Scale futhi Silverman Apgar isikolo: hlola impilo ezinsaneni

Kuyinto imfihlo ukuthi ukubukeka ingane ezweni - novivinyo hhayi kuphela umama kodwa nangezakhe. Ngemva kwemizuzwana embalwa nje, impilo imvuthuluka siyashintsha kakhulu: zonke izinyanga eziyisishiyagalolunye wayehlala kwesisu kamama ashaya kwi-amniotic fluid, futhi manje bajwayelane imvelo entsha, lapho umoya kakhulu kanzima ukukhanya kwayo mnene futhi buyabanda isikhumba. Futhi nje uyesaba izinyane singene simo esingavamile lapho uyophila manje. Eyodwa yezindlela sokunquma isimo kuzalwa zikhathi yokuqala lokuzalwa kwakhe kukhona isikali kanye Silverman Apgar isikolo, okuzoxoxwa ngayo kulesi sihloko.

Manje - uqobo!

Phakathi nezinyanga eside yokukhulelwa kwesisu okhulelwe umama imvuthuluka inikeza-mpilo umzanyana kanye umzanyana. Kodwa ngemva kokuzalwa komntwana kungaba kuphela ancike yena. Manje, ukuphefumula, ufudumale, akudle kuyodingeka bebodwa. I mzuzu Ukushintshela kulo omusha imvuthu wokuzibusa ngokuphazima kweso, ukuthi, ngeshwa, akuzona zonke mabhungane ungakwazi ukubhekana naso.

Inani ezithile izinsana badinga usizo lochwepheshe. Endabeni le kwezidingo ngesikhathi esifanele izingane isimo ubuyela evamile. Yiqiniso, abanye bangase bangaphumeleli uma kuyoba yini ukusebenzisa sina izinyathelo yokusiza umuntu ukuba aphefumule.

Lawa imizuzwana yokuqala ebalulekile

Kwakuphakathi nalesikhathi esifushane, lapho lo mthethosivivinywa kuza nje wesibili kokuhlaziywa isimo encane, ezikhathini zokuqala zokuphila kungcono ukusebenzisa isikali okhethekile. Bavumela odokotela ukwenza esheshayo, olunembile, ilungile kule simo, isinqumo futhi ukuba baqonde indlela lokhu ingane idinga ukunakekelwa okukhethekile futhi ukunakekelwa. Isenzakalo esidume kunazo zonke futhi ezisetshenziswa kakhulu zokubelethela kukhona Silverman Scale, esisetshenziselwa ukunquma kobukhulu olusanda kuzalwa ezinezinkinga eziphathelene nokuphefumula, futhi Apgar isikolo, okuyinto eminyakeni eminingi edlule kwadalwa ongudokotela obulala izinzwa American Virginia Apgar. Lokho kusho amathuluzi ezimbili ezibaluleke kunazo zonke, futhi ungenza umbono mayelana impilo imvuthu.

Icacisa isimo umntwana Apgar

Ukuze elibanzi achaze isimo kuphela okuyinto wazalwa umntwana, odokotela basebenzisa ngentuthuko obulala izinzwa American. Apgar isikolo phakathi nezikhathi yokuqala yokuphila encane elawula ezinhlanu izimpawu zokwelapha ezibaluleke kakhulu: kwenhliziyo isigqi, ubunjalo imisipha iphimbo kanye ukuphefumula, kanye Umbala kwesikhumba futhi isimo imvuthu ikhaliphe. Kuye ngokuthi lakhiwe kanjani wakhipha izimpawu, odokotela ukubeka nekuhlola amaphuzu ngamunye wabo: Ngamunye nemingcele ezinhlanu uthola kusuka ku-zero abe amayunithi ezimbili.

