I-Fetal pulse engaphezu kuka-160
Ukushaya kwenhliziyo yengane ukushaya kwenhliziyo okusheshayo nokujwayelekile okurekhodwa ngokukala ukushaya kwenhliziyo yengane.
Abanye abantu bakholelwa ukuthi ukushaya kwenhliziyo kwengane engaphezu kuka-160 ngomzuzu kubonisa ukuthi umbungu ungowesilisa.
Kodwa-ke, kufanele siqaphele ukuthi izinga lokushaya kwenhliziyo yengane liyahlukahluka kuye ngeminyaka yengane.
Emasontweni okuqala ayi-120 okukhulelwa, izinga lokushaya kwenhliziyo yengane evamile lisukela phakathi kwe-160 kanye ne-XNUMX beats ngomzuzu.
Kuyaziwa ukuthi ukushaya kwenhliziyo yengane kuqala ukusebenza cishe ezinsukwini ezingamashumi amabili nambili ngemva kokukhulelwa.
Kuze kube isonto leshumi nambili lokukhulelwa, izinga lokushaya kwe-fetus elivamile liphakathi kwamabhithi ayi-110 no-160 ngomzuzu.
Qaphela ukuthi lobu bubanzi bubhekwa njengento evamile futhi akusho ukuthi umbungu ungowesilisa.
Kubalulekile ukugcizelela ukuthi ukushaya kwenhliziyo yengane akushintshi ngaso sonke isikhathi, kodwa kunalokho kuyashintsha ngokwemvelo futhi kuyahlukahluka.
Besebenzisa i-ultrasound, odokotela bokubelethisa bangakala izinga lokushaya kwenhliziyo yengane ekuqaleni kokukhulelwa, ikakhulukazi kusukela evikini lesithupha kuya kwelesisishiyagalombili.
Le ndlela ibhekwa njengenye yezindlela ezivame kakhulu zokunquma ubulili bombungu.
Ngakho-ke, abesifazane kufanele bakhumbule ukuthi ukuthembela ekushayeni kwenhliziyo yengane ukuze banqume ubulili bayo akulungile.
Kufanele ngaso sonke isikhathi uqiniseke ukuthi uthintana nodokotela onguchwepheshe futhi wenze izivivinyo ezidingekayo ngaphambi kokwenza noma yiziphi iziphetho zokugcina mayelana nobulili bombungu.
Ingabe i-fetus pulse engu-XNUMX ijwayelekile?
Izinga lokushaya kwenhliziyo yengane liphakathi kuka-100-120 ngomzuzu, kodwa lingakhula kancane kancane njengoba iminyaka yokumitha ikhula bese yehla futhi.
Evikini leshumi nambili lokukhulelwa, izinga lokushaya kwenhliziyo yengane lisukela ku-110 kuya ku-160 beats ngomzuzu, futhi lokhu kuthathwa njengokushaya kwenhliziyo okuvamile kulesi sigaba.
Kuyaziwa ukuthi izinga lokushaya kwenhliziyo elijwayelekile le-fetus lisukela ku-120-160 beats ngomzuzu.
Kufanele kuqashelwe ukuthi leli zinga libhekwa liphakeme kakhulu kunelokushaya kwenhliziyo yomuntu omdala.
Kuyaphawuleka ukuthi kukhona ukungaguquguquki nokuvumelana phakathi 120-160 beats ngomzuzu.
Emasontweni okuqala ayishumi okukhulelwa, izinga lokushaya kwenhliziyo yengane liba ngaphezu kwamabhithi ayi-160 ngomzuzu, okubhekwa njengokungajwayelekile.
Idatha yesayensi ibonisa ukuthi ukushaya kwenhliziyo yengane ngomzuzu kufinyelela cishe ukushaya okungu-160 evikini leshumi nambili, futhi kuyaqhubeka ngaleli zinga enyangeni yesithathu yokukhulelwa.
Ngokuvamile, izinga lokushaya kwenhliziyo yengane evamile ngesikhathi isesibelethweni sikamama lisukela kumabhithi ayi-120 kuye kwayi-155 ngomzuzu.
Kwesinye isikhathi, leli zinga lingakhuphuka kancane lifike kumabhithi ayi-160 ngomzuzu.
Kodwa-ke, ukushaya kwenhliziyo kwengane ephezulu akusona isibonakaliso esizenzakalelayo sobulili bengane.
Kumele kuqashelwe ukuthi izinga lokushaya kwe-fetus lingashintsha ngokusekelwe eminyakeni yobudala, ukunyakaza kwe-fetus, nezinye izici.
