Chii chinorehwa netsanangudzo ye "kuisa mutsara wembilical pamutsipa we fetus"?
Izvi zvinonzwiwa nevakadzi vakawanda vane ultrasound, asi havasi vose vanonzwisisa chaizvo zvinorevei, uye kuti yakawanda sei mamiriro ezvinhu ane ngozi kune utano hwomwana. Chokutanga, ngatitaurirei pamusoro pokuti chii chinonzi umbilical cord.
Mutsara wembambo ndeyekugadzirwa kwemaatoriki, kumirira tambo umo mutezo weropa uripo. Ndiye uyo ari kubatana pakati peamai uye fetus, zvakananga kuburikidza nemutsara wembilical kune ramangwana mwana zvinhu zvose zvinodiwa zvinouya, uye zvigadzirwa zvemetabolism zvinotsaurwa.
Apo rambo rwembilical runoita ruvara rwakapoteredza mutsi we fetus, vanachiremba vanotaura kuti ihomwe imwe chete. Mamiriro akadaro haafaniri kukonzera kutya kwemai munguva yemberi uye kutya, tk. muzviitiko zvakawanda, izwi iri rinonyangarika. Asi zvakakosha kutaura kuti zvingave kuti kushayikwa pamutsipa wemutsipa wemwana kuchaonekwa zvakare. Izvi zvinocherechedzwa, sekutonga, pakati pekuzvimba, apo mhepo inoshandiswa yemubhesi yakanyanya kwazvo.
Nemhaka yei mutsi we fetus uchinge wakaputirwa nemutsara wembilical?
Sezvatotaurwa pamusoro apa, chikonzero chikuru chekugadzirisa mamiriro ezvinhu aya ndechokufamba kwakanyanya kwe fetus, iyo, zvakare, ingaguma ye hypoxia. Zvisinei, chiitiko ichi chinogona kuonekwa apo:
- iyo fetus ine mutsara wakareba wembilical (inopfuura 70 cm);
- yakawanda yemamniotic fluid (polyhydramnios).
Mukuwedzera kune zvikonzero zviri pamusoro apa, zvinotokosha zvakare kutaura kuti kukanganisa kwakadaro kunogona kukura zvishoma, i E. zvachose zvisina kufanira (somuenzaniso, mwana akatendeuka, uye muromo wembilical wakaputirwa pamutsipa wake).
Ndeipi migumisiro yechiitiko ichocho seyambo yekukuvara?
Nokuda kwekuti chiitiko ichi chinowanzowira kamwechete, hachidi chero chiito kune chiremba chechiremba. Zvisinei, kana chikwata chikaonekwa pamasvondo makumi matatu nemashure uye gare gare, mukadzi ane pamuviri anotorwa pane imwe nhoroondo, iyo inosanganisira kutarisa chinzvimbo chemubilical cord mumasimba, nekuita kakawanda ultrasound.
Maererano nehuwandu, inenge 10% yezviitiko zvose nekupomerwa inokonzerwa nekugadzirwa kwezvinetso. Icho chikuru chinonzi asphyxiation uye, sechiguma, hypoxia (kukwana kwe okisijeni). Izvi zvinogona kuongororwa chete nekwakapetwa kaviri, yakasimba nesambo yakakomberedza mutsipa, iyo ine migumisiro yakaipa. Mumamiriro ezvinhu akadaro, kuitira kuti zviongorore zvakakwana mamiriro emwana, cardiotocography uye dopplerometry zvinoitwa, izvo zvinogadzirisa kukanganisa mukati memwoyo yematambudziko, pamwe nehupenyu hwekubuda ropa.
Nezvehutano hwekuzvarwa patsva netambo yakakomberedza mutsipa, kusarudzwa kwemaitiro ekutora kunobva zvakakwana pamhando yemhosva. Saka, kana mwana ane zvakawanda (2 kana kupfuura), akarembera pa 38-39 vhiki, ipapo kuberekwa kunoitwa nechikamu chekudzivirira.
Nokudaro, kana achinzwisisa kuti zvine ngozi kuvhara tambo yakapoteredza mutsi we fetus, tinogona kutaura kuti izvi hazvifaniri kukonzera nhamo mumama anouya, kunyanya kana iri imwe chete yakaturika. Kana pane kusava nechokwadi kwekukwanisa kuve nematambudziko, vanachiremba vanonyatsocherechedza mamiriro emwana, vachiita mhando dzakasiyana-siyana dzekuongorora.