Ufuna ukwazi ubulili besane, umama olindelekile uvame ukuthakazelisa indlela yokunquma ubulili bomntwana ngenhliziyo. Kakade baba omama besifazane baqinisekisa isimo semfundo yale nqubo, ngakho-ke sekuya kakhulu.
Kungenzeka yini ukucacisa ubulili bomntwana ngenhliziyo?
Ekufuneni izindlela zokunquma ubulili bendodana yangomuso, abesifazane babuzwa odokotela umbuzo: kungenzeka yini ukwazi ubulili bomntwana ngenhliziyo? Odokotela abaqinisekisi ukuthembeka kwalendlela, bechaza leli qiniso ngokuthi akunalo isisekelo somzimba. Umzimba wabantwana abancane besilisa nowesifazane ukhula cishe, ngakho-ke akunakwenzeka ukufakazela ukuthi kungenzeka ukuthi uqale ucansi kuphela ngomsebenzi wesimiso senhliziyo yesisu. Kodwa-ke, abesifazane ngokwabo bavame ukusebenzisa le ndlela njengendlela ehlukile ye-ultrasound.
Ngokusho kwabesifazane abakhulelwe ngokwabo, ukushaya kwenhliziyo kungabonisa ubulili bomntwana. Inhliziyo yentombazane nomfana iyancipha ngezindlela ezahlukene. Ngomzuzu owodwa insikazi yesifazane ingaphezu kuka-140 imivimbo. Embryo yesilisa, inani lezinqamuzana zenhliziyo alidluli kule nkomba futhi liphakathi kokushaya okungu-120 no-130 ngomzuzu. Kulesi simo, kubalulekile ukucabangela igama lokukhulelwa ngokwalo, lapho kubalwa khona ukubala.
Uyazi kanjani ubulili bokushaya kwenhliziyo yengane esikhathini esizayo?
Ukunqunywa kwenhliziyo yentombazane kwenziwa ngokubala inani lokusikeka ngomzuzu owodwa. Ukwenza lokhu, faka i-phonendoscope ebusweni bomzimba, urekhode isikhathi bese uqala ukubala. Kumele kucatshangelwe ukuthi le nqubo kufanele iqhutshwe ekuphumuleni okuphelele nangesikhundla esinqunyiwe somama. Okuhlangenwe nakho, ukukhathazeka, ukucindezeleka kwangaphambili komzimba kungaphambukisa imiphumela.
Ukunquma ubulili bomntwana ebuchosheni be-fetus kuyinkambinkimbi enzima. Ukulalela amathoni kunzima, ngakho-ke imiphumela engatholakali ngale ndlela ayiyona inhloso. Ezimweni eziningi, owesifazane okhulelwe uyakunakekela idatha ekhonjisiwe ekuphetheni kwe- ultrasound ne-CTG. Inqubo yokugcina isetshenziselwa ukuhlola umsebenzi wezinhliziyo we-fetus njengesifundo esengeziwe.
Ngisiphi isonto ubunikazi bomntwana obonakalayo?
Ukufunda ubulili bodokotela bama-fetus kakade emavikini angu-12 wokukhulelwa. Ngesikhathi esifanayo, kusetshenziswe i-ultrasound, okusiza ukubona ngeso lengqondo i-fossa yobulili ye-fetus. Kodwa-ke, ukucabanga okwenziwe ngezocansi zengane yesikhathi esizayo ngokuvamile kuphutha ngenxa yokufaniswa okukhulu kobulili bangaphandle namantombazane.
Ubulili bomntwana ngesifo senhliziyo emavikini angu-12 kunzima ukunquma. Ngalesi sikhathi inhliziyo ye-fetus isivele isungulwe futhi isebenza, kodwa umsebenzi wayo awusungulwa kahle. Isilinganiso nenani lenhliziyo lingashintsha futhi lithonywe ngu:
- izinqubo zokuthuthukiswa kwe-intrauterine;
- isimiso sezinzwa somama;
- izici zombuso wosuku olukhulelwe.
