CTG mwana wosabadwayo - ponseponse. CTG mwana wosabadwayo - mlingo pa masabata 36. Kodi kumvetsa CTG wosabadwa

Mwamtheradi mkazi aliyense ali woyembekezera nkhawa mmene kukhala mwana wake, chirichonse mu dongosolo lake. Masiku ano, pali njira zimene zingachititse kuti kudzitamandira mokwanira odalirika wa mwana wosabadwayo. Njira amenewa ndi cardiotocography (CTG) akusonyeza ubwenzi wa perturbation ndi kugunda kwa mtima yoopsa. M'nkhani limeneli muphunzira zimene CTG, pa momwe ntchito yake ayesedwa, pakuti zizindikiro CTG mwana wosabadwayo - ponseponse, ndipo zimakhudza zotsatira za phunzirolo.

Kodi CTG

Cardiotocography zochokera kulembetsa pafupipafupi kugunda kwa mtima yoopsa ndipo sasintha malingana ndi chikoka zikuchitika kunja kapena ntchito yoopsa.

Matendawa ali chinagwira ntchito masensa awiri akupanga, mmodzi amene chili pamimba wa akazi pakati chisanafike kumasulira dera zabwino audibility kugunda kwa mwanayo. Chinali cholinga kulemba ntchito mtima wa mwana wosabadwayo. Mphamvu kachipangizo anasonyeza kwa mtima wa mwana akupanga chizindikiro, limene munatembenuka mwa dongosolo kompyuta mlingo yomweyo mtima. The kachipangizo chachiwiri chili ndi pamimba mu chiberekero. Chikusonyeza uterine contractions. Kusintha kufala kwa masensa akupanga mafunde ali kukonzedwa ndi gel osakaniza wapadera. Komanso, zipangizo zamakono zili ndi mphamvu yakutali mwa kuwonekera pa batani kuti, mayi woyembekezera angaone yoopsa kuyenda.

Zotsatira amalembedwa chipangizo tepi mu mawonekedwe a Zithunzi a. Palinso anasonyeza contractions uterine ndi kayendedwe yoopsa. Deta analandira akhoza adzaweruzidwa makamaka boma ya ubongo wa mwanayo, zochita zake zoteteza ndi dziphunzitsiranso. Ngati zizindikiro CTG mwana wosabadwayo - ponseponse, zikutanthauza kuti mwana angamasuke, ndipo anapeza ake chitukuko monga masiku.

Chimene chimafuna CTG

Kuphunzira mkazi pakati pa ofesi ya azamba-gynecologist kumaphatikizapo kumvetsera kugunda kwa mwana ndi stethoscope a. The kupatuka pa ponseponse wa kugunda kwa mtima (HR) mu kapena pansi limasonyeza kuti mwana akukumana nkhawa. Pankhaniyi, dokotala akutumiza amayi m'tsogolo kuphunzira bwino za dongosolo mtima wa mwana wosabadwayo - CTG.

Pali kugwirizana pakati pa umoyo wa mayi oyembekezerayo ndi mwana wosabadwayo. Choncho, ngati mimba zinali zosavuta, popanda matenda intrauterine, kusokoneza kuopseza, preeclampsia, zotsatira za CTG, mwachidziwikire aliyense. Ngati mayi wapakati ndi thanzi labwino anati zotsatira Muzisamala CTG, m'pofunika kuchita kafukufuku mu sabata kachiwiri.

Ngati mayi wapakati anapeza kusintha kwenikweni mu udindo thanzi, m'pofunika ngati CTG angathe kuonedwa kawirikawiri kuti kuteteza zosayembekezereka wa kuvutika nthawi chitukuko yoopsa ndi njira zofunika.

Features za kafukufukuyo

Perekani CTG zambiri pambuyo masabata 32 a mimba chifukwa ndi nthawi iyi pali kukhwima neuromuscular nyemba, ndi njira umakhala nkhani okha.

Mwachitsanzo, kwa mwana wosabadwayo CTG mlingo 33 masabata - pamaso oposa awiri aktseleratsy Zithunzi. Pa nthawiyi, iwo amayamba ndi mantha dongosolo poyankha kayendedwe yoopsa kapena zinthu zina. Pa kale siteji aktseleratsii likhoza kulumikizidwa ndi zinthu intrauterine kuli mwana wosabadwayo, kotero kafukufuku zingachititse kuti zotsatira zabodza.

Komanso, nthawi iyi wosabadwa udzakhazikitsidwe ntchito mkombero ndi zina, zomwe ndi zofunika kwambiri kwa Phunziro lino. Pa CTG mu mpumulo wa mwana wosabadwayo pa zotsatira nthawi zonse zabwino, ngakhale Ndipotu pali digiri yapamwamba ya hypoxia. N'chifukwa chake kuphunzira iyenera kuchitikira kwa mphindi zosachepera 40. Panthawi imeneyi, mwana wosabadwayo amangidwa kuonjezera zolimbitsa thupi lomwe alembetse kusintha kugunda kwa mtima pa kayendedwe ake.

