Uma ngesikhathi sokukhulelwa i-fetus ithola i-oxygen engaphansi kwesilinganiso esidingekayo ekuthuthukiseni kwayo okujwayelekile, i-hypoalia ye-fetal iqala. Ngokuvamile kuvame ukuqala esikhathini sokubeletha (kusukela emavikini angu-28) kuze kube sekuzalweni kwengane.
Izimbangela ze-intrauterine fetal hypoxia
Izimbangela ze-hypoxia yesisu:
- Izifo zikamama: izifo zenhliziyo, izifo zomoya, izifo zomoya ezidakayo, izidakamizwa zesifo sokudakwa, isimo somama sokuthuthumela, ukuphuma kwegazi okukhulu, izifo zesimiso segazi.
- Ukwephulwa kokusakazwa kwe-placental : nge-gestosis engxenyeni yesibili yokukhulelwa, kuhambisane nokuphulwa kwe-placental circulation, ukuphazamiseka okungakafiki kwe-placental, i-umbilical cord fractures noma i-neck neck cord embolism, nomsebenzi ongavamile.
- Izifo ze-Fetal : ukukhubazeka kwenhliziyo yengane esanda kuzalwa, izifo ze-chromosomal ze-fetus, isifo se-hemolytic sesisana, ukungena kwe-intrauterine, ukulimala kwe-craniocerebral yengane esanda kuzalwa. Ngemva kokuzalwa kwengane, i-hypoxia ephakeme (i-asphyxia) ingabangelwa ukufisa kwe-amniotic fluid endleleni yokuphefumula.
Izinhlobo ze-hypoxia yesisu
I-fetal hypoxia ingaba nzima futhi ingapheli:
- I-hypocia ephelele ye-fetal intrauterine. Ivela emahoreni ambalwa noma ngisho nemizuzu, imbangela kaningi ibambe iqhaza ngaphambi kwesikhumba, kanti ngesikhathi sokubeletha - noma yikuphi ukuphuma kwegazi, ukuphuma kwegazi, ama-knots noma ukungena kwezintambo eziningi. Kulesi simo, lapho kunokwenzeka khona, isigaba esiphuthumayo sokugcina isisindo senziwa ukuze kusindiswe ukuphila komntwana kanye nomama, ngenxa yemiphumela evame kakhulu, lapho i-hypoxia ye-intrauterine ebusweni ikhula ngokuqinile, ukufa kwakhe.
- I-hypoxia yesisu engenangqondo ye-intrauterine. Ikhula kancane kancane. I-fetus iyakwazi ukuzivumelanisa nokuntuleka kwe-oxygen, nakuba ingaholela ekufeni komntwana. Kodwa imiphumela ejwayelekile kunazo zonke, uma kukhona i-hypoxia yengane engapheliyo ye-intrauterine, yi-fetal development retardation syndrome (ehle ngemuva ngemuva kwamasayizi amakhulu angaphezu kwamasonto amabili kusukela esikhathini sokubeletha).
Izimpawu ze-hypoxia ye-fetal
Okokuqala, unina angakwazi ukunquma i-hypoxia ye-fetus ngokunciphisa noma ukungathuthi ingane. Esinye isibonakaliso esingalalela umjozi wezifo zomoya noma esinqunywe yi- CTG noma i-ultrasound yishintsho emvamisa kanye nesigqi sezinhliziyo zenhliziyo. Okokuqala imvamisa ingaphezu kwezingu-160, bese ingaphansi kwezingu-100, isigqi ngesinye isikhathi siyiphutha.
Ngaphandle kwe-lag ekuthuthukisweni, i-ultrasound inqunywa ngu:
- i-muscle ithoni;
- izikhundla ze-flexion noma ezandisiwe zomzimba nezitho (ngokuvamile - i-boxer pose, ukunyakaza okusebenzayo);
- Inani lama-amniotic fluid (ikholomu evamile yi-35-70 mm);
- isimo se-placenta (evamile ngaphandle kokuthola izifo);
- isimo sokugeleza kwegazi eliphansi (ku-doplerogram yezitsha ze-placenta).
I-hypoxia ye-fetal intrauterine - ukwelashwa
Ukwelapha ngesikhathi sokukhulelwa kuhloswe ekuthuthukiseni ukugeleza kwegazi okuyi-placental, umzimba wokugaya umzimba (ukulwa ne-acidosis) nokuqinisa ukumelana nokuntombazane ku-hypoxia. Kodwa uma izimpawu ze-hypoxia zakha, ukulethwa kwezimo eziphuthumayo noma isigaba se-cearean kunconywa.
Ukuvimbela i-hypoxia ye-intrauterine fetal
Izindlela zokuvimbela umama:
- okungaphezulu ukuthi kube khona emoyeni ovulekile;
- ungabhemi ngesikhathi sokukhulelwa;
- gwema ukucindezeleka;
- qaphela ukugxila okukhulu kwabantu, ukuze bangenwa yizifo zegciwane;
- ukudla okunempilo komkhulelwe .
Umsebenzi wokuvimbela udokotela uhloswe ekuxilongweni ngesikhathi esifanele kanye nokwelashwa kwezinkinga zokukhulelwa nezifo zikamama, ukuphathwa okufanele kwezabasebenzi.