CTG fetus - ke kūmau. CTG fetus - ka uku ma 36 pule. Pehea e decipher CTG fetus

Loa kela wahine keia wahine i hāpai keiki, e hopohopo e pili ana pehea e ulu i kona keiki, nā mea a pau i loko o kona mau aoao. I kēia lā, aia nō i kūpono e ae i lawa ka ike loea olelo o ka fetus. One ia iaoia mea cardiotocography (CTG) e hōʻike ana i ka pilina ma waena o ka perturbation a me ka fetal naʻau kōmi. Ma kēia 'atikala oe, e aʻo i ka CTG, ma pehea ua loiloi' ia hana ana, no ka mea, i nā hoailona CTG fetus - ke kūmau, a me ka mea e loli ai ka hopena o ke ao.

He aha ka ke CTG

Cardiotocography nānā 'ana i kakau alapine (frequency) o fetal naʻau i kela a me ia nā loli ke kaumaha ma muli o ka aoao o ka mawaho stimuli a fetal hope.

ʻike, ua hana me ka hoʻohana mau kani ultrasonic nā mea e loaʻa ka mea nalo, kekahi o i ua paa ma ka abdomen o ka hapai wahine, mālama '-wā i ka māhele o ka maikai audibility Kal o ke keiki. Ua Ua manaoia e palapala cardiac haʻawina o ka fetus. Ka mīkiniʻimi makaukau lewa mai o ka naau o ke keiki kani ultrasonic neaiae, i laila hoohuliia ma ka lolouila'ōnaehana i instantaneous naʻau kōmi. Ka lua o ka mīkiniʻimi ua paa i ka abdomen i loko o ka uterus. Ua moʻolelo o ka uterine contractions. No ka hoʻoikaika EYI o nā mea e loaʻa ka mea nalo ultrasonic nä nalu e hoʻokō 'ia e kekahi kuikawa tuko pīlali. No hoi, ua lako pono kēia manaʻo me kākou mana ma ke kaomi 'ana ma ia pihi, he wahine hapai e mālama fetal neʻeʻana.

Nā hualoaʻa i hōʻike 'ia ma luna o ka leki lima kūlana kiʻekiʻe i loko o ka palapala o ka pakuhi. Ka I kekahi hōʻike uterine contractions a me fetal ka neʻe 'ana. Nāʻikepili loaa hiki e hookolokoloiaʻi e au, kuhikuhi ma ka moku'āina o ka'emi'ōnaehana o ke keiki, kona aiiay a me ka adaptive reactions. Inā nā hoailona CTG fetus - ke kūmau, ka mea, 'o ia hoʻi i ka pēpē Kahalaopuna oluolu, a me kona ulu loaa e like me ka lā.

I pono CTG

Ka ninaninau ana i ka hapai wahine i loko o ka oihana o ka obstetrician-gynecologist kikowaena hoʻolohe i ka Kal o ke keiki me ka stethoscope. Ke haiahū kūmau mai ke kūmau o ka naau i kela (HR) i loko o ka mai paha ia i ka 'i ke keiki uaʻike piʻi discomfort. Ma keia hihia, ke kauka e hoouna i ka wā e hiki mai makuahine i ka oi hoʻokolokolo pono study o ka mea'ōnaehana mānowai koko'ōnaehana o ka fetus - CTG.

Aia He He maopopo pilina ma waena o ka maikaʻiʻana o ka hapai wahine, a me ka fetus. No laila, inā i ka hāpai keiki ua oluolu, me intrauterine maʻiʻaʻai, haʻahaʻa hoʻoweliweli, preeclampsia, i ka hopena o CTG, a pau, aolie ia e maʻamau. Inā he hapai wahine i loko o maikai ola malama hana kupua CTG hualoaʻa, ia mea e pono e hooponopono i ke ana i loko o ka hebedoma hou.

Inā he wahine hapai loaʻa loli nui ma ka ola you, ia mea e pono like ai ka CTG hiki e paa hou pinepine i mea e pale aku i ka hanana o ka manawa abnormalities ma fetal kūpono 'ana a me ka lawe pono ana.

