Yintoni efunekayo ukuqhuba i-ultrasound-doppler?
Olu hlobo lwesifundo luyakuvumela ukuba ubone inkathazo ekhokelela ekulibazisekeni ekuphuhlisweni komntwana komntwana. Ngethuba loviwo, ugqirha useka ulawulo lwegazi lwe-uteroplacental. Oku kwenziwa ngokuvavanya i-lumen yemithambo yegazi ephantsi ngqo kwintambo yomqobo.
Ngelo xesha, ugqirha ulungisa ubukhulu kunye nenani leentliziyo zentlungu, okuvumela umntu ukuba enze isigqibo malunga nentlalo yakhe yonke.
Ziziphi iintlobo ze-dopplerometry ezikhoyo?
Ukujongana nenyaniso yokuba le doppler kunye noko kufunekayo kubasetyhini abakhulelweyo, kufuneka kuqatshelwe ukuba kukho iindlela ezi-2 zolu hlobo lokuxilonga: i-duplex ne-triplex.
Ngoncedo logqirha wokuqala ufumana ulwazi olungathembeki ngokuthe ngqo malunga nomkhumbi ngokwawo, esiyintloko yesifundo. Ngoxa uncediswa ulawulo lwesithathu, ingcali ihlalutya ukuzaliswa kwegazi nge-oxygen. Ngokwe siseko salo, sinokugqiba ukuba izondlo kunye neoksijini zanele ukufumana isiqhamo nokuba i- hypoxia yenzeka .
Njani kunye neliphi ixesha elidlulayo ngexesha lokukhulelwa?
Okokuqala, kufuneka kuthiwe, ngokwempawu kunye ne-algorithm, esi sifundo asikho into eyahlukileyo kwi-ultrasound. Yingakho abanye oomama bangakwazi ukuba benze ntoni na, xa oko kungakatshelwanga kwangaphambili.
Ukuba uthetha ngokuthe ngqo malunga nendlela i-doppler eyenziwa ngayo ngexesha lokukhulelwa, uviwo luqala ngento yokuba ibhinqa elikhulelwe lilele embhedeni kwindawo ephakamileyo. Emva koko ugqirha ucela ukuba avule ngokupheleleyo isisu kwaye ahlise i-skirt okanye i-trouser. Kwisikhumba sesisu, i-gel ekhethekileyo isetyenzisiweyo, eqhuba umqhubi we-ultrasonic pulse kunye nokuphucula umnxibelelwano ngesikhumba.
Ukuhambisa i-sensor ngaphezu komzimba wesisu, ugqirha uvavanya uphuhliso jikelele lomntwana, ukulungisa ubukhulu bayo, indawo kwindawo yokubeletha, i.e. into efanayo kunye ne-ultrasound.
Emva koko baqala ukuvavanya nokuvavanya iinqanawa zokuhamba kwegazi. Ekupheleni kwenkqubo, umama olindayo uyasula i-gel esele kwisisu sakhe kwaye ikhuphuke esiqheqweni.
Njengoko uyazi, ukukhulelwa konke kunempawu zayo. Ngenxa yokuba isicwangciso sezenzo kunye neemviwo ugqirha wenza ngeakhawunti yabo. Nangona kunjalo, kungafanelekile ukukhankanya ukuba i-doppler ultrasound yinto enyanzelisayo yophando lwe-hardware, enokuthi yenziwe kabini kwixesha elipheleleyo. Ngokuqhelekileyo, le nqubo iqhutyelwa kwithuba lama-22-24 kunye neveki ezingama-30-34.
Kuziphi iimeko apho kunokwenzeka ukuqhuba uphando olongezelelweyo?
Kwizo meko xa umntwana eqala ukulibaziseka kwikota, okanye xa kukho iinkqubo ezingavamile zokuvuvukala kumfazi okhulelwe ngaphambi kokugaya, unokwakheka kwe-ultrasound-doppler inokumiselwa.
Ukuba uthetha ngokuthe ngqo ngokuchazwa kwenkqubo, kubalulekile ukubiza oku kulandelayo:
- ngxinzelelo lwegazi;
- ubukho bemikhwa emibi (iicicin, utywala);
- izifo zesistim ye-urinary;
imeko ye-pre-eclampsia; - ubukho bentsholongwane kwi-gestation yangaphambili;
- ukukhulelwa okubanzi;
- Ulwaphulo lweRhesus;
- gestosis;
- ukungahambi kakuhle komzimba wesisu.
Kufuneka kuthathelwe ukuba akukho luqeqesho olufunekayo.
Ngaloo ndlela, ukwenzela ukuba ibhinqa lisesikweni ukuqonda ukuba le yiley ultrasound kunye ne-doppler, okhethwe ngexesha lokukhulelwa, kwanele ukucela ugqirha onika isalathiso malunga nalo.