Njengomhlengikazi weNonus Intensive Care Unit (NICU) , ngithanda ukuvumela izixuku zilale ndawonye lapho nginakekelwa. Umkhuba wokuvumela izingane ukuba zilale ndawonye ku-crib efanayo noma i-incubator ibizwa ngokuthi i-cobedding futhi ingenziwa ngamawele, ama-triplets, noma ezinye izimpande.
Ngenkathi kunezinzuzo zokuvumela izixuku zilale ndawonye ku-NICU, kungase kube nokuphazamiseka ekukhunjini.
Ngeshwa, akuzange kube khona izifundo eziningi ezenziwe ngezinzuzo kanye nezingozi zokuphindaphinda izimboni.
Izinzuzo ezingenzeka
Nakuba abahlengikazi, abazali nabacwaningi bamacala bavumelana ukuthi kunezinzuzo ezicacile zokuvumela izixuku zilale ndawonye ku- NICU , azikho izifundo eziningi zesayensi ezenzelwe kahle ukufakazela noma yiziphi izinzuzo ezithile. Izinzuzo ezikhona zokuphindwa kwezimboni zihlanganisa:
- Ukunakekelwa kokuthuthukiswa okuthuthukisiwe: Ukunakekelwa kwentuthuko kunciphisa ukuguquka empilweni ngokunikeza ukunakekelwa okulinganisa isibeletho ngangokunokwenzeka. Ukuvumela ukuphindaphinda kubuthane ndawonye kuyindlela eyisisekelo kakhulu yokugqugquzela ukunakekelwa kwentuthuko. Iziphindaphindiwe ezingabonwa zingabona, zithinte, futhi ziphumane ngezikhathi zonke, njengokungathi zazikwazi ukuzalwa ngaphambi kokuzalwa.
- Ukucasuka okuncane: Ukubuka izinga lokushaya kwenhliziyo nezinye izinkinga zokucindezeleka, ukuphindaphindiwe okuphindaphindiwe kubonakala kungacasuli ukudlula ezinye izimpande. Uma ziphindaphinda zilala ndawonye, zihlanganisa ukulala kwazo / zayo imijikelezo futhi zicindezeleke kancane.
- Ukunciphisa isisindo esingcono: Uma ukuphindaphinda kulala ndawonye, kubonakala sengathi kunesisindo esingcono kunokuphindaphindiwe.
- I-apnea eyancipha: Abaningana abalala ndawonye bangase babe neziqephu ezimbalwa ze-apnea kunalabo abangabanjwa. Izikhathi ezincane ze-apnea (
- Ezinye izinzuzo ezingenzeka: Nakuba kungekho zifundo eziphakamisa lezi zinzuzo, imibiko yesikhala kanye nokubona kwabahlengikazi kubonise nezinye izinzuzo zokuphindaphinda iziqu, kuhlanganise nabazali abajabulayo, iziqephu ezimbalwa ze-bradycardia, ukushisa okungcono kanye nezidingo eziphansi ze-oksijeni.
Izingozi ezingenzeka
Kubalulekile ukuqaphela ukuthi akukho zifundo zesayensi ezenzelwe kahle ezithole izingozi zangempela zokubamba izimboni ku-NICU. Noma kunjalo, imibiko nabahlengikazi bayakubonisa izinkinga ezithile zokuvumela izixuku zilale ndawonye:
- Ukusimama kwesimo sokushisa : Nakuba ukushisa okungcono kunenzuzo engcono yokuphindaphinda, ukushisa okungcono kungengozini lapho iziqu ziningi kakhulu. Isibonelo, iwele elincane elilele ngewele elikhudlwana, isibonelo, lingabanda kalula, noma iwele elikhulu likwazi ukushisa.
- Ukutheleleka: Nakuba kungakaze kube khona imibiko yokutheleleka kudlula kokubili kuya kwesinye ngenxa ye-cobedding, ukutheleleka kuhlala kungengozi lapho ukuphindaphinda kulala ndawonye.
- Ukuvezwa kokuphefumula oksijini: Uma uphinda ubuthongo ndawonye kodwa eyodwa kuphela i- cannula yangasese , enye ingane ingase ivezwe oksijini elengeziwe. Amazinga aphakeme okwephuza okwenziwe nge-oxygen angandisa ingozi yokuthambekela kwe-prematurity (ROP).
- Amaphutha ekunakekelweni kokunakekelwa: Uma izimpande zihlala embhedeni owodwa ndawonye, abahlengikazi bangase banikeze ingane engalungile imithi, baxube imali yokudla, noma benze amanye amaphutha. Izingane zingadonsa nezinye izibilini zokudla noma ezinye izinto zokusebenza.
Imithombo:
Hayward, Kathryn. "Ukuqothulwa kwamawele: Ukunwetshwa Kwemvelo Komsebenzi Wezenhlalo?" Umagazini waseMelika Wokunakekela Abesilisa nabantwana July / Aug 2003; 28, 260-264
UTomashek, K, Wallman, C, kanye neKomidi le-Fetus kanye nosana. "Amaconsi ama-Cobedding ne-Higher-Order Multiples Hospital Setting." I-Pediatrics Dec 2007; 120, 1359-1366.