ʻO nā ʻāpana no ka nānā ʻana i ke keiki he mea maʻamau kēia: ʻO ka puʻuwai fetal (FHR): E ana kēia ʻāpana i ka puʻuwai o ka pēpē. ʻO ka laulā maʻamau no ka puʻuwai fetal e hāʻule maʻamau ma waena o 110-160 beats i kēlā me kēia minuke. ʻO ka ʻoki ʻana o ka ʻōpū: Hiki i ka mea nānā ke ana i ke alapine, ka lōʻihi, a me ka ikaika o nā ʻoki i ka wā o ka hana. E kōkua ana kēia i nā mea mālama ola e loiloi i ka holomua a me ka maikaʻi o ka hana. ʻO ka puʻuwai makuahine a me ke kahe koko: ʻO ka nānā ʻana i ka puʻuwai o ka makuahine a me ke kahe koko e hāʻawi i ka ʻike koʻikoʻi e pili ana i kona olakino holoʻokoʻa i ka wā o ka hana a me ka hānau ʻana. pae hoʻonaʻauao i loko o ke koko o ka pēpē. Kōkua kēia ʻāpana i ka loiloi ʻana i ka maikaʻi o ka pēpē a me ka hāʻawi ʻana i ka oxygen.
No laila he aha ka puʻuwai fetal?
ʻO ka palena o ka Fetal Heart Rate (FHR) i loko o kahi mea nānā fetal e ana i ka puʻuwai o ka pēpē. Hōʻike pinepine ʻia ma ke ʻano he pakuhi a i ʻole ka waiwai helu ma ka pale nānā. No ka heluhelu ʻana i ka puʻuwai o ka fetal ma ke kelepona, eia ka mea e pono ai ʻoe e ʻike: ʻO ke kumu FHR: Hiki ke hoʻokaʻawale ʻia ke ʻano FHR ma ke ʻano he baseline, hoʻololi, acceleration, deceleration, a me nā ʻano ʻē aʻe. Hōʻike kēia mau hiʻohiʻona i ke olakino a me ka maikaʻi o ka pēpē. ʻO ka pākēkē o ka naʻau kumu: ʻo ia ka awelika o ka puʻuwai o ka pēpē i nā wā ʻaʻohe wikiwiki a hoʻemi paha. ʻO ka maʻamau, lawe ʻia nā ana no ka liʻiliʻi he 10 mau minuke. ʻO ka pae maʻamau o ka puʻuwai fetal maʻamau mai 110-160 beats i kēlā me kēia minuke. Hiki ke hoʻokaʻawale ʻia ka baseline ma ke ʻano he tachycardia (ka naʻau ma luna o 160 bpm) a i ʻole bradycardia (ka puʻuwai ma lalo o 110 bpm). ʻAno ʻokoʻa: ʻO ka ʻokoʻa e pili ana i nā loli o ka puʻuwai o kahi pēpē mai ka pae kumu. Hōʻike ia i ka hoʻomalu ʻana o ka puʻuwai fetal e ka autonomic nervous system. ʻO nā loli haʻahaʻa (6-25 bpm) i manaʻo ʻia he mea maʻamau a hōʻike i kahi pēpē olakino. Hiki ke hōʻike ʻia ka pilikia o ka fetal a i ʻole ka ʻokoʻa liʻiliʻi. ʻO ka wikiwiki: Ua wehewehe ʻia ka wikiwiki ma ke ʻano he piʻi pōkole o ka puʻuwai fetal, e lōʻihi ana ma ka liʻiliʻi he 15 kekona, ma luna o ka palena kumu e kekahi nui (e laʻa, 15 bpm). ʻO ka wikiwiki ka hōʻailona hōʻoluʻolu o ke olakino fetal. ʻO ka hoʻoemi ʻana: ʻO ka hoʻohaʻahaʻa ʻana he emi pōkole o ka puʻuwai fetal e pili ana i ka pae kumu. Hiki i nā ʻano deceleration like ʻole, e like me ka hoʻohaʻahaʻa mua ʻana (e hōʻike ana i ka hoʻohaʻahaʻa ʻana), hoʻololi deceleration (e like me ka lōʻihi, ka hohonu, a me ka manawa), a i ʻole ka deceleration lohi (e loaʻa ana ma hope o ka peak systole). Hiki ke hōʻike i ke ʻano a me ke ʻano o ka deceleration i ka pilikia o ka pēpē. Pono e hoʻomanaʻo ʻo ka unuhi ʻana i ka FHR e koi i ka loea lapaʻau. Hoʻomaʻamaʻa ʻia nā mea mālama ola e nānā i nā mamana a ʻike i nā hōʻailona o nā pilikia e hiki mai ana.
Ka manawa hoʻouna: Sep-04-2023
