Kwemwoyo ari mudumbu panguva yepamuviri

Kudzidza mwoyo yevanhu mwana - chimwe chezvinhu zvakafanana nzira kuzvidzora. Rine yayo zvikonzero, nekuti ndichengetedze kwemwoyo (HR) pakati anowanzoita kutanga mwana kutaura ake zvakanaka, uye chero kutyora kungakonzerwa zvakadai nezvirwere zvakakomba sezvo kutyorwa placental kuparadzirwa, riri chaizvo nengozi kuti upenyu mudumbu uye kunoda kungwarira kuongorora chirwere . Uyewo, teererai kwemwoyo ari mudumbu panguva pamuviri, mukuwedzera zvokurapa, zvinokoshawo kuti vabereki. Inzwai, nekuti nguva yokutanga sei mwoyo achigogodza nembudzana - zviri chisingakanganwiki ruzivo, uyewo hwokuti iye zvechokwadi vapenyu uye kukura mudumbu.

Pakazosvika nzira, fetus kwemwoyo panguva pamuviri, izvo kazhinji anoda kubatsira pakati 110-150 anorova paminiti, kufambidzana nomumwe anogona akazviisa nzira dzakasiyana-siyana. Dangwe izvi, uyewo kupfuura kuzviitira, ndiye auscultation. Nokuti nzira iyi, iyo obstetric stethoscope Pinar. Izvi handset obstetrical rinopindura uchiteerera kwemwoyo ari mudumbu panguva pamuviri vhiki 17-18, apo ano nzira yokuderedza ichi nguva kuti vhiki 12.

Kusiyana obstetric stethoscope, ano HR chirwere nzira kubvumira kunzwa mwoyo vakarova kunyange vabereki, kwete chiremba. Kuteerera fetus kwemwoyo panguva pamuviri ane stethoscope, chiremba anofanira kutanga kuona nzvimbo mwana kuwana nzvimbo muchanzwa inzwi nani, uye ipapo kuti nzvimbo ino kumicheto kana stethoscope. The pakuongororwa uye kuvimba chete Zvakaitika chiremba. Mukuwedzera, kunyatsoongorora kwemwoyo kunoitika chete kwenguva imwe nguva, saka hazvibviri kuti kuongorora gwaro Data uye kubvunza nezvimwe nyanzvi.

Chimwe nzira dzokudzora mwoyo womunhu mwana cardiotocography, izvo rinobvumira kuramba zvichiongororwa uye zvinyorwa, riri yakanyatsotsanangura akanyorwa fetus kwemwoyo panguva yepamuviri. CTG akaita yomukupera pamuviri, vanenge makumi matatu namasere vhiki, uye panguva basa. Uyezve, CTG anopa kukwanisa kunyora sistologicheskuyu uterine basa uye nokudaro anotibvumira kuti adudzire mwoyo mwero mwana, zvichienderana uterine sunga.

Imwe nzira iyo anobvumira Visualization ari fetus kwemwoyo iri Ultrasound. Pasina mubvunzo, mwoyo ari mudumbu panguva yepamuviri achibatsirwa muedzo uyu unogona kunzwa kare wechitanhatu vhiki akazvitakura.

mwoyo fetus mudumbu kurova zuva intrauterine upenyu maviri namatatu pamusoro, uye vakanga vanyorwa kwayakaita zvinogoneka chete pashure shomanana okukura, uye ipapo, zvichienderana nzira inoshandiswa. Tiny mwoyo anorova kudarika nedzevakuru. Yakarurama yakawandisa 110-150 anorova paminiti, apo mwero kuti mukuru akaenzana shamhu 60-90 chete. Saka, kakawanda palpitations panguva pamuviri - zviri zvachose zvakajairika zvese, izvo zvinoratidza kuti mwana asati azvarwa kukura zvakanaka. Kukosha kuvatumwa 110 kunoratidza bradycardia, uye kukosha kupfuura 150 anorova - iri tachycardia. Pakati zvinokonzera bradycardia kusanganisira pasi rwaamai BP, pasi tembiricha yomuropa kana muviri wake, uyewo vachiberekwa mwoyo kuremara kuvana, kukundikana placenta, achiine rukuvhute udzvinyiriri kana musana kana kushandisa zvimwe mishonga.

Tachycardia zvinogona kukonzerwa hypoxia fetus, rwaamai fivha, hweHIV kubva Líquido fluid fetus kupererwa neropa, uyewo zvinoitwa nevamwe zvinodhaka. By vachiongorora mwoyo mwero mwana, zvinokwanisika kuti kuona kumhanyisa nomwoyo unodiwa. Fani iyi zvinoitika. Zvisinei, panowanikwa braking zvingaratidza kukundikana placenta kana achiine rukuvhute tambo chokubuda vachivavhiringidza.