Me nyuam hauv plab CTG

Nyob rau hauv lub thib ob ib nrab ntawm cev xeeb tub, cov xov tooj ntawm cov kev ntsuam xyuas thiab kuaj tsub kom. Lawv mam li nco dheev ntxiv lwm hom: CTG fetus. Tus thawj cev xeeb tub lub expectant niam yog ntshai: nws txhais tau hais tias nrog ib tug me nyuam uas ib yam dab tsi yog tsis ncaj ncees lawm?

Ntxim hlub yav tom ntej niam, koj yuav tsum paub tias CTG fetus, feem ntau tsis muaj ntau tshaj li ib tug niaj hnub check ntawm tus cwj pwm ntawm cov nqaij ntshiv ntawm lub tsev me nyuam thiab cov ntaus lub plawv ntawm lub neej yav tom ntej tus me nyuam. CTG - yog kardiotogografiya, tus txheej txheem yog kiag li tsis mob thiab lig harmless.

Tag nrho cov poj niam nyob rau hauv lub thib ob ib nrab ntawm cev xeeb tub tom qab lub 26th lub lim tiam, muab tsawg kawg ob zaug dua kardiotogogorafii. Raws li txoj cai, qhov no soj ntsuam yog kaw nyob rau hauv ua ntej thiab tuaj nyob rau hauv ib tug ncaj qha tsa teev.

txoj kev ua no - tsis ceev ceev. Yuav kom sau txaus lub hom phiaj cov lus qhia txog uterine kev ua si thiab me nyuam hauv plab lub plawv, koj yuav tsum 40 mus rau 60 feeb. Poj niam los yog pw rau ib tug xis couch, los yog zaum nyob rau hauv ib tug xis recliner thiab ntsuas no me nyuam hauv plab pib, nyob rau ntawm nws lub plab mounted ib sensor, kis cov ntaub ntawv rau lub tshuab hluav taws xob tswj tsev, rau thiaj yuav cov ntaub ntawv sau tseg rau ib tug tshwj xeeb daim kab xev.

Nyob zoo poj niam, tsis txhob tsim txom cov teeb meem ntawm laboratory pab, nws yog nyob rau hauv tag nrho cov ntawm cov nuj nqis thiab kab to taub tsis zoo npaum li cas tshaj koj. Tiag muab lub xeem tau tsuas yog ib tug kws kho mob, tom qab tag nrho decrypt cov ntaub ntawv.

Thaum kuaj tau me nyuam hauv plab CTG ntawv tseem ceeb ntsuas ib tug series ntawm kev ntsuas ntawm nws tus mob:

1. basal tus nqi (txwv tsis pub nws yog hu ua lub plawv dhia - lub plawv dhia). Nyob rau hauv me nyuam hauv plab lub plawv dhia ntau tshaj li tus twb yug tus me nyuam. Los ntawm me nyuam hauv plab no so mem tes me nyuam yog hom twg los ntawm 100 rau 160 beats per minute ntawm perturbation - mus txog rau 190.

2. Lub variability (i.e., tus neeg hloov los ntawm lub cai) yuav ncav cuag 25 yeej ib feeb.

3. HR acceleration (nws yog tseem aktseleratsiya) feem ntau tshwm sim ntau tshaj 2 lub sij hawm rau 10 feeb. Yuav ua li cas ntau npaum li cas - nyob ntawm tus neeg tus yam ntxwv ntawm lub neej yav tom ntej tus me nyuam. Nyob rau ribbon tso tawm kom pom siab "peaks"

4. qeeb lub plawv dhia (decelerations) yuav ua tau kiag li tsis tuaj kawm ntawv los yog muaj cov uas tsis muaj ntau ntau (me me "qhov dej).

5. Togogramma - uterine kev ua si. Nws yog feem ntau tsis ntau tshaj li 15% ntawm lub plawv dhia qhia, ntev - txog li peb caug vib nas this.

Raws li ib tug tshwj xeeb scale yog kwv yees li txhua qhov taw qhia - thiab tus kws kho mob saib xyuas cov kev loj hlob ntawm lub fetus, qhia tag nrho.

Yog hais tias tus lej 9 mus rau 12 cov ntsiab lus, koj yuav tau xyuam xim mus rau ib tug taug kev: yog vim li cas rau lub tswb. Tab sis qhov no tsis txhais hais tias los ntawm lub thib ob caw mus rau lub daim ntawv ntsuam xyuas muaj peev xwm yuav brushed ib sab - lub vigilance tau yeej tsis nres leej twg, cia li tam sim no, koj muaj peev xwm tsis txhawj: koj yog tag nrho cov cai!

Yog hais tias tus kws kho mob hais tias lub sum ntawm cov ntsiab lus nyob rau hauv lub hauv paus ntawm me nyuam hauv plab CTG - 6 mus rau 8 lub ntsiab lus, nws txhais tau tias fetus yog tsis tau txais txaus cov pa, muaj yog softly cov lus hais hypoxia (non-sia). Qhov no tej zaum yuav vim niam kab mob, entanglement txoj hlab ntaws ntawm tus me nyuam, tej zaum tus thawj tsom xam tsuas vim hais tias ntawm ib co yog vim li cas yog tsis muaj tseeb. Ib tug poj niam xa rau re-tsom xam.

Thiab yog tias tag nrho cov nqi ntawm 5 los yog tsawg dua - ib tug txhais li cas qhia anoxia fetus. Nyob rau hauv cov ntaub ntawv no, muab thaum muaj xwm ceev tus me nyuam, mus rau lub me nyuam hauv plab lub hlwb cortex yog tsis cuam tshuam.

Thiab dab tsi yog qhov nqi ntawm ACTH? Yog vim li cas nws yog tsim nyog los mus txiav txim cov ntshav mus kuaj? Qhov no yog ib txoj kev kuaj, tsis muaj dab tsi nyob rau hauv ntau nrog CTG fetus. ACTH tus nqi txiav txim seb tus nqi ntawm cov tshuaj hormones rau hauv cov ntshav kortikotropnyh. Lub sab sauv txwv ntawm ib txwm - mus txog rau 69 pmol / liter, qis - 7.2 pmol / liter. Qhov no lawm npaj cov menyuam rau kev yug menyuam, thiaj li yug tus me nyuam muaj kev nyuaj siab, yog muab kev koom tes nyob rau hauv lub "khiav" tus me nyuam mechanism. Nws suav rau hauv lub xub ntiag nyob rau hauv cov ntshav ntshav. Qhov tsom xam yog ua li cas ib zaug.

Nyob zoo leej niam, yog hais tias tus kws kho mob muab kev taw qhia - uas yog tsis muaj yog vim li cas rau lub tswb. Sim nyob twj ywm, txhua yam yuav zoo.