Ukuxilongwa sokukhulelwa

Lokho kusho, kodwa lapho ekhulelwe - ingenye bethuthumela, nezikhathi ezinzima empilweni yonke wesifazane. ushintsho esesuthi, isicanucanu,: A sokukhulelwa kungase kubonise eziningi izimpawu eyinhloko yokuntuleka kokuya esikhathini, leso siphetho sasiyobe kuphela bakwazi ukuhlola ukukhulelwa onguchwepheshe. ekuhlonzweni yokukhulelwa inquma khona izimpawu kungenzeka futhi okusolwayo. Ngu izimpawu ziwukuqagela noma ngabazeka zihlanganisa:

- umuzwa yokuhogela (ukuya amaphunga abukhali: amakha, utshwala, ugwayi intuthu);

- izinguquko ngesifiso (nokucasula ne inhlanzi, inyama noma eminye imikhiqizo), ukunambitheka ukuphendukezela (Luhambo kuya wokulinganisa, ubumba, imikhiqizo acute);

- ibala lesikhumba areola, emgqeni elimhlophe esiswini, ebusweni;

- anda ukozela, ukucasuka, ukushintshashintsha kwemizwelo.

Ukuze izici Cishe zihlanganisa:

- cyanosis we lwamafinyila wesibeletho kanye emomozini;

- ukumisa zokwehlukaniswa;

- izinguquko lwamafinyila ukuthungwa, ijamo nokubaluleka kwesibeletho;

- labissledovaniya (ukuzimisela lokuhlushwa womuntu hormone okuthiwa i chorionic ku egazi noma omchamo).

Ukuxilongwa yokukhulelwa ekuseni: izimpawu obuphathekayo

Phakathi lezi zibonakaliso:

- definition izingxenye nokunyakaza fetus ngesikhathi palpation noma ultrasound wabesifazane esiswini;

- auscultation wenhliziyo umsindo wengane. ukusikwa senhliziyo linganquma usebenzisa izindlela wezinsimbi ukuxilongwa: kardiootokografiya, ECG, igilamafomu auscultation.

Ukuxilongwa sokukhulelwa kusekelwe anamnesis, palpation amabele kanye ecindezela colostrum Ukuhlolwa okubonakalayo egumeni kanye zangasese zangaphandle, izifundo wezinsimbi usebenzisa izibuko sangasese somuntu wesifazane, kanye ezimbili ngilambatha sowesifazane sangasese-besisu noma lwesitho sangasese sowesifazane luhlolo zesifazane.

Imiphumela yaloku kuhlola okungenhla yamanje yokukhulelwa kuhlanganisa ngamathuluzi ahlukahlukene nezindlela: sonographic, radioimmunoassay, immunological, yemvelo, njll

Biological izindlela ukuxilongwa esekelwe ekuzimiseleni hormone lokuhlala (horiogonadotropin) egazini abesifazane.

Imiphumela yaloku kuhlola okungenhla Immunological yokukhulelwa kusekelwe ukusabela kwezulu nge unogwaja antiserum yokwehlisa ukucindezela hemagglutination ukuphendula, noma nenkanuko edlulele umphelelisi.

Ukubambezeleka sokukhulelwa - i uphawu emitholampilo ebalulekile, ikakhulukazi abesifazane kanye ezejwayelekile. Okusho ukuthi sithuthukiswe uma kuhlangene 'ukuvuvukala "futhi ukubonakala wamabele ngo colostrum wakhe, ukushintsha ukungaguquguquki nokubaluleka kwesibeletho, nge ukuvela cyanosis sangasese kanye wesibeletho. Phakathi nenkathi yokukhulelwa, ubukhulu kanye ukuma izinguquko kwesibeletho. Ngo kwesibeletho nonpregnant kuyinto ipheya emise amasonto ayisihlanu nesithupha yokukhulelwa wathi umzimba ozuza umumo uyisiyingi, futhi ekubeletheni - ovoid.

Ultrasound sitholakele sokukhulelwa ikuvumela ukuba bagcine ukuthuthukiswa embryonic wengane kanye izinyathelo ezifanele nganoma ukuphambuka kancane kusukela kuyinsakavukela bokuphila. Le ndlela ivumela ukunquma ocansini wengane, kanye ukuhlonza yokulimala ekwakhiweni kanye kwezinso fetus. Doppler ultrasound ivumela isikhathi ukuhlonza ngeziphambeko enezinkinga ohlelweni "kumama placenta-fetus,". Nale ndlela ungakwazi ukunquma fetus kwenhliziyo nokugeleza kwegazi. indlela wathi has high value zokuxilonga e yezinkinga zokukhulelwa (isib ukukhula fetus retardation syndrome). Ukuxilongwa sokukhulelwa kungaba kwenziwe ngosizo CTG zabakhulelwe. Le ndlela yenza kube lula ukuhlola impilo yengane.