Emkhakheni we-Apgar - ubude nesisindo

Izingane zinikeza ngemizuzu yokuqala emva kokuzalwa. Lena yilapho okuthiwa i-Apgar score. Eqinisweni, lokhu kuhlola kuqukethe ulwazi oluhloselwe odokotela, hhayi kubazali.

Kodwa, njengoba wazi, omusha omusha unesithakazelo ekubhekiseni konke okuphathelene nokuqubuka kwakhe. Ngakho-ke ake siqonde ukuthi hlobo luni lwe "uphawu" olubekwe yizibhedlela zokubeletha ezinganeni ezisanda kuzalwa? Isigaba sama-Apgar siyithebula elikhethekile lokuhlola isimo somntwana emaminithini okuqala okuphila. Le ndlela ngokwayo yahlongozwa yi-American physician-anesthesiologist uVirginia Apgar ngo-1952. Kwakuhloswe ukuba abasebenzi bezokwelapha basezingeni eliphezulu baqonde ngokushesha ukuthi iyiphi ingane esanda kuzalwa okufanele inakekelwe kakhulu. Njengoba uhlelo lwe-Apgar luhlose kahle, le ndlela iqhubeka isebenza ngezinhloso ezifanayo kulezi zinsuku. Ivumela odokotela ukuba benze izinqubo eziphuthumayo zokwelashwa ngesikhathi, okudingekayo kumntwana othize. Ezingeni lika-Apgar, ukuphakama nesisindo akulula ukuhlola, okubaluleke kakhulu - ngokufanele.

Isimo sempilo yengane sihlolwe izinkomba ezinhlanu:

♦ ukuphefumula;

♦ i-palpitations;

♦ ithoni ye-muscle;

♦ ukucabanga;

♦ umbala wesikhumba.

Azikho izivivinyo nezifundo ezikhethekile ezenziwa ekamelweni lokuhlinzeka: i-neonatologist, esebenzisa izinzwa zakhe kuphela ne-phonendoscope, ihlola futhi ilalele ingane futhi zonke izinkomba ziveza amaphoyinti angu-0.1 noma amabili. Isibalo esiphezulu siyi-10. Amaphuzu aphelele anikezwe kabili: kumzuzu wokuqala nowesihlanu wokuphila komntwana. Ngakho-ke, izilinganiso zihlala zibili: isibonelo, amaphuzu angu-8/9. Ngesikhathi esifanayo njalo kaningi kuze kube ngomzuzu wesihlanu ingane ihlanganisa amaphuzu angu-1-2 ngokuzethemba. Qaphela ukuthi amaphuzu angu-10 ezingane zanamuhla azivamile: indawo engalungile yukusola, futhi odokotela bayaqapha. Izingane eziningi zithola amaphuzu angu-7 kuya kwangu-10, futhi lokhu kubhekwa njengokuhle. Izingane ezinjalo ngqo ekamelweni lokulethwa kufanele zihanjiswe esifubeni sikamama, kanti esikhathini esizayo zidinga ukunakekelwa okujwayelekile. Isimo somntwana owathola amaphuzu ka-5-6 kubhekwa njengokwanelisayo, kodwa sidinga ukwelashwa. Lezi zingane ezithole amaphuzu angu 4 noma isidingo esincane esidinga usizo lwezokwelapha ukuvimbela ukuthuthukiswa kwezifo ezinzima ngisho nokulondoloza izimpilo zabo.

Uthando lwenza izimangaliso zangempela

Ekuphumuleni, amaphuzu we-Apgar kumele afakwe ekhadini lokushintshaniswa kwengane, okumele lihanjiswe kudokotela wezingane wesifunda we-polyclinic yesifunda. Yiqiniso, izikolo eziphansi ziyisiginali kudokotela: lezi zingane zizodinga ukunakekelwa okudinga ukwelashwa okude kokubili odokotela wezingane futhi, mhlawumbe, i-neurologist, i-cardiologist, udokotela ohlinzayo wamazinyo kanye ne-ophthalmologist. Ngeshwa, izingane ezithole izikolo eziphansi zingaba nezinkinga ezithile empilweni yazo. Ngakho-ke, umsebenzi wabazali ukufeza konke ukuqokwa kwabachwepheshe. Ngesikhathi esifanayo, asikho isidingo sokukhathazeka ngokweqile: isikali se-Apgar asikho konke ukuhlolwa kokuthuthukiswa nesimo somntwana ngokuphelele futhi ngokuqinisekile akusilo ukuhlolwa kwamandla akhe okuqonda. Njengoba umkhuba omude ubonisa, izingane ezinamaphuzu aphansi ku-Apgar azibambe ngokushesha uma zithola ubisi lwamama ngokwanele, ukunakekelwa okunethezeka kanye ne-caress emnene. Akuyona imfihlo ukuthi uketshezi lwothando lwabazali lunqoba noma yikuphi ukugula. Futhi ukunakekelwa kwabazali, ukunakwa, uthando kuzovumela ingane yakho esikhathini esizayo ukuba ibe nempilo futhi uthole amamaki aphezulu kungakhathaliseki ukuthi iboniswe ehholo lokhokho. Ngendlela, eklasini elilodwa lokuzivocavoca, izingane ezinokuhlolwa okuhlukile kohlelo lwe-Apgar (kunomfana "ongu-8", kukhona "i-troeshnik"). Kodwa uthisha uthi kuleli klasi cishe bonke abafundi bayakwazi, baphumelele futhi ngamunye unolwazi ngendlela yakhe!