Ndeipi tsambo mbiri inoputika?
Mhedziso yakadaro inoreva kuti kana ukaita ultrasound mumucheche, tambo ine mutsara wake unoonekwa kaviri, i.e. pamuviri wake kana mumutsipa kune 2 mashizha, ayo akaumbwa kubva kumutsara wembilical.
Izvi zvinowanzoitika uye zvinowanikwa munenge 20-25% yevose vanozvitakura. Kwenguva yokutanga inogona kuonekwa panguva yekuongorora kwe ultrasound panguva yevhiki 17-18. Iko panguva ino, basa recheche rakakwirira, asi nzvimbo dziri mu uterine cavity dzikava duku. Izvi zvinhu uye zvinotungamirira kune chokwadi chokuti chibereko, chinotenderera, chinongomutsiridza tambo yembilical.
Zvine ngozi kune tambo yekupindira kaviri here?
Kazhinji kacho, vanachiremba havanamati kukosha kwechiitiko ichi munguva pfupi (kusvika kumasvondo makumi maviri nemasere). Chinhu ndechekuti panguva iyo mwana ari mudumbu raamai, anoshandura nzvimbo yemuviri wake kazhinji pazuva. Somugumisiro, chidimbu chinogona zvakare kunyangarika nokukurumidza, sezvazvakaonekwa.
Kunyanya kubhadharwa kunobhadharwa kune vakadzi vane pamuviri vane chiitiko chakafanana panguva inotevera, apo basa rave kutokwanisika. Izvi zvinotsanangurwa nechokwadi chokuti kana rambo rwembilical rwakaputirwa pamutsipa we fetus 2 nguva, asphyxia (kukwana kwe okisijeni) inogona kukura. Mune mamwe mazwi, mwana angangoparara.
Kana tichitaura pamusoro pemigumisiro yekukohwa tambo yakasungwa pamutsipa 2 nguva, ipapo izvozvo zvinogona kuva:
- kukanganisa kwekuvandudza intrauterine;
ubongo hwakakonzerwa kubudirira; - kukurudzirwa kwemauto asati asvika wepentecenta (ane kamuti kfupi kamuviri).
Pakati pese, kuberekwa nekwakapetwa kaviri kwemubilical cord kunoitwa neklassical method. Zvisinei, nekunamatira kwakasimba uye kuonekwa kwechidimbu chechikamu chemubilical munharaunda yechipiri yebasa, kushungurudza, kuderera kwechiedza chemidziyo inoitika, zvichiita kuti kuderera kwakapfurikidza kuwedzerwa kweropa kumatumbu emwana (acute hypoxia uye asphyxia ). Mumamiriro ezvinhu akadaro, kudzivirira mamiriro aya, mukadzi ane pamuviri anorayirwa chikamu chekusiya.