Kweso fetus nesonto: Izinga

Ngesikhathi ekhulelwe, inkomba eyinhloko isithelo ukuphila inhliziyo. Lapho izifo Rhythm izinguquko ngokushesha, izinkinga okuwuphawu zenzeka. Yingakho odokotela uzame kulo lonke ekuphileni eduze iqaphe Dynamics inhliziyo. Nge kusondela izinga lokuzalwa yenu kuyovumelana kancane kancane ukushintsha.

I sidilize lokuqala inhliziyo

Izinkomba imvamisa amabhithi kukhona isici esiyisisekelo sokukhulelwa evamile. Ngakho-ke, obstetricians ukulandela eduze ngakho ukushaya kwenhliziyo umbungu kusukela nezikhathi bokuqala. Kuyaphawuleka ukuthi ukuthuthukiswa kanye kumiswa yokugcina isimiso semithambo yegazi umntwana uyaqhubeka kuze kube amasonto okugcina enkathi yokukhulelwa.

Njalo umama ufuna ngokushesha ukuzwa ukushaya kwenhliziyo ka ingane yabo, kodwa kusaqalwa ukwenza kube ngeke isebenze ngaphandle imishini ekhethekile. Kuphela imishini zobuchwepheshe (ultrasound, cardioscope) kungembula ukusikwa lokuqala imithambo. Futhi ke lokhu inqubo kuyoba nemiphumela kuphela 5 th ngesonto yokukhulelwa. Bookmark wenhliziyo umbungu kwenzeka ekupheleni ezinyangeni zokuqala azoya. Eduzane wemaviki 5 Umzimba uthatha uhlobo a tube ozwakala. Kwakuphakathi nalesi sikhathi, kukhona ukusikeka kuqala. Ukuphenya eshaya enjalo kuphela ukuskena ultrasonic (Uphenyo transvaginal). Nokho, gynecologists abaningi batusa wenza ultrasound ngowokuqala amasonto 7. Ngalesi sikhathi, ukushaya kwenhliziyo kunqunywa transducer transabdominal.

Ekhaya, izinga legciwane nge okuku IselulekoSesihenqo iqala kuphela ekupheleni ngenyanga yesihlanu Midwifery.

Norma inhliziyo amasonto

Ukuphenya ukuvama Kufinyeta Umthambo izindonga ku-fetus kungenzeka nganoma isiphi isigaba ngemva ngenyanga yokuqala yokukhulelwa kuze kuqala zomsebenzi. Nokho, ukwenza kanjalo kuze kube ngesonto 6th is hhayi Kunconywa ngoba umzimba Kusafudumele ngokwanele kwakhiwa. ultrasound kakhulu njalo futhi engathandeki, njengoba balimaza umntwana ongakazalwa. Kungcono ukulandela isimiso ukuhlolwa okuhleliwe, lwentiwe udokotela ukuba khona.

Norma ukushaya kwenhliziyo umbungu kumaviki awu, uthome 6th futhi kokuqeda 8 th, kuyoba 110-130 ngomzuzu. Ubunjalo ukusikeka zingase zihluke. Imivimbo kumele kube sobala futhi ecacile. isigqi Izithulu kungase kubonise khona amafomu esingamahlalakhona noma okukhulu hypoxia. Kwengane kwenhliziyo amasonto ku amantombazane (phakathi nezinyanga lwesithathu azoya) kufanele azungeze 160-180 bpm. / Min. Ngaleli zinga ukuphindaphinda kumele kube ngesikhathi njalo ngezikhathi. Lesi sibalo ngokuthi isigqi. kweso fetus abafana masonto onke azoya ngenyanga yesithathu kufanele sibe ububanzi kusukela 170 kuya kwangu-190 u. / min.

Kubalulekile ukuthi ngalesi sikhathi igama elithi imvamisa ingamaphesenti evamile. Ngo senyanga izingane kuqala ngokuvamile ukuxilonga kwezinso inhliziyo. Uma izinga imvamisa ngenhla amabhithi 200. / Min., Bese sikwazi ukukhuluma khona tachycardia. Uma ukushaya kwenhliziyo amabhithi esingaphansi 100. / Min., Bese-ke kungaba ukwehluleka. Zombili izifo ziwuphawu zokugula fetus zidinga ukuphathwa ngendlela ekhethekile.

I ukushaya kwenhliziyo umbungu kumaviki awu (13 bekufike isikhathi sokubeletha) kufanele kube kusuka 140 kuya 160 u. / Min. Lesi sibalo kuyinto evamile kuyinto for abafana namantombazane kuyafana. Kuwufanele ngokwazi ukuthi senyanga yesibili kungadala arrhythmias. Lesi sifo libhekene umbungu nge ukuntuleka komoya-mpilo noma yesifo senhliziyo azalwa naso.

izindlela Control: Kulalela

Indlela elula futhi ezivamile indlela ukuthola izinga inhliziyo, kusukela ngaleso esesibelethweni 20, kuyinto auscultation. Le nqubo ikuvumela ukuba ulalele ukunciphisa ngokusebenzisa isihloko sekholomu. Kuleli elithi fetus kwenhliziyo amasonto isivele kumakwe njengokwenziwe double amabhithi onesigqi. Auscultation odokotela liveza ubunjalo Kufinyeta (abayizithulu noma kucace). ukushaya kwenhliziyo Jwayelekile kuyilapho belalele IselulekoSesihenqo kuyinto 40-60 amabhithi ngamunye imizuzwana 20.

