Kodi kufufuza kwa ultrasound ndi doppler ndi chiyani?
Poyambirira, nkofunikira kunena kuti doppler ultrasound mukutenga mimba imachitika pamene mukukayikira kuti kuphwanya magazi kumatuluka. Komabe, pofuna kuteteza ndi kuyambanso kuganizira za kuphwanya koteroko ngati fetal hypoxia, mtundu womwewo wophunzira ndi wovomerezeka womwe umaperekedwa kawiri pa nthawi yonse yokondwerera. Kawirikawiri, doppler imachitika pa masabata 22-24 ndi 30-34.
Ngati tikulankhula za zomwe zimawonetsa doppler ultrasound yomwe imachitika panthawi ya mimba, izi ndizo mitsempha ya mitsempha ya umbilical, liwiro la magazi mwa iwo ndi mlingo wa kukwanira ndi mpweya. Ndilo gawo lomaliza lachidziwitso limene liri ndi tanthauzo lalikulu kwambiri, kuyambira amasonyeza kuti kulibe kapena kukhalapo kwa mpweya wa mpweya mu mwana. Kuphatikiza apo, phunziroli limapereka:
- kudziwa momwe moyo wa mwana wamtsogolo umakhalira;
- mvetserani ku mtima kwa mwana wamwamuna;
- konzani kukula kwa lumen ya ziwiya, ndi kuzifanizitsa ndi zikhalidwe za chizolowezi pa nthawi yake.
Phunzirolo palokha silinali losiyana ndi lachizolowezi, ultrasound. Chifukwa cha ichi, amayi ambiri amtsogolo sangadziwe kuti anapatsidwa doppler ultrasound.
Kodi pali Doppler wotani?
Tiyenera kuzindikira kuti phunziroli likhoza kuchitika mu 2 modes: duplex ndi triplex. Posachedwa, nthawi zambiri chimagwiritsidwa ntchito. Amalola kugwiritsa ntchito fano kuti alembe kayendetsedwe ka maselo ofiira ndi nambala yawo yonse. Pogwiritsa ntchito deta yomwe imagwiritsidwa ntchito mwa njira imeneyi, zipangizozi zimagwiritsa ntchito kuchuluka kwa magazi ndi mpweya wabwino, zomwe zimapangitsa munthu kuganiza za ubwino wa mwana wosabadwayo.
Kodi kafukufukuyu wapangidwa motani?
Pochita zinthu ndi zomwe ultrasound imatanthauza ndi doppler, yomwe imaperekedwa pa nthawi ya mimba, tiyeni tione momwe zakhalira.
Pa nthawi yoikidwiratu, mayi wapakati amabwera kukafunsira kwa amayi, kupita ku chipinda chodziŵika cha ultrasound. Phunziroli palokha limapangidwira pamalo apamwamba.
Pa mimba, dokotala amagwiritsa ntchito gelisi yapadera, yomwe imalimbikitsa kuyanjana kwa sensa pamwamba pa khungu, ndipo motero ndi woyendetsa mawotchi. Pogwiritsa ntchito selo, dokotala amayang'ana mosamala zombozo, n'kuyesa kukula kwake. Kumapeto kwa ndondomekoyi, mayiyo amapukuta gel komanso amachoka pabedi.
Kukonzekera kafukufuku wotere, monga doppler ultrasound mu mimba yomwe ilipo tsopano, palibe zofunikira, monga. Ikhoza kuchitika nthawi iliyonse.
Kodi ndi nthawi ziti zomwe doppler angathandizidwenso?
Kuphatikiza pa nthawi yomwe yafotokozedwa pamwambapa, phunziroli likhoza kuikidwa komanso kuwonjezera. Kawirikawiri, izi zimafunika pamene mwana wakhanda kapena mayi woyembekezera ali ndi zopanda pake. Kwa zotere n'zotheka kunyamula:
- kuwonjezeka kwa magazi kwa amayi apakati;
- Matenda a ziwalo za mtima ndi zamakono;
chikhalidwe cha pre-eclampsia; - Mpikisano wa Rhesus;
- zolakwika za fetal kukula ndi msinkhu waunyengo;
- gestosis.
Choncho, tinganene kuti doppler ultrasound mu mimba yomwe ilipo tsopano imatanthauzanso njira zomwe zimayambitsa kukhazikitsana pachiyambi cha chitukukocho. Chotsatira chake, madokotala akhoza kuchitapo kanthu pa nthawi yake ndikukhalabe ndi zotsatira zosalephereka, zomwe zimakhala zovuta kwambiri kuposa imfa ya mwanayo.