I-fetal hypoxia yinkinga ehlotshaniswa nokudla okwanele komoya okwe-oksijeni. Ukuphikisana okumbi kwe-hypoxia yi-asphyxia - isimo esisongela ukuphila kwe-fetus, lapho umzimba wayo ngesizathu esithile uyeka ukuthola umoya-mpilo. I-Asphyxia ingaholela ekufeni kwe-fetus, noma ezinkingeni ezimbi zesistimu ye-cardiovascular and central nervous.
Yini ebangela i-hypoxia yesisu?
I-Hypoxia ye-fetus ilukhuni futhi ayinasifo. I-hypoxia engapheli yengane ngesikhathi sokukhulelwa ibonakala ngamaphesenti angu-10 wabesifazane futhi ihlotshaniswa ne-pathology ekhona ehlanganiswayo (izifo zenhliziyo nezesifo sokuphefumula, i-anemia engapheliyo), ukukhulelwa kwengculaza (i-rhesus-impikiswano, izingxabano zeqembu legazi, i-gestosis esedlule) nokungasebenzi kahle indlela yokuphila (ukubhema, ukuphuza utshwala, ukulutha izidakamizwa, ukusebenza emabhizinisini anzima). Isigaba sokuqala se-hypoxia ye-fetal sibonakala ekusebenziseni izindlela eziguquguqukayo (ukunyuka okunye kwenhliziyo yenhliziyo kuya kwezimpondo ezingu-160 ngomzuzu, ukuqaliswa kwezinqubo ze-metabolic), okwandisa ukuphika komzimba wesisu ekungeneni okwenziwe oksijini.
I-hypoxia ekhulayo kakhulu (ukucindezeleka okukhulu komntwana) kuvela, njengombuso, ekubelethweni, futhi kwenzeka ngenxa yezizathu ezilandelayo: ukuphazamiseka kwamapayipi, umsebenzi oqhubekayo (ubuthakathaka bomsebenzi), ukubopha izintambo zomtholo (umthamo oqinile, i-profilical cord loops ngesikhathi sokubeletha). Ukuxilongwa kwe-hypoxia yesisu ekubelethweni kuqinisekisiwe ngokulalela ukushaya kwenhliziyo kwe-fetal phakathi kwezingqinamba noma i-cardiotocography. Ngokujwayelekile, isilinganiso senhliziyo ye-fetal silinganiselwe ku-110-170 ukushaya ngomzuzu. Ukunwetshwa kwe-fetus ngesikhathi se-hypoxia ekukhuphukeni kokuqala ngaphezulu kwe-170 beats ngomzuzu, futhi uma uvinjiswe ngosizo, udlula ku-bradycardia (ngaphansi kwezingu-110 ukushaya ngomzuzu).
Indlela yokunquma hypoxia ye-fetal?
Noma kunjalo-ukuthi ungayibona kanjani i-hypoxia ye-fetus ngesikhathi sokukhulelwa? Izimpawu zokuqala ze-intrauterine hypoxia ye-fetus zinganqunywa yilo wesifazane ngokwayo, ngokulalela imvamisa yokunyakaza kwakhe. Ukuguqulwa kwe-fetus ngesikhathi se-hypoxia kuvame ukuqala, futhi uma kwenzeka ukwanda kokuphefumula kwe-oksijini kuyaba okungajwayelekile futhi okuvilaphayo (okungaphansi kwesithathu ku-1 ihora). Qinisekisa ukwesaba ukuthi ingane ibhekene nokuntuleka kwe-oxygen, ungasebenzisa izindlela ezikhethekile zokucwaninga: i-cardiotocography, i-dopplerometry nokucwaninga kwe-amniotic fluid.
Ukwelashwa kwesifo se-fetal oksijini
Izinyathelo zokwelapha ze-hypoxia zixhomeke kulohlobo lwazo: eziyingozi noma ezingapheliyo. I-hypoxia etholakala ekusebenzeni iyisibonakaliso sokulethwa kwezimo eziphuthumayo ngesigaba se-cearean, uma kuphazamiseka lapho ukufakwa kwekhanda kwenzeka, khona-ke kunconywa ukuthi ukuhanjiswa kuphuthumiswe ngokukhipha umfutho we-fetus. Ukuzalwa kwengane kwenzeka ngenani eliphoqelekile le-neonatologist elinganisa usana olusha emaminithini angu-1 no-5 esikalini se-Apgar futhi inikeza usizo oludingekile.
Ngezibonakaliso zokuqala ze-hypoxia yesisu ngenkathi ukhulelwe, kufanele uthintane nodokotela ngokushesha ukuze abeke izifundo ezidingekayo ukuze aqinise indlala yomoya-mpilo. Ukulungiswa kwe-hypoxia engapheli kuyindlela yokwelapha izifo ezicwilisayo, ukuhamba kwansuku zonke emoyeni omusha, ukudla okunomqondo omuhle kanye nokwenqaba imikhuba emibi.
Uma ufuna ukuthola ingane enempilo futhi egcwele, udinga ukunakekelwa ngaphambi kokukhulelwa: ukwelapha izifo ezibhekene nezifo, ukuyeka imikhuba emibi, ushintshe umsebenzi omazayo futhi ususe ukucindezeleka okungenzeka.