Yadda ake aiwatar da aikin zuciya

Wadatacce

• Yaya ake yi
• Idan aka gama
• Yadda ake fassara

Batun bugun zuciya shine bincike da aka gudanar yayin daukar ciki don a duba bugun zuciyar jariri da walwalarsa, wanda aka yi shi da na’urar firikwensin da ke da alaƙa da cikin mai ciki wanda ke tattara wannan bayanin, ya dace musamman ga mata masu juna biyu bayan makonni 37 ko a lokutan da ke kusa da haihuwa.

Hakanan ana iya yin wannan gwajin yayin nakuda don kula da lafiyar jariri a wannan lokacin, baya ga tantance ƙwanƙwasawar mahaifar mace.

Dole ne a yi gwajin cikin zuciyar zuciyar dan adam a dakunan shan magani ko kuma bangaren haihuwa, wadanda ke dauke da na’urori da likitocin da aka shirya don jarabawar, kuma ya kan kashe, a kan kari, R $ 150 reais, gwargwadon asibitin da wurin da aka yi shi.

Yaya ake yi

Don yin bugun zuciya na ciki, ana sanya wutan lantarki tare da na’urori masu auna a saman, rike da wani irin madauri a kan cikin mace, wanda ke kama duk wani aiki a cikin mahaifar, ko bugun zuciyar jariri, motsinsa ko raguwar mahaifa.

Jarabawa ce da ba ta haifar da ciwo ko rashin jin daɗi ga mahaifiya ko ɗan tayin, duk da haka, a wasu lokuta, idan aka yi zargin cewa jaririn yana motsa kaɗan, yana iya zama dole don yin wani abin motsawa don tashe shi ko girgiza shi. Don haka, ana iya yin bugun zuciya a cikin hanyoyi 3:

• Basal: anyi shi tare da mace a hutawa, ba tare da motsawa ba, kawai lura da yanayin motsi da bugun zuciya;
• Imarfafa: ana iya yin sa a yanayin da ya zama dole don tantance ko jaririn zai yi kyau bayan wani motsa jiki, wanda zai iya zama sauti, kamar ƙaho, jijjiga daga na'urar, ko taɓa likita;
• Tare da obalodi: a wannan yanayin, ana sanya kuzari tare da amfani da magunguna waɗanda zasu iya ƙarfafa ƙanƙantar da mahaifar mahaifiya, kasancewar suna iya kimanta tasirin waɗannan matsalolin a kan jariri.

Jarabawar tana ɗaukar kimanin minti 20, kuma matar ta zauna ko ta kwanta, tana hutawa, har sai bayanan da ke cikin firikwensin suka yi rajista a kan jadawalin, a takarda ko akan allon kwamfuta.

Idan aka gama

Ana iya nuna bugun zuciyar da ke bayan makonni 37 kawai don kima na kariya daga bugun zuciyar jariri.

Koyaya, ana iya nuna shi a wasu lokuta a cikin yanayin tuhuma na waɗannan canje-canje a cikin jariri ko lokacin da haɗarin ya ƙaru, kamar yadda yake a cikin waɗannan yanayi masu zuwa:

Don haka, tare da wannan jarrabawar, yana yiwuwa a sa baki da wuri-wuri, idan har an lura da canje-canje a cikin lafiyar lafiyar jaririn, wanda ya haifar da ƙoshin ciki, rashin isashshen oxygen, gajiya ko kuma rashin ƙarfi, misali.

Ana iya yin wannan kima a lokuta daban-daban na ciki, kamar su:

• A cikin antepartum: ana yin sa a kowane lokaci bayan makonni 28 na ciki, zai fi dacewa bayan makonni 37, don tantance bugun zuciyar jariri.
• A cikin ciki: ban da bugun zuciya, yana tantance motsin jariri da kuma raunin mahaifa yayin haihuwa.

Theididdigar da aka yi a lokacin wannan gwajin wani ɓangare ne na ƙididdigar ƙimar jariri, da kuma wasu kamar su doppler duban dan tayi, wanda ke auna zagawar jini a cikin mahaifa, da bayanin martanin biophysical na tayi, wanda ke ɗaukar matakai da yawa don kiyaye daidai ci gaban abin sha. Nemi ƙarin game da gwaje-gwajen da aka nuna na watanni uku na ciki.

Yadda ake fassara

Don fassara sakamakon jarrabawa, likitan mata zai kimanta zane-zanen da na'urori masu auna sigina suka ƙirƙira, a kan kwamfuta ko a takarda.

Sabili da haka, idan akwai canje-canje a cikin ƙarfin jaririn, bugun zuciya zai iya ganowa:

1. Canje-canje a cikin bugun zuciyar tayi, wanda zai iya zama daga wadannan nau'ikan:

• Basal bugun zuciya, wanda zai iya ƙaruwa ko raguwa;
• Bambance-bambancen bugun zuciya da ba daidai ba, wanda ke nuna hawa da sauka a cikin yanayin mitar, kuma abu ne gama gari gareshi ya bambanta, ta hanyar sarrafawa, yayin haihuwa;
• Hanzari da raguwa na tsarin bugun zuciya, wanda ke gano ko bugun zuciya ya ragu ko hanzari a hankali ko kwatsam.

2. Canje-canje a motsin tayi, wanda zai iya raguwa yayin da yake nuna wahala;

3. Canje-canje a cikin ƙanƙanin mahaifa, an lura yayin haihuwa.

Gabaɗaya, waɗannan canje-canjen na faruwa ne saboda ƙarancin iskar oxygen ga ɗan tayi, wanda ke haifar da raguwar waɗannan ƙimomin. Don haka, a cikin waɗannan yanayi, likitan mahaifa zai nuna masa magani gwargwadon lokacin ciki da kuma tsananin kowace harka, wanda zai iya kasancewa tare da sanya ido mako-mako, kwantar da asibiti ko ma buƙatar tsammanin isar da shi, tare da ɓangaren jiyya, misali.