Fetus kwemwoyo nevhiki: zvazvingava

Panguva pamuviri, chikuru chinoratidza chibereko upenyu ndiwo mwoyo. Kana zvirwere mutinhimira kuchinja pakarepo, zvichikurukura matambudziko kuitika. Ndokusaka vanachiremba vanoedza yose upenyu kunyatsotevera kuongorora simba nomwoyo. With rava kusvika yokuberekwa mwero zvishoma nezvishoma kuchinja.

The anogogodza moyo rokutanga

Zvairatidza maitikiro anorova chinokosha hunhu kwomuzvarirwo pamuviri. Naizvozvo, obstetricians kutevera zvikuru zviri kwemwoyo ari mudumbu kubva kare nguva. Zvinokosha kucherechedza kuti kukura uye yokupedzisira paumbwe vascular ezvinhu mwana mberi kusvikira okupedzisira vhiki pamuviri.

Amai ose anoda kukurumidza kunzwa kwemwoyo mwana wavo, asi tanga kuti hazvishandi pasina chinokosha michina. Chete yepamusorosoro midziyo (Ultrasound, cardioscope) kunoratidza marwadzo ose arteries okutanga. Zvino nzira iyi uchaita zvibereko chete 5 fung vhiki akazvitakura. Bookmark mwoyo mune embryo kunoitika pakuguma yokutanga obstetric mwedzi. Pedyo 5-vhiki muviri anotora chimiro negomba chubhu. Zvaive munguva iyi, pane maronda vokutanga. Kuongorora zvakadaro simba kwemwoyo chete ultrasonic kushanda pakuvheneka (transvaginal vachiongorora). Zvisinei, gynecologists zhinji urumbidze kuita Ultrasound wokutanga kwevhiki 7. Panguva ino, mwoyo vagara vandifungira transabdominal transducer.

Kumba, kuitika mwero ane stethoscope nzwisa kunotanga chete pakupera rechishanu romwedzi kusununguka.

Norma mwoyo kwevhiki

Kuongorora kakawanda sunga tsinga masvingo ari mudumbu zvinogoneka chero rwakazara pashure rokutanga mwedzi pamuviri kusvikira kutanga basa. Zvisinei, kuita kudaro kusvikira 6 vhiki haina yakarumbidza nekuti muviri kuchiri kudziya zvakakwana aumba. Too kakawanda Ultrasound kuri chisingadiwi, sezvo ivo kukuvadza mwana asati aberekwa. Zvakanaka kutevera purogiramu vakaronga inspections, akambochera nenzira kupinda chiremba.

Norma kwemwoyo ari mudumbu pamasvondo, kutanga 6th uye kupedza 8 vakasuwa achava 110-130 anorova paminiti. Yezvakaita maronda angava akasiyana. Kurohwa vanofanira kuva akajeka uye yakajeka. Matsi mutinhimira zvingaratidza kuvapo echirwere kana chakasimba siyana hypoxia. Fetus kwemwoyo kwemavhiki vasikana (panguva yechitatu obstetric months) vanofanira kuva kumativi 160-180 bpm. / Min. At ichi kudzokorora zvazvingava anofanira kuva nguva nguva zvikamu. Nhamba iyi inonzi mutinhimira. Fetus kwemwoyo vakomana pavhiki obstetric mwedzi wechitatu vanofanira kuva zvinobva 170 kusvika 190 u. / Min.

Zvakakosha kuti panguva iyi rokuti kakawanda unodiwa zvakajairika. In wokutanga trimester vana kazhinji rokuongorora mwoyo abnormalities. Kana kakawanda mwero pamusoro 200 anorova. / Min., Ipapo tinogona kutaura pamberi tachycardia. Kana mwoyo mwero asingasviki 100 anorova. / Min., Ipapo hwaizova akundikana. zvirwere Vose vari chiratidzo fetus zvokurwara uye inoda vavashandire.

Kwemwoyo ari mudumbu pamasvondo (13th kusvikira aberekwa) vanofanira kuva kubva 140 kusvika 160 u. / Min. Nhamba iyi ndiyo ndeyokuva chete nevakomana nevasikana. Zvinokosha kuziva kuti rechipiri trimester kungaita arrhythmias. chirwere ichi kunoratidzwa ne mudumbu pamwe okisijeni kukanganisika kana vachiberekwa mwoyo chirwere.

