Kwenziwa kanjani i-cardiotocography ye-fetus

-Delile

• Kwenziwa kanjani
• Uma sekuphelile
• Kuchazwa kanjani

I-fetal cardiotocography ukuhlolwa okwenziwa ngesikhathi sokukhulelwa ukuhlola ukushaya kwenhliziyo nenhlalakahle yengane, okwenziwa ngezinzwa ezixhunywe esiswini sowesifazane okhulelwe eziqoqa lolu lwazi, zilungele ikakhulukazi abesifazane abakhulelwe ngemuva kwamasonto angama-37 noma ezikhathini eziseduze nokubeletha.

Lokhu kuhlolwa kungenziwa futhi ngesikhathi sokubeletha ukuqapha impilo yengane ngalesi sikhathi, ngaphezu kokuhlola ukukhulelwa kwesibeletho sowesifazane.

Ukuhlolwa kwe-fetal cardiotocography kumele kwenziwe emitholampilo noma kumayunithi okubelethisa, aqukethe amadivayisi nodokotela abalungiselelwe ukuhlolwa, futhi kubiza, ngokwesilinganiso, ama-R $ 150 reais, kuya ngomtholampilo nendawo okwenziwa kuyo.

Kwenziwa kanjani

Ukwenza i-cardiotocography yombungu, ama-electrode anezinzwa abekwa esicongweni, aphethwe uhlobo lwentambo phezu kwesisu sowesifazane, esithwebula yonke imisebenzi ngaphakathi kwesibeletho, kungaba ukushaya kwenhliziyo kwengane, ukunyakaza noma ukucindezela kwesibeletho.

Kuyisivivinyo esingabangeli ubuhlungu noma ukungaphatheki kahle kumama noma kumbungu, noma kunjalo, kwezinye izimo, lapho kusolwa ukuthi ingane ihamba kancane, kungadingeka ukwenza isisusa esithile sokuyivusa noma ukuyinyakazisa. Ngakho-ke, i-cardiotocography ingenziwa ngezindlela ezi-3:

• Okuyisisekelo: kwenziwa nowesifazane ngokuphumula, ngaphandle kokuvuselela, ukubuka nje amaphethini wokunyakaza nokushaya kwenhliziyo;
• Kukhuthaziwe: kungenziwa ezimweni lapho kunesidingo sokuhlola ukuthi ngabe ingane izosabela kangcono ngemuva kwesikhuthazi esithile, okungaba umsindo, njengophondo, ukudlidliza okusuka kudivayisi, noma ukuthinta kukadokotela;
• Ngokugcwala ngokweqile: kulokhu, isisusa senziwa ngokusetshenziswa kwemithi engaqinisa ukusikeka kwesibeletho sikamama, sikwazi ukuhlola umphumela walezi zingqinamba enganeni.

Isivivinyo sithatha cishe imizuzu engama-20, bese owesifazane ehlala noma alale phansi, aphumule, kuze kube yilapho imininingwane evela kuzinzwa ibhaliswa kwigrafu, ephepheni noma esikrinini sekhompyutha.

Uma sekuphelile

I-cardiotocography ye-Fetal ingakhonjiswa ngemuva kwamasonto angama-37 kuphela ngokuhlolwa kokuvikela ukushaya kwenhliziyo kwengane.

Kodwa-ke, kungakhonjiswa kwezinye izikhathi ezimeni lapho kusolwa khona lezi zinguquko enganeni noma lapho ingozi inyuka, njengakulezi zimo ezilandelayo:

Ngakho-ke, ngalokhu kuhlolwa, kungenzeka ukungenelela ngokushesha okukhulu, uma kwenzeka izinguquko zibonakala enhlalakahleni yengane, okubangelwa ukuphelelwa umoya, ukungabikho komoya-mpilo, ukukhathala noma i-arrhythmias, ngokwesibonelo.

Lokhu kuhlola kungenziwa ngezikhathi ezahlukahlukene zokukhulelwa, njenge:

• Ku-antepartum: kwenziwa nganoma yisiphi isikhathi ngemuva kwamasonto angama-28 ekhulelwe, okungcono ngemuva kwamasonto angama-37, ukuhlola ukushaya kwenhliziyo kwengane.
• Ku-intrapartum: ngaphezu kokushaya kwenhliziyo, ihlola ukunyakaza kwengane nokuphambana kwesibeletho sikamama ngesikhathi sokubeletha.

Ukuhlolwa okwenziwe phakathi nalokhu kuhlolwa kuyingxenye yesethi yokuhlolwa kobungqabavu bombungu, kanye nokunye okufana ne-doppler ultrasound, elinganisa ukujikeleza kwegazi ku-placenta, kanye nephrofayili ye-fetal biophysical, ethatha izinyathelo ezimbalwa zokubuka ukukhula okulungile yesiphuzo. Thola okuningi mayelana nokuhlolwa okukhonjisiwe ku-trimester yesithathu yokukhulelwa.

Kuchazwa kanjani

Ukuhumusha umphumela wokuhlolwa, udokotela obelethisa uzohlola imidwebo eyenziwe izinzwa, kukhompyutha noma ephepheni.

Ngakho-ke, uma kwenzeka izinguquko ebungqungqeni bomntwana, i-cardiotocography ingakhomba:

1. Izinguquko ezingeni lokushaya kwenhliziyo kwengane, okungaba ngalezi zinhlobo ezilandelayo:

• Ukushaya kwenhliziyo kwe-basal, okungakhuphuka noma kwehle;
• Ukuhlukahluka kwesilinganiso senhliziyo okungajwayelekile, okukhombisa ukushintshashintsha kwephethini yemvamisa, futhi kujwayelekile ukuthi yehluke, ngendlela elawulwayo, ngesikhathi sokubeletha;
• Ukushesha nokushesha kwamaphethini wokushaya kwenhliziyo, okuthola ukuthi ukushaya kwenhliziyo kuhamba kancane noma kuyashesha kancane noma ngokungazelelwe.

2. Izinguquko ekuhambeni kombungu, ezingancishiswa lapho kukhombisa ukuhlupheka;

3. Izinguquko ekukhawulweni kwesibeletho, okubonwa ngesikhathi sokubeletha.

Ngokuvamile, lezi zinguquko zenzeka ngenxa yokushoda komoya-mpilo embungwini, okubangela ukwehla kwala manani. Ngakho-ke, kulezi zimo, ukwelashwa kuzokhonjiswa ngudokotela wokubelethisa ngokwesikhathi sokukhulelwa nobunzima becala ngalinye, ngokuqapha masonto onke, ukulaliswa esibhedlela noma ngisho nesidingo sokulindela ukulethwa, ngesigaba sokuhlinzwa, isibonelo.