Ngesikhathi ethwele umntwana, wonke umama uthola ukuthi ukhululekile kangakanani ngaphakathi kwakhe, futhi uzama ukumnikeza konke okudingekayo ukuze kukhule ngokugcwele nokuthuthukiswa. Yingakho bonke abomama bekusasa behlaziywa ngezibalo eziningi kanye nezifundo ezihlukahlukene, phakathi kwazo indawo ebalulekile ethathwe yi- FGP ye-fetus ngesikhathi sokukhulelwa. Kodwa-ke, akubona wonke umuntu oqonda okubalulekile nokubaluleka kwalolu cwaningo. Lesi sihloko sichaza imibuzo ethandwa kakhulu ehlobene nalolu hlobo lokuhlaziywa.
Kungani kuhlaziywa kwe-KGT ekukhulelwe?
I-Cardiotography (KGT) eyenziwa ukuthola ulwazi ngomsebenzi wenhliziyo we-fetus kanye nemvamisa inhliziyo yayo eshaya ngayo. Futhi umsebenzi wezimoto wengane uhlolisiswa, yiziphi izimo ezithintekayo isitho sokubeletha nokuthi ingane isabela kanjani ekucindezelweni kwayo. Inqubo ye-KGT ekukhulelweni, kanye ne-ultrasound ne-dopplerometry, inikeza ithuba langempela lokusetha noma yikuphi ukungahambi emgomweni ojwayelekile wokubeletha, ukutadisha ukusabela kwenhliziyo nemithwalo yesisu ekusebenzeni kwesivumelwano esibelethweni. Ngosizo lwalolu hlaziyo, ungabona izimo ezinzima njenge:
- baby oksijini yindlala;
- ukutheleleka kwe-intrauterine;
- polyhydramnios noma ukuntuleka kwamniotic fluid;
- ukuntuleka komzimba;
- isakhiwo esingezona esingokwemvelo senhliziyo nemithambo yegazi yesisu;
- ukulethwa ngaphambi kwesikhathi;
- ukuguga kwe-placenta njalonjalo.
Ukucaciswa okwesikhashana kwazo zonke lezi zimo kuvumela udokotela ukuba athathe izinyathelo eziphuthumayo futhi alungise inkambo yokubeletha.
Ngabe i-KGT ekukhuleleni?
Isikhathi esiphezulu kakhulu sokuqaliswa kwalolu cwaningo yi-trimester yesithathu yokubeletha, kusukela ekuqaleni kweviki lama-32. Lokhu kubangelwa ukuthi ngalesi sikhathi ingane isivele ine-reflex ye-contractile ye-cardiac ephelele, ubuhlobo bubekwe phakathi komsebenzi wenhliziyo nokuhamba komntwana, umjikelezo "wokulala" uvuliwe. Yiqiniso, ungenza ucwaningo ekuqaleni, kodwa kulokhu, izinkomba ze-KGT ekukhulelwe zingase zingathembeki.
Ukulungiselela i-KGT ekukhulelwe
Owesifazane akudingeki alungiselele ucwaningo kusengaphambili. Esibelethweni somama ozayo uzofaka izinzwa ezimbili ezirekhoda umsebenzi wesibeletho, ingane kanye nesifo senhliziyo yengane. Okubalulekile ukuma okunethezeka komzimba wesifazane, kungakhathaliseki ukuthi uhlezi noma ulele. Ezandleni zowesifazane okhulelwe, idivaysi ifakwa inkinobho, lapho kufanele icindezele njalo lapho ingane iqala ukuhamba.
Norm we KGT ekukhutheni
Ngaso leso sikhathi sizokwenza ukubhuka, ukuthi idatha etholakele ngaleyo ndlela, ayikwazi ukusebenza njengesizathu esiyinkimbinkimbi sokuvuma lokhu noma ukuthi ukuxilongwa. Ukuze uthole ulwazi olunokwethenjelwa, isifundo kufanele senziwe izikhathi eziningana. Kunezindinganiso ezithile zokuhlolwa kwe-KGT ekukhulelweni, isibonelo:
- esimweni esithulile, imvamisa evamile yezinhlungu zezinhliziyo zomntwana kufanele ibe yi-110-160 beats ngomzuzu, ngesikhathi sokusebenza 130-190;
- isilinganiso sezingqinamba ze-uterine kumele sibe ngaphansi kuka-15% wezinga lentliziyo ye-fetal;
- Ukusheshisa kwemvamisa yokweqa kwesisu senhliziyo yengane akufanele kudlule izinkomba ezimbili ngomzuzu.
Kuye ngemininingwane etholakalayo, isiphetho sidonselwa ngesimo se-fetus, esiqondiswa isikali esamukeleka ngokujwayelekile noma uhlelo lwamabhola angu-10. Uma kwenzeka ukuthi i-KGT ngesikhathi sokukhulelwa kubi, udokotela angase akhethe owesifazane ukuvuselela abasebenzi ngaphambi kwesikhathi.
Ingabe i-KGT iyingozi ekukhulelwe?
Lokhu mhlawumbe umbuzo othakazelisayo kunazo zonke omama ozayo. Lesi sifundo asikwazi ukwenza umonakalo ku-crumb, ngokungafani nokwenqaba ukuyiqalisa. I-KGT ingenziwa uma kudingeka, noma kunjalo nsuku zonke.