Ingane 8/8 Apgar amaphuzu - kusho ukuthini?

Abazali abaningi abasha abaye babhekana empilweni yakho ngamazwi athi "Apgar isikolo". Ngokushesha ngemva kokuzalwa, udokotela kufanele azise amaphuzu nowesifazane ukhishwa ngaphansi kwalesi ingane esikalini. Njengoba ubukhulu nesisindo, basuke busuka exchange ikhadi. Lezi nemingcele ezidingekayo kakhulu udokotela, hhayi kowesifazane ngokwakhe.

Kuyini isikolo Apgar?

Lolu hlelo yasungulwa yi-American obulala izinzwa Virginia Apgar ngo-1952. Injongo esikalini - ababelethisi kokunika amandla ukuhlola isimo sezempilo usana ngokushesha ngemva kokufika kwakhe kuleli zwe. Ngakho, ungakwazi masinyane ukunquma isidingo yokusiza umuntu ukuba aphefumule.

Linganisa osanda kuzalwa Apgar amaphuzu kabili - ngemaminithi ekucala nelesihlanu zokuphila. Ezimweni ezingavamile, inombolo enkulu teluhlolo enjalo. Ekuqaleni eyenziwa ezisanda kubelethwa ikhaliphe umhlengikazi. Kodwa kulezi zinsuku ke kungumsebenzi neonatologists.

Ten-emphumelelo yemakhono Kuhlolwa kwesimo osanda kuzalwa

Ngokuba nokuhlola wengane wasebenzisa-uhlelo eziyishumi. Lokhu ucabangela kwemigomo yakhe ishayela, ukuphefumula, imisipha ithoni, isikhumba futhi elisheshayo isegazini. Ngamunye wabo izwakalwa ngokwehlukana ukunikeza amaphuzu 0 kuya 2. sum yabo kuwumphumela inhlolovo.

usana kuhlaziywe, ukubaluleka kulinganiswa yokuphakama kwawo, obungazungeza yomuzi ekhanda nasesifubeni. Uma imvuthu yakho eyayibekwe amaphuzu ezingaphezu kuka 7-8 Apgar isikolo, ingane ngokuphelele enempilo. Esimweni esinjalo itholakala ndawonye nomama phambi khulula. Uma amazinga yezikolo jikelele ngezansi 7 amaphuzu, umntwana kudingeka esegumbini labagula kakhulu.

Kuyinto enhle ngokwanele inkomba 8/8 Apgar isikolo, njengoba ngomzuzu lokuqala amaphuzu 10 angaphansi kuka-15% kwezinsana.

Ingabe umqondo afana "iphila" futhi "enempilo"

Asikho isidingo sokuba netwetwe noma bagcina bekhungathekile uma udokotela has a ukuhlolwa ingane 7/8 Apgar isikolo. Uma ingane ngokushesha ukubeka umama esiswini, esifubeni, futhi wanikwa ngemva wayiswa inhlolovo, kuba iphila. Kodwa nansi kungenziwa yahlulelwe isimo sempilo yakhe kuphela ngesisekelo imiphumela ethile futhi ucwaningo. Kuthathwa okusezingeni eliphezulu ngokwanele amaphuzu 8/9 ngisho 8/8 Apgar isikolo.

Ingane impilo isheke, kungakhathaliseki ukuthi izifiso kanina. Kusukela abazali kungase kudingeke ukuba imvume umgomo, kodwa imvume ukuqhuba inhlolovo ngeke akucele ubani.

Ngokuhamba lokhu, udokotela kumelwe athathe igazi kusukela isithupha ukuze umlenze ukuze ukhiphe khona ukuguquka kwezakhi zofuzo ezinhlanu ezivamile. Uma kutholwa ngendlela esifike ngesikhathi, elashwe efanele kakhulu kukhulisa ematfuba ekusimameni. Izinyane Kulokhu kuyoba ngokugcwele futhi unempilo.

Isikimu sithole amaphuzu Imininingwane

Hlaziya isimo usana Apgar phakathi nemizuzu yokuqala emihlanu zokuphila kwakhe. Ngokushesha ngemva kokuzalwa ukubukela nini futhi kanjani ingane yamemeza, ukuhlola isimo zesikhumba sakhe, balinganiselwa ku ukukhanya flashlight elikhanyayo, ichaze imisipha ithoni nokushaya kwenhliziyo.

Uma ingane has umbala kwemvelo kwesikhumba, kanye yamemeza kakhulu ngaphandle kosizo ngokushesha ngemva kokuzalwa kwakhe, ukuthi ingane ithola amaphuzu aphezulu phezu Apgar. Ngaphezu kwalokho, kumelwe simelane ikhomishana flexion noma isandiso neonatologist ngezitho zakhe. Ngo ukukhanya okukhulu, ezifana umbimbi kuzalwa, futhi imvamisa kwenhliziyo yayo amabhithi ngokuhambisana nemithetho ebekiwe imayelana 100 ngomzuzu.

