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.
Qiniseka Ukuba Ujonge
Uhlangabezana njani neMicimbi yokuLawulwa kweMpembelelo kuBantwana naBantu abaDala
