Ingabe ingane ingakwazi ukumelana nokusikwa? Ake sixoxe nge-"Contraction Stress Test"!

Sawubona! Manje usesikhathini sokulindela umntwana. Phakathi nalesi sikhathi, wena nomntwana wakho kuzodingeka nihlolwe kaningi, akunjalo? Ngezinye izikhathi, uma uzwa amagama ezinye zezivivinyo ezishiwo udokotela, uzizwa wesaba kancane. Kodwa ungakhathazeki, konke lokhu kwenziwa ukuze kuzuze wena nomntwana. Namuhla sizoxoxa ngokuhlolwa okunjalo. Leso isivivinyo `(Ukuhlolwa Kokucindezeleka Kokugoba)`.

Kuyini lokhu `(Ukuhlolwa Kokucindezeleka Kokufinyela)`?

Kalula nje, lokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)` kuhlola ukuthi ingane yakho ingakwazi yini ukumelana nokugoba kwesibeletho (okungukuthi, ukusunduza njengomntwana) okwenzeka ngesikhathi sokubeletha, nokuthi ingane ithola yini inani elifanele lomoya-mpilo ovela ku-placenta ngaleso sikhathi. Cabanga nje, lapho ingane isizozalwa, isibeletho sakho siyaqina futhi sisunduze ingane, futhi lokhu kuhloswe kakhulu ukubona ukuthi ukushaya kwenhliziyo kwengane (esikubiza nangokuthi ukushaya kwenhliziyo) kushintsha kanjani ngaleso sikhathi. Lokhu kuvumela udokotela ukubona ukuthi ingane isilungele kangakanani ukubeletha, nokuthi ingane inamandla yini okubekezelela ingcindezi eza ngaleso sikhathi.

Kungani kwenziwa lokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)`?

Ngokuvamile, udokotela utusa ukwenza lokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)` uma ezinye izivivinyo ezenziwe ngaphambilini, isibonelo, `(Ukuhlolwa Okungacindezeli)` noma `(Iphrofayili Ye-Biophysical - BPP)` (lokhu kuyi-`(I-Ultrasound scan)` eyenziwe nge-`(Ukuhlolwa Okungacindezeli)`) kukhombisa ukuthi kunenkinga encane. Udokotela ufuna ukwazi kahle, njengoba ngishilo ngaphambili, ukuthi izinga lokushaya kwenhliziyo yengane lizinzile yini, okungukuthi, ngaphandle kwezinguquko ezinkulu, ukuthi izinga lokushaya kwenhliziyo lengane liza nini. Ngoba, uma kukhona ukwehla okukhulu kwesilinganiso senhliziyo ngaleso sikhathi, kusho ukuthi ingane inenkinga yokubhekana nalezo zingqinamba, futhi ingase intule umoya-mpilo . Lokhu kufana nomshayeli ohlola ukuthi injini yemoto isesimweni esihle yini ngaphambi kokukhuphuka intaba.

Kunini lapho kudingeka ukwenze lokhu?

Akuwona wonke umuntu ozodinga lokhu kuhlolwa. Udokotela wakho kuphela onganquma ukuthi uyaludinga noma cha. Odokotela ikakhulukazi bacabangela lokhu kuhlolwa kokucindezeleka kokuquleka kwezinso kulezi zimo:

• Uma unesifo esifana ne- Diabetes Mellitus.
• Uma une-high blood pressure.
• Uma ingane yakho ingakhuli kahle njengoba kulindelekile (okungukuthi ingane incane - `Intrauterine Growth Restriction` noma `IUGR`).
• Uma unomuzwa wokuthi ingane yakho ayinyakazi kakhulu.
• Uma imiphumela ye-"Nonstress Test" eshiwo ngaphambilini ingagculisi kakhulu.
• Uma ukuhlolwa kwe-ultrasound kukhombisa ukuthi uketshezi lwakho lwe-amniotic luphansi (i-oligohydramnios).
• Isikhathi sakho sokukhulelwaUma udlule amasonto angu-40, lokho kusho ukuthi usudlulile isikhathi.
• Uma umntwana eke waba nezinkinga ngesikhathi sokubeletha ngaphambilini.

Kusezimweni ezinjengalezi lapho odokotela bezama ukuqinisekisa isimo somntwana ngalolu vivinyo.

Ingabe ngidinga ukwenza lokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)`?

