Ukubeka iliso kwiNtliziyo ye-Fetal: Yintoni eqhelekileyo, yintoni engekho?

Umxholo

• Ukukhawulezisa
• Ukuncitshiswa
• Ukucothisa kwangoko
• Ukucothwa emva kwexesha
• Ukudityaniswa okuguqukayo
• Yintoni onokuyilindela

Ushwankathelo

Kubalulekile ukubeka esweni ukubetha kwentliziyo yomntwana wakho kunye nesingqisho ukuqinisekisa ukuba umntwana wenza kakuhle kwikota yesithathu yokukhulelwa kwakho nangexesha lokubeleka. Inqanaba lentliziyo lomntwana elisesibelekweni kufuneka libe phakathi kwe-110 kunye ne-160 beats ngomzuzu ngexesha lokukhulelwa kade kunye nasemsebenzini, ngokweJohns Hopkins Medicine Health Library.

Oogqirha banokusebenzisa izixhobo zangaphakathi okanye zangaphandle ukubeka esweni ukubetha kwentliziyo yomntwana. Kuhlala kulinganiswa kusetyenziswa isixhobo se-ultrasound. Ngamanye amaxesha ugqirha wakho uya kuthi endaweni yoko afakele isixhobo sangaphakathi sokujonga ngqo entlonzeni yomntwana ukunceda ukulinganisa ukubetha kwentliziyo ngokuchanekileyo.

Ugqirha wakho uya kujonga iintlobo ezahlukeneyo zamanqanaba entliziyo, kubandakanya ukukhawulezisa kunye nokucutha. Baza kujonga naluphi na utshintsho olunxulumene nentliziyo olunokuthi lwenzeke, njengoko oku kuhlala kungumqondiso wokuba umntwana okanye umama usengozini yomzimba. Ezo mpawu zomngcipheko zinokunyanzela ugqirha ukuba athathe amanyathelo kwangoko ukubuyisela ukhuseleko lomntwana olungekazalwa kunye nonina.

Ukukhawulezisa

Oogqirha baya kujonga ukukhawulezisa ngexesha labasebenzi. Ukukhawulezisa kukunyuka kwexesha elifutshane kwinqanaba lentliziyo ubuncinci beats ezili-15 ngomzuzu, kuhlala ubuncinci imizuzwana eli-15. Ukukhawulezisa kuyinto eqhelekileyo kwaye kusempilweni. Baxelela ugqirha ukuba umntwana une-oxygen eyaneleyo, nto leyo ibaluleke kakhulu. Uninzi lweemveku zinokukhawulezisa okuzenzekelayo kwiindawo ezahlukeneyo kuwo wonke umsebenzi kunye nenkqubo yokuhanjiswa. Ugqirha wakho unokuzama ukunyusa ukukhawuleza ukuba banenkxalabo malunga nokuphila komntwana kwaye bangaboni ukukhawuleza. Banokuzama enye yeendlela ezahlukeneyo zokunyusa isantya. Oku kubandakanya:

• ngokunyikimisa isisu sikanina
• ucinezela entlokweni yosana ngomlomo wesibeleko ngomnwe
• ukulawula ukugqabhuka kwesandi (vibro acoustic stimulation)
• ukunika umama ukutya okanye ulwelo

Ukuba obu buchule bubangela ukukhawulezisa kwenqanaba lomntwana olungekazalwa, luphawu lokuba umntwana wenza kakuhle.

Ukuncitshiswa

Ukuncitshiswa ngamathontsi okwexeshana kwinqanaba lokubetha kwentliziyo yomntwana. Kukho iintlobo ezintathu ezisisiseko zokuncipha: ukushenxisa kwangoko, ukucutha kade, kunye nokudibanisa okwahlukileyo. Ukuncitshiswa kwangaphambi kwexesha kuqhelekile kwaye akujonganga. Ukucothwa emva kwexesha kunye nokuguquguquka ngamanye amaxesha kunokuba luphawu lokuba umntwana akenzi kakuhle.

