Ukufuna ukwazi ngesondo lomntwana, umama okhuselekileyo unomdla ngokubanzi malunga nendlela yokujonga ubulili bomntwana ngentliziyo. Oomama abasetyhini baye baqinisekisa ubungqina beli qhinga, ngoko luya kuba luyathandwa kakhulu.
Ngaba kunokwenzeka ukucacisa ngesondo somntwana ngentliziyo?
Kukhangela iindlela zokufumana isondo ngesomso, umntwana uyacelwa oogqirha umbuzo: ngaba kunokwenzeka ukwazi ngesondo lomntwana ngentliziyo? Oogqirha abaqinisekisi ukuthembeka kwale ndlela, bachaza le nyaniso ngento yokuba ayinaso isiseko semvelo. Umzimba wabantwana abaselula nabesifazana ukhula phantse ngokulinganayo, ngoko akunakwenzeka ukuqinisekisile ukuba kungenzeka ukuseka ngesondo kuphela ngumsebenzi wesimo senhliziyo yesisu. Nangona kunjalo, abafazi ngokwabo bavame ukusebenzisa le ndlela njengenye indlela eya kwi-ultrasound.
Ngokubhekiselele kwimbono yabasetyhini abakhulelweyo ngokwabo, intliziyo ibonisa ukuba isondo somntwana. Inentombazana nentombazana incitshiswe ngeendlela ezahlukeneyo. Ngomzuzu omnye umntwana wesisu unamaqela angaphezu kwama-140. Kwi-embryo yesilisa, inani lezinqamlezo zentliziyo alinakugqithisa le nkcazo kunye nemigangatho ephakathi kwe-120 ne-130 ngeengqungquthela ngomzuzu. Kule meko, kubalulekile ukuqwalasela ixesha lokukhulelwa ngokwalo, apho kubalwa ukubala.
Uyazi njani ubulili bentliziyo yengane ezayo?
Ukumisela kwentliziyo yomntwana kwenziwa ngokubala inani lokucima kwimizuzu engama-1. Ukwenza oku, faka i-phonendoscope kwisibilini, ubhale ixesha kwaye uqale ukubala. Kufuneka kuthathelwe ingqalelo ukuba inkqubo kufuneka iqhutywe ngokuphumla okupheleleyo kunye nendawo engezantsi yomama. Amava, ukuphazamiseka, uxinzelelo lwangaphambili lomzimba lungaphambukisa iziphumo.
Ukumisela isondo somntwana kwisantliziyo sentliziyo ngumntwana onzima. Ukuphulaphula amathoni kunzima, ngoko ke iziphumo azifumanekanga ngale ndlela azizinjongo. Kwiimeko ezininzi, ibhinqa elikhulelweyo linika ingqalelo kwiinkcukacha ezibonisiweyo ekuphelisweni kwe- ultrasound kunye ne-CTG. Inqubo yokugqibela isetyenziselwa ukuhlola umsebenzi wenhliziyo womntwana njengesifundo esongezelelweyo.
Yiyiphi iveki ubulili bomntwana obonwayo?
Ukufunda isondo ngoogqirha be-fetus sele sele seveki ezili-12 zokukhulelwa. Ngelo xesha, i-ultrasound isetyenzisiweyo, inceda ekuboneni i-fossa yesini yomntwana. Nangona kunjalo, iingcamango ezenziwe malunga nezesondo zangomntwana zihlala ziphosakele ngenxa yokufaniswa okukhulu kohlobo lwangaphandle lwamantombazana namakhwenkwe.
Ubundlobongela bomntwana entliziyweni yesonto ezili-12 kunzima ukunquma. Ngalesi xesha intliziyo yesisu sele isunguliwe kwaye isebenza, kodwa umsebenzi wayo awukasekwa ngokufanelekileyo. Isiqithiso kunye nenqanaba lentliziyo lingahluka kwaye luthonyelwe ngu:
- iinkqubo zophuhliso lwangaphakathi;
- inkqubo yesifo somama;
- iimpawu zolawulo losuku olukhulelweyo.
