Ingabe usemasontweni ambalwa okugcina okukhulelwa? Ingabe udokotela wakho ukuphekele ukuhlolwa okungenangcindezi? Ngezinye izikhathi, ngokusekelwe emiphumeleni yalolo vivinyo, kudingeka olunye uvivinyo ukuze kubonakale ukuthi ingane ingakwazi yini ukumelana nokusikwa okwenzeka ngesikhathi sokubeletha. Lolo vivinyo lubizwa ngokuthi i-Contraction Stress Test (CST). Ngisho noma uzizwa wesaba kancane uma uzwa leli gama, ungakhathazeki. Namuhla, sizoxoxa kalula ngokuthi lokhu kwenzani, ukuthi kwenziwa kanjani, nokuthi kanjani.
Kuyini Ukuhlolwa Kokucindezeleka Kokuquleka (CST)?
Kalula nje, i-Contraction Stress Test (CST) iyisivivinyo esihlola ukuthi ingane yakho ingakwazi yini ukumelana nengcindezi yokusikwa kwesibeletho ngesikhathi sokubeletha ngenkathi ukhulelwe.
Cabanga ngalokhu: ukubeletha kufana ne-mini-marathon yengane. Lokhu kuhlolwa kusetshenziselwa ukuthola kusengaphambili ukuthi ingane inawo yini amandla okugijima leyo marathon nokuthi ingawuqeda ngaphandle kwezinkinga.
Uma isibeletho sifinyela ngesikhathi sokubeletha, igazi lomntwana kanye nomoya-mpilo kuyehla okwesikhashana. Lokhu kuvamile. Iningi lezingane ezinempilo lingakwazi ukubhekana nalokhu kwehla kwesikhashana ngaphandle kwezinkinga. Kodwa-ke, izinga lokushaya kwenhliziyo kwezinye izingane lihlala liphansi ngisho nangemva kokuba ukufinyela sekuphelile. Le CST isetshenziselwa ukuthola ingozi enjalo kusenesikhathi.
Kulesi sivivinyo, udokotela wakho ukunika i-hormone yokwenza isibeletho sakho siqine. Lokhu kufana nobuhlungu obuzwayo ngesikhathi sokubeletha, kodwa ngokuvamile abuqali ukubeletha. Ngokubheka indlela inhliziyo yengane yakho esabela ngayo kulezi zinsini zokwenziwa, odokotela banganquma ukuthi ingane yakho izokwazi yini ukubhekana nokubeletha kwangempela.
Ubani ofuna ukwenza lolu vivinyo?
Lokhu kuhlolwa kwe-CST akukhuthazwa kubo bonke abesifazane abakhulelwe. Ngokuvamile kunconywa kuphela uma uqaphele noma yikuphi ukungahambi kahle emiphumeleni yokuhlolwa okunye okwenzile ngaphambilini, njengokuhlolwa okungewona ukucindezeleka noma iphrofayili ye-biophysical .
- Ukuhlolwa Kokungacindezeli (NST): Lokhu kwenzelwa ukuhlola izinga lokushaya kwenhliziyo yengane kanye namazinga omoya-mpilo ngenkathi umile, ngaphandle kwengcindezi. Lokhu kwenziwa cishe emavikini angama-28 okukhulelwa kwakho.
- Iphrofayili Ye-Biophysical (BPP): Kulokhu, kanye nokuhlolwa okungenangcindezi, kusetshenziswa i-ultrasound scan ukuhlola ukushaya kwenhliziyo kwengane, ukuphefumula, imisipha, kanye nokunyakaza kwayo.
Uma udokotela engabaza ngemiphumela yanoma yikuphi kwalokhu kuhlolwa okubili, uzodlulisela umntwana ku-CST ukuze aqinisekise isimo sakhe.
Uyini umehluko phakathi kokuhlolwa kokucindezeleka okungekona ukucindezeleka kanye nokuhlolwa kokucindezeleka kokuqunjelwa?
