Yoopsa kugunda ndi mlungu: mlingo

Pa nthawi ya mimba chizindikiro chachikulu cha chipatso cha moyo ndi mtima. Pamene matenda mungoli kusintha pomwepo, kusonyeza vuto lina lilonse. N'chifukwa chake madokotala kuyesa moyo mosamalitsa kuwunika mphamvu za mtima. Ndi njira ya mtengo kubadwa pang'onopang'ono kusintha.

The kugogoda loyamba mtima

Zikuonetsa pafupipafupi kumenyedwa pochita khalidwe la mimba yachibadwa. Choncho, obstetricians kutsatira kwambiri ndi kugunda kwa mwana wosabadwayo kuyambira nthawi oyambirira. Dziwani kuti chitukuko ndi mapangidwe yomaliza ya dongosolo mtima wa mwana akupitiriza mpaka masabata otsiriza wa mimba.

Lililonse amayi akufuna msanga kumva kugunda kwa mtima wa mwana wawo, koma magawo oyambirira kuti izo sizigwira ntchito popanda zipangizo zina zapadera. Only zina zamakono zipangizo (ultrasound, cardioscope) zingasonyeze chidule woyamba wa mitsempha ya. Ndiyeno njirayi udzabala zotsatira zokha ndi 5 TH sabata mimba. Bookmark mtima Ndisanaumbidwe kumachitika kumapeto kwa miyezi obstetric. Pafupi 5-sabata thupi akutenga mawonekedwe a chubu dzenje. Inali nthawi imeneyi, pali amacheka choyamba. Kufufuza ndi kugunda ngati ofooka yekha ndi akupanga chindodo (transvaginal kafukufuku). Komabe, gynecologists ambiri amalangiza kuchita ultrasound oyamba masabata 7. Pa nthawi iyi, kugunda anatsimikiza ndi transducer transabdominal.

Kunyumba, mlingo zochitika ndi stethoscope mayeso ayamba okha kumapeto kwa mwezi wachisanu uzamba.

Norma mtima kwa masabata

Kufufuza pafupipafupi makoma contractions mtsempha wamagazi mu mwana wosabadwayo ndi zotheka pa siteji iliyonse pambuyo mwezi woyamba wa mimba mpaka isanayambike ntchito. Komabe, kutero kufikira sabata 6 bwino osati chifukwa thupi kwenikweni zokwanira anapanga. Kwambiri pafupipafupi ultrasound ndi osafunika monga iwo kuvutitsa mwana osabadwa. Ndi bwino kutsatira ndandanda wa chiphasochi anakonza, wasenza ndi dokotala nawo.

Norma kugunda kwa mwana wosabadwayo ndi masabata, kuyambira ndi mutu wa 6 ndi kumalizitsa 8 TH, adzakhala 110-130 kumenyedwa pa mphindi. Chikhalidwe cha mabala angakhale osiyana. Zikoti bwino ndi zolaula. Wogontha mungoli zingasonyeze pamaso pa mitundu ya hypoxia aakulu kapena pachimake. Yoopsa kugunda kwa mtima kwa masabata pa atsikana (m'miyezi lachitatu obstetric) ayenera kukhala mozungulira 160-180 bpm. / Min. Pa mlingo uwu kubwerezabwereza ayenera kukhala fupipafupi nthawi. chiwerengerochi amatchedwa mungoli. Yoopsa kugunda anyamata mlungu obstetric mwezi wachitatu akhale mu osiyanasiyana kuchokera 170 mpaka 190 u. / Min.

Nkofunika kuti panthawi imeneyi liwu mlingo pafupipafupi zimakhalira. Mu ana woyamba trimester zambiri oterewa kuvutika mtima. Ngati mlingo pafupipafupi pamwamba kumenyedwa 200. / Min., Ndiye tikhoza kulankhula za kukhalapo kwa tachycardia. Ngati kugunda kwa mtima zosakwana 100 kumenyedwa. / Min., Ndiye ikanakhala. matenda onse ndi chizindikiro cha kudwala yoopsa ndi amafunika chithandizo chapadera.

The kugunda kwa mwana wosabadwayo ndi masabata (13 mpaka kubadwa) ayenera kuchokera 140 mpaka 160 u. / Min. chiwerengerochi ndi wakudziko ndi chimodzimodzi kwa anyamata ndi atsikana. M'pofunikanso podziwa kuti trimester chachiwiri zikhoza arrhythmias. matenda wofanana ndi mwana wosabadwayo ndi akusowa mpweya kapena matenda obadwa nawo a mtima.

