Umntwana 8/8 Apgar score - yintoni ntoni oko?

Abazali abaninzi abaselula abaye bajamelana ebomini bakho kunye ibinzana elithi "Apgar amanqaku". Ngoko nangoko emva kokuzalwa, ugqirha kufuneka azise amanqaku umfazi ke inikezelwe phantsi kwalo isikali baby. Kanye njengokuba ubukhulu kunye nobunzima, baya kuqaliswa kwi exchange ikhadi. Ezi parameters zifuneka kakhulu ugqirha, hayi mfazi yena.

Yintoni linqaku Apgar?

Le nkqubo siqulunqwe anesthesiologist American Virginia Apgar ngo-1952. Injongo yale isikali - abazalisikazi bakwazi ukuvavanya imeko impilo usana olusanda kuzalwa ngoko nangoko emva kokufika kwakhe kweli hlabathi. Ngaloo ndlela, ungenza ngokukhawuleza ukufumana imfuno yokurhaxwa.

Vavanya i Apgar inqaku usana kabini - kwimizuzu yokuqala kunye sesihlanu yobomi. Kwiimeko ezinqabe kakhulu, inani elikhulu yeemhlolo ezinjalo. Kwaqala eyenziwa ngumongikazi ingqondo lweentsana. Kodwa kule mihla kuba luxanduva neonatologists.

esimanqaku alishumi uvavanyo isikali karhulumente usana

Kuba Uvavanyo umntwana yasebenzisa-nkqubo ezilishumi. Oku kuthatha kwi parameters ngenxa yakhe ukubetha, ukuphefumla, kwezihlunu, ulusu kunye ingqondo angaphakathi. Ngamnye kubo kuhlolwa ngokwahlukeneyo kuwongwa amanqaku 0 ukuya 2. sum yabo isiphumo phando.

usana olusanda kuzalwa ubunzima, ixabiso nangobude ukuphakama kwayo, la manani achazwe apha entloko kunye nesifuba. Ukuba imvuthuluka ekwacwangciswa amanqaku ngaphezulu kwe 7-8 Apgar kukoriwe, umntwana uphilile ngokupheleleyo. Kwimeko enjalo ke ibekwe kunye nonina phambi ukubhobhoza. Ukuba amazinga namanqaku ngezantsi amanqaku 7, umntwana kufuneka labagula kakhulu.

Kuyinto ngokwaneleyo isibonisi 8/8 Apgar amanqaku elungileyo, njengoko kule ngcaciso imfutshane yokuqala iingongoma 10 ngaphantsi kwe-15% of kubelekwa.

Ngaba indlela efanayo kwi "athembisayo, 'yaye' uphilile"

Akukho mfuneko uvalo okanye sicaphuke ukuba ugqirha unalo uhlolo umntwana 7/8 Apgar amanqaku. Ukuba umntwana zisuka nomama wam phezu esiswini, isifuba, waza wanikwa emveni kokuba asiwe le saveyi, kodwa ebonakalayo. Kodwa nantsi ke imeko yempilo yakhe kugwetywa kuphela ngokusekelwe kweziphumo zeemvavanyo ezithile uvavanyo. Kucingwa phezulu ngokwaneleyo amanqaku 8/9 kunye 8/8 Apgar amanqaku.

impilo Child ngetshekhi, kungakhathaliseki iminqweno kukamama wakhe. Ukususela abazali kufuneka bawuvumele lo sokugonya, kodwa imvume kuqhuba isaveyi akayi buza nabani na.

Ebudeni olu viwo, ugqirha kufuneka athathe igazi ukusuka ubhontsi ukuya umlenze ukuze ecaleni ubukho kwezo ezintlanu eziqhelekileyo. Ukuba bathe zifumaneka ngexesha elifanelekileyo, kunye nonyango olufanelekileyo kwandisa ngokubonakalayo amathuba sisindiswe. Itakane kule meko iya kuba ngokupheleleyo kwaye esempilweni.

Scheme ukuqinisekisa inqaku elipheleleyo

Hlalutya imeko usana Apgar ngethuba imizuzu emihlanu yokuqala yobomi bakhe. Ngoko nangoko emva kokuzalwa belindile nendlela usana wadanduluka, ukuhlola imeko ulusu lwakhe, kuqikelelwa kwi layita ukukhanya, ukuchaza kwezihlunu kunye nezinga intliziyo.

Ukuba umntwana umbala endalo eluswini, waza wadanduluka ngaphandle uncedo ngoko nangoko emva kokuzalwa kwakhe, umntwana afumane awona manqaku aphezulu kwi-Apgar. Ukongeza, kufuneka sixhathise owayeze flexion okanye ukwandiswa neonatologist nemilenze yakhe. Xa ukukhanya, loo .Nina usana, kunye nokubakho rhoqo ibetha intliziyo yayo ngokungqinelana nemigaqo emiselweyo imalunga 100 ibetha ngomzuzu.

