I-Pros and Cons of Ukuqasha Umntwana Omncane Phakathi Nokukhulelwa Kwakho
Kungakhathaliseki ukuthi ufuna umntwana omncane kangakanani, ukubhekana nokukhulelwa ngemuva kokukhulelwa kwesisu, ukubeletha noma ukulahlekelwa okuthile kungase kube yinkimbinkimbi. Ukubhekana nokulahlekelwa kuthatha ukungabi namacala ngokukhulelwa; akuvamile ukubhekana nokukhathazeka okukhubaza ngesikhathi sokukhulelwa okusha uma unesipiliyoni esibi nesinye esidlule.
Enye indlela abanye besifazane abakwazi ukubhekana nokucindezeleka nokukhathazeka kokukhulelwa emva kokulahlekelwa ukuqasha noma ukuthenga umlenze we-Doppler-based fetal car monitor (owaziwa nangokuthi ingane ye-doppler).
Abaqaphi bangadla amakhulu ezinkulungwane zamaRandi ukuthenga, kodwa abathengisi be-inthanethi banikeze ukuqasha phakathi kuka-R20 ngenyanga, noma imali yokulala isikhathi sokukhulelwa. Abathengisi abaningi badinga imithi evela kudokotela ngokuhambisana nemithetho ye-FDA.
Abanye odokotela banomuzwa wokuthi ukusebenzisa izingane zokudlwengula ekhaya kuyindlela enhle yokuba abesifazane baziqinisekise ngokuthi konke kulungile futhi banciphise ukukhathazeka. Abanye bangabaza noma ngokuqondile baphikisana nomkhuba wokwesaba ukuthi amadivayisi azokwandisa ukukhathazeka noma ahlinzeke ngokuqinisekiswa okungamanga. Zombili izinhlangothi zinamaphuzu afanelekile.
Ulwazi Lwangemuva Ngabantwana Abashadile
Ama-dopplers abancane ngokuvamile asetshenziswa ngesandla abasebenzisa amagagasi e-ultrasound ukuze abone ukushaya kwentombazane enyukayo ngaphandle kwesisu somama. Ngokuvamile, amadivaysi angakwazi ukubona ukushaya kwenhliziyo ukuqala ngeyesikhombisa kuya kweviki leshumi nambili lokukhulelwa (ngokusekelwe esikhathini sokugcina esikhathini), nakuba kunokuhlukahluka okuningi okusekelwe kumuntu ngamunye.
Odokotela nababelethisi basebenzisa amadivaysi eDoppler ukuqapha izinga lenhliziyo yengane njengengxenye ejwayelekile yokunakekelwa kokubeletha . Ukubona ukushaya kwenhliziyo kwengane kuqinisekisa omama kodwa futhi kunikeza udokotela ngolwazi olusiza ekulandeleni ukuthuthukiswa kwengane.
I-Doppler ye-heart monitor i-FDA-ivunyiwe (ekubona ukuthi une odokotela ukukukwazisa ekusetshenzisweni) futhi kubhekwa njengokuphephile.
Izindleko zezingane ezihamba phambili
Abashayeli bezingane bangakwazi ukunika amandla abesifazane, ikakhulukazi labo ababhekene nokukhulelwa ngemuva kokukhulelwa noma ukubeletha. Ezinyangeni zokukhulelwa ngaphambi kokuba akwazi ukuzwa umntwana ekhahlela, amadivaysi e-Doppler anganikeza ukuqinisekiswa okusheshayo ukuthi inhliziyo yengane isabetha.
Ngezinye izikhathi ama-Naysayers agcizelela ukuthi abesifazane kufanele bavele babize abasebenzi babo bezokwelapha ukuze babheke ukuskena kwenhliziyo ye-fetal eyenziwe ehhovisi likadokotela kunokuzama ukudlala udokotela ekhaya. Kodwa ukukhathazeka kokukhulelwa emva kokulahlekelwa kuvame ukuphindaphindiwe futhi kungabi njalo ekucabangeni okunengqondo - abesifazane abathile abakhulelwe bavame ukubona. Ukuqapha kwezinga lokusebenzisa inhliziyo ekhaya kungasetshenziswa noma nini nanoma yikuphi ukushaywa kwezinkathazo, kungakhathaliseki ukuthi kuphakathi nobusuku noma ehhovisi phakathi nosuku lomsebenzi.
Ezimweni ezinjalo, ukuthola ukushaya kwenhliziyo kungavumela lona wesifazane ukuthi abuyele ekuphileni kwakhe kwansuku zonke uzizwa eqinisekisiwe kunokuba abe nokukhathazeka okukhathazayo okuphazamisa ikhono lakhe lokugxila emisebenzini yakhe. Ngokweqile, bambalwa abesifazane abangashayela amahhovisi odokotela wabo njalo lapho bekhathazekile futhi mhlawumbe banamantombazane abenezinhlelo zokuhlela izimo zokuhlola izinga lokushaya kwenhliziyo ngesikhathi esifanayo lapho owesifazane okhulelwe ezwa ukhathazekile.
Lokhu akusho ukuthi abesifazane bangase bazizwe beqaphele futhi besaba ukuba yizinambuzane, kubangele bahlale ekhaya futhi babhekane nokucindezeleka kunokuba bacele ukungena okwesithathu ngesonto ukuzwa ukushaya kwenhliziyo ehhovisi likadokotela . Ukucindezeleka ekukhulelwe akulungile kumama noma umntwana.
