Ithuluzi Ongayisebenzisa Nokuqapha
Ukulalela ukushaya kwenhliziyo kwengane yakho kuyisikhathi esikhethekile ekukhupheni kwakho. Abesifazane abaningi bayakujabulela lokhu okuyingxenye yokunakekelwa kokubeletha okuqokwa kakhulu. Ungalalela ukushaya kwenhliziyo yengane yakho ekuvakasheni kwakho kokubeletha, kodwa ungenza njalo ekhaya. Kunezinye izixazululo ezisheshayo nezilula eziphephile kubantwana nomama. Nazi imibuzo ezivame kakhulu nezimpendulo mayelana nokulalela ingane ngokuzenzekelayo nokuthi uzwe kanjani inhliziyo yakhe ekhaya.
Yini Ongayisebenzisa Ukuze Uzwe Inhliziyo?
Kunemikhiqizo eminingi emakethe ongayisebenzisa ukuzama ukuzwa ukushaya kwenhliziyo yengane yakho ekukhulelwe. Nakhu ukubuka okusheshayo ngezinhlobo zamadivayisi ajwayelekile kakhulu.
| Umkhiqizo | Ukulula Kokusetshenziswa | Uma Isebenza | Izindleko |
| I-Stethoscope | Isilinganiso | Amasonto angu-18 kuya kwangu-22 | $ 10 kuya ku-$ 80 |
| I-Fetoscope | Isilinganiso | Amasonto angu-18 kuya kwangu-22 | $ 25 kuya ku-$ 90 |
| I-Pinard Horn | Kunzima | Amasonto angu-18 kuya kwangu-22 | $ 25 kuya ku-$ 300 |
| Amaplifiers | Kunzima | Kuxhomeke | $ 20 kuya ku-$ 30 |
| Doppler | Kuxhomeke | Amaviki angu-8 + | $ 150 + |
| I-Fetal Monitor | Ukusetshenziswa kobuchwepheshe kuphela | Amaviki angu-20 + | Ukusetshenziswa kobuchwepheshe kuphela |
Indlela elula futhi engabizi kakhulu yi-stethoscope noma i-fetoscope. I-stethoscope iyatholakala kakhulu, kepha i-fetoscope ihloselwe ukulalela izingane, okwenza kube ngcono ukuzwa ukushaya kwenhliziyo.
I-Stethoscope
I-stethoscope iyithuluzi lezokwelapha elivamile elisetshenziselwa ukukhulisa imisindo yangaphakathi, ikakhulukazi ngenhliziyo yakho nangamaphaphu. Le divayisi ethembekile nayo inhle ekulaleleni izingane ku-utero.
Ungase uzwe ukushaya kwenhliziyo kwengane emasontweni angaba ngu-18 ukuya kwangu-20, kuye ngokuthi izibalo zomama nezibeletha ezifana nesisindo somama, isikhundla somntanakho, nendawo ye-placenta.
I-stethoscope ingathengwa ezindaweni eziningi zezidakamizwa, noma yiziphi izitolo zokuhlinzeka ngezokwelapha, nezitolo eziningi ezifanayo ezihlinzeka kwabasebenzi bezokwelapha.
Yeka kahle kangakanani ukuzwa ngayo nayo ihlukahluka kakhulu ngekhwalithi yomkhiqizo. Kukhona izinhlobo ezahlukene ze-stethoscopes, isibonelo, isitifiketi sezingane ngokweqile nesifo se-stethoscope. Igama lemikhiqizo efana neLittman ngokumelene nemikhiqizo engabizi kakhulu ingathinta futhi ikhwalithi yomkhiqizo.
Kuyathakazelisa ukuthi odokotela abaningi, odokotela, nababelethisi baye balahlekelwa ikhono lokusebenzisa i-stethoscope evamile noma i-fetoscope kwabesifazane abakhulelwe. Ungase ungakuboni uqashwe njengamanje namuhla ngoba awusebenzisi ubuchwepheshe be-ultrasound.
