Kuratidzwa kweMbilical Cord
Iwe unogona kunge wakanzwa pane yako ultrasound kuti iwe wakanga uine tambo yakakoswa mitatu kana kuti ivo vaitsvaga zvitatu zvendambo. Chii chitatu chingwe chombo?
Ngatitangei nemisimboti yemutsara wembilical . Mutsara unobatanidza ukama pakati pemwana wako uye placenta. Chidimbu chemuganda wembilical ine mitsetse miviri uye imwe mhino, iyi inozivikanwa semutatu wendambo.
Iyo yakafukidzwa nehutema gelatinous chinhu chinonzi Wharton's Jelly. Iyo mhete inounza okisijeni uye michina kumwana kubva kumamai. Mishonga inoshandiswa kutakura marara kubva kumwana kuenda kuna amai kuburikidza neitsvo dzake.
Mutsara wekutanga unotanga kuumbwa pakutanga kwekubata pamuviri, kunenge vhiki yechishanu yekubata. Inotora nguva yakareba uye inotora chimiro chakakurumbira chepiil sezvazviri. Ivhareji urefu hwembambo yembilical inenge makumi maviri nemaviri kusvika makumi maviri nemana masendimita.
Placental Exam uye Umbilical Cord Via Ultrasound
Kana iwe uri kuita pakati pekudzivirira ultrasound , iyo inozivikanwawo seye fetal anatomy survey, yako ultrasonagrapher ichaongorora iyo placenta. Vari kutsvaga zvinhu zvakawanda. Vachaedza kuona zvose maseriyuta uye vhein panguva yekuongorora kwako. Izvi zviri nyore zvakagadzirwa nemuvara Doppler ultrasound asi zvinogona kuitwa nemuwandu we ultrasound machine. Vanogona kana kuti vangave vasingatauri chero chinhu nekuongorora. Ukuru uye nzvimbo ye placenta uye rambo rwembilical ruchaonekwa.
Wharton's Jelly uye Knots muMbilical Cord
Wharton's Jelly yakakura kwazvo uye inobatsira kudzivirira arteri uye vhein kubva pakuomeswa paunenge uine pamuviri sezvo mwana wako achikura uye tambo inomanikidzwa uye kunyange inogona kuve yakagadzirirwa mune imwechete yezana yevana vose vanozvarwa. Izvi zvinowanzoshandiswa mumakumbo maviri akafanana kana kana mwana wembilical cord yako yakareba kupinda yakasviba.
Mafupa akawanda anoramba akasununguka uye haaiti kutyisidzira mwana wako, asi anotenda kuti ndicho chinokonzera pamusoro pezvishanu zvemazuva ekuberekwa. Kutora kutarisa ndeimwe nzira yakashandiswa kutarisa tambo anomalies, uye apo imwe yembeu yemhepo inoshanduka inowanika, kuberekwa kwekucheka kunogona kuva ndiyo nzira yakanakisisa yemwana wako.
Umbilical Cord Cysts
Umbilical rwonzi cysts inowanikwa mune zvikamu zvitatu chete zvetambo. Iko kune miviri miviri mikuru: yechokwadi cysts uye zvinyorwa zvinyengeri. Irosts dzenhema dzakabatana neWharton's Jelly uye izere nemvura. Ichokwadi majee ezvinyorwa ane zvasara kubva kubva pakutanga kwepamuviri. Sezvo ma cysts anogona kuenzaniswa nekuremara kwekuberekwa, chiremba wako kana chiremba anokwanisa kukurudzirazve kuedza kusanganisira amniocentesis kutarisa chikonzero. Kazhinji izvi hazviwanikwi kusvikira mushure mokuberekwa.
Single Umbilical Artery
Inenge imwechete yezana yevese vacheche vachave nemidziyo miviri yembilical cord, iyo imwe arteri (Single Umbilical Artery) panzvimbo yeviri. Iwe uchaonawo izvi mumapfumbamwe kubva muzana kubva pamuviri apo pane vana vanopfuura (mapatya, katatu, nezvimwewo). Kana izvi zvikawanikwa, unofanira kutumirwa kune imwe shanduro yakadzama. Chikonzero icho imwe ultrasound yakaitwa ndeyekuti kaviri uongorore zvitsva uye kuti uone kuti mwana wako haana chaanoita.
Inenge makumi maviri kubva muzana yevana vanochera vane arteri rimwe chete mumutsara unenge uine matambudziko.
Vasa Previa
Apa ndipo apo ropa remudziyo kubva padambo harisi kudzivirirwa neWharton's Jelly uye chaizvoizvo rinoyambuka chibereko chechirwere. Izvi zvinogona kutungamirira pakubvarura kwemudziyo panguva yekuzvarwa, kuwedzera, kana kunyange kungomanikidzira pamugumo wekuita pamuviri. Icho chinetso chakakomba zvikuru. Ndinofara kuti zvakajeka hazviwanzoitiki zvinowanzoitika mumashure makumi maviri nemazana mashanu ekuberekwa. Kunyanya kuongororwa ne ultrasound ndicho chinhu chinokosha pakuberekwa kwakachengeteka kweiyo pamuviri. Kana uchitaridzirwa pakutanga pakuberekwa, uye chekuvhara iyo inowanzoitwa kwevhiki vhiki makumi matatu nemashanu kudzivirira kukanganisa kumudziyo.
Kazhinji iwe unogona kuona kushaya ropa kusina kumira mune yechipiri kana chechitatu mitatu kana kunotorwa pane zvinowanzoitwa ultrasound.
Velamentous Insertion
Kuiswa kwechimbichimbi chetambo kunoreva kuti inopinda mukati memhedziso chaiyo panzvimbo pepakati pepalacenta. Izvi zvinosiya mitsara inoratidzirwa munzvimbo, zvichiita kuti zvive nyore kuti vanyaniswe sezvo mwana achikura.
Nhau dzakanaka ndeyokuti huwandu hwenguva iyo hahuna matambudziko neyombilical cord. Icho chitarisiko chinonakidza chinoshanda ne placenta uye mwana.
Sources:
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Obstetrics: Kazhinji uye Matambudziko Okugadzirira. Gabbe, S, Niebyl, J, Simpson, JL. Fifth Edition.
Thummala MR, Raju TN, Langenberg P. Isolated Single Umbilical Arteri Anomaly uye Njodzi Yekuda Kubatana Maitiro: A Meta-Analysis. J Pediatr Surg. 1998 Apr. 33 (4): 580-5.
Umbilical Cord Kusagadzikana. March weDhimes. http://www.marchofdimes.org/complications/umbilical-cord-abnormalities.aspx February 2008. Kupedzisira Kuwana February 6, 2016.
Weiner E, Fainstein N, Schreiber L, Sagiv R, Bhuku J, Kovo M. Sangano Rakati Pakati peMbilical Cord Kusagadzikana uye Kubudirira kweHasina Kudzorera Fetal Heart Heart Inotungamirira Kusimudza Kushandiswa kweCesarean. J Perinatol. 2015 Aug 20.