Ukuba ulindele umntwana, kumele ukuba uwubonile kwimuvi okanye kwiTV, apho kubekwa khona imitya emibini esiswini sikamama kwigumbi lokubeleka, kwaye umgca unyuka usiya phezulu kwiscreen esikufutshane esinesandi esithi 'beep... beep...'. Abantu abaninzi bacinga ukuba oku kukujonga ukubetha kwentliziyo kamama. Kodwa eneneni, oku kukujonga izinto ezimbini ngaxeshanye. Enye kukubetha kwentliziyo komntwana omncinci esibelekweni. Enye kukuqunjelwa onako. Oku sikubiza ngokuba yi-Electronic Fetal Monitoring kwizonyango, okanye i-EFM ngamafutshane njengoko wonke umntu esazi. Ngoko ke, namhlanje siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Kalula nje, yintoni i-EFM?
Khawucinge nje, ukuba nomntwana luhambo olukhulu kumama nakumntwana. Le EFM yeyona ndlela ilungileyo yokuba oogqirha nabahlengikazi bazi ukuba umntwana uneengxaki na ngeli xesha lohambo kwaye ukuba uphilile na.
Ngamafutshane, i-EFM sisixhobo esihlala sijonga ukubetha kwentliziyo yomntwana wakho kunye nohlobo lokusikwa kwesisu sakho ngexesha langempela.
Ngoku usenokuba ucinga, "Kutheni ujonge ezi zimbini kunye?" Nantsi isizathu. Xa ubeleka, isibeleko sakho siyancipha kakhulu. Ngeli xesha, imithambo yegazi ethwala ioksijini kumntwana wakho nayo iyaqina kancinci. Kufana nokucinezela umbhobho wamanzi. Uninzi lwexesha, oku akuyongxaki kwiintsana ezisempilweni, kwaye ziyakwazi ukumelana nokuqina kakuhle. Kodwa ngamanye amaxesha, ubungakanani beoksijini efunyanwa ngumntwana wakho bunokuba ncinci kancinci. Ukuba oko kuyenzeka, kunokuchaphazela izinga lokubetha kwentliziyo yomntwana.
Ngoko ke into eyenziwa yi-EFM kukujonga rhoqo indlela ukubetha kwentliziyo yomntwana okutshintsha ngayo xa ukudumba kungena kuphinde kuhambe. Oku kuvumela ugqirha ukuba abone kwangethuba ukuba umntwana unengxaki yosana olungekazalwa.
Ngaba wonke umntu uyayidinga le EFM?
Hayi. Asinguye wonke umfazi okhulelweyo ofuna ukubekwa esweni rhoqo yi-EFM. Umntu okhulelweyo onempilo engenazo naziphi na iingxaki usenokungayidingi le nto. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, kubalulekile kukhuseleko lomntwana kunye nonina. Makhe sibone ukuba zeziphi ezo meko.
| Xa i-EFM ifuneka rhoqo | Icacisiwe ngokulula |
|---|---|
| Ukukhulelwa okunobungozi obukhulu | Ukuba unesifo esifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, ukuba umntwana wakho ukhula kancinci, okanye ukuba ulindele amawele, kufuneka umnyamekele ngakumbi umntwana wakho. |
| Ukuba umsebenzi ubangelwa bubuqhetseba (Umsebenzi obangelwa bubuqhetseba) | Ngamanye amaxesha oogqirha kufuneka bakunike amayeza (umz. iPitocin® ) ukuze bakubangele ukuba babeleke. La mayeza angenza ukuba ukudumba kwakho kube nzima ngakumbi. Ngoko ke kubalulekile ukuba ne-EFM ukuze ubone ukuba umntwana wakho usabela njani kuwo. |
| Inaliti yentlungu (i-Epidural) | Ukuba ufumana i- epidural ukunciphisa iintlungu, inokuba nefuthe elincinci kuxinzelelo lwegazi lakho. Kukhuselekile ukuyijonga nge-EFM, kuba oku kunokuchaphazela umntwana ngokungathanga ngqo. |
| Ukuba ukrokrela ukuba umntwana usengxakini (Iimpawu zokukhathazeka komntwana ongekazalwa) | Ukuba ugqirha ukrokrela ukuba kukho ingxaki, efana nokuncipha kweentshukumo zomntwana okanye ukwehla komthamo wamanzi ajikeleze umntwana, i-EFM iya kusetyenziswa ukufumanisa imeko yomntwana ngqo. |
| Ukuba umntwana unesifo esingaqhelekanga sokuzalwa | Ukuba iiskeni ezenziwe ngexesha lokukhulelwa zibonisa ukuba umntwana unengxaki yempilo (umz., ingxaki yentliziyo), i-EFM ibalulekile ukuze umntwana ajongwe ngokusondeleyo ngexesha lokubeleka. |
Isebenza njani le matshini ye-EFM?
