Kudzidza zvose maererano neonatal yakasimba yekuchengetedza unit (NICU) inowanzova imwe yenhanho dzokutanga pakuberekera preemie. Nenguva yokutanga iwe unoshanyira mwana wako muineonatal yakasimba yekuchengetedza unit (NICU) inogona kunge yakaoma. Zvinotaridzika, zvinonzwika, uye zvinonhuwira zvose hazvina kujairika, uye masuo akavharwa uye anorindwa. Zvinogona kutaridzika sevanhu vari mukati vari kutaura mutauro wakasiyana!
Kuziva zvishomanana nezvekuchengetwa kwakanyanya uye vanochengetedza vauchasangana ikoko kunogona kuita kuti ruzivo ruve rusingatyisidzi, uye runokubvumira kurangarira kushandisa nguva nechecheche wako.
NICU Chii?
Imwe NICU, dzimwe nguva inonzi chirongwa chekuchengetedza vana, inochengetedza vana vanozvarwa patsva, vane matambudziko panguva yekubereka, kana kuti vanoita sei matambudziko uye vanoda huwandu hwakanyanya hwekutarisira. Kunyangwe zvazvo NICU dzose dzichitarisira vana vacheche vanoda rubatsiro rwakawedzerwa, NICU dzakasiyana dzinopa maitiro akasiyana ekutarisira .
Nhamba I: Kubatsira Kuberekwa Kuberekwa: Nhamba 1 inotarisira kuchengetedza utano hwakakwana, nguva dzose. Vanokwanisa kugadzirisa vana vanoberekwa pedyo nenguva kuti vaite vakagadzirira kutamira kune zvivako zvinopa kutarisirwa kwakanyanya.
Nhamba yechipiri: Kukosha kwekuzvarwa patsva: Kubata kwechipiri II kunogona kuchengetedza vana vanozvarwa mumasvondo anopfuura makumi maviri nemasere kana kuti vari kudzoka kubva mumamiriro ezvinhu akaoma.
- Dhigirii IIA: Imiti iyi haibatsiri kuputika kwemhepo .
- Nhamba IIB: Izvi zvinogona kupa mhepo inobatsira maawa masere anopfuura makumi mana, uye inogonawo kupa nguva inogara yakanaka yepamhepo inokonzerwa nemhepo (CPAP) .
Nhamba III: Subspecialty Kuberekwa Kutsva : Nhamba III NICU inotarisira vana vanorwara uye inopa rubatsiro rwakasiyana -siyana.
- Dhigirii IIIA: Izvi zvinotarisirwa kuchengetwa kwevana vakaberekwa vhiki dzinopfuura 28. Vanopa magetsi ekugadzirisa uye kushandiswa zviduku zvakadai sepakati pekuisa mutsara.
- Nhamba III: Nhamba IIIB NICUs inogona kupa mhando dzakasiyana dzemagetsi emhepo, ine ruzivo rwezvakawanda zvevadzidzisi vevana, inogona kushandisa imaging zvigadziri kupfuura x-ray, uye inogona kupa mamwe mavhivhi anoda aneshesia.
- Nhamba IIIC: Kuchengeta kwakanyanya kunowanikwa muNyando IIIC NICUs, dzimwe nguva inonzi Dhigirii IV NICUs. Izvi zvinogona kupa mhepo yakanyatsonaka, kusanganisira ECMO , uye inokwanisa kupa upiyona hwepamusoro kusanganisira "kuvhura mwoyo" kuvhiya kugadzirisa kukanganisa kwemwoyo.
Nhamba IV (dzimwe nguva inonzi Dhipiri IIIC) : A Level IV NICU ndiyo yepamusoro-soro yekurera vana. Kunyange zvazvo pasina dudziro yepamutemo yeNguva IV NICU, vamwe vanoti uye hurongwa hwezvipatara zvinoshandisa iyi chirevo cheNICU chinotarisira vana vacheche zvakanyanya.