Nakuba amagama alezi zivivinyo zombili engase azwakale efana, kunomehluko ocacile phakathi kwalezi ezimbili. Ake sibone ukuthi ziyini.
| Isici sokuhlolwa | Ukuhlolwa Okungacindezeleki (i-NST) | Ukuhlolwa Kokucindezeleka Kokuguguleka (CST) |
|---|---|---|
| Inhloso yokuhlolwa | Hlola ukushaya kwenhliziyo kwengane uma iphumule futhi ingenangcindezi. | Ukubona ukuthi ukushaya kwenhliziyo kwengane kusabela kanjani ekucindezelweni kokufinyela kwesibeletho. |
| Indlela yokukwenza | Ngesikhathi uphumule, uqapha ukushaya kwenhliziyo yengane kanye nokunyakaza kwayo. Awenzi lutho olungaphandle kwempilo. | Ukufinyela kwesibeletho kubangelwa ngokwenziwa ngokunikeza i-hormone (i-oxytocin). |
| Umphumela enganeni | Ingane ayicindezelwa yinoma yiluphi uhlobo. Yingakho igama libizwa ngokuthi "Ayicindezeli". | Njengasesikhathini sokubeletha, ukucindezeleka okulawulwayo kusetshenziswa enganeni. |
Kalula nje, i-NST ihlola ukuthi ingane iphila kahle yini ngenkathi ihleli nje inganyakazi. I-CST ihlola ukuthi ingane iphila kahle yini ngenkathi "yenza okuthile" (okungukuthi ngesikhathi sokubeletha).
Kwenzekani uma ubhala lolu vivinyo?
Lokhu kuvame ukuba ukuhlolwa okwenziwa emnyangweni weziguli ezingalaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngemva kokuhlolwa. Lokhu kuvame ukuthatha cishe amahora amabili.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu. Ngokuvamile,
- Uzocelwa ukuthi ungadli noma uphuze amahora angu-4 kuya kwangu-8 ngaphambi kokuhlolwa.
- Uma ubhema , yeka ukubhema okungenani amahora amabili ngaphambi kokuhlolwa.Kufanele uyeke ukubhema, njengoba ukubhema kungalinciphisa izinga lokushaya kwenhliziyo kwengane futhi kungabangela imiphumela yokuhlolwa engalungile.
Ngesikhathi sokuhlolwa...
1. Uzolaliswa embhedeni, uncike kancane emuva.
2. Umhlengikazi uzofika abophe izintambo ezimbili ezinezinzwa esiswini sakho. Inzwa eyodwa izokala ukushaya kwenhliziyo kwengane, kanti enye izoqopha ukufinyela kwesibeletho sakho.
3. Ngemuva kwalokho, i-cannula ifakwa emthanjeni ongalweni yakho, njenge-saline drip, bese i-hormone ebizwa ngokuthi ``Oxytocin`` ifakwa kancane kancane emzimbeni wakho ngayo. Le hormone isiza isibeletho ukuthi sinciphe. Ngezinye izikhathi, ungase ucelwe ukuthi uhlikihle izingono zakho ukuze ukhuthaze ukukhiqizwa kwemvelo kwe-oxytocin.
4. Lapho isibeletho siqala ukufinyela, umshini uqopha ukushaya kwenhliziyo kwengane ngaleso sikhathi nangesikhathi isesikhathini sokubeletha. Udokotela uqapha lokhu ngokucophelela.
5. Uma ukuhlolwa sekuqoqe idatha eyanele, umhlengikazi uzofika ayeke ukukunikeza i-oxytocin. Ngemva kwesikhashana, ukufinyela kuzoma.
Ngemva kokuphela kokuhlolwa, ithimba lezokwelapha lizokuqapha kuze kube yilapho ukuminyana kwakho sekume ngokuphelele. Ngezinye izikhathi, uma ukuminyana kungami, bangase bakunike umuthi wokukuvimba.
Ingabe kukhona ingozi kulokhu?
