Xa usiya kugqirha ngexesha lokukhulelwa, bafaka isixhobo esincinci esiswini sakho baze bamamele ukubetha kwentliziyo yomntwana, akunjalo? Ngamanye amaxesha bafaka ibhanti esiswini sakho baze bajonge. Oku kwenza ntoni ngokwenene? Kutheni oku kubaluleke kangaka? Oku kunokukuxelela ntoni ngomntwana wakho? Masithethe ngale nto ngokulula.
Yintoni ukuJonga iNqanaba leNtliziyo yosana olusandul’ ukuzalwa?
Ngamafutshane, ukuJonga iNgxaki yeNtliziyo yosana olusandul’ ukuzalwa yindlela yokujonga ukuba ibetha intliziyo yosana lwakho ngokukhawuleza kangakanani na kwaye ngendlela ehambelanayo. Xa ukhulelwe, ugqirha wakho ufuna ukuqinisekisa ukuba umntwana wakho usempilweni kwaye ukhula kakuhle. Enye yeendlela eziphambili ezisetyenziswayo ukwenza oku kukujonga isantya sentliziyo yosana kunye nesingqi.
Olu vavanyo ludla ngokwenziwa emva kwexesha lokukhulelwa nangexesha lokubeleka. Olu vavanyo lunokwenziwa kunye nezinye iimvavanyo ukuze kufunyanwe ingqwalasela enzulu imeko yomntwana wakho, ingakumbi ukuba unesifo esinobungozi empilweni esifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu.
Kutheni oogqirha besithi kufuneka benze olu vavanyo?
Olu vavanyo ludla ngokucetyiswa ukuba ukukhulelwa kwakho kusemngciphekweni omkhulu. Umzekelo:
- Ukuba unesifo seswekile.
- Ukuba usebenzisa amayeza okubeleka ngaphambi kwexesha.
- Ukuba ugqirha ucinga ukuba ukukhula okanye uphuhliso lomntwana aluqhelekanga.
Ukongeza koku, ugqirha angabhekisa kolu vavanyo ukuqinisekisa ukuba umntwana uphilile na ngexesha lokubeleka, okanye ukuba bafuna ukujonga ukubetha kwentliziyo yomntwana nangasiphi na esinye isizathu.
Ziziphi iindlela zokwenza olu vavanyo?
Kukho iindlela ezimbini eziphambili zokujonga ukubetha kwentliziyo yomntwana wakho. Enye kukwenza ngaphandle , esiswini sakho. Enye kukwenza ngaphakathi , emva kokuba amanzi ephumile kwaye ukuzala kuqalile.
1. Ukubeka iliso ngaphandle
Le yeyona ndlela ixhaphakileyo. Oku kwenziwa ngeendlela ezimbini.
- Uvavanyo lwentliziyo: Ukuba ukukhulelwa kwakho kuhamba kakuhle kwaye kungekho ngxaki, ugqirha wakho uza kusebenzisa i-stethoscope ekhethekileyo (`fetoscope`) okanye isixhobo esincinci esiphathwa ngesandla (` Doppler ultrasound` ) ukujonga rhoqo ukubetha kwentliziyo yomntwana. Oku kulula kakhulu.
- Ukubeka esweni nge-elektroniki:Ngamanye amaxesha, ingakumbi emva kweeveki ezingama-32, ugqirha wakho angenza uvavanyo olubizwa ngokuba yi-"Nonstress Test." Oku kuquka ukubala ukuba isantya sentliziyo yomntwana wakho sinyuka kangaphi kwixesha lemizuzu engama-20. Ibhanti ene-sensor ye-elektroniki inxitywa esiswini sakho. Ihlala irekhoda isantya sentliziyo yomntwana wakho. Unganxiba nebhanti efana nale ngexesha lokubeleka. Ingajonga ukuba umntwana wakho ufumana uxinzelelo oluvela ekuqhothweni kwesibeleko sakho. Ukuba kukho uxinzelelo, unokufuna ukuzala umntwana ngokukhawuleza.
2. Ukubeka iliso ngaphakathi
Oku kwenziwa kuphela emva kokuba ukubeletha kuqalile, amanzi akho ephumile, kwaye umlomo wesibeleko sakho uvulekile.
Kule meko, ugqirha ufaka intambo encinci ebizwa ngokuba yi-electrode kwilungu lobufazi bakho aze ayicinezele kancinci entlokweni yomntwana. Oku kunokunika iziphumo ezichanekileyo ngakumbi kunokukwenza ngaphandle.
I-Doppler kunye ne-Fetoscope: Yintoni umahluko?
Abantu abaninzi badidekile kancinci ngezi zixhobo zimbini. Masiyilungise loo nto.
| Isixhobo | Ingaba isebenza kanjani | Yintoni ekufuneka uyazi |
|---|---|---|
| I-Fetoscope | Le yi-stethoscope ekhethekileyo emile okwexilongo. Xa ibekwe esiswini, unokuva ukubetha kwentliziyo yomntwana ngqo. Akukho matshini okanye iibhetri zifunekayo. | Oku akukhuphi nto efana namaza esandi, kodwa kufuna amava ukuze kubonwe ngokuchanekileyo ukubetha kwentliziyo. |
| I-Doppler Ultrasound | Oku kusebenzisa amaza esandi ukubamba isandi seevalvu zentliziyo yomntwana ezihambayo. Yiloo nto siyivayo. | Ikhuselekile phantsi kweliso likagqirha, kodwa oogqirha bayalumkisa ukuba bangayisebenzisi ekhaya. Ngaphandle koqeqesho, kukho umngcipheko wokutolika gwenxa into oyivayo, ukoyika ngokungeyomfuneko, okanye ukuyiphepha xa kukho ingxaki. |
Ngaba kulungile ukusebenzisa ezi zixhobo ekhaya?
