CTG

I-KTG, okanye i-cardiotocography ye-fetus yindlela yokuphanda evumela ukunika uvavanyo oluchanekileyo lomsebenzi wentliziyo yomntwana. I-CTG inikezela ngolwazi malunga neengcambu zesisu kunye nomsebenzi wengane. Ixabiso le ndlela kukuba inceda ukufumanisa i-pathologies ekuphuhlisweni komntwana kunye nokuthatha amanyathelo afanelekileyo ngexesha elifanelekileyo.

Kukho iindlela ezimbini zokwenza i-CTG ye-fetus ngexesha lokukhulelwa-ukuhlolwa kwangaphandle nangaphakathi.

Ngaphandle kwe-CTG kwisisu somfazi okhulelwe, i-sensor ultrasound ifakiwe, elungisa isigqi sesantya senhliziyo nentlawulo yenhliziyo. Le ndlela isetyenziswa ngokubanzi phakathi kokukhulelwa kunye, ngokuthe ngqo, kunye nabasebenzi. I-Internal, okanye i-CTG ngokuthe ngqo, inokulinganisa ithoni yesisu kunye noxinzelelo lwe-intrauterine ngexesha lomsebenzi. Isisenzo se-tensometric sisetyenziswe, esiqhotyoshelwe entloko yesisu ngexesha lokubeletha.

Iziphumo zophando ziveliswa yi-fowuni ngesimo somfanekiso wesicaciso kwiphepha elide lephepha. Kule meko, ukuqhekeka kwesibeleko kunye nokuhamba kweemvumba kuveliswa njengekhava kwinxalenye engezantsi ye-tepi.

I-CTG fetus nini?

Njengomthetho, kungekudala kweveki ezingama-28. Iyona nkcazelo ebaluleke kakhulu i-cardiotocography kwiveki yama-32. Kususela ngeli xesha umntwana usenokuba sele esebenzayo kwimitha engama-20-30.

Ngoko ke, kwi-trimester yesithathu, kunye nezibonakaliso eziqhelekileyo, umfazi okhulelweyo kufuneka angene kwi-KTG ubuncinane amaxesha amabini. Uvavanyo luyenziwa kwisisu esingenalutho okanye iiyure ezimbalwa emva kokutya. Ebusuku kuyinqweneleka ukuba uzame ukuphumla kakuhle. Ngexesha leGGG, umfazi okhulelweyo uhlala okanye ulala ngasecaleni. Ngokomyinge, le nkqubo ayihlali ngaphezu kwemizuzu engama-30-40, kwaye kwezinye iimeko, imizuzu eyi-15-20 yanele.

Umgangatho weziphumo ze-CTG yomntwana

Emva kokuhamba kwesahluko kunzima kakhulu ukuqonda iziphumo. Yintoni eyenziwa ngu-CTG yomntwana?

Njengomphumo wesifundo, ugqirha ufumana idatha elandelayo: isingeniso sesiseko senqanaba lentliziyo okanye intlawulo yenhliziyo (ngokuqhelekileyo - i-110-160 ibhokhwe ngomzuzu ngokuphumla kunye no-130-180 - kwisigaba esisebenzayo); i tokogram okanye umsebenzi we-uterine; Ukuhlukahluka kwesigqi (ukuphakama komyinge wokuphambuka kwintlawulo yenhliziyo kunokusukela kwimivimbo emi-2-20); Ukukhawuleza - ukukhawuleza kwezinga lentliziyo (kwiminyaka engama-10 kubini okanye ngaphezulu); Ukunciphisa - ukunciphisa intliziyo yesantya (engafihliyo okanye engekhoyo).

Ukuqhubela phambili, ngokweendlela yoFisher, nganye kwisiphumo esitholakalayo, kufakwe iiphupha ezi-2, ezifingqiweyo.

Ukuba unamaqondo angama-8-10, akukho sizathu sokukhathazeka. Ezi zikhokelo ze-CTG ye-fetus zibhekwa njengesiqhelo.

Iingongoma ezi-6-7 zibonisa ubukho beengxaki ezithile ezimele zichongwe ngokukhawuleza. Ibhinqa liya kufuna uphando olongezelelweyo.

5 kunye namanqaku ambalwa-oku kuyingozi enkulu ebomini bomntwana. Ingane isenokwenzeka ukuba i- hypoxia (i-oxygen starvation). Unokudinga ukuhlala esibhedlele ngokukhawuleza. Kwaye kwezinye iimeko - ukuzalwa ngaphambi kokuzalwa.

Ngaba i-CTG iyingozi kumntwana?

Abazali abaninzi abanamhlanje bayazithembeli kwi-cardiotocography. Kufuneka kuthethwe ukuba ukwesaba okunjalo akunanto. Olu pho nonongo lunika ulwazi oluncedo ngaphandle kokulimaza kwimpilo yomama okanye umntwana.

Kwaye kungakhathaliseki ukuba yiyiphi imiphumo oyifumanayo kunye nesifundo sokuqala, ungethuki ngokukhawuleza. Emva koko, i-CTG ayifumananga. Umfanekiso opheleleyo wesimo somntwana awukwazi ukunikezelwa ngenye indlela. Kubalulekile ukuba ufunde ngokubanzi-ultrasound, doppler, njl.

Kwaye kwangexesha elifanayo, ukubaluleka kwesi sifundo akunakuphikiswa. I-CTG inikeza iinkcukacha malunga ne-fetal status ngexesha lokukhulelwa. Kwakhona, kwinkqubo yabasebenzi, kunokwenzeka ukunika ukuhlolwa okufanelekileyo ngexesha elifanelekileyo nangokuchanekileyo kokuzalwa kunye nemeko yomntwana.