I-Pinard Horn
Uphondo lwePinard lungumshini wokulalela we-fetal omdala. Ukuphela kwesigcawu kufakwe endlebeni yodokotela ngenkathi ingxenye yokucwaninga isetshenziselwa ukuhambela isisu somama okhulelwe. Lokhu kusetshenziselwa ukulalela ngqo umntwana ngomzimba womama ngaphandle kokusetshenziswa kagesi noma amandla. Uphondo lwe-Pinard lungasetshenziswa kusukela emavikini angu-18 ukuya kwangu-20 okukhulelwa. Akuyona into evamile lapho kunqunywa khona ukunakekelwa kokubeletha .
I-Fetoscope
I-fetoscope yinhlanganisela yanamuhla ye-stethoscope kanye nophondo lwe-Pinard. Isebenzisa ikhanda lomhlinzeki ukuba liqhube umsindo futhi libukeke kakhulu, lenziwe ngensimbi nangeplastiki uma kuqhathaniswa nophondo lwePinard lwokhuni. Ayisebenzisi i-ultrasound.
Kunezinhlobo ezimbalwa zezinhlobonhlobo ze-fetoscopes ezungeze, kufaka phakathi ezinye ezihambisana nekhanda ukuze kube lula ukusetshenziswa komsebenzi.
I-fetoscope yakhelwe ukuthi isetshenziswe kumama okhulelwe. Ama-fetoscopes ekugcineni aphansi avame ukusebenza kanye nemikhiqizo ebiza kakhulu. Umehluko omkhulu phakathi kwe-fetoscope ne-stethoscope yilokho ama-fetoscopes amaningi asebentisa ebunzini ukuze aqhube umsindo ukuze akusize uzwe ingane, ngokuvamile ukunikeza imiphumela engcono kumsebenzisi.
Omunye udokotela uthanda ukusebenzisa lokhu kuzo zonke izivakashi kusukela ngeviki 12 , nakuba abaningi ngeke bezwe ukushaya kwenhliziyo ekuqaleni. Le divayisi ithatha ikhono lokulalela, kodwa abasebenzisi abanolwazi bangahlukanisa lokho abakuthandayo.
Ukuzwakala kwenhliziyo yomntwana kufana ne-watch ngaphansi komcamelo, kuyilapho i-placenta ikhiqiza ngaphezulu kokuzwakala komsindo.
I-Fetal Doppler Stethoscope
I-fetal Doppler isebenzisa ubuchwepheshe be-ultrasound ukuqhuma amagagasi omsakazo emntwaneni bese ubuyisela isifuba senhliziyo yesisu. Amanye amadivaysi akhethekile angasetshenziswa emavikini ayisishiyagalombili , kanti amasonto angu-12 ekukhulelweni yisikhathi esivamile. Umsindo ngokuvamile uvama ngamahhashi athambileyo. Iningi lokuqashwa kwezingane ngaphambi kokubeletha lizosebenzisa i-Doppler.
Le divayisi ingasetshenziswa odokotela noma ababelethisi. Kunezinkampani ezithengisa noma eziqashisayo ngesikhathi sokukhulelwa ukusetshenziswa kwekhaya . Ukusetshenziswa kwasekhaya akuvunyelwe yi-Food and Drug Administration (FDA).
I-Fetal Monitor
Umqapha we-fetal ngezinye izikhathi usetshenziselwa ukunakekelwa kokubeletha, nakuba kaningi ngokubhekwa kokubhekwa komntwana kokukhulelwa kwesikhathi eside, njengesikhathi sokuhlolwa okungezona ukucindezeleka , noma emsebenzini . Lokhu kungasetshenziswa ngephenyo yangaphandle noma ngokuqapha kwangaphakathi kwe-fetal. Ibuye inekhono lokuqapha ukuphikisana. Isebenzisa ubuchwepheshe be-ultrasound futhi idinga ukuthi umuntu ahlale nomshini ngenkathi isebenza.
