Ukubekwa kweliso lomzimba kwangaphakathi kubandakanya ukubekwa kwe-electrode ngqo kwi-scalp yengane ngoxa kusekho esibelethweni. Olu vavanyo luyenziwa ukuhlola intliziyo yesantya kunye nokuhluka kweentliziyo zengqesho ngexesha lobasebenzi.
Ngelixa i-IFM isetyenziswa rhoqo ngexesha lokuzalwa kweengozi eziphezulu, ingasetyenziselwa ekuzalweni okusemngciphekweni ophantsi xa iqela lokukhathalela lingakwazi ukufumana uvavanyo oluchanekileyo kwiinkqubo zangaphandle zokubeka esweni, njengokwenkcenkceshela kunye nokulinda kwe-fetal electronics (EFM) .
UkuLawulwa kwe-Fetal Monitoring kwenziwa njani
I-IFM ifakwe kwi-cervix ukuya kwinxalenye yomzimba womntwana osondele ekuvuleni (ngokuqhelekileyo isikhumba). Ukuba unina akazange aphule amanzi, i- amniotomy iya kwenziwa ukwenjenjalo. I-electrode ye-fetal iya kufakwa ngokufakela intambo encinci kwiindawo eziphezulu zesikhumba somntwana.
Ngelo xesha, i- catheter ye- intrauterine (IUPC) ingafakwa ngaphakathi kwesibeleko phakathi kobumba lwe-uterine kunye nosana. Oku kuvumela ukuba iqela lokuzalwa lilinge amandla asemthethweni okwephulwa ngumama kunokuba ithembele kwiifom ezichanekileyo zokubeka esweni. Oku kunenzuzo xa kubandakanywa umsebenzi wokunyusa.
Iingenelo zoLiso lwangaphakathi lwentlungu
Ukubeka iliso lwangaphakathi lomntwana kuvumela ukubeka esweni ngqo intliziyo yengane ngokuchasene nokuxhaswa kwindlela yokujonga esithe ngqo. Ukuxhaswa kwemisebenzi isebenzisa ukusetyenziswa kwesicatshulwa esilaphula ngesisu sesisu, mhlawumbi ngesimo se stethoscope okanye i- fetoscope ye- ultrasound .
Ukuqulunqwa kwindlela eqhelekileyo isetyenziselwa ukukhulelwa okuphantsi.
I-IFM iphinde iphumelele enye yeemida ezincinci ze-EFM: imfuno yowesifazane ukuba ahlale ehleli. Nge-EFM, ifowuni yokubeka iliso ifakwe kwinqeni lomfazi. Nayiphi na inyathelo inokuphazamisa isalathisi kwaye iphakamise iziganeko ezingenakho okanye ezingekho.
Ukubeka esweni kwangaphakathi kunokuthintela ukuba kungabalulekanga ukuba ukuxinzezeleka komntwana kubonakaliswe kwi-external monitoring but not IFM.
Mngcipheko
Nangona kukho iingenelo, kukho ubuninzi beengozi ezinxulumene ne-IFM, kuquka:
- Ukuqhayisa okanye ukutshitshiswa kwesikhumba somntwana
- Usulelo lwengozi kumama okanye umntwana usuka kumthombo ongaphandle
- Umngcipheko wokunyakaza komama onokwenza umsebenzi ube nzima kwaye unzima
- Umngcipheko wokusuleleka kumama ukuya kumntwana (i-IFM iyachaswa kubafazi abane-HIV, herpes, kunye ne-hepatitis)
Inkqubo ye-IFM ngokwayo ibangele ingxabano phakathi kwezinye iingcali ezikholelwa ukuba ziyinto engabalulekanga. Ezinye izifundo zicebise ukuba ukusetyenziswa kwazo kuhambelana nokuphakama, kunokuba kuncinci, amazinga okuzalwa kwabazali kunye nokunikezelwa kwamandla.
Olunye uphando olwenziwa ngo-2013 lwabikwa ukuba, ngamabhinqa angama-3,944 apho i-IFM isetyenzisiweyo, i-18.6 ekhulwini iphelile ekufumaneni i-calasan engama-9.7 ekhulwini abangenayo i-IFM. Amazinga omkhuhlane kwabasetyhini nawo aphantse aphindwe kathathu aphezulu (11.7 ekhulwini nge-4.5%).
Akukho ntlukwano kwimpilo yabonwa kwiintsana ezibonakaliswe kwi-IFM xa kuthelekiswa nabangenalo.
> Umthombo:
> Harper, L .; Shanks, A .; Tuuli, M .; okqhubekayo. "Iengozi kunye neNzuzo yamaNgqapheli angaphakathi kwizigulane zabasebenzi." IJ Obstet Gynecol. 2013; 209 (1): 38.e1-38.e6.