Hiʻona o ke ao

Hāʻawi aku CTG IeAUPIIe, IAa IO ma hope o 32 pule o ka hāpai keiki no ka mea, ma keia manawa, he mea kaʻoihana kaua, neuromuscular ka lāʻau ikiʻai, a me ka iaoiaeii lilo oi informative wale.

No ka laʻana, no ka fetus CTG kōmi 33 hebedoma - ma ke alo o ka oi ma mua o nā aktseleratsy pakuhi. Ma keia manawa, ka mea, ua kena ae la ma ko mākou hopohopo'ōnaehana pane i fetal neʻe 'ole mawaho aʻe. Ma ka mua ke kahua aktseleratsii i ke pili me ka olelo o ka intrauterine ola o ka fetus, no laila, i ka noiʻi ke alakai i nā hualoaʻa wahahee.

No hoi, ma keia manawa i ka fetus ua hoʻokahua kalapona ha awina a me ka poe i koe, i mea o ka mea nui no kēia mahele. Iloko o ka CTG i loko o ke koena o ka fetus i nā hualoaʻa i mau 'oluʻolu, a hiki ina ma ka mea he mea he kiʻekiʻe loa o ke hypoxia. Ia mea ke kumu ke ao e e mālama 'ia no ma ka liʻiliʻi 40 minuke. Iloko o keia manawa, i ka fetus ua paa ia e mahuahua physical haʻawina, a e? Aaeno i ka loli ma ka naau ana i kona holo.

He mea nui i kekahi wahine e haha nanea wale a me ka 'oluʻolu i ka hōʻike. An awkward wahi a lilelile Emotions hiki i ka oi hana fetal neʻeʻana, a e alakai i nā hualoaʻa wahahee. Nō kāu, i ke kaʻina hana o ka wahine e noho ana ma ka nohoʻana ma noho paha e moe ana ma luna o ka moe ma konaʻaoʻao.

I mea e maopopo pehea e decipher CTG fetus e ike ia e like pehea ua auhau ma kiko'î.

Basal naau kōmi

Ke basal naau ana - o ka awelika naau ana o ka fetus, papahana no 10-20 minuke. Ua Ua nānā 'ia ma ka wa e kaawale aku o fetal neʻeʻana ma waena o uterine contractions ole mawaho stimuli, Ma waho aʻeo ka aktseleratsy a me decelerations. I ka hoʻokō 'fetal CTG BCHSS kōmi mea 110-160 kui iho oe a no minuke. Tachycardia, oa ma luna o maʻamau basal naʻau ana, hiki ke malama i ka fetal hypoxia, anaemia, malformations a me fetal papa naʻau insufficiency, e like me ia ma ka feverish noho o hāpai keiki, i ke alo o kona intrauterine maʻiʻaʻai, ka hoʻomaikaʻi thyroid kuleana pili i. Loaa mai ai 'i i kardiostimuliruyuschy ia ke alakai i ka hua i loko o ka fetal naau.

Ua hakumakuma ka basal 'ilikai o lalo maʻamau (bradycardia) hiki ke kena ae la ma ka hypoxia, fetal naʻau mā, e like me haahaa ke koko, o ka makuwahine, hypoxemia, hooloihi ae i mīkini'opihia o ka piko, i ke alo o ka hapai wahine CMV maʻiʻaʻai.

Heart kōmi variability

Kēia AOAIAaOO Ua wehewehe aku ma instantaneous oscillations - naau kōmi deviations mai basalʻilikai. I ka ke kālailai CTG IeAUPIIe, IAa IO hoʻopaʻa haʻawina instantaneous ikaika hawewe o na oscillations, i ke ano o ka i pee no haʻahaʻa oscillation (haiahū kūmau mea emi o ekolu kui iho oe a / min), meakino (3-6 kui iho oe a / min), kiʻekiʻe (ikaika hawewe ma 6 kui iho oe a / min).

