Ukuqapha Inhliziyo Yengane: Yini Okujwayelekile, Yini Okungeyona?

-Delile

• Ukusheshisa
• Ukwehliswa
• Ukwehliswa kokuqala
• Ukwehliswa kwesikhashana
• Ukwehliswa okuguqukayo
• Yini ongayilindela

Ukubuka konke

Kubalulekile ukuqapha ukushaya kwenhliziyo yengane yakho nesigqi sakho ukuqinisekisa ukuthi ingane yenza kahle phakathi ne-trimester yesithathu yokukhulelwa kwakho nangesikhathi sokubeletha. Isilinganiso senhliziyo yesisu kufanele sibe phakathi kokushaywa okungu-110 kuya ku-160 ngomzuzu ngesikhathi sokukhulelwa sekwephuzile nasemsebenzini, ngokusho kweJohns Hopkins Medicine Health Library.

Odokotela bangasebenzisa izinto zangaphakathi nezangaphandle ukuqapha ukushaya kwenhliziyo kwengane. Kukalwa kakhulu kusetshenziswa idivayisi ye-ultrasound. Kwesinye isikhathi udokotela wakho esikhundleni salokho uzonamathisela idivayisi yokuqapha yangaphakathi ngqo ekhanda lengane ukusiza ukukala isilinganiso senhliziyo ngokunembe kakhudlwana.

Udokotela wakho uzobe efuna izinhlobo ezahlukene zamanani wenhliziyo, kufaka phakathi ukusheshisa nokuncipha. Bazobheka noma yiziphi izinguquko ezihlobene nenhliziyo ezingenzeka, njengoba lokhu kuvame ukuba yizimpawu zokuthi ingane noma umama usengozini ngokomzimba. Izimpawu ezinjalo zobungozi zingadala ukuthi udokotela athathe izinyathelo ngokushesha ukubuyisa ukuphepha kombungu nomama.

Ukusheshisa

Odokotela bazobheka ukushesha ngesikhathi sokubeletha. Ukusheshisa kukhuphuka kwesikhashana esilinganisweni senhliziyo sokushaya okungenani ama-15 ngomzuzu, kuhlala okungenani imizuzwana engu-15. Ukusheshisa kujwayelekile futhi kunempilo. Batshela udokotela ukuthi ingane inokuthola okwanele komoya-mpilo, okubaluleke kakhulu. Imibungu eminingi inokushesha okuzenzekelayo ezindaweni ezahlukahlukene kuyo yonke inqubo yokusebenza nokubeletha. Udokotela wakho angazama ukwengeza ukushesha uma bekhathazekile ngenhlalakahle yengane futhi bangaboni ukushesha. Bangazama enye yezindlela ezimbalwa ezahlukahlukene zokuheha ukushesha. Lokhu kufaka phakathi:

• ngokunyakazisa isisu sikamama
• ucindezele ekhanda lengane ngomlomo wesibeletho ngomunwe
• ukuphatha ukuqhuma okuncane komsindo (i-vibro acoustic stimulation)
• enikeza umama ukudla noma uketshezi

Uma lezi zindlela zibangela ukushesha kwenhliziyo yesisu, kuwuphawu lokuthi ingane yenza kahle.

Ukwehliswa

Ukwehla ngamaconsi esikhashana esilinganisweni senhliziyo yengane. Kunezinhlobo ezintathu eziyisisekelo zokwehliswa: ukwehliswa kwangaphambi kwesikhathi, ukuncishiswa kwesikhathi sekwephuzile, kanye nokwehla okuguqukayo. Ukwehliswa kwangaphambi kwesikhathi kuvame ukujwayelekile hhayi okuphathelene. Ukwehliswa kwesikhashana nokuguquguqukayo kwesinye isikhathi kungaba uphawu lokuthi ingane ayenzi kahle.

