Injabulo oyizwayo lapho uba umama okhulelwe ayinakuvezwa ngamazwi, akunjalo? Kuvamile futhi ukuba nokwesaba okuncane kanye nelukuluku ngempilo yengane. Injabulo oyizwayo lapho uya emtholampilo bese udokotela noma isisebenzi sezempilo somndeni sibeka idivayisi encane esiswini sakho futhi sikuvumele ulalele umsindo wokushaya kwenhliziyo yengane... Cishe awukho umculo omnandi njengalowo msindo "ogujwe". Ngakho-ke, kungani behlola lokhu kushaya kwenhliziyo nsuku zonke? Kuyini lokhu okubizwa ngokuthi Ukuqapha Izinga Lenhliziyo Yengane Esanda Kuzalwa? Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kusho ukuthini ukuqapha ukushaya kwenhliziyo kwengane?
Kalula nje, ilinganisa izinga kanye nephethini yokushaya kwenhliziyo yengane yakho. Njengoba nje udokotela enganquma ukuthi siphilile yini ngokubheka ukushaya kwenhliziyo yethu, indlela ukushaya kwenhliziyo yengane yakho kungakutshela okuningi ngokuthi iphila kahle futhi ikhululekile kangakanani ngaphakathi esibelethweni. Kufana "nombiko wentuthuko" ovela enganeni yakho.
Kungani lolu vivinyo lubaluleke kangaka?
Isilinganiso senhliziyo yengane ephilile ekhula esibelethweni ngokuvamile kufanele sibe phakathi kuka-110 no-160 ngomzuzu . Uma udokotela eqapha lokhu kushaya kwenhliziyo, uzonaka kakhulu ukuthi izinga lingaphakathi kwemingcele evamile nokuthi kukhona yini ukungahambi kahle endleleni yalo.
Cabanga ngakho, uma ukushaya kwenhliziyo kwengane kuqhubeka nokwehla kakhulu noma kukhuphuka kakhulu, kungaba uphawu lokuthi ingane ayitholi umoya-mpilo owanele noma ukuthi kukhona enye inkinga.
Kodwa khumbula lokhu: Kuvamile ukuba nokushintshashintsha okulinganiselwe kwesilinganiso senhliziyo yakho. Isilinganiso senhliziyo esishintshashintshayo phakathi kokushaya okungu-6 no-25 ngomzuzu esikhathini semizuzu eyi-10 ngokuvamile siyisibonakaliso esihle. Ngakho-ke ungesabi uma ubona ushintsho oluncane.
Uma lokhu kuhlolwa kubonisa noma yini engavamile, udokotela angathatha isinyathelo ngokushesha, enze ezinye izivivinyo uma kudingeka, noma ngezinye izikhathi akuthumelele ukubeletha okuphuthumayo. Konke lokhu kwenzelwa ukuphepha kwakho nomntwana wakho.
Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?
Kunezikhathi ezintathu eziyinhloko lapho ukushaya kwenhliziyo kwengane kubhekwa khona.
1. Ngesikhathi sokuvakasha okuvamile ngaphambi kokubeletha: Kungenzeka ukuthi uke wabona udokotela wakho noma isisebenzi sezempilo somndeni sihlola ukushaya kwenhliziyo kwengane ekuvakasheni kwakho kwanyanga zonke emtholampilo wokubeletha. Lokhu kuyingxenye ebalulekile yokuhlolwa okuvamile.
2. Ukukhulelwa okuyingozi kakhulu: Abanye besifazane abakhulelwe badinga ukunakwa okukhethekile. Uma unezinye zezimo ezilandelayo, udokotela wakho angase aqaphe ukushaya kwenhliziyo kwengane yakho kaningi.
- I-Preeclampsia - Lokhu kusho umfutho wegazi ophezulu ngesikhathi sokukhulelwa.
- Isifo sikashukela.
- Okunye ukuphuma kwegazi ngesikhathi sokukhulelwa.
3. Ngesikhathi sokubeletha nokubeletha: Ngesikhathi sokubeletha nokubeletha, ikakhulukazi kusukela ngesikhathi sokubeletha kuqala kuze kube yilapho umntwana ezalwa, ukushaya kwenhliziyo komntwana kubhekwa njalo. Lokhu kungenxa yokuthi umntwana uzizwa ecindezelekile kancane njalo lapho isibeletho siqina. Indlela engcono kakhulu yokwazi ukuthi umntwana angakwazi yini ukubhekana nalolo cindezelo futhi uthola umoya-mpilo owanele ukubuka lokhu kushaya kwenhliziyo.
