Izinyathelo Ezilandelayo Ngemuva Kokuxilongwa Kwentambo Yezikebhe Ezimbili

-Delile

• Iyini Intambo Yemikhumbi Emibili?
• Yini Ebangela Intambo Yezitsha ezimbili?
• Itholakala Kanjani Intambo Yemikhumbi Yesibili?
• Ingabe Kufanele Ukhathazeke Ngokuxilongwa Kwemikhumbi Emibili?
• Uzobhekwa Kanjani Ngokuhlukile Uma Unesifo Sokuxilongwa Kwezintambo Ezimbili?
• Ukuthatha

Imvamisa, inkaba inemithambo emibili nomthambo owodwa. Kodwa-ke, ezinye izingane zinomthambo owodwa kuphela nomthambo. Lesi simo saziwa njengokuxilongwa kwentambo yemikhumbi emibili.

Odokotela babuye babize lokhu ngomthambo owodwa we-umbilical (SUA). Ngokusho kukaKaiser Permanente, kulinganiselwa ukuthi iphesenti elilodwa lokukhulelwa linentambo yemikhumbi emibili.

Iyini Intambo Yemikhumbi Emibili?

Umgogodla unesibopho sokuhambisa igazi elinomoya-mpilo enganeni futhi lisuse igazi elingenayo i-oxygen nemikhiqizo kadoti enganeni.

Umthambo wombilical uphatha igazi eligcwele umoya-mpilo uluyise enganeni. Imithambo yenkaba ithwala igazi elingenayo i-oksijini lisuka embungwini liye e-placenta. I-placenta bese ibuyisela imfucuza egazini likamama, bese izinso ziyakuqeda.

Kukhona ukungahleleki kwezintambo eziningana, kufaka phakathi intambo emfushane kakhulu noma ende kakhulu. Enye intambo yemikhumbi emibili noma iSUA. Lolu hlobo lwentambo lunomthambo owodwa nomthambo esikhundleni semithambo emibili nomthambo.

Yini Ebangela Intambo Yezitsha ezimbili?

Odokotela abazi kahle ukuthi yini edala ukuthi intambo yemikhumbi emibili ikhule. Omunye umbono uthi umthambo awukhuli kahle esibelethweni. Okunye ukuthi umthambo awuhlukani kabili njengoba bejwayelekile.

Abanye besifazane banamathuba amaningi okuba nentambo yezitsha ezimbili kunabanye. Izici zobungozi zentambo yemikhumbi emibili zifaka:

• ukuba ngumlungu
• ukuba mdala kuneminyaka engama-40
• ukhulelwe intombazane
• ukuba nomlando wesifo sikashukela noma iziqephu zoshukela ophakeme kakhulu ngesikhathi sokukhulelwa
• ukhulelwe izingane eziningi, njengamawele noma amawele amathathu
• ukuthatha imithi eyaziwa ukuthinta ukukhula kwengane, njenge-phenytoin

Kodwa-ke, lezi zinto ezinobungozi aziqinisekisi ukuthi umama uzoba nengane enentambo yemikhumbi emibili.

Itholakala Kanjani Intambo Yemikhumbi Yesibili?

Odokotela bavame ukukhomba intambo yemikhumbi emibili ngesikhathi se-ultrasound yangaphambi kokubeletha. Lesi yisifundo semifanekiso yengane.

Odokotela ngokujwayelekile babheka imithambo yenkaba esivivinyweni sesibili senyanga yesithathu cishe emasontweni ayi-18. Kodwa-ke, kwesinye isikhathi isikhundla sengane senza kube nzima kudokotela wakho ukuthi abuke intambo ngokugcwele.

Enye indlela umshini we-Doppler ultrasound ogeleza umbala, ongasiza udokotela ukuthola intambo yemikhumbi emibili ngaphambili. Lokhu kuvame ukuba sezingeni lokukhulelwa kwamasonto ayi-14. Uma ukhathazekile ngengozi yengane yakho yezintambo zemikhumbi emibili, khuluma nodokotela wakho.

Ingabe Kufanele Ukhathazeke Ngokuxilongwa Kwemikhumbi Emibili?

Kwabesifazane abathile, ukuxilongwa kwentambo yemikhumbi emibili akubangeli mehluko obonakalayo ekukhulelweni kwabo. Kunezingane eziningi ezinomthambo owodwa wombilical onokukhulelwa okunempilo nokulethwa.