Ukwehliswa kokuqala

Ukwehliswa kwangaphambi kwesikhathi kuqala ngaphambi kwesiqongo sesivumelwano. Ukwehliswa kokuqala kungenzeka lapho ikhanda lengane licindezelwe. Lokhu kuvame ukwenzeka ngezigaba zakamuva zokubeletha njengoba ingane yehla ngomsele wokuzalwa. Zingahle futhi zivele ngesikhathi sokubeletha kokuqala uma ingane ingakafiki ngaphambi kwesikhathi noma isesimweni somoya. Lokhu kubangela ukuthi isibeletho sikhame ikhanda ngesikhathi sokufinyela. Ukwehliswa kusenesikhathi ngokuvamile akubi yingozi.

Ukwehliswa kwesikhashana

Ukwehliswa kwesikhashana akuqali kuze kube yilapho inani eliphakeme lokuncipha noma ngemuva kokuqedwa kwesibeletho. Zibushelelezi, zifiphaza kancane ekushayeni kwenhliziyo okukhombisa ukwakheka kokuncipha okubabangelayo. Kwesinye isikhathi asikho isizathu sokukhathazeka ngokwehliswa sekwephuzile, inqobo nje uma izinga lokushaya kwenhliziyo yengane nalo likhombisa ukushesha (lokhu kwaziwa njengokuhlukahluka) nokululama okusheshayo ebangeni elijwayelekile lokushaya kwenhliziyo.

Kwezinye izimo, ukwehliswa kwesikhathi sekwephuzile kungaba uphawu lokuthi ingane ayitholi i-oxygen eyanele. Ukwehliswa kwesikhashana okwenzeka kanye nokushaya kwenhliziyo okusheshayo (i-tachycardia) nokuhluka okuncane kakhulu kungasho ukuthi ukufinyela kungalimaza ingane ngokuyiphuca umoya-mpilo. Udokotela wakho angakhetha ukuqala isigaba esiphuthumayo (noma esiphuthumayo) sokuhlinzwa uma ukunciphisa isikhathi sekwephuzile nezinye izinto kubonisa ukuthi ingane isengozini.

Ukwehliswa okuguqukayo

Ukwehliswa okuguqukayo akujwayelekile, ukucwilisa okujikijelwe esilinganisweni senhliziyo yengane ebukeka kumangalisa kakhulu kunokwehla sekwephuzile. Ukwehla okuguqukayo kwenzeka lapho intambo yengane icindezelwe okwesikhashana. Lokhu kwenzeka ngesikhathi sokusebenza okuningi. Ingane incike ekugelezeni kwegazi okungaguquguquki entanjeni ukuze ithole umoya-mpilo nezinye izakhi ezibalulekile. Kungaba uphawu lokuthi ukugeleza kwegazi kwengane kuyancipha uma ukwehla okuguquguqukayo kwenzeka kaninginingi. Iphethini elinjalo lingaba yingozi enganeni.

Odokotela banquma ukuthi ukwehla okuguquguqukayo kuyinkinga ngokususelwa kokunye okutshelwa ngabaqaphi bezinga lenhliziyo yabo. Esinye isici ukuthi ingane isondele kangakanani ekuzalweni. Isibonelo, udokotela wakho angafuna ukwenza isigaba se-cearean uma kukhona ukwehla okunamandla okuguquguqukayo ekuqaleni komsebenzi. Kubhekwa njengokujwayelekile uma kwenzeka ngaphambi kokulethwa futhi kuhambisana nokusheshisa futhi.

Yini ongayilindela

Inqubo yokuqapha ukushaya kwenhliziyo kwengane ayibuhlungu, kepha ukuqapha kwangaphakathi kungangakhululeki. Zimbalwa kakhulu izingozi ezihambisana nale nqubo, ngakho-ke kwenziwa njalo kubo bonke abesifazane abasemsebenzini nokubeletha. Khuluma nodokotela wakho, umbelethisi, noma umhlengikazi wezabasebenzi uma unemibuzo ngokushaya kwenhliziyo kwengane yakho ngesikhathi sokubeletha. Ukufunda imichilo kuthatha kanjani ukuqeqeshwa. Khumbula ukuthi izinto ezahlukahlukene, hhayi ukushaya kwenhliziyo kuphela, zinganquma ukuthi ingane yakho isebenza kahle kangakanani.