Ukuqapha kwe-Fetal, ngesimo esisodwa noma enye, kuye kwaba isikhathi eside kakhulu. Ngaphambi kweminyaka yama-1970, ukuqapha kokubeletha kwakuvame ukwenziwa nomuntu olalela ingane yakho nge-stethoscope ekhethekile eyenzelwe ukusetshenziswa kokukhulelwa, evame ukubizwa ngokuthi i-fetoscope. (Lokhu kubizwa ngokuthi i-auscultation.)
Lena yindlela yokutshela ukuthi ingane yakho ihlangabezana kanjani nokusebenza. Ukuqapha komfutho we-elekthronikhi kwafika endaweni ngaphambi kokuthi kuvivinywe ngokugcwele ukuthembeka, kodwa isisekelo esilandelayo sokuthi sizohlinzeka igrafu ukubona ukuthi izinga lenhliziyo yengane liphendulwe kanjani ngokuhambisana nokuqhekeka. Kwabuye kwavumela ukuqapha kwenziwe ngaphandle kokunakekelwa okulodwa eceleni kombhede.
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Ukufunda I-Fetal Monitor Kungakusiza Uqonde Umsebenzi WakhoUkuqapha kwe-fetal yanamuhla kunezindlela ezihlukahlukene ezingenziwa. Kungenziwa ngaphandle noma ngaphakathi . Kungenziwa ngokuqhubekayo noma ngokuzenzekelayo. I-American Congress of Obstetricians kanye ne-Gynecologists (ACOG) ithi ukuqapha okuphakathi komzimba ngokuqapha kwe-fetal electronic, i- doppler ephathekayo, noma i-stethoscope ingasetshenziselwa abesifazane abasengozini enkulu.
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Yiziphi Izinyathelo Zokuqapha I-Electronic FetalUkuqapha komfutho we-elekthronikhi kubonisa ukuboniswa kwekhompiyutha, noma ngezinye izikhathi igrafu yephepha, erekhoda kokubili isilinganiso senhliziyo yesisu kanye nokuphambana komama. Lapha ubona isilinganiso senhliziyo ye-fetal emakwe ngombala obuluhlaza. Isibonisi esibomvu sibonisa ukuphazamiseka komama.
I-heart rate ye-fetal ngokuvamile iphezulu kwesikrini sekhompyutheni, ngezingqinamba ezansi. Igrafu ephepheni ephrintiwe inezinga lentliziyo ye-fetal ngakwesobunxele futhi ukuphambana ngakwesokudla. Nakuba kuvame ukulula ukufunda lezi ngokuzibuka eceleni ukuze zifane negrafu ngenhla.
Umgqa wokuqapha ekamelweni lakho labasebenzi , nalawo onke amakamelo okusebenza ngokuvamile avame ukubonakala kusukela ebhange labaqaphi edeskini labahlengikazi. Lokhu kuvumela abasebenzi ukuthi babheke abaqaphi ngaphandle kokungena ekamelweni lakho.
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I-Y Axis ye-Fetal MonitoringNgakwesokunxele, kukhona i-y-axis ngayinye yamagrafu. Inkomba eluhlaza okwesibhakabhaka ikubonisa ukumaka kwenhliziyo ye-fetal. Lezi yizintambo ngomzuzu (bpm), zilinganiselwe ngezilinganiso eziyishumi ngokumaka zonke izinsimbi ezingu-30.
Ngakwesobunxele ngezansi ngesibonakaliso esibomvu, uzobona izinyathelo ze-y-axis zamamitha ayi-mercury (mmHg). Lokhu kudingeke ukuthi kulinganise amandla okukhishwa, nenombolo ephakeme ibe ukukhwabanisa okunamandla. Ngaphandle kokuba usebenzise i- catheter yangaphakathi ye-uterine (IUPC), lokhu kuzomane kuhlinzeke ukumelela okucacile kokukhishwa ngalunye.
