Izinyunyana Zama-Neonatal Zihlinzekela Ukubelethwa Izinsana Ezincane Noma Ezigulayo
I-NICU yezinga le-3, noma i-Level III i-NICU, iyunithi yokunakekelwa okunamandla okubeletha engakwazi ukugcina izingane ezincane kakhulu noma ezigula kakhulu. I-NICU yezinga le-3 inezinhlobonhlobo zabasebenzi kwisayithi, kuhlanganise neonatologists , abahlengikazi bezingane zokubeletha, nabahlengikazi bokuphefumula abatholakala amahora angu-24 ngosuku. Kungase futhi kuthiwa yizikhungo zokunakekelwa kwe-subspecialty noma i-subspecialty NICUs.
Yiziphi Izingane Ezibhekwa Ngayo I-Level III NICU?
Izinsana ezizalwa ezingaphansi kwamasonto angama-32 ubukhulu besisindo kanye nesisindo esingaphansi kuka-1500 amagremu (ama-ounces ama-53 noma ama-3.3 amakhilogremu), kanye nezinsana ezisanda kuzalwa zanoma yisiphi isikhathi sokugqoka nesisindo sokuzalwa, kufanele sizinakekele ku-NICU yezinga le-III.
Ucwaningo luye lwabonisa imiphumela engcono yezingane ezincane kakhulu zokuzala izisulu nezinsana ezingakabiphi ezelwe ezingeni le-III, okuholela ezinconyweni ukuthi abesifazane abasengozini bayathunyelwa kulezi zikhungo ukuze babelethe.
Yimaphi Amakhono Okuthi I-Level III I-NICU Inayo?
I-NICU yezinga le-III inganikeza ukusekelwa kokuphila okuqhubekayo nokunakekelwa okuphelele. Banganikeza ukunakekelwa okubucayi nokwelapha okubalulekile. Bangakwazi ukuhlinzeka nge- mechanical ventilation kanye ne- high-frequency mechanical ventilation . I-NICU yezinga le-III ingenza izinqubo ezincane zokuhlinza, ezifana nezindlela zokuhlinzekwa kwezikebhe zomzimba futhi zinezikhungo zokuhlinzeka ngezingane ezisesayithini noma zifinyelele ekuqedeni ukuhlinzwa okukhulu, kuhlanganise ne-PDA ligation kanye nokuhlinzwa kwamathumbu ukuphatha i-NEC.
Ungalindela ukuthi i-NICU yezinga le-III ikwazi ukufinyelela ohlangothini olugcwele lwabazali abancane bezokwelapha bezingane ukuze bakwazi ukuxazulula izinkinga ezinganeni ezisanda kuzalwa futhi ezigulayo. Lezi zikhungo zinezithombe ezithuthukile futhi ochwepheshe ukuhumusha izilinganiso. I-retinopathy yangaphambi kwesimanga ukukhathazeka futhi lezi zikhungo ziyoba nesimiso sokuqapha nokuphatha lesi simo.
Leli kheli lizohlela ukuthutha izinsana ezingeni eliphakeme lesifunda uma kudingeka ukuhlinzwa okuyinkimbinkimbi noma ukuthutha esikhungweni sezinga eliphansi uma isimo sezingane sithuthuka.
Yini Abasebenzi Abasebenzisa I-Level III I-NICU Ngokujwayelekile?
Njengasezingeni le-NICU yezinga 2, uzobona odokotela njengabantwabhedlela bezingane kanye neonatologists, kodwa futhi babone abathintekayo ezindaweni ezihlukahlukene zokwelashwa kwezingane, ophthalmologists zezingane, kanye namaqembu okuhlinza okubandakanya ama-anesthhesiologists asezingane kanye nabahlinzayo bezingane. Ungabona futhi abahlengikazi be-neonatal kanye nabanye abahlengikazi ababhalisiwe abaqeqeshiwe. Abasebenzi bayohlanganisa abahlinzeki bokuphefumula, abachwepheshe bokuzicabangela, abahlengikazi ababhalisiwe, abahlinzeki bezisebenzi, abahlinzeka ngemithi, abaqashi bemithi, abacebisi bezinkokhelo, abasebenzi bezenhlalakahle, abafundisi, nabasebenzi abengeziwe ukuhlinzeka ukwesekwa kwabantwana abasha kanye nomndeni.
I-NICU Level 3c ishintshiwe kuveli IV
I-American Academy of Pediatrics ivuselele inqubomgomo yabo mayelana nezincazelo zezinyunithi zokunakekelwa kwezingane zokubeletha ngo-2012. Ngaphambi kwalokho kubuyekezwa, i-Level III i-NICU yahlukaniswa yaba izingxenye ezintathu. Ngemihlahlandlela emisha, lokhu kwaqedwa futhi i-level IV i-NICU iyunithi echazwe, ithatha indawo yezinga IIIC (i-level 3c) kwimikhombandlela yangaphambilini.
I-NICU yezinga le-IV ngokuvamile liyisikhungo sesifunda esinokulungiswa kokuhlinzekwa kwesimo sezinkinga ezingathí sina. Bangakwazi ukuqedela ukuhlinzwa okulukhuni okudinga i-cardiopulmonary bypass.
> Umthombo
- > I-American Academy ye-Pediatrics Committee ye-Fetus ne-Newborn. Amazinga Wokunakekelwa Kwangane. Izingane zokwelapha . 2012; 130 (3): 587-597. i-doi: 10.1542 / i-peds.2012-1999.