Ukuqapha kokufelwa kwangaphakathi kuhilela ukufakwa kwe-electrode ngokuqondile esihlalweni somntwana ngenkathi isesiswini. Lokhu kuhlolwa kwenziwa ukuze kuhlolwe izinga lenhliziyo yengane kanye nokuhluka kwezinhliziyo ngesikhathi sokusebenza.
Ngenkathi i-IFM ijwayele ukusetshenziselwa ngesikhathi sokubeletha okuphezulu, ingasetshenziswa futhi ekubelethweni okuphansi uma ngabe ithimba lokunakekela lingakwazi ukuthola ukufundwa okunembile kwamasu okuqapha kwangaphandle, okufana nokukhishwa komshini nokuqapha kwe-fetal electronic (EFM) .
Ukuthi Ukuhlola Kwangaphakathi Kwama-Fetal Kuyenziwa Kanjani
I-IFM ifakwe emgodini wesibeletho kuya engxenyeni yomzimba womntwana oseduze kakhulu nokuvulwa (ngokujwayelekile isikhumba). Uma umama engazange aphule amanzi akhe, i- amniotomy izokwenziwa ukwenza kanjalo. I-electrode ye-fetal izokubekwa ngokufaka isikhunta esincane phakathi kwezigcawu eziphezulu ze-scalp yengane.
Ngesikhathi esifanayo, i- intrauterine catheter (IUPC) ingabuye ibekwe ngaphakathi kwesibeletho phakathi kwodonga lwe-uterine nengane. Lokhu kubuye kuvumela ithimba lokuzalwa ukuthi lilinganise amandla okuqondile okwephulwa komama esikhundleni sokuthembela ezinhlotsheni ezinembile zokuqapha kwangaphandle. Lokhu kuyasiza ikakhulukazi lapho umsebenzi okhishwayo uboniswa .
Izinzuzo Zokuqapha Kwangaphakathi Kwama-Fetal
Ukuqapha kwe-fetal yangaphakathi kuvumela ukuqapha ngokuqondile inhliziyo yenhliziyo ngokuphambene nokuhlaziywa okuyindlela engacacile yokuqapha. Ukuqhutshwa komsebenzi kusebenzisa ukusetshenziswa kwedivaysi elalela isisu sowesifazane, ngesimo se-stethoscope noma i- fetoscope ye- ultrasound .
Ukukhushulwa kuyindlela ejwayelekile kunazo zonke ezisetshenziselwa ukukhulelwa okuphansi.
I-IFM iphinde ibambe enye yemikhawulo emikhulu ye-EFM: isidingo sokuba owesifazane ahlale ekhona. Njengoba i-EFM, idivayisi yokuqapha iboshwe emgqeni wesifazane. Noma yikuphi ukunyakaza kungaphazamisa isignali futhi kuphakanyiswe ukungahambisani okungenzeka noma kungabi khona.
Ukuqapha kwangaphakathi kungavimbela ukungabaluleki okungadingekile uma ukucindezeleka kwesisu kukhonjiswe ekuqapha ngaphandle ngaphandle kwe-IFM.
Izingozi
Naphezu kwezinzuzo zayo, kunezingozi eziningi ezihlobene ne-IFM, kuhlanganise:
- Ukuqhaqha noma ukukhipha isikhumba somntwana
- Ukutheleleka engozini kumama noma umntwana kusuka emthonjeni wangaphandle
- Umkhawulo wokunyakaza komama ongenza umsebenzi ube buhlungu nakakhulu
- Ingozi yokutheleleka kusuka kumama kuya kumntwana (I-IFM iphikisana nabesifazane abane-HIV, i-herpes, ne-hepatitis)
Inqubo ye-IFM ngokwayo iholele ukungqubuzana phakathi kwabanye odokotela abakholelwa ukuthi kuyinhlekelele engadingekile. Ucwaningo olunye luphakamisa ukuthi ukusetshenziswa kwalo kuhlotshaniswa namazinga aphezulu, kunokuba aphansi, amazinga okuzalwa okubeletha kanye nokulethwa kwezidingo.
Ucwaningo olwenziwe ngo-2013 lubike ukuthi, abesifazane abangama-3 944 abasebenzisa i-IFM, amaphesenti angu-18.6 aphela ekutholeni ama-cearean angaba ngu-9.7% abangenayo i-IFM. Amazinga omkhuhlane kulabo besifazane ayephindwe kathathu ngaphezulu (amaphesenti angu-11,7 aphakathi kuka-4.5).
Akukho ukungezwani empilweni kubonakala ezinganeni ezivezwe ku-IFM uma kuqhathaniswa nalabo ababengekho.
> Umthombo:
> Harper, L .; Shanks, A .; I-Tuuli, M .; et al. "Izingozi Nezinzuzo Zabaqaphi Ngaphakathi Ekusebenzeni Iziguli." Am J Obstet Gynecol. 2013; 209 (1): 38.e1-38.e6.