Zomwe Mukuchita Pambuyo Pakudziwitsa Chingwe Chawiri

Zamkati

• Chingwe cha zingwe ziwiri ndi chiyani?
• Nchiyani chimayambitsa chingwe cha zotengera ziwiri?
• Kodi Chingwe cha Ziwiya Ziwiri Chimadziwika Bwanji?
• Kodi Muyenera Kuda nkhawa Ndi Matenda Awiri A Chombo?
• Kodi Mungayang'anitsidwe Bwanji Mosiyanasiyana Ngati Muli Ndi Chingwe Cha Ziwiri Zotengera?
• Chotengera

Nthawi zambiri, chingwe cha umbilical chimakhala ndi mitsempha iwiri ndi mtsempha umodzi. Komabe, ana ena amakhala ndi mtsempha ndi mtsempha umodzi wokha. Vutoli limadziwika kuti chingwe cha zotengera ziwiri.

Madokotala amatchedwanso kuti umbilical artery (SUA). Malinga ndi a Kaiser Permanente, pafupifupi 1% ya oyembekezera ali ndi chingwe cha zotengera ziwiri.

Chingwe cha zingwe ziwiri ndi chiyani?

Chingwe cha umbilical chimagwira ntchito yotengera magazi okosijeni kwa mwana ndikuchotsa magazi osowa okosijeni ndi zinyalala kwa mwana.

Mitsempha ya umbilical imanyamula magazi olemera ndi oxygen kumwana. Mitsempha ya umbilical imanyamula magazi opanda okosijeni kuchokera kumamwana kupita ku nsengwa. Kenako nsengwayo imabwezeretsa zonyansazo m’magazi a mayi, ndipo impso zimawathetsa.

Zovuta zingapo za umbilical zilipo, kuphatikiza chingwe cha umbilical chomwe chimakhala chachifupi kwambiri kapena chachitali. Wina ndi chingwe cha ziwiya ziwiri kapena SUA. Mtundu wa chingwechi uli ndi mtsempha umodzi ndi mtsempha m'malo mwa mitsempha iwiri ndi mtsempha.

Nchiyani chimayambitsa chingwe cha zotengera ziwiri?

Madokotala sadziwa kwenikweni chomwe chimapangitsa chingwe cha zotengera ziwiri kukula. Chiphunzitso chimodzi ndi chakuti mtsempha wamagazi sukula bwino m'mimba. China nchakuti mtsempha wamagazi sugawika pakati monga momwe umakhalira.

Amayi ena amakhala ndi chingwe cha zotengera ziwiri kuposa ena. Zowopsa zazingwe zazingwe ziwiri ndizo:

• kukhala mzungu
• okalamba kuposa zaka 40
• kukhala ndi pakati ndi mtsikana
• kukhala ndi mbiri ya matenda ashuga kapena magawo azishuga zambiri mumimba
• ali ndi pakati ndi ana angapo, monga mapasa kapena atatu
• kumwa mankhwala omwe amadziwika kuti amakhudza kukula kwa mwana, monga phenytoin

Komabe, zinthu zowopsa izi sizikutsimikizira kuti mayi adzakhala ndi mwana yemwe ali ndi chingwe cha zotengera ziwiri.

Kodi Chingwe cha Ziwiya Ziwiri Chimadziwika Bwanji?

Madokotala nthawi zambiri amazindikira chingwe cha zotengera ziwiri panthawi yobereka ultrasound. Uku ndi kuphunzira za mwana.

Madokotala nthawi zambiri amayang'ana mitsempha ya umbilical pakuyesa kwachiwiri kwa ma trimester pafupifupi milungu 18. Komabe, nthawi zina udindo wa mwana umapangitsa kuti zikhale zovuta kuti dokotala wanu athe kuwona chingwecho.

Njira ina ndi makina otulutsa mitundu a Doppler ultrasound, omwe amatha kuthandiza dokotala kuti azindikire chingwe cha zotengera ziwiri koyambirira. Izi nthawi zambiri zimakhala pafupifupi milungu 14. Ngati mukudandaula za chiopsezo cha mwana wanu pa chingwe cha zotengera ziwiri, lankhulani ndi dokotala wanu.

Kodi Muyenera Kuda nkhawa Ndi Matenda Awiri A Chombo?

