Zviitiko zveNICU Mwana Anofanirwa Kupinda Asati Abuda
Muzhinji, hapana "mutemo" unotaura kuti mwana wako asati azvarwa asati azvarwa achazogara sei mu- neonatal yakasimba kuchengetedza unit (NICU) . Pane kudaro, vatongi vane zviitiko zvakasiyana-siyana kuti vasangane vasati vabvumirwa kuenda kumba nevabereki vavo.
Vazhinji vana vasati vasvika vanorasikirwa nenguva iyo vaimbofanira kuberekwa, asi izvi zvinogona kusiyana. Vamwe vana vanogona kuenda kumba zvakanaka vasati vatarisirwa kuberekwa, asi vamwe vanofanira kugara zvakanaka kupfuura mazuva avo chaiwo.
Sezvo vabereki vakawanda vachibvunza kuti kana mwana wavo aigona kudzoka kumba, zvakanaka kuti pane zvimwe zvirevo zvaunokwanisa kutarisa.
Kufema Pasina Oxygen
Nguva zhinji, vacheche vanofanira kukwanisa kufema mhepo yega pasina oxygen vasati vatumirwa kumba kubva kuNICU. Vavengi vakawanda vanoda rubatsiro rwekufuridzira mushure mekuberekwa uye vamwe vana vanogona kungoda oxygen yakanyanya.
Vacheche vanove vaduku zvikuru kana vanoberekwa zvakangokurumidza vari pangozi yehupenyu husingaperi hunonzi bronchopulmonary dysplasia kana BPD. Iyi imamiriro ekumapapu akaipa uye vamwe vana vanogona kubvumirwa kudzokera kumusha nekushandiswa kweokisijeni kuburikidza neanal cannula .
Outgrow the As and Bs
"Sezvo neB" inomirira apnea uye bradycardia uye inoratidza zviratidzo zvekutanga. Apnea inoreva nguva iyo mwana anorega kufema kwemaminitsi makumi maviri. Kushayikwa kwekufemerwa kunoguma nekuwa kwema oksijeni ekusimudza mazinga, izvo zvinoguma nekuderera kwepfungwa yemwoyo (bradycardia).
Izvo "tsvina," sezvavanowanzoidzwa, zvinowanzoonekwa mumucheche vasati vasvika. Inenge hafu yevana vakaberekerwa vachipera mavhiki makumi matatu ekuberekwa kwavo vane. Chiyero chinodonha kusvika kunenge 7 muzana apo mwana anosvika mavhiki 34 kusvika ku35 ekugumira. Inowanzokonzerwa nekusava nekuvhenekera kwenheyo yenheyo.
Kazhinji nguva vana vanochengetwa muNICU kusvikira avo A uye B vatsva vakagadzirisa.
Dzimwe nguva, kana mwana ari kuita zvakanaka uye akawana zvimwe zviitiko zvakakosha zvekusununguka, asi anoenderera mberi kuva neA neB, anokwanisa kuenda kumba nemoyo unofadza uye kufema kuongorora.
Ramba uchiyeuka kuti haungatumiri kumusha kana mwana wako ari pangozi, kana kuti anofungidzirwa kuti zvinyorwa zvake zvinogona kuva nengozi. Chiremba wemwana wako angakupa chisarudzo chekuchengetedza mwana wako muNICU kwenguva shoma kana kuenda kumusha pamwe nekuona. Muchiitiko ichocho, zvichava kwauri uye kuti wakasununguka sei iwe nekuongorora mwana wako.
Tora Zvose Zvokudya Nemuromo
Vana vasati vasvika havasi vakasimba sevana venguva yakazara uye havagoni kurongedza kunwisa nekugomera kusvikira makore makumi maviri nemaviri kusvika makumi matatu ekuberekwa . Vazhinji vana vasati vasvika vanodyiwa nehuwandu hwepamusoro parenteral ( TPN , IV fluid) pakutanga. Vanodyidzwa kuburikidza nehutachifudza kusvikira vasimba zvakasimba kuti vanwe kubva pachipfuva kana kubva muhombodo.