Ukuhlolwa phambi Kwakhona neonatologist okanye ukungabikho i ingqondo unconditioned. Ukuba umntwana lowo ufake kwi ngomqolo ufake siwumise ezinyaweni zakhe, uye ukwenza uqalo. Oku kubizwa ngokuba ukucaca reflex. Xa umntwana uthatha amakhwapha kunye nemilenze babeka phezu kwetafile, tilting kancinci phambili ngaxeshanye, umele sesithi imilenze, simulating ukuhamba. It is a reflex iqinelwa oluzenzekelayo.

Low score Apgar

Kodwa hayi wonke umntwana uyakwazi ukubonisa iziphumo ezigqwesileyo emva kokuba nokuwela emjelweni ukuzala abagagene nayo ngenxa ntshikilelo lowukulu. Ngoko ke, ukuba kwiimvuthuluka olinganise uncitshiswe kancinane 8/8 Apgar score, musani ukuba buhlungu, kuba oku eqhelekileyo. Kwakhona musa ukulibala malunga sawo komntu kuzalwa. Ngapha koko, oomama, kakhulu, zihamba kakhulu. Ngoko kutheni umntwana kufuneka isebenze?

Njengoko sele kukhankanyiwe, ukuvavanya imiqondiso umntwana ebalulekileyo ngexesha imizuzu yokuqala kunye sesihlanu yobomi bakhe. kwimeko eqhelekileyo kuxa uqikelelo kuqala nge-1 point ngaphantsi kuneyesibini. Umzekelo, a 8/8 amanqaku Apgar licebisa ukuba izalathi emva kwemizuzu emi-5 ayizange iguquke kakhulu.

Kodwa ke kaninzi ngokwaneleyo ukutshintshiselana imephu uyakwazi ukubona amaxabiso kancinane eyahlukileyo. Umzekelo, 7/8 kunye 6/8 amanqaku Apgar icebisa ukuba emva kwemizuzu emihlanu usana kuhlala kwihlabathi ongayazi ngokupheleleyo kuye. Ngoko ke, sobhedu intsebenzo eziphezulu kakhulu. Kwiimeko ezininzi, ngeli thuba lifutshane ixesha Igcwele ioksijini, umzimba ezichaphazela ukuphuculwa kwenkqubo sentliziyo. Oku kunegalelo nokongeza ngengongoma enye okanye ezimbini.

Table of inkqubo yovavanyo nobomi kuzalwa

Kuba ukuqonda ngcono ukuba uvavanyo kwaye apho oogqirha wabeka usana olusanda kuzalwa, ungasebenzisa le theyibhile ingezantsi.

Kodwa ngoncedo le table kugwetywa kuphela xa impilo emzimbeni yosana lwakho. Awukwazi ukusebenzisa iirhafu scale Apgar ezinye iingqikelelo. Umzekelo, ukuba akukho izakusetyenziswa ukugqiba iziphiwo engqondweni yomntwana.

Indlela ukufumana awona manqaku aphezulu?

Kakade ke, elowo unina ufuna umntwana wakhe ukuze ube sempilweni. 8 Apgar score - le yenye yezona kwafunwa emva kokwenziwa kwakhe. Kodwa lo japan kuxhomekeke ikakhulu eyedwa. Ngoko nangoko emva uthola umfazi malunga nokukhulelwa ezayo, kufuneka kwakhona uze ulungise otya ngayo, yemihla ngemihla. Kwakhona kufuneka zilandele ngqo yonke imiyalelo kagqirha ngokupheleleyo. Kuphela kulo mzekelo iinyanga 9 ukuze azalwe umntwana womelele kwaye usempilweni, ngubani oza kufumana ubuncinane 8 Apgar amanqaku.

Ukuziphatha ngexesha lokuzalwa komntwana

Musa ukuba kakhulu olova ngokutsho oogqirha ngexesha lonikezelo. Ngapha koko, ukususela ayaphumelela yale nkqubo ixhomekeke kwindlela apho umntwana ezelwe. 8/9 Apgar score ziya kufumana usana, onina baziphethe kakuhle yaye athobele zonke iingcebiso gqirha. Kwimeko esahlukileyo, usana inokuba ukutyumka endaweni entloko. Ayikho into eyingozi ebulalayo kule Kakade ke akunjalo. Kwinyanga yokuqala utshintsho ibala lolusu ukuya blue pink zendalo. Kodwa nantsi uvavanyo Apgar amanqaku aya kuncitshiswa ngamanqaku 1 okanye 2.

Musa ukuxhala ukuba ezinye isibalo kancinane ngezantsi eqhelekileyo. Oku ayisosiphene, okanye ubukho iingxaki zempilo ezingaqhelekanga. Apgar score - nto kakhulu kungasisalathisi esibalulekileyo, nto leyo akukho ndlela ichaphazela ngakumbi ikamva lo mntwana. Kuthatha ingqalelo kuphela ekuzalweni, njengoko ubude.