Ukusebenzisa i-Baby Doppler Emva kokutshatyalaliswa komtshato okanye i-Stillbirth

I-Pros and Consence yokuqasha i-Baby Doppler ngexesha lokukhulelwa kwakho

Kungakhathaliseki ukuba ufuna kangakanani umntwana, ukujongana nokukhulelwa emva kokukhulelwa komzimba, ukuzala, okanye ukulahlekelwa yinto enokuba yinto yokugada. Ukujongana nokulahlekelwa kukubangela ukungabi namacala ngokukhulelwa; akuqhelekanga ukujongana nokuxhalabisa xa ukhulelwe ngokutsha xa unamava angaphilile ngaphambili.

Enye indlela abanye besetyhini abanokujamelana nokuxinzezeleka kunye nokuxhalaba kokukhulelwa emva kokulahleka kukuqeshisa okanye ukuthenga i-Doppler-based based fetal monitor monitor (eyaziwa ngokuba ngumntwana we-doppler).

Abahloli banokubhatala amawaka eedola ukuthenga, kodwa abathengisi be-intanethi banikezela ngerenti kwi-20 $ ngenyanga, okanye umrhumo weplati ngexesha lokukhulelwa. Abathengisi abaninzi badinga imishanguzo evela kudokotela ngokuthobela imigaqo ye-FDA.

Abanye oogqirha banomuvo wokuthi ukusebenzisa abantwana abancinci bekhaya kwindlela enkulu yokuba bafazi baqiniseke ukuba yonke into ilungile kwaye banciphise ukuxhalabisa. Abanye banokungathembeki okanye ngokuchasene nxamnye nesenzo sokwesaba ukuba izixhobo ziyakongeza ukhathazeka okanye zibonelele ngokuqinisekileyo. Amacala omabini anamaphuzu alungileyo.

Ingcaciso engemvelaphi malunga nabantwana abancinci

Abantwana be-baby dopplers ngokuqhelekileyo zixhobo ezigcinwe ngesandla ezisebenzisa amaza angama-ultrasound ukufumanisa intliziyo yintsana ekhulayo ngaphandle kwesisu somama. Ngokuqhelekileyo, izixhobo ziyakwazi ukubona intliziyo iqala nge-sixhenxe ukuya kweveki yeshumi elinesibini yokukhulelwa (ngokusekelwe kwimizuzu yokugqibela yokuhamba esikhathini), nangona kukho ukuhlukahluka okusekelwe kumntu ngamnye.

Oogqirha kunye nababelethisi basebenzisa amadivaysi eDoppler ukubeka isantya senhliziyo yengane njengenxalenye ephantsi yokunyamekela kokubeleka . Ukubona intliziyo yesana kuyakhuthaza kumama kodwa kwakhona kunika ugqirha ngolwazi olukunceda ekulandeleni ukukhula komntwana.

I-Doppler ye-heartfighter ye-fetal i-FDA-ivunyiwe (kuthathwa ngokuba unogqirha ukukucebisa malunga nokusetyenziswa) kwaye uyabonwa njengokhuselekile.

Iingxaki zeBantwana

Abantwana be-dopplers banokuxhobisa abesetyhini, ngakumbi abo bajongene nokukhulelwa emva kokukhulelwa komzimba okanye ukubeleka. Kwiinyanga zokukhulelwa ngaphambi kokuba akwazi ukukhaba umntwana, ii-Doppler zixhobo zinokuqinisekisa ngokuqinisekileyo ukuba intliziyo yesana isabetha.

Ngezinye izikhathi ama-Naysayers agxininisa ukuba abafazi bafanele baqeshane oogqirha bentliziyo yabo ukuba bahlole ukukhangela kwenzelwa ekwenzeni ugqirha kunokuba bazame ukudlala ugqirha ekhaya. Kodwa ukuxhalaba kokukhulelwa emva kokulahleka kudla ngokuphindaphindiweyo kwaye akusoloko kugxininiswe ekucingeni ngengqiqo - into ethile ebhinqa abakhulelweyo bavame ukuyiqonda. I-monitor-rate ye-heart monitor monitor ingasetyenziselwa nayiphi na ixesha kunye naphi na ukukhathazeka, nokuba ngaba phakathi kobusuku okanye eofisini ngexesha lomsebenzi.

Kwiimeko ezinjalo, ukufumana intliziyo inokuvumela loo ntokazi ukuba ibuyele kwimpilo yakhe yemihla ngemihla eqinisekisiwe kunokuba ibe nexhala elikhathazayo eliphazamisa amandla akhe okugxininisa kwimisebenzi yakhe. Ngokwenene, abambalwa abafazi banokubiza iiofisi zabo zoogqirha rhoqo xa bexhalabele kwaye mhlawumbi banokuba noogqirha abanomsebenzi wokulungelelanisa ukunikela ngesantya sentliziyo kweso sihlandlo esifutshane rhoqo xa umfazi okhulelweyo exhalabile.

Oku akuthethi ukuba abafazi banokuziva bexhalabile kwaye besaba ngokuba yintlanzi, kubangele ukuba bahlale ekhaya baze bajamelane noxinzelelo kunokuba bacele ukungena okwesithathu ngeveki ukuba bavelele intliziyo kwiofisi . Ukuxinezeleka kokukhulelwa akulungele umama okanye umntwana.

