CTG tayin - da kullum. CTG tayin - cikin kudi a 36 makonni. Yadda decipher CTG tayin

Babu shakka kowace mace a lokacin daukar ciki zuwa damu game da yadda za a ci gaba da ɗanta, duk abin da yake a cikin tsari. Yau, akwai dabaru da cewa ba da damar a isasshe m kimanta da tayin. Wata irin wannan hanya ne cardiotocography (CTG) gano dangantaka tsakanin perturbation da fetal zuciya rate. A wannan labarin, za ka koyi abin da CTG, a kan yadda za ta yi da aka kimanta, ga wanda Manuniya CTG tayin - na kullum, da kuma cewa rinjayar da sakamakon binciken.

Mene ne CTG

Cardiotocography dangane da rajista mita na fetal zuciya rate da shi na canjawa ne dangane rinjayar waje samuwar kasashe ko fetal aiki.

Ganewar asali aka yi amfani da biyu ultrasonic na'urori masu auna sigina, daya daga wanda aka gyarawa a ciki na a mata masu juna biyu, pre-ma'ana da yankin na kyau audibility bugun zuciya da yaro. Yana ne aka yi nufi ga rubũta cardiac aiki da tayin. A haska hankula nuna daga cikin zuciya na yaro ultrasonic sigina, to, wanda aka tuba ta lantarki tsarin to instantaneous zuciya rate. Na biyu haska ake gyarawa zuwa ciki a cikin mahaifa. Yana rubuta igiyar ciki contractions. Don inganta watsa daga ultrasonic kalaman na'urori masu auna sigina Ana sarrafa ta musamman gel. Har ila yau, zamani na'urorin suna sanye take da ramut ta danna kan cewa button, mace mai ciki za su iya tsayar da fetal motsi.

A sakamakon da aka nuna a kan tef na'urar a cikin nau'i na wani jadawali. Akwai kuma nuna igiyar ciki contractions da fetal ƙungiyoyi. A data samu za a iya hukunta da farko a kan jihar na juyayi tsarin da baby, ta m, kuma Na'urar halayen. Idan Manuniya CTG tayin - na kullum, yana nufin cewa baby ji dadi, kuma ta ci gaba da Saide bisa ga kwanakin.

Wanne bukatar CTG

Jarrabawa na ciki mace a cikin ofishin na wani obstetrician-likitan mata ya hada da sauraron da bugun zuciya da yaro tare da wani stethoscope. A karkacewa daga kullum na zuciya rate (HR) a cikin sama ko ƙasa nuna cewa yaro yana fuskantar rashin jin daɗi. A wannan yanayin, likita aika wani nan gaba inna zuwa more sosai nazari na zuciya da jijiyoyin jini tsarin da tayin - CTG.

Akwai bayyana dangantaka tsakanin alheri da ciki mace da tayin. Saboda haka, idan ciki ya sauki, ba tare da intrauterine kamuwa da cuta, da katsewa barazana, preeclampsia, sakamakon CTG, na iya zama al'ada. Idan mace mai ciki in mai kyau kiwon lafiya lura m CTG sakamakon, shi wajibi ne su gudanar da wani binciken a wani mako a sake.

Idan mace mai ciki sami tsanani canje-canje a kiwon lafiya matsayi, shi wajibi ne a matsayin CTG za a iya gudanar da more akai-akai domin ya hana abin da ya faru na lokaci munanan a fetal ci gaba da daukar matakan da suka dace.

Features na binciken

Sanya CTG yawanci bayan 32 makonni na ciki saboda kawai da wannan lokaci akwai wani maturing neuromuscular hatsaisai, da kuma Hanyar zama mafi m.

Alal misali, ga wani tayin CTG rate 33 makonni - a gaban fiye da biyu aktseleratsy jadawali. A wannan lokaci, suna lalacewa ta hanyar juyayi tsarin mayar da martani ga fetal motsi ko waje dalilai. A wani a baya mataki aktseleratsii iya dangantawa da yanayi na intrauterine zama da tayin, don haka bincike zai iya haifar da ƙarya da sakamakon.

Har ila yau, da wannan lokaci da tayin da aka kafa zagayowar aiki da kuma sauran, wanda shi ne na bayar da muhimmanci ga wannan binciken. A lokacin CTG a cikin sauran tayin lokacin da sakamakon ne ko da yaushe m, ko da idan a gaskiya akwai wani babban mataki na hypoxia. Wannan shi ne dalilin da ya sa binciken ya kamata a gudanar domin akalla 40 minutes. A wannan lokaci, da tayin da aka daure su kara jiki aiki, wanda zai yi rajista da canji a cikin zuciya rate a lokacin da motsi.

