Uma uya kudokotela ngesikhathi sokukhulelwa, bafaka ithuluzi elincane esiswini sakho bese belalela ukushaya kwenhliziyo yengane, akunjalo? Ngezinye izikhathi bafaka ibhande esiswini sakho bese behlola. Lokhu kwenzani ngempela? Kungani lokhu kubaluleke kangaka? Lokhu kungakutshelani ngomntwana wakho? Ake sixoxe ngalokhu kalula.
Kuyini Ukuqapha Isilinganiso Senhliziyo Yengane Esanda Kuzalwa?
Kalula nje, Ukuqapha Izinga Lenhliziyo Yengane Esanda Kuzalwa kuyindlela yokuhlola ukuthi ukushaya kwenhliziyo kwengane yakho kushesha kangakanani nokuthi kushesha kangakanani. Uma ukhulelwe, udokotela wakho ufuna ukuqinisekisa ukuthi ingane yakho iphilile futhi ikhula kahle. Enye yezindlela eziyinhloko ezisetshenziswayo ukwenza lokhu ukuhlola izinga lokushaya kwenhliziyo yengane kanye nesigqi sayo.
Lokhu kuhlolwa kuvame ukwenziwa ngasekupheleni kokukhulelwa kanye nangesikhathi sokubeletha. Lokhu kuhlolwa kungenziwa kanye nezinye izivivinyo ukuze kutholakale ukuhlolisisa okujulile isimo somntwana wakho, ikakhulukazi uma unesifo esiyingozi empilweni njengesifo sikashukela noma umfutho wegazi ophakeme.
Kungani odokotela bethi badinga ukwenza lolu vivinyo?
Lokhu kuhlolwa kuvame ukunconywa uma ukukhulelwa kwakho kusengozini enkulu. Isibonelo:
- Uma unesifo sikashukela.
- Uma usebenzisa umuthi wokubeletha ngaphambi kwesikhathi.
- Uma udokotela ecabanga ukuthi ukukhula noma ukukhula komntwana akuvamile.
Ngaphezu kwalokhu, udokotela angabhekisela kulolu vivinyo ukuqinisekisa ukuthi ingane iphila kahle ngesikhathi sokubeletha, noma uma befuna ukuhlola ukushaya kwenhliziyo yengane nganoma yisiphi esinye isizathu.
Yiziphi izindlela zokwenza lolu vivinyo?
Kunezindlela ezimbili eziyinhloko zokuqapha ukushaya kwenhliziyo kwengane yakho. Enye iwukwenza ngaphandle , esiswini sakho. Enye iwukwenza ngaphakathi , ngemva kokuba amanzi ephumile futhi ukubeletha kuqala.
1. Ukuqapha Kwangaphandle
Lena yindlela evame kakhulu. Lokhu kwenziwa ngezindlela ezimbili.
- Ukuhlolwa kwe-Auscultation: Uma ukukhulelwa kwakho kuhamba kahle futhi ngaphandle kwezinkinga, udokotela wakho uzosebenzisa i-stethoscope ekhethekile (`fetoscope`) noma idivayisi encane ephathwa ngesandla (` Doppler ultrasound` ) ukuhlola ukushaya kwenhliziyo kwengane njalo. Lokhu kulula kakhulu.
- Ukuqapha nge-elekthronikhi:Ngezinye izikhathi, ikakhulukazi ngemva kwamasonto angu-32, udokotela wakho angenza isivivinyo esibizwa ngokuthi "Ukuhlolwa Okungenakucindezeleka." Lokhu kuhilela ukubala ukuthi izinga lokushaya kwenhliziyo yengane yakho likhuphuka kangaki esikhathini semizuzu engama-20. Ibhande elinenzwa kagesi ligqokwa lizungeze isisu sakho. Lihlala liqopha izinga lokushaya kwenhliziyo yengane yakho. Ungagqoka nebhande elinjengaleli ngesikhathi sokubeletha. Lingahlola ukuthi ingane yakho ibhekene nanoma yikuphi ukucindezeleka okuvela ekuminyaneni esibelethweni sakho. Uma kukhona ukucindezeleka, kungadingeka ukuthi ubelethe ingane ngokushesha okukhulu.
2. Ukuqapha Kwangaphakathi
Lokhu kwenziwa kuphela ngemva kokuba ukubeletha sekuqalile, amanzi akho ephukile, futhi umlomo wakho wesibeletho usuvulekile.
Kulokhu, udokotela ufaka ucingo oluncane olubizwa ngokuthi i-electrode ngesitho sakho sangasese sowesifazane bese elucindezela ngobumnene ekhanda lomntwana. Lokhu kunganikeza imiphumela enembile kakhulu kunokukwenza ngaphandle.
I-Doppler ne-Fetoscope: Uyini umehluko?
Abantu abaningi badidekile kancane ngala madivayisi amabili. Ake sikucacise lokho.
| Idivayisi | Indlela esebenza ngayo | Okufanele ukwazi |
|---|---|---|
| I-Fetoscope | Lesi yi-stethoscope ekhethekile emise okwecilongo. Uma ibekwe esiswini, ungakuzwa ukushaya kwenhliziyo kwengane ngqo. Akukho mshini noma amabhethri adingekayo. | Lokhu akukhiphi lutho olufana namaza omsindo, kodwa kudinga ulwazi ukuze kutholakale ukushaya kwenhliziyo ngokunembile. |
| I-Doppler Ultrasound | Lokhu kusebenzisa amaza omsindo ukuze kuthathwe umsindo wama-valve enhliziyo yengane ehambayo. Yilokho esikuzwayo. | Kuphephile ngaphansi kokuqashwa kwezokwelapha, kodwa odokotela baxwayisa ngokuyisebenzisa ekhaya. Ngaphandle kokuqeqeshwa, kunengozi yokukuchaza kabi lokho okuzwayo, ukwesaba ngokungadingekile, noma ukukugwema uma kunenkinga. |
Ingabe kuhle ukusebenzisa la madivayisi ekhaya?
