Muna 2016, American Academy of Pediatrics yakabudisa mitsva miviri yechiremba nevamwe vezvehutano nezvekukosha kwekuregererwa kwekambo kumanikidzwa kwechecheche. Mune mazano matsva ayo anotsigirwawo neAmerican College of Obstetricians uye Gynecologists, AAP yakabudisa chirevo icho chakasiyana zvishoma pane zvavakapiwa mazano ekugadzirisa tsambo.
Vakuru vemazano vakurudzira kuti vese vacheche vasati vafanirwa kuedza kudzidzira kunonoka kambani yekuputika, asi vakati juri racho rakanga richiri kunze kana chiitiko chinonoka cord clamping chaigona kubatsira vana vose. Iye zvino, jweta rakataura uye rakurudzira kunonoka kudonhedzwa kwetambo kune vose vacheche, zvose nguva isati yasvika uye nguva.
Kambomira Kambo Yakanamatira
Kana iwe uri kushamisika kuti pasi pano yakanonoka cord clamping chii, usanetseka-ichokwadi chiri tsika yakajeka. Nenzira, kana mwana akaberekwa, chiremba kana nyamukuta achangobva kuvhara mutsara wemwana pane imwe kambani patsika, nepo placenta ichiri mukati mamai. Izvi zvinoita kuti ropa riyerere kubva pamakona kusvika kumwana.
Chiremba aizozoisa chimwe chidimbu chepamusoro pfupi kupfuura chigunhi chokutanga uye chiremba kana shamwari yake aizoita "tsika yekucheka" iyo inoburitsa mwana kubva kumai vayo. Zvose izvi zvinotora zvishoma pasi pemaminitsi makumi matatu.
Nenguva yakanonoka cord clamping, zvisinei, tambo haisati yavharwa. Pane kudaro, chiremba anobvumira ropa kuti rirambe ruchiyerera nepakati nepambo kupinda mumucheche kumucheche kubva kune placenta. Anogona kutarisa kusvikira rutambo rwuri kurega kuputika, zvichiratidza kuti ropa relacenta rakamira pacharo, kana kumirira imwe nguva, semakumi matanhatu emasere, tisati tambovhara tambo.
Kubatsira Kwetambo Kugwinya
IAAP neAACOG vakawana uchapupu huripo hunoratidza kuti kunonoka kusungirirwa kwekambo kunobatsira kune vose vacheche. Kune vacheche vanozvarwa nguva yakazara (mushure memavhiki makumi matatu nemaviri), vakawana zvinotevera:
- Kuwedzera hemoglobin (masero matsvuku eropa) mazera ekuberekwa
- Kuvandudzwa kwesimbi yesimbi mumutana wemwana mukati memwedzi miviri yekutanga yehupenyu, iyo inobatanidzwa kune zvakanaka zvinobudirira zvakakosha zvakadai sekuzvibata, motokari, uye kukwanisa kugona.
- Kuvandudza kutapurirwa kwemasero emumune kubva kuna amai kuenda kumucheche
Kune vacheche vanoberekwa vasati vasvika (pasi pemavhiki makumi matatu nemasere), zvikomborero zvekuregererwa kambani kupinza zvinotokosha zvikuru. Zvikomborero zvinosanganisira:
- Zvikamu zvezasi zveuropi zvirwere
- Zviri nani kuparadzaniswa
- Zviri nani kuwedzerwa ropa
- Nhamba dzezasi dzechirwere chinokonzera kupinda mujoka, chirwere chinotyisa mumatumbo uye mudumbu
- Kuderera kwemajeri ekuwedzerwa ropa
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Kuti mukohwe zvikwereti zvekunonoka kusungirirwa kambo, AAP iri kukurudzira kuti vanachiremba vose neavo vanoendesa vana vanomirira kwemaminitsi makumi matatu kusvika makumi matanhatu mushure mokunge mwana aberekwa asati asveta tsambo. Nguva chaiyo yekurudziro inosara kusvika pakuziva kwechiremba uye inogona kusiyanisa kubva kuchipatara kusvika kuchipatara. Bhuku reBritain College reVadzidzi, somuenzaniso, rinorumbidza kuti nguva dzose inononoka kusungirirwa kambo kwemaminitsi maviri.
Zvaunogona Kuita
Taura nachiremba wako pamusoro pezvaanoita nokuda kwekunonoka kwekambo kusungirirwa uye kana kwete iye / anoronga kutevera mazano matsva. Kana chiremba wako asingazivi tsika yacho, igovera chiitiko chekupedzisira kwaari uye iva nechokwadi chokuti iwe uye chiremba wako pane peji rimwe chete nezvo zvakanakisisa kumwana wako.
Iwe unofanirwa kuziva zvakare kuti pane humwe hukama nehuwandu hwehuwandu hwejerice kune vana vacheche vakanonoka kusungirirwa kwetambo, nokuti yakawedzera yavo yeropa rega rega. Apo masero matsvuku eropa anoputsika mushure mokuberekwa, anosunungura bilirubin, inokonzera jaundice.
Muzviitiko zvakawanda, jaundice haisi kukuvadza, asi iwe unofanirwa kuziva zviri zviratidzo nezviratidzo zve jaundice, izvo zvinosanganisira kuchena kweganda kana maziso uye kuchinja mumararamiro emwana wako, zvakadai sekuwedzera kurara kana kusada kudya.
> Sources:
American College yezvipfeko uye Gynecologists. (2017, Jan.) Komiti maonero: Kusungirirwa kwetambo kusinganisa. Kudzorerwa kubva ku http://www.acog.org/Resources-And-Publications/Komiti-Opinions/Komiti-on-Obstetric-Practice/Delayed-Umbilical-Cord-Clamping-After-Birth