A Level IV NICU inogona kupa:
- Kuchengetera vacheche panguva yakaderera yehupenyu
- Mechanical ventilation, kusanganisira high-frequency ventilation
- Kuvhiya kwakasiyana-siyana, kusanganisira chirwere chemoyo chinoda kuputika
- Mamwe mazinga 4 NICUs anogona kupawo ECMO
Kunyange zvazvo pasina tsanangudzo yakazara yezvikamu zvakasiyana-siyana zvekuchengetedza kweNICU, American Academy of Pediatrics (AAP) mutemo pamusoro peZvivako zveNonatal Care inoshandiswa munzvimbo dzakawanda dzeUnited States. Murairo weAAP hauzive Nhamba IV NICU.
Nhamba yepamusoro yeNICU yekucherechedza inozivikanwa neAAP ndiyo Nhamba IIIC NICU.
NICU Staff and Caregivers
Apo mwana wako ari muNICU, achachengetwa neboka rechiremba, vanachiremba, nevamwe vashandi vezvoutano.
Neonatology: Neonatologists vanachiremba vane ruzivo rwakawedzerwa mukuchengetwa vacheche vacheche . Muongorori wevashandi veNonatal, kana kuti vakagadzirira vanachiremba vanonyanya kuchengetwa vacheche uye vanachiremba mukurovedzwa kuva vanachiremba (vagari) kana neonatologists (shamwari) vanogonawo kubatsira kutarisira mwana wako pasi pekutarirwa kwekuenda kune neonatologist.
Mukoti: Vanamukoti vanopa zvakawanda zvekuongorora zuva nezuva uye kutarisira vana muNICU.
Vanoshanda pamwe chete nevabereki, neonatologists, uye vamwe vose veboka reNICU kuti vave nechokwadi chekurapa kwakanakisisa kwevana vari pasi pavo.
Kuporesa kuporesa: Vanachiremba vemafiropu vanoita mabasa mazhinji muNICU. Basa ravo rinosanganisira kuchengetedza kuporesa , kupa mishonga yekufema, kutora uye kuongorora kubuda kweropa, nekubatanidzwa mune kutakura nemitemo.
Vashandi vepabonde uye vezvemuviri: Vana vasati vasvika vanoda nzvimbo dzakakosha kuti vakurudzire kukura kwakanaka uye kubudirira, vangada rubatsiro rwakakosha kuti vave nechokwadi chokuti vari kudzidza kudzidza zvakanaka uye vanogona kubatsirwa nekushamba kwevana. Occupational therapists (OTs) uye masayendisiti emapurisa (PTs) anopa mazano aya.
Vashandi vekare: Mukuwedzera kune vashandi vehutano vakanyorwa pamusoro apa, mamwe maoko anobatsira anogonawo kutarisira mhuri yako apo mwana wako ari muNICU. Iwe unogona kusangana nevasimamende vanogadzirira mishonga yevana muNICU, vadzidzisi veactation kuti vabatsire vanamai kupa mukaka wemucheche kuvana vavo uye vabatsire amai vanodzidza kunwisa vana vavo vasati vasvika , uye vadzidzisi nevadzidzisi kubatsira vabereki kubata kurwara kwevana vavo.
Verenga Zvimwe: Zvishandiso uye Nzira dziri muNICU
Sources
- American Academy of Pediatrics. "Mazinga eNeonatal Care" Pediatrics 2004 114: 1341-1347.
- Children's Hospital yePittsburgh. "Maitiro uye Zvishandiso muNICU." Yakasvika musi waNovember 22, 2008
- Children's Hospital West. "Kutarisira Kwatinoita NICU Staff" 2008. Yakagadzirirwa musi waNovember 22, 2008.
- March weDhimes. "Glossary: Kazhinji NICU Equipment. "Gumiguru 2008. Yakasvika munaNovember 22, 2008.
- Nemours Foundation. "Apo Mwana Wenyu Ari MuNICU." Yakasvika munaNovember 22, 2008.