Kukho iindlela ezimbini eziphambili zokubeka esweni i-EFM. Eyokuqala yeyona isetyenziswa kakhulu.
1. I-EFM yangaphandle
Yile nto uyibona rhoqo kwiimuvi. Yinto elula kakhulu eyenzekayo.
- Isixhobo sokuqala: Umongikazi uza kusebenzisa ijeli esiswini sakho, afumane indawo efanelekileyo yokuva ukubetha kwentliziyo yomntwana, aze abeke isixhobo esincinci apho aze asibophe ngesisu sakho ngebhendi ye-elastic. Oku kusebenza kusetyenziswa ubuchwepheshe be-ultrasound , obufana nomatshini wokuskena. Le yindlela elinganisa ukubetha kwentliziyo yomntwana.
- Isixhobo sesibini:Esinye isixhobo sifakwa kwisisu sakho esingaphezulu size sincamathiselwe kwenye intambo. Oku kulinganisa inani lezihlandlo isibeleko sakho sifinyela ngazo kunye namandla okufinyela kwazo. Oku kubizwa ngokuba yi-tocodynamometer .
Ulwazi oluvela kwezi zixhobo zimbini luboniswa njengeegrafu ezimbini kwisikrini sekhompyutha. Lukwarekhodwa nakwiphepha elide. Oogqirha kunye nabongikazi banokukujonga oku baze bafumane umbono olungileyo ngemeko yomntwana.
2. I-EFM yangaphakathi
Le ayisiyonkqubo ixhaphakileyo. Ingenziwa kuphela emva kokuba 'ingxowa yakho yamanzi' iphukile . Ugqirha uya kusebenzisa le ndlela ukuba i-EFM yangaphandle ayikwazi ukunika umfanekiso ocacileyo, okanye ukuba bafuna ulwazi oluchanekileyo malunga nomntwana ngokukhawuleza.
- Kule meko, ugqirha ufaka ucingo oluncinci kakhulu, oluncinci ngaphakathi kwilungu lobufazi aze ancamathisele i-electrode encinci entlokweni yomntwana. Nangona oku kunokuvakala ngathi kuyoyikisa kancinci, akuyi kubangela monakalo mkhulu kumntwana. Oku kuvumela ukuba ukubetha kwentliziyo yomntwana kulinganiswe ngokuchanekileyo.
- Kwakhona, ukuba ufuna ukulinganisa ngokuchanekileyo uxinzelelo lwesibeleko, umbhobho omncinci (i-catheter) ungafakwa kwisibeleko.
Le ndlela mayisetyenziswe kuphela kwiimeko ezingaqhelekanga. Ugqirha wakho uza kukuchazela kakuhle.
Ngaba kukho izinto ezilungileyo nezingalunganga kwi-EFM?
Njengaso nasiphi na isixhobo sezonyango, i-EFM ineengenelo kunye neengxaki zayo, kwaye kubalulekile ukuzazi ezi zinto.
- Ii-alamu zobuxoki: Ngamanye amaxesha, ukungasebenzi kakuhle komatshini kunokubangela ukuba i-alamu ikhale. Umzekelo, ukuba uhambahamba ebhedini, okanye ukuba i-sensor ishukuma kancinci xa umntwana ehamba ngaphakathi esibelekweni, ukufunda kunokutshintsha kwaye i-alamu ingakhala. Nokuba akukho ngxaki yokwenyani, ezi zinto zinokubangela uloyiko olungeyomfuneko kunye noxinzelelo kubazali nakumalungu osapho.
- Inkululeko elinganiselweyo yokuhamba: Xa uqhagamshelwe rhoqo kwi-EFM, inkululeko yakho yokuvuka ebhedini, ukuhamba, nokutshintsha izikhundla ilinganiselwe. Enyanisweni, ukuhamba nokutshintsha izikhundla ngexesha lokubeleka kunokuba luncedo ekubelekeni.
- Okukhokelela kwiindlela zonyango ezingeyomfuneko: Ezinye izifundo zibonise ukuba ukujonga rhoqo i-EFM, ngamanye amaxesha ngenxa yeerekhodi ezingachanekanga, kwandisa kancinci amathuba okuba umntu enze isigqibo sokwenza utyando lwe-Caesarean , okanye ukusebenzisa i-forceps okanye i- vacuum ukubeleka umntwana, nokuba akuyomfuneko ngokwenene.
