Ukhathazekile malunga nokubetha kwentliziyo yomntwana wakho? Masithethe nge-'Electronic Fetal Monitoring (EFM)'!

Ukuba uza kubeleka, okanye ukuba kukho umntu kusapho lwakho oza kuba ngumama, eli bali liza kuba libaluleke kakhulu kuwe. Namhlanje siza kuthetha ngendlela yokujonga impilo yomntwana, ingakumbi ukubetha kwentliziyo, ngelixa umama esesibelekweni nangexesha lokubeleka. Oku sikubiza ngokuba yi-'Electronic Fetal Monitoring' okanye '(EFM)'. Ngamafutshane, isoloko ijonga ukubetha kwentliziyo yomntwana.

Kutheni le `EFM` isenziwa? Ibaluleke ngantoni le nto?

Cinga ngako oku, xa umama ebeleka, oko kuthetha ukuba xa umntwana ezama ukuphuma, isibeleko sakhe siyafinyela. Oku kufinyela kunokubangela ukuba eminye yemithambo yegazi enika umntwana ioksijini ixinaniswe. Ngokwesiqhelo, oku akuyongxaki inkulu kumntwana , njengoko efumana ioksijini ayidingayo. Nangona kunjalo, ngamanye amaxesha amanqanaba eoksijini anokwehla. Ukuba oko kuyenzeka, unokubona utshintsho kwisantya sentliziyo yomntwana.

Ngoko ke, into eyenziwa yile `EFM` kukujonga rhoqo ukubetha kwentliziyo yomntwana, ukuchonga naziphi na iingxaki kwangethuba, kunye nokuthatha amanyathelo afunekayo ukukhusela umntwana. Amaxesha amaninzi, umntwana usenokungakhululeki (ukukhathazeka kosana olusandul’ ukuzalwa) ngenxa yokunqongophala kweoksijini. Emva koko le `EFM` inokuyifumana ngokukhawuleza.

Ingaba le 'EFM' yinto efunekayo ngokwenene kuye wonke umntu?

Ngoku usenokuba ucinga, ‘Kulungile ke ngoko ukuba wonke umntu enze oku.’ Kodwa cinga ngako. Ezinye izifundo zifumanise ukuba i-EFM eqhelekileyo yabasetyhini abakhulelweyo abasengozini encinci yonyuse inani lotyando olungeyomfuneko kunye nokubeleka kusetyenziswa izixhobo zokucoca okanye i-forceps.

Kwakhona, akukho budlelwane bubalulekileyo obufunyenweyo phakathi kwe-EFM kunye nokuba iintsana ezisandul’ ukuzalwa zinamanqaku angcono e-Apgar (amanqaku alinganisa impilo yomntwana emva kokuzalwa), okanye nokuba iimeko ezifana ne-cerebral palsy, ukulibaziseka kokukhula, ukwenzakala kwe-neurologic, okanye nokuba iintsana zingeniswa kwiiyunithi zokhathalelo oluphezulu lwe-neonatal (NICUs) ziyancitshiswa.

Iingcali ezininzi zokubelekisa kunye neengcali zezifo zabesifazane zikholelwa ukuba i-EFM ayifuneki kubafazi abakhulelweyo abasengozini encinci yokufumana iingxaki . Ugqirha unokutshekisha ukubetha kwentliziyo yomntwana rhoqo nge-stethoscope okanye i-ultrasound. Oku kubizwa ngokuba yi-intermittent auscultation.

Ngoko ke icetyiswa nini i-EFM?

Kulungile, ngoko ke kukho iimeko apho i-EFM icetyiswa ngokukodwa. Ngokutsho kwe-American College of Obstetricians and Gynecologists, ukuba unikwe amayeza okubangela ukuzala okanye i-epidural ukunciphisa iintlungu, kufuneka usebenzise i-EFM.

Kwakhona, ukuba ukukhulelwa kuchongiwe njengomngcipheko ophezulu, kusetyenziswa i-EFM. Umzekelo:

• Iimeko zempilo zikamama: `(preeclampsia)` (le yimeko yoxinzelelo lwegazi oluphezulu oluvela ngexesha lokukhulelwa), `(isifo seswekile)`, ukuba ukhe wabelekwa ngotyando ngaphambili, ukuba ukhe wopha igazi ngexesha lokukhulelwa.
• Ukuba umntwana wakho uphuma endle ye-meconium ngexesha lokubeleka, oku ngamanye amaxesha kunokubonisa ukuba umntwana unengxaki. Oku kubizwa ngokuba yi-meconium, indle yokuqala yomntwana.
• Ukuba umntwana mncinci (ubungakanani obuncinci bemveku) okanye uneengxaki zokuzalwa.

Nangona kukho ezi ngcebiso, uninzi lweengcali zokubelekisa kunye neengcali zezifo zabesifazane zisasebenzisa rhoqo i-EFM. Ngoko ke kulungile ukuthetha nogqirha wakho ngale nto.

Ngaba wakha wasebenzisa i-'EFM' xa udlala?

