Yini okufanele ukwazi ngaphambi kokuthi uhambe ekhaya
Ukususwa ekunakekeleni kwe-Neonatal Intensive kuncike ezintweni ezibalulekile, futhi ingane engakafiki kufanele ihlangabezane nalezi zindlela ezilandelayo ngaphambi kokuba zilungele ukubuyela ekhaya:
1. Vula i-Crib
Ingane yakho izoqhubekela phambili esuka emshini wokushisa noma efudumele okufudumala esihlahleni esivulekile esisekelwe eminyakeni yobudala, isisindo, kanye nekhono lomntanakho lokulawula izinga lokushisa lomzimba.
Ushintsho luvame ukuhamba kancane, kodwa ingane yakho ingabuyiselwa emvelweni oshisayo lapho isibonakaliso sokuqala sokungakwazi ukugcina ukushisa. Ukugcina ukushisa komzimba kubandakanya i-calories kanye ne-oxygen. Uma amandla ingane yakho isebenzisa ukufudumala, kancane ingane yakho iyoba nokukhula nokuphulukiswa.Kubalulekile ukugcina iso lokushisa komntanakho phakathi nalesi sikhathi sokuguquka.
Uma ingane yakho ivulekile, kubalulekile ukuqala imikhuba yokulala ephephile. Ngokuvikela okungazelelwe kwe-Infant Death Syndrome (SIDS), ingane yakho kufanele ilale njalo emhlane. Isikhwama somntanakho kufanele sibe flat, mahhala amathoyizi, imithwalo, ama-bumpers, imiqulu engavamile noma ingubo yokulala.
2. Ukuzwa isikrini
Ngaphambi kokuba ulethe ingane yakho ekhaya kusuka ku-NICU, ingane yakho kuzodingeka ibe nesibuko sokuzwa. Isivivinyo sokuzwa esanda kuzalwa sivivinywa esingenasidingo esivela izinkinga zokuzwa ezinganeni ezisanda kuzalwa. Izingane ezingakazalwa kanye nezinsana ezisesikhathini ezidinga ukunakekelwa kwe-NICU ziyingozi enkulu yokulahlekelwa kwezindlebe ngenxa yezizathu eziningana kubandakanya ukuguqulwa kwesisu, isisindo sokuzalwa esincane, i-jaundice, i-hemorrhage yangaphakathi, imithi ethile, kanye nezifo.
Kunezivivinyo ezimbili zokuhlola ezingase zisetshenziswe:
- Ukukhishwa kwama-otoacoustic (OAE) - lolu luhlolo lubeka amagagasi asindayo avezwa endlebeni yangaphakathi. I-probe encane ifakwa ngaphakathi kwengane yomlomo wengane. Ilinganisa impendulo (echo) uma ukuchofoza noma amathoni adlala ezindlebeni zomntwana.
- I-Automatic Auditory Brainstem Response (AABR) - lokhu kuhlola kuhlola indlela inzwa yokuzwa ephendula ngayo umsindo. Izinzwa ezintathu ezinamathebhu okuzibophezela zifakwa ebusaneni: eyodwa ebunzini eliphezulu, enye ekhanda lentamo, enye enye ngemuva kwehlombe elifanele. Ama-earmuffs ase-plastic abeka phezu kwezindlebe zezingane. Ngesikhathi sokuhlolwa, ukuchofozwa kudluliselwa nge-earmuffs. Izinzwa ezibekwe esikhwameni somntwana zibona impendulo yengqondo yengane ekuchofozeni.
Isikrini sokuzwa kwengane yakho singenziwa uma ingane yakho ikhona:
- Kusondela ukukhipha.
- Esikhungweni esivulekile.
- Amaviki angu-34 ukutholwa (okulungiselelwe noma okwamanje) noma ngaphezulu.
- Ukwamukela NO ukuvuselela isimiso sezinzwa zesisindo. (Ezifana ne-caffeine)
- Ukulala noma isimo sikhululekile.
