I-Home Cardiorespiratory Monitor: Ulwazi & Amathiphu
I-apnea yinkinga evamile ezenzweni zokulwa. Lapho umntwana enesiqephu se-apnea, kunomzuzwana ekuphefumuleni kwakhe okugcina okungenani imizuzwana engu-20. Phakathi nesikhashana, izinga lentliziyo yengane lingase lihle (ibradycardia), futhi izinga le-oksijini lingase liphule, futhi. Esikhathini sokunakekelwa kwezingane ezibelethwe yi- neonatal, i-NICU , izingane ezingakazalwa zisuke ziboshelwe ukuba ziqaphe nge-alamu eziphuma lapho ingane ihlaselwa i-apnea noma i-bradycardia.
Njengoba izingane zikhula futhi zivuthiwe, i-apnea ithuthukisa kuze kube yilapho ekugcineni ihamba. Kodwa ngezinye izikhathi ingane isilungele ukuya ekhaya ngaphambi kokuba i-apnea iphele ngokuphelele. Uma ingane yakho ingenempilo futhi ilungele ukukhishwa kodwa iyaqhubeka ibe neziqephu ezithile ngezikhathi ezithile, kungenzeka isakwazi ukuhamba esibhedlela. Uzofanele uhambe naye ekhaya ngokuqapha i-apnea.
I-Home Apnea Monitor
Umqapha we-apnea ekhaya ubizwa ngokuthi i-monitor cardiorespiratory. I-monitor ye-apnea ilandelela izinga lokuphefumula nentombazane yakho. Unalo ibhande elizungeza isifuba somntanakho ukukala ukuthi ingane iphefumula kaningi kangakanani, futhi iqoqo lamagetsi noma liholela ekuxhumeni esifubeni somntwana ukuthola nokuqapha ukushaya kwenhliziyo. Njengalapho usesikhundleni se-NICU, i-alamu izozwakala uma ingane yakho ihlala isikhashana eside ekuphefumuleni noma izinga lokushaya kwenhliziyo liyehla kakhulu.
I-Pros & Cons ye-Home Apnea Monitor
Ngemuva kokujwayela bonke abaqaphi ku-NICU noma ekamelweni lokunakekelwa okukhethekile , kungaba yisiqiniseko sokuba nomunye ekhaya.
Ukuqapha kungase kukunike amandla okuzethemba uma uzizwa ukhathazekile noma ukhathazekile ngokushiya ukulondeka kokunakekelwa kwesikhashana esibhedlela.
Ngakolunye uhlangothi, ukuletha ekhaya ukuqapha kungaba umthombo wokucindezeleka nokukhumbuza njalo ukuthi umntwana wakho wazalwa ekuqaleni. Kungenza uzizwe sengathi awukwazi ukuhamba esibhedlela kanye nesipiliyoni se-preemie ngemuva kwakho.
Ezinye izinto ezingezona ezehlukene eziza ngokuqapha i-home apnea yizi:
- Kufanele ufunde ukuthi ungasebenzisa kanjani umlenze futhi uthathe izinyathelo zokuphepha ezengeziwe.
- Ama-alamu angamanga angesabeka futhi acasulayo.
- Ukuphuma ukuqhuba imizila noma ukuvakashela abangani nomndeni kungaphezulu kokuhlukunyezwa. Umqapha ufika nebhothi yebhethri ukuze ushiye indlu, kodwa kukhona okunye okumelwe ukwenze okuhambisana nakho konke okunye okudingekayo.
- Kungaba nzima ukuthola umuntu onolwazi nokuzethemba kokunakekela ingane yakho. Kufanele uthole umsizi noma ilungu lomndeni ongakwazi ukubhekana nama-alamu bese uphatha isimo esiphuthumayo uma kunesidingo.
- Ukuya ekhaya ngeqapha kungenza uzizwe sengathi ingane yakho ayinempilo. Ungase ukwesaba ukushiya ingane yakho futhi ube ngumuntu ongaphezu kokubheka .
Ukuthatha Isikhathi Sokuqapha
Ezinye izingane zidinga ukuhlala kumqapha ngangokunokwenzeka, ngaphandle ngesikhathi sokugeza kanye nezinguquko zokuhola. Ezinye izinsana zingasichitha isikhathi sokuqapha lapho ziphapheme futhi omunye uzibuka ngokucophelela. Ungakhuluma nodokotela wengane yakho mayelana nokuthi kufanele usebenzise kanjani umqapha wakho ekhaya.
