AAP Inoita Nzira Dzokurara Dzisina Kurara Kuti Deredza Nhamba Yehutano Hwakagadzikana Kurara
Muna 2016, American Academy of Pediatrics (AAP) yakabudisa mazano akachengeteka ekurara kwevana vaduku mukuedza kubatsira kudzivirirwa kwevana vanononoka kufa (SIDS) nezvimwewo rufu rwakabatwa nehope dzakadai sokupenga uye kuora mwoyo. Mukuita kudaro, vakapa mazano 19 ekuti vadzivirire kuchengetedza mwana wenyu. Chingave chishamisika ndechekuti vamwe vavo vanoitika musati mwana wenyu azvarwa.
Zvinhu zvinokosha ndezvokuti iwe unofanirwa kutevera utano hwose nekuchengeteka mirayiridzo, kusanganisira kutarisirwa kwepabonde uye kutarisirwa zvakanaka , iwe nechecheche wako. Izvi zvinosanganisira vacheche vacheche vachishandisa Centers for Disease Control and Prevention (CDC) mirayiridzo. Iwe unofanirwa kuve wakangwarira uye usadzivisa kushandisa zvishandiso zvemazuva akawanda zvekurara izvo zvinodaro zvidziviriro kurwisana neSIDS nezvimwe zvinetso pakurara kwecheche sezvo pasina tsvakurudzo. Kunwisa kunodzivirira uye kunobatsira kuderedza ngozi yekufa uye kana ukamwisa mwana wako usiku, mubhedha mukuru wakagadzirirwa wakachengetedzeka wakachengeteka kupfuura mubhedha kana chigaro iwe unofanirwa kurara nehope. Unogona kuverenga mamwe mashoko pasi apa, kusanganisira mamwe mazano anobatsira iwe neavo vanochengeta mwana wenyu.
Kuberekwa
Vakadzi vane pamuviri vanofanira kutsvaga uye kuwana nguva dzose dzekutarisirwa. Kuchengetwa kwepabonde chinhu chingave chakanakisisa zvikuru kupfuura masvondo makumi mana ekuberekwa. Haisi kungoita chete kutarisirwa kwepabonde kunobatsira kupa munhu ane pamuviri uye mwana wavo kana vana vacheche mukana wakanakisisa pakuberekwa kwakanaka uye kusununguka kusununguka, asi zvinobatsirawo kugadzirisa inzwi rehutano hwemwana hwehupenyu.
Mwana anozvarwa mushure mokunge ane mimba yakazara-chinetso angava nehutano huzhinji kubva kune zvinetso, kusanganisira SIDS. Nokudzivirira hutano hwepamuviri hunoita sekuberekwa kwepakutanga kana zvichibvira uye kuwedzerwa mararamiro ane hutano hwakanaka, zvakabatsiro zvinowanikwa zvakanaka pakuberekwa kwakapfuura uye paucheche.
Dzivisa kusvuta kusvuta panguva yekudzivirira uye mushure mokuberekwa. Dzivisa doro uye kusashandiswa kwezvinodhaka zvinodhaka panguva yekudzivirira uye mushure mokuberekwa. Kusvuta uye kushandiswa kwezvinodhaka uye doro munguva yekuzvitakura kwave kwenguva refu ichizivikanwa kuti inokonzera matambudziko angakonzerwa nepamuviri, kusanganisira preterm labasa , vaduku vezera rekuita gwara (SGA), vacheche zvinetso , nezvimwewo.
Ikozvino kune uchapupu hwokuti kunze kwezvipingamupinyi zvingakonzera pakuberekwa, pane zvinetso zvingangodaro mushure mehupenyu zvakare, kusanganisira dambudziko reSIDS. Ndapota cherechedzai kuti kukurudzira uku kunoenderera mberi muhupenyu hwechecheche, kunyanya maererano nekusvuta uye hakurevi amai chete asi avo vari pedyo nemucheche.