Izindleko ze-Fetal heart rate zibonakala ziphephile, futhi kulula ukuyisebenzisa kwabesifazane abaningi. Abesifazane kudingeka baqonde ukuthi ukuzwa ukushaya kwenhliziyo akuyona into eqinisekile ukuthi yonke into iyoba ngcono ngokukhulelwa, okwakushintsha izikhundla zobungane kanye nezinye izinto ezingathinta ikhono lokuthola isilinganiso senhliziyo, nokuthi kudingeka badane nodokotela bazo noma nini ukungabaza.
Kodwa ucabanga ukuthi ukuqonda, ukusebenzisa ababheki benhliziyo akulimazi noma ubani futhi kungasiza kakhulu ukucindezeleka nokukhathazeka kokukhulelwa ngemuva kokukhulelwa kwesisu noma ukubeletha.
Abantwana Abashayeli Abantwana
Izindleko ze-Fetal heart rate kukhona amadivaysi ezokwelapha okuhloswe ukusetshenziswa ochwepheshe bezokwelapha. Abathengi abanalo ukuqeqeshwa noma ulwazi lokusebenzisa amadivaysi kanye / noma ukuhumusha ulwazi abaluthola kubo. Kwezinye izimo, lokhu kungaholela ezigulini ezingafuni ukunakekelwa kwezempilo uma zidinga.
Abesifazane besengozini yokukhathazeka ngokungadingekile uma beqasha noma bethengisa ama-rate ama-heart rate ngaphambi kokukhulelwa futhi abakwazi ukuthola ukushaya kwenhliziyo . Izici zomuntu ngamunye ezifana nokuma komzimba nendawo ye-placenta zingathinta kakhulu ukuthi i-monitor fetal rate monitor ingaqala kanjani ukushaya inhliziyo kwentombazane.
Ukungatholi ukushaya kwenhliziyo kwengane kumasonto ayisishiyagalolunye noma ayisishiyagalolunye wokukhulelwa akusho ukuthi owesifazane uye waphoqeka; angase angazwe ukushaya kwenhliziyo ngedivayisi kuze kube amasonto angu-12 noma ngabe konke kuhle kakhulu. Owesifazane angase futhi athole ukushaya kwenhliziyo ngesinye isikhathi angayitholi ngesikhathi esizayo, mhlawumbe ngenxa yokushintsha kwesimo noma ukungabi nakho okuhlangenwe nakho (engazi ukuthi ungabheka kuphi), futhi lokhu kungaholela ekucindezelekeni okungadingekile.
Kamuva ekukhulelweni (njengokwezi-trimester yesithathu), abesifazane abaqaphela ukuthi izingane zabo azihambeli ngendlela evamile zinganquma ukungabizi udokotela ngemva kokuthola ukushaya kwenhliziyo ngesimangalo senhliziyo - hhayi ukuqonda ukuthi ukuthola ukushaya kwenhliziyo akusho ukuthi konke kuhle. Idivayisi ingahlinzeka ngokuqinisekiswa okungamanga, iholele abesifazane ukuthi bangabizi odokotela babo ezimweni uma kungaba umqondo omuhle ukwenza kanjalo.
Ekugcineni, abanye bangase bathi ijaji lisesekholweni lokuphepha kwe- ultrasound . Ucwaningo oluningi luye lwathola ukuthi i-ultrasound iphephile, kodwa isifundo esisodwa sasixhumanisa i-ultrasound ekusetshenziseni izinguquko ezingqamuzaneni zomntwana ezikhulayo. Nakuba odokotela abambalwa bekhathazeka ngokusetshenziswa kahle kwe-ultrasound ngenjongo yokwelapha ecacile, abanye bakhathazeka ngokuthi ukuvezwa okungenamkhawulo kwe-ultrasound ngokusebenzisa amadivaysi abathengi kungaba nemiphumela.
Lapho Abantwana BamaDopplers Bema khona
Njengamanje, abesifazane banokufinyelela okulula kalula kumadivayisi wokuqapha izinga lokushaya kwenhliziyo ngokusebenzisa abathengisi be-intanethi. Iningi labathengisi abanikeza abaqaphi bezinhliziyo ze-fetal badinga imvume yokudokotela kanye nesiqondiso ngaphambi kokuqasha noma ukuthenga amadivayisi.
Uma ucabangela ukusebenzisa ingane encane, cocisana ngale ndaba nomhlinzeki wezempilo othembekile. Cabanga ukuthi ngabe umqaphi uzokwenyusa noma ukwandise ukukhathazeka kwakho. Uma uchitha amahora amaningi ngosuku ukhathazeka ngesinye isisu, futhi ukukhathazeka kuphazamisa impilo yakho, umqapha ungase ube umbono omuhle futhi ungakusiza. Uma ucabanga ngokucophelela, noma ucabanga ukuthi uzokwesaba uma ungakwazi ukuthola isilinganiso senhliziyo nganoma isiphi isikhathi, ungase ufune ukugwema ukusebenzisa i-monitor.
Amadivayisi cishe aphephile ukusebenzisa, ikakhulukazi ngokulinganisela (kodwa ungayisebenzisi ukulalela ingane yakho amahora ngosuku). Udokotela wakho mhlawumbe anganikeza ezinye iziphakamiso zokunciphisa ingozi uma unquma ukuqasha noma ukuthenga umlingo wokushaya kwenhliziyo yengane.
Imithombo:
Ang, Eugenius, Vicko Gluncic, Alvaro Duque, Mark E. Schafer, noPasko Rakic. Ukuvezwa kokubeletha ngaphambi kokubeletha kumagagasi e-ultrasound kuthinta ukufuduka kwe-neuronal kumagundane. " I-PNAS 10 Aug 2006 12903-12910. Ifinyelele ngo-12 Nov 2007.
Stephenson, Joan. "Ukuphepha kwe-Fetal Ultrasound." I-JAMA 293: 2005 286. Kufinyelelwe ngo-12 Nov 2007.