CTG Umbungu - eqhelekileyo. CTG Umbungu - izinga kwiiveki ezingama-36. Indlela ukuwuqonda CTG umbungu

Ngokuqinisekileyo wonke umfazi ngexesha lokukhulelwa yakuzixhalisa malunga nendlela ukuphuhlisa umntwana wakhe, yonke into ukuze yakhe. Namhlanje, kukho iindlela ezivumela ukuba uqikelelo oluthembekileyo ngokwaneleyo olungekazalwa. Enye indlela enjalo cardiotocography (CTG) kuchonga ubudlelwane phakathi perturbation kunye nezinga intliziyo ezingekazalwa. Kweli nqaku uza kufunda oko CTG, ngendlela yokusebenza yakhe evandlakanyiwe, apho izalathisi CTG Umbungu - lo mmiselo, kwaye ichaphazela iziphumo zophononongo.

Yintoni CTG

Cardiotocography ngokusekelwe registration frequency izinga lentliziyo ezingekazalwa kwaye liyaguquka kuxhomekeka kweempembelelo ezenzeka ngaphandle okanye umsebenzi Palsy.

Uxilongo lwenziwa kusetyenziswa abenzi boluvo ezimbini cuke, enye leyo zimiliselwe esiswini ngenxa abafazi abakhulelweyo, pre-esicacisa kummandla elivakayo elungileyo ukubetha umntwana. Kujongwe ukuba babhale umsebenzi kwentliziyo yosana olungekazalwa. Izivamvo woluvo iboniswe ngokusuka entliziyweni umntwana uphawu cuke, ithotyiweyo aze ke atshintshelwe yi inkqubo yekhompyutha ukuba izinga intliziyo nje ngephanyazo. Le woluvo lwesibini zigxunyekwe esiswini kwi wesibeleko. Kwenziwe ingxelo kuyo kwamathumbu zesibeleko. Ukuphucula ekudluliseni abenzi boluvo wave cuke zilungiswa yi ijeli okhethekileyo. Kwakhona, izixhobo zale mihla zixhotyiswe nge elawulwa kude ngokucofa iqhosha, umfazi okhulelweyo nga bagcine intshukumo Palsy.

Iziphumo ziboniswe kwi isixhobo tape kwi ngohlobo kwigrafu. Kukho kwakhona wabonisa izishunqulelo zesibeleko kunye neentshukumo ezingekazalwa. I-lwazi ezithathwe nga kugwetywa ikakhulu kurhulumente e-nervous system wosana, ukusabela zokukhusela eyakuthi. Ukuba izikhombisi CTG Umbungu - kuyinto eqhelekileyo, oko kuthetha ukuba usana umntu aziva ekhululekile, kunye ingeniso zalo zophuhliso ngokutsho mihla.

Okufuneka CTG

Uviwo lwe umfazi omithiyo kwi-ofisi i obstetrician-ugqirha kuquka ukumamela nokubetha kwentliziyo ka umntwana yeSkrini. Ukuphambuka evela kwiingxowa-izinga kwentliziyo (HR) kwi phezulu okanye ezantsi ibonisa ukuba umntwana ufumana ubuhlungu. Kulo mzekelo, ugqirha ithumela mama elizayo isifundo ngokucokisekileyo ngakumbi kwenkqubo sentliziyo yosana olungekazalwa - CTG.

Kukho unxulumano phakathi kwe kakuhle-ntle umfazi omithiyo olungekazalwa. Ngoko ke, ukuba ukukhulelwa kwaba lula, ngaphandle usuleleko intrauterine, nokuphazamiseka sisongelo, yokukhulelwa, iziphumo CTG, kusenokwenzeka ukuba yesiqhelo. Ukuba umfazi okhulelweyo nempilo entle baphawula iziphumo CTG enobukhwele, kuyimfuneko ukuba aqhube uphando ngeveki kwakhona.

Ukuba umfazi okhulelweyo wafumana utshintsho ezinzulu kubume bentlalo, oko kuyimfuneko njengoko CTG unako kubanjwa rhoqo ukwenzela ukuthintela ukwenzeka ixesha ukungaqheleki xa Palsy uze uthabathe amanyathelo ayimfuneko.