Uma ukhathazekile ngesilinganiso senhliziyo yengane, kungcono ukubonisana nodokotela ukuze uthole isiqondiso esidingekayo futhi uqinisekise ukuphepha kokukhulelwa.
Kunini lapho izinga lokushaya kwenhliziyo yengane libhekwa liphezulu?
Izinga lokushaya kwenhliziyo yengane lingahluka ngokwemvelo kuye ngezigaba zokukhulelwa, kodwa kunezinye izimo lapho ukushaya kwenhliziyo yengane kungase kubhekwe njengokuphakeme.
Ngokuvamile, isilinganiso esivamile sokushaya kwenhliziyo yengane kusukela ekuqaleni kokukhulelwa kuze kube isonto leshumi kubhekwa njengokushaywa phakathi kuka-120-160 ngomzuzu.
Ekuqaleni kokukhulelwa, izinga lokushaya kwenhliziyo yengane lihamba kancane, kodwa kancane kancane liyakhula ngokuhamba kwesikhathi.
Ngezinye izikhathi, ukushaya kwenhliziyo yengane kungase kudlule umkhawulo ophezulu webanga elivamile.
Lokhu kungase kwenzeke ngenxa yezizathu ezihlukahlukene ezifana nokucindezeleka, ukushisa, noma isimo sezulu esishisayo Kulezi zimo, kungase kube ngcono ukubonana nodokotela ukuze ahlole isimo.
Kufanele futhi kucatshangelwe ukuthi ezinyangeni zokugcina zokukhulelwa, ukushaya kwenhliziyo kamama kungase kukhuphuke ngokwemvelo futhi kufinyelele ku-20% ezinyangeni zokugcina zokukhulelwa.
Lokhu kungase kuholele ekushayeni kwenhliziyo okungajwayelekile nokusheshayo, okuyinto evamile.
Uma ukhathazekile ngokushaya kwenhliziyo yengane yakho, kungcono ukuthintana nodokotela wakho wokubelethisa ukuze uthole ukuhlolwa okuningiliziwe kanye neziqondiso ezengeziwe.
I-Ultrasound ingasetshenziswa ngudokotela ukukala izinga lokushaya kwenhliziyo yengane ekuqaleni kokukhulelwa futhi ahlole isimo ngokuqhubekayo.
Kuyini ukushaya kwenhliziyo yengane uma izalwa?
Ukushaya kwenhliziyo yengane kungenye yedatha ebalulekile engakhishwa ngesikhathi sokukhulelwa, futhi ngalo mbandela kungenzeka ukubikezela ubulili bombungu ngokwezinkolelo ezithandwayo.
Idatha eku-inthanethi ibonisa ukuthi izinga lokushaya kwenhliziyo yengane lapho izalwa lisukela phakathi kwamabhithi angu-120 kuya kwangu-155 ngomzuzu.
Kwezinye izimo, leli zinga lingase likhuphuke libe ngu-160 beats ngomzuzu, futhi ngokuphambene, lingase lehle libe ngu-155 beats ngomzuzu.
Ngakho-ke, kungashiwo ukuthi lapho inhliziyo yombungu ishaya ngokushesha, maningi amathuba okuba kube umfana.
Kodwa-ke, kufanele kuqashelwe ukuthi lezi zinkolelo ezithandwayo azikasekelwa ngokwesayensi, futhi azikho izifundo zesayensi ezifakazela ukufaneleka kwazo.
Ngakho-ke, kufanele siyiphathe ngokuqapha futhi singathembeli kuyo ukuze senze izinqumo ezibalulekile mayelana nobulili bombungu.
Ngokuvamile, izindlela ezithembekile ezinjengokuhlolwa kwe-ultrasound noma ukuhlaziywa kwe-DNA kufanele kuthenjelwe kuzo ukuze kunqunywe ngokunembile ubulili bombungu.
Omama kufanele bathintane nethimba labo lezokwelapha eligunyaziwe ukuze bathole ulwazi olunembile nolungcono kakhulu mayelana nalokhu.
Nokho, ukuqapha ukushaya kwenhliziyo yombungu kungase kube indlela enhle yokuxhuma umama nombungu wakhe futhi uzwe ngempilo yayo.
Ngokuqondile, izinga elivamile lokushaya kwenhliziyo yengane liyi-120 kuya ku-160 ngomzuzu ezinyangeni ezisele zokukhulelwa.
Ingabe ukushaya kwenhliziyo kwengane ephezulu kuyingozi?
