Iyo umbilical cord case inowanika mu25-30% yevakadzi vane pamuviri. Chinokosha chaicho chiri muchokwadi chokuti kumativi ose mutsipa, muviri kana zvidimbu zvetambo ye fetal zvinokanganisa sechidzitiro, dzimwe nguva inopinza mutumbi wemwana. Mishonga yemazuva ano yakadzidza kutarisana nematambudziko akadaro, uye kune chikamu chikuru kuberekwa nekambo kuvhara kunobudirira. Funga nezvemhando yebumbiro remubilical kupinda, zvikonzero zvaro, kuongororwa uye nemigumisiro.
Kune mhando dzakasiyana-siyana dzemubilical cord dzinopinda:
- asina kuroora - kana rwonzi rwombilical rwakambove ruchivhara mutsi we fetus;
- kaviri kana yakawanda-kutendeuka kwemuviri wechidimbu pamutsipa;
- iyo yakanamatira chete pamutsipa wezvibereko ndeyechera rakasara;
- kusanganiswa kwakasanganiswa - tsvimbo yembilical inoputira muviri uye / kana mitezo yenguva yemberi mwana;
- tsvimbo yakasimba nesimbi yombilical;
- kusimba kusimba.
Mutsara unogona kuva nezvikonzero zvinoverengeka:
- hypoxia kana oxygen nzara ye fetus - inokonzera kufamba kwakasimba kwemukati weuterasi yemwana asati aberekwa, nemhaka yezvinoita kuti zvipindike nemutsara wembilical;
- kuwedzera kwehuwandu hweAdrenaline muropa raamai, iyo inobatsirawo kuwedzera basa re fetal uye, sechigumisiro, tambo yakagadzirirwa;
- iyo yakareba yakareba umbilical cord, inopfuura 60 cm inotangira fetal bump;
- polyhydramnios - muhupo hwe polyhydramnios mwana ane nzvimbo yakawanda yekufambisa uye mikana yakawanda yekuvhiringidzika mumudonzvo wembilical yakapoteredza.
Kuongororwa kwembilical cord kudzingiswa
Panguva ino, kune dzimwe nzira dzakasiyana dzekuongorora umbilical cord kupinda mukati:
- Ultrasound diagnosis - nerubatsiro rwe ultrasound zvinokwanisika kuisa kuvepo kwemubilical cuff panguva yevhiki dzema18-18, uye sarudza kuti chii chinonyanya kuitika - chisina, chakaviri kana chakabatanidzwa;
- CTG chirwere chemafidiotocography umo kushambadzira uye kuwedzererwa kwema fetus zvakanyorwa, maererano nekuvapo kwe hypo hypoia uye nekugona kwemubilical cord kupindwa kunowanikwa.
Umbilical cord remitambo - migumisiro yemwana
Nyaya yakakosha, iyo inonyanya kukosha iyo kunetseka kunotarisira vanaamai ndeyengozi yetambo yakagadziriswa, uye zvinoguma nei. Izvo zvakanyanya uye zvisingabatsiri kumwana ndeye tsambo imwe chete pamutsipa. Muchiitiko ichi, paanenge aberekwa, chiremba anogona nyore nyore kuderedza tambo yembilical uye kuibvisa. Iyo inopetwa kaviri yomudambo inonzi yakanyanya kuipa, sezvo migumisiro inogoneka inokonzerwa nehuseta nenzara uye microtrauma yemirasi yemitambo. Vana vanozvarwa vane kuberekwa kwakadaro kunogona kunge kunowanzova nemusoro wepamusoro, kuwedzerwa kunetseka kana kushaya simba, kukurumidza kuneta.
Tsvimbo yakasimba neyembilical cord inogona kuva nemigumisiro yakafanana inotsanangurwa pamusoro apa, asi kuberekwa nemaitiro akadaro kunogona kuva kwakaoma kufanana neyefixia ye fetus, inotyisidzira kumisa kufema kwomwana. Izvi hazviwanzoitiki, asi mumamiriro ezvinhu akadaro vanogadzirisa zvipatara
Nenzira yakawanda, inofanira kunzwisiswa kuti kana tambo yakavharwa pamutsipa, fetus inosangana ne hypoxia, asi migumisiro yeropa rekushaya nzara hairatidziratidzike muvana vose uye dhigirii inogona kunge yakasiyana. Kune vamwe vana, kukanganisa nemakumbo embilical hakuiti hutano hwavo mune ramangwana, kune vamwe iyo yakazara nevirative-vascular dystonia, kupesana kwehuwandu hwemuviri. Zvose izvi zvinoshandiswa kubudirira, uye kana hurumende yakarurama yezuva ichitarirwa, mwana achakura akasimba uye ane utano.