Isikali kunye Silverman Apgar amanqaku: ukuvavanya impilo kubelekwa

Yinto akukho mfihlelo ukubonakala komntwana ehlabathini - luvavanyo kakhulu hayi kuphela unina kodwa yena. Emva kwemizuzwana nje embalwa, ubomi iimvuthuluka kuyatshintsha kakhulu: zonke iinyanga ezilithoba wayephila isisu kamama wam waza ngaphakathi fluid, kwaye ngoku wayeqhelene bume elitsha, apho umoya kakhulu nzima ukuba ukukhanya kwayo nokuthantamisa yaye kubanda kakhulu ukuba ulusu. Kwaye nje bayazoyika itakane ukungena imeko engaqhelekanga apho ngoku uya kuphila. Enye indlela yokuqingqa nemeko usana kwi zihlandlo yokuqala yokuzalwa yakhe abasakhasayo Silverman Apgar score, nto leyo eza kuxutyushwa kweli nqaku.

Ngoku - ngokuba ngokwayo!

Kuyo yonke le nyanga elide yokukhulelwa isisu okhulelweyo mixture unina mpilo imfesane yosana kunye beendawo. Kodwa emva kokuzalwa komntwana thembela yena kuphela. Ngoku, ukuphefumla, zigcine ufudumele, uyidle kuya kuba ngokwabo. Lo mzuzu utshintsho kule entsha kwiimvuthuluka geqe ngokukhawuleza, ukuze, ngelishwa, asizizo zonke qongqothwane ingaphatha ngayo.

Inani elithile kuzalwa kufuneka uncedo ziingcali. Kwimeko unikezelo kwangethuba intsana imeko returns kwisiqhelo. Enyanisweni, abanye abayi kusinda ukuba baya kuba ukuba isicelo kakhulu amanyathelo yokurhaxwa.

Ezi imizuzwana ezibalulekileyo kuqala

Yaba ngeli thuba lifutshane ixesha, xa lo mthetho uyilwayo uza owesibini nje ngovavanyo imeko lwakukhula, xa imizuzu yokuqala yobomi kuyacetyiswa ukuba kusetyenziswe isikali okhethekileyo. Bavumela oogqirha ukwenza olukhawulezayo, oluchanekileyo, ilungile kule meko, isigqibo ukuqonda njani lo mntwana kufuneka ndinyanyekelwe kunye nokhathalelo. Eyona idumileyo kwaye esisetyenziswa ngokubanzi kwiiwadi maternity zezi Silverman Isikali, nto leyo esetyenziselwa ukumisela ubuzaza usana olusanda kuzalwa kunye neengxaki zokuphefumla, kunye Apgar amanqaku, apho kwiminyaka emininzi eyadlulayo kwayilwa i anesthesiologist yaseMelika Virginia Apgar. Oko kuthetha izixhobo ezimbini ezizezona zibalulekileyo, kwaye unako ukwenza ingcinga malunga nempilo iimvuthuluka.

Ukumisela imeko wosana Apgar

Ukuze ukuchaza cala urhulumente kuphela oko wazalwa umntwana, oogqirha basebenzisa iziganeko anesthesiologist yaseMelika. Apgar amanqaku ngexesha imizuzu yokuqala yobomi toddler ulawula ezintlanu iimpawu ezibalulekileyo lwezonyango: izinga lentliziyo kunye nesingqisho, nohlobo kwezihlunu nokuphefumla, kwakunye Umbala we ulusu kunye nemeko kwiimvuthuluka ingqondo. Kuxhomekeka kwindlela ndilithethile iimpawu, oogqirha wabeka uvavanyo lamanqaku ngamnye kubo: ngalinye parameters ezintlanu lifumana ukusuka kwiqanda ukuya iiyunithi ezimbini.

Elona nani liphezulu lamanqaku ezinokuthi kusiwa itakane - 10. Ezi ziphumo zidla ezibhaliweyo kabini: eyokuqala - emva kokuba umoya yokuqala usana ukuqonda indlela avakalelwa ngelo xesha; yesibini - imizuzu emihlanu emva kokuzalwa kwakhe, ukujonga ukuba izixa-umntwana waqalisa ukuba baziqhelanise, iimeko kakhulu engaqhelekanga entsha kuye. Ukuba oogqirha benza kaxakeka ngokumphefumlela, uvavanyo lesibini libonisa indlela nemveliso ngayo.

