Ukwehliswa kwe-fetus ngesikhathi sokukhulelwa

Ukufunda ukushaya kwenhliziyo kwengane kungenye yezindlela ezivamile zokulawula. Kukhona izizathu zalokhu, ngoba ukugcina izinga lenhliziyo (izinga lokushaya kwenhliziyo) kumntwana ovame ukuthuthukiswa likhuluma ngenhlalakahle yakhe, futhi noma yikuphi ukwephulwa kungabangela izifo ezinzima njengokungqubuzana nokusabalalisa okuncane, okuyinto engathí sina ngokwanele empilweni ye-fetus futhi idinga ukuxilongwa ngokucophelela . Ngaphezu kwalokho, ukulalela ukushaya kwenhliziyo yengane ngesikhathi sokukhulelwa ngaphezu kwezinkomba zezokwelapha, kubaluleke kakhulu kubazali ngokwabo. Ukuzwa okokuqala ukuthi inhliziyo yezingane ishaya kanjani isipiliyoni esingenakulibaleka, futhi nobufakazi bokuthi uhlala ngempela futhi ukhula esibelethweni sikamama.

Ngendlela, i-palpitation ye-fetus ngesikhathi sokukhulelwa, okujwayelekile okushintshayo phakathi kwe-110-150 beats ngomzuzu, namhlanje kungasungulwa ngokusebenzisa izindlela ezehlukene. Omdala kunabo, kanye ne-subjective kakhulu, yi-auscultation. Kule ndlela, i-stethoscope ye-obstetric ye-Pinar isetshenziswa. Le tube ye-obstetric ikuvumela ukuba ulalele ukushaya kwenhliziyo yengane ngesikhathi sokukhulelwa emavikini angu-17-18, kanti izindlela zanamuhla zinciphisa le nkathi ukuya emavikini angu-12.

Ngokungafani ne-stethoscope yesibindi, izindlela zanamuhla zokuhlola izinga lokushaya kwenhliziyo zivumele ukuzwa ukushaya kwenhliziyo ngisho nabazali, hhayi nje kudokotela. Ukuze ulalele ukushaya kwenhliziyo yengane ngesikhathi ukhulelwe nge-stethoscope, udokotela kumele aqale athole isikhundla somntwana ukuze athole indawo lapho umsindo uzwakala khona, bese unamathisela i-tube noma i-stethoscope kule ndawo. Imiphumela yokuhlola futhi incike kuphela ekuhlangenwe nakho kukadokotela. Ngaphezu kwalokho, ukuhlolwa kwezinga lenhliziyo kwenzeka kuphela isikhathi esithile, ngakho-ke akunakwenzeka ukuloba idatha yokuhlola nokubonisana nomunye uchwepheshe.

Enye indlela yokuqapha inhliziyo yengane yimizimba ye-cardiotocography, evumela ukuqapha okuqhubekayo nokurekhoda lapho izinga lokushaya kwenhliziyo lizoba khona ngesikhathi sokukhulelwa. I-CTG yenziwa ngemuva kwesikhathi sokukhulelwa, ngasekupheleni kweviki elingamashumi amathathu nesishiyagalolunye nangesikhathi sokubeletha. Ngaphezu kwalokho, i-CTG inikeza ithuba lokurekhoda umsebenzi we-systolic wesibeletho futhi ngaleyo ndlela ikuvumela ukuba uhumushe izinga lokushaya kwenhliziyo yengane, kuye ngokuthi izimbangela zesisu.

Enye indlela evumela ukuthi ucabange ngeso lengqondo ukuthi izinga lokushaya kwenhliziyo liyi-ultrasound. Ngokungangabazeki, isigqoko senhliziyo sokubeletha ngesikhathi sokukhulelwa nalesi sivivinyo singase sizwakale ngemuva kweviki lesithupha lokukhulelwa.

Inhliziyo yesisu esesibelethweni iqala ukushaya ngosuku lwamashumi amabili nantathu lokuphila kwe-intrauterine, futhi ukubhaliswa komsebenzi wayo kungenzeka kuphela emva kwamasonto ambalwa okuthuthukiswa bese kuthi, kuye ngokuthi indlela esetshenzisiwe ngayo. Inhliziyo encane ishaya ngokushesha kunabantu abadala. Inombolo elungile ingu-110-150 beats ngomzuzu, kanti ukujwayelekile kumuntu omdala kuphela ukushaya okungu-60-90. Ngakho-ke, izikhathi eziningana zokukhulelwa ngesikhathi sokukhulelwa ziyizinkomba ezijwayelekile, ezibonisa ukuthi ngokuvamile ingane ikhula. Inani elingaphansi kwe-110 likhombisa i-bradycardia, futhi inani elingaphezulu kuka-150 lishaya - ku-tachycardia. Phakathi kwezimbangela ze-bradycardia kunezinga eliphansi lokucindezeleka kwegazi lomama, ukushisa komzimba okuphansi noma i-hypoglycemia, kanye nokukhubazeka kwenhliziyo enganeni, ukungaqiniseki kwamapayipi, ukubopha intambo noma umgogodla, noma ukusetshenziswa kwemithi ethile.

I-Tachycardia ingabangelwa u-hypoxia we-fetus, umkhuhlane kumama, ukutheleleka kwe-amniotic fluid, i-anemia ebusweni, nomphumela wemithi ethile. Ngokuqapha izinga lenhliziyo yengane, kungenzeka ukunquma ukusheshisa kwenhliziyo. Lesi simo sivamile. Kodwa-ke, ukuqala kokuvinjelwa kungabonisa ukungasebenzi kahle noma ukuphazamiseka kwentambo.