Iyini ipharamitha yezinga lokushaya kwenhliziyo yengane kumonitha yengane?

Imingcele yemonitha yengane ngokuvamile ihlanganisa lokhu okulandelayo:Izinga lokushaya kwenhliziyo yengane (FHR): Le pharamitha ikala ukushaya kwenhliziyo yengane. Ibanga elijwayelekile lokushaya kwenhliziyo yengane ngokuvamile liba phakathi kwamabhithi ayi-110-160 ngomzuzu. Lokhu kusiza abahlinzeki bezempilo ukuba bahlole inqubekelaphambili kanye nokusebenza kahle kwesibeletho.Izinga lokushaya kwenhliziyo kamama nomfutho wegazi: Ukuqapha ukushaya kwenhliziyo kamama nomfutho wegazi kunikeza ulwazi olubalulekile mayelana nempilo yakhe iyonke ngesikhathi sokubeletha kanye nokubeletha.Ukugcwala komoyampilo: Amanye ama-monitor e-fetus athuthukile futhi akala umoya-mpilo. izinga lokugcwala egazini lomntwana. Le parameter isiza ekuhloleni inhlalakahle yengane kanye nokutholakala komoyampilo.
109Ngakho liyini izinga lokushaya kwenhliziyo yengane?
Ipharamitha ye-Fetal Heart Rate (FHR) kumonitha yengane ikala ukushaya kwenhliziyo yengane. Ivamise ukuboniswa njengegrafu noma inani lenombolo esikrinini sokuqapha. Ukuze ufunde izinga lokushaya kwenhliziyo yengane kumonitha, nakhu okudingeka ukwazi: Iphethini ye-FHR: Iphethini ye-FHR ingahlukaniswa njengesisekelo, ukuhluka, ukusheshisa, ukwehla, nokunye okuhlukile. Lawa maphethini akhombisa impilo nenhlalakahle yengane iyonke. Isilinganiso Senhliziyo Esiyisisekelo: Izinga lokushaya kwenhliziyo eliyisisekelo isilinganiso sokushaya kwenhliziyo yengane ngezikhathi zokungasheshi noma ukwehla. Ngokuvamile izilinganiso zithathwa okungenani imizuzu eyi-10. Izinga lokushaya kwenhliziyo yengane lisukela ku-110-160 ngomzuzu. Isisekelo singabuye sibekwe njenge-tachycardia (izinga lenhliziyo elingaphezu kuka-160 bpm) noma i-bradycardia (izinga lenhliziyo elingaphansi kuka-110 bpm). Ukuhlukahluka: Ukushintshashintsha kubhekisela ekuguquguqukeni kwesilinganiso senhliziyo yosana ukusuka kwesisekelo. Kubonisa ukulawula izinga lokushaya kwenhliziyo yengane ngohlelo lwezinzwa oluzimele. Ukushintshashintsha okumaphakathi (6-25 bpm) kuthathwa njengokujwayelekile futhi kubonisa ingane enempilo. Ukwehluka okungekho noma okuncane kungase kubonise ukucindezeleka kwengane. Ukusheshisa: Ukusheshisa kuchazwa njengokwenyuka kwesikhashana kwesilinganiso senhliziyo yengane, okuthatha okungenani imizuzwana eyi-15, ngaphezu kwesisekelo ngenani elithile (isb, 15 bpm). Ukusheshisa kuwuphawu oluqinisekisayo lwempilo yengane. Ukuncipha: Ukwehla kwejubane ukwehla kwesikhashana kwesilinganiso senhliziyo yosana oluhlobene nesisekelo. Izinhlobo ezehlukene zokuncipha zingase zenzeke, njengokuncipha kwejubane kwangaphambi kwesikhathi (ukubonisa ukusikeka), ukwehla okuguquguqukayo (ukuhlukahluka kobude besikhathi, ukujula, kanye nesikhathi), noma ukwehla sekwephuzile (okwenzeka ngemva kwe-systole ephezulu). Iphethini kanye nohlamvu lwe-deceleration lungabonisa ukucindezeleka kwe-fetus. Kubalulekile ukukhumbula ukuthi ukuhumusha i-FHR kudinga ubuchwepheshe bomtholampilo. Abahlinzeki bezempilo baqeqeshelwe ukuhlaziya amaphethini futhi babone noma yiziphi izimpawu zezinkinga ezingaba khona.
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Isikhathi sokuthumela: Sep-04-2023