Ukushaya kwenhliziyo kwengane ephezulu kuyisihloko esithinta omama abaningi abakhulelwe.
Odokotela bayakuqinisekisa ukuthi eziningi zalezi zinkinga azibeki usongo empilweni yombungu, njengoba cishe u-90% wazo uhlukaniswa njengokuphazamiseka okwenzeka ngenxa yezimbangela zemvelo.
Kodwa-ke, ezimweni ezibhekwa njengengozi enkulu, ukukala ukushaya kwe-fetus kuyadingeka.
Lezi zimo zihlanganisa ukukhulelwa ebusheni noma sekwephuzile, kanye nokuncipha kokujikeleza kwegazi ku-fetus.
Uprofesa wezokubelethisa nezifo zabesifazane uxwayisa ngokuthi ukushaya kwenhliziyo okuphezulu kungase kubangele ukuntuleka kwenani legazi elifinyelela kumntwana, futhi lokhu kungase kuthinte ukukhula nokukhula kwayo.
Odokotela bayeluleka ngokuthi izinga lokushaya kwenhliziyo yengane libhekwa njengeyingozi uma lidlula ibanga elivamile.
Lokhu kungase kubonise isidingo sokubeletha ngaphambi kwesikhathi ukuze kulondolozwe impilo yombungu kanye nowesifazane okhulelwe.
Ngakho-ke, omama besikhathi esizayo kufanele baqaphele futhi bavakashele udokotela njalo ezinyangeni zokugcina zokukhulelwa.
Odokotela baxwayisa ngokuthi ukwehla kokushaya kwenhliziyo kombungu kungase kuyibeke engozini, njengoba kungase kubangele ukuncipha kokujikeleza kwegazi kanye nokuwohloka kwesimo sayo sempilo.
Ngakho-ke, kuyadingeka ukunaka noma yiziphi izinguquko ekushayeni kwenhliziyo futhi ubhekise kudokotela uma kwenzeka noma iyiphi inkinga.
Ukulinganisa ukushaya kwenhliziyo yengane kubalulekile ekuqapheni impilo nempilo yokukhulelwa.
Abesifazane abakhulelwe kufanele bathathe zonke izinyathelo zokuphepha ezidingekayo futhi balalele imiyalelo yodokotela ukuze baqinisekise ukuvikeleka kwengane yabo kanye nempilo yayo.
Okabani ukushaya kwenhliziyo okubonisa ngokushesha, umfana noma intombazane?
Abukho ubufakazi besayensi obubonisa ukuthi kunomehluko ekushayeni kwenhliziyo yengane phakathi kwabesilisa nabesifazane.
Esigabeni sokuqala sokukhulelwa, cishe ngesonto lesihlanu, inhliziyo yengane iqala ukushaya, futhi ukushaya kwenhliziyo kwayo kuzwakala ngokucacile kusetshenziswa umshini we-Doppler.
Naphezu kwamahemuhemu okuthi ukushaya kwenhliziyo kombungu wesilisa kungase kuvele ngaphambi kokushaya kwenhliziyo yowesifazane, abukho ubufakazi obungokwesayensi obusekela lokhu kwaziswa.
Eqinisweni, odokotela bayavuma ukuthi awukho umehluko phakathi kokushaya kwenhliziyo kombungu wesilisa nowesifazane.
Kodwa-ke, i-ultrasound iyindlela engcono kakhulu yokuthola ukushaya kwenhliziyo kwengane kanye nokushaya kwenhliziyo okuvamile.
Ukushaya kwenhliziyo yengane ngokuvamile kuvela ekuqaleni kokukhulelwa, futhi izinga lokushaya kwenhliziyo ngokuvamile lisukela ku-110 kuya ku-160 beats ngomzuzu.
Udokotela oqaphile angasebenzisa izithombe ze-ultrasound ukuze alinganise amandla okushaya kwenhliziyo futhi abone noma iyiphi inkinga engaba khona ngempilo yombungu.
Kufanele sazi ukuthi umehluko ekushayeni kwenhliziyo yengane phakathi kwabesilisa nabesifazane awuhlobene neqiniso, nokuthi ubulili bombungu bunqunywa izici zofuzo hhayi ngokususelwa ekushayeni kwenhliziyo.
Iyini imbangela yokwanda kwenhliziyo ngesikhathi sokukhulelwa?
Kunezizathu eziningana zokwanda kwenhliziyo kwabesifazane abakhulelwe.
