa semugumisiro wekuvhiringidzika kwegadziriro yeganda, inogona kutungamirira kumagetsi anowedzera maitiro emucheche, izvo zvinotungamirira kukurudzirwa kwetambo rimwe chete, risina kuiswa pamutsipa we fetus.
Mukuwedzera kune zvikonzero zvataurwa pamusoro apa, mamiriro ezvinhu akafanana anogona kukura nekukanganisa.
Iko kuonekwa kwechiitiko ichi kwakaitwa sei?
Kuona kukanganisa kwakadaro kunobvira chete nekubatsirwa kwe ultrasound diagnostics. Zvisinei, kunyange apo, semugumisiro wekudzidza, rwonzi rwombilical rwonzi rwakawanikwa kamwe kamwe rwakapoteredza mutsi we fetus, izvi hazvirevi kuti zvicharamba zviripo kusvikira nguva yekuberekwa.
Kubudirira kwemamiriro ezvinhu akadaro kunokwanisika mumatanho maviri: mwana acharamba achivhara uye crochet ichapera kana, pane kudaro, panzvimbo yeshoko rimwe chete, pachava nekaviri. Nokudaro, zvakakosha zvikuru munyaya iyi ndiyo mufambiro we ultrasound mu dynam dynamics. Maererano nehuwandu hwezvokurapa, 10% chete yemamiriro ezvinhu akadaro anoguma mumatambudziko akasiyana-siyana.
Kunyanya kukoshesa pakuonekwa kwechiitiko ichi kunopiwa kubuda kweropa. Sarudza kudarika kwacho kuburikidza nekushandisa cardiotocography. Ndizvo chaizvo izvo zvinoita kuti zvive nyore kugona kunyatsoziva kana kupikisana kwezvino kuri kutungamirira kune hypoxia. Muhupo hwe hypo hypoia, dopplerometry inoitwa, iyo inobvumira kutsanangura kuwanda kweropa ruchiyerera.
Kana paine kusavhiringidzika kwekwanisi yekuvandudza hypoxia, tsvakurudzo inoitwa kakawanda, nokuti apo chinzvimbo che fetus chinoshanduka, mamiriro emwana anogonawo kuchinja.
Chii chandinofanira kuita nekambo imwe chete neyembilical cord?
Munenge musati mavhiki makumi matatu nemaviri ekuzvitakura, vanachiremba havafungi nezvechiitiko ichi, kunze kwekuti kupomerwa kunotungamirira kukurudzirwa kwe hypoxia. Sezvo mutemo, iyi mamiriro ezvinhu anogona kuonekwa nekunyangarika kazhinji kambani kutanga kwekuberekwa. Nokudaro, chero zvipi nezvipi zvakakosha panyaya iyi, vanachiremba havatori, vachitarisa mamiriro emwana uye amai pachavo.
Dambudziko guru rechecheche rakasimba, kwete, asi tambo yakawanda inoputira pamutsipa. Sezvo mutemo, mumamiriro ezvinhu akadaro, kukura kwehupenyu hwekushaya mhepo yakakwana kunenge kusingadzivisike. Mamiriro ezvinhu akadaro anogona kukonzera kukanganisa kwekuchengetedzwa kwemukati, pamwe chete nebasa rehupenyu hwose: kushandiswa kwemagetsi kushanduka, mikana inogadziriswa inoderera, chirwere chetsitsi che fetus chakakanganiswa, nezvimwewo. Mamiriro akafanana anogonawo kukonzera kukanganisa kwekupa ropa kunzvimbo dzepamusoro nemutsipa. Kana paine nharo yakasimba yesimbi yeumbilical, semugumisiro wekutapudza urefu hwayo nekuda kwekupesana kumativi ose pamutsipa, zvino pane mukana wekutora nguva isati yakwana yepa placenta uye nokukurumidza kuendeswa.