Kwa amayi ena, kuyeza kwa zingwe ziwiri sikumayambitsa kusiyana kulikonse pakati pawo. Pali ana ambiri omwe ali ndi mitsempha imodzi yomwe imakhala ndi pakati komanso yobereka bwino.

Komabe, ana ena omwe ali ndi mtsempha umodzi amakhala pachiwopsezo chachikulu cha kupunduka. Zitsanzo za zolepheretsa kubadwa zomwe ana omwe ali ndi zotengera ziwiri zingaphatikizepo izi:

• mavuto amtima
• mavuto a impso
• zopindika msana

Chingwe cha zotengera ziwiri chimalumikizidwanso ndi chiopsezo chachikulu chazibadwa zomwe zimadziwika kuti VATER. Izi zikuyimira kupindika kwa mafupa, anal atresia, fistula yotulutsa magazi ndi esophageal atresia, ndi radial dysplasia.

Ana omwe ali ndi chingwe cha zotengera ziwiri atha kukhala pachiwopsezo chachikulu chosakula bwino. Izi zitha kuphatikizira kubereka msanga, kukula pang'onopang'ono, kapena kubereka. Dokotala wanu akhoza kukambirana nanu zoopsa izi.

Kodi Mungayang'anitsidwe Bwanji Mosiyanasiyana Ngati Muli Ndi Chingwe Cha Ziwiri Zotengera?

Madokotala amatha kuwona zovuta zambiri zomwe mwana amatha kukumana nazo chifukwa cha chingwe cha zotengera ziwiri pachimake chomaliza cha ultrasound.

Ngati dokotala wanu kapena katswiri wa ultrasound atazindikira chingwe cha zotengera ziwiri potanthauzira m'munsi kutanthauzira kwa ultrasound, atha kunena kuti kusanthula kwapamwamba kwambiri kuti muwone bwino momwe thupi la mwana wanu lilili. Nthawi zina dokotala wanu amalimbikitsanso amniocentesis. Mayesowa atha kuthandiza kuzindikira kukula kwamapapo ndi zina zokhudzana ndi chitukuko.

Mayesero ena kapena malingaliro omwe dokotala angakulimbikitseni ndi awa:

• mbiri yazachipatala
• mbiri yazachipatala yabanja
• fetal echocardiogram (kuwona zipinda ndi kugwira ntchito kwa mtima wa fetus)
• kuwunika zovuta zamtundu wa mimba, monga kuwunika kwa aneuploidy

Ngati mwana wanu sakuwoneka kuti ali ndi zovuta zilizonse kuchokera pachingwe cha zotengera ziwiri, izi zimadziwika ngati mtsempha umodzi wa umbilical (SUA).

Ngati dokotala sakukayikira kuti mwana wanu akukumana ndi zovuta zilizonse zochokera kuzingwe zazingwe ziwiri, atha kulangiza za ultrasound mtsogolo. Izi zitha kuphatikizira mwezi uliwonse kapena m'gawo lanu lachitatu, kuonetsetsa kuti mwana wanu akukula molingana ndi msinkhu wake. Ngakhale adotolo atayitanitsa chingwe chanu cha zotengera ziwiri kuti ndi SUA yakutali, palinso chiopsezo chochedwa kuposa kukula kwamwana wosabadwayo. Izi zimadziwika ngati cholera kukula kwa intrauterine (IUGR).

Kukhala ndi chingwe cha zotengera ziwiri sikulumikizidwa ndi chiopsezo chachikulu cha gawo la C motsutsana ndi kubereka. Komabe, ngati mwana wanu ali ndi vuto linalake lakuthupi, angafunikire kulandira chisamaliro mu chipatala chachikulu cha khanda (NICU) akabadwa.

Chotengera

Ngati dokotala wapeza kuti mwana wanu ali ndi chingwe cha zotengera ziwiri, kuyesedwa kofunikira kumafunika.

Ngakhale ana ena alibe zovuta monga zotsatira zazingwe zazingwe ziwiri, ena amatha. Dokotala ndipo mwina katswiri wa zamtunduwu akhoza kukuthandizani kudziwa njira zotsatirazi ndikuzindikirani ndi inu ndi mnzanu.