Neonatal Care uye NICU Levels

Kubva Kuchengetwa Zvakanaka Mucheche kuNhare 4 NICU

Madzimai akawanda anotarisira anofunga kuti zvipatara zvose zvakafanana, asi maNICU mazinga uye mazinga ekutarisira kwevana vanowanzosiyana zvikuru nechipatara. Dzimwe zvipatara zvinogona kupa nyanzvi kuchengetedza kuvana vaduku uye vanorwara, kusanganisira micro prevoc. Zvimwe zvipatara zvakagadzirirwa kupa vana vane utano hwakanaka rwevana vane utano hwakanaka uye vanofanira kutumira vana vasati vasvika kana kuti vanorwara kune dzimwe nzvimbo.

Chii chaunoda kuziva pamusoro pemhando dzakasiyana-siyana dzekuchengetedza huripo kana iwe uri kusarudza chipatara chaunogona kupa kana kuti uve nemwana unoda kutarisirwa kwakanyanya? Ndezvipi zvakasiyana pakati pecheche vana vacheche, nyanzvi yekuchengetedza, uye nharaunda yechitatu kana yeji yechina?

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Zvakanaka Baby Nursery

Chitubu chechechecheche chinopa hutano kuvana vane utano hwakaberekwa vari pedyo nemasikati avo. Zvakanaka, vana vanochengetedza vana vanopa rubatsiro rwekurapa nguva dzose, kusanganisira kuongorora uye kuongororwa kunoberekwa patsva .

Nguva dzose zvakanaka vana vanogona kuchengetedza vana vasati vasvika vakaberekwa vhiki makumi matatu (dzinonzi vana vekutanga vacheche ) nevaya vane zvinetso zvoutano zvishoma.

Chitubu chechecheche chinowanikwawo chakagadzirirwa kuchengetedza vana vakaberekwa vasati vhiki masvondo makumi matatu kana kuti nemamiriro ekurapa anoda kutakura kuenda kuNICU.

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Special Care Nursery

Imwe nyanzvi yekuchengeta vana inonzi inonzi 2 level NICU, inogona kutarisira vana vacheche vakaberekwa pamasvondo makumi maviri nemaviri ekutakura kana kupfuura (inowanzozivikanwa sevana vasati vatarisa vana ) kana vacheche vane nguva yakazara asi vanoda kutarisa pedyo kana kuti maitiro anorwisa mabhakitiriya mushure mekuberekwa.

Mishonga yekuchengetedza inokosha inogona kubata vana nehutano hwehutano hwehutachiona, hwakadai sejaundice uye dambudziko kana kudya kana kugara uchidziya. Sezvo kudya kune imwe yemabasa ayo anowanzotarisa kuti mwana angatumirwa kumba kubva kumunda unochengetedza vana, unogona kuda kudzidza zvakawanda nezvekupa vana vasati vasvika .

Kuchengetedzwa kwakakosha (nhamba 2) mazamu angaputsika mukati;

• Nhamba 2A zvipfeko izvo zvisingabatsiri kuporesa
• Nhamba dzechirongwa chechipiri 2B dzinopa rubatsiro rwekupumisa rwakafanana nekuenderera mberi kwakanaka kwemafambisi emhepo ( CPAP )

Zvimwe

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Nhamba 3 NICU

Nhamba yechitatu NICU inogona kupa hutano hwakanyanya kune vana vanoberekerwa munenge makore ose ekuderera, kubva " vana vasati vasvika ," vacheche vakaberekwa pamasvondo makumi maviri nemaviri kusvika makumi matatu, uye pamusoro.

Tsanangudzo yehutano 3 NICU inogona kusiyanisa muhurumende dzakasiyana-siyana kana zvipatara, asi yose nhamba 3 NICUs inogona kutarisira vana vakaberekerwa mumasvondo anopfuura 28, vanogona kupa rubatsiro rwekupemesa kune vacheche vane dambudziko rokufema uye vanogona kununura mvura inopisa vana vasingagoni kutora mukaka wekudya.

Maererano nedzimwe sangano, mazinga 3 NICU ndiyo yepamusoro yevana vanotarisirwa. Pasi pemasangano aya, nhamba yechitatu NICU inogona kupa imwechete yekutarisira sezinga 4 NICU iri pasi.

Zvimwe

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Nhamba 4 NICU

Nezvematongerwo enyika uye zvipatara zvinoshandisa urongwa uhwu, nhamba yechina NICU inhengo huru yekuchengetedza inogona kuchengetedza vana vacheche semasvondo makumi maviri nemaviri kusvika kumakumi maviri nemasere ekuberekwa. Izwi rokuti " micro preemy " rinoshandiswa kurondedzera vana vakaberekwa pakati pemasvondo makumi maviri namasere nemaviri ekuberekwa kana kuti vashoma kupfuura 1 pound 13 ounces.

