Ukuba ngexesha lokukhulelwa umntwana ofumana i-oksijini engaphantsi kwexabiso eliyimfuneko ekuphuculweni kwalo, u-hypoalia we-fetal ukhula. Ininzi idla ngokuqhubekayo ngexesha lokuzalwa komntu (ukusuka kwiiveki ezingama-28) kuze kube sekuzalweni komntwana.
Iimbangela ze-intrauterine fetal hypoxia
Iimbangela ze-hypoxia yobusana:
- Izifo zikaMama : izifo zentliziyo, i-pneumonia, i-asthma ye-bronchial, i-alcox syndrome, imeko yokutshatyalaliswa ngumama, ukuphuma kwamanzi, izifo zesifo segazi.
- Ukuphambana nokuqhutyelwa kwe-placental : kunye ne-gestosis yesigamu sesibini sokukhulelwa, ehamba kunye nokuphulwa komjikelezo we-placental, ukuphazamiseka kwangaphambili kwe-placental, i-strings okanye i-neck neck cord embolism, kunye nomsebenzi ongaqhelekanga.
- Izifo ze-Fetal : iziphoso zentliziyo zintsana, iintsholongwane ze-chromosomal ze-fetus, izifo ze-hemolytic zentsana, iintsholongwane ze-intrauterine, ukulimala kwe-craniocerrebr of the newborn. Emva kokuzalwa komntwana, i-hypoxia enzulu (i-asphyxia) ingabangelwa yinjongo ye-amniotic fluid kwindlela yokuphefumula.
Iintlobo ze-hypoxia yesisu
I-hypoalia ye-Fetal ingaba nzima kwaye ingapheliyo:
- I-hypoxia ye-intaluterine yangaphakathi. Ikhula ngeeyure ezimbalwa okanye imizuzu embalwa, isizathu esona siqhelo sisoloko sisisigxina se-placenta, kwaye ngexesha lokubambisa - nayiphi na i-bleeding, uterine rupture, amaqhina okanye ukungena kwetambo. Kule meko, xa kunokwenzeka, icandelo lexakeka lexesha eliphuthumayo lenzelwa ukugcina ubomi bomntwana kunye nomama, ngenxa yeempembelelo eziqhelekileyo, xa i-hypoxia yobushushu be-intrauterine ikhula ngokukhawuleza, kukufa kwakhe.
- I-hypoxia yobushushu obungapheliyo. Ikhula kancane. Umntwana uyakwazi ukuvumelanisa nokungabikho kwe-oksijeni, nangona kunokukhokelela ekufeni komntwana. Kodwa iimpembelelo eziqhelekileyo, ukuba kukho i-hypoxia yobusana obungapheliyo ngaphakathi kwe-intrauterine, yintsholongwane yokuphulukiswa kwe-fetal development (emva kwemashumi angaphezu kweveki ukususela kwixesha lesigxina).
Iimpawu ze-fetal hypoxia
Okokuqala, unina unako ukucacisa u-hypoxia we-fetus ngokunciphisa okanye ungashukunyanga umntwana. Esinye isifo esinokumamela umjoqo wesifo somzimba okanye sigqitywe ngu- CTG okanye i-ultrasound yintshintsho kwixesha kunye neshyhyth of heart fetats. Okokuqala ubukhulu bungaphezu kwe-160, ke ngaphantsi kwe-100, ishym ngezinye iyanxaxha.
Ukongeza kwi-lag ekuphuhliseni, i-ultrasound igqitywe ngu:
- ithoni yomzimba;
- ukuhamba okanye izikhundla zokwandisa umzimba kunye nemilenze (ngokuqhelekileyo - i-boxer pose, ukunyakaza okusebenzayo);
- Inani le-amniotic fluid (umqolo oqhelekileyo ngowama-35-70 mm);
- imeko ye-placenta (eqhelekileyo ngaphandle kokungeniswa kwezifo);
- imeko ye-flow of blood flow (kwi-doplerogram yeempahla zeplascenta).
I-hypoticia ye-fetal-fetal - unyango
Unyango ngexesha lokukhulelwa lujoliswe ekuphuculeni ukuhamba kwegazi, ukuxiliswa kwegazi emzimbeni (ukulwa ne-acidosis) nokuqinisa ukukhushulwa kwe-fetus kwi-hypoxia. Kodwa ukuba iimpawu ze-hypoxia zakha, ukuhanjiswa kwexesha eliphuthumayo okanye icandelo le-cearean liyacetyiswa.
Ukuthintela i-hypoxia yobusana be-intrauterine
Izindlela zokuthintela umama:
- ngaphezulu ukuba ube kwindawo evulekile;
- Musa ukutshaya ngexesha lokukhulelwa;
- ukuphepha uxinzelelo;
- Qaphela ukuba abantu abaninzi baxhomekeke kwiindawo ezininzi, ukwenzela ukuba bangenasifo ngenxa yezifo zentsholongwane;
- isondlo esifanelekileyo sokukhulelwa .
Umsebenzi wokukhusela ugqirha ujoliswe ekuxilongeni ngexesha kunye nokunyangwa kweengxaki zokukhulelwa kunye nezifo zikamama, ukuphathwa kakuhle kwabasebenzi.