Nkofunika kuti mkazi womasuka ndi omasuka pa mayeso. Kovuta kapena maganizo yowala zingachititse yogwira yoopsa kayendedwe, Izi zidzapangitsa kuti zotsatira zabodza. Childs, pa ndondomeko mkazi kukhala pa mpando omasuka kapena atagona pabedi pa mbali yake.

Pofuna kudziwa mmene kumvetsa CTG wosabadwa adzaona ndendende mmene imawunikidwa mwa magawo.

mlingo woyambira mtima

The woyambira kugunda kwa mtima - zingati pafupifupi mtima wa mwana wosabadwayo, cholinga kwa mphindi 10-20. Amaonekera, pakalibe kayendedwe yoopsa pakati contractions uterine popanda zikuchitika kunja, kupatulapo aktseleratsy ndi decelerations. Pochititsa yoopsa CTG BCHSS mtengo 110-160 kumenyedwa pa mphindi. Tachycardia, mwachitsanzo pamwamba mlingo yachibadwa woyambira mtima, zingaoneke mu hypoxia yoopsa, kuchepa magazi, malformations ndi yoopsa mtima ntchito insufficiency, komanso mu mkhalidwe thupi mimba, pamaso pa matenda ake intrauterine, kuwongolera chithokomiro ntchito. Kulandira mankhwala ndi zotsatira kardiostimuliruyuschy kungachititse ndi kuwonjezeka mu mtima yoopsa.

Kutsitsa mlingo woyambira ndi pansipa yachibadwa (bradycardia) bwino zimayamba ndi hypoxia, kupunduka mtima yoopsa, komanso kuthamanga otsika magazi a mayi, hypoxemia, psinjika yaitali chingwe umbilical, pamaso pa amayi apakati CMV matenda.

kugunda kwa mtima masiyanidwe

njirayi amakhala ndi oscillations yomweyo - zolakwika kugunda kwa mtima kwa mlingo woyambira. Pamene kupenda CTG zambiri kuphunzira yomweyo matalikidwe a oscillations, chikhalidwe cha omwe secrete otsika oscillation (kupatuka ndi kumenyedwa osachepera atatu / mphindi), sing'anga (3-6 kumenyedwa / mphindi), mkulu (matalikidwe pa 6 kumenyedwa / Mph).

Pakuti CTG yoopsa mlingo wa masabata 36 - mkulu oscillation, kuonetsera moyo wa mwana wosabadwayo. Pamaso pa oscillation otsika anati pathologies mu chitukuko.

chidwi linaperekedwa kwa kusanthula kardiotokogramm oscillations pang'onopang'ono. Malinga matalikidwe zawo kusiyanitsa popanda kusintha mphamvu mtundu, amene amakhala ndi oscillations otsika matalikidwe (0 5 kumenyedwa / mphindi), mtundu kusintha ndi matalikidwe a ku kumenyedwa 6 mpaka 10 / Mph, corrugating (11 25 kumenyedwa / Mph) ndi akuthamanga mtundu (matalikidwe pamwamba 25 kumenyedwa / Mph). Kuchuluka oscillation matalikidwe likhoza kulumikizidwa ndi zolimbitsa yoopsa hypoxia, komanso chikoka cha zikuchitika kunja kuti yotithandiza dongosolo lawo mantha. Kusiyiratu oscillation matalikidwe bwino zimayamba ndi hypoxia aakulu imbaenda chopinga wa ntchito ya ubongo wa mwana wosabadwayo, kugwiritsa ntchito mankhwala osokoneza bongo, asamakhale ndi nkhawa.

Aktseleratsii

Aktseleratsiey otchedwa palpitations zosakhalitsa osachepera 15 kumenyedwa / Mph poyerekeza ndi msinkhu woyambira ndi nthawi ya masekondi 15. Pa kardiotokogramme iwo amaoneka ngati mano mkulu. Aktseleratsii ndi kulabadira zakunja contractions wa chiberekero, pa kayendedwe ka mwana. anafikapo pa CTG mwana wosabadwayo - ponseponse.

decelerations

Detseleratsii otchedwa liwiro mlingo mtima wa mwana wosabadwayo ndi osachepera 15 kumenyedwa / Mph yaitali kuposa masekondi 15. The Zithunzi zikusonyeza maganizo momwe kwambiri. Pali oyambirira, mochedwa ndipo decelerations variable. Komanso wachinsinsi monga matalikidwe kuwala ndi kuchepa kugunda kwa mtima ndi kumenyedwa 30 / Mph, zolimbitsa - 30 - 45 kumenyedwa / Mph, ndi woopsa - kuchokera kumenyedwa 45 / min. Liwiro kugunda kwa mtima mwina chifukwa matenda a otaya placental magazi, m'mnyewa wamtima hypoxia, kufinya chingwe umbilical.

