Ukuguqulwa kwesisu: amazinga kunye nokungaqhelekanga

Ukuguquka komntwana kubonisa ukuphuhliswa kobomi obutsha. Yiyo le nto ichaza imilinganiselo yempilo yengane (ngokwengqondo nangokwengqondo), ingqondo yakhe ngeli xesha. Ngoko ke, ngexesha lokukhulelwa, oogqirha nabazali baqwalasela ngokukhethekileyo kule ngxaki.

Isantya senhliziyo kunye neenkcukacha zazo zibonakalisa imeko yentsana. Intliziyo ikhula ixesha elide kwaye inesakhiwo esiyinkimbinkimbi kunazo zonke ezinye izitho. Iqala ukwakha ngeenxa yesonto le-4 lokukhulelwa kwaye ityhulow hollow, apho iincwadana zokuqala zivele zivele kwiveki yesi-5, kwaye ngeveki ye-9 isakhiwo sayo siqala ukufana nesakhiwo senhliziyo yabantu abadala. Kodwa le nxalenye yengane esesibelethweni isahluke ngokuqhelekileyo: inomda phakathi kwe-right and left torium kunye nokujikeleza kwamanzi. Inyaniso yokuba umntwana akakwazi ukuphefumula ngokwabo, ngenxa yokuba esi sakhiwo sinceda i-oksijeni ukungena kuzo zonke izitho zomntwana.

Ukuguqulwa kwe-fetus yinto ebalulekileyo yokusebenza kwayo. Ukuba ukubetha ngomzuzu ongaphantsi kwe-86-100 okanye ngaphezu kwama-200 - oku kukuphawu lokukhathazeka. Ukuba umntwana ufikelela ekukhuleni kwamamriyamu ka-8 mm, kwaye intliziyo ayiyithinteli, ngoko ke, inokwenzeka ukuba, ukhulelwe. Ngoko ke, xa u tyelela umfazi we-gynecologist, qi niseka ukuba unomdla kwindlela intliziyo yakho yomntwana ebetha ngayo.

Ngamanye amaxesha i-palpitation ye-fetus, inqanaba layo lixhomekeke kwisithuba sokukhulelwa, ingaba ngaphantsi kweetekisi ezimiselweyo ngenxa yokungenakulungeleka kwe-placental okanye i- hypoxia yomntwana. Ngamanye amaxesha imeko efanayo ifana xa i- pelvic ishicilelwe ngumntwana.

Ngokwempawu, ixesha elide lixesha lokugaya, ngakumbi ukubetha kwentliziyo. Xa uhlolisiswa, i-gynecologist ihlolisisa rhoqo le fayile. Intliziyo yesisu ephulaphula ngeteknoloji (le ndlela iyona elula kwaye ilula kakhulu ukuyisebenzisa): i-stethoscope ye-obstetric isetyenziswe kwisisu esisendaweni apho intliziyo ikhona khona. Ngoko, ngeentloko, ukuphulaphula kushiywa okanye kusezantsi ngaphantsi kwendoda. Kuxhomekeke apho apho umntwana ejika khona umqolo. Xa isikhundla somntwana sihamba, intliziyo iyayiva kakuhle kwinqanaba lomnxeba. Kwintetho ye-pelvic, iintsimbi zentliziyo zivakala ngokucacileyo xa i-stethoscope ikhona ngaphezu kweli candelo.

Kwimigangatho yokuqala yokulawula ukukhulelwa kwesi siqondiso kuqhutywa kuphela ngoncedo lwe-ultrasound. Kwi-trimester yokuqala yokukhulelwa, izinga lentliziyo (izinga lentliziyo) alitshintshi. Ngaloo ndlela kuphela le nto iqala ukunyuka. Kuze kube ngeveki ye-8 isantya seentsimbi zeentliziyo akufanele sidlule iinqwelo eziyi-130. Ngeveki ye-9 ukuya kwe-10, intliziyo yesantya i malunga ne-180-190, kwaye ngokuqala nge-11 nangaphambi kokuqala kweentliziyo zengqondo, umntwana kufuneka abe ngama-140 ukuya ku-160 ngeentsimbi ngomzuzu.

Kwimihla ezayo, utshintsho kwizalathisi luxhomekeke kumsebenzi wengane esibelethweni kunye noxinzelelo olubekwe kumzimba wesibini (izifo, iimeko zokushisa (kubanda kakhulu okanye ukushisa)). Ukuba kukho ukungabikho kwe-oksijeni, izinga lentliziyo landa kwi-160, kwaye ke, ngokuchasene noko, linciphisa iingu-120.

Ngokuphuhliswa kakuhle kwentliziyo, amathoni kufuneka abe nesigqi kunye kakuhle, ngokucacileyo. IArrhythmia ibonakala kulao bantwana abaneziphene zentliziyo yesisu okanye i-hypoxia ye-intrauterine.

Ngamanye amaxesha intliziyo ye-fetal isacacile xa i-placenta yangaphakathi ibonwa. Oku kuyafana ne-polyhydramnios okanye ukungabikho komntwana, ngokukhulelwa okubanzi, kunye nokunyamezela nokunyusa umsebenzi wengane.

Kwimibini yesithathu neyesithathu, i-ultrasound ayiqondiswanga kakhulu ekufundweni kwentliziyo ngokuphathelele indawo yecandelo ngokwayo. Ngamanye amaxesha, ngenjongo yophando olunzulu, i-echocardiography kunye ne-cardiotocography zenziwa (kule fomu, zombini i-fetal heartbeat and contrater contractions).