Kuzvidzora nzira: nokuiteerera

Nyore uye inonyanya nzira yokuziva kwemwoyo, kutanga pana kwevhiki 20 gestation, ndiyo auscultation. nzira iyi kunoita kuti kuteerera rutapudzo kuburikidza stethoscope. On ichi izwi fetus kwemwoyo kwemavhiki yatova segwapa sezvo kaviri mutinhimira anorova. Auscultation vanachiremba inotiwo hunhu sunga (matsi kana pachena). Normal kwemwoyo apo kuteerera stethoscope iri 40-60 anorova muzana mumasekonzi 20.

Kutanga kubva 24 fung vhiki pamuviri auscultation zvinogoneka chero dhipatimendi dumbu. Panguva basa, Auditions dzinoitwa ose maminitsi 15.

Ultrasound

Wokutanga Ultrasound akabvumira kubva 6th vhiki, asi yakarongwa Ongororo rinoitwa chete panguva pakuguma obstetric mwedzi wechipiri. At tanga chiremba akadaro anogona kuona pamberi abbreviations vavo anofungidzirwa maitikiro.

Norma fetus kwemwoyo pamusoro Ultrasound nevhiki:

- kubva 110 kusvika 135 anorova / Maminitsi .. (Second mwedzi obstetric);
- kubva 165 kusvika 185 anorova / Maminitsi .. (Obstetric mwedzi wechitatu);
- kubva 140 kusvika 165 anorova / Maminitsi .. (Wechipiri trimester Early). Ultrasonic kushanda pakuvheneka ndiyo nzira yakarurama zvikuru kuziva kwemwoyo uye kuziva zvokurwara.

Kuzvidzora nzira: cardiography

Izvi mhando kutsvakurudza chiri kuitwa kwemwoyo pamwe chete kwevhiki 28 gestation. Zvinokosha kucherechedza kuti panguva yose nguva nzira cardiography anobvumirwa kamwe chete. Akadzokorora Implementation kwayo anoratidzwa chete panguva mukupera gestosis, low- kana polyhydramnios, zvirwere, scarring pamusoro dumbu, mangwanani kuchembera placenta. Muzviitiko izvi, kuti fetus mwoyo kunonzwika yevhiki nevhiki simba.

The nzira zvinotora kubva 40 kusvika 60 maminitsi. Pashure paizvozvo chiremba Anoongorora kutsvakurudza. Normal kakawanda muna cardiography ndiyo 135-165 u. / Min. Kuyerwa yaitwa ari mudumbu rugare uye tichishingaira.

echocardiography

Kwemwoyo ari mudumbu pamasvondo pamuviri zvingashandawo muchishandisa chaiyo Ultrasound scanner, izvo anosarudza haangogoni kakawanda sunga, asi STRUCTURAL zviri midziyo uye ropa riyerere. nzira iyi inonzi echocardiography. Most anoratidza ichava panyika yechipiri trimester. Chirwere echocardiography raitongwa pamberi chemwoyo, ane zvirwere, chirwere cheshuga Amai, nokuti mukupera pamuviri (pashure pemakore 38) pamwe vanofungidzirwa kunonoka fetus.

Munguva nzira, kushandisa marudzi anoverengeka kushanda pakuvheneka: one- uye vaviri-dimensional Ultrasound uye Doppler nzira. Norm marwadzo kakawanda nokuda echocardiography ndiyo 140-160 u. / Min.

Kurova kwemwoyo detector

Mano kwakadai Ultrasound ndiwo emavambo njodzi kuti mai nomwana. Mukuwedzera, vari nyore chaizvo kushandisa muchipatara uye kunyange kumba. The michina regai chete kuziva kakawanda sunga, asi "pachena" kuratidza hunhu hwavo.

Munguva nzira, unogona kuteerera fetus kurova kwehana (kubva pamugumo wokutanga trimester). Izvi inoita kuti zvinhu zvidzikame pamusoro mai, saka normalizes ari psycho-kunetsa mwana. Fetus kwemwoyo nevhiki, pakutsvaga detector inofanira kuva kuwanda kubva 130 kusvika 175 u. / Min. Ya nechirwere - maminitsi 8-10. Kuteerera fetus kwemwoyo vhiki, zvinofanira kurangarirwa kuti nhamba hazvifaniri zvarakasiya kubva ndozvakajairwa kupfuura 20 u. / Min. Kana akadaro kunoitika, inoratidza kuvapo zvokurwara.

Kuwanda maitirwo tsvakurudza ultrasonic detector panguva yose nguva pamuviri zvive kusvika 5-6 nguva.