Yomntanakhe Fetal neveki: izinga

Ngexesha lokukhulelwa, isalathisi engundoqo iziqhamo ebomini intliziyo. Xa izifo isingqisho utshintsho ngokukhawuleza, kwenzeka iingxaki uphawu. Kungenxa yoko le nto oogqirha zama kuyo yonke impilo ngokusondeleyo iliso Dynamics intliziyo. Ngenxa indlela izinga wokuzalwa uya kuyeka kutshintsha.

I bayivulele yokuqala yentliziyo

Ubungqina obubonakalayo buxela beats rhoqo ezenziwa esisiseko lokukhulelwa obuqhelekileyo. Ngoko ke, obstetricians ulandele ngokusondeleyo kangangokuba nentliziyo yosana olungekazalwa ukususela kumaxesha amandulo. Kubalulekile ukuphawula ukuba uphuhliso kunye nokusekwa sokugqibela olujikeleza wosana kude veki zokukhulelwa.

Wonke umama ufuna ngokukhawuleza ukuva nokubetha kwentliziyo umntwana, kodwa usaqala ukwenza oko akusayi kusebenza ngaphandle nezixhobo ezizodwa. Kuphela izixhobo eliphezulu-zobugcisa (ultrasound, cardioscope) onokuchaza ucutheko yokuqala kwemithambo. Kwaye ke le nkqubo iza kuvelisa iziphumo kuphela iveki 5 th zokukhulelwa. Bookmark ngentliziyo kwelo umbungu kwenzeka ekupheleni kweenyanga zokuqala yokubelekisa. Kufuphi ngeveki-5 umzimba kuthatha uhlobo ityhubhu lulilize. Yaba ngeli xesha, kukho kuqala amanxeba. Ukuphanda uVuyo enjalo buthathaka kuphela ukukrwaqula cuke (probe transvaginal). Noko ke, gynecologists ezininzi sincoma wenza ultrasound yokuqala ukuya kwiiveki-7. Ngeli xesha, nokubetha kwentliziyo kuxhomekeke transducer transabdominal.

Ekhaya, izinga izehlo kunye nokuhlola yeSkrini iqala kuphela ekupheleni kwenyanga yesihlanu Midwifery.

UNorma inhliziyo iiveki

Ukuphanda nezihlandlo iindonga izishunqulelo Umthambo kwi umbungu kunokwenzeka nakweliphi na inqanaba emva kwinyanga yokuqala zokukhulelwa kude beqala ukusikwa. Noko ke, ukuba benze njalo de kwiveki yesi-6 ayikhuthazwa kuba umzimba sokubhaka siseshushu khon ngokwaneleyo kwakhiwa. ultrasound rhoqo kakhulu naye kunganqwenelekiyo ukuba zenzeke, njengoko ukwenzakalisa usana olungekazalwa. Kungcono ukuba alandele ucwangciso kwiNgxelo ezicwangcisiweyo, ebesiqulunqwe yi-gqirha khona.

UNorma yomntanakhe yosana olungekazalwa ngenxa iiveki, ngokuqala 6 kunye kokugqiba we-8, kuya kuba uqumba 110-130 ngomzuzu. Uhlobo ukucuthwa inokuba nomahluko. Izitrowuku kufuneka icace kwaye iyagxininiswa. isingqisho ongevayo asenokubonisa ukuba kukho iintlobo ezinganyangekiyo okanye nokoyika hypoxia. izinga intliziyo Fetal kwiiveki kwi amantombazana (ngexesha leenyanga lesithathu yokubelekisa) kufuneka ube malunga 160-180 BPM. / Min. Kule izinga lokuphindwa kweklasi kufuneka zibe ngamathuba athile. Eli nani kuthiwa isingqisho. yomntanakhe Fetal amakhwenkwe ngeveki okuBelekisa ngenyanga yesithathu kufuneka kuluhlu ukusuka 170 ukuya 190 u. / Min.

Kubalulekile ukuba ngeli xesha umlinganiselo frequency gama eqhelekileyo. Xa iintsana ezintathu zokuqala zidla nokuxilonga ukungaqheleki intliziyo. Ukuba izinga frequency ngentla ibetha-200. / Min., Koko ke sithethe phambi tachycardia. Ukuba izinga intliziyo ngaphantsi kwe 100 ibetha. / Min., Ke bekuya kuba ukusilela. Zombini ezi zifo umqondiso leengxaki ezingekazalwa kwaye zifuna unyango olukhethekileyo.

Nokubetha kwentliziyo yosana olungekazalwa ngeeveki (13 de ekuzalweni) kufuneka ibe ukusuka 140 ukuya 160 u. / Min. Eli nani nanjengokwesimo iyafana ukuba amakhwenkwe kunye namantombazana. Kubalulekile ukwazi ukuba senyanga yesibini kunokubangela arrhythmias. Esi sifo sizibonakalisa yi kwimveku mpilo ngxaki okanye yesifo sentliziyo naso.

