Yintoni iProfayili ye-Fetal Biophysical Profile kwaye yenziwa njani

Umxholo
Iprofayile ye-fetus biophysical, okanye i-PBF, luvavanyo oluvavanya impilo-ntle yomntwana ukusuka kwinyanga yesithathu yokukhulelwa, kwaye uyakwazi ukuvavanya iiparameter kunye nemisebenzi yosana, ukusuka ekuhambeni komzimba, ekuphefumlweni, ekuphefumlweni, ekukhuleni ngokufanelekileyo, kwi-amniotic umthamo wamanzi kunye nokubetha kwentliziyo.
Ezi paramitha zivavanyiweyo zibalulekile, njengoko zibonisa ukusebenza kwenkqubo yemithambo-luvo yomntwana kunye nemo yeoksijini, ukuze kuthi, ukuba kukho nayiphi na ingxaki efumanekayo, kwenzeke unyango ngokukhawuleza, nosana lusekhona isibeleko.

Xa kunyanzelekile
Uvavanyo lweprofayili ye-biophysical fetal lubonakaliswe ngakumbi kwimeko zokukhulelwa ezinomngcipheko okhulayo wokuxakaniseka, okunokwenzeka kwiimeko ezinje:
- Usana olunokukhula okuncinci kunokuba kulindelwe kwiminyaka yobudala
- Ubukho be-amniotic fluid encinci;
- Abafazi abakhulelweyo abanesifo sokukhulelwa njengesifo seswekile sokukhulelwa, uxinzelelo lwegazi oluphezulu okanye i-pre-eclampsia;
- Ukukhulelwa okuninzi, kunye neentsana ezi-2 okanye ezingaphezulu
- Umfazi okhulelweyo onentliziyo, umphunga, izintso okanye isifo sehematological;
- Abafazi abakhulelweyo abangaphezulu kakhulu okanye abangaphantsi kweminyaka yobudala babonwa njengabakhuselekileyo.
Ukongeza, abanye oogqirha banokucela iprofayili ye-fetal biophysical profile ukuze bancede baqinisekise ukuba ukukhulelwa kuyimpumelelo, nokuba umfazi okhulelweyo unobungozi bokukhulelwa, nangona bungekho ubungqina besi sibonelelo.
Kwenziwa njani
Uvavanyo lweprofayili lwe-biophysical fetal lwenziwa kwiiklinikhi zokubelekisa, zihlala zisenziwa nge-ultrasound scan, ukuze kugcinwe usana, kwaye kusetyenziswa iisenzi ezibona ukubetha kwentliziyo nokuhamba kwegazi.
Kuviwo kucetyiswa ukuba umfazi okhulelweyo anxibe iimpahla ezilula nezintofontofo, ondliwe kakuhle ukunqanda i-hypoglycemia kwaye uhlale phantsi okanye ulele kwindawo entle.
Yenzelwe ntoni
Ngokufezekisa iprofayili ye-biopysical fetal, ugqirha wokubelekisa unokuchonga ezi paramitha zilandelayo:
- Ithoni yefetal, njengokuma kwentloko kunye nesiqu, ukujija okwaneleyo, ukuvulwa nokuvalwa kwezandla, iintshukumo zokutsala, ukuvala kunye nokuvulwa kweenkophe, umzekelo;
- Ukuhamba komzimba womntwana, njengokujikeleza, ukuzolula, ukuhamba kwesifuba;
- Iintshukumo zokuphefumla kwimveku engekazalwa, ezibonisa ukuba ukukhula okuphefumulayo kwanele, okuhambelana namandla omntwana;
- Umthamo weAmniotic fluid, ezinokuncitshiswa (i-oligohydramnios) okanye inyuswe (i-polyhydramnios);
Ukongeza, inqanaba lentliziyo engekazalwa nayo iyalinganiswa, ilinganiswe ngokudibana novavanyo lwe-fetal cardiotocography.
Isiphumo sinikwa njani
Ipharamitha nganye evavanyiweyo, kwisithuba semizuzu engama-30, ifumana amanqaku ukusuka ku-0 ukuya ku-2, kwaye isiphumo esipheleleyo sazo zonke iiparameter sinikwa ngala manqaku alandelayo:
Iziphumlisi | Iziphumo |
8 okanye 10 | ibonisa uviwo oluqhelekileyo, kunye neentsana ezinempilo kunye nomngcipheko omncinci wokufuthaniseka; |
6 | ibonisa uvavanyo olukrokrisayo, kunye ne-asphyxia engekazalwa yomntwana, kwaye uvavanyo kufuneka luphindwe ngaphakathi kweeyure ezingama-24 okanye lubonise ukupheliswa kokukhulelwa; |
0, 2 okanye 4 | ibonisa umngcipheko ophezulu we-asphyxia yomntwana. |
Ukusuka ekutolikeni kwezi ziphumo, ugqirha uya kuba nakho ukubona kwangoko utshintsho olunokubeka ubomi bosana emngciphekweni, kwaye unyango lunokuqhutywa ngokukhawuleza okukhulu, okunokubandakanya isidingo sokuhanjiswa kwangaphambi kwexesha.