Ukucothisa kwangoko

Ukupheliswa kwangoko kuqala ngaphambi kwencopho yesivumelwano. Ukuncipha kwangoko kunokwenzeka xa intloko yomntwana icinezelwe. Oku kuhlala kwenzeka kumanqanaba okugqibela omsebenzi njengoko umntwana esihla ngomjelo wokuzalwa. Ziyakwenzeka kwakhona ngexesha lokuqala komsebenzi ukuba umntwana usengaphambi kwexesha okanye kwindawo epholileyo. Oku kubangela ukuba isibeleko sikhame entlokweni ngexesha lokucutha. Ukuncitshiswa kwangaphambi kwexesha ngokubanzi akunabungozi.

Ukucothwa emva kwexesha

Ukucothwa kwexesha emva kwexesha akuqali de kube kwincopho yokuncipha okanye emva kokugqitywa kwesibeleko. Zigudile, iidiphu ezinzulu kumgangatho wentliziyo ezibonisa ukumila kokuncipha okubabangelayo. Ngamanye amaxesha akukho sizathu senkxalabo ngokususwa kade, ukuba nje ukubetha kwentliziyo yomntwana kukwabonisa ukukhawulezisa (oku kwaziwa njengokwahluka) kunye nokubuyela ngokukhawuleza kwinqanaba eliqhelekileyo lentlawulo yentliziyo.

Ngamanye amaxesha, ukuncipha kade kunokuba ngumqondiso wokuba umntwana akafumani oksijini yaneleyo. Ukuncitshiswa okucothayo okwenzeka ngoku kunye nenqanaba lentliziyo elikhawulezayo (i-tachycardia) kunye nokwahluka okuncinci kunokuthetha ukuba iziphene zinokumenzakalisa umntwana ngokubanciphisa ioksijini. Ugqirha wakho unokukhetha ukuqala ngokungxamisekileyo (okanye okhawulezayo) icandelo lokuyeka xa ukucutha kade kunye nezinye izinto zibonisa ukuba umntwana usengozini.

Ukudityaniswa okuguqukayo

Ukuncitshiswa kwezinto eziguquguqukayo akuqhelekanga, kuhlala kufakwa iijap kwiqondo lentliziyo elingekazalwa ekhangeleka kumangalisa ngakumbi kunasekunene. Ukwehla okuguqukayo kwenzeka xa intambo yomntwana icinezelwe okwethutyana. Oku kwenzeka ngexesha lomsebenzi. Usana luxhomekeke ekuhambeni kwegazi okuzinzileyo kwimbambo yokufumana ioksijini kunye nezinye izakha mzimba ezibalulekileyo. Ingaba ngumqondiso wokuba ukuhamba kwegazi lomntwana kuncitshiswe ukuba ukunyanzeliswa kwezinto eziguquguqukayo kwenzeka ngokuphindaphindiweyo. Umzekelo onjalo unokuba yingozi emntwaneni.

Oogqirha bathatha isigqibo sokuba ngaba ukucutha okwahlukileyo kuyingxaki esekwe kwinto enye abavavanyi bezinga lentliziyo abaxelela yona. Enye into kukusondela komntwana ekuzalweni. Umzekelo, ugqirha wakho unokufuna ukwenza icandelo le-cearean ukuba kukho ukucothwa okuguqukayo okunzima kwasekuqaleni emsebenzini. Kucatshangelwa njengesiqhelo ukuba zenzeka ngaphambi kokuziswa kwaye zikhatshwa kukukhawulezisa ngokunjalo.

Yintoni onokuyilindela

Inkqubo yokujonga ukubetha kwentliziyo yesibeleko ayinazintlungu, kodwa ukubekwa kweliso ngaphakathi kungangonwabisi. Zimbalwa kakhulu iingozi ezinxulunyaniswa nale nkqubo, ke yenziwa rhoqo kubo bonke abantu basetyhini kwezabasebenzi nasekubelekeni. Thetha nogqirha wakho, umbelekisi, okanye umongikazi wabasebenzi ukuba unemibuzo malunga nokubetha kwentliziyo yosana lwakho ngexesha lokubeleka. Indlela yokufunda imicu ithatha uqeqesho. Khumbula ukuba izinto ezahlukeneyo, hayi ukubetha kwentliziyo kuphela, ezinokumisela ukuba umntwana wakho uqhuba njani.