Uma ukhulelwe umntwana, kumelwe ukuthi ukubonile ku-movie noma ku-TV, lapho kubekwa khona izintambo ezimbili esiswini sikamama egumbini lokubelethisa, bese kuba nomugqa owehlayo nowehla esikrinini esiseduze nomsindo othi 'beep... beep...'. Abantu abaningi bacabanga ukuthi lokhu ukuhlola ukushaya kwenhliziyo kukamama. Kodwa empeleni, lokhu ukuhlola izinto ezimbili ngesikhathi esisodwa. Esinye ukushaya kwenhliziyo kwengane encane esibelethweni. Esinye ukucindezeleka onakho. Lokhu yilokho esikubiza ngokuthi i-Electronic Fetal Monitoring kwezokwelapha, noma i-EFM ngamafuphi njengoba wonke umuntu azi. Ngakho-ke, namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-EFM?
Cabanga nje, ukuba nomntwana kuwuhambo olukhulu kumama nomntwana. Le EFM iyindlela engcono kakhulu yokuthi odokotela nabahlengikazi bazi ukuthi umntwana ubhekene nanoma yiziphi izinkinga phakathi nalolu hambo nokuthi uphila kahle yini.
Kalula nje, i-EFM iyithuluzi eliqapha njalo ukushaya kwenhliziyo kwengane yakho kanye nohlobo lokusindwa kwesisu kwakho ngesikhathi sangempela.
Manje ungase ucabange, "Kungani ubheka laba bobabili ndawonye?" Nasi isizathu. Uma ubeletha, isibeletho sakho sincipha kakhulu. Ngalesi sikhathi, imithambo yegazi ethwala umoya-mpilo iya enganeni yakho nayo iyaqina kancane. Kufana nokucindezela ipayipi lamanzi. Esikhathini esiningi, lokhu akuyona inkinga ezinganeni ezinempilo, futhi zingabhekana kahle nalokhu kuqina. Kodwa ngezinye izikhathi, inani lomoya-mpilo ingane yakho elitholayo lingaba lincane kancane. Uma lokho kwenzeka, kungathinta izinga lokushaya kwenhliziyo yengane.
Ngakho-ke okwenziwa yi-EFM ukuqapha njalo ukuthi ukushaya kwenhliziyo kwengane kushintsha kanjani lapho ukushaqeka kufika futhi kuhamba. Lokhu kuvumela udokotela ukuthi abone kusenesikhathi ukuthi ingane inenkinga yombungu.
Ingabe wonke umuntu uyayidinga le EFM?
Cha. Akuwona wonke owesifazane okhulelwe odinga ukubhekwa njalo kwe-EFM. Umuntu okhulelwe kahle ngaphandle kwezinkinga angase angakudingi lokhu. Kodwa-ke, kwezinye izimo ezikhethekile, kubalulekile ekuphepheni komntwana kanye nonina. Ake sibone ukuthi yiziphi lezo zimo.
| Uma i-EFM ivame ukudingeka | Kuchazwe kalula |
|---|---|
| Ukukhulelwa okuyingozi kakhulu | Uma unesifo esifana nesifo sikashukela noma umfutho wegazi ophakeme, uma ingane yakho ikhula kancane, noma uma ulindele amawele, udinga ukuyinakekela kakhulu ingane yakho. |
| Uma ukubeletha kubangelwa ngokwenziwa (ukubeletha okubangelwa) | Ngezinye izikhathi odokotela kufanele bakunike imithi (isib. i-Pitocin® ) ukuze ikubangele ukubeletha. Le mithi ingenza ukubeletha kwakho kube nzima kakhulu. Ngakho-ke kubalulekile ukuba ne-EFM ukuze ubone ukuthi ingane yakho isabela kanjani kuyo. |
| Umjovo wokubulala izinhlungu (i-Epidural) | Uma uthola i- epidural ukuze unciphise ubuhlungu, kungaba nomthelela omncane ekucindezelekeni kwegazi lakho. Kuphephile ukuyiqapha nge-EFM, njengoba lokhu kungathinta ingane ngokungaqondile. |
| Uma usola ukuthi ingane isenkingeni (Izimpawu zokucindezeleka kwengane) | Uma udokotela esola ukuthi kunenkinga, njengokuncipha kokunyakaza komntwana noma ukwehla kwenani lamanzi azungeze umntwana, i-EFM izosetshenziswa ukuthola isimo esiqondile somntwana. |
| Uma umntwana enesifo sokuzalwa esingavamile | Uma ukuskena okwenziwe ngesikhathi sokukhulelwa kwembula ukuthi ingane inenkinga yezempilo (isib., inkinga yenhliziyo), i-EFM ibalulekile ukuze kuqashwe ingane ngokucophelela ngesikhathi sokubeletha. |
Lo mshini we-EFM usebenza kanjani?