Abanye abantu bathenga amadivayisi ``ekhaya e-fetal doppler`` abangawasebenzisa ekhaya. Kodwa odokotela abacabangi ukuthi lokhu kuwumqondo omuhle. Isizathu siwukuthi uma umuntu ongaqeqeshiwe ewasebenzisa:
- Kungaba yinto engenasisekelo ukukhathazeka ngokuthi awukakuzwa ukushaya kwenhliziyo kwengane (ikakhulukazi emavikini okuqala okukhulelwa).
- Ungase ungakwazi ukubona kahle ukuthi uzwa ukushaya kwenhliziyo kwengane noma umsindo womthambo wakho wegazi omkhulu.
- Uma kunenkinga, kungenzeka ukuthi ungakuboni bese uthola isitifiketi esingalungile .
Ngakho-ke, ungalokothi usebenzise idivayisi efana nale ekhaya ngaphandle kokukhuluma nodokotela wakho .
Ingabe zikhona izingozi ngalezi zivivinyo?
- Ukuqapha kwangaphandle cishe akunazo izingozi. Ngeke kukulimaze wena noma ingane yakho. Ungase uzizwe ungakhululekile ngenxa yebhande eliboshwe esiswini sakho.
- Ukuqapha kwangaphakathi kungaba nezingozi ezincane kakhulu.
- Ukuzizwa ungakhululekile.
- Akuvamile kakhulu ukuthi kube nokutheleleka.
- Ukuklwebheka okuncane noma ukuphuka esikhumbeni sekhanda lomntwana.
Okubalulekile: Uma une-HIV, ukuqapha kwangaphakathi akwenziwa ngoba kwandisa ingozi yokudlulisela ukutheleleka enganeni yakho.
Ithini imiphumela?
Inhliziyo yengane ephilile ivame ukuba phakathi kuka-110 no-160 ngomzuzu . Lesi silinganiso sikhuphuka kancane uma ingane inyakaza, okuyisibonakaliso esihle.
Izimpawu zokuthi kungase kube nenkinga yilezi:
- Isilinganiso senhliziyo esingaphansi kwama-beats angu-110 ngomzuzu.
- Isivinini sidlula ama-beats angu-160 ngomzuzu.
- Kubonisa izinguquko ezingavamile endleleni yokushaya kwenhliziyo.
- Inhliziyo ayikhuphuki ngisho noma umntwana enyakaza noma isibeletho sifinyela.
Kodwa khumbula, ukuthi into efana nale iyenzeka akusho ukuthi ingane inenkinga enkulu. Kumane kuyisibonakaliso sokuthi ingane kungenzeka ukuthi ayitholi umoya-mpilo eyidingayo. Udokotela uzophenya kabanzi.
Ngezinye izikhathi, izici ezifana nesisindo somzimba wakho, indawo yakho noma yengane yakho, noma ukuba khona koketshezi oluningi kakhulu lwe-amniotic esibelethweni kungathinta ukunemba kwemiphumela.
Yini okufanele uyenze uma ukushaya kwenhliziyo kungavamile?
Uma udokotela ebona noma yikuphi ukungahambi kahle kwenhliziyo yengane, angenza okulandelayo:
- Ucelwa ukuthi ushintshe indawo (isib. jika kwesobunxele).
- Uketshezi lunikezwa umzimba nge-IV ( usawoti ).
- Unikwa umoya-mpilo owengeziwe.
- Kunikezwa imithi yokunciphisa ukufinyela kwesibeletho.
Uma ukushaya kwenhliziyo kwengane kungabuyeli esimweni esijwayelekile ngemva kwalezi zinyathelo, ingane ingadinga ukubeletha ngokushesha. Uma umlomo wesibeletho uvuleke ngokuphelele, kungasetshenziswa i-forceps noma i-vacuum device ukusiza ukubeletha umntwana. Ngaphandle kwalokho, kungadingeka ukuhlinzwa okuphuthumayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqapha Izinga Lenhliziyo Yengane Esanda Kuzalwa kuyindlela ebalulekile yokuhlola impilo yengane esibelethweni. Lokhu kubaluleke kakhulu ekukhulelweni okuyingozi kakhulu.
- Lokhu kungenziwa ngaphandle nangaphakathi. Izindlela zangaphandle ziphephile kakhulu. Indlela yangaphakathi yenziwa kuphela ngesikhathi sokubeletha, futhi ayinangozi enkulu.
- Isilinganiso senhliziyo esijwayelekile siphakathi kokushaya okungu-110-160 ngomzuzu. Ukungajwayelekile akusho ukuthi kunenkinga enkulu ngaso sonke isikhathi, kodwa kuyisibonakaliso sokuthi kudingeka ukuhlolwa okwengeziwe.
- Khuluma nodokotela wakho njalo ngaphambi kokusebenzisa noma yimaphi amadivayisi asekhaya njenge-Doppler. Ungesabi noma ufinyelele esiphethweni ngokushesha. Xoxa nganoma yiziphi izinkinga nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho