Aya Matanho Anotevera Mushure meChipiri-Chikepe Cord Kuongorora

Zvemukati

• Chii chinonzi Tambo-mbiri Yechikepe?
• Chii Chinokonzera Tambo-Yechipiri Yechikepe?
• Ko Tambo-Yechikepe Chechipiri Inoonekwa Sei?
• Unofanira Kuva Nehanya Nezviviri-Mudziyo Kuongororwa?
• Iwe Uchaongororwa Sei Zvakasiyana Kana Iwe Une maviri-Mudziyo Cord Kuongororwa?
• Iyo Yekutora

Kazhinji, umbilical cord ine tsinga mbiri uye imwe tsinga. Zvisinei, vamwe vana vane tsinga imwe chete uye tsinga. Aya mamiriro anozivikanwa senge maviri-mudziyo tambo kuongororwa.

Vanachiremba vanoshevedza iyi imwechete umbilical artery (SUA). Sekureva kwaKaiser Permanente, inofungidzirwa kuti 1 muzana yemimba ine tambo yemidziyo miviri.

Chii chinonzi Tambo-mbiri Yechikepe?

Tambo yembilical inoitisa kutakura ropa rine okisijeni kumwana uye kubvisa ropa risina mweya uye marara kubva kumucheche.

Tsinga yembilical inotakura ropa-rakazara ropa kumwana. Mhemberero dzemubilical dzinotakura okisijeni-isina ropa ropa kubva pamucheche uye kune iyo placenta. Iyo placenta inozodzorera tsvina kuropa raamai, uye itsvo dzinozvibvisa.

Tambo dzinoverengeka dzembiru dziripo, kusanganisira tambo yembilical iyo ipfupi kana kureba. Imwe tambo yemidziyo miviri kana SUA. Iyi tambo yerudzi ine tsinga imwe chete uye tsinga pachinzvimbo chetsinga mbiri uye tsinga.

Chii Chinokonzera Tambo-Yechipiri Yechikepe?

Vanachiremba havazivi chaizvo zvinoita kuti tambo yemidziyo miviri isimbe. Imwe dzidziso ndeyekuti tsinga haikure zvakanaka mudumbu. Chimwezve ndechekuti tsinga haina kukamurwa nepakati sezvayingaite.

Vamwe vakadzi vanowanzo kuve netambo yemidziyo miviri kupfuura vamwe. Njodzi zvinhu zvemidziyo miviri tambo dzinosanganisira:

• kuva murungu
• kuva mukuru pane zera makumi mana
• kuva nepamuviri pemusikana
• kuva nenhoroondo yechirwere cheshuga kana zvikamu zveshuga zveropa panguva yekuzvitakura
• ane pamuviri nevana vakawanda, semapatya kana vatatu
• kutora mishonga inozivikanwa kukanganisa kukura kwechibereko, se phenytoin

Zvisinei, izvi zvinhu zvine njodzi hazvivimbise kuti amai vanozove nemwana ane tambo yemidziyo miviri.

Ko Tambo-Yechikepe Chechipiri Inoonekwa Sei?

Vanachiremba vanowanzoziva tambo mbiri-yemidziyo panguva yekuberekwa ultrasound. Ichi chidzidzo chekufungidzira checheche.

Vanachiremba vanowanzo tarisa embilical arteri mune yechipiri trimester bvunzo kumavhiki gumi nemasere. Nekudaro, dzimwe nguva chinzvimbo chemwana chinoita kuti zviomere chiremba wako kuti anyatsoona tambo.

Imwe sarudzo ndeye yemavara-inoyerera Doppler ultrasound muchina, iyo inogona kubatsira chiremba kuona maviri-mudziyo tambo pakutanga. Izvi zvinowanzoita kutenderera kwemasvondo gumi nemana. Kana iwe uchinetseka nezve njodzi yemwana wako tambo yemidziyo miviri, taura nachiremba wako.

Unofanira Kuva Nehanya Nezviviri-Mudziyo Kuongororwa?

