Nokubetha kwentliziyo yosana olungekazalwa ngethuba lokukhulelwa

Uphononongo kwezinga intliziyo yomntwana - enye ndlela zixhaphakileyo yolawulo. It unezizathu yayo, ngenxa yokuba ulondolozo izinga lentliziyo (HR) of ngesiqhelo asakhulayo umntwana uthetha kakuhle-ntle yakhe, yaye nayiphi na impatho kungabangela ukusuka kwezifo ezifana kophulwa ejikeleza placental, nto leyo kakhulu ingxaki enkulu ebomini yosana olungekazalwa kwaye ufuna ukuhlaziya ngenyameko . Kwakhona, baphulaphula nentliziyo yosana olungekazalwa ngethuba lokukhulelwa, ukongeza izizathu zonyango, kukwabalulekile ukuba abazali. Yivani okokuqala indlela intliziyo elibhutyuza itakane - nto awayengenakuyilibala, kwakunye ubungqina ukuba uyaphila ngokwenene nokukhula esibelekweni.

Hi ndlela leyi, izinga foetal intliziyo ngexesha lokukhulelwa, apho ngokuqhelekileyo yakhona ibetha 110-150 ngomzuzu, ukuza kuthi ga ngoku lingamiselwa ngeendlela ezahlukahlukeneyo. Owayemdala aba, kwakunye kakhulu luluvo, kuba auscultation. Ngenxa yale ndlela, lo yeSkrini yokubelekisa Pinar. Le nefoni obstetrical kukuvumela uphulaphule nentliziyo yosana olungekazalwa ngexesha ngeveki ekumitheni 17-18, ngelixa iindlela zale mihla zokunciphisa eli thuba ukuya kwiiveki ezili-12.

Ngokungafaniyo yeSkrini yokubelekisa, HR mihla iindlela zokuxilonga ukuvumela ukuva intliziyo ibethe nkqu nabazali, hayi nje ugqirha. Ukuze uphulaphule foetal izinga intliziyo ngexesha lokukhulelwa kunye yeSkrini, ugqirha kufuneka kuqala bajonge indawo umntwana ukufumana indawo apho uya kuva isandi ngcono, uze emva koko ukwenza le ndawo ityhubhu okanye yeSkrini. Iziphumo zovavanyo kwaye baxhomekeke kuphela kumava ugqirha. Ukongeza, uvavanyo izinga intliziyo lwenzeka kuphela ixesha elithile, ngoko akunakwenzeka ukuba ukuhlola idata uxwebhu kunye thethwano kunye nezinye zeengcali.

Enye indlela kolawulo intliziyo lo mntwana cardiotocography, nto leyo evumela ukuba esweni rhoqo kwaye wenze irekhodi, nto leyo kubhalwa ngokwegrafu izinga lentliziyo ezingekazalwa ngexesha lokukhulelwa. CTG akwenzele ukukhulelwa emva kwexesha, malunga namashumi amathathu anesibhozo ngeveki, kwaye ngeli xesha lokubeleka. Ngaphezu koko, CTG ubonelela ukukwazi ukubhala sistologicheskuyu umsebenzi zesibeleko kwaye ivumela ukuba ukutolika izinga intliziyo womntwana, kuxhomekeka kwamathumbu zesibeleko.

Enye indlela evumela nokuthelekelela le foetal izinga intliziyo ultrasound. Alithandabuzeki elokuba, nentliziyo yosana olungekazalwa ngethuba lokukhulelwa ngoncedo zolu vavanyo uyakwazi ukuva sele kwiveki wesithandathu yokukhulelwa.

Intliziyo Palsy esizalweni iqalisa ukubetha imini malunga namashumi amabini anesithathu ubomi intrauterine, kunye nokubhaliswa umsebenzi wayo kukuba kunokwenzeka kuphela emva kweeveki ezimbalwa yophuhliso, yaye ngoko, kuxhomekeke indlela esetyenziswayo. Intliziyo Tiny beats ngokukhawuleza kunokuba abadala. Imali elungile ibetha 110-150 ngomzuzu, lo gama umlinganiselo ukuba umntu omdala ilingana imivumbo 60-90 kuphela. Ngenxa yoko, iyangongoza rhoqo ngexesha lokukhulelwa - kuba ngokuphelele amanqanaba eziqhelekileyo, nto leyo ebonisa ukuba olungekazalwa iyakhula ngokuqhelekileyo. Ixabiso elingaphantsi kwe-110 lubonisa bradycardia, kwaye ixabiso ngaphezu ibetha 150 - on tachycardia. Phakathi ezibangela bradycardia kuquka elisezantsi koomama uxinzelelo lwegazi, libya ubushushu hypoglycemia okanye umzimba wakhe, kwakunye iziphene senhliziyo azalwa ebantwaneni, ukusilela ngumkhaya, ingcinezelo yosana okanye emqolo okanye ukusetyenziswa amayeza athile.

Tachycardia ezinokubangelwa hypoxia ezingekazalwa, ifiva koomama, ukusulelwa fluid, igazi ezingekazalwa, kwakunye nenyathelo ezinye iziyobisi. Ngokubeka esweni izinga intliziyo umntwana, kunokwenzeka ukuba ukujonga yokunyusa izinga kwentliziyo. Esi simo eqhelekileyo. Nangona kunjalo, xa kukuvela elekhtrons sinokubonisa ukusilela ngumkhaya okanye nokuphazamiseka cord flow yosana.