Yiziphi izindlela zokulinganisa izinga lokushaya kwenhliziyo?
Lokhu kuhlolwa kwenziwa ngezindlela ezimbili. Okungukuthi, okwangaphandle nokwangaphakathi. Ake sibone ukuthi umehluko uyini phakathi kwalezi ezimbili.
Ukuqapha Kwangaphandle
Lena yindlela evame ukusetshenziswa kakhulu. Idivayisi ibekwa esiswini sakho bese ihlolwa.
| Igama ledivayisi | Kalula nje... |
|---|---|
| I-Fetoscope | Lokhu kufana ne-stethoscope odokotela abayifaka esifubeni sethu, kodwa olunye uhlangothi lufana ne-funnel. Lubekwa ngqo esiswini sakho bese ubeka indlebe yakho kuso bese ulalela ukushaya kwenhliziyo yengane. Lena indlela endala kancane. |
| I-ultrasound ye-Doppler ebanjwe ngesandla | Yilokhu ovame ukukubona emitholampilo. Udokotela ufaka ijeli encane esiswini sakho bese ebeka lo mshini omncane phezu kwawo. Bese, esebenzisa amaza omsindo, uthumela ukushaya kwenhliziyo kwengane ukuze sikuzwe. Kuphinde kubonise ukushaya kwenhliziyo esikrinini. |
| Ukuqapha Okuqhubekayo Kwe-elekthronikhi | Lokhu kuvame ukusetshenziswa ngesikhathi sokubeletha. Kubekwa amabhande amabili e-elastic azungeze isisu sakho. Idivayisi ye-ultrasound kwelinye ibhande ilinganisa njalo ukushaya kwenhliziyo kwengane. Idivayisi kwelinye ibhande ilinganisa ukufinyela, noma ukwandiswa, kwesibeletho sakho. Zombili zixhunywe kusikrini. |
Ukuqapha Kwangaphakathi
Lena inqubo engavamile. Le ndlela isetshenziswa kuphela ngesikhathi sokubeletha, futhi kuphela ngemva kokuba amanzi ephumile.
Lokhu kuhilela ukufaka i-electrode yensimbi encane kakhulu ngesitho sangasese sowesifazane bese uyinamathisela ekhanda lengane. Ungakhathazeki, lokhu ngeke kubangele umonakalo omkhulu enganeni. Le ndlela isetshenziselwa:
- Uma imiphumela yokuhlolwa kwangaphandle ingacacile.
- Uma kudingeka ukuqapha okunembe kakhudlwana ngesimo somntwana.
Ingabe zikhona izingozi kulezi zivivinyo?
Ngokuvamile, ukuqapha ukushaya kwenhliziyo kwengane kuyindlela ephephile kakhulu .
Kodwa, kuhle ngathi ukuqaphela ezinye izinto.
- Uma uqashwe njalo ngesikhathi sokubeletha, inkululeko yakho yokuhambahamba embhedeni nokuhambahamba ilinganiselwe. Ngezinye izikhathi ukuhamba nokushintsha izikhundla kungasiza ekubhekaneni nokungakhululeki.
- Futhi, ezinye izifundo zikhombisile ukuthi ngokuqapha okuqhubekayo ngale ndlela, kungase kube nokwanda okuncane kwamathuba okuthi ingane ibelethwe ngokuhlinzwa noma ngokusebenzisa amadivayisi anjenge-vacuum/forceps, okungase kungadingeki.
- Zimbalwa kakhulu izingozi ngokuqapha kwangaphakathi. Kunethuba elincane kakhulu lokuthi ingane ingathola umkrwelo omncane esikhumbeni ekhanda, ukuthi umama angathola ukutheleleka, nokuthi umama angadlulisela isifo esifana ne-HIV noma i-genital herpes enganeni.
Ngenxa yalesi sizathu, ochwepheshe abaningi bakholelwa ukuthi ukuqapha okuqhubekayo ngesikhathi sokubeletha akudingekile ekukhulelweni okulula nokungengozi kakhulu.
Ingabe imishini yokusetshenziswa ekhaya kanye nezinhlelo zokusebenza zocingo zilungile?
Lokhu kuyinto okufanele uyinake ngempela. Namuhla, kuthengiswa ama-doppler monitors ahlukahlukene ekhaya ku-inthanethi athi akuvumela ukuthi uzwe ukushaya kwenhliziyo kwengane yakho ekhaya. Kukhona ngisho nezinhlelo zokusebenza ongazilanda efonini yakho.