Kune vamwe vakadzi, tambo yemidziyo miviri yekuziva haina kukonzera chero mutsauko unoonekwa mukutakura kwavo. Kune vana vakawanda vane tsinga imwe yemubereki ine nhumbu dzine hutano uye dzinosununguka.

Nekudaro, vamwe vacheche vane tsinga imwe chete vari panjodzi yekuwedzera kwehurema hwekuzvarwa. Mienzaniso yekuremara kwekuzvarwa uko vacheche vane maviri-mudziyo kuongororwa kunogona kuve kunosanganisira:

• matambudziko emwoyo
• matambudziko eitsvo
• musana zvikanganiso

Tambo yemidziyo miviri inosanganisirwa nenjodzi huru yekusagadzikana kwemajini inozivikanwa seVATER. Izvi zvinomirira kuremara kwehutachiona, anal atresia, transesophageal fistula ine esophageal atresia, uye radial dysplasia.

Vacheche vane tambo yemidziyo miviri vanogona zvakare kuva panjodzi yakanyanya yekusakura zvakanaka. Izvi zvinogona kusanganisira kutanga kutora, kunonoka-kupfuura-kujairika kukura kwe fetus, kana kuberekwa. Chiremba wako anogona kukurukura nenjodzi idzi newe.

Iwe Uchaongororwa Sei Zvakasiyana Kana Iwe Une maviri-Mudziyo Cord Kuongororwa?

Vanachiremba vanogona kazhinji kuona akawanda ematambudziko anogona kusangana nemwana nekuda kwetambo yemidziyo miviri pane yakakwira-resolution ultrasound.

Kana chiremba wako kana ultrasound nyanzvi achiona maviri-mudziyo tambo nekudzika dudziro ultrasound, ivo vanogona kupa yakakwira resolution resolution kuti unyatsoongorora maitiro emwana wako. Dzimwe nguva chiremba wako anogona zvakare kukurudzira amniocentesis. Uyu muedzo unogona kubatsira kuona kukura kwemapapu uye mamwe mamiriro ane chekuita nekusimudzira.

Mimwe bvunzo kana wongororo izvo chiremba anogona kukurudzira zvinosanganisira:

• nhoroondo yezvekurapa
• nhoroondo yemhuri yekurapa
• fetal echocardiogram (kutarisa makamuri nekushanda kwemoyo wechibereko)
• kuongorora kwehunhu husina kujairika pakubata, kunge aneuploidy kuongorora

Kana mwana wako asingaratidzike seanemhedzisiro kubva kune tambo-yemidziyo miviri, izvi zvinozivikanwa seyoga yega umbilical arteri (SUA).

Kana chiremba wako asingafungiri kuti mwana wako ari kusangana nemimwe mhedzisiro kubva kune maviri-mudziyo tambo kuongororwa, vanogona kukurudzira iyo ultrasound mune ramangwana. Izvi zvinogona kusanganisira pamwedzi wega wega kana kungoita mune yako yechitatu trimester, kuona kuti mwana wako ari kukura zvakaenzana nezera rake. Kunyangwe kana chiremba akashevedza tambo yako yemidziyo miviri SUA iri yoga, kuchine njodzi yekunonoka kupfuura zvakajairika kukura kwechibereko. Izvi zvinozivikanwa se intrauterine kukura kunorambidza (IUGR).

Kuva netambo yemidziyo miviri hakubatanidzwe nenjodzi huru yeC-chikamu maringe nekusununguka kwemukadzi. Nekudaro, kana mwana wako aine imwe nhengo kusagadzikana, vangangoda kupihwa chengetedzo mune yechecheche yekuchengetedza nzvimbo (NICU) mushure mekuzvarwa.

Iyo Yekutora

Kana chiremba wako aona kuti mwana wako ane tambo yemidziyo miviri, kumwe kuyedza kungangodiwa.

Nepo vamwe vacheche vasina matambudziko senge mhedzisiro tambo yemidziyo miviri, vamwe vanogona. Chiremba uye pamwe nyanzvi yezvibereko anogona kubatsira kuona anotevera matanho uye kuongororwa newe iwe nemumwe wako.