No ka CTG fetal uku o 36 hebedoma - kiʻekiʻe oscillation, e hoike ana i maikaʻiʻana o ka fetus. Ke alo aku o ka haʻahaʻa oscillation olelo pathologies i loko o kona ulu ana.

Mau noonoo ana ua uku a hiki i ka Ikepili o ka kardiotokogramm kali oscillations. Ke kaumaha ma muli o ko lākou ikaika hawewe hoomaopopo monotone type, a ua wehewehe aku ma ka haahaa ikaika hawewe oscillations (0 i 5 kui iho oe a / min), i ka hoʻololi 'ano me ka ikaika hawewe o mai 6 a hiki i 10 kui iho oe a / min, corrugating (11 a hiki i 25 kui iho oe a / min) a galloping type (ikaika hawewe ma luna o 25 kui iho oe a / min). Mahuahua oscillation ikaika hawewe i ke pili me ka lōpū fetal hypoxia, e like me ka aoao o ka mawaho stimuli e hoʻoulu kona ko mākou hopohopo kahua. Emi i ka oscillation ikaika hawewe hiki ke kena ae la ia e loa hypoxia i hiki aku ai i ka inhibition o ka hana o ka'emi'ōnaehana o ka fetus, ma ka hoʻohana 'ana o narcotics, tranquilizers.

Aktseleratsii

Aktseleratsiey kapa? Aiaiiuie palpitations ma ka liʻiliʻi 15 kui iho oe a / min hoʻohālikelike i ka basal kiʻekiʻe, a me ka lōʻihi o 15 kekona. Ma kardiotokogramme nana e like kiʻekiʻe niho ka mea. Aktseleratsii mea he pane i mawaho stimuli, contractions o ka uterus, ma ka neʻeʻana o ke keiki. Lākou alo ma ka CTG fetus - ke kūmau.

decelerations

Detseleratsii i kapaia o ka meheu o ka naau ana o ka fetus ma ka ma ka liʻiliʻi 15 kui iho oe a / min hou ma mua o 15 kekona. Ka pakuhi, e hōʻike mai ana nui kaumaha. Aia i kakahiaka nui, a me ka hopena o ee iaaanu aey decelerations. Eia, ka mea e hoʻolaha me he malamalama ikaika hawewe me ka emi ma ka naau ana i 30 kui iho oe a / min, lōpū - 30 - 45 kui iho oe a / min, a me ka loa - mai ka 45 kui iho oe a / min. Ka meheu o ka naau i kela paha e ku pono ana i kāna hana o placental koko pele, myocardial hypoxia, 'ōpā pū i ka piko.

CTG fetus. kūmau

No ka fetal helu, i ka World Health Organization Ua ulu lula i ke koho 'ia i ka palena iki, a i kā mākou allowable nā loina no kēlā me kēia aiao. E like me kēia mau lula, CTG fetus (kūmau no 33 pule) pono i ka i kēia manaʻo.

• Basal naʻau kōmi: 110-160 kui iho oe a / min.
• Heart ana variability ma ka laulā o ka 5-25 mokomoko ana i / min.
• Elua hou a hoʻonui no 10 mau minuke.
• I ka nele o ka hohonu decelerations.

Ua mea waiwai 'ana i kumumanaʻo ana i ka uku o ka fetal CTG 35 pule a oi o ka ia me ka 33 pule.

Fetal auhau ma puan

Decode hualoaʻa CTG 10-wahi me ka unahiʻole, ka loiloi 'ana kēlā me kēia ana mai 0 a hiki i 2 points. No ka CTG fetal uku o 36 pule, e like me ma ka kolu o ka trimester, ia mea 9-10, ina o ka huina heluʻai o ka 6 a hiki i 8, ka mea, ua olelo mai o oxygen pololi (hypoxia) me keu olelo hooweliweli, e pono 'oe i ke kaʻina hana CTG i loko o ka hebedoma; Inā 5 heluʻai a emi - laila, i ke keiki Kahalaopuna ka ikaika o oxygen deficiency, a hiki alakai i ka mea neurological pilikia, e pono ai kaʻenaʻena hana.