Ewe, ngamanye amaxesha impilo yomntwana ijongwa nge-EFM ngaphambi kokuba kuqale ukuzala. Ingakumbi ukuba kukho ukwenzakala esiswini sikamama , njengasemva kweeveki ezingama-20 zokukhulelwa, ugqirha unokucebisa ukuba umntwana ajongwe nge-EFM iiyure ezi-4 ukuya kwezingama-24.

Kwakhona, i-EFM inokunceda ekuqinisekiseni ukuba ukuzala kuyinyani okanye akunjalo . Ngamanye amaxesha oomama bayava iintlungu, kodwa akuyongxaki yokwenene. Iimpawu zokuzala okungeyonyani ziquka:

• Intlungu iyenzeka rhoqo, ayiqhubeki, kwaye izithuba phakathi kweentlungu azinciphi.
• Intlungu iyaphela xa uhamba, uphumla, okanye utshintsha indawo ohlala kuyo.

Zeziphi iintlobo ze-'EFM' ezikhoyo?

Kukho iintlobo ezimbini eziphambili ze-'EFM'. Masibone ukuba zeziphi.

1. I-EFM yangaphandle

Le yeyona ndlela ixhaphakileyo. Usenokuba ukhe wayibona ngaphambili. Ugqirha wakho usebenzisa iibhanti ezimbini ze-elastiki aze ancamathisele izixhobo ezimbini esiswini sakho.

• Esinye sisixhobo esifana ne-ultrasound. Sibekwa phezu kwendawo apho umntwana ekholelwa ukuba ukhona khona kwaye silinganisa ukubetha kwentliziyo yomntwana.
• Enye yi-pressure gauge. Ibekwa kwisisu esingaphezulu kwaye ilinganisa ukuba kwenzeka kangaphi kwaye ixesha elingakanani ukushwabana kwesibeleko. Nangona kunjalo, le ndlela ayinakulinganisa ngokuchanekileyo ubunzulu bokushwabana, oko kukuthi, kwenzeka kangaphi.

2. I-EFM yangaphakathi

Le yinkqubo enzima kancinci kuneyangaphandle, njengoko ibandakanya ukufaka izixhobo ngaphakathi, kwaye ayenzelwanga wonke umntu. Nangona kunjalo, oku kusetyenziswa xa kunzima ukulinganisa ngokuchanekileyo isantya sentliziyo nge-'EFM' yangaphandle xa umama ehambahamba.

• Kule meko, ukubetha kwentliziyo kulinganiswa ngokufaka ucingo oluncinci (i-electrode) nge-vagina uze uyincamathisele entlokweni yomntwana (akufumaneki kwenye indawo).
• Kwakhona, ukuze kulinganiswe ubunzulu bokubhitya kwesibeleko, ityhubhu encinci, ebizwa ngokuba yi-catheter, ingafakwa kwisibeleko.

Eyona nto ibalulekileyo kukuba i-EFM yangaphakathi inokwenziwa kuphela xa amanzi ephukile kwaye umlomo wesibeleko uvuleke kancinci.Le ndlela idla ngokusetyenziswa xa idatha evela kwi-`EFM` yangaphandle ingacacanga, okanye xa kufuneka ukuqwalaselwa okuchanekileyo ngakumbi.

Isebenza njani le `EFM`? Ijongeka njani?

Zombini ezi zixhobo (zangaphandle okanye zangaphakathi) ziqhagamshelwe kwimonitha yangaphandle. Kulapho yonke le misebenzi irekhodwa khona nge-elektroniki okanye ephepheni (ukufundwa). Usenokuba ukubonile kwiimuvi, apho imigca emibini irekhodwa inyuka ihla.

Ugqirha wakho uza kuqala ahlole izinga lokubetha kwentliziyo lomntwana wakho aze ajonge le tshathi rhoqo. Ezinye iinguqu kwizinga lokubetha kwentliziyo yomntwana wakho ngexesha lokuqunjelwa ziqhelekile. Nangona kunjalo, utshintsho olunokubonisa ingxaki luquka:

• Ukuba nesantya sentliziyo esiphezulu kunesiqhelo (tachycardia) okanye isantya sentliziyo esiphantsi kunesiqhelo (bradycardia) ixesha elide.
• Ukubonisa iindlela ezingaqhelekanga zokucotha kwesantya sentliziyo ngexesha lokuqunjelwa.

Ezinye izixhobo ze-EFM zisenokuba nee-alamu ezibekwe ukuze zilumkise iqela lezonyango ukuba kukho utshintsho oluyingozi kwisantya sentliziyo yomntwana.

Ngaba kunzima ukuhambahamba ngelixa unxibe le nto?

Ewe, kunokubakho ukungakhululeki. Xa une-EFM yangaphandle, kufuneka uhlale ebhedini okanye esitulweni. Nangona kunjalo, ezinye izibhedlele zinezixhobo zokujonga i-telemetry ezingenazingcingo ze-EFM yangaphandle. Emva koko ungahambahamba ngokukhululeka kancinci. Nge-EFM yangaphakathi, ngokuqinisekileyo kufuneka uhlale ebhedini.