Futhi neonatologist khona amasheke noma ukungabi khona ikhaliphe unconditioned. Uma ingane lufakwa emuva kwawayekisa kwezinyawo zakhe, anakho ukwenza isiqalo. Lokhu kubizwa ngokuthi yi ukucaca reflex. Lapho ingane ithatha emakhwapheni nasemilenzeni abeke etafuleni, tilting kancane phambili ngesikhathi esifanayo, kumelwe ushintshashintsha imilenze, simulating ukuhamba. Kuyinto reflex Gait othomathikhi.

Okuphansi Apgar isikolo

Kodwa akuzona zonke ingane ilawula ukukhombisa imiphumela emihle kakhulu ngemva nokuwela emgudwini wokuzala kanye wayithola ngenxa yalokhu yokucindezeleka okukhulu. Ngakho-ke, uma imvuthu bayilinganisile waba ngaphansana 8/8 Apgar isikolo, musa Nikhathazekeleni ngoba lokhu kuyinto evamile. Futhi ungakhohlwa mayelana Ubumnene we ndoda ezisanda kuzalwa. Phela, omama, futhi, zihamba kahle kakhulu. Ngakho kungani ingane kufanele kube esebenzayo?

Njengoba sekushiwo, ukuhlola izimpawu ezibalulekile yengane phakathi nemizuzu yokuqala futhi lesihlanu zokuphila kwakhe. icala lalivamile kulapho balinganisela lokuqala ngo-1 iphuzu incane kuneyesibili. Ngokwesibonelo, 8/8 Apgar izikolo kusikisela ukuthi izinkomba emva kwemizuzu 5 akazange zishintshe ngendlela ephawulekayo.

Kodwa ngokuvamile ngokwanele ukuba bashintshisane ibalazwe ungabona amanani kancane ezahlukene. Ngokwesibonelo, 7/8 futhi 6/8 Apgar izikolo kusikisela ukuthi emva kwemizuzu emihlanu ingane ixazululwe ezweni nhlobo ngaye. Ngakho-ke, steel wenza okuningi kunalokho. Ezimweni eziningi, ngalesi sikhathi esifushane elicwile oksijini, umzimba ezithinta ngcono uhlelo senhliziyo nemithambo yegazi. Lokhu kunomthelela ukwengeza iphuzu elilodwa noma amabili.

Ithebula nokuhlola zindlela zokuziphilisa osanda kuzalwa

Ukuze uthole ukuqonda kangcono ukuthi ukuhlolwa kanye okuyiwona odokotela ukubeka umntwana osanda kuzalwa, ungasebenzisa Ithebula elingezansi.

Kodwa ngosizo kuleli thebula kungenziwa yahlulelwe kuphela impilo ngokomzimba umntanakho. Awukwazi ukusebenzisa Apgar isikali izilinganiso nezinye izibikezelo. Isibonelo, alisetshenziswa ukunquma amakhono nangokwengqondo wengane.

Kanjani ukuze uthole amaphuzu aphezulu?

Yiqiniso, wonke umama ufuna ngomntanakhe ukuze ube nempilo. 8 Apgar amaphuzu - lokhu ingenye okufunwa kakhulu ngokusebenza kwakhe. Kodwa lo mphumela kuncike ngokuyinhloko eyakhe. Ngokushesha ngemva kokuba owesifazane uthola mayelana nokukhulelwa eyalandela, kufanele ubuyekeze uphinde ulungise ekudleni kwakho, ukuphila kwansuku zonke. Futhi kudingeka ukulandela ngokucophelela yonke imiyalo likadokotela ngokuphelele. Kuphela kuleli cala kwezinyanga ezingu-9 ukuba izozalwa ingane eqinile nenempilo, abayothola ubuncane 8 Apgar isikolo.

Ukuziphatha ngesikhathi sokubeletha

Ungabi kakhulu kancane futhi ngokusho kodokotela ngesikhathi kwezidingo. Phela, kusukela umphumela omuhle yale nqubo kuxhomeke endleleni lapho ingane izalwa. 8/9 Apgar isikolo uzothola umntwana, unina baziphathe kahle futhi uhambisane zonke izincomo udokotela. Endabeni okuphambene, ingane kungaba yayiyolimaza esikhundleni ikhanda. Lutho esiyingozi futhi ebulalayo kule, Lutho neze. Phakathi nenyanga yokuqala izinguquko isikhumba umbala blue pink zemvelo. Kodwa nakhu ukuhlolwa Apgar izikolo ngeke zingancishiswa ngokushintsha 1 noma 2 amaphuzu.

Ungakhathazeki uma abanye babengamaphesenti kancane ngezansi evamile. Leli akulona ukukhubazeka, noma ukuba khona izinkinga zezempilo ongaphilile. Apgar amaphuzu - sekuyinto inkomba obalulekile, okuyinto neze kuthinta ikusasa okwengeziwe ingane. It acabangele kuphela azalwa nayo, ngokungathi ubude nesisindo.