- Iingozi ze-EFM yangaphakathi:Nangona oku kunqabile kakhulu, kukho umngcipheko omncinci wokuba umntwana akrweleke kancinci entlokweni okanye asuleleke ngexesha lokuhlolwa kwangaphakathi. Kunokwandisa umngcipheko wokudluliselwa kwezifo, ezifana ne-HIV, ukusuka kumama ukuya kumntwana wakhe.
Wenza ntoni ukuba i-EFM ibonisa ukuba umntwana usengxakini?
Okokuqala, utshintsho kwi-EFM aluthethi ukuba umntwana usengozini enkulu. Luphawu kwiqela lezonyango oluthi "Kulungile, ngoku kufuneka sinikele ingqalelo ngakumbi koku." Musa ukoyika ngexesha elinje. Ugqirha wakho kunye nomongikazi baya kwazi ukuba benze ntoni.
Ngokwesiqhelo bazama izinto ezilula ezinje:
- Ukutshintsha indlela oma ngayo: Ungenza izinto ezifana nokuzijika uye kwicala lasekhohlo uze ulale phantsi. Oku kunokuphucula ukuhamba kwegazi ukuya kwisibeleko nakwi-placenta, kwandisa ubungakanani beoksijini efunyanwa ngumntwana wakho.
- Uza kunikwa ioksijini: Unganikwa ioksijini ngemaski ebusweni bakho. Oku kuya kunyusa amanqanaba eoksijini egazini lakho, nto leyo eya kunika umntwana wakho ioksijini engakumbi.
- Kunikwa ityuwa (IV fluids): Kufakwa isisombululo setyuwa engalweni yakho ukuze sikunike ulwelo. Oku kunceda ukuphucula ukujikeleza kwegazi.
- Ukutshintsha amayeza: Ukuba uthatha amayeza okubangela ukuzala (njengePitocin®) , umthamo ungancitshiswa okanye uyekwe okwethutyana.
Uninzi lwexesha, ezi zinto zilula ziya kunceda ukubetha kwentliziyo yomntwana kubuyele kwisiqhelo. Ukuba oko akwenzeki, aze ugqirha agqibe kwelokuba kunzima kakhulu ukuba umntwana ahlale esibelekweni, baya kuthatha amanyathelo okubelekisa umntwana ngokukhawuleza. Oku kusenokuba kukubeletha ngesisu okanye utyando. Khumbula, eyona nto ibalulekileyo apha kukhuseleko lukamama nomntwana.
Ngaba usebenzisa i-EFM nangaphambi kokuba ube nomntwana?
Ewe, kwezinye iimeko. Kukho amaxesha apho i-EFM isetyenziswa ukumisela impilo yomntwana kwanangexesha lokukhulelwa.
- Umzekelo, ukuba ufumene ingozi okanye uwele esibelekweni emva kweeveki ezingama-20, ungahlala uqhagamshelwe kwi-EFM okwethutyana ukuqinisekisa ukuba umntwana akonzakali.
- Kwakhona, ngamanye amaxesha i-EFM inokunceda ukuqinisekisa ukuba ufumana ukuqhoqhoqhoqho kokwenyani okanye 'ukuqhoqhoqhoqho okungeyonyani' (ukuqhoqhoqhoqhoqho kukaBraxton Hicks) .
Xa usondela esiphelweni sokukhulelwa kwakho, licebo elihle ukuxoxa ngale EFM nogqirha wakho. Ngale ndlela, ungayiqonda ngcono ngaphambi kokuba ubeleke kwaye uxoxe ngezinto ozithandayo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-EFM sisixhobo esibaluleke kakhulu esijonga ngaxeshanye ukudumba kwakho kunye nokubetha kwentliziyo yomntwana wakho ngexesha lokubeleka.
- Ukubeka iliso rhoqo kwi-EFM akusoloko kuyimfuneko xa ukhulelwe ngendlela elula nengenabungozi kangako, kodwa kunokuba yimfuneko xa ukhulelwe ngendlela enobungozi kakhulu.
- Nangona oku kunokuqinisekisa ukhuseleko lomntwana, kunokuba neengxaki, ezinjengokubangela uloyiko olungeyomfuneko nokukhokelela kungenelelo lwezonyango olungeyomfuneko.
- Ukubona into engaqhelekanga kwitshathi ye-EFM akuthethi ukuba umntwana usengozini. Kuthetha nje ukuba iqela lezonyango kufuneka linikele ingqalelo engakumbi ngoku.
- Zive ukhululekile ukuxoxa ngayo nayiphi na imibuzo, iinkxalabo, okanye amathandabuzo onokuba nawo nogqirha wakho . Wena nogqirha wakho ninokwenza izigqibo ezilungileyo malunga nokuzala kwakho.
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