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Ca\u0142a procedura trwa zazwyczaj od 20 do 30 minut, cho\u0107 czasami mo\u017ce si\u0119 wyd\u0142u\u017cy\u0107, szczeg\u00f3lnie je\u015bli dziecko zdecyduje si\u0119 na drzemk\u0119 w trakcie badania. Powy\u017csze informacje pokazuj\u0105, jak powinien wygl\u0105da\u0107 prawid\u0142owy zapis kardiotokograficzny. Dopiero po rozpatrzeniu wszystkich okoliczno\u015bci, kt\u00f3re maj\u0105 wp\u0142yw na ci\u0105\u017c\u0119, ocena badania jest wiarygodna i odzwierciedla rzeczywisty stan p\u0142odu. Badanie KTG to wa\u017cne narz\u0119dzie diagnostyczne, kt\u00f3re pozwala monitorowa\u0107 stan zdrowia dziecka i przebieg ci\u0105\u017cy.<\/p>\n
Ca\u0142y zapis poddawany jest analizie komputerowej, a na ko\u0144cu oceniany przez lekarza ginekologa. Zaleca si\u0119, aby podczas badania kobieta nie zmienia\u0142a pozycji cia\u0142a, a najlepiej le\u017ca\u0142a na lewym boku, aby nie uciska\u0142a \u017cy\u0142y g\u0142\u00f3wnej. Chocia\u017c wyniki KTG s\u0105 w wi\u0119kszo\u015bci przypadk\u00f3w wiarygodne, zdarzaj\u0105 si\u0119 jednak pomiary fa\u0142szywie pozytywne. Podwy\u017cszona b\u0105d\u017a obni\u017cona cz\u0119sto\u015b\u0107 podstawowa serca nie musi wskazywa\u0107 na obecno\u015b\u0107 schorzenia u dziecka. Powodem tego mo\u017ce by\u0107 ucisk \u017cy\u0142y g\u0142\u00f3wnej b\u0105d\u017a p\u0119powiny p\u0142odu. Po przyj\u0119ciu poprawnej pozycji przez ci\u0119\u017carn\u0105 wynik KTG ulega poprawie.<\/p>\n
Skurcz macicy badany jest poprzez cewnik po\u0142o\u017cony na brzuchu b\u0105d\u017a macicy. Jakie s\u0105 wymagania do wykonania monitorowania wewn\u0119trznego? B\u0142ony p\u0142odowe musz\u0105 by\u0107 p\u0119kni\u0119te, a rozwarcie powinno wynosi\u0107 minimum 2 cm. Wskazaniami do wykonania kardiotokografii s\u0105 b\u00f3l brzucha, urazy brzucha i krwawienie z pochwy. KTG zlecane zostaje r\u00f3wnie\u017c ci\u0119\u017carnym choruj\u0105cym na cukrzyc\u0119.<\/p>\n
Je\u015bli t\u0119tno dziecka spania poni\u017cej 110, jest to bradykardia, kt\u00f3ra mo\u017ce by\u0107 wynikiem niedotlenienia dziecka, zaci\u015bni\u0119cia p\u0119powiny lub objawu Gaussa (odruchowego spadku t\u0119tna w odpowiedzi na ucisk g\u0142\u00f3wki). Wspomniana nieprawid\u0142owo\u015b\u0107 mo\u017ce wynika\u0107 z zaci\u015bni\u0119cia p\u0119powiny i niedotlenienia male\u0144stwa. Zwolnienie czynno\u015bci serca dziecka obserwuje si\u0119 podczas osi\u0105gni\u0119cia dna miednicy lub ustawiania g\u0142\u00f3wki.<\/p>\n
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