Ukukhathala nokucindezeleka kungase kubangele umfutho wegazi ophakeme, okuholela ekushayeni kwenhliziyo okusheshayo nokushaya ngamandla.
Ngakho-ke, kubalulekile ukuthi owesifazane okhulelwe adle ukudla okunempilo futhi anake ukuphumula nokuphumula.
Abesifazane abaningi abakhulelwe baba nenhliziyo eshaya ngamandla, lapho bezwa khona inhliziyo ishaya ngokushesha noma bezwe sengathi inhliziyo iyabhakuza noma yeqa.
Lokhu kushaya kwenhliziyo kungase kubangele umfutho wegazi ophakeme, futhi kungase kube umphumela wokushintsha kwamahomoni okwenzeka ngesikhathi sokukhulelwa.
Ukucindezeleka kwengqondo, ukucindezeleka, noma ukukhathazeka kungase kubangele ukwanda kwenhliziyo kowesifazane okhulelwe.
Abesifazane abakhulelwe kufanele banakekele impilo yabo yengqondo futhi bazole futhi bakhululeke ukuze banciphise lezi zenzakalo.
Kuphinde kube nomphumela womthwalo enhliziyweni ongaholela ekushayeni kwenhliziyo okwandisiwe.
Ezinyangeni ezintathu zokugcina zokukhulelwa, imithambo yegazi emzimbeni iyakhula ukuze ikwazi ukwamukela umthamo wegazi owandayo odingekayo ukuze kondle umbungu.
Ukwenyuka kwenhliziyo yowesifazane okhulelwe kungase kube ngenxa yalokhu kuphazamiseka ngokomzimba.
Ukuntuleka kwe-Magnesium kungabangela ukushaya kwenhliziyo kwabesifazane abakhulelwe.
I-Magnesium iyisici esibalulekile ekusebenzeni kwenhliziyo enempilo, ngakho-ke abesifazane abakhulelwe kufanele baqinisekise ukuthi badla inani elanele le-magnesium ngokudla noma izithasiselo zokudla okunomsoco okunconywe udokotela owelaphayo.
Kuyini ukuhlela okujwayelekile kombungu?
Izinga lokushaya kwenhliziyo elijwayelekile le-fetus liphakathi kuka-120 no-160 ukushaya ngomzuzu.
Leli zinga lihlolwa yi-fetal cardiotocography, engenziwa kusukela ngenyanga yesithupha yokukhulelwa.
Ishadi ngokuvamile liqukethe izingxenye ezimbili ezibalulekile, lapho ingxenye engaphezulu ibonisa ukushaya kwenhliziyo yengane.
Isisekelo esingavamile sibizwa ngokuthi “i-bradycardia” lapho izinga lokushaya kwenhliziyo yengane lingaphansi kwamabhithi ayi-110 ngomzuzu.
Kuyaphawuleka ukuthi i-fetus echocardiography ukuhlolwa okwenziwa nge-ultrasound ngesikhathi sokukhulelwa ukuze kuhlolwe inhliziyo yengane.
Lokhu kuhlolwa kuthathwa njengokufanelekile uma imiphumela yezinga lenhliziyo yengane ingaphakathi kwebanga elivamile futhi kuvela ama-tachycardia amaningana asheshayo.
Ukusetshenziswa kwalokhu kuhlelwa kuphephile futhi akubangeli monakalo ku-fetus noma kumama.
Ingabe ukushaya kwenkaba kubonisa ukushaya kwengane?
Njengoba kunamahemuhemu azungezayo phakathi kwabantu mayelana nokuhlobana kwenhliziyo yenkaba nenhliziyo yengane, owesifazane ozwa ukushaya kwenhliziyo ngaphakathi kwenkaba angase afune ukwazi ukuthi lokhu kusho ukuthi kukhona yini ukushaya kwenhliziyo yengane.
Eqinisweni, impendulo yalo mbuzo ithi “cha.”
Ngokuvamile, ukushaya kwenkaba kungase kwenzeke ngenxa yezizathu eziningana, njengokuphazamiseka kwamathumbu okucasulayo noma ukuvinjelwa kwemigudu.
Ngakho-ke, ukuba khona kwe-pulse ngaphakathi kwenkaba akubona ubufakazi bokuthi kukhona ukushaya kwe-fetus.
Eqinisweni, ukuzwa ukushaya kwenhliziyo yengane kuqala esigabeni esithile sokukhulelwa futhi akwenzeki ngaphansi kwenkaba.