Ukunqunjelwa kocansi ngesikhathi sokushaya kwenhliziyo
Ukunquma ubulili bomntwana ngokwemvamisa yenhliziyo kungenakwenzeka. Noma kunjalo, abesifazane abaningi abakhulelwe bayakwazi ukwenza izibikezelo ezifanele kule akhawunti besebenzisa izindinganiso zenhliziyo. Ngokuvamile bakholelwa ukuthi inhliziyo yentombazane ezayo iyancishiswa kaningi. Ngokusho kokubhekwa kwabesifazane asebeba omama kakade, kwenziwa okungenani ama-stroke angu-140 ngomzuzu. Ukuze uthole umphumela onokwethenjelwa, izibalo eziningana kufanele zenziwe ngemva kwesikhashana futhi zibale inani elilinganiselwe.
Ngaphambi kokunquma ubulili bomntwana ngenhliziyo, owesifazane kufanele afunde ezinye izici ze-physiognomic. Inhliziyo yengane yenkomo yesikhathi esizayo ishaywa kaningi, ngakho-ke uma owesifazane okhulelwe engenazo izingxabano ezingaphezu kuka-140 ngomzuzu, kufanelekile ukulindela umfana. Ngesikhathi esifanayo, abesifazane abasesimweni bathi le ndlela ibikezela ngokoqobo ubulili besisu ngaphambi kweviki lama-20 lokukhulelwa - esikhathini esilandelayo, inani lokubala eliyiphutha landa. Ngaphezu kwalokho, ngalesi sikhathi, owesifazane okhulelwe osevele enesimo esiphakeme kungenzeka ukuthi uyazi ukuthi ngubani ozozalwa, ngokususelwa kwimiphumela ye-ultrasound.
Ubulili bomntwana ngesilinganiso senhliziyo
Ukunquma ubulili bendodana ebuhlungu besifazane kufanele bayiqaphele isigqi sezinhlangothi zomzimba we-muscle. Kucatshangwa ukuthi inhliziyo yengane iyancipha kancane kancane, isigqi sinzinzile. Isikhathi sokuqedwa nokuphumula singashintsha. Imisindo yenhliziyo ayikho kakhulu, ngakho ukulalela kubo ngokuvamile kuyinkinga. Kwabafana inhliziyo iyancishiswa ngokwemigomo, kulula, iphuza ngokuqondile futhi ilalele ngokuphelele. Odokotela ngokwabo bathi akukho umehluko onjalo emisebenzini yenhliziyo, kuye ngokuthi ucansi. Ukuphutha okukhona kukhona uphawu lwe-pathology, i-vice.
Ubulili besane ngokusho kwendawo ye-fetus
Ukufunda indlela yokunquma ubulili bomntwana ozayo nge-heartbeat, kubalulekile ukucabangela ezinye izimpawu. Ukuze ukhethe kahle ukuthi ubani ozozalwa - umfana noma intombazane - ngesifo senhliziyo, udinga ukusungula indawo yenhliziyo yentombazane, ngokuqondile - yomzimba wakhe. Ngokomqondo okhona wabesifazane abanolwazi ababeletha izingane ezimbili, abafana namantombazane bahluke ngokuhlukile esibelethweni sikamama. Ngakho-ke, uma isigqi senhliziyo silula ukulalela ngakwesobunxele - kuyoba khona umfana, uma ngakwesokudla - intombazane izozalwa. Odokotela basabela ngokumomotheka kule mbono, bephikisana ngokuthi lezi zenzakalo ezikhona zikhona ngokuqondile.
I-heart rate ye-fetal ngesonto lokukhulelwa
Iqiniso elingenakuphikwa yilona ushintsho lwenkokhelo yenhliziyo kuye ngokuthi iminyaka yobudala. Uma wazi ukuthi ubulili bomntwana ngokushaya kwenhliziyo ngeke kwenzeke kubo bonke omama abazayo, khona-ke bala inani lemali yenhliziyo bese uliqhathanisa nelizwi kungowesifazane ngamunye. Ngokusekelwe emiphumeleni etholakalayo, kungenzeka ukudweba iziphetho mayelana nemvelo ehambisanayo yentuthuko yesisu. Isilinganiso senhliziyo ngesikhathi sokukhulelwa ngezigaba zakuqala sihluka kanje:
- Amaviki ayisithupha - 90-110 bpm;
- kusuka ku-6 ukuya ku-8 - 120-170;
- kusukela ngo-8 ukuya ku-12 - 160-190;
- kusuka emavikini angu-12 - kusuka ku-140 kuya ku-180.