Igama elithi "ukucindezeleka kwengane" kubonakale ekusebenziseni izidakamizwa maduzane. I-distress syndrome ye-fetus ikhulunywa phambi kwanoma yiziphi izinguquko esimweni sokusebenza se-fetus, kufaka phakathi i-hypoxia enesifo esiphuthumayo, esingenasifo esingenasifo sangasese, kanye nosongo lwe-asphyxia yesisu.
Ukucindezeleka kwe-fetus kuvame ukubonakaliswa ngendlela ye-hypoxia, okuyinto inqubo yokuphilisa umzimba. Izimpawu ezibonisa ngqo ukuthi ingane iqala hypoxia, cha. Ukuncipha kwengane akusho ngokuqondile ukuntuleka kwe-oksijeni, isigqi senhliziyo singashintsha futhi sicabange.
Uma owesifazane okhulelwe enokungabaza kokucindezeleka kwesisu, khona-ke uhambela i-ultrasound, i-CTG, ezinye izifundo ezihlola iphrofayela ye-biophysical ye-fetus.
Izimpawu zokucindezeleka zihlanganisa i-tachycardia noma ukunciphisa ukushaya kwenhliziyo, ukwehla kwenani lokunyakaza kwengane, ukusabela okhethekile kulezi zingqinamba.
Izinhlobo zokucindezeleka kwesisu
Ngesikhathi sokuqala, ukucindezeleka kwe-fetus kuhlukaniswe okulandelayo:
- ngesikhathi sokukhulelwa;
- ngesikhathi sokulethwa.
Izimpawu zokucindezeleka zingathuthuka kunoma yisiphi isikhathi sokukhulelwa. Ngaphambili i-syndrome yezinkinga ikhona, okubi kakhulu kumntwana. Emibhalweni, ukucindezeleka ngemva kwamasonto angama-30 okukhulelwa kuyisiphephelo kunazo zonke, ngoba kungenzeka ukuba wenze isigaba esiphuthumayo sokudla.
Uma ukucindezeleka kwe-fetal kwenzeka kakade ezinyathelweni zokuqala zokukhulelwa (isibonelo, ngenxa ye- hematoma ye-retrochoric ), lokhu kungase kuholele ekuthuthukeni kwengane, ukuthuthukiswa okungafanelekile noma ukukhulelwa kwesisu.
Ukucindezeleka kokubeletha kokubeletha komntwana ongama-2 emithathu kungabangela ukubambezeleka kokuthuthukiswa kwe-intrauterine futhi kuholele ekukhulelweni kwesisu, ukukhulelwa kokukhulelwa, noma ukubeletha ngaphambi kwesikhathi.
Ukucindezeleka kwe-fetus ngesikhathi sokubeletha, ikakhulukazi esikhathini sabo sesibili, kuyinkinga ebaluleke kakhulu, ngoba iholela esigabeni sokuphuthumayo esiphuthumayo. Uma kwenzeka ukuthi isisu esiswini singase sisezingeni eliphansi kakhulu futhi sisigxile ekuphumeni kusuka esikhwameni esincane, sekuphuzile kakhulu ukubuyela ekuhlinzeni. Kulesi simo izidakamizwa ziphuthumisa abasebenzi ngokusiza isikhala somfutho, i-perineotomy nezinye izindlela ezinciphisa isikhathi sesibili somsebenzi.Ngenxa yobunzima bokucindezeleka kwesisu, ukucindezeleka kuhlukaniswe ngokuthi:
- Ukucindezeleka esigabeni sesinxephezelo -
ukucindezeleka okungapheli, okuhambisana no-hypoxia, ukubambezela ukuthuthukiswa, kuqhubeka amasonto ambalwa. - Ukucindezeleka esiteji sokuxhaswa - ukuba khona kwe-hypoxia, kudinga usizo ezinsukwini ezizayo.
- Ukucindezeleka esiteji sokudambisa - ukuqala kwe-intrauterine asphyxia, usizo olusheshayo liyadingeka.
Imiphumela yokucindezeleka kwesisu
Ngokungenelela ngesikhathi esifanele, imiphumela yokucindezeleka iyanciphisa. Uma kungenjalo, ingane ingase ife noma izalwe nge- asphyxia enzima, engeke ibe nomthelela esimweni sempilo yakhe esikhathini esizayo.