Yana da muhimmanci sosai ga mace da ta ji annashuwa da dadi a lokacin gwajin. An mizani ko mai haske motsin zuciyarmu iya haifar da wani karin aiki fetal motsi, wanda zai kai ga ƙarya sakamakon. Yawanci, a lokacin da hanya da mace yana zaune a cikin wani dadi kujera ko kwance a kujera a kan ta gefe.

Domin fahimtar yadda za a decipher CTG tayin zai gani daidai yadda aka kiyasta da sigogi.

Basal zuciya rate

A muhimmi zuciya rate - ne talakawan zuciya rate da tayin, tsara don 10-20 minti. Aka ƙaddara in babu fetal motsi tsakanin igiyar ciki contractions ba tare da waje samuwar kasashe, ban da aktseleratsy da decelerations. Lokacin gudanar da fetal CTG BCHSS kudi ne 110-160 lashe minti daya. Tachycardia, watau sama al'ada muhimmi zuciya rate, za a iya lura a fetal hypoxia, anemia, malformations da fetal zuciya aiki insufficiency, kazalika a feverish jihar ciki, gaban ta intrauterine kamuwa da cuta, inganta thyroid aiki. Karbar kwayoyi da cewa suna da kardiostimuliruyuschy sakamako iya kai zuwa wani karuwa a fetal zuciya.

Ragewan muhimmi matakin ne a kasa al'ada (bradycardia) za a iya lalacewa ta hanyar hypoxia, fetal zuciya lahani, kazalika da low jini na uwa, hypoxemia, shafe tsawon matsawa na cibiyarki igiyar, gaban mata masu ciki CMV kamuwa da cuta.

Zuciya rate canzawa

Wannan wani zaɓi ne halin da instantaneous oscillations - zuciya rate sabawa daga muhimmi matakin. A lokacin da nazarin CTG yawanci karatu instantaneous mawadãta daga cikin oscillations, da yanayi na wanda asirce low oscillation (sabawa ne kasa da uku lashe / min), matsakaici (3-6 lashe / min), high (mawadãta kan 6 lashe / min).

Domin CTG fetal kudi na 36 makonni - high oscillation, na nuna alheri da tayin. A gaban da low oscillation ce pathologies a ci gaba.

Musamman hankali ne ya biya zuwa da bincike na kardiotokogramm jinkirin oscillations. Dangane da mawadãta rarrabe monotone type, wanda aka halin low mawadãta oscillations (0 to 5 lashe / min), da miƙa mulki irin tare da wani mawadãta daga daga 6 zuwa 10 lashe / min, corrugating (11 zuwa 25 lashe / min) da kuma galloping irin (mawadãta sama 25 lashe / min). Karuwan oscillation amplitude iya hade tare da tsakaita fetal hypoxia, kazalika da tasiri na waje samuwar kasashe cewa rura ta juyayi tsarin. Rage oscillation amplitude za a iya lalacewa ta hanyar m hypoxia wadda take kaiwa zuwa hanawa na aiki na juyayi tsarin da tayin, da yin amfani da} wayoyi, tranquilizers.

Aktseleratsii

Aktseleratsiey kira wucin gadi palpitations akalla 15 lashe / min idan aka kwatanta da muhimmi matakin da wani duration na 15 seconds. A kardiotokogramme suka kama high hakora. Aktseleratsii ne mai mayar da martani ga waje samuwar kasashe, contractions daga cikin mahaifa, a kan motsi na yaro. Kasancewarsu a kan CTG tayin - da kullum.

decelerations

Detseleratsii kira slowing da zuciya rate da tayin da a kalla 15 lashe / min fiye da 15 seconds. A jadawali nuna yadda gagarumin ciki. Akwai farkon, marigayi, kuma m decelerations. Bugu da ari, suna classified a matsayin wani haske mawadãta tare da rage a cikin zuciya rate zuwa 30 lashe / min, matsakaici - 30 - 45 lashe / min, kuma mai tsanani - daga 45 lashe / min. Slowing zuciya rate iya zama saboda cuta da placental jini ya kwarara, tsokar hypoxia, squeezing da cibiyarki igiyar.