Zithini iingozi ze-'EFM'?

Nangona i-'EFM' iluncedo kakhulu, njengayo yonke enye into, inokuba neengozi ezincinci.

I-`EFM` eqhelekileyo (ingakumbi yangaphandle) inokubangela:

• Ii-alamu zobuxoki zinokubangela ixhala elingeyomfuneko kwaye zikhokelele kwiimvavanyo ezingeyomfuneko.
• Amandla okuhambahamba ayanqongophala. Enyanisweni, ukushukuma nokutshintsha izikhundla ngexesha lokubeleka kunokunceda ukunciphisa iintlungu kwaye kube lula ukuzala.
• Bekholelwa ngempazamo ukuba umntwana usengxakini yosana olungekazalwa, kunokwenziwa isigqibo sokubeleka umntwana kusetyenziswa i-cesarean section, isixhobo sokucoca ulwelo, okanye i-forceps, nto leyo esenokungabi yimfuneko.

Kukho iingozi ezongezelelweyo ezithile kwi-'EFM' yangaphakathi:

• I-electrode (ucingo) esetyenziselwa i-EFM yangaphakathi inokubangela inxeba elincinci okanye umkrwelo entlokweni yomntwana .
• Umama unokufumana usulelo lukamama (kunqabile).
• Kukho ithuba elincinci kakhulu lokudlulisela izifo ezifana ne-HIV okanye i-herpes yesini ukusuka kumama ukuya kusana (koomama abanazo ezi).

Izinto ezinokwenzeka xa i-catheter (yokulinganisa ukufinyela) ifakwa esibelekweni (ezi aziqhelekanga kakhulu):

• Intambo yesisu ingaxakeka.
• Isibeleko sinokuba sibhobokile.
• I-placenta inokukrazuka.

Nangona kubalulekile ukuzazi ezi ngozi, kubalulekile nokukhumbula ukuba ezi zinto azenzeki rhoqo. Oogqirha bazisebenzisa kuphela xa kuyimfuneko.

Kuthatha ixesha elingakanani ukufumana iziphumo? Kuthekani ukuba umntwana unengxaki yokukhulelwa?

Ugqirha wakho kunye nabasebenzi bakho bonyango baza kuqhubeka bejonga le tshathi ye-EFM imini yonke kwaye baza kukuxelela nokuba umntwana wakho uphila njani. Olu lulwazi olufumaneka ngexesha langempela.

Ukufundwa okungaqhelekanga kwe-EFM akuthethi ukuba umntwana usengozini. Ugqirha angakuxelela ukuba utshintshe indlela oma ngayo (umz., jika uye ngasekhohlo kwakho). Ukwenza njalo kunokuphucula ukuhamba kwegazi lomntwana kwaye kusombulule ingxaki. Umama anganikwa ioksijini okanye ityuwa eyongezelelweyo.

Nangona kunjalo, ukuba ezinye zeendlela zokubetha kwentliziyo ziyaqhubeka zingaqhelekanga, nto leyo ethetha ukuba umntwana usengxakini yokwenene, ugqirha uya kugqiba ukuba enze i-cesarean section ngoko nangoko okanye azale umntwana ngesini esebenzisa isixhobo sokucoca okanye i-forceps.

Okokugqibela, yintoni ekufuneka uyikhumbule

Ngoko ke, mhlawumbi uyaqonda ukuba yintoni i-EFM kunye nento eyenzayo. Kwezinye iimeko, i-EFM ingasinceda siqiniseke ukuba umntwana uphilile kwaye sichonge naziphi na iingxaki ezifuna ukubeleka ngokukhawuleza. Nangona kunjalo, kubafazi abaninzi abakhulelweyo abasempilweni nabangenawo umngcipheko kwaye abangathathi mayeza okubeleka (ukuzala ngaphandle konyango), ukuBekwa kweliso kwi-Elektroniki kwiNtsana akuyomfuneko.

Xa uceba ukuba nomntwana, thetha nogqirha wakho malunga neendlela abaziphatha ngayo malunga ne-EFM. Ungoyiki ukubuza imibuzo efana nale, "Gqirha, ngaba ndiza kuyidinga i-EFM? Zithini izinto ezilungileyo nezingalunganga ngenxa yemeko yam?" Ngokuxoxa ngeminqweno yakho kwangaphambili, ungakulungela ukwenza izigqibo ezilungileyo kuwe nakumntwana wakho.

Khumbula, ukukhulelwa ngakunye kunye nokuzala ngakunye kwahlukile. Kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga neenkxalabo zakho kunye noko ukucingayo. Emva koko unokujongana neli xesha libalulekileyo ngoxolo lwengqondo.

Ukubetha kwentliziyo yomntwana , ukujonga umntwana ongekazalwa nge-elektroniki, i-EFM, ukuzala, ukukhulelwa, ukuzala, impilo yomntwana