CTG mwana wosabadwayo. wakudziko

Pakuti ziyenera yoopsa, la World Health Organization zachitika malangizo amene mwachindunji osachepera ndi pazipita mfundo kololeka lililonse chizindikiro. Motsatira malangizo awa, CTG wosabadwa (ponseponse kwa masabata 33) ayenera matanthauzo zotsatirazi:

• mlingo woyambira mtima: 110-160 kumenyedwa / min.
• kugunda kwa mtima masiyanidwe mu osiyanasiyana 5-25 ukugunda / min.
• Awiri kapena kuposa mathamangitsidwe kwa mphindi 10.
• Chosowa decelerations kwambiri.

Dziwani kuti mlingo wa yoopsa CTG 35 masabata kapena zambiri ndi chimodzimodzi mu masabata 33.

Yoopsa ziyenera Mfundo

Decode zotsatira CTG 10-mfundo lonse, mumayesto aliyense muyeso mfundo 0 2. Pakuti CTG yoopsa mlingo wa masabata 36, komanso mu trimester lachitatu, 9-10, ngati zigoli okwana 6 mpaka 8, zikunenedwa mpweya njala (hypoxia) popanda kumuopseza owonjezera, muyenera kubwereza ndondomeko CTG mkati mwa sabata; Ngati mfundo 5 kapena zochepa - ndiye mwana amamvera kwambiri mpweya akusowa, tingayambe mavuto aakulu ubongo, muyenera kuchitapo kanthu mwamsanga.

Kumbukirani kuti ngakhale CTG yoopsa mfundo 8 kapena pansipa, si koyenera patsogolo nthawi mantha. Mu mtundu wa kafukufuku, komanso ena ambiri, pali zinthu zimene zimakhudza okhutira mudziwe la umboni. Zotsatira amadalira kwambiri, mwachitsanzo, ngati mwana akugona kapena maso. madokotala okhwima chinawathandiza kumvetsa n'chakuti kardiotokogramm kuchita zinthu chifukwa monga nyengo, maganizo a amayi oyembekezera, misinkhu shuga magazi akazi. Ngati deta CTG si zolondola, ndiye dotolo mankhwala mayesero zina. Cardiotocography zambiri ikuchitika kawiri trimester wachitatu wa mimba, koma zina zambiri, monga mimba angapo, kuthamanga kwa magazi, pamaso pa matenda, matenda a shuga, zotsatira osagwira wa ultrasound, magazi, contractions msanga.

zolakwa zotheka ya kutanthauzira CTG deta

1. The mwana m'mimba likuyenda nthawi zonse. Nthawi zina akhoza kufinya mutu wa chingwe umbilical, nchifukwa chake kwa kanthawi kochepa anawawidwa magazi ziwiya chingwe umbilical, amene kumaonekera zotsatira za CTG. Pankhaniyi, kardiotokogramma adzakhala ndi chikhalidwe pathological ndi zipatso zabwino.
2. Nthawi zina pa akusowa mpweya mu mwana wosabadwayo monga zochita kumbuyo: kuchepetsa mpweya consumability minofu ndi kuonjezera kukana kuti hypoxia. Zikatero, mwanayo akuvutika, koma zilibe bwanji CTG.
3. Ndi chitukuko cha kudwala angathe kuchepetsedwa mphamvu kuzindikira minofu pa mpweya zili zabwinobwino mu magazi, chifukwa cha zimene mwana wosabadwayo amapezeka palibe anachita, ndipo HIC adzakhala zachilendo, ngakhale amadwala kupanda oxygen.

Tangoganizirani za pamwambapa, ayenera kumvetsa kuti CTG wosabadwa pa mimba ndi njira yofunika kwambiri ya matenda, koma kuti kumvetsa zimene zikuchitika CTG deta iyenera poyerekeza ndi maphunziro ena. Today chimagwiritsidwa ntchito ndi matenda Doppler ultrasound.

Kodi mukhoza CTG wosabadwa

CTG kuchita kwaulere mu zipatala zonse antenatal. N'zotheka kuchita kafukufuku ndi oziyimila paokha mankhwala malo, koma amalipiritsa.
zipatala kugwira cardiotocography pa ntchito. Izi zimathandiza kuwunika ukupeza la mwana nthawi contractions ntchito ndipo fufuzani mphamvu ya mankhwala ndi yobereka machenjerero.

Ena amayi oyembekezera ndi mantha yocheza ndi wosiyana ndi kafukufuku woyembekezera, poganiza kuti akhoza thanzi mwana wosabadwayo. Cardiotocography otetezeka mwamtheradi, ndipo izo zikhoza kuchitidwa nthawi zambiri zoyenera, popanda thanzi. Komanso, ndi sabweretsa chisoni, sayambitsa kusapeza iliyonse.

Tikufuna inu mimba mosavuta komanso kuti!