Khama la kugunda kwa mtima. Wakudziko ndi zolakwika kwa izo

Mimba ndithu angatchedwe imodzi mwa nthawi wofunika kwambiri pa moyo wa mkazi, amene iye akubwera udindo waukulu. Posachedwa iye adzakhala mayi wa munthu wachikondi wake wamng'ono, kotero yesetsani kusamalira thanzi lake pamene iye anali m'mimba. Mimba kusunga ndi kuunikira kwa madokotala pofuna kupewa onse matendawo. Imodzi mwa njira zabwino koposa za polojekiti chitukuko yoopsa, muyeso wa kugunda kwa mtima - kugunda kwa mtima. Norma kuchepetsedwa izi pafupifupi ayenera kukhala mkati 120 - 160 kumenyedwa pa mphindi. Mnthawi mimba, Chiwerengerochi ndi nkhani kusintha. Mwachitsanzo, gestation a masabata asanu ndi atatu a kugunda kwa mtima yoopsa ndi za 110 - 130 kumenyedwa pa mphindi, 9 - 10 masabata kwa zosonyezera 170 - 190 zikwapu N'kutheka kunena kuti kugunda kwa mtima yachibadwa. Kuyambira masabata 11 wonse wa abereke mimba kubadwa kwa kugunda yoopsa ndi sankaganiza ndi mlingo amakhala 140 - 160 kumenyedwa pa mphindi.

N'zochititsa chidwi kudziwa kuti kuphunzira ndi kufufuza ndalama mtima anayamba nthawi yaitali ntchito kudziwika oyambirira a chikhalidwe yoopsa. Scientist Kilian kale mu 1848 adati asintha yoopsa kugunda kwa mtima mwina chifukwa hypoxia intrauterine. Chifukwa cha kopanda wakhala anatulukira ndipo anayamba ndi stethoscope obstetric. Iye ankagwira ntchito pa nthawi imeneyo, asayansi apeza kuti molondola kwambiri younikira kugunda kwa mtima, mukhoza kugwiritsa ntchito electrocardiogram. Kenako, malinga ndi njira cofufuzila molondola kwambiri ndipo wathunthu anawonjezera wina ultrasound ndi CTG.

Lero, chifukwa cha chitukuko mosalekeza ndi kusintha kwa sayansi palibe vuto kuyeza kugunda kwa mtima yoopsa. Wakudziko kumatanthauza pa 120 - 160 kumenyedwa limasonyeza boma wabwinobwino ndi chitukuko yoopsa, koma zolakwika kuchokera mu laling'ono kapena zikuluzikulu mbali mphamvu kale amachititsa Lingalirani. N'chifukwa chake, pofuna kupewa mavuto alionse mu chitukuko cha mwana wosabadwayo, mayiyo mu mimba ndi chizolowezi ultrasound ndi cardiotocography.

Cardiotocography ndi mndandanda wa contractions uterine ndi yoopsa mtima. Zotsatira za phunziroli akhoza kupereka zambiri za moyo yoopsa. Komanso mwapadera, ndi ECG kupenda:

- mtengo wa ndalama pafupifupi mtima;

- kusintha mu yoopsa kugunda kwa mtima poyankha kayendedwe ake;

- anasinthira chifukwa cha contractions uterine;

- pamaso pa kuchepetsa kapena kuwonjezera mlingo mtima.

Pamene dokotala amasanthula kugunda kwa mtima wa mwana wosabadwayo, mtengo wake ndi wofunika kwambiri kwa iye. Iwo amayamba ndi chakuti owonjezera kuchepetsa akhoza kukamba za choipa ndi osakwanira otaya mpweya kwa mwana wosabadwayo. Izi boma la mankhwala otchedwa tachycardia. Koma kugunda kwa mtima m'munsimu yachibadwa kungasonyeze kuwonongeka kwa chikhalidwe ambiri a mwana wosabadwayo. Kugunda pansipa 120 kumenyedwa / min. Izo zikhoza kukhala chifukwa cha insufficiency placental kapena yoopsa hypoxia. Izi anapatsidwa dzina la bradycardia. Chokha chimene pakafukufuku mtima - mlingo ndi breech mwana wosabadwayo. Ngati mwana wosabadwayo, amene kutalika ndi yaitali kuposa 8 mm, ndi kugunda si bugged, ndi ayi, nthawi zambiri amasonyeza mimba osauka. Komabe, kuti si kuti amalakwitsa ndi kupanga matenda zolondola, dokotala ayenera kachiwiri perekani amayi apakati ultrasound. Iye anagwiritsitsa pambuyo sabata imodzi, ndipo kokha pamaziko a zotsatira akhoza reused kuti mfundo konkire.

Kodi kulabadira akazi onse ang'onoang'ono koma kwambiri mfundo imodzi: moyo, amene amatsatira mkazi wapakati, palokha chitukuko cha mwana wosabadwayo ndi kugunda kwa mtima wake. Ponseponse pa mlingo mtima yoopsa ayenera anakhalabe zolondola mode mayi woyembekezera kupumula ndi ntchito.