Infancy
Dzokera kunorara kwehope dzese. Kuva nemwana wako akarara pamusana wavo kwakaratidzwa kuderedza nhamba dzevanhu vanofa kubva kuZIDS zvakanyanya kubva pakushandurwa kweRed to Sleep Campaign (ikozvino Ive Sokuchengetedza Kurara) kubva kuAAP uye pamwe chete. Izvi zvinokurudzira ndezvekuti vose vanorara nevese vanotarisira. Zvakakosha kuti iwe uite izvi uye iva nechokwadi chokuti ani naani anotarisira mwana wako anoita zvimwe chete, kusanganisira vanasekuru navanambuya nevatarisi vezuva.
Shandisa zvakasimba kurara pasi. Kunyange iwe pakutanga ungafunga kuti izvi ndezvekusimba kwekateti yemakiti, iyo ndeyekudzivisa dzimwe nzvimbo dzekurara kwevana semarara, mabhedha emvura, nezvimwe. Iyi nzvimbo yakaratidzwa kuwedzera kungozi yekugumburwa uye rufu mucheche.
Kunwisa kunorudzirwa. Kuyamwisa kunodzivirira uye kunobatsira kudzivirira SIDS, kuwedzera kune zvimwe zvakawanda zvinobatsira.
Izvi zvinowedzera nguva yaunenge uchiyamwisa uye yakakwirira apo iwe uchipa mwana wako chete mukaka wehadzi. Asi zvakakosha kucherechedza kuti chero mukaka wemuviri unochengetedza uye mwana wako achawana zvikomborero apo paanowana mukaka wemukaka nebhokisi kana kapu zvakare. Chimwe chezvinhu zvinonakidza kuchinja mune izvi zvakagadziriswa ndezvokuti kana amai vachipfurira usiku, vanokurudzira kuti kana iwe uri kurara, udzose mwana kumubhedha wako (iyo inofanira kuve yakachengeteka maererano nemirayiridzo iyi) kana iwe ukarara nechecheche. Pakave nezviitiko zvakawanda zvekufa kwecheche apo vabereki, vachifunga kuti vakachengeteka, vanorara pavanenge vachifudza mwana pakati peusiku pamubhedha kana chigaro, chete kuti mwana wacho anonoke mumubhedha.
Kugoverana kwekamuri nechecheche pane imwe nguva yekurara kunorudzirwa. Kuchengeta mwana wako muimba yako kwemwedzi mitanhatu yekutanga kunogona kubatsira kudzivirira mwana wako zvakare. IAAP inokurudzira kuti iyi inofanira kuva mumubhedha wakasiyana kana isingatevedzeri mamwe emangwana aya pamusoro pekugovana pamubhedha nemwana wako. Izvi zvinogona kuva mumucheka, bhasininet, kana kuti kurara.
Chengetedza zvinhu zvinyoro uye zvidhakwa zvakasununguka kure nemwana wehoche yehope. Zvose zvinokonzera kurara, kusanganisira mubhedha wevabereki, inofanira kuva isina zvinhu zvakanyorova, kusanganisira kubhedha kumwe. Izvi zvinoreva kuti iwe unofanirwa kutema matoyi, mazamu emucheto, uye zvimwe zvimwe zvebumpers nedzimwe mabheketi echirafu. Zviri nani kuti uchengetedze mwana wako akafukidzwa nenguvo dzakasimba kunze kwezvipfeko zvinogona kukanganisa nekudzikisa mwana.
Funga kugovera pacifier panguva yepasi uye nguva yokurara. Kune zvimwe zvidzidzo zvinoratidza mwana ane pacifier angave asina ngozi yeSIDS. Zvisinei, zvinonzi haufaniri kumanikidzira mwana kutora pacifier. Iwe unogonawo kugovera pacifier kamwe chete kunyamwa kunonyatsogadzirirwa kuchengetedza mukaka wako.
