Ukulandelana kwe-Amniotic band

Ukulandelana kwe-Amniotic band (ABS) yiqembu leziphambeko ezingavamile zokuzalwa okucatshangwa ukuthi zizovela lapho imicu yesaka le-amniotic ithola futhi isonge izingxenye zezingane esibelethweni. Amaphutha angathinta ubuso, izingalo, imilenze, iminwe, noma izinzwane.

Amabhendi e-amniotic kucatshangwa ukuthi adalwa ukulimala kwengxenye ye-placenta ebizwa nge-amnion (noma i-amniotic membrane). I-placenta ithwala igazi liye enganeni esakhula esibelethweni. Ukulimala ku-placenta kungavimbela ukukhula nokuthuthuka okuvamile.

Ukulimala kwe-amnion kungaveza amabhande afana ne-fiber angabamba noma acindezele izingxenye zengane ekhulayo. La mabhande anciphisa ukulethwa kwegazi ezindaweni futhi adale ukuthi akhule ngokungajwayelekile.

Kodwa-ke, ezinye izimo zokukhubazeka kwe-ABS zingabangelwa ukwehliswa kwegazi ngaphandle kwezimpawu zamabhande noma ukulimala kwencibijane. Kubuye kube nezimo ezingavamile ezibonakala zibangelwa ukukhubazeka kwezakhi zofuzo.

Ubukhulu bokhubazekako bungahluka kakhulu, kusukela kwisifaca esincane kuzwane noma emunweni kuye engxenyeni yonke yomzimba engekho noma engathuthuki kahle. Izimpawu zingafaka:

• Igebe elingajwayelekile ekhanda noma ebusweni (uma liwela ebusweni, libizwa ngokuthi yicleft)
• Konke noma ingxenye yomunwe, uzwane, ingalo noma umlenze ulahlekile (ukuzalwa unqunywe)
• Isici (ukusikeka noma imbobo) esiswini noma odongeni lwesifuba (uma ibhendi itholakala kulezo zindawo)
• Ibhendi engapheli noma ukuqaqanjelwa okuzungeze ingalo, umlenze, umunwe, noma uzwane

Umhlinzeki wezokunakekelwa kwempilo angakwazi ukuxilonga lesi simo ngesikhathi sokubeletha i-ultrasound, uma sinzima ngokwanele, noma ngesikhathi sokuhlolwa komzimba osanda kuzalwa.

Ukwelashwa kuyahlukahluka kakhulu. Imvamisa, ukukhubazeka akunzima futhi akukho ukwelashwa okudingekayo. Ukuhlinzwa ngenkathi ingane isesibelethweni kungasiza ekuthuthukiseni imiphumela kwezinye izimo, kepha akukacaci ukuthi yiziphi izingane ezizosizakala. Amanye amacala ayathuthuka noma axazululwe ngaphambi kokuzalwa. Ezimweni ezibucayi kakhulu, kungadingeka ukuhlinzwa okukhulu ukwakha kabusha sonke noma ingxenye ethile yomzimba. Amanye amacala abucayi kangangokuba awakwazi ukulungiswa.

Kufanele kwenziwe izinhlelo zokulethwa ngokucophelela nokuphathwa kwenkinga ngemuva kokuzalwa. Ingane kufanele ibelethwe esikhungweni sezokwelapha esinochwepheshe abanolwazi ngokunakekela izingane ezikulesi simo.

Ukuthi lusebenza kahle kangakanani usana kuncike ebukhulwini besimo. Amacala amaningi amnene futhi umbono womsebenzi ojwayelekile muhle kakhulu. Amacala abucayi kakhulu anemiphumela evikelwe kakhulu.

Izinkinga zingafaka ukulahleka okuphelele noma okuyingxenye kokusebenza kwengxenye yomzimba. Amabhande azalwe nawo athinta izingxenye ezinkulu zomzimba abangela izinkinga eziningi. Amanye amacala abucayi kangangokuba awakwazi ukulungiswa.

I-Amniotic band syndrome; Amabhande we-Amniotic constriction; Isifo se-constriction band; ABS; Izakhiwo zomzimba wezitho zomzimba; Izindandatho zokuvimbela; Iphutha lodonga lomzimba

ICrum CP, iLaury AR, iHirsch MS, i-Quick CM, uPeter WA. Ama-Amniotic band. Ku: Crum CP, Laury AR, Hirsch MS, Quick CM, Peters WA. ama-eds. I-Gynecologic ne-Obstetric Pathology. IPhiladelphia, PA: Elsevier; 2016: 776-777.

UJain JA, uFuchs KM. Ukulandelana kwe-Amniotic band. Ku: ICopel JA, D'Alton ME, uFeltovich H, et al, ama-eds. Ukufanekisa Okubelethayo: Ukuxilongwa kwe-Fetal and Care. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 98.

I-Obican SG, i-Odibo AO. Ukwelashwa kombungu okuhlaselayo. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 37.