Kunezindlela ezimbili eziyinhloko zokuqapha i-EFM. Indlela yokuqala iyona esetshenziswa kakhulu.
1. I-EFM yangaphandle
Yilokhu okubona kaningi kumamuvi. Kuyinto elula kakhulu eyenzekayo.
- Idivayisi yokuqala: Umhlengikazi uzofaka ijeli esiswini sakho, athole indawo engcono kakhulu yokuzwa ukushaya kwenhliziyo yomntwana, bese ebeka idivayisi encane lapho bese eyibopha esiswini sakho ngebhande elinwebekayo. Lokhu kusebenza kusetshenziswa ubuchwepheshe be-ultrasound , obufana nomshini wokuskena. Yilokhu okukala ukushaya kwenhliziyo komntwana.
- Idivayisi yesibili:Enye idivayisi ifakwa esiswini sakho esingaphezulu bese inamathiselwa kwenye intambo. Lokhu kulinganisa inani lezikhathi lapho isibeletho sakho sifinyela kanye namandla okufinyela. Lokhu kubizwa ngokuthi i-tocodynamometer .
Ulwazi oluvela kula madivayisi amabili luboniswa njengamagrafu amabili esikrinini sekhompyutha. Luphinde luqoshwe ephepheni elide. Odokotela nabahlengikazi bangabuka lokhu futhi bathole umbono omuhle ngesimo somntwana.
2. I-EFM Yangaphakathi
Lena akuyona inqubo evamile kakhulu. Ingenziwa kuphela ngemva kokuba 'isikhwama sakho samanzi' siphukile . Udokotela uzosebenzisa le ndlela uma i-EFM yangaphandle ingakwazi ukunikeza isithombe esicacile, noma uma bedinga ulwazi olunembile kakhulu ngomntwana ngokushesha.
- Kulokhu, udokotela ufaka ucingo oluncane kakhulu, olungena esithweni sangasese sowesifazane bese enamathisela i-electrode encane ekhanda lomntwana. Nakuba lokhu kungase kuzwakale kuyesabisa kancane, ngeke kubangele umonakalo omkhulu enganeni. Lokhu kuvumela ukushaya kwenhliziyo komntwana ukuthi kulinganiswe ngokunembile kakhulu.
- Futhi, uma udinga ukukala ngokunembile ingcindezi yesibeletho, ipayipi elincane (i-catheter) lingafakwa esibelethweni.
Le ndlela kufanele isetshenziswe kuphela ezimweni ezimbi kakhulu. Udokotela wakho uzokuchazela kahle.
Ingabe zikhona izinzuzo kanye nokungalungi kwe-EFM?
Njenganoma iyiphi idivayisi yezokwelapha, i-EFM inezinzuzo nezinkinga zayo, futhi kubalulekile ukuzazi lezi.
- Ama-alamu angamanga: Ngezinye izikhathi, ukungabali kahle emshinini kungabangela ukuthi i-alamu ikhale. Isibonelo, uma uhambahamba embhedeni, noma uma inzwa inyakaza kancane lapho ingane ihamba ngaphakathi esibelethweni, ukufunda kungashintsha futhi i-alamu ingase ikhale. Ngisho noma kungekho nkinga yangempela, lezi zinto zingabangela ukwesaba nokucindezeleka okungadingekile kubazali namalungu omndeni.
- Inkululeko yokunyakaza elinganiselwe: Uma uxhumeke njalo ku-EFM, inkululeko yakho yokuvuka embhedeni, ukuhamba, nokushintsha izikhundla ilinganiselwe. Eqinisweni, ukuhamba nokushintsha izikhundla ngesikhathi sokubeletha kungaba usizo ekubelethweni.
- Okuholela ekungeneleleni kwezokwelapha okungadingekile: Ezinye izifundo zibonise ukuthi ukuqapha okuqhubekayo kwe-EFM, ngezinye izikhathi ngenxa yokuqoshwa okunganembile, kwandisa kancane amathuba esinqumo sokwenza ukuhlinzwa kokubeletha , noma ukusebenzisa i-forceps noma i- vacuum ukubeletha umntwana, ngisho noma kungadingeki ngempela.
