Kune nzira mbiri dzekuita CTG ye fetus panguva yekuzvitakura - kunze uye mukati mokuongorora.
Nechokunze CTG mudumbu remukadzi ane pamuviri, inzwi re ultrasound rinosungirirwa, rinogadzirisa rwiyo rwekutsva kwomwoyo uye kutengesa kwemoyo. Iyi nzira inowanzoshandiswa zvose panguva yekuzvitakura uye, zvakananga, nebasa. Mukati, kana zvakananga CTG, inotarisa inzwi rechibereko chemuviri uye intrauterine munguva yebasa. Inzwi remasensometric rinoshandiswa, rinobatanidzwa kumusoro wemucheche panguva yekuberekwa.
Migumisiro yekudzidza inobudiswa nechokushandisa nenzira yemufananidzo wakajeka pane yakareba pepa tape. Muchiitiko ichi, kushandiswa kwechibereko uye kufamba kwemakumbo kunoburitswa sevhesi muchezasi kwe tepi.
Apo CTG fetus?
Sezvo mutemo, kwete pamasvondo makumi maviri nemasere. Nyaya inonyanya kuzivikanwa ndeyemoto unobuda muvhiki 32. Inobva panguva ino mwana anogona kutotanga kushanda kwemaminitsi 20-30.
Nokudaro, mugore rechitatu, nezviratidzo zvinowanzoitika, mukadzi ane pamuviri anofanira kupinda KTG kanenge kaviri. Muedzo unoitwa mudumbu risina chinhu kana maawa mashoma mushure mekudya. Mumazuva ano zvakanaka kuti uedze kuva nezororo rakanaka. Munguva yeGGG, mukadzi ane pamuviri anogara kana kurara paari. Pakati pevhesi, nzira yacho haisi kudarika maminitsi makumi matatu nemakumi mana, uye mune dzimwe nguva, maminetsi gumi nemaminetsi makumi maviri nemashanu yakakwana.
Norm yemigumisiro ye CTG ye fetus
Mushure mokunge chidzidzo chekudzidza ichioma zvikuru kunzwisisa migumisiro. Chii chinonzi fetal CTG chinoratidza?
Somugumisiro wekudzidza, chiremba anogamuchira data rinotevera: basal rhythm yemwoyo yevhesi kana, kutaridzika kwemoyo (zvinowanzo-110-160 kurohwa paminiti pazororo uye 130-180 - mubasa rinoshanda); tokogram kana uterine basa; Kusiyana kwe rhythm (inosvika kureba kwezvakatsauka kubva pamitambo yemwoyo inogona kubva pamapuro 2-20); Kukurumidza - kukurumidza kwepfungwa yemwoyo (mumaminitsi gumi kubva kune maviri kana kupfuura); Kuderedza - kuderera kwepfungwa yepamwoyo (isina kudzika kana kusipo).
Uyezve, maererano nenzira yeFisher, yega yega yega yakawanikwa, kusvika kune 2 mapeji akawedzerwa, ayo anowedzera muchidimbu.
Kana uine humwe hutatu huno, hapana chikonzero chokuzvidya mwoyo. Izvi zviratidzo zveCCTG yemucheche zvinonzi inowanzoitika.
6-7 nhovo dzinoratidza kuvapo kwemamwe matambudziko anofanira kuonekwa nokukurumidza. Mukadzi achada kutsvakurudza kumwe.
5 uye mapoka mashomanana - ichi chinhu chinotyisa kuhupenyu hwemucheche. Mwana wacho anowanzosangana ne hypoxia (oxygen nzara). Iwe unogona kudikanwa mune zvekukurumidzira mumba. Uye mune dzimwe nguva - kuberekwa nguva isati yasvika.
Is CTG inokuvadza kumucheche here?
Vabereki vakawanda munguva yemberi havana kuvimba ne cardiotocography. Zvinofanira kurehwa kuti kutya kwakadaro hakuna zvachose. Ichi chidzidzo chinopa ruzivo rwakakosha ruzivo pasina kukuvadza hutano hweamai kana fetus.
Uye hazvina mhosva kuti unoguma nei nekudzidza kokutanga, usatya pakarepo. Pashure pezvose, CTG haisi kuongororwa. Mufananidzo wakazara wehutachiwana hwe fetus haugoni kupiwa neimwe nzira. Zvakakosha kuva nechidzidzo chakazara - ultrasound, doppler, nezvimwewo.
Uye panguva imwe chete, kukosha kwekutsvakurudza uku hakugoneki. CTG inopa ruzivo pamusoro pemamiriro ekuberekwa panguva yekudzivirira. Uyezve, mukushanda kwebasa, zvinokwanisika kupa nguva yakakodzera uye yakarurama yekuberekwa uye mamiriro ehutusi.