Ukunqunywa kwenhliziyo. Norm kanye ngeziphambeko kuwo

Ukukhulelwa ngokuqinisekile kungenziwa ngokuthi sezikhathi ezibaluleke kakhulu ekuphileni sowesifazane, lapho efika nomthwalo wemfanelo omkhulu. Ngokushesha wabuya futhi esephethe kuyoba unina indoda wakhe amthandayo kancane, ngakho zama unakekele impilo wakubo lapho eneminyaka zisesesibelethweni. Ukukhulelwa ngokucophelela futhi waqashwa odokotela ukuze kuvinjelwe zonke izinhlobo ukuxakeka. Enye yezindlela eziphumelela kakhulu ukuqapha kwengane esiswini, yokukala izinga inhliziyo - kwenhliziyo. Norma lezi ukwehliselwa isilinganiso kumele ibe phakathi 120 - 160 ngomzuzu. Nokho, ngesikhathi ekhulelwe, lezi zibalo iyashintsha. Ngokwesibonelo, sokukhulelwa ka nelesithupha amaviki we-fetus kwenhliziyo imayelana 110 - 130 ngomzuzu, 9 - 10 amasonto uhlu 170 - 190 imivimbo ngempela kungenzeka ukusho ukuthi ukushaya kwenhliziyo kuyinto evamile. Kusukela amasonto 11 nakuwo kwegama elithi egcwele sokukhulelwa waze wabeletha of kweso fetus kuyinto eyamukeleka ngokuphelele futhi izinga iba 140 - 160 ngomzuzu.

Kuyathakazelisa ukwazi ukuthi lolu cwaningo kanye nokuhlola kwenhliziyo waqala isikhathi eside osetshenziselwa kusenesikhathi isimo fetus. Usosayensi Kilian kakade 1848 wasikisela ukuthi ezishintshwe fetus kwenhliziyo kungenzeka kubangelwa hypoxia intrauterine. Ngenxa yalokhu nokucabanga iye yasungulwa futhi bezazisa IselulekoSesihenqo azoya. Waba kabanzi ngaleso sikhathi, ososayensi bathole ukuthi i ukulandelela kahle kwenhliziyo, ungasebenzisa i electrocardiogram. Kamuva, ngokuvumelana nezindlela lokucwaninga isithombe esinembile futhi ephelele wanezela nesinye ultrasound futhi CTG.

Namuhla, ngenxa ukuthuthukiswa okuqhubekayo kanye ngcono isayensi nobuchwepheshe akukho nobunzima ukukala fetus kwenhliziyo. Norm kuchazwe at 120 - 160 amabhithi kubonisa esimweni esejwayelekile futhi kwengane esiswini, kodwa ngeziphambeko kulo ngokusebenzisa olunye emincane noma emikhulu ohlangothini amandla kakade kubangela bayazindla. Yingakho, ukuze ugweme izinkinga ukuthuthukiswa umbungu, owesifazane kulo lonke enkathi yokukhulelwa ultrasound isimiso cardiotocography.

Cardiotocography iqoqo lesizalo Kufinyeta futhi inhliziyo yengane. Imiphumela yalolu cwaningo anganikeza eningi ulwazi mayelana nokuphila fetus. Ngaphezu kwakho konke, i-ECG ukuhlola:

- ukubaluleka isilinganiso kwenhliziyo;

- ushintsho fetus kwenhliziyo ephendula ukuhamba kwayo;

- ushintsho kwenhliziyo, ngenxa lesizalo Kufinyeta;

- khona ukunciphisa noma ukunyusa izinga inhliziyo.

Lapho udokotela ehlola izinga inhliziyo ezingenzeka embungwini, izinga kubaluleke kakhulu kuye. Sibangelwa yokuthi ngokweqile lokwehliswa bangakhuluma ukugeleza ezimbi futhi enganele oxygen umbungu. Lokhu isimo imithi libizwa tachycardia. Kodwa inhliziyo ishaya ngezansi evamile ingase ibe uphawu Ukuwohloka isimo jikelele we-fetus. Heartbeat ngezansi 120 amabhithi / imiz. Kungenzeka imbangela of esingamahlalakhona esinomhlapho noma hypoxia fetus. Lokhu kunikezwa igama bradycardia. Isimo kuphela lapho ephansi kwenhliziyo - isilinganiso singamaphesenti breech umbungu. Uma i-embryo, okuyinto obuphelele lungaphezu 8 mm, ukushaya kwenhliziyo akusho imibhobho, futhi akukho, kakhulu cishe kubonisa a sokukhulelwa asathuthuka. Nokho, ukuze wenze iphutha futhi wenze ukusazi ngokunembile isifo esikuphethe, udokotela kufanele unike kabusha abesifazane abakhulelwe ultrasound. Wabamba ke ngemva kweviki elilodwa, futhi kuphela ngesisekelo imiphumela lingasetshenziswa kabusha ukwenza iziphetho ukhonkolo.

Kufanele sinake bonke abesifazane iqiniso elilodwa elishiwo esincane kodwa esiphawulekayo: yokuphila, elalela okhulelweyo, ukuthuthukiswa ozimele we-fetus inhliziyo yayo ingamaphesenti. Kuyinsakavukela we-fetus kwenhliziyo kufanele kugcinwe lesifanele imodi umama okhulelwe uhlezi nokusebenza.