3. Isihlalo Sokuhlola Isihlalo / Isivivinyo
I-American Academy of Pediatrics incoma ukuhlolwa kwesitulo semoto, noma inselele yokuhlala emotweni, kubo bonke abantwana abazalwa ngaphambi kwamasonto angu-37 ukubeletha noma ama-2500 amagremu ngaphambi kokukhishwa esibhedlela. Inselelo yesikhundla semoto isetshenziswa njengendlela yokunquma ukulungela kwengane yakho yokuhamba esihlalweni semoto nokuqapha ukuthi kungenzeka yini i-apnea, i-bradycardia noma i-deaturation ye-oksijini ngenkathi ehlezi esihlalweni sayo isikhathi eside.
Zonke izinsana ezihlangabezana nalezi zindlela ezilandelayo ngesikhathi sokukhishwa kufanele zithole inselele yeSitifiketi Sezimoto:
- Ubudala bezinsizwa ezingaphansi kwamaviki angu-37 noma ngaphansi kwama-2500 amagremu.
- Izinsana ezidinga ukwengezwa kwe-oxygen.
- Izinsana ziyathunyelwa ekhaya ngokuqapha kwe-apnea.
- Ezinye izimo zezokwelapha ezenza ingane isengozini enkulu ye-apnea, i-bradycardia noma i-oxygen deaturation.
Phakathi novivinyo:
- Ingane yakho izobekwa noma ihlale ekuqapha kwe-cardiopulmonary nge-pulse oximetry ukuze ihlale igcinwa ngezibonakaliso zokucindezeleka.
- Isihlalo somoto wengane yakho kufanele sinqunywe nge-degree-45 degree.
- Ingane yakho kufanele ihlale esihlalweni semoto ngesamba samaminithi angu-90.
- I-harness clip kufanele ibekwe endaweni yesifuba.
Inselele yokuhlala emotweni kufanele kwenziwe izinsuku eziyisikhombisa ngaphambi kokuya ekhaya. Ucwaningo lubonisa ukuthi ezinye izinsana, ikakhulukazi lezo ezizalwa emasontweni angaba ngu-37 ukubeletha, zingase zibe ngaphansi kweziqephu zesikhashana ze-bradycardia, i-apnea, ne-oxygen deaturation lapho zihamba ngesihlalo esijwayelekile sokuphepha emotweni.
Uma ingane yakho ingadluli uhlolo okokuqala, kufanele iphindwe ezinsukwini ezimbalwa kamuva. Uma ingane yakho ihluleka inselele yesihlalo semoto kabili, ukuhlolwa kumbhede wemoto kufanele kwenziwe.
Ingane yakho izodinga futhi ukuthi:
- Ungakwazi ukudla konke ukudla kwabo ngomlomo kalula uma uthatha inamba ewanele yamakorikhi.
- Ukuthola isisindo esanele.
- Ukuphefumula ngokwabo. Iningi lezingane liphephile i-oxygen uma likhishwa ku-NICU, kodwa ezinye izinsana zingadinga oksijini okwengeziwe isikhathi eside futhi zingathunyelwa ekhaya ngaleli gciwane.
- Awunayo "iziqephu" ze-apnea, (ukuyeka ukuphefumula) ne-bradycardia, (izinga lentliziyo elincane) noma ukuguquka kombala. Ungakwazi ukuthatha ingane yakho ekhaya kumqapha uma baneziqephu ezincane zokuzixazulula izinto ezingadingi noma yikuphi ukungenelela.
Njengoba wonke umntwana ehlukile, futhi wonke uhambo lwe-NICU luzohluka, kunzima ukusho ukuthi uma ingane yakho izoshaya zonke lezi zinsuku futhi zikulungele ukukhishwa. Kungaba usizo ukugcina ithrekhi yentuthuko yengane yakho ngokuqala iphephandaba noma uhlu lokuhlola, futhi ukugubha lezi zenzakalo ezibalulekile njengoba kwenzeka!
Imithombo
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Isihlalo sezimoto: inselele kakhulu kunabantwana abasebancane? - UPilley noMcGuire 90 (6): F452 - ADC -
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