Inombolo enkulu amaphuzu okungatholakala zilethwe kid - 10. Imiphumela ngokuvamile ezibhaliwe kabili: owokuqala - emva umoya kuqala ingane ukuqonda indlela azizwa ngayo ngaleso sikhathi; yesibili - imizuzu emihlanu ngemva kokuzalwa kwakhe, ukunquma ukuthi umntwana waqala ukuzivumelanisa entsha, izimo esingavamile ngempela kuye. Uma odokotela oluphuthumayo yokusiza umuntu ukuba aphefumule, nokuhlolwa sesibili sibonisa indlela elikhiqizayo ayenjalo.

Umphumela kubhekwa evamile Apgar amaphuzu amaphuzu 7 kuya ku-10; isimo eyanelisayo ngesikhathi tot owashaya igoli 4-6 amaphuzu (zidinga ukunakekelwa ngezokwelashwa ngesikhathi esifanele); uma ingane ikhula ngaphansi kuka 4 amaphuzu, inqubo kumele kwenziwe yokusiza umuntu ukuba aphefumule ngokushesha.

Icacisa isimo ingane kwi Silverman isikali

Ngokushesha ngangokunokwenzeka ukuxilonga ukuphazamiseka ukuphefumula ezinsaneni azalelwa kwesikhathi, isicelo isikali Silverman. Leso sifundo saqhutshwa ngokushesha emva kokuzalwa, bese emva amabili, abe yisithupha, nambili amahora amabili nane zokuphila uhlala. Ochwepheshe baphawula njengoba uhamba thorax, njengoba ungenisa isikhala intercostal kanye sternum, siyini isikhundla mandible, ukuphefumula ingane.

Zonke lezi zici esikalini, kanye Apgar isikolo, ezisukela zero amaphuzu amabili. Kodwa kunomehluko kubaluleke kakhulu: lapho kwenziwa izinsana isikolo Apgar, okungcono kubhekwa amaphuzu esiphelele kunazo - amabili. I "amaphuzu" ngaphezulu buthola umntwana, ngcono.

Scale Silverman isetshenziswa ukuhlola nosana, ngendlela efanayo, kodwa kulokhu scorers ezincane pipsqueak, ngcono, ngoba usikisela ukuthi kobukhulu izimpawu izinkinga zokuphefumula kuyinto encane futhi amenable ukusolwa.

Kuthiwani uma i-SDR osanda kuzalwa ...

Uma umntwana wakhe esezelwe kwesikhathi, kungenzeka ukuthi angase SDR - zokuphefumula ukucindezeleka syndrome. Ngenxa yalesi sifo libhekene izimpawu kuphazamiseka sokuhamba kwegazi: imvuthuluka encishisiwe blood pressure, microcirculation kahle, kukhona tachycardia. Udokotela angakwazi ukubona ukuthi i-amathoni uthulisiwe.

ukwandisa isibindi wengane kungabonakala nasemkhakheni le SDR. Hypovolemia angagcina, okuvame ukuholela nokugcinwa uketshezi edema neuropathy. Isimiso sezinzwa esiyinhloko kungenziwa ukuyiveza, umntwana angakwazi ukubona ukopha periventricular. Futhi kuze kube manje, odokotela abakwazi ukuphendula umbuzo kuyini ukuthi isizathu esiyinhloko - ukunqotshwa ingqondo yengane noma amaphaphu.

Ngenxa ulwazi usizo ku nenani amaphuzu

Ngakho sibhekene ikakhulukazi: okwamanje nje lapho isikhathi count ngisho umzuzu, futhi okwesibili, udokotela ukuhlola isimo izinsana e zikhathi yokuqala ezimpilweni zabo izikali ekhethekile esetshenziswa. Ngalezi isikali amadoda amajazi ezimhlophe kusheshe wenze isinqumo esifanele mayelana nendlela ingane kakhulu idinga ukunakekelwa okukhethekile.

It isikolo Apgar / Silverman ukunika lonke ulwazi olufanele mayelana nendlela ukwenza neonatologists endabeni ethile. ilungiselelo esifike usizo oludingekayo nomthelela omuhle esikhathini esizayo phezu impilo yengane. A isikali Silverman futhi kunikeza futhi ulwazi olufanele mayelana impilo ababelethwa kungakafiki isikhathi.