Ukumiselwa kwesondo kwisantya senhliziyo
Unqume ngesondo lomntwana ngokuhambelana nokuvama kwentliziyo. Nangona kunjalo, abaninzi abafazi abakhulelweyo bayakwazi ukwenza izibikezelo ezichanekileyo kule akhawunti usebenzisa ixabiso lentliziyo. Ngokukholelwa ukuba intliziyo yentombazana ezayo iyancitshiswa rhoqo. Ngokubhekiselele kwimbono yabasetyhini abasele babe ngumama, yenza okungenani imivimbo engu-140 ngomzuzu. Ukufumana umphumo onokwethenjelwa, kufuneka kubalwe amanani amaninzi emva kwexesha elifutshane kwaye ubale inani lentengo.
Ngaphambi kokugqiba ngesondo somntwana ngentliziyo, loo mfazi kufuneka afunde ezinye iimpawu zomzimba. Intliziyo yenkomo yenkomo yenkomo yenkwenkwe yenkomo ibethwa kangangoko, ngoko ke ukuba umfazi okhulelwe engenazo izibetho ezingama-140 ngomzuzu, kuyafaneleka ukulindela le nkwenkwana. Ngelo xesha, abasetyhini besimangalo bathi le ndlela iqikelela ngokuqinisekileyo ngesondo lomntwana kuphela ngaphambi kweveki ye-20 yokukhulelwa - emva komhla wokugqibela, inani leenkolelo eziphosakeleyo landa. Ukongezelela, ngeli xesha, umfazi okhulelweyo sele sele enezinga eliphakamileyo lokukwazi ukuba ngubani oza kuzalelwa, ngokusekelwe kwiziphumo ze-ultrasound.
Isondo somntwana ngesantya senhliziyo
Ukumisela ubulili bomntwana kwintliziyo yabasetyhini kufuneka bayithobele ingqungquthela yokuchasana kwentliziyo yesisu. Kucingelwa ukuba intliziyo yomntwana iyancipha ngandlela-thile, isigqi sinokungaqiniseki. Ixesha lokuqhawula kunye nokuphumla kungashintsha. Iindlebe zeentliziyo azivumi kakhulu, ngoko ukuphulaphula ngokuqhelekileyo kuba yingxaki. Ngamakhwenkwe intliziyo iyancitshiswa ngokwemigca, kulula, iqhuma kakuhle kwaye iphulaphule ngokupheleleyo. Oogqirha ngokwabo bathi akukho ntlukwano kuloo nto yentliziyo, kuxhomekeke kwisini. Ukuphambukiswa okukhoyo kukuphawu lokugula, isicatshulwa.
Ukwabelana ngesondo ngoomntwana ngokubhekiselele kwingingqi yomntwana
Ukufunda indlela yokuchonga ngesondo somntwana ngokuzayo ngentliziyo, kuyimfuneko ukuqwalasela ezinye iimpawu. Ukuchonga ngokuchanekileyo ngubani oza kuzalwa - inkwenkwe okanye intombazana - ngentliziyo, kufuneka uqinisekise indawo yentliziyo yomntwana, ngokuchanekileyo - ngomzimba wakhe. Ngokomxholo okhoyo oomama abanamava ababelethe abantwana ababini, amakhwenkwe namantombazana ahlukeneyo kwisibeleko sikamama. Ngoko ke, ukuba intliziyo yeengoma ilula ukuphulaphula ngakwesobunxele - kuya kuba nenkwenkwe, ukuba kunene-intombazana iza kuzalwa. Oogqirha basabela ngokumomotheka kule ngqungquthela, bethetha ukuba iziganeko ezikhoyo zihlambulukile.
Intlawulo yenhliziyo yentliziyo ngeveki yokukhulelwa
Inyaniso engenakukhunjulwa yintshintsho kwisantya senhliziyo ngokuxhomekeke kwiminyaka yobudala. Ukuba uyazi ukuba isondo somntwana entliziyweni asikwazi ukuba bonke oomama, baya kubala inani lentliziyo kunye nokuyithelekisa kwikota inokuthi umfazi ngamnye. Ngokusekelwe kwiziphumo ezifunyenweyo, kunokwenzeka ukufumana izigqibo malunga nobuhlobo obunxulumene nophuhliso lomntwana. Isantya senhliziyo ngexesha lokukhulelwa kwinqanaba lokuqala lihluka ngale ndlela:
- Iiveki ezi-6 - 90-110 bpm;
- ukususela kwi-6 ukuya ku-8 ukuya ku-120-170;
- ukususela ngo-8 ukuya ku-12 ukuya ku-160-190;
- ukususela kwiiveki ezili-12 - ukusuka kuma-140 ukuya ku-180.