Chingwe umbilical ali ziwiya zitatu: zikutanthauza chiyani? Kodi ziwiya zambiri tiyenera kukhala ndi chingwe umbilical?

Woyembekezera, mwana wosabadwayo kumagwirizana ndi mayi mothandizidwa ndi maphunziro apadera - ndi umbilical chingwe. Kudzera antabira zonse zofunikira pa moyo ndi kukula - mpweya ndi zakudya.

akazi ambiri pakati pa ndime ya ultrasound kuphunzira kuti chingwe umbilical ali ziwiya 3. Iwo anayamba kudandaula ndi kudabwa, "Kodi Chabwino ichi?" M'nkhaniyi, ife adzayankha ndi kukuuzani inu nonse za chingwe umbilical, kuphatikizapo za kudwala ake zotheka. Tikukhulupirira zimenezi zidzakhala zothandiza inu.

Kodi chingwe umbilical? akuphatikizapo ndani?

Chingwe umbilical (Aka - ndi umbilical chingwe) - uyu ndi maphunziro apadera kuti zikugwirizana ndi mwana wosabadwayo ndipo afterbirth ndipo walola fetoplacental kufalitsidwa. Kunja, izo akufanana ndi chingwe helically Shackleton kapena oyang'anira ndipo ali ndi bluish-imvi mtundu. Kumapeto kwa chingwe umalandira trimester wachitatu wa 50-60 masentimita m'litali, pamene m'mimba mwake ake pa mphete umbilical liri 1-2 cm. Ngakhale kuti panali kucitika kupatuka kwambiri kwa makhalidwe a zikutanthauza kumbali ina. Apa ndi chingwe umbilical. Photo izo zikusonyeza.

Mmodzi mapeto a chingwe umbilical Ufumuyo latuluka, ndipo chachiwiri - mwana m'dera la mphete umbilical. Kumalo ana akhoza Ufumuyo m'malo osiyanasiyana, kuphatikizapo pakati pa mbali kapena m'mphepete. Kawirikawiri chingwe umbilical akhoza Ufumuyo zipolopolo, pa mtunda wautali m'mphepete mwa latuluka lapansi. Pankhaniyi, ziwiya zake kuwafika mipando mwana kudutsa pakati zipolopolo lapansi. Mu chingwe umbilical ali anaŵerama, matendawa, ndipo bulges zimene zimachitika chifukwa mbali structural. Bwinobwino chingwe umbilical ali ziwiya 3, awiri a iwo - ichi ndi mtsempha wamagazi umbilical, ndi munthu - ndi woonda-mipanda, ndi lumen lonse umbilical Vienna. Pamodzi ulusi awo mitsempha ili. Mitsempha ndi mitsempha ya chingwe umbilical amacheza ndi wapadera gelatinous connective minofu otchedwa Wharton a zakudya. Izo ndi ntchito yake zoteteza, kuteteza psinjika za mitsempha ya. Chingwe umbilical aphimbidwa kunja amnion amene lalifupi 0.5-1 masentimita kwa Mchombo wa, adziwonetsa khungu la chipatso.

Vienna mtsempha wamagazi ndi chingwe umbilical. ndi ntchito zawo zomwe?

Choncho, tinaphunzira kuti umbilical chingwe yachibadwa ali ziwiya 3. Awiri mitsempha umbilical ochokera ku mkati mitsempha iliac. Iwo amadutsa magazi a mwanayo ndi wa carbon dioxide ndi mankhwala kagayidwe kachakudya kumalo ana. latuluka The ladzala ndi mpweya ndi zofunika zakudya kwa mwana wosabadwayo. Komanso, magazi chachoka mpweya woipa ndi mankhwala kagayidwe kachakudya. Komanso pamodzi m'mitsempha umbilical, iwo umabwereranso kwa mwanayo. Pafupifupi 80% ya magazi onse aperekedwa kwa makope zokhudza zonse mwa kuyenda arantsiev ritsa anakafika pamodzi pamwamba m'munsi a chiwindi ndi imaphwera mu dzenje pansi mtsempha. Magazi otsalira (20%) imatumizidwa ku zipata magazi pakati pa zipata ndi mitsempha umbilical kudzera anastomosis. Mawuwa kotunga magazi chiwindi mwanayo.

The umbilical chingwe cha akhanda a. Kodi chimachitika kwa iye pambuyo pa kubadwa kwa mwana wanu?

Mwana akabadwa chingwe umbilical wa wakhanda ali clamped kopanira, kenako intersects. Pakuti yotsala ya chingwe umbilical, ndi umbilical dera contiguous kwa mwana, ligature kapena zitsulo bulaketi Rogovin. Patapita nthawi, ndi bulaketi chikutha ndi zotsalira atachotsedwa ndi kudula chingwe umbilical, kunyamuka 2-3 masentimita kuchokera kuvala danga. Padziko mphete umbilical amalowerera gauze. Mu gawo lachitatu la ntchito mayi wabereka mwana kwa yotsala ya chingwe umbilical ndi nsengwa ndi nembanemba yoopsa. Pambuyo kuoneka mwana wobadwa minofu mitsempha yafupika reflex, ziwiya zapustevayut ndi chatsekedwa, ndi magazi mwa iwo kutsazikana. Motere zachilengedwe limagwirira chindiletsa kutaya magazi wakhanda, kukachitika kuti chingwe wake umbilical anatsala neperevyazannoy. Kenako, ziwiya kuwasandutsa minofu yovulazidwa magulu.