Ua pono e hoomanao e hiki ina ka CTG fetal 8 heluʻai a lalo, ia mea i pono ma mua o ka manawa, e e makau. Ma keia ano o ke ao, e like me ka pono me ka poʻe nui'ē aʻe, loaʻa nā kumumea i aloha ia ka maʻiʻo 'ike o ke anaina. Nā hualoaʻa i nui kalele iho, no kekahi laʻana, ma paha i ke keiki, ua hiamoe paha ala. Inā pilikia ka haumāna kauka i deciphering kardiotokogramm lawe i loko o ka mooolelo kumumea like me ka malie, i ka naʻau i loko o ka hapai wahine, ke koko monakō koko pae nā wāhine. Inā ka CTGʻikepili mea i pololei, alaila, i ke kauka, e koi 'ia nā ho'āʻo ma. ana lawe Cardiotocography mai i na manawa elua i loko o ke kolu o ka trimester o ka hāpai keiki, akā, ma kekahi hihia, a hiki hou, e like me ka mau hāpai keiki, kiʻekiʻe ke koko, i ke alo o nā mea palahēhē, mimikō, unsatisfactory hopena o ka ultrasound, kahe ana ke koko, premature contractions.

Hiki hewa o ka hoohalike ana o CTGʻikepili

1. Ke keiki i loko o ka opu o ka ikaika aku noi. I kekahi manawa e hiki laila kaomi i ke poo o ka piko, i mea no ke aha la i loko o ka pōkole makahiki ua nee koko i loko o nā ipu o ka piko, i ka lewa i loko o nā hualoaʻa o CTG. Ma keia hihia, kardiotokogramma e i ka pathological ano me ka hua maikai.
2. I kekahi manawa, i ka oxygen ma deficiency i loko o ka fetus nā kūlana pale reactions: i ka ho'ēmiʻana i loko o oxygen consumability'aʻaʻa a me ka hoonui ia'ku i ka hypoxia. Ma na hihia a pau, i ke keiki ua pilikia, akā, ka mea, aole ia e pili i ka CTG.
3. Me ka hiki ke hoemi i ka hooulu ana o ka pathology hana, e ike'aʻaʻa ma maʻamau oxygen ma ka maʻiʻo i loko o ke koko, no ka mea, o ka a ka fetus ia lŘlŘ ole naoh, a me HIC makemake e maʻamau, nae ka mea poino, mai ka muli o ka oxygen.

E noonoo pono a pau o ka luna, ka mea e e hoʻomaopopo i ka CTG fetus i hāpai keiki mea he mea nui ano o kaʻike,, akā, e kiʻi i ka piha kiʻi o ka mea e hanaia CTGʻikepili pono e like me nā haʻawina. I kēia lā hoʻomano hoʻohana a me ka Doppler ultrasoundʻike.

Where oe hiki e CTG fetus

CTG hana no ka noa i nā mea a pau antenatal nā keʻena lāʻau lapaʻau. He hiki ke lawe mai noiʻi a me ka paulele i ka hoʻomana 'inikua-oaio? A, akā, no ka uku.
i lawe mai i ka Ho 'Oponopono cardiotocography i ka hana. Kēia kōkua Loiloi i ka moku'āina o ke ola ana o ke keiki i ka hana contractions, a e kaha i ka laulā o ka lapaau a me ka haawi nā kaʻa mokulele.

Kekahi expectant makuwahine i makaʻu, e pana aku au i kaʻokoʻaʻano o ka noiʻi i hāpai keiki, me ka manaoio aku i ka mea, ke hoeha i ke ola o unborn keiki. Cardiotocography loa palekana, a me ka mea hiki ke hana i na manawa he nui i pono, me ka kamepiula i ke ola. Eia hou kekahi, ia mea painless, 'aʻole i i kekahi discomfort.

Mākou makemake oe i oluolu hāpai keiki, a maikaʻiʻana!