Sicela ungathengi noma usebenzise lezi zinto.
Izikhungo ezinkulu zezempilo emhlabeni jikelele, njenge-U.S. Food and Drug Administration (FDA), azisekeli ukusetshenziswa kwalezi zinto ekhaya. Kunezizathu eziningana zalokhu:
- Akukho sidingo sezokwelapha:Lezi akuzona izinto ezidingekayo kwezokwelapha.
- Ukuntuleka kolwazi lokuyisebenzisa kahle: Kudinga ukuqeqeshwa okukhethekile ukusebenzisa le divayisi ngendlela efanele nokuqonda imiphumela eyinikezayo. Ungase uzwe ukushaya kwenhliziyo yakho.
- Imiphumela engalungile ingase ivele: Imiphumela etholwe kula madivayisi ayinembile. Lokhu kungaba ngenxa yezizathu ezimbili.
1. Ukwesaba okungadingekile: Uma ungakwazi ukuthola ukushaya kwenhliziyo yengane yakho, ungase ukhathazeke futhi ucindezeleke ngokungadingekile.
2. Ukuthola isiqinisekiso esingalungile: Ngezinye izikhathi, noma ngabe kungaba nenkinga yangempela ngengane, ungase ucabange ukuthi "ingane iphilile" ngoba uzwe ukushaya kwenhliziyo. Lokhu kungaholela ekubambezelekeni kokufuna iseluleko sezokwelapha.
Ucwaningo lwezinhlelo zokusebenza zefoni luthole ukuthi akukho nolulodwa uhlelo lokusebenza oluthi luthola ukushaya kwenhliziyo yomuntu lusebenzisa imakrofoni yefoni ngaphandle kwamadivayisi olukwazile ukukwenza kahle.
Ngakho wazi kanjani ukuthi ingane iphilile ekhaya?
Indlela engcono kakhulu, ephephile, nevunyelwe udokotela yokuhlola inhlalakahle yengane yakho ekhaya ukubala ukunyakaza kwengane yakho (ukubalwa kokunyakaza kwengane) . Ngokuvamile uqala ukuzwa ingane yakho inyakaza cishe emavikini angu-16-20. Buza udokotela wakho ukuthi ungaziqapha kanjani ngokunembile lezi zinyathelo. Ziyisibonakaliso esihle kakhulu ingane yakho ekunikeza sona.
Kwenzekani uma kukhona ushintsho ekushayeni kwenhliziyo?
Okokuqala, ungesabi. Akuwona njalo uma ubona ukushaya kwenhliziyo okungajwayelekile, kusho ukuthi ingane isengozini enkulu. Udokotela uzoqhubeka nokuqapha ingane noma acele ezinye izivivinyo.
Isimo okufanele sikhathazeke ngaso uma izinga lokushaya kwenhliziyo yomntwana lishintsha imizuzu eyi-10 noma ngaphezulu . Uma lokhu kwenzeka, udokotela angase anqume ukubeletha umntwana ngokuhlinzwa noma ngenye indlela yokusiza ekubelethweni ngokushesha ngangokunokwenzeka ukuze avikele umntwana.
Khuluma nodokotela wakho ngokukhululekile ngalezi zivivinyo. Ungangabazi ukubuza uma unemibuzo noma ukukhathazeka. Kuzokusiza ukuthi unqume ukuthi yini engcono kakhulu kuwe kanye nengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqapha Izinga Lenhliziyo Yengane Esanda Kuzalwa kuyindlela ebaluleke kakhulu futhi ephephile yokuhlola impilo yengane ngesikhathi sokukhulelwa nokubeletha.
- Isilinganiso senhliziyo yengane enempilo siphakathi kwama-beats angu-110 no-160 ngomzuzu.
- Amadivayisi e-Doppler asekhaya (izikrini zasekhaya) kanye nezinhlelo zokusebenza zocingo azinconywa nhlobo. Imiphumela yazo ayithembekile futhi ingabangela ukucindezeleka okungadingekile noma inikeze isiqinisekiso esingamanga.
- Indlela engcono kakhulu yokuqapha inhlalakahle yengane yakho ekhaya ukubheka ukunyakaza kwayo (inani lokunyakaza kwayo). Cela iseluleko kudokotela wakho ngalokhu.
- Landela iseluleko sikadokotela wakho kanye nombelethisi wakho phakathi nokukhulelwa kwakho. Uma unokungabaza noma ukukhathazeka, ungalokothi unqikaze ukubabuza.
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