Iimpawu zesifundo

Yabela CTG ngokuqhelekileyo emva kweeveki 32 zokukhulelwa kuba kuphela ngeli xesha kukho eya ivuthwa inyukela pulses neuromuscular, kunye nendlela uba ulwazi ngakumbi.

Ngokomzekelo, ukuba umntwana CTG izinga kwiiveki 33 - phambi kwigrafu ngaphezu ezimbini aktseleratsy. Ngeli xesha, ukuba zibangelwa yi impendulo luvo kwintshukumo ezingekazalwa okanye iimeko zangaphandle. Kwibakala aktseleratsii ngaphambili esinxulunyaniswa neemeko zempilo intrauterine yosana olungekazalwa, ngoko ke uphando kunokukhokelela iziphumo zobuxoki.

Kwakhona, ngeli xesha umbungu lusekiwe umsebenzi kumjikelo kunye ukuphumla, nto leyo ibaluleke kakhulu kolu phando. Ngexesha CTG kwezinye olungekazalwa ngexesha iziphumo zisoloko eyakhayo, kwanokuba eneneni kukho iqondo eliphezulu hypoxia. Yiyo loo nto isifundo kufuneka ziqhutywe ubuncinane imizuzu eli-40. Ngeli xesha, ingane ubotshiwe ukwandisa umsebenzi ngokwasemzimbeni, nto leyo uya kubhalisa utshintsho kwiqondo intliziyo ngexesha kwayo.

Kubaluleke kakhulu ukuba umfazi azive ekhululekile kwaye apholile uvavanyo. Bekwimeko ebangela iintloni okanye iimvakalelo eqaqambileyo kungabangela intshukumo esebenzayo ngakumbi ezingekazalwa, nto leyo eya kukhokelela kwiziphumo zobuxoki. Ngokuqhelekileyo, ngexesha inkqubo umfazi ehleli esitulweni ekhululekile okanye ilele phezu kwesingqengqelo kwicala layo.

Ukuze uqonde ukuba ukuwuqonda indlela CTG olungekazalwa uya kubona oko kuvavanywa kanye ngayo parameters.

izinga heart carcinoma

I carcinoma Izinga intliziyo - ngumlinganiselo izinga intliziyo ndingekazalwa, eyenzelwe imizuzu 10-20. Oku kumiselwa engekho intshukumo ezingekazalwa phakathi izishunqulelo zesibeleko ngaphandle zizinto zangaphandle, ngaphandle aktseleratsy kunye decelerations. Xa uqhuba Izinga CTG BCHSS foetal yi ibetha 110-160 ngomzuzu. Tachycardia, okt ngaphezu izinga intliziyo eqhelekileyo carcinomas, ibonakala hypoxia ezingekazalwa, ianemia, malformations foetal umsebenzi intliziyo insufficiency, kwakunye ukwimeko bomkhuhlane zokukhulelwa, ubukho usulelo yakhe intrauterine, ukuphucula umsebenzi lengqula. Ukwamkela iziyobisi zibe neziphumo kardiostimuliruyuschy inokukhokelela ekwandeni entliziyweni Palsy.

Ukwehlisa umgangatho carcinomas yi ngezantsi eqhelekileyo (bradycardia) ezinokubangelwa hypoxia, iziphene intliziyo ezingekazalwa, ngokunjalo ngegazi uxinzelelo eliphantsi kamama, hypoxemia, ucinezelo elide intambo yosana, ubukho abasetyhini abakhulelweyo usulelo CMV.

rate Heart Ukwahluka

olu khetho luphawulwa oscillations lophanyazo - ezinxaxhileyo izinga intliziyo ukusuka kwinqanaba Uhlobo Lokuqala. Xa kuhlalutywa CTG ngokuqhelekileyo ukufunda awo lwephanyazo le oscillations, uhlobo apho cell oscillation ephantsi (ukuphambukiswa ibetha ngaphantsi kwesithathu / min), eliphakathi (3-6 ibetha / min), aphezulu (awo phezu ibetha-6 / min).

