Zvaunofanira kuziva usati waenda kumba
Kusununguka kubva kuNeonatal Intensive Care kunobva pamatambudziko makuru, uye mwana asati azvarwa anofanira kugara achiwana zvinotevera izvi vasati vagadzirira kuenda kumba:
1. Bhura Mucheka
Mwana wako achafambira mberi kubva ku-incubator kana kupisa kunopisa kunzvimbo yakasununguka yakajeka zvichienderana nemakore ekugwinya, uremu, uye kukwanisa kwechecheche yako kudzora muviri wavo wekushisa.
Kuchinja kunowanzowedzera, asi mwana wako angadzoserwa kumamiriro okunze anopisa pachiratidzo chokutanga chekusakwanisa kuchengeta kutonhora. Kuchengeta kutonhora kwemuviri kunosanganisira makirori uye oksijeni. Kuwedzera simba iro mwana wako anoshandisa kuti rirambe rakadziya, zvishoma mwana wako achava nechekukura uye kuporesa. Zvakakosha kuchengetedza maziso ekushisa kwomwana wako munguva ino yekushandura.
Apo mwana wako ari muchirwere chakazaruka, zvinokosha kutanga utano hwakachengeteka. Nokuda kwe Sudden Infant Death Syndrome (SIDS) kudzivirira, mwana wako anofanira kugara akarara pamusana wavo. Chifukidzo chemwana wako chinofanira kunge chakanyarara, pasina mahwanda, mitsipa, bumpers, yakasununguka kana mabheketi.
2. Kunzwa Screen
Usati wasvitsa mwana wako kumba kubva kuNICU, mwana wako achada kuva nehwindo rekunzwa. Kuedzwa kwekuzvarwa patsva kuongororwa kusingaoneki kunowedzera zvinetso zvekunzwa mumwana achangoberekwa. Vana vachembera uye vana vacheche vanoda kutarisirwa kweNICU vari pangozi yakawanda yekuteerera kurasikirwa nekuda kwezvikonzero zvakasiyana siyana kusanganisira prematurity, pasi kuberekwa, jaundice, intraventricular hemorrhage, mamwe mishonga, uye zvirwere.
Kune miviri miviri yekuongorora inogona kushandiswa:
- Otoacoustic Emissions (OAE) - iyi miedzo inotarisa mazaya ane sauti anobudiswa munzeve yomukati. Shanduro shomanana inongowanikwa mukati memukomana wenzeve yomwana. Inotarisa mhinduro (echo) kana kuvhara kana toni kunowanikwa mumakumbo emwana.
- Automated Auditory Brainstem Response (AABR) - iyi miedzo inoenzanisa kuti nhungirwa dzekunzwa inopindura sei inzwi. Matura matatu ane ma-self-adhesive tabs akaiswa pachecheche: imwe iri pamusoro pechipfuva, imwe pamusana wemutsipa, uye imwe mushure kwebandauko rorudyi. Mafuta epurasitiki anoputika akaiswa pamusoro pemakumbo emwana. Munguva yechipimo, kutengesa kunoparadzirwa kuburikidza nemakumbo. Izvo zvinonzwika zvinowanikwa paganda remwana zvinoona mhinduro ye brainwave yechecheche pazvitsva.
Mwana wenyu anoteerera purogiramu inogona kuitwa kana mwana wenyu ari:
- Kuswedera pedyo nekubudisa.
- Muchivhura chakazaruka.
- Masvondo makumi matatu ( 34) gestation (yakagadziriswa kana chaiyo) kana yakwegura.
- Kugamuchira HAPP nervous system stimulants. (Akadai se caffeine)
- Kurara kana kuti wakasununguka.
3. Motokari Yokudzidza / Test
IAmerican Academy yePediatrics inokurudzira kuongorora chigaro chemotokari, kana chinetso chekugara kwemotokari, kune vose vacheche vakaberekwa musati mavhiki makumi matatu nemaviri gestation kana 2500 gm vasati vasunungurwa kubva kuchipatara. Chinetso chechigaro chemotokari chinoshandiswa senzira yekuziva kuti mwana wako akagadzirira kufamba mune chigaro chemotokari uye kutarisa kuti zvinogona kuitwa apnea, bradycardia kana oxygen deaturation pavanogara pachigaro chevo kwenguva yakareba.
Vese vacheche vanoona imwe yenzira dzinotevera panguva yekubudiswa vanofanira kuendeswa kuCar Seat Challenge:
- Nguva yeGestational isiri pasi pemasvondo makumi matatu kana kuti pasi pe 2500 gm.
- Vana vacheche vaida oxygen supplementation.
- Vana vacheche vanotumirwa kumusha pane chekuchengetedza apnea.
- Mamwe marapirwo anoita kuti mucheche ari pangozi yakakura yepnea, bradycardia kana oxygen deaturation.
Panguva yekuedzwa:
- Mwana wako achaiswa kana kugara pa cardiopulmonary monitor ne-pulse oximetry kuti arambe achicherechedza zviratidzo zvekutambudzika.
- Chigaro chemotokari yemwana wako chinofanira kukoderedzwa pa 45-degree angle.
- Mwana wako anofanira kugara muchitsiko chemotokari kwemakore makumi mapfumbamwe.
- Iro harni chikamu chinofanira kuiswa panzvimbo yechipfuva.
Inzvimbo yekutakura motokari inofanira kuitwa imwe kwemazuva manomwe tisati taenda kumba. Kutsvakurudza kunoratidza kuti vamwe vacheche, kunyanya avo avo vanoberekwa mushure memasvondo makumi matatu nemasere ekuberekwa, vanogona kunge vari pasi pezvikamu zvenguva duku zvebradycardia, apnea, uye oxygen deaturation pavanenge vachifamba mune imwe nzvimbo yepamusoro yekuchengetedza motokari.
Kana mwana wako asingapfuuri muedzo nguva yekutanga, inofanira kudzokororwa mazuva mashoma gare gare. Kana mwana wako akundikana chinetso chechigaro chemotokari kaviri, kuedza mumubhedha wemotokari kunofanira kuitwa.
Mwana wako achadikanwa zvakare ku:
- Iva nekugona kudya zvese zvezvokudya zvavo nemuromo nekunyoroka kana uchiwana nhamba yakakwana ye makori.
- Kuwana kuwanda kwakakwana.
- Kuzvinyima pachavo. Vazhinji vana vanosiya oxygen pavanenge vasunungurwa kubva kuNICU, asi vamwe vana vangada kuwedzera oksijeni kwenguva yakareba uye vanogona kutumirwa kumba nemishonga iyi.
- Hauna "zvikamu" zvepnea, (kupera mukufema) uye bradycardia, (slow slow heart) kana kuchinja muvara. Iwe unogona kukwanisa kutora mwana wako kumba kumba kwepamusoro kana vane nguva pfupi yekugadzirisa zvikamu zvisingadi kuti vapindire.
Sezvo mwana wose ari akasiyana, uye rwendo rumwe rweNICU ruchasiyana, zvakaoma kutaura apo mwana wako acharova zvose izvi zvinokosha uye agadzirira kugadziriswa. Zvinogona kubatsira kuti uchengete ruzivo rwomwana wako kubudirira kuburikidza kutanga nhau kana tsvakurudzo, uyewo kuchengeta zviitiko izvi zvinokosha sezvazvinenge zvaitika!
Sources
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