CTG tayin. na kullum

Domin fetal kima, da World Health Organization ya ɓullo da jagororin cewa saka da m da kuma iyakar canja dabi'u ga kowane siga. A cewar wadannan jagororin, CTG tayin (na kullum ga 33 makonni) dole ne wadannan ma'anoni:

• Basal zuciya rate: 110-160 lashe / min.
• Zuciya rate canzawa a cikin kewayon 5-25 beats / min.
• Biyu ko fiye da hanzari domin minti 10.
• A rashin zurfin decelerations.

Shi ne ya kamata a lura da cewa kudi na fetal CTG 35 makonni ko fiye ne guda kamar yadda a 33 makonni.

Fetal kima da maki

Karanta results CTG 10-aya sikelin, kimantawa kowane rarrabẽwa daga 0 to 2 da maki. Domin CTG fetal kudi na 36 makonni, kazalika a ko'ina cikin uku trimester, shi ne 9-10, idan jimlar kashi biyu da 6 zuwa 8, an ce oxygen yunwa (hypoxia) ba tare da karin barazanar, dole ne ka maimaita hanya CTG a cikin mako guda. Idan 5 maki ko kasa - to yaro ji da karfi oxygen rashi, wanda zai iya kai ga tsanani neurological matsaloli, kana bukatar gaggawa mataki.

Yana dole ne a tuna cewa ko da idan CTG fetal 8 da maki ko a kasa, ba lallai ba ne kafin lokaci ya zama firgita. A irin wannan binciken, kazalika da yawa a cikin wasu, akwai abubuwan da zai shafi da bayanai abun ciki na shaida. A sakamakon suna sosai dogara, misali, a kan ko yaro ne barci ko a farke. Likitoci a deciphering kardiotokogramm la'akari dalilai kamar yanayin, da yanayi na mata masu juna biyu, jini glucose matakan mata ne. Idan CTG data ba daidai, sai likita zai rubũta ƙarin gwaje-gwaje. Cardiotocography yawanci za'ayi sau biyu a cikin uku trimester na ciki, amma a wasu lokuta ma fiye, kamar a mahara ciki, hawan jini, gaban cututtuka, da ciwon sukari, unsatisfactory sakamakon duban dan tayi, zubar da jini, wanda bai kai ba contractions.

Zai yiwu kurakurai na fassarar CTG data

1. The yaro a cikin mahaifa ne a akai motsi. Wani lokaci yana iya matsi da shugaban na cibiyarki igiyar, wanda shi ne dalilin da ya sa a cikin gajeren lokaci da aka gaji da damuwa da jini ya kwarara a cikin tasoshin da cibiyarki igiyar, wanda aka nuna a cikin sakamakon CTG. A wannan yanayin, kardiotokogramma za a pathological yanayin da kyawawan 'ya'ya.
2. Wani lokaci a lokacin da oxygen rashi a tayin hada tsaron gida halayen: raguwa a oxygen consumability nama da kuma kara juriya ga hypoxia. A irin haka ne, yaro yana shan wahala, amma shi ba zai tasiri a CTG.
3. Tare da ci gaban Pathology za a iya rage ikon gane nama a al'ada oxygen abun ciki a cikin jini, saboda wanda tayin auku ba dauki, kuma a nan zai zama al'ada, ko da yake yana shan wahala daga rashin oxygen.

Ta duk na sama, shi ya kamata a fahimci cewa CTG tayin lokacin daukar ciki ne mai matukar muhimmanci Hanyar ganewar asali, amma don samun cikakken hoto na abin da ke faruwa CTG data dole ne a idan aka kwatanta da sauran karatu. Yau yadu amfani da Doppler duban dan tayi ganewar asali.

Inda za ka iya yin CTG tayin

CTG yi for free a duk antenatal kananan dakunan shan magani. Yana yiwuwa a gudanar da wani bincike da masu zaman kansu da cibiyoyin harkokin likita, amma ga wani fee.
A asibitoci ma gudanar da wani cardiotocography a lokacin aiki. Wannan taimaka tantance jihar kiwon lafiya na baby a lokacin aiki contractions da kuma duba da tasiri na magani da kuma isar da dabara.

Wasu mata masu jin tsoro ka ciyar da wani daban-daban irin bincike a lokacin daukar ciki, imani da cewa su iya cutar da lafiyar ba a haifa ba baby. Cardiotocography cikakken lafiya, kuma za a iya yi sau da yawa yadda ya cancanta, ba tare da hadarin kiwon lafiya. Bugu da kari, shi ne m, ba ya haifar da wani rashin jin daɗi.

Muna so ku mai sauki ciki da alheri!