Kodwa-ke, ezinye izingane ezinomthambo owodwa zisengozini enkulu yokukhubazeka kokuzalwa. Izibonelo zokukhubazeka kokuzalwa okungenzeka ukuthi izingane ezinokuxilongwa kwemikhumbi emibili zifaka:

• izinkinga zenhliziyo
• Izinkinga zezinso
• ukukhubazeka komgogodla

Intambo yemikhumbi emibili ihlotshaniswa nengozi enkulu yokungajwayelekile kofuzo okwaziwa nge-VATER. Lokhu kumelela ukukhubazeka kwe-vertebral, i-anal atresia, i-transesophageal fistula ene-esophageal atresia, ne-radial dysplasia.

Izingane ezinentambo yemikhumbi emibili nazo zingaba sengozini enkulu yokungakhuli kahle. Lokhu kungafaka ukulethwa kwangaphambi kwesikhathi, ukukhula okungatheni kunokujwayelekile kwe-fetus, noma ukubeletha ingane izelwe. Udokotela wakho angaxoxa nawe ngalezi zingozi.

Uzobhekwa Kanjani Ngokuhlukile Uma Unesifo Sokuxilongwa Kwezintambo Ezimbili?

Odokotela bavame ukubona eziningi zezinkinga ingane engabhekana nazo ngenxa yentambo yemikhumbi emibili kwi-high-resolution ultrasound.

Uma udokotela wakho noma uchwepheshe we-ultrasound ethola intambo yemikhumbi emibili ngencazelo ephansi ye-ultrasound, bangaphakamisa ukuskenwa kokulungiswa okuphezulu ukuze kuhlolisiswe kabanzi ukwakheka kwengane yakho. Kwesinye isikhathi udokotela wakho angancoma futhi i-amniocentesis. Lokhu kuhlolwa kungasiza ekunqumeni ukuvuthwa kwamaphaphu nezinye izimo ezihlobene nentuthuko.

Olunye uvivinyo noma ukubuyekezwa udokotela angakutusa kufaka:

• umlando wezempilo yomuntu siqu
• umlando wezokwelapha womndeni
• i-echocardiogram yesisu (ukubuka amakamelo nokusebenza kwenhliziyo yesisu)
• ukuhlolwa kokungajwayelekile kofuzo ekukhulelweni, njengokuhlolwa kwe-aneuploidy

Uma ingane yakho ingabonakali inemiphumela emibi evela entanjeni yemikhumbi emibili, lokhu kwaziwa njengomthambo owodwa we-umbilical single (SUA).

Uma udokotela wakho engasoli ukuthi ingane yakho ibhekene nanoma yimiphi imiphumela emibi evela ekuxilongweni kwentambo yemikhumbi emibili, bangancoma i-ultrasound ngokuzayo. Lokhu kungafaka njalo ngenyanga noma nje ku-trimester yakho yesithathu, ukuqinisekisa ukuthi ingane yakho ikhula ngokulingana neminyaka yayo. Noma ngabe udokotela abize intambo yakho yemikhumbi emibili i-SUA engayodwa, kusesekhona ingozi yokwehla kancane kunokukhula okuvamile kombungu. Lokhu kwaziwa njengokuvinjelwa kokukhula kwe-intrauterine (IUGR).

Ukuba nentambo yemikhumbi emibili akuhlotshaniswa nengozi enkulu yesigaba se-C uma kuqhathaniswa nokulethwa kwesitho sangasese sowesifazane. Kodwa-ke, uma ingane yakho inokukhubazeka okuthile komzimba, ingadinga ukuthola ukunakekelwa kwiyunithi yokunakekelwa kwe-neonatal intensive care (NICU) ngemuva kokuzalwa.

Ukuthatha

Uma udokotela wakho ethola ukuthi ingane yakho inentambo yemikhumbi emibili, kudingeka ukuhlolwa okuningi.

Ngenkathi ezinye izingane zingenazinkinga njengomphumela oseceleni wentambo yemikhumbi emibili, ezinye ziyakwazi. Udokotela futhi mhlawumbe nochwepheshe wezofuzo angasiza ekutholeni izinyathelo ezilandelayo nokuxilongwa nawe nomlingani wakho.