Isiphumo uthathwa Apgar amanqaku lesiqhelo amanqaku-7 ukuya kwi-10; zikwimo eyanelisayo kule esesi, ngubani amanqaku amanqaku 4-6 (zifuna unyango ngexesha); ukuba usana ukuzuza amanqaku ngaphantsi kwe-4, inkqubo kufuneka wenziwe yokurhaxwa ngoko nangoko.

Ukumisela imeko wosana a Silverman isikali

Ngokukhawuleza kangangoko kunokwenzeka ukuxilonga i ukuphefumla disorder kwiintsana abazalwa ngaphambi kwexesha, isicelo scale Silverman. Uphononongo lwaqhutywa ngoko nangoko emva kokuzalwa, uze emva koko emveni emibini, ibe mithandathu, zalishumi mabini-neeyure ezine zobomi kuhlala. Iingcali saphawula njengokuba lihamba Isifuba, njengoko isithuba intercostal awuzobileyo aze kwentamo, yintoni na imeko mandible, ukuphefumla umntwana.

Zonke ezi mpawu kuvavanywa, kwakunye Apgar score, ukusuka kwiqanda ukuya ngamanqaku amabini. Kodwa kukho umahluko obalulekileyo kakhulu, xa zenziwa kubelekwa amanqaku Apgar, eyona uthathwa amanqaku kakhulu ogqibeleleyo - ezimbini. I "amanqaku" ngaphezulu babawa usana, ngcono.

Scale Silverman isetyenziselwa ukuvavanya olusana ngendlela efanayo, kodwa kule meko ezincinane scorers pipsqueak, ukuba ngcono, ngokuba icebisa ukuba ubungqongqo iimpawu neengxaki zokuphefumla mncane kwaye iSADC nokulungiswa.

Kuthekani ukuba usana SDR ...

Ukuba umntwana uzelwe ngaphambi kwexesha, kusenokwenzeka ukuba SDR - nokuphefumla lokubandezeleka syndrome. Kuba esi sifo luphawulwa iimpawu ukuphazamiseka kwenkqubo yokujikeleza: kwiimvuthuluka kunciphise uxinzelelo lwegazi, microcirculation kakuhle, kukho tachycardia. A ugqirha kumisela iithowuni iyathula.

ukwandisa kwesibindi umntwana kaThixo ilandelwe SDR. Hypovolemia inokuphuhlisa, nto leyo ngokufuthi ekhokelela ukugcinwa fluid kunye nokudumba neuropathy. Le nkqubo luvo kunokoyiswa, umntwana kuyenzeka ukubona legazi periventricular. Yaye kude kube ngoku, oogqirha akakwazi ukuphendula umbuzo wokuba yintoni na ukuba ngowona - ngokoyiswa yengqondo somntwana okanye emiphungeni.

Ngenxa ulwazi uncedo kwisixa lamanqaku

Ngoko ziphathwe ikakhulu: nje ngalo mzuzu xa ixesha count nkqu ngomzuzu, kwaye okwesibini, ugqirha ukuhlola imeko kubelekwa ngayo kuloo maxesha ngqa ebomini babo izikali ezizodwa ezisetyenziswayo. Ngezi isikali babantu beneengubo ezimhlophe ungenza ngokukhawuleza ukwenza izigqibo malunga nendlela umntwana kakhulu udinga ukunakekelwa ezizodwa.

It score Apgar / Silverman unika yonke ingcaciso eyimfuneko malunga nendlela yokwenza neonatologists indlela kwimeko ethile. amalungiselelo kwangethuba uncedo olufunekayo nefuthe elihle elizayo phezu kwimpilo yomntwana. A isikali Silverman kwakhona inika kwakhona ulwazi oluyimfuneko malunga impilo iintsana ngaphambi kwexesha.