Vakawanda veNICU vanoda kuwona mwana kwete kungova nemuviri wezvokudya zvakarongwa asi anokwanisa kuzviita pane ad lib schedules (kudya apo mwana ane nzara panzvimbo yeawa). Izvi zvinowanzoitika kumasvondo makumi matatu nemazana matatu ekuberekwa, kunyange zvazvo vamwe vana-kunyanya avo vane chirwere chakanyanya kufema-kunotora nguva yakareba.
Uyezve, vamwe vana vanotumirwa kumba ne tube NG kana G-tube .
Chengetedza Kupisa Kwakasimba
Pakutanga, vana vakawanda vasati vasvika vanoda kurara mumubatanidzwa kuti varambe vakashambadza. Ichi chigadziri chakavharidzirwa ine dome yakajeka ine nzvimbo yakatsvaira iyo vana vanoreva nhema. Vana vasati vasvika havakwanisi kuramba vachidziya uye vacheche vacheche uye vachabva vachitonhora kana vasina ganda neganda muchengeti kana kangaroo kana kuti vakachengetwa mumutambo.
Asati atumirwa kumusha, mwana anokwanisa kukwanisa kuchengeta muviri wake wekushisa mumutambo wakazaruka. Nguva iyo mwana wako anogona kukwanisa kuita izvi inotarisa zvakanyanya pauremu hwake kupfuura nguva yake yekutenda.
Muzhinji, vavengi vanogona kuchengetedza muviri wavo wekushisa pavanenge anenge mapaundi 4.
Pass Passes Tests
Mukuwedzera pakuzadzisa zviitiko zvakasarudzwa pamusoro apa, kuongororwa kwakaenzana kwekuongorora kunogona kudiwa mushure mokutora mwana wenyu kumba. Izvi zvinogona kusanganisira kuedzwa kwekunzwa (zvichida kubuda kwemaotoacoustic kana kuti automative audory brainstem response test), chekuchengetedza gumbo chekuchengetedza, kuongorora hyperbilirubinemia , uye kuongororwa kwechirwere chepfungwa.
Kana mwana wako ari kuwedzera zviri nani asi asina kukwanisa kuenda kumusha, angatanga kutamira kune izvo zvinonzi chiremba chinotsika-tsika.
Dzidza Essential Care
Usati wasununguka, iva nechokwadi chekuti unodzidza mwana mucheche cardiopulmonary resuscitation (CPR), saka unoziva chaunofanira kuita kana zvichiitika kune imwe nguva. Uyezve, iwe uchawana dzidzo yepamusoro inowanikwa nevana venguva refu. Izvi zvingangosanganisira murairo wekudyisa, kubvisa, kuwedzera kuwanda, nezvimwe.
Taura nechiremba wemwana wako kana mukoti kuti ave nechokwadi chokuti iwe unonyatsoziva kutarisira mwana wako paunoenda kumba. Bvunza chero mibvunzo yaunayo, uye uone kana iwe unogona "kuwanika" nemwana wako munguva yeusiku husiku hwekupedzisira kana maviri kuti atore hombodo yezvinhu.
Shoko Rinobva Kunyanya
Zvose zvinotarisana nazvo zvichave zvakasiyana, saka vimba nevashandi veNICU apo mwana wako muduku akagadzirira kuuya kumba. Iva nechokwadi chokuti havangakutumiri kumba usati wanyatsogadzirisa kutarisira chero humwe hutano hwakanyanya kupfuura hwekuchengetedza mwana akaberekwa nguva yakazara.
Usati mwana wako aenda kumba, iva nechokwadi chokuti iwe pachako uwane sangano rako pachavo panzvimbo. Kuunza musha mwana asati azvarwa kunogona kuodza mwoyo uye iwe unganzwa uchinetseka paunenge uri woga mushure mekuita kweNICU nguva dzose. Mashoko akanaka ndeokuti vazhinji vevana vanobva muNICU vanokura kuva vana vane utano.
> Sources:
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