Udokotela wakho noma umbelethisi angase abe nomshini wokuqapha umthamo we-elekthronikhi endala ehhovisini lakhe nje ukwenza lezi zivivinyo. Ezinye zingabuye zibe zingenazintambo, ezibizwa ngokuthi i-telemetry monitoring.
Yini Engase Yenze Ukuzwa Izingane Zilukhuni?
Kunezici eziningi ezingathinta indlela ozwa kahle ngayo ingane futhi zingahluka ngezikhathi ezithile. Zihlanganisa, kepha azikhawulelwanga:
- Isikhundla somntwana
- Inani lama-amniotic fluid
- Indawo ye-placenta
- Isisindo somama
Kungani Kufanele Ulalele Inhliziyo Yomntwana?
Kweminye imindeni, izohlinzeka ngokuqinisekiswa phakathi kokuvakashela ochwepheshe bakho. Kwabanye, kuyindlela nje yokuzihlanganisa nengane. Izingane nabababa bavame ukuthanda lokhu futhi babheke phambili kuwo. Ngaphezu kwalokho, kulula ngokwanele ngisho nokuba ingane encane iyenze.
I-Fetal Heart Rate Monitoring Safe?
Lo ngumbuzo obunzima. Ukusebenzisa i-stethoscope, i-fetoscope, noma uphondo lwe-Pinnard akukho zingozi ezingokwenyama. Ukusebenzisa i-Doppler ye-fetal kungase kubangele ukulimala uma kugxiliwe ngokweqile, okungenani ezingeni lesayensi, futhi akukhuthazwa yi-FDA. Ukusetshenziswa komqaphi we-fetal ngokuvamile kuvinjelwe esibhedlela noma esimweni sokusebenza kwemithi.
Kukhona futhi ingozi engaba khona yokulimala ngokomzwelo noma kwengqondo. Lokhu kudlalwa uma ungazwa ukushaya kwenhliziyo kwengane noma uma kunzima ukuthola. Lokhu kungabonakala kungenacala, kodwa kungabangela ukucindezeleka okungadingekile okungekho okuhle kuwe ekukhulelwe.
Izwi elivela ku-Verywell
Ukulalela ukushaya kwenhliziyo kwengane yakho kungaduduza imibhangqwana eminingi ekhulelwe. Udokotela wakho noma umbelethisi unamathuluzi ahlukahlukene angayisebenzisa kumaphuzu ahlukahlukene ekukhulelweni. Ngezinye izikhathi ungase ufune ukuzama ukulalela ingane yakho phakathi kokuvakasha kokubeletha kokubeletha. Qinisekisa ukuthi ukhuluma nodokotela wakho mayelana nokuphepha nokunemba kwezindlela ezitholakalayo ukuze ungabangeli ukukhathazeka okwengeziwe kunesidingo.
> Imithombo:
> I-fetal Heart Rate Monitoring Ngesikhathi Sokusebenza. Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. FAQ015, Febhuwari 2018
> Ukuphathwa Kwezokudla Nezidakamizwa. Gwema izithombe ze-Fetal "Keepsake", ama-Heartbeat Monitorers. Disemba 2014.
> Gabbe SG. I-Obstetrics: Ukulungiswa Okuvamile Nezinkinga . Philadelphia, PA: Elsevier; 2017.
> Obican SG, Khodak-Gelman S, Elmi A, Larsen JW, Friedman AM. I-trimester yokuqala ekhishwa ngokuhlolwa kwezinga lokushaya kwenhliziyo: ukuqhathaniswa nomklamo we-crown-rump ubude. I-Matern Fetal Fetal Neonatal Med . 2015 Jan; 28 (1): 68-70. doi: 10.3109 / 14767058.2014.905531. Epub 2014 Apr 9.