Njira kufufuza chikhalidwe cha chingwe umbilical

Ambiri, chikhalidwe cha chingwe ndi kudwala ake zotheka wapezeka pa mimba m'malo ovuta. Childs, ndi ultrasound matenda, zomwe limasonyeza kukodwa umbilical chingwe mozungulira khosi, miyendo ndi torso wa mwana wosabadwayo, komanso ulaliki wake. Mothandizidwa ndi phonocardiography ndi auscultation angasonyeze osati matenda a mtima, komanso phokoso la zipangizo za mchombo umbilical, lomwe limapezeka chifukwa kukodwa thupi kapena khosi mwana. Komanso, madokotala amatha kugwiritsa ntchito mtundu sanjira njira, sipangakhalenso mophweka onse umbilical mtsempha wamagazi Doppler ndi Vienna kuti kuwunika, makamaka, ndi chikhalidwe cha utero-placental magazi. Pamene Kupenda ukazi anamuuza za zingwe zopota chingwe. Atabadwa nsengwa ndi kuyendera nsengwa ndi umbilical chingwe ndi kutumiza nkhani ngati n'koyenera histological bwino.

Kudwala wa chingwe umbilical. kukodwa

The zambiri nawo pa matenda mchitidwe pathologies ngati chingwe kukodwa kuzungulira khosi, thupi ndi miyendo ya mwana wosabadwayo ndi kufupikitsa yofunika kwambiri chingwe umbilical. lalifupi mwamtheradi (zosakwana 40 cm), chingwe umbilical sapereka mwanayo kusuntha bwinobwino, zomwe zimabweretsa zoipa udindo mu chiberekero. Nthawi yobereka adera anatambasula, umene m'zotengera umbilical akusokoneza magazi. Iwo saphunzira kupita patsogolo kwa mwana wosabadwayo kudzera m'njira kubadwa, tingayambe hypoxia. Nthawi zina pali kupuma pang'ono ndi umbilical chingwe kapena magazi ziwiya zimene angathe kupha mwanayo. Kukodwa angayambe pa utali uliwonse wa chingwe umbilical. Izo zikhoza kukhala osiyana - osakwatira kapena angapo, zothina kapena mwachisawawa, lakutali kapena pamodzi. Angapo zolimba girth wa khosi kapena thupi la mwanayo kumaphwanya makope a, zikubweretsa kusowa mpweya ndi kuopseza detachment msanga wa latuluka lapansi. Pankhaniyi, umayi kupereka akafuna yobereka mothandizidwa ndi gawo la Kaisara.

Anomalies ya kapangidwe umbilical chingwe

Tikudziwa kuti umbilical chingwe yachibadwa ali ziwiya 3. Koma nthawi zina pamakhala anomalies chiwerengero cha mitsempha ndi mitsempha. 5% mimba angapo ndi 1% ya singleton kudwala dongosolo zovuta za chingwe umbilical, amene ali awiri okha mitsempha (mtsempha wamagazi imodzi ndiponso Vienna) m'malo mwa atatu. Chifukwa cha nyumba imeneyi anomaly a chingwe silinakwaniritsidwe sakudziwika. Pakalibe mtsempha wamagazi wina umbilical uhudschaet fetoplacental kufalitsidwa. Zimenezi zingachititse zosiyanasiyana vuto lobadwa mwa mwana wosabadwayo, kuphatikizapo matenda a mtima, wonongeka a dongosolo urogenital ndi chapakati mantha dongosolo mwana. Kwambiri kawirikawiri aplasia, mwachitsanzo anasiya chingwe umbilical. Pankhaniyi, mwana wosabadwayo chikugwirizana mwachindunji nsengwa ndi chitukuko ali ndi vuto lalikulu chakhungu.

matenda Nthawi zina ena anakumana kuchita matenda, kuphatikizapo umbilical mtsempha aneurysm, omphalocele umbilical chingwe, zoona, mfundo zabodza, cysts ndi zina zotero. D.

m'malo mapeto

Kotero, ife anayang'ana pa momwe ziwiya zambiri tiyenera kukhala ndi chingwe umbilical. Komanso, taphunzira pamene tiwerenga chikhalidwe chake pa mimba ndipo pambuyo pobereka, ndi mmene matenda ndi wapezeka matabwa ake. Tikukhulupirira, tsopano inu mukudziwa yachibadwa umbilical chingwe ali 3 ziwiya - mitsempha awiri ndi mtsempha wina. Angakwaniritse ndi ntchito yofunika kwambiri yonyamula magazi kuti mwanayo ndi ku latuluka lapansi.