Lona umbuzo omuhle kakhulu. Udokotela akasikiseli nje kuphela lokhu kuhlolwa. Kwenzelwe ukuphepha kwengane . Kwenzelwa ukubona ukuthi ingane isabela kanjani ekuminyaneni kwesibeletho, nokuthi ukushaya kwenhliziyo yengane kusabela kanjani kulokho kukhuthaza. Kodwa-ke, into eyodwa ngalokhu ukuthi ngezinye izikhathi lokhu kuhlolwa kungaqala ukubeletha futhi kubangele nokubeletha. Yingakho udokotela ecabanga ngokucophelela ngaphambi kokwenza lokhu, akhulume nawe, futhi enze isinqumo. Uma unokwesaba noma ukungabaza, khuluma nodokotela wakho ngakho nakanjani. Kuyilungelo lakho. Udokotela uzochaza kokubili izinzuzo kanye nokubi kwalokhu kuwe.

Kwenziwa kanjani lokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)`?

Ungase uzizwe ungajwayelekile uma uzwa ukuthi kwenziwa kanjani lokhu, kodwa lokhu kuyinto eyenziwa ngokuphephile isikhathi esiningi.

Lokhu kuhilela ukuvuselela isibeletho sakho kancane bese kusenza sifinyele. Lokhu kungenziwa ngezindlela ezimbili:

1. Ngokunikeza `(Pitocin)`: `(Pitocin)` inguqulo yokwenziwa ye-hormone `(Oxytocin)` (i-hormone ekhishwa ngokwemvelo ngesikhathi sokubeletha). Ifakwa kancane kancane emzimbeni wakho ngesisombululo sikasawoti. Ngemuva kwalokho isibeletho siqala ukufinyela kancane kancane.

2. Ukuvuselela izingono : Ukuhlikihla izingono zakho ngobumnene kukhipha i-hormone `(i-Oxytocin) ngokwemvelo. Lokhu kungabangela nokufinyela kwesibeletho. Ngezinye izikhathi udokotela wakho uzokutshela ukuthi ungakwenza kanjani lokhu.

Njengoba isibeletho sakho sincipha kancane, odokotela nabahlengikazi bayaqhubeka nokuqapha ukushaya kwenhliziyo kwengane yakho. Basebenzisa umshini obizwa ngokuthi "umshini we-CTG" (umshini we-Cardiotocography). Lokhu ukwenza ngokubeka imichilo emibili esiswini sakho. Omunye ulinganisa ukuncipha kwesibeletho sakho, kanti omunye ulinganisa ukushaya kwenhliziyo kwengane yakho.

Kuleli qophelo, ungase uzizwe unamahlwili amancane. Kodwa akukubi kakhulu, kuyalawuleka. Kufana nobuhlungu besisu ngesikhathi sokuya esikhathini kwakho kwanyanga zonke.

Ngale ndlela, esikhathini esingangemizuzu engama-30 kuya kwengama-40, kuba khona inani elithile lokufinyela (ngokuvamile okungaba ngu-3 njalo ngemizuzu eyi-10), futhi izinga lokushaya kwenhliziyo yomntwana liyaqashelwa ngesikhathi sokufinyela ngakunye.

Lokhu kwenziwa nini ngesikhathi sokukhulelwa?

Lokhu "Ukuhlolwa Kokucindezeleka Kokuquleka" kuvame ukwenziwa emavikini angu-34 okukhulelwa kwakho noma kamuva.Ngoba, uma lokhu kwenziwa ngaphambi kwalokho, kunethuba elikhulu lokubeletha ngaphambi kwesikhathi. Njengoba ingane isivuthiwe impela ngemva kwamasonto angu-34, kungase kungabi khona ingozi enkulu ngisho noma ingane izalwa ngenxa yalolu vivinyo. Kodwa-ke, kwezinye izimo ezikhethekile, uma udokotela efisa, lokhu kungenziwa kusenesikhathi, kuye ngesimo somntwana kanye nesimo sakho.

Kuthatha isikhathi esingakanani ukuthi imiphumela ifike?

Into enhle ngalokhu ukuthi imiphumela ye-`(Contraction Stress Test)` itholakala cishe ngokushesha ngemva kokuhlolwa . Lokhu kusho ukuthi udokotela angenza isinqumo ngokushesha mayelana nokuthi umntwana uphila kanjani nokuthi yini okufanele ayenze ngokulandelayo. Akudingeki ulinde isikhathi eside kakhulu.

