Zuciyar tayin zata fara karuwa a cikin makon biyar na ciki, kuma ta mako 9 ya zama jigon halitta, tare da ventricles biyu da biyu atria. Ta hanyar yanayin zuciya, za a yi la'akari da yiwuwar yaron a farkon matakan ci gaba, kuma a rabi na biyu na ciki cikin zuciya (HR) ya nuna yanayin tayin.
Fetal zuciyar zuciya shi ne al'ada
A farkon farkon watanni, yawancin ciwon kwakwalwa na zuciya a cikin tayin yana canzawa kullum. Wannan shi ne saboda a cikin makonni na farko na ciki jaririn shine kawai aka kafa, kuma ɓangaren tsarin da yake da alhakin aikinsa bai riga ya ci gaba ba. Sabili da haka, a makonni 6-8, yawan tayi na zuciya tayi yana da 110-130 a minti daya, a makon 9-10 na al'ada a cikin yara shine 170-190 yayi ta rauni a minti daya. Daga makon 11 na ciki har zuwa haihuwar haihuwa, ƙwaƙwalwar ƙwayar zuciya ta tayin ita ce 140-160 a cikin minti ɗaya.
Kayan aiki a cikin aikin zuciya
Abin takaici, rashin aikin kirki a cikin aikin ƙananan zuciya zai iya faruwa a farkon matakan ciki: idan ba a rubuta zuciya a lokacin hawan 8 mm na embryo, wannan na iya zama alamar wani ciki mai ciki. Ana bada shawara ga mace da ta dauki jarrabawar ta biyu a cikin mako daya, bayan an gano ta.
Yanayi daga ƙwayar zuciya ta al'ada (karuwa a cikin zuciya har zuwa dari 200 a minti daya ko ragu zuwa 85-100 ya ji rauni a minti daya) a mafi yawan lokuta ya nuna rashin tausayi ga yaro. Za'a iya lura da tayin tayi (tachycardia) a cikin lokuta masu zuwa:
- fetal hypoxia na mataki mai zurfi (idan mace mai ciki ta dade cikin ɗakin ɗakin ɗaki);
- aikin jiki na jaririn ko uwa;
- karuwa a sautin na mahaifa;
- tunanin da ake ciki game da iyaye a nan gaba.
Cikin zuciya da rashin ƙarfi na tayin (bradycardia) yayi magana game da:
- mai tsanani intrauterine hypoxia;
- kasancewar rashin isasshen ciki;
- ruwa rashin yawanci ko polyhydramnios;
- yaduwar tayin.
Jigilar zuciya ta tayi na tayin ya nuna cewa akwai ciwon zuciya na ciki ko kuma jima'i na jariri.
Ta yaya zuciya zuciya ta ƙayyade?
Akwai hanyoyi da dama don tantancewa da kuma kimanta aikin na zuciya na tayin: ƙwarewa (sauraron zuciya na tayin tare da taimakon magungunan tsakiya), duban dan tayi, cardiotocography (CTG), da kuma echocardiography (ECG).
A farkon matakan ciki, tambaya "Mene ne zuciyar zuciya a tayin?" Zai taimaka magungunan dan tayi: amfani da wani siginar transvaginal, kwakwalwa na zuciya zai iya ganowa a farkon makonni 5-6. Amfani (ta hanyar sadarwa) duban dan tayi yana kula da aikin zuciya daga kimanin makonni 6-7. Ƙayyade ƙwaƙwalwar bugun zuciya a cikin makonni daban-daban na ciki a kan duban dan tayi kuma a kan binciken uku. A aikace-aikace na masu tsatstsauran ra'ayi na yau da kullum sunyi amfani da na'urar tsaka-tsaki, sauraron taimakonsa aikin zuciya ta cikin bango na ciki. Kuskuren na sautunan zuciya yana yiwuwa daga makon 20 na ciki, kuma wani lokacin - tun daga mako 18.
A kimanin makonni 32, an yi nazarin zuciya ta tayi tare da CTG. Wannan hanya ta ba ka damar rikodin aikin zuciya na fetal, ƙanƙancewa daga cikin mahaifa da kuma aikin motar yaro. CTG na yau da kullum yana da mahimmanci idan mahaifiyar nan gaba ta sha wuya daga nau'i mai mahimmanci, cututtuka ko cututtuka, da kuma idan an gano mahaukaciyar ƙwayar cuta, tarin hypotrophy, ruwa mai zurfi ko polyhydramnios. A lokacin haihuwar, an yi CTG a cikin yanayin da bai dace ba ko jinkirta ciki, tare da raunin aiki ko rhodostimulation.
Ana gudanar da ECG Fetal a makonni 18-28 kawai a kan alamomi masu zuwa:
- shekarun mahaifiyar tana da shekaru 38;
- da haihuwa masu haihuwa da ke da cututtukan zuciya;
- cututtukan zuciya na ciki a cikin uwa mai zuwa;
- tarin maganin tayi;
- ganowar abubuwan da ke damuwa a cikin aiki na zuciya, da sauran cututtukan da kuma cututtukan kwayoyin halitta a cikin duban dan tayi;
- masu ciwon sukari a cikin mata;
- cututtuka a lokacin daukar ciki.
A cikin wannan binciken, kawai ana nazarin zuciya na tayin, an kimanta aikinsa, da jini a cikin sassan daban-daban (ta yin amfani da tsarin Doppler).