A shekara ta 2016, Cibiyar Harkokin Ilimin Yammacin Amirka ta fitar da sababbin hanyoyin kula da likitoci da sauran likitoci na likita game da muhimmancin jinkirta tarwatse ga yara. A cikin sabon shawarwarin da Cibiyar Kwalejin Kwararru ta Amurka da Masanan sunyi yarda da ita, AAP ya ba da wata sanarwa da ke da banbanci fiye da shawarwarin da suka gabata don yin amfani da igiya.
Maganin tsofaffi sun bada shawarar cewa duk yara da ba a haifa ba za su yi aiki da sauri, amma sun ce shaidun suna ci gaba idan ba'a iya yin amfani da igiya ba tare da jinkiri ba. A yanzu, shaidun sunyi magana kuma sun bada shawarar jinkirta igiya mai jinkirta ga jarirai duka, ba tare da dadewa ba.
Ƙungiyar Tuntun da aka Kashe
Idan kana yin la'akari da abin da ke cikin duniya ba tare da jinkirta igiya ba, kada ka damu-hakika wani abu mai sauƙi ne. A al'ada, idan aka haifa jariri, likita ko kuma ungozoma za su danne igiya ta jariri a wani wuri tare da igiya, yayin da mahaifa ke cikin mahaifiyarsa. Wannan yana dakatar da jinin daga ƙirin zuwa jariri.
Dole sai likita zai sanya wani karamin dan kadan fiye da na farko da kuma likita ko abokin tarayya zasu yi "ƙaddamar igiya" wanda ke haifar da jariri daga mahaifiyarsa. Dukan tsari yana daukan kimanin 30 seconds.
Tare da jinkirta tsararren igiya, duk da haka, ana cire katako ba tare da bata lokaci ba. Maimakon haka, likita ya bari jini ya ci gaba da gudana ta hanyar igiya a cikin ƙwayar jaririn daga ƙwayar. Zai iya yin kallo har sai da igiya ta dakatar da bugun jini, yana nuna cewa jini na jini ya tsaya a kan kansa, ko jira wani lokaci, kamar sittin sittin, kafin a danna igiya.
Amfanin Cord Matsalar
AAP da ACOG sun sami shaida mai zurfi da cewa jinkirta yin amfani da igiya yana da amfani ga dukan jariran. Ga jariran da aka haifa cikakkun lokaci (bayan makonni 37), sun sami amfanon masu zuwa:
- Ƙara yawan haemoglobin (raunin jini) a lokacin haihuwa
- Ingantaccen shagon ƙarfe a tsarin jariri a cikin dukkanin watanni na farko na rayuwa, wanda aka hade da alamomi na cigaba kamar halayyar, motar, da ƙwarewa.
- Canja wuri mai sauƙi daga sel zuwa jariri
Ga jarirai waɗanda aka haife ba a daɗe ba (a kasa da makon 37), amfanin da ƙaddamar da igiya mai mahimmanci ya fi mahimmanci. Amfanin sun haɗa da:
- Rawan ƙananan kwakwalwa na kwakwalwa
- Better wurare dabam dabam
- Tsarin ƙarar jini mai kyau
- Ƙananan ƙananan ƙwayoyin cuta ne, ƙwayar cuta a cikin hanji da ciki
- Rawanin jini na jini
Sabon Alkawari
Don amfanin gonar da aka yi amfani da ita, AAP yana bayar da shawarar cewa duk likitoci da wadanda ke sadar da jariran suna jira akalla 30 zuwa 60 seconds bayan an haifi jaririn kafin a danna igiya. Lokacin da aka ba da shawarwarin da aka ba da izinin likita zai iya bambanta daga asibiti zuwa asibiti. Kolejin Birtaniya na Obstetricians, alal misali, yana bada shawarar yin jinkirin yin amfani da igiya don akalla minti biyu.
Abin da Za Ka iya Yi
Yi magana da likitanku game da ayyukanta don yin amfani da igiya ba tare da jinkirta ba ko kuma a'a ya / i shirin bin sababbin shawarwari. Idan likitanku bai san wannan aikin ba, ku raba sabon bincike tare da shi kuma ku tabbata cewa ku da likitan ku a kan wannan shafi tare da abin da ke mafi kyau ga jariri.
Ya kamata ku san cewa akwai wasu ƙungiyoyi tare da yawan ƙananan jaundice don ƙananan yara waɗanda suka jinkirta tarwatse igiya, saboda ya kara yawan ƙarar jini. Lokacin da kwayoyin jan jini suka rushe bayan haihuwa, sun saki bilirubin, wanda ke haifar da jaundice.
A lokuta da yawa, jaundice ba cutarwa bane, amma ya kamata ka san alamun da bayyanar jaundice, wanda ya hada da rawaya launin fata ko idanu da kuma canji a yanayin halin jaririn, kamar kara yawan barci ko rashin jin daɗin ci.
> Sources:
Kwalejin Amurka na Obstetricians da Gynecologists. (2017, Jan. An dawo da su daga http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Daidawa-Babuka-Cord-Clamping-After-Birth