I-CST ngokuvamile iyisivivinyo esiphephile kakhulu . Kodwa-ke, ingozi enkulu ukuthi lokhu kuncipha okubangelwa ukwenziwa ngezinye izikhathi kungabangela ukuba ukubeletha kuqale ngaphambi kosuku lokubeletha. Lokhu akuvamile kakhulu, kodwa kubalulekile ukuqaphela ingozi.
Futhi, uma ulindele amawele noma amawele amathathu , ungase ungafaneleki kulolu vivinyo. Lokhu kungenxa yokuthi ingozi yokubeletha iphezulu kakhulu ngokuzala okuphindaphindwayo. Konke lokhu kunqunywa udokotela wakho ngemva kokukhuluma nawe.
Ithini imiphumela yokuhlolwa?
Imiphumela yalolu vivinyo, oluthatha cishe amahora amabili, ikhombisa ukuthi ukushaya kwenhliziyo kwengane kuyehla yini lapho isibeletho siqina, futhi uma kunjalo, kuthatha isikhathi esingakanani.
| Umphumela | Incazelo elula |
|---|---|
| Okuvamile (Okungekuhle) | Lona umphumela omuhle kakhulu . Kusho ukuthi ukushaya kwenhliziyo kwengane akwehlanga ngemva kokuqeda ukuminyana kwesibeletho. Kusho ukuthi ingane iyakwazi ukumelana kahle nokucindezeleka kokubeletha. Odokotela babiza lesi simo ngokuthi 'ukwehla kwejubane' . |
| Okungavamile (Okuhle) | Lokhu kusho ukuthi ukushaya kwenhliziyo kwengane kuye kwehla ngisho nangemva kokuba isibeletho sesiqedile ukufinyela. Lokhu kuyisibonakaliso sokuthi ingane ingase ibe nobunzima bokubhekana nokucindezeleka kokubeletha. |
Yini oyenzayo ngokulandelayo uma umphumela ubonisa ukuthi ulungile?
Ungakhathazeki uma umphumela ubonisa ukuthi ingane iphilile. Lokhu kusho ukuthi ingane ingase ingezwa kahle ngesikhathi sokubeletha, ngakho-ke kudingeka siqaphele kakhulu ngalokho.
Udokotela wakho, esimweni esinjengalesi,
- Kunganconywa ukwenza ezinye izivivinyo.
- Ungase unqume ukwenza enye i-CST ngesonto noma amabili.
- Uma imiphumela iqhubeka nokuba mihle, futhi kukhona ukukhathazeka ngokuphepha komntwana, kunganconywa ukuba kwenziwe ukuhlinzwa , njengoba kuyingozi ukufaka umntwana osizini lokubeletha.
Kulesi simo, udokotela wakho uzothatha isinqumo ngemva kokukhuluma nawe futhi akuchazele ukuthi iyiphi indlela ephephile kuwe kanye nomntwana wakho.
Lokhu kuhlolwa kwe-CST kulinganisa impilo yengane ngaleso sikhathi. Ngakho-ke, omama abanezici ezithile eziyingozi bangadinga ukwenza lokhu kuhlolwa kanye ngesonto phakathi namasonto ambalwa okugcina okukhulelwa.
Umlayezo Wokuya Nawe Ekhaya
- Isivivinyo Sokucindezeleka Kokuquleka (CST) siyindlela yokuhlola ephephile ehlola ukuthi ingane ingakwazi yini ukumelana nengcindezi yokubeletha.
- Lokhu kuvame ukwenziwa kuphela uma kukhona ukungabaza ngemiphumela ye-Nonstress Test (NST).
- Uma umphumela wokuhlolwa uthi 'Negative', kusho ukuthi umntwana uphilile. Yizindaba ezinhle lezo.
- Uma umphumela 'ulungile', kusho ukuthi ingane ingase ibe nobunzima ngesikhathi sokubeletha. Esimweni esinjalo, udokotela wakho uzokweluleka ngesinyathelo esilandelayo esingcono kakhulu, esingase sihlanganise ukuhlinzwa.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho mayelana nalolu vivinyo noma imiphumela. Ungagodli lutho.
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