Dzivisa kupisa. Vacheche vanowanzotaridzirwa vachikwaniswa mumatare ezvimwe zvipfeko, kunyange munguva yezhizha. Kunyange zvazvo vacheche vaine nyaya nekutema kwekushanda, havawanzodi kuwedzera pane kuwedzera kwechiedza kupfuura zvatinoda kupfeka. Kunyangwe zviri nani kushandisa muvete kumucheche kupfuura gavheti, ingoona kuti mamiriro okunze akakodzera.
Vana vacheche vanofanira kuve vachengetwa maererano neAAP neCDC. Mucheche ane utano haawanzofa neAIDS kunze kwezvirwere izvo zvirwere zvinodzivirira.
Kuchengetedzwa, kumuka nguva yemukati inokurudzirwa kuti ishandise kukurudzira uye kuderedza kukurudzirwa kwepasipocephaly. Chimwe chezvinhu zvinokonzera kurara kumashure zvakange zviri positional plagiocephaly , uko mushure memusoro wemwana unove wakanyarara kubva pakuvata pairi. Kuti ubatsire kudzivisa izvi kuti zvirege kuitika, nguva yenguva inokurudzirwa kumwana wako panguva yekukwira apo iwe unokwanisa kutarisira uye kudzivirira mwana wako kubva pangozi.
Products
Dzivisa kushandiswa kwezvigadzirwa zvemabhizimisi zvisingaenderani nehutano hwakanaka hwekurara. Pane zvakawanda zvezvinhu zvinotengeswa kuvabereki vatsva. Zvizhinji zvezvigadzirwa izvi zvinotaurira izvo zvisiri zvechokwadi zvinopupurirwa nekutsvakurudza kwesayenzi. Izvi zvinogona kutungamirira kune njodzi dzinokonzera kukuvadza kana kufa kumwana wako. Pakave nekuyeuka kwezviverengera mumakore apfuura emarudzi aya emiti. IAAP inoda kuenda nhanho imwe mberi uye kudzivirira vabereki kuti vasatenga zvigadzirwa zvichienderana nezvirevo izvi zvenhema. Saka kana iwe ukaona chimwe chinhu uye uchifunga nezvekutenga, funga zvakare kana izvozvi zvichitarisa zvisinganzwisisiki kune aya mazano.
Hapana humwe uchapupu huri kuratidzira kufambidzana sechirongwa chekuderedza dambudziko reSIDS. Kudzora kwakave kwakasimudzwa senzira yekudzivirira SIDS. Izvi hazvina kuwanika mukutsvakurudza. Saka kana mwana wako achivenga kuvhara, usanetseka pamusoro payo. Kana iwe uchiita swaddle mwana wako, iva nechokwadi chekutarisa kupisa uye kudzivirira mahudyu avo pakati peimwe nzira yakachengeteka ye swaddle.
Usashandise kumba kwema cardiorespiratory vatariri semagadziro ekuderedza ngozi yeSIDS. Vamwe vabereki vakafunga kuti vatariri kuti vaone mwana angabatsira, asi izvi hazvina kuwanikwa kuti ndizvo. Chengetedza mari yako uye taura nemushandi wako usati watanga kushandisa mishonga yezvokurapa kumba.
Purogiramu
Ramba uchitsvakurudza uye kuongororwa pane zvinokonzera ngozi, zvinokonzera, uye pathophysiologic nzira dzeSIDS nezvimwe zvekufa kwevana vanobatwa nehope, vane chinangwa chikuru chekuparadza zvachose rufu. Tsvakurudzo mumakore makumi maviri ekupedzisira yakaita zvakawanda pakudzivirira kufa kwechecheche kana ichienderana nehope. Tinofanira kungwarira uye kuramba tichitsvaga nzira dzekudzivirira idzi kufa.
