Indlela eyenziwa ngayo i-cardiotocography yomntwana

Umxholo

• Kwenziwa njani
• Xa yenziwe
• Itolikwa njani?

I-cardiotocography ye-Fetal luvavanyo olwenziwa ngexesha lokukhulelwa ukujonga ukubetha kwentliziyo yomntwana kunye nokuba sempilweni, okwenziwa ngezivamvo ezixhumene nesisu somfazi okhulelweyo esiqokelela olu lwazi, ngakumbi silungele abasetyhini abakhulelweyo emva kweeveki ezingama-37 okanye ngamaxesha asondele ekuzaleni.

Olu vavanyo lunokwenziwa ngexesha lomsebenzi ukubek'esweni impilo yomntwana ngeli xesha, ukongeza kuvavanyo lwesibeleko somfazi.

Uvavanyo lwe-fetal cardiotocography kufuneka lwenziwe eziklinikhi okanye kwiiyunithi zokubelekisa, ezinezixhobo kunye noogqirha abalungiselelwe uviwo, kwaye iindleko, ngokomndilili, zii-R $ 150 reais, kuxhomekeke kwiklinikhi nendawo eyenziwa kuyo.

Kwenziwa njani

Ukwenza i-fetal cardiotocography, i-electrode eneenzwa zibekwa kwincam, ebanjwe luhlobo lomtya ngaphezulu kwesisu somfazi, esibamba yonke imisebenzi ngaphakathi kwesibeleko, nokuba kukubetha kwentliziyo yosana, ukuhamba okanye ukubetha kwesibeleko.

Luvavanyo olungabangeli zintlungu okanye ukungaphatheki kakuhle kumama okanye kwimveku engekazalwa, nangona kunjalo, kwezinye iimeko, xa kurhanelwa ukuba usana luhamba kancinci, kunokuba yimfuneko ukwenza uvuselelo lokuluvusa okanye lokulushukumisa. Ke, i-cardiotocography inokwenziwa ngeendlela ezi-3:

• Isiseko: kuyenziwa kunye nomntu wasetyhini ephumle, ngaphandle kokukhuthaza, ujonga nje iipateni zentshukumo kunye nokubetha kwentliziyo;
• Ukhuthazo: inokwenziwa kwiimeko apho kufuneka kuvavanywe ukuba ingaba umntwana uya kusabela ngcono emva kokuvuselelwa okuthile, okunokuba sisandi, njengophondo, ukungcangcazela okusuka kwisixhobo, okanye ukubanjwa ngugqirha;
• Ngomthwalo ongaphezulu: kule meko, isikhuthazo senziwa ngokusetyenziswa kwamayeza anokuthi aqinise ukucuthwa kwesibeleko sikanina, akwazi ukuvavanya umphumo wokucutha usana.

Uviwo luhlala malunga nemizuzu engama-20, kwaye umfazi uhlala okanye alale phantsi, aphumle, de kube ulwazi oluvela kwiisenzi lubhalisiwe kwigrafu, ephepheni okanye kwiscreen sekhompyuter.

Xa yenziwe

I-cardiotocography ye-Fetal ingabonakaliswa emva kweeveki ezingama-37 kuphela kuvavanyo lokuthintela ukubetha kwentliziyo yosana.

Nangona kunjalo, inokuboniswa ngamanye amaxesha kwimeko zokukrokrela olu tshintsho kusana okanye xa umngcipheko unyukile, njengakwezi meko zilandelayo:

Ke, ngolu vavanyo, kunokwenzeka ukuba ungenelele ngokukhawuleza, ukuba kunokwenzeka utshintsho lubonwe kwimpilo-ntle yomntwana, ebangelwa kukuswela umoya, ukungabikho kweoksijini, ukudinwa okanye i-arrhythmias, umzekelo.

Olu vavanyo lunokwenziwa ngamaxesha ahlukeneyo okukhulelwa, anje ngala:

• Kwi-antepartum: kwenziwa nangaliphi na ixesha emva kweeveki ezingama-28 zokukhulelwa, ngakumbi emva kweeveki ezingama-37, ukuvavanya ukubetha kwentliziyo yosana.
• Kwi-intrapartumukongeza ukubetha kwentliziyo, kuvavanya iintshukumo zomntwana kunye nokuncipha kwesibeleko sikamama ngexesha lokuzala.

Ukutshekishwa okwenziwe ngeli xesha lovavanyo kuyinxalenye yeseti yovavanyo lobungqingili bomntwana, kunye nezinye ezinje nge-doppler ultrasound, elinganisa ukujikeleza kwegazi kwi-placenta, kunye neprofayili ye-biopysical fetal, ethatha amanyathelo amaninzi okujonga ukukhula okuchanekileyo yesiselo. Fumana ngakumbi malunga novavanyo oluboniswe kwikota ezintathu zokukhulelwa.

Itolikwa njani?

Ukutolika iziphumo zoviwo, ugqirha obelethisa uya kuvavanya imizobo eyenziwe ngabenzi boluvo, kwikhompyuter okanye ephepheni.

Ke, kwimeko yotshintsho kubomi bomntwana, i-cardiotocography inokuchonga:

1. Utshintsho kwisantya sentliziyo yosana olungekazalwa, olunokuba zezi ntlobo zilandelayo:

• Ukubetha kwentliziyo okusisiseko, okunokuthi kunyuswe okanye kuncitshiswe;
• Utshintsho olungaqhelekanga lwenqanaba lentliziyo, olubonisa ukuguquguquka kwendlela yokuhamba rhoqo, kwaye kuyinto eqhelekileyo ukuba yahluke, ngendlela elawulwayo, ngexesha lokubeleka;
• Ukukhawulezisa kunye nokuncipha kweepateni zokubetha kwentliziyo, okufumanisa ukuba ukubetha kwentliziyo kunciphisa okanye kukhawulezisa ngokuthe ngcembe okanye ngesiquphe.

2. Utshintsho ekuhambeni kwemveku engekazukuhla xa ibonisa ukubandezeleka;

3. Utshintsho kwisivumelwano sesibeleko, esibonwe ngexesha lokubeleka.

Ngokubanzi, olu tshintsho lwenzeka ngenxa yokungabikho kweoksijini kwimveku engekazalwa, ebangela ukwehla kwala maxabiso. Ke, kwezi meko, unyango luya kuboniswa ngugqirha wokubelekisa ngokwexesha lokukhulelwa kunye nobunzima becala ngalinye, ngokubeka iliso ngeveki, ukulaliswa esibhedlele okanye kwanesidingo sokulindela ukuhanjiswa, kunye necandelo lokuyeka, umzekelo.