Control njira: kumvetsera

Njira zosavuta ndi ambiri kudziwa mlingo mtima, kuyambira pa masabata 20 a gestation, ndi auscultation. njirayi limakupatsani kumvera kuchepetsa kudzera stethoscope a. Pa akuti yoopsa kugunda kwa mtima kwa masabata izo kale amalembedwa monga kumenyedwa awiri rhythmic. Auscultation madokotala amadziwikanso chikhalidwe cha contractions (wogontha kapena bwino). Normal kugunda pamene kumvetsera stethoscope ndi 40-60 kumenyedwa pa masekondi 20.

Kuyambira 24 TH sabata mimba auscultation n'zotheka dipatimenti aliyense wa chiberekero. Pa ntchito, auditions ali paliponse mphindi 15.

ultrasound

The ultrasound anayamba kulola pa sabata 6, koma ndi jambulani inakonzedwa ikuchitika okha kumapeto kwa miyezi chachiwiri obstetric. Pamisinkhu wamng'ono dokotala angathe kudziwa pamaso pa achidule ndi pafupipafupi awo oyerekeza.

Norma yoopsa kugunda pa ultrasound ndi mlungu:

- kuchokera kumenyedwa 110 mpaka 135 / Mph .. (Chachiwiri obstetric mwezi);
- kuchokera kumenyedwa 165 kwa 185 / Mph .. (Obstetric mwezi wachitatu);
- kuchokera kumenyedwa 140 mpaka 165 / Mph .. (Early chachiwiri trimester). Akupanga chindodo ndi njira yolondola kwambiri kudziwa nthawi ya kugunda kwa mtima ndi kuzindikira kudwala.

Control njira: cardiography

mtundu wa kafukufuku amachitika kugunda kwa mtima ndi kokha masabata 28 a gestation. Dziwani kuti pa nthawi yonse ya ndondomeko cardiography amaloledwa kamodzi kokha. Mobwerezabwereza kukhazikitsa kukuonetsedwa yekha pa gestosis mochedwa, low- kapena polyhydramnios, matenda opatsirana, amamuyambitsa timabala la chiberekero, molawirira okalamba latuluka. Mu milandu, mtima yoopsa amveka mlungu ndi mlungu mu mphamvu.

Ndondomeko adzachotsa kwa mphindi 40 mpaka 60. Pambuyo kuti dokotala amayankha kafukufuku. Normal pafupipafupi mu cardiography ndi 135-165 u. / Min. Miyezo ikuchitika mwana wosabadwa mtendere ndi akuchitachita.

echocardiography

The kugunda kwa mwana wosabadwayo ndi masabata mimba akhoza kugwiritsidwa ntchito ntchito yapadera makina, zomwe Mzimuyo osati pafupipafupi contractions, koma mbali structural wa ziwiya ndi nthenda yotaya magazi. Ndondomeko amatchedwa echocardiography. Ambiri zimasonyeza zidzakhala mu trimester chachiwiri. Matenda echocardiography kutumikiridwa mu kukhalapo kwa matenda a mtima, matenda ndi matenda, matenda a shuga mwachete, kuti mimba mochedwa (pambuyo zaka 38) ndi amaganiziridwa kuchedwa kukula yoopsa.

Pa ndondomeko, ntchito mitundu yambiri ya chindodo: one- ndi ziwiri ooneka enieni ultrasound ndi Doppler mode. Wakudziko chidule pafupipafupi ndi echocardiography ndi 140-160 u. / Min.

kugunda chowunikira

Zipangizo za mtundu wa ultrasound ndi otetezeka kwambiri mayi komanso mwana. Komanso, iwo ndi yabwino kwa ntchito m'chipatala ndi ngakhale panyumba. zoyesera chiyani osati kudziwa pafupipafupi contractions, koma "bwino" kusonyeza khalidwe lawo.

Pa ndondomeko, inu angamvetsere kugunda yoopsa (ku mapeto a trimester). Kuli ndi phindu pansi anthuwo amayi, motero normalizes boma psycho-maganizo a mwanayo. Yoopsa kugunda mlungu uliwonse, anatsimikiza mtima chowunikira ayenera kukhala mu osiyanasiyana kuchokera 130 mpaka 175 u. / Min. Kutalika kwa matenda - mphindi 8-10. Kumvetsera mlingo yoopsa mtima kwa masabata, tiyenera kukumbukira kuti kanjedza sayenera zolakwika ku ponseponse oposa 20 u. / Min. Ngati zachitika, akusonyeza pamaso pa kudwala.

chiwerengero cha njira kufufuza akupanga chowunikira pa nyengo yonse ya mimba kungakhale maulendo 5-6.