Chii chinonzi Late Preterm Infant?
Nguva inotangira vacheche - vacheche vakaberekwa pakati pevhiki nesvondo makumi matatu nemakumi matatu nemasere - vanoita sevaduku vaduku vezera rakakwana revana. Kwemazuva mazhinji, vana vekutanga vasati vasvika vairapwa semakore ekupedzisira vana. Zvisinei, kutsvakurudza kuri kuramba kuchiratidza kuti vana ava havana kufanana nevana vakakwana vacheche uye kuti vane dambudziko rakasiyana-siyana rezvinetso nematambudziko.
Vacheche vanoberekwa pedyo neshoko ndezvekuti, zvirokwazvo, vavengi.
Kunyange mushure memasvondo makumi matatu nemakumi matatu ekuberekwa, nguva yakazara vacheche vangave nemamwe matambudziko akafanana sevana vekutanga vacheche. Dambudziko rehutano hwehutano hunokonzerwa nehutachiona hunotanga kupera kwemavhiki makumi matatu nemaviri asi harukwanisi kupera kusvikira vhiki makumi matatu nemakumi matatu.
Utano Hwakanetseka Kunetseka
Mumaawa awa mushure mokuberekwa, vana vanosangana nematambudziko akawanda sezvo vachigadzirisa hupenyu kunze kwechibereko. Mhepo inoputika, kuramba ichidziya, uye kushandiswa kunyika yose inoshanda zvakaoma! Kunyange zvazvo vazhinji vanotanga kutangira vacheche vachigadzirisa zvakanaka, vamwe vane dambudziko. Kunyange vana vekutanga vasati vaberekwa vakaberekerwa vanaamai vane utano vasina zvinetso zvingatarisana:
- Zvinetso zvokuputika: Zvinetso zvokuputika zvinowanikwa mu 4.2% yekuberekwa kwekutanga kwekutanga, asi chete 0.1% yekuberekwa kwenguva yakazara. Zvinetso zvokuputika zvinogona kuva zvinyoro kana zvakanyanya uye zvinogona kusanganisira kuporesa chirwere chinonzi syndrome, tachypnea yenguva duku yemwana achangoberekwa, mishonga yeupemenia yepamusoro, uye kudiwa kwekusimudzira kuporesa .
- Hypoglycemia: Kunyange zvazvo 0,4% chete yevana vacheche vanotambura neshuga yepasi shoma mumaawa mushure mokuberekwa, 6.8% yevana vasati vazvarwa vachembera ndivo vane hypoglycemic mushure mokuberekwa. Vacheche vanoberekwa mangwanani-ngwanani havana kuchengeta shuga yakawanda sevana nguva yakazara vacheche, uye vanoita hypoglycemic nyore pavanotonhora kana vakasimbiswa.
- Zvinotambudza kutarisa: Vana vacheche vasati vaine mafuta akawanda akachengetwa semazuva ekuberekwa vane, uye vanotonhora nyore nyore. Vana vane mazino vanopisa makoriki akawanda kuti vaedze kugara vachidziya, zvichiita kuti hypoglycemia iwedzere uye kuderedza kuwedzera kwehupfumi.
Kunetseka mumavhiki ekutanga
Kunyangwe mushure mekupedzisira vana vacheche vanoita kuchinja kwekutanga kune huri kunze kwechibereko, vachiri kutarisana nematambudziko. Zvinetso izvi zvinotungamirira kumazinga akawandisa ekuverengerwa kwechipatara mumazuva ekuberekwa vacheche vasunungurwa mukati maawa 48 ekuberekwa. Vabereki uye vanachiremba vanochengetedza vacheche vacheche vanofanirwa kuchenjerera kuti vave nechokwadi chokuti vana vasina simba vanogara vakagwinya mushure mokunge vadzokera kumusha.
- Jaundice: Kunyange zvazvo 2,5% chete yevana vaine nguva yakazara vane jaundice yakaoma zvakakwana kuti vawane phototherapy, 18% yevana vasati vasvika vacheche vane jaundice yakaipa zvokuti inofanirwa kurapwa.
- Kudyisa zvinetso: Vana vasati vazvarwa vacheche vanoneta nyore nyore uye vangave vasina simba zvakakwana kuti vanwe mukaka wakazara wemukaka kana chiraira kuti uwane uremu. Izvi zvinogona kukonzera kupera simba kana kukundikana kukura. Kukundikana kwekuberekera kune imwe njodzi: moms vana vane vana vasinganwi kunyatsokwanisa kutsvaga havakwanisi kupa mukaka wakakwana kuti udye vana vavo.
- Sepsis: Nemasikirwo avo ezvirwere zvezvirwere zvezvirwere hazvina kunyatsogadzirwa, kuchera kwevana vacheche vane dambudziko guru rekutapukirwa kupfuura nguva yevana. Ivo vanowanzova nebasa reropa rakagadzirwa kuti riongorore utachiona uye vanowanzoda kurapwa maantibiotic.
Achirizve Kunetseka
Zvakawanda zvezvinetso zvinotangira vana vacheche vasati vatarisana zvinozivikanwa kuti zvinokonzera kukura kwehupi.
Zvinosuruvarisa, nyanzvi dzakawanda dzenguva refu-ye-neurodevelopmental results muvana vasati vasvika vataura nezvevana vakaberekwa vasati vasvika mavhiki 34. Tinoziva kuti vacheche vacheche vasati vava pangozi yekukurumidza kunonoka, uye kuwedzera kutsvakurudzo kuri kuitwa kuti vaone kuti vana vanofanotanga vana vanoita sei kuchikoro sezvavanokura. Kunyange zvakadaro, nehanya zvakanaka, vazhinji vevana ava vanogona kuita zvakanaka.
Darcy, A. MSN, RN. "Zvinetso zveRate Preterm Infant." Journal of Perinatal & Nursing Neonatal January / March 2009. 23; 78-86.
Melamed, N. MD, Klinger, G. MD, Tenebaurm-Gavish, K. MD, Herscovici, T. MD, Linder, N., Hod, M. MD, Yogev, Y. MD. "Mhedziso Yenguva Pfupi Neonatal in Low-Risk, Freontaneous, Singleton, Zuva Rokutanga Kununurwa." Obstetrics & Gynecology August 2009. 114; 253-260.