Iindleko zentliziyo ye-Fetal zibonakala zikhuselekile, kwaye kulula ukuyisebenzisa kubafazi abaninzi. Abasetyhini bafuna ukuqonda ukuba ukuva intliziyo ayikho into enokuqiniseka ukuba yonke into iya kulungiswa ngokukhulelwa, ezatshintshile izikhundla zobungqina kunye nezinye izinto ezinokuchaphazela ukukwazi ukufumana izinga lentliziyo, kwaye kufuneka ukuba zibize oogqirha babo nanini na tha ndabuza.

Kodwa ekucingeni ukuba ukuqonda, ukusebenzisa iindleko zeentliziyo azilimazi nabani na kwaye kunokukunceda kakhulu uxinzelelo kunye nokuxhalaba kokukhulelwa emva kokukhulelwa kwesisu okanye ukuzalwa komntwana.

Baby Dopplers Cons

Izilingo zentliziyo ye-Fetal zizixhobo zonyango ezijoliswe ukusetyenziswa ngabaqeqeshi bezonyango. Abathengi abanaso ukuqeqeshwa okanye ulwazi ukusetyenziswa kwezixhobo kunye / okanye ukutolika ulwazi abafumana kubo. Kwezinye iimeko, oku kungakhokelela kwizigulane ezingafunanga unyango lwezempilo xa zifuna.

Abasetyhini banomngcipheko wokungakhathazeki ngokungabalulekanga ukuba baqeshisa okanye bathengise amadivaysi amanani entliziyo ngaphambi kokukhulelwa kwaye abakwazi ukufumana intliziyo . Izinto ezifana nomfanekiso womzimba kunye nendawo yeplacenta inokuchaphazela njani indlela yokuqala yokujonga intliziyo yomntwana ongaphantsi.

Ukungafumani intliziyo yesana kwiiveki ezisibhozo okanye ezisi-9 zokukhulelwa akuthethi ukuba ibhinqa liye lahleka; akakwazi ukuva intliziyo kunye nesixhobo kude kube kwiiveki ezingama-12 nangona yonke into ihle kakuhle. Ibhinqa lingaphinda lifumene intliziyo yesinye ixesha kwaye ingayifumananga ngexesha elizayo, mhlawumbi ngenxa yokutshintsha kwimeko okanye ukungabikho kwamava (engazi apho ukhangele khona), kwaye oku kungakhokelela ekubeni uxinzelelo olungadingekile.

Kamva ekukhulelweni (njengowesithathu kwi-trimester), abafazi abaqaphela ukuba abantwana babo abahambeli ngokuqhelekileyo banokugqiba isigqibo sokuba bangabiza ugqirha emva kokufumana intliziyo yesantya sokujonga isantya - kungekhona ukuqonda ukuba ukufumana intliziyo akuthethi ukuba konke kulungile. Ifowuni inokubonelela ngokuqinisekileyo, ukukhokela abafazi ukuba bangabizi oogqirha babo kwiimeko xa bekuya kuba yinto efanelekileyo yokwenza njalo.

Ekugqibeleni, abanye banokuthi i-jury isaphuma kwi- ultrasound ukhuseleko. Uninzi lwezifundo zifumene i-ultrasound ukuba ikhuseleke, kodwa uphando oluthile ludibanise ukusetyenziswa kwe-ultrasound kwiinguqu kwiintsholongwane zengqondo ezisakhulayo. Nangona oogqirha abambalwa banenkxalabo yokusetyenziswa ngokufanelekileyo kwe-ultrasound ngenjongo yezokwelapha ezicacileyo, abanye banenkxalabo yokuba ukuchayeka okungenamkhawulo kwi-ultrasound ngokusebenzisa izixhobo zabathengi kungaba nemiphumo.

Apho ahlala khona abantwana abancinci

Okwangokunje, abafazi banokufikelela ngokulula kumatshini okubeka esweni kwentliziyo ye-fetal ngokusebenzisa abathengisi be-intanethi. Uninzi lwabathengisi ababonelela i-fetal heart surveillance badinga imvume yokugqirha nodokotela ngaphambi kokuqesha okanye ukuthenga izixhobo.

Ukuba ucinga ukusebenzisa umntwana osweleyo, xubusha le ngxaki kumniki-nkonzo othembekileyo. Cinga ukuba iliso liza kunciphisa okanye likhulise uxhalaba lwakho. Ukuba uchitha iiyure ngosuku uxhala malunga nokuphuphuma kwesisu, kwaye ukukhathazeka kukuphazamisa ubomi bakho, iliso lingaba luvo oluhle kwaye lunokukunceda. Ukuba unomdla kuphela, okanye ukuba ucinga ukuba uyotya xa ungakwazi ukufumana izinga lentliziyo nganoma naliphi ixesha, unokufuna ukuphepha ukusebenzisa i-monitor.

Izixhobo zikhuselekile ukuba zisebenzise, ​​ngokukodwa ekumodareyithweni (kodwa ungayisebenzisi ukuphulaphula umntwana wakho ngeeyure ngosuku). Ugqirha wakho mhlawumbi unokunikela ngeengcebiso zokunciphisa umngcipheko xa unquma ukuqasha okanye ukuthenga umlindo we-heart rate.

Imithombo:

Ang, Eugenius, Vicko Gluncic, i-Alvaro Duque, uMark E. Schafer kunye noPasko Rakic. Ukutshatyalaliswa kokuqala kokubeletha kumagagasi e-ultrasound kuthinta ukufuduka kwe-neuronal kwiimiceba. " I-PNAS 10 Agasti 2006 12903-12910. Ukufikeleleka ngo-12 Novemba 2007.

Stephenson, uJoan. "Ukhuseleko lwe-Fetal Ultrasound." I-JAMA 293: 2005 286. Kufumaneka ngo-12 uNgo-2007.