Ukuhlolwa kwegazi ngentambo

Igazi lentambo lisho isampula legazi eliqoqwe enkabeni lapho kuzalwa khona ingane. Intambo yenkaba iyintambo exhuma ingane esibelethweni sikanina.

Ukuhlolwa kwegazi nge-Cord kungenziwa ukuhlola impilo yengane esanda kuzalwa.

Ngemuva nje kokuzalwa kwengane yakho, intambo iyaboshwa futhi iyasikwa. Uma kuzodonswa igazi lentambo, kufakwa esinye isigaxa esingamasentimitha angu-8 kuye kwangama-10 (amasentimitha angama-20 kuye kwangama-25) ukusuka kwesokuqala. Isigaba esiphakathi kwezibopho siyasikwa futhi isampula yegazi iqoqelwa kubhubhu lesifanekiso.

Azikho izinyathelo ezikhethekile ezidingekayo ukulungiselela lolu vivinyo.

Ngeke uzwe lutho olungaphezu kwenqubo ejwayelekile yokubeletha.

Ukuhlolwa kwegazi ngentambo kwenziwa ukukala okulandelayo egazini lengane yakho:

• Izinga leBilirubin
• Isiko legazi (uma kusolwa ukutheleleka)
• Amagesi egazi (kufaka phakathi i-oxygen, i-carbon dioxide, namazinga we-pH)
• Izinga likashukela egazini
• Uhlobo lwegazi noRh
• Qedela ukubalwa kwegazi (CBC)
• Ukubalwa kweplatelet

Amanani ajwayelekile asho ukuthi zonke izinto ezihloliwe zingaphakathi kwebanga elijwayelekile.

I-pH ephansi (engaphansi kuka-7.04 kuya ku-7.10) isho ukuthi kunamazinga aphezulu ama-acid egazini lengane. Lokhu kungenzeka lapho ingane ingatholi umoya-mpilo owenele ngesikhathi sokubeletha. Isizathu esisodwa salokhu kungaba ukuthi intambo yayicindezelwa ngesikhathi sokubeletha noma sokubeletha.

Isiko legazi elihle kuma-bacteria lisho ukuthi ingane yakho inegciwane lesifo segazi.

Izinga eliphakeme likashukela egazini (i-glucose) egazini lentambo lingatholakala uma umama enesifo sikashukela. Usana olusanda kuzalwa luzobhekwa nge-hypoglycemia (ushukela ophansi wegazi) ngemuva kokubeletha.

Izinga eliphezulu le-bilirubin enganeni esanda kuzalwa linezimbangela eziningi, okungenzeka ukuthi kungenxa yezifo ezitholwa yingane.

Qaphela: Amabanga wamanani ajwayelekile angahluka kancane kumalabhorethri ahlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izibhedlela eziningi zivame ukuqoqa igazi lentambo ukuze lihlolelwe lapho lizalwa. Inqubo ilula impela futhi lesi ukuphela kwesikhathi lapho lolu hlobo lwesampula segazi lungaqoqwa khona.

Ungase futhi uthathe isinqumo sokubhanga noma ukunikela ngegazi lentambo ngesikhathi sokulethwa kwakho. Igazi lentambo lingasetshenziswa ukwelapha izinhlobo ezithile zomdlavuza ohlobene nomnkantsha. Abanye abazali bangakhetha ukonga (ukubhenka) igazi lentambo yengane yabo ngenxa yalokhu kanye nezinye izinjongo zokwelashwa ezizayo.

ICord blood banking yokusetshenziswa komuntu siqu yenziwa ngamabhange egazi ayizintambo nezinkampani ezizimele. Kukhona ukukhokhiswa kwensiza uma usebenzisa insizakalo yangasese. Uma ukhetha ukufaka igazi lentambo yengane yakho, kufanele ukhulume nomhlinzeki wakho wokunakekelwa kwezempilo mayelana nobuhle nobubi bezinketho ezahlukahlukene.

I-American College of Obstetricians kanye neGynecologists. Umbono wekomidi le-ACOG cha. I-771: i-umbilical cord banking yegazi. Isikhubekiso seGynecol. 2019; 133 (3): e249-e253. I-PMID: 30801478 pubmed.ncbi.nlm.nih.gov/30801478/.

I-Greco NJ, i-Elkins M. Tissue amaseli asebhange nama-progenitor. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 38.

I-Waldorf KMA. Ukuzivikela komzimba komama nabesifazane. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 4.