CTG mudumbu - vasingambooni chakaipa nazvo. CTG mudumbu - mwero pa vhiki 36. Sei decipher CTG mudumbu

Absolutely mukadzi ose panguva yepamuviri kunetseka sei kuva mwana wake, zvose zviri muhurongwa hwake. Nhasi, kune nzira inobvumira zvakakwana akavimbika yera azvarwa. Imwe nzira yakadaro cardiotocography (CTG) inoratidza ukama pakati perturbation uye fetus kwemwoyo. Munyaya ino uchadzidza zvinotaurwa CTG, sei wake mabasa hunoyerwa, uhwo zviratidzi CTG mudumbu - ndozvakajairwa, uye inokanganisa migumisiro pakudzidza.

Chii CTG

Cardiotocography kwakavakirwa kunyoresa kakawanda fetus kwemwoyo uye kuchinja zvichienderana pokudzora zviwane kana fetus basa.

Chirwere rinoitwa kushandisa miviri ultrasonic sensors, mumwe iyo pazvinhu mudumbu nevakadzi pamuviri, pre-nokududza nharaunda yakanaka audibility kwemwoyo mwana. Mwari akaronga kuti kunyora cardiac basa azvarwa. The Switch pfungwa zvinooneka kubva mumwoyo mwana ultrasonic chiratidzo, iro zvino kutendeutswa zvemagetsi gadziriro nguva imwe kwemwoyo. The Switch wechipiri wakaiswa kuti mudumbu ari dumbu. It anonyora uterine sunga. Kuti uvandudze kupararira ultrasonic chinozunguzirwa sensors vari kupatsanurwa ne rinokosha gel. Uyewo, ano mano takashongedzerwa pamwe kure kuzvidzora nokuva nekudzvanya pamusoro bhatani, mukadzi ane pamuviri anogona kuchengeta fetus kufamba.

Migumisiro anonyorwa patepi mudziyo ari muchimiro girafu. Pane rinoratidzirwawo uterine sunga uye fetus kufamba. The Data vakawana inogona kutongwa achinyanya mamiriro tsinga mwana, ayo kudzivirira uye adaptive siyana. Kana zviratidzo CTG mudumbu - ndozvakajairwa, zvinoreva kuti mwana anonzwa kugadzikana, uye ayo kukura anopfuuura maererano misi.

Kunoda CTG

Pakuongorora pamuviri mukadzi muhofisi ane obstetrician-gayinakorojisiti kunosanganisira kuteerera kwemwoyo mwana ane stethoscope. Nokutsauka kubva ndozvakajairwa mwoyo mwero (HR) ari kumusoro kana pasi zvinoratidza kuti mwana ari kushushikana kusanzwa. Panyaya iyi, chiremba anotumira Amai ramangwana kune zvakawanda tikanyatsoongorora kumwoyo of mudumbu - CTG.

Pane ukama pachena pakati zvakanaka mukadzi pamuviri uye azvarwa. Saka, kana pamuviri yakanga nyore, pasina intrauterine noutachiona, chidzivaidzo kutyisidzira, preeclampsia, migumisiro CTG, vanogona kuva zvakajairika. Kana mukadzi ane mimba utano hwakanaka vakachengeta kufungira CTG zvabuda, zvakakodzera kuitisa kuongorora kwakaitwa vhiki zvakare.

Kana mukadzi ane pamuviri akawana zvakakomba kuchinja utano mamiriro, zvakakodzera sezvo CTG anogona kuitwa kakawanda kuti kudzivisa panowanikwa nguva abnormalities mu fetus uye kutora matanho anodiwa.

Zvakakurukurwa pakudzidza

Ipa CTG Kazhinji pashure pemavhiki 32 pamuviri nokuti bedzi nguva ino pane achikura neuromuscular pulses, uye nzira anova zvavataura.

Somuenzaniso, kuti mudumbu CTG zvazvingava 33 mavhiki - pamberi anopfuura maviri aktseleratsy girafu. Panguva ino, izvo zvinokonzerwa tsinga apindure fetus kufamba kana zvimwewo zvinoitika. Panguva yapfuura pavaipfuura aktseleratsii anogona chokuita ezvinhu ose intrauterine kuvapo mudumbu, saka pakutsvakurudza kungaita kuti zvabuda venhema.

Uyewo, panguva iyi mudumbu chinosimbiswa kutenderera nokuzorora, izvo zvinokosha zvikuru chidzidzo ichi. Panguva CTG ari mamwe mudumbu panguva migumisiro nguva dzose zvakanaka, kunyange kana chokwadi pane mukuru mwero hypoxia. Ndokusaka kudzidza rinofanira kuitwa kwemaminitsi 40. Panguva ino, fetus wakasungwa kuwedzera kurovedza muviri, izvo zvichaita kunyora kuchinja mwoyo yevanhu panguva yayo kufamba.