Kusukela ngesonto 24 th yokukhulelwa auscultation kungenzeka nganoma iyiphi umnyango kwesibeletho. Nalapho esesikwa, auditions aphethwe njalo ngemva kwemizuzu engu-15.

ultrasound

Ultrasound bokuqala bavumela kusukela ngesonto 6th, kodwa scan okuhleliwe wenziwa kuphela ekupheleni ezinyangeni yesibili azoya. Ngezinye kusaqalwa ezinjalo udokotela lungacacisa khona izifinyezo nama ukuvama kwazo eseduze.

Norma kweso fetus ku ultrasound ngeviki:

- kusukela amabhithi 110 135 / imiz .. (Ngenyanga Okwesibili azoya);
- kusukela amabhithi 165 kuya 185 / imiz .. (Ngenyanga zokubelethisa wesithathu);
- kusukela amabhithi 140 kuya 165 / imiz .. (Early senyanga yesibili). ukuskena Ultrasonic iyona ndlela enembile kakhulu ekunqumeni ukushaya kwenhliziyo futhi ukukhomba egunjini lokuhlolwa kwezifo.

izindlela Control: cardiography

Lolu hlobo locwaningo iqhutshwa kwenhliziyo kuphela 28 esesibelethweni. Kuyaphawuleka ukuthi phakathi nayo yonke inkathi ye cardiography inqubo kuvunyelwe kanye kuphela. Okuphindaphindayo nokuqaliswa kwalo kuboniswa kuphela gestosis ngasekupheleni, low- noma polyhydramnios, isifo esithathelwanayo, nezibazi kwesibeletho, ekuseni ukuguga placenta. Kulezi zimo, inhliziyo fetus wezwa masonto onke Dynamics.

Inqubo kuthatha imizuzu engu-40 kuya ku-60. Ngemva kwalokho, udokotela ihlola ucwaningo. imvamisa Jwayelekile e cardiography kuyinto 135-165 u. / min. Izilinganiso abazenzi ngendlela umbungu okunokuthula futhi esebenzayo.

echocardiography

I ukushaya kwenhliziyo umbungu ngu Emasontweni onke okukhulelwa singasebenza nalapho sisebenzelana usebenzisa ultrasound scanner ekhethekile, okuyinto enquma hhayi kuphela ukuvama Kufinyeta, kodwa izici isakhi izitsha nokugeleza kwegazi. Le nqubo ibizwa ngokuthi echocardiography. Iningi Indlela kuyoba kuyo senyanga yesibili. echocardiography Yokucwaninga yaphathwa khona isifo senhliziyo, kanye nezifo ezithelelwanayo angase azithole, isifo sikashukela umama, ukukhulelwa ngasekupheleni (ngemva kweminyaka engu-38) kanye ukubambezeleka esolwa kwengane esiswini.

Ngesikhathi inqubo, isicelo izinhlobo eziningana ukuskena: esalisekela kanye ultrasound mgudumbili futhi imodi Doppler. Norm ukusikwa imvamisa ngu echocardiography kuyinto 140-160 u. / Min.

umtshina ukushaya kwenhliziyo

Amadivayisi yalolu hlobo of ultrasound baqiniseka ephephile kokubili umama nengane. Ngaphezu kwalokho, zingabantu elula kakhulu ukusebenzisa esibhedlela ngisho ekhaya. Imitshina musa nje iqophe izikhathi Kufinyeta, kodwa "ngokucacile" ukukhombisa uhlamvu yabo.

Ngesikhathi inqubo, ungakwazi ulalele kweso fetus (kusukela ekupheleni senyanga yokuqala). Lokhu kunomphumela ukuzola kumama, ngaleyo ndlela normalizes isimo psycho-ngokomzwelo ingane. Kwengane ukushaya kwenhliziyo masonto onke, kunqunywa umtshina kufanele ibe uhla kusuka 130 kuya 175 u. / Min. Isikhathi uphethwe - imizuzu 8-10. Ukulalela fetus kwenhliziyo amasonto, kufanele sikhumbule ukuthi izibalo akufanele kube ngeziphambeko kusukela kuyinsakavukela engaphezu kwengu-20 u. / Min. Uma enjalo kwenzeka, kubonisa khona egunjini lokuhlolwa kwezifo.

Isibalo izinqubo cwaninga umtshina ultrasonic phakathi lonke isikhathi sokukhulelwa kungenzeka kuze kube izikhathi 5-6.