Nhamba 4 NICUs inogona kupa mhando dzakanakisisa dzekudzivirira kupemha kwevana vanorwara zvikuru, kusanganisira extracorporeal mechanical oxygenation kana ECMO. Vanopawo zviratidzo zvakasiyana-siyana zvekuvhiya neonatal kusanganisira kuvhiyiwa mwoyo kwevana vanozvarwa nehutano hwepfungwa.

Zvimwe

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Kukunda Kana Mwana Wako Ari Muzvipatara muNICU

Kune zvinhu zvishomanana izvo zvisingatyisidzi kudarika kubata nemucheche uyo akapindwa muchipatara muNICU. Vabereki vakawanda vanofunga kuti vanozoita chero chinhu kuti vachinje nzvimbo nechecheche vavo uye vadzivirire iye zvakadai. Asi pane zvinhu zvakawanda zvaunogona kuita kuti ubatsire iwe pachako uye mwana wako kuti aite zvinoenderana nekukwanisa panguva ino.

Dzidza zvakanyanya sezvaunogona pamusoro pemitambo uye nzira dzeNICU pamwe chete nemhando dzevatariri vanoshandiswa . Kune mazwi akawanda uye akawanda emitemo inoitika. Kunzwisisa zvimwe zvei izvi zvinogona kubvisa zvimwe zvekutya nekukubatsira iwe kunzwa uine simba mune rwendo rwako.

Kufambidzana nemwana wako pane zvese, kana zvisina kukosha, kupfuura nguva yakazara mwana kana mwana akaberekwa asina zvinetso zvehutano. Ndinofara, vashandi veNICU vakadzidziswa uye vanoziva kukosha kwekubatana nekufambira mberi kwomwana wenyu uye vachashanda newe nenzira dzakawanda. Mimwe yemitoo iyi, yakadai se kangarooing (ganda rakasvibirira kuti rive nechecheche wako) rinogona kunge risingaoneki kune iwe, asi kuongorora kwakawanda kwakaitwa kuti uwane nzira dzakanakisisa dzekutaurirana rudo nerutsigiro kuvana ava vanofanira kupedza nguva maoko omubereki wavo uye mumubatanidzwa.

Vabereki vakawanda vanoona mitemo yakasimba uye mirayiridzo muNICU zvingangovhundutsa, uye zvinogona kubatsira kubatsira kuti izvi zviito zvakakosha zvidikanwe kuti zvive nehanya zvakanakisisa kune vanhu vaduku ava vasina kusimba uye vanogona kurwara nekukurumidza kana vakatarisana nezvinorwara zviduku .

Mubvunzo unowanikwa nevabereki vakawanda pane imwe nguva ndewokuti, " Ndingazotora rini mwana wangu kumba kubva kuNICU? " Mhinduro yacho ichasiyana nemwana wese, asi mamiriro mashomanana anowanzodikanwa kusangana asati asunungurwa. Izvi zvinosanganisira:

• Kukwanisa kwemwana kuchengetedza kushambidzira kwake.
• Kukwanisa kwemwana kudyisa zvakanaka nemuromo (kunyange vamwe vana vanogona kuenda kumusha ne tube NG kana G-tube.)
• Kukwanisa kwemwana kufema pasina rubatsiro (kunyange vana vanogona kutumirwa kumusha nemhepo yakagadzirwa neanal cannula.)
• Apo mwana akabuda apnea uye bradycardia inotaura (A uye B anotsanangura.)

Kunewo zviitiko zvakasiyana-siyana zveNICU kubudiswa kunofanira kuwanikwa, kusanganisira chirongwa chekunzwa uye chigaro chekugara motokari.

Dzidza zvakawanda pamusoro pekutarisana kana uine mwana asati azvarwa .

> Sources

• > Baia, I., Amorim, M., Silva, S. et al. Kuberekera Kunyanya Kutangira Vana Vacheche uye Kushungurudzika muNeonatal Intensive Care Units. Kutanga Kukura Kwevanhu . 2016. 101: 3-9.
• > Bapat, R., McClead, R., Shepherd, E., Ryshen, G., naT. Bartman. Matambudziko, kubudirira, uye mikana yekuderedza kuverenga muReferral-Based Children's Hospital NICU. Zvinyorwa zveMishonga yeNeonatal uye Perinatal . 201. 9 (4): 433-440.
• > Horbar, J., Edwards, E., Greenberg, L. et al. Kusiyana Mukugadzirwa kweNeonatal Kuchengetedza Kwakanyanya Units muUnited States. JAMA Pediatrics . 2017. 171 (3): e164396.
• > Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, uye Waldo E. Nelson. Nelson Nhamba yeBhuku rePediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.