Zvakakosha chaizvo kuti mukadzi kudekara uye vakasununguka mumuedzo. An vachinyara chinzvimbo kana chivara manzwiro anogona kukonzera zvikuru kushingaira fetus kufamba, izvo zvichaita kuti zvabuda venhema. Kazhinji, munguva nzira mukadzi agere hwomutambarakede cheya kana avete pamubhedha kudivi kwayo.

Kuti tinzwisise kuti decipher CTG mudumbu achaona chaizvo sei dzaongororwa parameters.

Basal kwemwoyo

The basal kwemwoyo - ndiwo mwero mwoyo avhareji azvarwa, zvakagadzirirwa kwemaminitsi 10-20. Zvinonzi akatsunga pasina fetus kufamba pakati uterine sunga pasina zviwane, dzakakudzingai aktseleratsy uye decelerations. Pakuitisa fetus CTG BCHSS mwero iri 110-160 anorova paminiti. Tachycardia, kureva kupfuura zvakajairika basal kwemwoyo, unogona kuonekwa fetus hypoxia, kupererwa neropa, malformations uye fetus mwoyo kushanda insufficiency, uyewo vari kwokupisa ezvinhu pamuviri, kuvapo kwake intrauterine noutachiona, nani thyroid chaitika. Kugamuchira zvinodhaka kuti vane kardiostimuliruyuschy zvinogona kutungamirira nokuwedzera fetus mwoyo.

Achideredza basal pamwero riri pazasi dzose (bradycardia) zvinogona kukonzerwa hypoxia, fetus mwoyo kuremara, uyewo pasi BP amai, hypoxemia, kwenguva refu compression pamusoro achiine rukuvhute tambo, kuvapo vakadzi vane pamuviri CMV hweHIV.

Kwemwoyo variability

Ipfungwa ichi kunoratidzwa nguva imwe oscillations - kwemwoyo zvarakasiya kubva basal chechetere. Kana kuongorora CTG kazhinji kudzidza nguva imwe amplitude pakati oscillations, hunhu iyo secrete yakaderera oscillation (kutsauka kuri anorova asingasviki matatu / Maminitsi), svikiro (3-6 anorova / Maminitsi), mukuru (amplitude pamusoro 6 anorova / Maminitsi).

For CTG fetus mwero vhiki 36 - mukuru oscillation, zvichiratidza zvakanaka azvarwa. Kuvapo yakaderera oscillation inoti pathologies wayo kukura.

Pfungwa iri rwakabhadharwa kuna kuongorora kardiotokogramm anononoka oscillations. Zvichienderana amplitude kwavo kusiyanisa monotone mhando, iyo inozivikanwa nokuva yakaderera amplitude oscillations (0 kusvika 5 anorova / Maminitsi), kuchinja mhando ane amplitude inobva 6 kusvika 10 anorova / Maminitsi, corrugating (11 kusvika 25 anorova / Maminitsi) uye kumhanya mhando (amplitude pamusoro 25 anorova / Maminitsi). Inosimudzira oscillation amplitude anogona chokuita nepakati fetus hypoxia, uyewo pokudzora zviwane inotokonya ayo tsinga. Kuchiderera oscillation amplitude zvinogona kukonzerwa zvikuru hypoxia iyo inotungamirira chinovhiringidza kuti kushanda tsinga ari mudumbu, nokushandisa narcotics, mapiritsi.

Aktseleratsii

Aktseleratsiey akadana kwenguva pfupi palpitations dzinenge 15 anorova / Maminitsi kufananidzwa basal padanho uye nguva mumasekonzi 15. On kardiotokogramme vanotarisika akafanana dzakakwirira mazino. Aktseleratsii ndivo mhinduro zviwane, sunga ari dumbu, pamusoro kwebasa mwana. Kuvapo kwavo pamusoro CTG azvarwa - vasingambooni chakaipa nazvo.

decelerations

Detseleratsii akadana tava kuderera mwoyo mwero fetus kubudikidza dzinenge 15 anorova / Maminitsi kupfuura mumasekonzi 15. The girafu rinoratidza mwoyo sei chinokosha. Kune mangwanani, kunopera uye shanduka decelerations. Uyezve, havana dzinoiswa sechiedza amplitude pamwe kuderera kwemwoyo 30 anorova / Maminitsi, mwero - 30 - 45 anorova / Maminitsi, uye yakanyanya - kubva 45 anorova / min. Tava kuderera kwemwoyo ungava nokuda zvinetso kuyerera placental ropa, myocardial hypoxia, kudzvinya ari achiine rukuvhute tambo.