- Izingozi ze-EFM yangaphakathi:Nakuba lokhu kungavamile kakhulu, kunengozi encane kakhulu yokuba ingane ibe nomkrwelo omncane ekhanda noma ekuthelelekeni ngesikhathi sokuhlolwa kwangaphakathi. Kungandisa nengozi yokudluliselwa kwezifo, njenge-HIV, kusuka kumama kuya enganeni yakhe.
Wenzani uma i-EFM ibonisa ukuthi umntwana usebunzimeni?
Okokuqala, ushintsho ku-EFM akusho ukuthi ingane isengozini enkulu. Kuyisibonakaliso eqenjini lezokwelapha ukuthi "Kulungile, manje sidinga ukunaka kakhulu lokhu." Ungesabi ngesikhathi esinjengalesi. Udokotela wakho nomhlengikazi bazokwazi ukuthi benzeni.
Ngokuvamile bazama izinto ezilula ezifana nalezi:
- Ukushintsha indlela oma ngayo: Ungenza izinto ezifana nokuziphendulela ohlangothini lwakho lwesobunxele bese ulala phansi. Lokhu kungathuthukisa ukugeleza kwegazi esibelethweni kanye ne-placenta, kwandise inani lomoya-mpilo ingane yakho ewutholayo.
- Uzonikezwa umoya-mpilo: Unganikwa umoya-mpilo ngemaski ebusweni bakho. Lokhu kuzokwandisa izinga lomoya-mpilo egazini lakho, okuzophinde kunikeze umoya-mpilo owengeziwe enganeni yakho.
- Kunikezwa usawoti (uketshezi lwe-IV): Kufakwa isisombululo se-saline engalweni yakho ukuze sikunike uketshezi. Lokhu kusiza ekuthuthukiseni ukujikeleza kwegazi.
- Ukushintsha imithi: Uma uthatha imithi yokubangela ukubeletha (njengePitocin®) , umthamo ungancishiswa noma umiswe okwesikhashana.
Esikhathini esiningi, lezi zinto ezilula zizosiza ukushaya kwenhliziyo kwengane kubuyele esimweni esijwayelekile. Uma lokho kungenzeki, futhi udokotela enquma ukuthi kunzima kakhulu ukuthi ingane ihlale esibelethweni, bazothatha izinyathelo zokubeletha umntwana ngokushesha okukhulu. Lokhu kungaba ukubeletha ngesitho sangasese sowesifazane noma ukuhlinzwa. Khumbula, into ebaluleke kakhulu lapha ukuphepha kukamama nomntwana.
Ingabe usebenzisa i-EFM ngisho nangaphambi kokuba nomntwana?
Yebo, kwezinye izimo. Kunezikhathi lapho i-EFM isetshenziswa khona ukunquma impilo yengane ngisho nangesikhathi sokukhulelwa.
- Isibonelo, uma usengozini noma uwela esibelethweni sakho ngemva kwamasonto angama-20, ungahlala uxhumene ne-EFM isikhashana ukuqinisekisa ukuthi ingane ayilimali.
- Futhi, ngezinye izikhathi i-EFM ingasiza ekuqinisekiseni ukuthi ubhekene nokufinyela kwangempela noma 'ukufinyela okungamanga' (ukufinyela kukaBraxton Hicks) .
Uma ususondela ekupheleni kokukhulelwa kwakho, kungumqondo omuhle ukuxoxa ngale EFM nodokotela wakho. Ngale ndlela, ungayiqonda kangcono ngaphambi kokubeletha futhi uxoxe ngezinketho zakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-EFM iyithuluzi elibaluleke kakhulu eliqapha ngasikhathi sinye ukufinyela kwakho kanye nokushaya kwenhliziyo kwengane yakho ngesikhathi sokubeletha.
- Ukuqapha okuqhubekayo kwe-EFM akudingeki ngaso sonke isikhathi ekukhulelweni okulula nokungengozi kakhulu, kodwa kungaba yinto ebalulekile ezimweni ezinobungozi obukhulu.
- Nakuba lokhu kungaqinisekisa ukuphepha kwengane, kungaba nezinkinga, njengokubangela ukwesaba okungadingekile nokuholela ekungeneleleni kwezokwelapha okungadingekile.
- Ukubona into engavamile eshadini le-EFM akusho ukuthi umntwana usengozini. Kusho ukuthi ithimba lezokwelapha kudingeka linake kakhulu manje.
- Zizwe ukhululekile ukuxoxa nganoma yimiphi imibuzo, ukukhathazeka, noma ukungabaza ongase ube nakho nodokotela wakho . Wena nodokotela wakho ningenza izinqumo ezinhle kakhulu mayelana nokubeletha kwakho.
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