Yoopsa CTG

Mu theka lachiwiri la mimba, chiwerengero cha mayesero ndi mayeso kumawonjezera. Kenako anawonjezera mtundu wina: CTG mwana wosabadwayo. The mimba choyamba mayi woyembekezera ndi mantha: zikutanthauza kuti ndi mwana kuti chinachake cholakwika?

Wokongola Moms m'tsogolo, muyenera kudziwa kuti CTG mwana wosabadwayo, kawirikawiri zosaposa cheke chizolowezi cha khalidwe la nyama chiberekero ndi kumenyedwa mtima wa mwanayo tsogolo. CTG - ndi kardiotogografiya, zimatenga sabweretsa chisoni mwamtheradi ndi kwathunthu vuto lililonse.

akazi onse mu theka lachiwiri la mimba pambuyo sabata 26. kutumikiridwa osachepera kawiri kudutsa kardiotogogorafii. Monga ulamuliro, oyenera zinalembedwa pasadakhale ndiponso kubwera mu ora mosamalitsa yoikidwiratu.

njirayi - kusala. Kusonkhanitsa mokwanira cholinga mudziwe ntchito uterine ndi yoopsa mtima, muyenera mphindi 40 mpaka 60. Female kapena anaika pa bedi omasuka, kapena pansi pa recliner omasuka ndi kuyeza HIC yoopsa akuyamba, pa mimba yake wokwera sensa ndi, akupereka mauthenga kwa amagetsi kulamulira wagawo, mfundo chinyezimiro zalembedwa pa tepi wapadera.

Wokondedwa madona, musati nze nkhani wothandizira choyezera, ndi onse Chiwerengerochi ndi mizere amadziwa simuziposa inu. Kwenikweni kupereka zotsatira zitha kukhala dokotala, pambuyo kwathunthu decrypt deta.

Pamene afufuze yoopsa CTG mawu olembedwa amayankha mndandanda wa zizindikiro za chikhalidwe chake:

1. woyambira mlingo (mwinamwake iwo akutchedwa kugunda kwa mtima - kugunda kwa mtima). Mu yoopsa kugunda kwa mtima zambiri kuposa mwana kale anabadwa. Ndi yoopsa HIC mpumulo zimachitika mwana ranges ku kumenyedwa 100 160 pa mphindi imodzi perturbation - mpaka 190.

2. masiyanidwe (i.e., ndi zolakwika munthu mwakale) chingaopseze kumenyedwa 25 pa mphindi.

3. HR mathamangitsidwe (kumakhalanso aktseleratsiya) zimachitikira kuposa nthawi 2 kwa mphindi 10. Koposa kotani - malinga ndi mikhalidwe munthu wa mwanayo tsogolo. Pa riboni ankaonetsa mkulu "nsonga"

4. Akuchedwa kugunda kwa mtima (decelerations) Kodi kwina kwathunthu kapena ali pamlingo wochepa (yaing'ono "zitsime).

5. Togogramma - ntchito uterine. Ndi zambiri osati oposa 15% ya kugunda kwa mtima chizindikiro, kutalika - mpaka masekondi makumi atatu.

Malinga ndi sikelo wapadera Akuti wina chizindikiro - ndi dokotala akuyang'anira chitukuko cha mwana wosabadwayo, inanena kukufikira.

Ngati Uwerenge mfundo 9 mpaka 12, mukhoza bwinobwino kupita kokayenda Palibe chifukwa chochitira mantha. Koma zimenezi sizikutanthauza kuti ku kuitana yachiwiri kafukufuku akhoza sanasamalidwe - maso sanasiye aliyense, tsopano, inu simungakhoze nkhawa: muli chabwino!

Ngati dokotala wanena kuti Uwerenge mfundo pamaziko a yoopsa CTG - mfundo 6 mpaka 8, izo zimatanthauza kuti mwana wosabadwayo si kupeza mpweya wokwanira, pali mofewa kutchulidwa hypoxia (sanali kuopseza). Izi zikhoza kukhala chifukwa matenda akuchikazi, kukodwa umbilical chingwe mwana, nthawi zina kusanthula woyamba chifukwa cha zifukwa zina ndi zolakwika. A mayi anatumiza kukonzanso kuwunika.

Ndipo ngati mtengo wonse wa 5 kapena zochepa - zikutanthauza anasonyeza anoxia mwana wosabadwayo. Pankhaniyi, kupereka yobereka mwadzidzidzi, kwa yoopsa ubongo kotekisi si bwanji.

Ndipo kodi mlingo wa ACTH? Ndichifukwa chiyani kuli kofunika kudziwa magazi? Ichi ndi mayeso kanthu wamba ndi CTG mwana wosabadwayo. ACTH mlingo Mzimuyo kuchuluka kwa timadzi mu kortikotropnyh magazi. Malire chapamwamba yachibadwa - mpaka 69 pmol / lita, m'munsi - 7.2 pmol / lita. timadzi Izi amakonza chiberekero azikhala, kumachepetsa nkhawa kubadwa, ndi yogwirira "athamangadi" yobereka limagwirira. Iwo anawerengera pamaso pa za madzi a m'magazi. kuwunika zachitika kamodzi.

Wokondedwa Amayi, ngati dotolo amapereka malangizo - palibe chifukwa chochitira mantha. Yesani kukhala bata, zonse zikhala bwino.