NICU Kukura Pamba Nheyo
MuNICU, mwana wako anowanzoiswa purogiramu yekugeza, sezvo iwe uchichinja kuenda kumba, unogona kugadzirisa purogiramu iyi kuti uwane zvido zvako. Mwana wako haafaniri kunge akazara bhaji yekushambidza zuva rega rega kana iwe uri kuchengeta nzvimbo yakagadziriswa yakachena nechinoshanduko chechirasi imwe neimwe uye kushandisa kamuti kamuti. (Vaseline kana zinc-based cream zvinoshandiswa nenzira dzakachengetedza sekudzivirira kwekuparara kweganda.) Kuzara kwemvura yakashambadzira kamwechete kana kaviri pavhiki kunokwana mumazuva ekutanga uye kunyange mwedzi mushure mekunyangarika apo mwana wako asina kusimba uye akarara nguva.
Ndirini Ndichifanira Kushamba Mucheche Wangu uye Maoko?
Maoko omwanakomana wako uye chiso chake zvinofanira kushambidzwa zuva rega rega nemashamba uye mvura inodziya. Nyatsocherechedza mapanga (preemie double chin) uko kunokonzerwa nemukaka kungave kwakabatanidzwa. Uyewo, zvisikwa zvemaoko apo mwana anowedzera kuchengetedza minwe yake yakavharwa mukati. Mwana wako angasada kuwana nzvimbo idzi dzomuviri wavo dzicheneswa, kunyanya kana mvura yakanakira kana iwe uri mhirizhonga uye wakasimba nechishamba. Hazvisi zvisingazivikanwi kuti mwana wako asvike, adye, kupesana, kana kunyange kuchema. Zvinogona kubatsira kuchengetedza mwana wako kugadzikana kana ukageza rumwe rutivi rwechiso pane imwe nguva, zvinyatsofambisa kune rumwe rutivi nemvura matsva uye inodziya.
Mwana Wangu Dzimwe nguva Sounds Stuffy uye Congested. Ndinofanira Kuchenesa Uye Kuchenesa Mheto Here?
Hazvisi zvisingazivikanwi kuti mwana wako asati atanga kunzwika "zvakashata" kana kuva bhabheri rukuru. Vana vasati vasvika vanowanzova nemukaka wekakorori wakakura uye pamwe nekuwedzera mumukoroti wemukaka, pangava nekuwedzera mukugadzirwa kwemapurigm.
Iwe unogona kubatsira kuderedza zvimwe zvekusagadzikana mwana wako angave ari kunzwa nekubvisa zvinyorwa zvemwana wako nemapapiro ebhuruko nemadonhwe mashomanana e-over-the-nasal saline madonhwe akadai semakumbo maduku kuti abvise mhepo. Izvi zvinobatsira kukanganisa kusanganisa, zvichiita kuti zvive nyore kutsvaga nesirati yebhuru.
Iva nechokwadi chekuvhara mhepo kubva kune aspirator usati waisa mumuromo wemwana wako. Usashandisa simba kana kufema mweya mumhino yemwana wako. Iva nechokwadi chekuchenesa siringi yako yebhuruti mushure mekushandisa kwega rega kushandiswa nemvura inodziya, ine sipo uye uite kuti mweya uome. Dzorera siringi yerabha kazhinji sezvavari kutowedzera kukura mukati mukati mavo mushure mekushandisa kakawanda.
Usapfuura-shandisa siringi yebhuru pamuviri wako. Kana iwe chete uchinzwa kuvharwa uye usingaoni chinhu, kungoputira mhino yemwana wako nemucheka mutsvuku kunowanzobatsira kubvisa uye kuchenesa mhino. Kunyanya kushandisa-siringa kunokonzera kubatwa mumhino kunotungamirira kutsamwa, ruzha rukuru, nekufema kunetseka.
Ndinorambidza Sei Mwana Wangu? Unokwanisa Here kundipa Nhanho-Nhanho Mirayiridzo?
Mhinduro yezvinhu zvaunoda zvinosanganisira:
- Mubhedha kana mudziyo wokushambidza.
- Mamwe mashutu ekudziya kuti uise mwana wako mushure mekushambidza.
- Mamwe mashutu anodziya uye mashomanana akashambidza anoshandiswa pakushambidza mwana wako.
- Mwana munyoro sopfu kana kushambidza muviri uye shamhu.
- Mutsva mutsva, wakachena.
- Ichenesa nguo dzakadai somunhu akarara uye mwana muhombodo.
1. Tanga nokuzadza bhati kana kushambidza nemvura yakachena. Nguva dzose edza kupisa kwemvura nemukati wako mukati kuti uone kuti hausi kupisa kana kutonhora zvikuru kumwana wako.
Zvizhinji zvemabhesheni ane zvidimbu zvekupisa zvinokutungamirira mune izvi.
