Ukuqapha ingane yakho ngaphambi kokubeletha

Ngenkathi ukhulelwe, umhlinzeki wakho wezokunakekelwa kwempilo angenza izivivinyo ukuhlola impilo yengane yakho. Ukuhlolwa kungenziwa nganoma yisiphi isikhathi ngenkathi ukhulelwe.

Ukuhlolwa kungadingeka kwabesifazane aba:

• Yiba nokukhulelwa okuyingozi kakhulu
• Yiba nesimo sempilo, njengesifo sikashukela
• Uke waba nezinkinga ekukhulelweni kwangaphambili
• Yiba nokukhulelwa okuhlala isikhathi eside kunamasonto angama-40 (sekwedlule isikhathi)

Ukuhlolwa kungenziwa ngaphezu kokukodwa ukuze umhlinzeki akwazi ukulandelela ukuqhubeka kwengane ngokuhamba kwesikhathi. Zizosiza umhlinzeki ukuthola izinkinga noma izinto ezingajwayelekile (ezejwayelekile). Khuluma nomhlinzeki wakho mayelana nokuhlolwa kwakho nemiphumela.

Ukushaya kwenhliziyo yengane enempilo kuzokhuphuka ngezikhathi ezithile. Ngesikhathi sokuhlolwa okungacindezeli (i-NST), umhlinzeki wakho uzobuka ukubona ukuthi isilinganiso senhliziyo yengane sihamba ngokushesha ngenkathi siphumule noma sihamba. Ngeke uthole mithi ngalolu vivinyo.

Uma izinga lokushaya kwenhliziyo yengane lingakhuphukeli lodwa, ungacelwa ukuba uphulule isandla sakho esiswini sakho. Lokhu kungavusa ingane elele. Ithuluzi lingasetshenziswa futhi ukuthumela umsindo esiswini sakho. Ngeke kubangele noma yibuphi ubuhlungu.

Uzoxhunyaniswa nomqaphi wombungu, okuyi-monitor yenhliziyo yengane yakho. Uma izinga lokushaya kwenhliziyo yengane likhuphuka ngezikhathi ezithile, imiphumela yokuhlolwa cishe iyoba eyejwayelekile. Imiphumela ye-NST esebenza kahle isho ukuthi isilinganiso senhliziyo yengane sikhuphuke ngokujwayelekile.

Imiphumela engasebenzi isho ukuthi ukushaya kwenhliziyo kwengane akukhuphukanga ngokwanele. Uma izinga lokushaya kwenhliziyo lingakhuphuki ngokwanele, ungadinga ukuhlolwa okwengeziwe.

Elinye igama ongalizwa ngalo mphumela wokuhlolwa ukuhlukaniswa ngezigaba kuka-1, 2, noma 3.

• Isigaba 1 sisho ukuthi umphumela ujwayelekile.
• Isigaba 2 sisho ukuqhubeka kokubheka noma ukuhlolwa kuyadingeka.
• Isigaba 3 ngokujwayelekile sisho ukuthi udokotela wakho uzoncoma ukulethwa ngokushesha.

Uma imiphumela ye-NST ingejwayelekile, ungahle udinge i-CST. Lokhu kuhlolwa kuzosiza umhlinzeki azi ukuthi ingane izokwenza kahle kangakanani ngesikhathi sokubeletha.

Umsebenzi uyacindezela enganeni. Konke ukusikwa kusho ukuthi ingane ithola igazi elincane ne-oxygen isikhashana. Ezinganeni eziningi lokhu akuyona inkinga. Kodwa ezinye izingane zinobunzima. I-CST ikhombisa ukuthi izinga lokushaya kwenhliziyo yengane lisabela kanjani ekucindezelekeni kwezingcindezi.

Kuzoqashwa umbungu. Uzonikezwa i-oxytocin (Pitocin), i-hormone eyenza isibeletho sisebenzisane. Ukufinywa kuzofana nalezo ozoba nazo ngesikhathi sokubeletha, kuphela kube kubi kakhulu. Uma izinga lokushaya kwenhliziyo yengane lihamba kancane kunokuba lisheshe ngemuva kokuncipha, ingane ingaba nezinkinga ngesikhathi sokubeletha.

Kweminye imitholampilo, ngenkathi ingane ibhekiwe, ungelulekwa ukuthi unikeze ukugqugquzela ingono okuncane. Lokhu kukhuthaza kuvame ukuholela ekutheni umzimba wakho ukhiphe inani elincane le-oxytocin elizokwenza isivumelwano sesibeletho. Isilinganiso senhliziyo yengane siqashwa ngesikhathi sokufinyela okuvelayo.

Iningi labesifazane lizwa ukungakhululeki okuncane phakathi nalokhu kuhlolwa, kepha hhayi ubuhlungu.

Uma imiphumela ingajwayelekile, udokotela wakho angakwamukela esibhedlela ukuze ubelethe ingane kusenesikhathi.

I-BPP iyi-NST ene-ultrasound. Uma imiphumela ye-NST ingasebenzi, i-BPP ingenziwa.

I-BPP ibheka ukunyakaza kwengane, iphimbo lomzimba, ukuphefumula, kanye nemiphumela ye-NST. I-BPP ibuye ibheke ne-amniotic fluid, okuwuketshezi oluzungeze ingane esibelethweni.

Imiphumela yokuhlolwa kwe-BPP ingaba eyejwayelekile, engajwayelekile, noma engacaci. Uma imiphumela ingacaci, ungahle udinge ukuphinda isivivinyo. Imiphumela engajwayelekile noma engacacanga ingasho ukuthi ingane idinga ukusheshe ibelethwe.

I-MBPP nayo iyi-NST ene-ultrasound. I-ultrasound ibheka kuphela ukuthi lungakanani uketshezi lwe-amniotic olukhona. Ukuhlolwa kwe-MBPP kuthatha isikhathi esincane kune-BPP. Udokotela wakho angase abe nomuzwa wokuthi ukuhlolwa kwe-MBPP kuzokwanela ukuhlola impilo yengane, ngaphandle kokwenza i-BPP ephelele.

Ekukhulelweni okunempilo, lezi zivivinyo zingenziwa. Kepha ungadinga ezinye zalezi zivivinyo uma:

• Unezinkinga zezokwelapha
• Unethuba lezinkinga zokukhulelwa (ukukhulelwa okuyingozi kakhulu)
• Uhambe isonto noma ngaphezulu udlule usuku lwakho olubekiwe

Khuluma nomhlinzeki wakho mayelana nokuhlolwa nokuthi imiphumela isho ukuthini kuwe nasenganeni yakho.

Ukunakekelwa kokubeletha - ukuqapha; Ukunakekelwa kokukhulelwa - ukuqapha; Ukuhlolwa okungacindezeli - ukuqapha; Ukuqapha kwe-NST; Ukuhlolwa kwengcindezi yokuncipha - ukuqapha; Ukuqapha kwe-CST; Iphrofayili yezinto eziphilayo - ukuqapha; BPP - ukuqapha

IGreenberg MB, iDruzin ML. Ukuhlolwa kwe-antepartum fetal. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 27.

UKaimal AJ. Ukuhlolwa kwempilo yombungu. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 34.

• Ukuhlolwa Kwangaphambi Kokubeletha