Iindlela Control: ukuphulaphula

Eyona ndlela ilula kakhulu eqhelekileyo ukujonga izinga intliziyo, eqala kwiiveki 20, umbungu lo auscultation. Le nkqubo ikuvumela ukuba ukuphulaphula ekunciphiseni ngokusebenzisa yeSkrini. Kule kota izinga lentliziyo ezingekazalwa iiveki sele iphawulwe ibetha double ezinesingqi. oogqirha Auscultation Ikwachaza uhlobo kwamathumbu (isithulu okanye ecacileyo). yomntanakhe Eqhelekileyo ngexesha bephulaphule yeSkrini yi ibetha 40-60 ngamnye kwimizuzwana eyi-20.

Ukuqalela kwiveki yama-24 zokukhulelwa auscultation kunokwenzeka naliphi na isebe isibeleko. Ngexesha abasebenzi, ukuvavanywa ziqhutywa emva kwemizuzu eli-15.

ultrasound

I-ultrasound yokuqala avumela kwiveki yesi-6, kodwa scan ecwangcisiweyo wenziwa kuphela ekupheleni kweenyanga yesibini yokubelekisa. Akumanqanaba bokuqala ye ugqirha ukufumanisa ubukho lwezifinyezi kunye rhoqo yazo luqikelelo.

UNorma yomntanakhe Palsy kwi ultrasound neveki:

- ukusuka beats 110 ukuya 135 / min .. (Ngenyanga yesibini yokubelekisa);
- ukusuka beats 165 ukuya 185 / min .. (Ngenyanga okuBelekisa yesithathu);
- ukusuka beats 140 ukuya 165 / min .. (Ezintathu Early yesibini). ayisuse cuke yeyona ndlela ichanekileyo yokufumanisa i- izinga lentliziyo kunye ukuchonga ngezifo.

Iindlela Control: cardiography

Olu hlobo lophando lwenziwa xa izinga lentliziyo kunye kuphela kwiiveki 28 yokumitha. Kubalulekile ukuphawula ukuba ngexesha lonke ixesha le cardiography inkqubo kuvumelekile kanye kuphela. Ukuphinda ukuphunyezwa kwayo iboniswa kuphela xa gestosis kade, nephantsi okanye polyhydramnios, izifo ezosulelayo, loloyiko le isibeleko, ekuqaleni ukuguga beendawo. Kule meko, intliziyo ezingekazalwa sivakala veki nganye Dynamics.

Inkqubo siyakrazula imizuzu engama-40 ukuya kuma-60. Emva koko ugqirha Kuhlola uphando. frequency eziqhelekileyo cardiography yi 135-165 u. / Min. Imilinganiselo kwenziwa umbungu enoxolo esebenzayo.

echocardiography

Nokubetha kwentliziyo yosana olungekazalwa ngenxa kwiiveki zokukhulelwa singasebenza ngokusebenzisa ultrasound scanner okhethekileyo, nto leyo ebonisa kuphela nezihlandlo kwamathumbu, kodwa iimpawu noshowo iimpahla kunye ithombo legazi. Le nkqubo ibizwa ngokuba echocardiography. kuyo inkoliso Indlela iza kuba kuyo loo ezintathu yesibini. echocardiography sokuhlola kuqhutywa phambi isifo sentliziyo, ngesifo esosulelayo, iswekile Mama, ngokuba ukukhulelwa emva kwexesha (emva kweminyaka 38) kunye kokulibazisa okusolwayo Palsy.

Ngexesha inkqubo, sebenzisa iintlobo ezininzi ukuskena: ngabo- ultrasound ezimacala-mabini kunye Imo Doppler. KwiSithethe nokuncipha frequency yi echocardiography yi 140-160 u. / Min.

kakutsha yomntanakhe

Devices yale hlobo ultrasound zikhuselekile ngokupheleleyo kumama nomntwana. Ukongeza, kuba lula kakhulu ukuba ukusebenzisa esibhedlele kwaye nkqu nasekhaya. Le detectors musa nje ukufumanisa nezihlandlo kwamathumbu, kodwa "ngokucacileyo 'ukubonisa uphawu lwabo.

Ngexesha inkqubo, uyakwazi ukumamela nokubetha kwentliziyo ezingekazalwa (ukususela ekupheleni ezintathu lokuqala). Oku kunomphumela ukuzola kwi unina, oko normalizes urhulumente ngokwasengqondweni nangokweemvakalelo umntwana. Fetal nentliziyo veki, kumiselwa kakutsha kufuneka ibe iindidi ukusuka 130 ukuya 175 u. / Min. Ixesha uxilongo - imizuzu 8-10. Ukuphulaphula umlinganiselo intliziyo ezingekazalwa iiveki, kufanele kukhunjulwe ukuba amanani kufuneka babe ukutenxa kwisiqhelo ngaphezu kwama-20 u. / Min. Ukuba kwenzeka, oko kubonisa ubukho ngezifo.

Inani kweenkqubo baphande kakutsha cuke ngexesha lonke lokukhulelwa abe ukuya amaxesha 5-6.