Kuba izinga CTG foetal yeeveki 36 - oscillation ophezulu, ebonisa kakuhle-ntle olungekazalwa. Ubukho le oscillation ephantsi uthi ezimbi kuphuhliso yayo.

ingqalelo ekhethekileyo ihlawulwa uhlahlelo kardiotokogramm oscillations kade. Kuxhomekeka awo ukwahlula uhlobo obungabangeli mdla, nto leyo luphawulwa oscillation awo ephantsi (ukusuka ibetha 0 ukuya ku-5 / min), uhlobo exeshana kunye namandla awo of ibetha-6 ukuya kwi-10 / min, lihlangana (ibetha 11 ukuya 25 / min) kunye nohlobo prancing (awo ngaphezu ibetha 25 / min). Ukwanda oscillation awo esinxulunyaniswa nokulolonga hypoxia ezingekazalwa, kwakunye yempembelelo ezenzeka ngaphandle ezivuselela inkqubo yayo luvo. Nciphisa i awo oscillation ezinokubangelwa hypoxia kakhulu nto leyo ekhokelela inhibition umsebenzi-luvo lwe ndingekazalwa, ngokusetyenziswa Narcotics, uxinezeleko.

Aktseleratsii

Aktseleratsiey wabiza iyangongoza yethutyana kwi-15 ibetha / min kuthelekiswa kwinqanaba carcinomas zethuba lemizuzwana-15. On kardiotokogramme zibonakale amazinyo aphezulu. Aktseleratsii na impendulo kwizinto yangaphandle, izishunqulelo ze isibeleko, ngomhla intshukumo umntwana. ubukho bazo kwi CTG olungekazalwa - eqhelekileyo.

decelerations

Detseleratsii ebizwa sehlise izinga intliziyo olungekazalwa ngenxa ibetha ubuncinane-15 / min elide ngaphezu kwemizuzwana 15. Le grafu ibonisa ukudakumba indlela ebalulekileyo. Kukho kwexesha, emva kwexesha kunye decelerations variable. Ngaphezu koko, zicalulwa njenge awo ukukhanya nokuncipha kwereyithi intliziyo ibetha 30 / min, ukulinganisela - 30 - 45 ibetha / min, kwaye yababuhlungu - 45 ibetha / min. Linyuke izinga intliziyo inokuba ngenxa ukuphazamiseka yokumpompoza kwegazi placental, hypoxia engabalulekanga, abenze intambo yosana.

CTG umbungu. yinto yamihla le

Ukulungiselela uvavanyo Palsy, i-World Health Organization iye izikhokelo ezicacisa ubuncinane kunye bexabiso elivumelekileyo ukuba parameter nganye. Ngokutsho kwezi zikhokelo, CTG engekazalwa (norm iiveki 33) kufuneka abe nezi ntsingiselo zilandelayo:

• rate intliziyo carcinoma: 110-160 ibetha / min.
• izinga Heart Ukwahluka kwi uluhlu 5-25 ibetha / min.
• Ezimbini okanye ngaphezulu kokuba unikezelo imizuzu eli-10.
• Ukunqongophala decelerations enzonzobila.

Kubalulekile ukuqaphela ukuba izinga foetal CTG 35 iiveki okanye ngaphezulu iyafana kwiveki 33.

uvavanyo Fetal ngamanqaku

Ukuguqula iziphumo CTG Isikali esimanqaku-10, ukuphonononga kwingongoma nganye kumanqaku e-0 ukuya kwisi-2. Kuba izinga CTG foetal kweeveki 36, kwakunye lonke ezintathu wesithathu, 9-10, ukuba ngamanqaku abangama-6 ukuya ku-8, oko kuthiwa oksijini yindlala (hypoxia) ngaphandle izisongelo ezingaphezulu, kufuneka uphinde inkqubo CTG phakathi evekini; Ukuba amanqaku 5 okanye ngaphantsi - ngoko ke umntwana uvakalelwa ioksijini imibala elinamandla, nto leyo inokukhokelela kwiingxaki ezinzulu luvo, ufuna amanyathelo akhawulezileyo.

