Ukutshintshwa komntwana kubonakaliso obaluleke kakhulu ekuphuculeni nasekusebenzeni okuqhelekileyo komntwana. Ngokuxhomekeka kubukho babo okanye ukungabikho kwezigaba zokuqala zokukhulelwa, kugqitywa ukuba ukukhulelwa kuyinto eqhelekileyo okanye kukho ukukhulelwa kokufa. Inendima ebalulekileyo idlalwe yintliziyo yenani lembungu, okumele ukuba ibe ngama-110-200 beats ngomzuzu.
Ngaba kunokwenzeka nini ukuva intliziyo yesisu ngexesha lokuqala?
Intliziyo yesibindi iyafakwa ngeveki yesine yokukhulelwa. Ekuqaleni kubonakala ngathi ityhulow. Kwaye sele sele iveki yesihlanu umntwana uqala intliziyo-intliziyo yakhe iqala ukuphosa. Ngesonto lesibhozo lesishiyagalolunye emva kokukhulelwe, intliziyo isele ibe ngamagumbi amane, njengokuba kuya kubakho ubomi bomntwana ongakazalwa.
Kwimigangatho yokuqala yokukhulelwa, intliziyo yesisu isenokufunyanwa ngoncedo lwe-ultrasound. Ukutshintshwa kwe-fetus kwi-ultrasound kwisifundo esingapheliyo kunokufunyanwa kwangaphambili kwiveki yesihlanu okanye yesithandathu yokukhulelwa. Emva kancinci - kwiveki yesithandathu-yesibhozo, i-palpitation ye-fetus iyakuvakala kwaye i-ultrasound yentsholongwane.
Intliziyo yenani lentliziyo
Ukususela kwixesha lokukhulelwa kuxhomekeke kwintliziyo yesisu. Inqanaba lokuqala lentliziyo (intliziyo yesantya) yesibindi isuka kwi-110-130 ukuya kwi-170-190 ibhokhwe ngomzuzu. Ezi zinguqu kwi-trimester yokuqala zidibene nokuphuhliswa kwenkqubo ye-neon autonomic ye-fetus.
Ukuba umntwana sele enezinga lentliziyo elingaphantsi kwe-85-100 okanye ngaphezulu kwe-200 beats ngomzuzu kwi-trimester yokuqala, oku kubonisa iinkqubo ezingathandekiyo. Le meko idinga ukuthatha amanyathelo okuphelisa izizathu zenguqu kwizinga lentliziyo. Ukungabikho kweentliziyo, xa umntwana sele sele efikelele kwisayizi esingaphezu kwama-8 mm, ubonisa ukukhulelwa okungaphuthunyanga. Kule meko, i-ultrasound iphinda iphindwe emva kweveki kwaye iziphumo zithathwa.
Kwinqanaba lesi-2 ne-3, inani le-HR liyi-140-160 ibhokhwe ngomzuzu. Izifinyezo mazibe sisigqi.
Yintoni enye ephulaphula intliziyo yesisu?
Ukuhluthwa yindlela eyongezelelweyo yokuvavanya umsebenzi wentliziyo yomntwana esibelethweni. Ngelo xesha, intliziyo yesisu iphulaphulwa yi-tube ekhethekileyo ukuphulaphula intliziyo (stethoscope ye-obstetric). Ukususela kwi-stethoscope eqhelekileyo, umqobo unomngxube omkhulu. Nguye ugqirha wakhe osebenzisa loo mfazi kwisisu, ngelixa ekupheleni kwesibhubhe usebenzisa indlebe yakhe.
Le ndlela isetyenziswa ngokubanzi ngexesha lokukhulelwa kunye nokubeleka. Khumbula ukuba kwindwendwe nganye ekufunyanweni kwabasetyhini kugqirha ugqirha usebenzisa le tile elula, esoloko isenziwa ngokhuni.
Ngokwemvelo yesifo senhliziyo, uphicothwe nge stethoscope yesibindi, ugqirha wenza uvavanyo lomntwana. Njengoko ixesha lokunyusa liyakhula, iintliziyo ziyayiva ngokucacileyo nangokucacileyo.
Ukuguquka komntwana ebusweni ekhaya
Kuze kube yimhla, kwenzelwe indlela yokuba abazali bexesha elizayo banokuyonwabela izandi zentliziyo yomntwana ongakazalwa ekhaya. Ukwenza oku, kufuneka uthenge umtshina wokutsala intliziyo ye-ultrasonic Doppler.
Umtshini unokuxhumeka kwikhomputha kwaye ubhale isandi senhliziyo yokubetha. Oku kuya kubakho ukurekhodwa komculo okukhethiweyo, okwangaphezulu, unokuthunyelwa nge-imeyile kunoma iyiphi ikhonkco lomhlaba (ukuba, umzekelo, ubaba womntwana ude nomfazi okhulelweyo ngokuthanda kweemeko). Ezi zixhobo kwiminyaka yamuva zithandwa kakhulu ngenxa yokuphulukiswa kokusetyenziswa kunye nesiphumo esihle sokusebenza kwabo.