Scale ndi Silverman Apgar mphambu: kuunikira thanzi la ana

Ndi palibe chinsinsi kuti maonekedwe a mwana mu dziko - mayeso aakulu osati kwa mayi komanso yekha. Pambuyo masekondi ochepa chabe, moyo wa nyenyeswa kusintha kwambiri: miyezi zonse zisanu ndi zinayi anakhala mu mimba mwa mayi anga akuwaza mu madzimadzi amniotic, ndipo tsopano bwino chilengedwe chatsopano, kumene mpweya kwambiri zovuta kuti kuwala kwake wofatsa ndi ozizira kwambiri kwa khungu. Ndipo basi mantha mwana kulowa zinthu zachilendo limene tsopano moyo. Chimodzi mwa njira kudziwa chikhalidwe cha ana akhanda munthawi woyamba kubadwa kwake ndi sikelo ndipo Silverman Apgar mphambu, tikambirana chiyani m'nkhani ino.

Tsopano - umboni!

Kwa miyezi mimba pamimba crumb mayi woyembekezera amapereka mpweya umbilical chingwe ndi latuluka. Koma pambuyo pa kubadwa kwa mwana zitha kudalira yekha. Tsopano, kupuma, kufunda, kudya adzakula paokha. Nthawi ya kusintha kwa atsopano ndi nyenyeswa za ufulu mofulumira kwambiri, kuti, mwatsoka, osati kafadala onse lingathe.

A nambala inayake ya ana thandizo la akatswiri. Pankhani ya yobereka yake ya ana chikhalidwe amabwerera yachibadwa. Zoonadi, ena sapulumuka ngati sikudzakhala ntchito miyeso kwambiri kuwatsitsimula.

Izi ndi zofunika masekondi loyamba

Inali nthawi imeneyi nthawi yochepa, pamene bilu abwera mphindi chabe mu aziona boma la kuyenda, mu mphindi zoyambirira za moyo ndi bwino kugwiritsa ntchito sikelo wapadera. Iwo kulola madokotala kupanga mofulumira, molondola, oyenera imeneyi, chisankho ndi kumvetsa mmene mwana uyu kusamalidwa ndi chisamaliro. Wotchuka kwambiri ndipo ankagwiritsa ntchito Zipatalazo umayi ndi Silverman Scale, ponena kudziwa kukula kwa khanda ndi mavuto kupuma, ndi Apgar mphambu, amene zaka zambiri zapitazo udaikidwa ndi dzanzi American Virginia Apgar. Izo zikutanthauza awiri zipangizo zofunika kwambiri, ndipo mukhoza Kuganizira thanzi la nyenyeswa za.

Kuona boma la mwana Apgar

Kuti bwinobwino kufotokoza boma lokhalo limene chimene chinabadwa mwana, madokotala amagwiritsa ntchito zikuchitika American dzanzi. Apgar mphambu pa mphindi zoyambirira za moyo kuyenda asaaonerera asanu zizindikiro zofunika kwambiri matenda: kugunda kwa mtima ndi mungoli, chikhalidwe minofu kamvekedwe ndi kupuma, komanso mitundu ya pakhungu ndi boma la nyenyeswa bongo. Malinga ndi mmene kutchulidwa zizindikiro, madokotala kuika ziyenera mfundo aliyense wa iwo: Aliyense wa magawo asanu amalandira ziro magawo awiri.

The pazipita angapo mfundo zomwe zingagwiritsidwe kwa mwana wa mbuzi - 10. Zotsatira zambiri olembedwa kawiri: choyamba - pambuyo mpweya choyamba chimene mwana kumvetsa mmene iye akumvera pa nthawiyo; chachiwiri - mphindi zisanu pambuyo pa kubadwa kwake, kudziwa mmene mwanayo anayamba azolowere latsopano zinthu zachilendo kwambiri kwa iye. Ngati madokotala anachita mwadzidzidzi kuwatsitsimula, adziwe yachiwiri ikusonyeza mmene lokhalamo iwo anali.

chifukwa The imatengedwa yachibadwa Apgar mphambu mfundo 7 mpaka 10; chikhalidwe zogwira mtima pa tot, amene yagoletsa mfundo 4-6 (imafunika chithandizo yake); ngati mwana ayamba mfundo zosakwana 4, ndondomeko ayenera idzachitika kuwatsitsimula yomweyo.

Kuona boma la mwanayo pa Silverman lonse

Posachedwapa matenda ndi kupuma matenda makanda amene anabadwa msanga, ntchito sikelo Silverman. Ankachitira phunzirolo yomweyo pambuyo pa kubadwa, ndiyeno pambuyo awiri ndi chimodzi, khumi ndi maora makumi awiri ndi anayi amakhalabe ali moyo. Akatswiri anati ngati upita thorax, monga malo kukopedwa intercostal ndi sternum, kodi udindo wa mandible, ali wolusabe mwana.

mbali zonsezi ayesedwa, komanso Apgar mphambu, kuyambira ziro mfundo ziwiri. Koma pali kusiyana zofunika kwambiri: pamene anachita akhanda Apgar mphambu, zabwino imatengedwa zigoli kwambiri wangwiro - awiri. Zoposa "mfundo" ayamba mwana bwino.

Silverman Scale ntchito kuwunika wakhanda mu njira yomweyo, koma mu nkhani iyi ang'onoang'ono scorers pipsqueak bwino, chifukwa ikutchula kuti azikhala zizindikiro za mavuto kupuma ndi ang'ono ndi amenable kukonza.

Kodi ngati wakhanda SDR ...

Ngati mwana wabadwa masiku asanakwane, zikuoneka kuti SDR - kupuma mavuto syndrome. Pakuti matenda amakhala ndi zizindikiro za matenda a m'thupi: zinyenyeswazi yafupika magazi, mkhutu microcirculation, pali tachycardia. Dokotala wina angathe kudziwa ndi malankhulidwe Aletsedwa.

kuonjezera chiwindi mwanayo zingaoneke mu SDR. Hypovolemia khateyo, zomwe nthawi zambiri kumayambitsa posungira madzimadzi ndi edema zotumphukira. Chapakati mantha dongosolo akhoza kuletsedwa, mwanayo akhoza kudziwa periventricular kukha magazi. Ndipo mpaka pano, madokotala sangakwanitse kuyankha funso la ndichiyani kuti ndi yaikulu - kugonjetsedwa kwa ubongo wake kapena m'mapapo.

Chifukwa cha nkhani thandizo kuchuluka kwa mfundo

Kotero ife anachitira ndi ambiri: basi pa nthawi pamene tawerenga nthawi ngakhale miniti, ndipo chachiwiri, dotolo kuti aone mkhalidwe wa ana akhanda pa mphindi yoyambirira ya moyo wawo mamba wapadera ntchito. Ndi mamba awa a anthu malaya oyera msanga kusankha yoyenera za mmene mwana zambiri amafunikira kumusamalira mwapadera.

Iwo Apgar mphambu / Silverman amapereka zonse zofunika pa momwe angachitire neonatologists pa nkhani zosiyanasiyana. Panthawi yake makonzedwe a thandizo ankafuna amadza zabwino m'tsogolo pa thanzi la mwanayo. A lonse Silverman limaperekanso komanso mfundo zofunika za thanzi la ana msanga.