Sekuwana Neonatal Intensive Care Unit (NICU) mukoti , ndinoda kuita kuti vakawanda varare pamwe chete kana vari pasi pekutarisira kwangu. Muitiro wokurega vana vachembedze pamwe chete muhomwe imwechete kana incubator inonzi cobedding uye inogona kuitwa nemapatya, katatu, kana zvimwewo zvakawanda.
Nepo kune zvipo zvekutendera kuti vakawanda varare pamwe chete muNICU, panewo zvingave nezvipingamupinyi pakubata.
Zvinosuruvarisa, hakuna kumbove nezvakawanda zvidzidzo zvakaitwa pazvibatsiro uye njodzi dzekuwanda kwemakumbo.
Zvinogona Kubatsira
Kunyange zvazvo vanamukoti, vabereki uye zvidzidzo zvekwakawirirana vanobvumirana kuti kune zvikonzero zvakajeka zvekurega vakawanda vachirara pamwe chete muNICU , hapana zvakakosha, zvidzidzo zvesayenzi zvakanaka zvakagadzirirwa kuti zviratidze chero chezvinobvira zvingabatsire kune zvimwe. Zvinokwanisika kubatsirika kwekuwanda kwemakumbo kunosanganisira:
- Kuvandudza kutarisirwa kwekuita : Kufambira mberi kwekutarisira kuri kuderedza kuchinja kune hupenyu nekupa kutarisira kunofananidza chibereko chepamusoro. Kuita kuti vakawanda varare pamwe chete inzira inonyanya kukosha yekusimudzira kuchengetedzwa. Kakawanda mawanda anogona kuona, kubata, uye kunhuwa kune dzimwe nguva, zvakadai sokunge vaikwanisika vasati vaberekwa.
- Pasina kugadzikana: Kutarisa kuwanda kwemwoyo uye zvimwe zvinetso zvinokonzera kushungurudzika, kuwanda kwezvipembenene kunoratidzika kunge kusingagadziriswi kune dzimwe dzakawanda. Apo dzakawanda dzinorara pamwe chete, dzinobatanidza kurara kwavo / dzakaita uye dzinova nepfungwa shoma.
- Kuwedzera kuwedzera kuwedzera: Kana vakawanda vachirara pamwe chete, vanoita sevanorema kukunda kuwanda kwevanhu vasingaverengwi.
- Kupererwa kwepnea: Vakawanda vanovata pamwe chete vanogona kuva nezvikamu zvishomanana zvepnea kupfuura avo vasina kuvharwa. Nguva pfupi yepnea (<10 seconds) inoratidzika seyo inonyanya kunetseka.
- Zvimwe zvinobatsira zvinobatsira: Kunyange zvazvo kusina zviongorori zvakasimudzirwa izvi, zvikwereti zvenyaya uye vanamukoti vanocherechedza zvakaratidza zvimwe zvikomborero zvekuvhara mazai, kusanganisira vabereki vanofara, vashomanana episode ye bradycardia, zviri nani kutengesa , uye yakaderera oksijeni inoda.
Njodzi dzinogona kuitika
Zvakakosha kuziva kuti hapana zviongorori zvesayenzi zvakagadziriswa zvakawana chero njodzi dzechokwadi dzekucheka huzhinji muNICU. Zvisinei, vanamukoti vanorondedzera uye vanocherechedza zvinoratidza zvimwe zvinetso zvingaita kuti vanhu vakawanda varare pamwe chete:
- Kutapisa kusagadzikana: Kunyange zvazvo zviri nani kupisa zvinogona kuve zvakakunakira kuwanda kwekombodhi, kusava nemhepo yakawanda kunogona kuve pangozi apo kuwanda kune maitiro akasiyana. Semuenzaniso, twin duku shoma kurara newaini huru, somuenzaniso, inogona kutonhora nyore, kana kuti mapatya makuru anogona kupisa.
- Kutapukira: Kunyange zvazvo pasina kumbove nehuwandu hwehutachiona huchibva kune imwe yakawanda kuenda kune imwe nekuda kwekukanda, hutachiona hunoramba huri pangozi apo vazhinji vanorara pamwechete.
- Kuchengetedza kuwedzera ekisijeni: Kana vakawanda vachirara pamwe chete asi imwe chete iri pamusana cannula , mumwe mucheche angave akazarurirwa kuwedzerwa oksijeni. Mazinga ekuwedzera oksijeni ekuwedzera anogona kuwedzera mungozi yekudzoka shure kwekutangira (ROP).
- Zvikanganiso mukutarisira: Kana mawanda ari mubhedha rimwechete pamwe chete, vanamukoti vanogona kutadza kupa mwana asina kunaka mishonga, kusanganisa kudya, kana kuita zvimwe zvikanganiso. Vacheche vanogonawo kudhonza mumwe nomumwe achidyisa mabheji kana zvimwe zvigadzirwa.
Sources:
Hayward, Kathryn. "Kubhakwa Kwemaviri: Kuwedzera Kwezvakasikwa kweChishanu Process?" Chirongwa cheAmerica cheUchiremba hweMadzimai neChidiki July / Aug 2003; 28, 260-264
Tomashek, K, Wallman, C, uye Komiti ye Fetus neNewana. "Cobedding Twins uye Yakakwirira-Yakawanda Mukurayira Chipatara." Pediatrics Dec 2007; 120, 1359-1366.