Ungayifunda kanjani imiphumela?

Kuhle ukuthi nawe ukwazi lokhu, ukuze kube lula ukuqonda ukuthi udokotela uthini.

• Umphumela ongemuhle: Lona umphumela omuhle kakhulu . Kusho ukuthi ukushaya kwenhliziyo kwengane akuyeki kakhulu (okubizwa ngokuthi 'ukwehla kwejubane') lapho kwenzeka ukufinyela kwesibeletho. Kusho ukuthi ingane iyakwazi ukubekezelela lokhu kufinyela kahle futhi ithola umoya-mpilo owanele kwi-placenta. Uma uthola umphumela onjengalona, ​​cishe uzocelwa ukuthi wenze lokhu kuhlolwa noma olunye uvivinyo futhi cishe ngesonto, bese uqhubeka nokuqapha ingane.
• Umphumela omuhle: Lokhu kusho ukuthi ukushaya kwenhliziyo kwengane kuyehla ngesikhathi sokusikwa okuningi (kukhona 'ukwehla kwejubane'). Lokhu kusho ukuthi ingane inenkinga yokubhekana nalezi zisikwa futhi kungenzeka ingatholi umoya-mpilo owanele. Kulesi simo, udokotela angase anqume ukubeletha ingane kusenesikhathi, mhlawumbe ngokuhlinzwa.
• Umphumela Ongacacile Noma Ongasolisayo: Ngezinye izikhathi umphumela ungase ungaqondakali. Lokhu kusho ukuthi kunezinguquko ezincane ekushayeni kwenhliziyo, kodwa akukubi ngokwanele ukuthi kuthiwe 'kuhle'. Kulesi simo, udokotela angase anwebe isivivinyo isikhathi eside, noma akucele ukuthi uphinde ukwenze kamuva.

Ingabe ikhona imiphumela emibi?

Njengoba ngishilo ekuqaleni, ingozi enkulu yalokhu kuhlolwa ukuzalwa ngaphambi kwesikhathi noma ukuqala kokubeletha. Futhi, abanye abantu bangase babe nesicanucanu nokuhlanza okuncane ngenxa ye-Pitocin . Uma isibeletho sishukunyiswa kakhulu (ukwanda kwe-uterine stimulation), kungathinta nomntwana kancane. Kodwa lokhu kwenzeka kaningi, ngoba odokotela bakwenza lokhu ngokucophelela, bebheka konke. Futhi, phakathi nalokhu kuhlolwa, ungase uzizwe ungakhululekile ngoba kufanele uhlale endaweni eyodwa isikhashana.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu ngalokhu `(Ukuhlolwa Kokucindezeleka Kokugoba)`. Ngamafuphi, nazi ezinye izinto okufanele uzikhumbule:

• Lokhu kwenzelwa ukubona ukuthi ingane ingakwazi yini ukubekezelela ukushisa nokuthi ithola umoya-mpilo owanele .
• Lokhu kuvame ukwenziwa uma kunenkinga nge-"Nonstress Test" noma i-"Biophysical Profile" eyenziwe ngaphambilini.
• Kusukela kulolu vivinyoKukhona ithuba lokuthi isiphithiphithi singaqala.
• Ukufinyela kwesibeletho kubangelwa ukunikeza i-Pitocin noma ukuvuselela izingono.
• Lokhu kuvame ukwenziwa ngemva kwamasonto angu-34 .
• Imiphumela izotholakala maduze .

Into ebaluleke kakhulu ukuthi, uma unemibuzo, ukukhathazeka, noma ukungabaza ngalolu vivinyo, qiniseka ukuthi ukhuluma nodokotela wakho futhi ucacise. Lalela ngokucophelela lokho okushiwo udokotela. Konke kwenziwa ngenxa yokuphepha kwakho nokwengane yakho.

Ungakhathazeki, khumbula nje ukuthi konke kuzolunga. Sengathi nobathathu kanye nomntwana ningabusiswa!

Ukuhlolwa kokukhulelwa , Ukuhlolwa Kokucindezeleka Kokugoba, Ukushaya Kwenhliziyo Kwengane, Ukugoba Kwesibeletho, (Ukuhlolwa Kokucindezeleka Kokugoba), (I-Pitocin), (Ukuhlolwa Okungacindezeli)