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I-X Axis ye-Fetal MonitoringUmugqa oqondile, noma i-x-axis, ulinganiswa ngamaminithi. Phakathi kwezinkomba eziluhlaza okwesibhakabhaka nokubomvu, umzuzu owodwa. Ngaphakathi kwemizuzu ngayinye imigqa yokukhanya, ngayinye yalezi zinyathelo isilinganiso sesi-10 sesibili. Lokhu kusho ukuthi kunezigaba eziyisithupha ngomzuzu ngamunye.
Ukuhlanganiswa kokubili amagrafu aphezulu naphezulu (ama-x ne-axes), amagrafu aphakanyisiwe ukuze izinga lokushaya kwenhliziyo ngokuqondile ngenkani lenzeke ngesikhathi esifanayo.
Ngezinye izikhathi kungase kube nzima ukucabanga ngakho konke lokhu kuze kube yilapho usuvele usebenza. Uma usukhona lapho, cela umhlengikazi wakho, umbelethisi, noma udokotela ngokuvakashelwa okusheshayo komgqa wokuqapha wesisu noma ukuqapha. Bayoba ngaphezu kokujabula ukukusiza ufunde ukubuka izinga lenhliziyo yengane nabo.
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Yikuphi Uhlobo Lokuqapha Okuhle Kwenu?Iqiniso liwukuthi alukho uhlobo olulodwa lokuqapha kokubeletha kuwo wonke owesifazane. Isikhathi sesikhathi phakathi kokuhlola ingane nomsebenzi sizohluka kowesifazane nakwesifazana, futhi ngisho nokusebenza ukuze kusebenze. Uma unomsebenzi osengozini enkulu, kuzodingeka ube nokuqapha okuqhubekayo kokufelwa. Lokhu kungafaka:
- Abesifazane abane-epidural
- Abesifazane abanomsebenzi wokuqashwa kwabasebenzi
- Owesifazane oye wazalwa ngesikhathi esidlule
- Abesifazane abanezingane eziningi
- Abesifazane abanenkinga ethile yezokwelapha
- Abesifazane abaye babhekana nohlobo oluthile lokucindezeleka kokubeletha kulo msebenzi
Khuluma nodokotela wakho ngesikhathi ukhulelwe mayelana nendlela abasebenzisa ngayo ukuqapha kwesisu futhi lapho kungase kudingeke ukuthi kusetshenziswe njalo, noma lapho kungase kudingeke ubheke ukuhlola ukuqapha kwangaphakathi komntwana. Kufanele futhi ubuze imibuzo mayelana nokuthi ukuqapha okwedlulele kwenziwa kanjani, uma ucela ukusebenzisa ishaja noma ibhubhu yomsebenzi ekusebenzeni.
Imithombo:
I-Association of Health Women's, Obstetric, Neonatal Nurses (AWHONN). (2008) "Ukuqapha kwenhliziyo ye-Fetal."
I-American Congress of Obstetricians kanye namaGynecologists. (2009). "I-ACOG Practice Bulletin No. 106: Ukuqapha kwenhliziyo ye-Intrapartum fetal: ukuchazwa kwamagama, ukuchazwa, kanye nemigomo yokuphathwa jikelele." Ukuzibulala nokuzizwa kwengqondo 114 (1): 192-202.
Alfirevic, Z., D. Devane, et al. (2006). "I-cardiotocography eqhubekayo (CTG) njengendlela yokuqapha kwe-fetal electronic (EFM) yokuhlolwa komntwana ngesikhathi sokubeletha." I-Cochrane database yokubuyekeza okuhlelekile (3): CD006066.
Bailey, RE (2009). "Ukuqapha kwe-Intrapartum fetal." Am Fam Physician 80 (12): 1388-1396.
UHerbst, A. no-I. Ingemarsson (1994). "Ukuqapha okuqhubekayo okuqhubekayo kwe-elektroniki emsebenzini: ukutadisha okungahleliwe." I-Br J Obstet Gynaecol 101 (8): 663-668.
UNelson, KB, uJM Dambrosia, et al. (1996). "Ukungaqiniseki okungaqiniseki kokuqapha kwe-fetal electronics ekubikezeleni ukukhubazeka kwesibindi." N Engl J Med 334 (10): 613-618.