Kodi fetal echocardiogram ndi chiyani, momwe zimachitikira komanso zikawonetsedwa
Zamkati
Echocardcardiogram ndi kuyesa kwa mafano komwe kumafunsidwa nthawi yapakati pa kubereka ndipo cholinga chake ndi kutsimikizira kukula, magwiridwe antchito amtima wa mwana. Chifukwa chake, imatha kuzindikira matenda ena obadwa nawo, monga pulmonary atresia, kulumikizana kwamatenda kapena kulumikizana, kuphatikiza pakuwunika kuyankha kwamankhwala ngati arrhythmias, mwachitsanzo. Dziwani chomwe ndi matenda obadwa nawo amtima komanso mitundu yayikulu.
Kuyesaku sikufuna kukonzekera, nthawi zambiri kumawonetsedwa kuyambira sabata la 18 la bere ndipo ndikulimbikitsidwa kwa amayi onse apakati, makamaka azaka zopitilira 35 kapena omwe ali ndi mbiri yakubadwa ndi matenda amtima.
Mayesowa atha kukhala pakati pa R $ 130 ndi R $ 400.00 kutengera komwe amachitirako komanso ngati angachite ndi doppler. Komabe, zimaperekedwa ndi SUS ndipo mapulani ena azaumoyo amayesa mayeso.
Zatheka bwanji
Echocardcardiogram ya fetus imachitidwa chimodzimodzi ndi ultrasound, komabe zimangoyang'ana ziwalo zamtima za mwana, monga mavavu, mitsempha ndi mitsempha. Gel osakaniza amagwiritsidwa ntchito pamimba yapakati, yomwe imafalikira ndi chida chotchedwa transducer, chomwe chimatulutsa mafunde omwe amasinthidwa, amasinthidwa kukhala zithunzi ndikusanthula ndi dokotala.
Kuchokera pamayeso, adotolo adziwonetsa ngati zonse zili bwino pokhudzana ndi mtima wamwana kapena kuwonetsa kusintha kwamtima, motero kudziwa ngati mankhwalawo atha kuchitidwa panthawi yapakati kapena ngati mayi wapakati Kutumizidwa kuchipatala chokhala ndi mawonekedwe okwanira kuti azichita opaleshoni ya mwana atangobadwa.
Kuti muchite mayeso, palibe kukonzekera kofunikira ndipo nthawi zambiri kumatha pafupifupi mphindi 30. Ndiyeso lopweteka lomwe siliika pachiwopsezo kwa mayi kapena mwana.
Fetal echocardiogram siyikulimbikitsidwa isanafike sabata la 18 la mimba, chifukwa dongosolo la mtima ndi mawonedwe a mtima wamthupi sizolondola kwambiri chifukwa chosowa kusasitsa, kapena ngakhale kumapeto kwa mimba. Kuphatikiza apo, udindo, kusakhazikika komanso mimba zingapo zimapangitsa kuti zikhale zovuta kuchita mayeso.
Fetal echocardiogram yokhala ndi doppler
Fetal doppler echocardiogram, kuphatikiza pakulola kuti ziwalo za mtima wa fetus ziwonetsedwe, imathandizanso kumva kugunda kwa mwana, potha kudziwa ngati kugunda kwa mtima kuli kwabwino kapena ngati pali chiwonetsero chilichonse cha arrhythmia, yomwe imatha kuchiritsidwa ngakhale nthawi mimba. Mvetsetsani kuti fetal doppler ndi yotani komanso momwe imagwirira ntchito.
Nthawi yoti muchite
Echocardcardiogram ya fetus iyenera kuchitidwa limodzi ndi mayeso ena a amayi asanabadwe ndipo imatha kuchitika kuyambira sabata la 18 la bere, yomwe ndi nthawi ya bere yomwe imatha kumveka kumenyedwa chifukwa chakukhwima kwamphamvu kwamitsempha yam'mimba ya mwana wosabadwa. Onani zomwe zimachitika sabata la 18 la mimba.
Kuphatikiza pa kufotokozedwera chisamaliro chobereka, mayesowa akuwonetsedwa kwa amayi apakati omwe:
- Ali ndi mbiri yabanja yamatenda amtima obadwa nawo;
- Anali ndi matenda omwe amatha kusokoneza kukula kwa mtima, monga toxoplasmosis ndi rubella, mwachitsanzo;
- Ali ndi matenda ashuga, omwe adakhalapo kale kapena adapezeka ali ndi pakati;
- Anagwiritsira ntchito mankhwala ena m'masabata oyamba atakhala ndi pakati, monga mankhwala opatsirana pogonana kapena ma anticonvulsants;
- Ali ndi zaka zopitilira 35, kuyambira pomwepo msinkhu chiwopsezo cha kupunduka kwa fetus kumawonjezeka.
Fetal echocardiography ndiyofunikira kwambiri kwa amayi onse apakati, chifukwa imatha kuzindikira kusintha kwamtima mwa mwana komwe kumatha kuchiritsidwa ngakhale atakhala ndi pakati atangobadwa, kupewa zovuta zowopsa.