Abanye abantu bathenga izixhobo ze-"fetal doppler" ekhaya abanokuzisebenzisa ekhaya. Kodwa oogqirha abacingi ukuba le yingcinga elungileyo. Isizathu kukuba ukuba umntu ongaqeqeshwanga uyayisebenzisa:
- Kungangabi nasizathu sokukhathazeka ukuba awukayiva intsimbi yosana (ingakumbi kwiiveki zokuqala zokukhulelwa).
- Usenokungakwazi ukubona ngokuchanekileyo ukuba uyayiva na intsimbi yosana okanye isandi somthambo wakho omkhulu wegazi.
- Xa kukho ingxaki, kunokwenzeka ukuba ungayazi uze ufumane isatifikethi esingalunganga .
Ngoko ke, ungaze usebenzise isixhobo esifana nesi ekhaya ngaphandle kokuthetha nogqirha wakho .
Ngaba kukho naziphi na iingozi ngezi mvavanyo?
- Ukubeka iliso ngaphandle akukho mngcipheko. Akuyi kukwenzakalisa wena okanye umntwana wakho. Ungaziva ungakhululekanga ngenxa yebhanti enxitywe esiswini sakho.
- Ukubeka iliso ngaphakathi kunokuba neengozi ezincinci kakhulu.
- Ndiziva ndingonwabanga.
- Kunqabile kakhulu ukuba kubekho usulelo.
- Umkrwelo omncinci okanye inxeba eluswini lwentloko yomntwana.
Kubalulekile: Ukuba une-HIV, ukubekwa esweni kwangaphakathi akwenziwa kuba kwandisa umngcipheko wokudlulisela usulelo kumntwana wakho.
Zithini iziphumo?
Isantya sentliziyo yomntwana osempilweni sidla ngokuba phakathi kwe-110 kunye ne-160 beats ngomzuzu . Esi santya sinyuka kancinci xa umntwana eshukuma, nto leyo eluphawu oluhle.
Iimpawu zokuba kunokubakho ingxaki zezi:
- Isantya sentliziyo singaphantsi kwe-110 beats ngomzuzu.
- Isantya esidlula ii-beats ezili-160 ngomzuzu.
- Ukubonisa utshintsho olungaqhelekanga kwindlela yokubetha kwentliziyo.
- Isantya sentliziyo asinyuki nokuba umntwana uhamba okanye isibeleko sifinyela.
Kodwa khumbula, ukuba into efana nale iyenzeka akuthethi ukuba umntwana unengxaki enkulu. Luphawu nje lokuba umntwana usenokungafumani ioksijini ayidingayo. Ugqirha uza kuphanda ngakumbi.
Ngamanye amaxesha, izinto ezinje ngobunzima bomzimba wakho, indawo omi kuyo wena okanye umntwana wakho, okanye ukubakho kolwelo oluninzi lwe-amniotic esibelekweni kunokuchaphazela ukuchaneka kweziphumo.
Yintoni omawuyenze ukuba ukubetha kwentliziyo akuqhelekanga?
Ukuba ugqirha ubona naziphi na iingxaki kwintliziyo yomntwana, angenza oku kulandelayo:
- Ucelwa ukuba utshintshe indawo (umz. jika ngasekhohlo).
- Ulwelo lunikwa umzimba nge-IV ( i-saline ).
- Unikwa ioksijini eyongezelelweyo.
- Kunikwa amayeza okuthomalalisa ukudumba kwesibeleko.
Ukuba ukubetha kwentliziyo yomntwana akubuyeli esiqhelweni emva kwala manyathelo, umntwana unokufuna ukuzalwa ngokukhawuleza. Ukuba umlomo wesibeleko uvuleke ngokupheleleyo, i-forceps okanye isixhobo sokucoca umzimba singasetyenziswa ukunceda ekubelekeni umntwana. Ngaphandle koko, icandelo lotyando olungxamisekileyo linokufuneka.
Umyalezo Wokuya Ekhaya
- Ukubeka iliso kwiNgxaki yeNtliziyo yosana olusesiswini luvavanyo olubalulekileyo lokujonga impilo yosana olusesiswini. Oku kubaluleke kakhulu xa ukhulelwe usemngciphekweni omkhulu.
- Oku kungenziwa ngaphandle nangaphakathi. Iindlela zangaphandle zikhuselekile kakhulu. Indlela yangaphakathi yenziwa kuphela ngexesha lokubeleka, kwaye ayinayo ingozi ingako.
- Isantya sentliziyo esiqhelekileyo siphakathi kwe-110-160 beats ngomzuzu. Ukungaqhelekanga akuthethi ukuba kukho ingxaki enkulu, kodwa luphawu lokuba kufuneka uvavanyo olongezelelweyo.
- Soloko uthetha nogqirha wakho ngaphambi kokuba usebenzise naziphi na izixhobo zasekhaya ezifana neDoppler. Musa ukoyika okanye wenze izigqibo ngokukhawuleza. Xoxa nogqirha wakho ngazo naziphi na iingxaki.
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