Kufuneka kukhunjulwe ukuba nokuba CTG foetal amanqaku-8 okanye ngaphantsi, akukho mfuneko ngaphambi kwexesha kuba esoyika. Kolu hlobo lokufunda, kwakunye nabanye abaninzi, kukho izinto ezichaphazela umxholo ulwazi yesingqino. Iziphumo zixhomekeke kakhulu, umzekelo, ekubeni umntwana ulele okanye siphaphile. oogqirha abanamava yonke ezama kardiotokogramm ukuthathela imiba akhawunti ezifana imozulu, isimo abafazi abakhulelweyo, amanqanaba iswekile yegazi ngabafazi. Ukuba idatha CTG alichanekanga, ngoko ugqirha uyakukumisela iimvavanyo ezongezelelweyo. Cardiotocography ngokuqhelekileyo luqhutywa kabini senyanga yesithathu yokukhulelwa, kodwa kwezinye iimeko nangaphezulu, ezifana xa ukhulelwe, uxinzelelo oluphezulu lwegazi, ubukho zosulelo, isifo seswekile, iziphumo enganelisiyo ultrasound, ukopha, kwamathumbu ngaphambi kwexesha.

iimpazamo engaba ukuchazwa lwe data CTG

1. Umntwana esizalweni siyahamba rhoqo. Ngamanye amaxesha unganciphisa intloko intambo yosana, nto leyo esisizathu sokuba kwixesha elifutshane aphazanyiswa igazi flow kwi izitya imfesane yosana, nto leyo kubonakala phaya kwiziphumo zeemviwo CTG. Kulo mzekelo, kardiotokogramma uya kuba imeko zophendlo lwezifo kunye isiqhamo esihle.
2. Ngamanye amaxesha ngexesha ioksijini ukuswela kwi kwimveku ziquka reactions Uyalwa: unciphiso ioksijini consumability inyama nokwandisa ukumelana hypoxia. Kwiimeko ezinjalo, umntwana ukuhlupheka, kodwa oko akuthethi kuchaphazela CTG.
3. Ngophuhliso leengxaki ingacuthwa ukukwazi ukuqonda umcu kwi isiqulatho ioksijini eqhelekileyo ngegazi, ngenxa apho olungekazalwa kwenzeka akukho reaction, kwaye uqale wayeza kuba eqhelekileyo, nangona unale yokunqongophala kwe-oksijini.

Ukuqwalasela konke oku kungasentla, kufuneka kuqondwe ukuba kwimveku CTG ngexesha lokukhulelwa yindlela ebalulekileyo kakhulu sifo, kodwa ukufumana umfanekiso opheleleyo into eyenzekayo data CTG kufuneka kuthelekiswa nezinye izifundo. Namhlanje esetyenziswa kakhulu kunye Doppler ultrasound isifo.

Apho ungenza CTG umbungu

CTG ntoni simahla kuzo zonke kwiikliniki zaphambi kokubeleka. Kuyenzeka ukwenza uphando kunye namaziko onyango abucala, kodwa ibe lidini lentlawulo.
Zibhedlela wayenokwenza cardiotocography ngexesha yabasebenzi. Oku kunceda ukuhlola imeko yempilo wosana ngexesha izishunqulelo yabasebenzi kwaye ujonge ukusebenza unyango kunye nonikezelo amaqhinga.

Abanye oomama abakhulelweyo ayoyika ukuchitha uhlobo olwahlukileyo kophando ngexesha lokukhulelwa, bekholelwa ukuba nenokwenzakalisa impilo kosana olungekazalwa. Cardiotocography ngokupheleleyo ekhuselekileyo, kwaye oko kwenziwa amaxesha amaninzi kangangoko kuyimfuneko, ngaphandle ingozi empilweni. Ngaphezu koko, yinto elula obangela waziva.

Sikunqwenelela ukukhulelwa lula kunye nentlalo-ntle!