I-fetus ihamba ngezindlela nezindlela ezahlukene ngaphakathi esibelethweni sikanina, futhi ngaleyo ndlela ukushaya kwenhliziyo kwengane kuncike esimweni sokunyakaza kwengane.
Nakuba ukuba khona kokushaya kwenhliziyo ngaphakathi kwenkaba kungabonisi ukushaya kwenhliziyo yengane, ukukhulelwa kungatholwa ngenkaba kwabanye besifazane.
Uma owesifazane elala ngomhlane futhi efaka umunwe wakhe phakathi kwenkaba, angase ezwe ukushaya kwe-fetus uma kukhona.
Ngakho-ke, singasho ukuthi izinyanga lapho i-pulse ingaphansi kwenkaba azibhekwa njengesibonakaliso sokukhulelwa futhi azikwazi ukubhekwa njengokushaya kwenhliziyo yengane.
Kumelwe siqinisekise njalo izimpawu zokukhulelwa ngokuhlolwa kodokotela nezeluleko nodokotela abangochwepheshe.
Yikuphi ukudla okuqinisa ukushaya kwenhliziyo yengane?
Ukulandela ukudla okulinganiselayo nokunempilo kuyisici esibalulekile ekukhuthazeni ukukhula kombungu kanye nokuqinisa ukushaya kwenhliziyo yayo.
Abesifazane abakhulelwe bayelulekwa ukuba badle ukudla okucebile izithelo nemifino, njengoba lokhu kudla kuqukethe amavithamini namaminerali amaningi adingekayo empilweni yomntwana.
Ngaphezu kwalokho, kunconywa ukudla okusanhlamvu okuphelele, imifino enamahlamvu, namaprotheni ukuze kunikeze amandla adingekayo nokudla komntwana.
Inkukhu eyosiwe inothile nge-glycine, i-amino acid ebalulekile ekuthuthukiseni isimiso sezinzwa somntwana.
Imifino efana nobhontshisi nesesame nayo ingafakwa ekudleni kowesifazane okhulelwe, njengoba iqukethe amaprotheni ezitshalo namaminerali athuthukisa impilo yengane.
Ngaphezu kwalokho, ukwatapheya ungumthombo ocebile wamafutha anempilo nezakhamzimba ezisekela ukukhula kwengane.
Amaqanda enkukhu, isibindi senyama yenkomo, amantongomane kanye nembewu nakho kuqukethe imisoco eminingi edingekayo ukuze kuthuthukiswe ukukhula kwengane.
Ungakhohlwa futhi ukuthi abesifazane abakhulelwe bafaka inyama, izinkukhu, isipinashi, ne-arugula ekudleni kwabo, njengoba kuqukethe i-iron eningi namavithamini athuthukisa ukufinyelela kwegazi ku-fetus.
Abesifazane abakhulelwe kufanele bagweme ukudla usawoti omningi, njengoba kunconywa ukunciphisa ukusetshenziswa kukasawoti ngaphansi kwamagremu amahlanu ngosuku.
Kubuye kunconywe ukuthi kwandiswe ukusetshenziswa kokusanhlamvu, ukudla okunothe nge-thiamine okufana nophizi, i-oats, nezithelo nemifino ecebile nge-omega-3 acids.
Ukunakekelwa kufanele kuthathwe ukuze uphumule futhi ugweme ukucindezeleka ngesikhathi sokukhulelwa, njengoba indawo yokukhulelwa ezolile inenzuzo empilweni ye-fetus.
Umama ukuzwa nini ukushaya kwenhliziyo yengane esiswini sakhe?
Umama uvamise ukuzwa ukushaya kwenhliziyo yengane esiswini ekupheleni kwesonto lesithupha nasokuqala kwesonto lesikhombisa lokukhulelwa.
Ukushaya kwenhliziyo kombungu kuyavela futhi ukushaya kwayo kuzinzile ekupheleni kwenyanga yesibili.
Umama uyakwazi ukuzwa ukushaya kwenhliziyo kombungu esebenzisa umshini we-ultrasound ehhovisi likadokotela wezifo zabesifazane kusukela cishe evikini lesithupha.
Ezinyangeni zokuqala zokukhulelwa, kungase kube nzima kumama ukuzwa ukushaya kwenhliziyo yombungu ngenxa yobuncane bengane kanye namandla abuthakathaka omthwalo.
Ngakho-ke, ukuzwa kukamama ukunyakaza esiswini kubhekwa njengenye yezimpawu zokuqala ezibonisa ukuba khona kwe-fetus ngaphakathi kuye.