2. Kuchengetedza mwana wako akapfekedzwa kana akaputirwa muhombodo, tora machira uye uinyorove nemvura inodziya chete. (Pasipo sese) Bvisa mvura yakawandisa. Nyatsoropodza maziso omwana wako kubva mumhino kunze. Tenderera nekuchenesa matama emwana wako, huma, uye chinini nekushambidza nemvura inodziya chete, rumwe rutivi rwechiso panguva. Shandisa tirasi inopisa kuti unyatsoomesa chiso chako, zvakare rumwe rutivi panguva.
3. Shandisa yakachena yakachena, yakashambidza mvura yakachena kuti udzime kunze kwepakati nepakati dzomukati dzemakumbo emwana wako uye shure kwekunze.
Usambofa wakanamatira chero chinhu mumakumbo emwana wako, kusanganisira cotton swabs (yakadaro Q-tips) izvi zvinogona kukuvadza eardrums yemwana wako.
4. Vazhinji vana vasati vasvika vanoda bhadha yekushambadza uye vanogara vakarongeka pavanosungirirwa mumvura. Bvisa zvese zvevana vako nemucheche uye re-swaddle mwana wako muhombodo zvakare. Isa mwana wako (muhombodo) mumvura yekushambidza inopisa. Iva nechokwadi chekubata uye kudzivirira musoro wemwana nemutsipa wako. Tanga nekugadzirisa rimwe chidimbu chebhanhire panguva yekugeza rimwe chete pane imwe nguva, kutanga nemaoko uye uchifamba uchienda kumakumbo netsoka. Iva nechokwadi chekuti zvakare-swaddle mwana wako kana wachenesa nzvimbo imwe neimwe. Izvi zvichabatsira kuchengetedza mwana wako kunzwa achidziya uye akachengetedzwa mukati mekushambidza. Bhatiki yekushambadzira inofanira kutora maminitsi manomwe kusvika ku10 kudzivirira mwana wako kuti asaneta.
5. Kuchengetedza mwana wako akabatanidzwa mune bhandi rakasviba uye rakasviba swaddle blanket, simbisa mwana wako mumubhedha webhola, nyorosa musoro wako wecheche nechingwa chakashambidzika. Kushandisa kamudiki kadiki ye shampoo, shamisa musoro wemwana wako neruoko rwako kana kuti soft baby brush. Sungai zvakakwana uye tora musoro wemwana wenyu wakaoma necherera inodziya.
6. Bvisa mwana wako, gadzira chidimbu chakachena, nguo dzakachena, uye ugovezve swaddle mwana wako muhomwe itsva yakachena uye yakachena.
Zvakakosha uye Nheyo Dzakakosha Kuyeuka Pakushambidza Mwana Wako
- Yeuka kushambidza maoko emwana wako uye kutarisana zuva nezuva, asi zvizere zvekushambidza tsvina hazvidiwi zuva rega rega.
- Shamba pasi pechidiki chemwana wako nemapanga emutsipa mushure mekudya.
- Nguva dzose chengeta kutengesa kwemvura yekushambidzira usati waisa mwana wako mubhu.
- Sarudza shamhu, mwana, sipo, kana muviri kushambidza uye unyoro uye mwana ane ushamwari.
- Iwe unogona kushandisa mwana wekucheka asi usazvishandisa uchishandisa maoko kana mwana wako.
- Mafuta echeche uye mapfupa haatenderwi kushandiswa. Izvozvo zvinokonzerwa neupfu zviduku uye zvinosvika mumhepo, zvinogona kupinda mumapapu emwana wako.
- Chengetedza ganda rechecheche rako kune chero shanduko kana kuparara. Iwe unogona kushandisa petroleum jelly kana kuti zinc-based cream nejasi rinoshanduka kuti riite seganda reganda.
- Yeuka kuti usambosiya mwana wako asina kutarisirwa mu bathwater. Kunyange kana zviri kungokurumidza kuwana zvinhu zvishayikwa shure kwako. Usafambiswa nefoni yako kana kutumira mameseji. Ipa mwana wako chizere chako chakakwana uye chisingadiwi.
Sources:
Kudzokorora kubva http://babystepstohome.com/nicu-discharge-module.pdf
Kudzorerwa kubva ku http://www.ahrq.gov/professionals/systems/hospital/nicu_toolkit/nicutoolkit.pdf
Kudzorerwa kubva ku http://www.uiowa.edu/~medtest3/nicu/nicu_skin.pdf
Clinical Guidelines (Nursing): Neonatal & Infant Skin Care. (nd). Kudzorerwa kubva ku http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Neonatal___Infant_Skin_Care/
A Proto for Swaddled Bathing muNICU. (nd). Yakadzorerwa kubva ku http://www.medscape.com/viewarticle/781129