Fetus CTG

Engxenyeni sokukhulelwa yesibili, inani Luhlolokulinganisa lwetivivinyo neluhlolo kwandisa. kungazelelwe Baphetha olunye uhlobo: CTG umbungu. Ukukhulelwa kuqala umama okhulelwe is bethukile: kusho ukuthi nengane ukuthi kukhona okungalungile?

omama Cute esizayo, kufanele wazi ukuthi CTG umbungu, ngokuvamile akukho kuka umsebenzi ojwayelekile we ukuziphatha imisipha kwesibeletho futhi emshaya inhliziyo ingane esizayo. CTG - kuyinto kardiotogografiya, kunemidanti ngokuphelele kobuhlungu futhi neze ingozi.

Bonke abesifazane ungene ngesiwombe sesibili yokukhulelwa ngemva kwesonto lama-26, iqondiswa odlulayo okungenani kabili kardiotogogorafii. Njengomthetho, lokhu kuhlolwa kulotshwe kusengaphambili futhi ngingene ihora ngokuqinile esimisiwe.

le nqubo - ukuzila ukudla. Ukuqoqa ulwazi olwanele umgomo ku lesizalo umsebenzi futhi inhliziyo fetus, udinga imizuzu 40 kuya ku-60. Female noma babeka embhedeni ukhululekile, noma ebebahlezi recliner ukhululekile nokukala uqale fetus iqala, ngesikhathi yesisu sakhe ukukhwezwa inzwa, ethumela ukwaziswa electronic control unit, ulwazi kuveza kulotshwe eteyipini ekhethekile.

izintokazi othandekayo, musa ahlupha nezindaba-Laboratory umsizi, kuba zonke lezi izibalo kanye imigqa uyaqonda kanizidluli kakhulu kuwe. ukunikeza Ngempela imiphumela yokuhlolwa kungaba udokotela, ngemva ukuqhaqha ngokugcwele idatha.

Lapho ehlola fetus CTG okulotshiweyo ihlola uchungechunge izinkomba isimo sakhe:

1. Izinga Basal (kungenjalo ibizwa ngokuthi kwenhliziyo - kwenhliziyo). Ngo-fetus kwenhliziyo kaningi ukudlula ingane kakade ozalwa. Ngu-fetus uqale yokuphumula ishayela ingane zokhahlamba kusuka amabhithi ngeminithi 100 160 e-perturbation --190.

2. kokuhlukana (ngamanye amazwi, ngeziphambeko ngamanye kuyinsakavukela) ongafinyelela 25 amabhithi ngeminithi.

3. HR ukushesha (liphinde aktseleratsiya) kuvame kwenteka izikhathi ezingaphezu kuka-2 amaminithi angu-10. Kakhulu kangakanani - kuncike izici ngazinye ingane esizayo. On the iribhoni ukuboniswa "iphakama" okusezingeni eliphezulu

4. Slow kwenhliziyo (decelerations) kungaba lingekho ngokuphelele noma inamazinga aphansi ( "imithombo encane).

5. Togogramma - Umsebenzi lesizalo. Kuyinto evamile hhayi ngaphezulu kuka-15% we kwenhliziyo inkomba, ubude - kuze kufinyelele imizuzwana amathathu.

Ngokusho ngesilinganiso ekhethekile Kulinganiselwa inkomba ngamunye - kanye nodokotela elengamele ukuthuthukiswa umbungu, kubika isamba.

Uma isamba amaphuzu 9 kuya ku-12, ungakwazi ngokuphepha ukuhamba: asikho isizathu sokwesaba. Kodwa lokhu akusho ukuthi kusukela isimemo yesibili inhlolovo kungenziwa ukunganakwa eceleni - ukuqapha asikaze siyeke ubani, njengamanje, ungakwazi ungakhathazeki: wena kulungile!

Uma udokotela uthi isamba amaphuzu ngesisekelo CTG fetus - amaphuzu 6 kuya ku-8, kusho ukuthi i-fetus awutholi i-oksijini eyanele, kukhona kancane liphinyiselwe hypoxia (non-okusongela). Lokhu kungase kube ngenxa isifo kwabakhulelwe, izihibe umzanyana wengane, ngezinye izikhathi ukuhlaziywa kuqala nje ngenxa ezinye zezizathu alikhombisi okufanele. Owesifazane wathumela re-ukuhlaziywa.

Futhi kuphela uma izinga jikelele 5 noma ngaphansi - kusho uzwakalise anoxia umbungu. Kulokhu, ukunikeza ukulethwa eziphuthumayo, kuze kube fetus ubuchopho cortex ayiphazamiseki.

Futhi iyini ngesilinganiso ACTH? Kungani kubalulekile ukuba sithole ukuhlolwa igazi? Lena test, lutho enibaziyo CTG umbungu. Izinga ACTH inquma lemali yama-hormone i-kortikotropnyh igazi. Elingenhla umkhawulo ka evamile - kuze kufinyelele 69 pmol / ilitha, ephansi - 7.2 pmol / ilitha. Lokhu i-hormone silungiselela kwesibeletho sokubelethisa, kunciphisa ukucindezeleka lokuzalwa, ohilelekile "run" ukulethwa indlela. It wancika khona e oketshezini olungenambala lwegazi. Uhlaziyo kwenziwa esisodwa.

umama othandekayo, uma udokotela unikeza isiqondiso - lokhu akusona isizathu sokwesaba. Zama wokuhlala uzolile, konke kuzolunga.