CTG mudumbu. wokuyera

For fetus kupima, World Health Organization kwakasimbiswa mirayiridzo kutaridzwa shoma uye kunonyanyisa zvinobvumidzwa netsika nechimwe parameter. Maererano nhungamiro idzi, CTG mudumbu (iko mararamiro 33 kwemavhiki) anofanira kuva zvinotevera anoreva:

• Basal mwoyo rate: 110-160 anorova / min.
• Kwemwoyo variability iri kuwanda 5-25 anorova / min.
• Maviri kana kupfuura kumhanyisa kwemaminitsi 10.
• Kushaya yakadzika decelerations.

Zvinokosha kucherechedza kuti mwero fetus CTG 35 kwevhiki kana kupfuura kwakafanana muna 33 mavhiki.

Fetus kupima ne pfungwa

Nzwisisa zvinoguma CTG 10-pfungwa scale, vanoongorora mumwe chokuratidza kubva 0 kusvika 2 points. For CTG fetus mwero vhiki 36, uyewo yose rechitatu trimester, zviri 9-10, kana zvachose mamakisi 6 kusvika 8, zvinonzi okisijeni nenzara (hypoxia) pasina mamwe kutyisidzira, unofanira kudzokorora nzira CTG mukati pavhiki; Kana 5 pfungwa zvichidzika - zvino mwana anonzwa hwakasimba okisijeni kushaikwa, izvo zvingaita kuti dzakakomba chetsinga matambudziko, unofanira kukurumidza kuita.

Zvinofanira kurangarirwa kuti kunyange kana CTG fetus 8 pfungwa kana pasi, hazvina zvakakodzera mberi nguva kuti achitya. In ichi mhando kudzidza, uyewo nevamwe vazhinji, pane zvinoita kuti kukanganisa mashoko tigutsikane yechipupuriro. Migumisiro zvikuru pakufambira Somuenzaniso, musi kana mwana akarara kana takamuka. vanachiremba achiongorora zvaive kardiotokogramm kufunga zvinhu zvakadai okunze, ari kufara pamuviri ruzivo, ropa shuga yomuropa vakadzi. Kana CTG Data havasi kwakarurama, ipapo chiremba vanonyorera mimwe miedzo. Cardiotocography Kazhinji rwaiitwa kaviri chekupedzisira chemwedzi mitatu yenhumbu, asi mune zvimwe zviitiko kunyange zvakawanda, zvakadai muna vakawanda pamuviri, BP, kuvapo kutapukirwa, chirwere cheshuga, kusingagutsi migumisiro Ultrasound, ropa, rokusamhanyira sunga.

Possible zvikanganiso kududzira CTG date

1. Mwana ari mudumbu ari kugara zvitange. Dzimwe nguva unogona Svinai musoro achiine rukuvhute tambo, ndokusaka ari pfupi akashatirwa ropa riyerere munzira nhumbi achiine rukuvhute tambo, izvo zvinoratidzwa migumisiro CTG. Muchiitiko chino, kardiotokogramma achava pathological mamiriro nezvibereko zvakanaka.
2. Dzimwe nguva panguva okisijeni kushayiwa ari mudumbu zvinosanganisira kuzvidzivirira siyana: zvinoderedza okisijeni consumability rinenge uye kuwedzera kuramba hypoxia. Muzviitiko zvakadaro, mwana ari kutambura, asi haina chokuita CTG.
3. With kukura zvokurwara zvingaderedzwa kugona kunzwisisa zvinyama panguva dzekudya okisijeni kugutsikana muropa, nekuti icho mudumbu kunoitika pasina kuita, uye Hic zvingava kuipa, kunyange zvazvo chirwere kushaya okisijeni.

Tichitarisa zvose pamusoro, zvinofanira kunzwisiswa kuti CTG mudumbu panguva pamuviri inzira inokosha zvikuru nechirwere, asi kuti mufananidzo wakakwana zviri kuitika CTG mashoko anofanira kuenzaniswa nemamwe zvidzidzo. Nhasi kushandiswa nevakawanda uye Doppler Ultrasound kuongorora chirwere.

Apo iwe unogona kuita CTG mudumbu

CTG kuitira vakasununguka zvose antenatal yekuongororwa. Zvinokwanisika kuita tsvakurudzo uye private zvokurapa nzvimbo, asi kuti muripo.
The Zvipatara uyewo basa cardiotocography munguva basa. Izvi zvinobatsira kuongorora mamiriro hutano mwana panguva basa sunga uye tarisa kubudirira mishonga uye pakusununguka nzira.

Vamwe vanaamai pamuviri vanotya kupedza akasiyana kutsvakurudza mhando panguva pamuviri, muchitenda kuti vaigona kukuvadza utano mwana. Cardiotocography zvachose yakachengeteka, uye zvinogona kuitwa sezvo nguva zhinji zvichidiwa, pasina ngozi pautano. Uyezve, zviri nyarara, haakonzeri chero kusanzwa.

Tinokuropafadzai nyore pamuviri uye zvakanaka!