Mamiriyoni nevashambadziri vanofanira kutevera nzira dzakachengeteka dzekurara mumishumo yavo uye kushambadzira. IAAP iri kukwidza kudana kwayo kune vaiti vezvigadzirwa kuti vasatora mhuri dzinotya uye vanoshamisika zvavanogona kuita kuti vabatsire kuchengetedza vana vavo. IAAP inoda kuti vaite chikamu chavo chekuchengetedza mhuri.
Rambai "Muchigadzirira Kurara" muchirongwa, muchinzira nzira dzekudzikisa dambudziko rekufa kwevana vose vanorara nehope, kusanganisira SIDS, kuora mwoyo, nezvimwe zvinouraya zvisingaiti. Mushandirapamwe unokosha kuve nechokwadi chokuti vabereki vose vanoziva nzira dzekuchengeta vana vavo vakachengeteka. Nokurienderera mberi, tinogona kubatsira kuve nechokwadi kuti vabereki vose vanowana iyi mharidzo.
Vashandi vezvehutano, vashandi muzvinyorwa zvitsva uye NICUs, uye vatarisi vevana vanofanirwa kutsigira uye kuenzanisira zvirongwa zveSIDS-kuderedza kuparadza kubva pakuberekwa. Chikamu chekuedza kwekudzidzisa kwechirongwa ndechokusvika kune vamwe vanhu kunze kwevabereki vanogona kutarisira vana venyu. Izvi zvinosanganisira vanachiremba navanachiremba vanotarisira mwana wenyu kubva kuchipatara uye mumahofisi evana. Inosanganisirawo vashandi vekuchengetedza vana apo mwana wenyu angave ari kuvata masikati.
Vanachiremba uye vamwe vatarisiri vekutanga vanofanirwa kushanda nesimba mumushandirapamwe uyu. Chinangwa chemushandirapamwe uyu wekudzidzisa ndechokusvika kune vose vakuru. Nezvo izvo zvingaita zvakajeka, yeuka kuti vanhu vazhinji vangave vaine hukama nevana venyu uye vasingapindi mune imwe yehutano mapoka. Funga pamusoro pevanhu vangave vashanda muchechi yenyu yechechi, ava vanogona kunge vakazvipira avo vangave vasina vana kana vana vavo vakwegura, zvichireva kuti havana kunzwa nezvemashoko matsva.
> Sources:
> Blair PS, Sidebotham P, Pease A, Fleming PJ. Kurara-kugoverana mukusabatwa kwemamiriro ezvinhu ane ngozi: pane njodzi yekuzvarwa kwechirwere chinokonzerwa nevana here? Kuongororwa kubva kune zviitiko zviviri-zvidzidzo zvinoitwa mu UK. PLoS One . 2014; 9 (9): e107799.
> Mwedzi RY; AAP Task Force pa Sudden Infant Death Syndrome. SIDS nezvimwewo rufu rwevana vanorara nehope: Chikonzero chehupupu hwe 2016 chakavandudzwa mazano ekuchengetedza vana vakachengeteka. Pediatrics . 2016; 138 (5): e20162940.
> Rechtman LR, Colvin JD, Blair PS, Mwedzi RY. Sofas uye kufa kwevana. Pediatrics . 2014; 134 (5).
> Scheers NJ, Woodard DW, Thach BT. Chero bumpers inoramba ichikonzera kufa kwecheche: chido chekudzivirira nzira itsva. J Pediatr. 2016; 169: 93-97, e91.
> SIDS nezvimwe zvehutano zvine chokuita nehucheche Kufa: Kusarudzwa 2016 Zvirongwa zveMucheche Wakachengeteka Kurara. MHURI YOKUDZIDZA KUNA KUNYANYA KWEFUFU KUNOFANIRA KUNYANYA. Pediatrics ; pakutanga yakabudiswa paIndaneti Gumiguru 24, 2016; DOI: 10.1542 / peds.2016-2938.