Yini iPhrofayili ye-Fetal Biophysical Profile futhi yenziwa kanjani
-Delile
Iphrofayli ye-fetus biophysical, noma i-PBF, ukuhlolwa okuhlola inhlalakahle ye-fetus kusuka ku-trimester yesithathu yokukhulelwa, futhi iyakwazi ukuhlola imingcele nemisebenzi yengane, kusukela ekunyakazeni komzimba, ukunyakaza kokuphefumula, ukukhula okufanele, i-amniotic ivolumu uketshezi nokushaya kwenhliziyo
Le mingcele ehlolwe ibalulekile, njengoba ikhombisa ukusebenza kwesistimu yezinzwa yengane nesimo sayo somoya-mpilo, ukuze kuthi, uma kunenkinga ethize, ikwazi ukwelashwa ngokushesha okukhulu, ingane isese isibeletho.
Lapho kunesidingo
Ukuhlolwa kwephrofayili ye-biophysical fetal kuboniswe ikakhulukazi ezimweni zokukhulelwa ezinengozi eyengeziwe yenkinga, engenzeka ezimweni ezinjengalezi:
- Ingane enokukhula okuncane kunalokho obekulindelwe yobudala bokukhulelwa;
- Ubukhona be-amniotic fluid encane;
- Abesifazane abakhulelwe abanesifo sokukhulelwa esifana nokukhulelwa kokukhulelwa, umfutho wegazi ophakeme noma i-pre-eclampsia;
- Ukukhulelwa okuningi, okunezingane ezimbili noma ngaphezulu
- Owesifazane okhulelwe onenhliziyo, amaphaphu, izinso noma izifo ze-hematological;
- Abesifazane abakhulelwe abaphezulu kakhulu noma abangaphansi kweminyaka babhekwa njengabavikelekile.
Ngaphezu kwalokho, abanye odokotela bangacela imininingwane ye-fetus biophysical ukuze basize ukuqinisekisa ukukhulelwa okuphumelelayo, noma ngabe owesifazane okhulelwe enengozi yokukhulelwa, yize kungekho bufakazi benzuzo yalo mkhuba.
Kwenziwa kanjani
Ukuhlolwa kwephrofayili ye-biophysical fetal kwenziwa emitholampilo yokubelethisa, imvamisa kuskenwa i-ultrasound, ukubona ingane, kanye nokusetshenziswa kwezinzwa ezithola ukushaya kwenhliziyo nokuhamba kwegazi.
Ekuhlolweni, kunconywa ukuthi owesifazane okhulelwe agqoke izingubo ezilula nezikahle, ondliwe kahle ukugwema i-hypoglycemia futhi ahlale ehlezi noma elele endaweni ekahle.
Yenzelwe ini
Ngokubona iphrofayli ye-fetus biophysical, udokotela wokubelethisa angabona imingcele elandelayo:
- Ithoni ye-Fetal, njengokuma kwekhanda nesiqu, ukujiya ngokwanele, ukuvula nokuvala izandla, ukunyakaza kokudonsa, ukuvala nokuvulwa kwamajwabu amehlo, isibonelo;
- Ukunyakaza komzimba kwe-Fetal, njengokujikeleza, ukuzelula, ukunyakaza kwesifuba;
- Ukunyakaza kokuphefumula kombungu, okukhombisa ukuthi ukukhula kokuphefumula kwenele yini, okuhlobene nobungqabavu bomntwana;
- Ivolumu ye-Amniotic fluid, okungancishiswa (i-oligohydramnios) noma kukhuphuke (i-polyhydramnios);
Ngaphezu kwalokho, isilinganiso senhliziyo yengane siyalinganiswa, sikalwe ngokuhlangana nokuhlolwa kwe-cardiotocography fetus.
Unikezwa kanjani umphumela
Ipharamitha ngayinye ehlolwe, esikhathini esiyimizuzu engama-30, ithola amaphuzu kusuka ku-0 kuye ku-2, futhi umphumela ophelele wawo wonke amapharamitha unikezwa ngamanothi alandelayo:
| Izimpawu zokubhala | Umphumela |
| 8 noma 10 | ikhombisa ukuhlolwa okujwayelekile, ngemibungu enempilo futhi enengozi encane yokuminyana; |
| 6 | ikhombisa ukuhlolwa okusolisayo, ne-asphyxia engakaqalwa umbungu, futhi ukuhlolwa kufanele kuphindwe kungakapheli amahora angama-24 noma kubonise ukumiswa kokukhulelwa; |
| 0, 2 noma 4 | ikhombisa ubungozi obukhulu be-asphyxia ye-fetus. |
Kusukela ekuchazeni le miphumela, udokotela uzokwazi ukuthola izinguquko kusenesikhathi ezingabeka impilo yengane engcupheni, futhi ukwelashwa kungenziwa ngokushesha okukhulu, okungabandakanya isidingo sokubeletha ngaphambi kwesikhathi.
-Yintshisekelo
I-Dipyridamole