Isikhathi sokubhukuda : Awudingi ukugeza ama-preemie wakho nsuku zonke. Kodwa, uma wenza, kufanele ususe imikhombandlela noma uzinqamule kusukela kumqapha.
Ugesi namanzi awaxubeki.
I-Playtime: Uma udokotela wengane yakho ethi kulungile, ungathatha ingane yakho ekuqapha uma ivukile futhi ilungele ukudlala. Akuyona nje ushintsho olwamukelekile lokuxhumana nomntanakho futhi udlale naye ngaphandle kokuqapha, kodwa futhi kuhle ukuba nekhefu ekuthwaleni umlenze ozungeze futhi usebenzisane nezintambo.
Ukushintsha Abaholayo
Abanye abaqaphi basebenzisa ama-electrode anamathela esikhumbeni somntwana, kanti abanye abaqaphi basebenzise izinkomba ngaphandle kokunamathela okubanjwe ibhande lesifuba. Ama-electrodes agxile ukuhlala endaweni engcono ukuvimbela ama-alamu amanga, kodwa umkhombandlela ongewona umuthi ungasebenza kahle kumntwana onesikhumba esibucayi.
Nazi ezinye iziphakamiso zokusebenzisana nemikhombandlela ethinta ingane.
Nini ukushintsha ama-electrode: Akudingeki ushintshe umzila uma uvikelekile endaweni efanele futhi isikhumba somntanakho siphelile. Kodwa-ke, uma ususa umkhombe ngaphambi kokuthi ugeze, akusekho ukugxila, noma isikhumba somntanakho sibomvu futhi sithukuthele kusayithi, uzofuna ukufaka isethi entsha yemikhombandlela.
Ukususa umzila: Qaphela lapho sekuyisikhathi sokuthatha ama-electrodes emntwaneni wakho. Uma unamathele kahle, ungawususi. Ungawasusa ngobumnene ngokuwafaka ngamanzi (uma engathintwa kumqapha) noma ngokusebenzisa isilondolozi esilungile sokunamathela kwezokwelapha.
Ukuhlola isikhumba: Njalo uma ushintsha umzila, hlola isikhumba somntanakho . Uma isikhumba sibukeka sibomvu, si-bumpy, noma si-blistered, ungabeki enye i-electrode emuva kwaleyo ndawo ngqo. Esikhundleni salokho, uyibeke esikhumbeni esinempilo eduze kwalendawo bese uvumela indawo ecasuliwe ukuba iphilise. Vele uqiniseke ukuthi ukubekwa okusha kusekuhle ngokwanele ukuze ufunde ngokubheka futhi kuvimbele ama-alamu amanga. Uma ingane yakho inesikhumba esibucayi esicasuliwe kakhulu kulezi ziqondiso, khuluma nodokotela wezingane.
Ukusebenzisa kabusha umzila: Uma ususa umzila wokugeza, ungawasebenzisa kabusha uma usalokhu unamathele. Kodwa-ke, uma belahlekelwa ukunamathela kwabo bese bekhululekile, cishe bangabangela ama-alamu amanga.
Izinkinga eziqinile: Akufanele usebenzise amafutha, ama-lotions noma ama-creams esifubeni somntanakho ngaphandle kokuba udokotela akutshele ukuthi wenze kanjalo. Kunzima kakhulu ukuthola umzila wokunamathela kahle esikhumbeni esishayo.
Ukubhekana Ne-Alarms
Masibhekane nakho; kungasabeka uma leyo alamu ivaliwe. Ikakhulukazi izikhathi ezimbalwa zokuqala noma phakathi nobusuku. Futhi, izophuma. Yenza konke okusemandleni akho ukuhlala uzolile futhi ufike kumntanakho ngokushesha ngangokunokwenzeka.
Ama-alamu amanga: Enye yezinkinga zokuthatha ingane yakho ekhaya ne-monitor iyasebenza nama-alamu amanga. Ama-alamu amanga angenzeka uma:
- Imikhombandlela ayikho endaweni efanele.
- Enye ye-electrode iyawa.
- Ibhande lesifuba likhulu kakhulu noma liqinile kakhulu.
- Umntwana uhamba.
- Umntanakho uphelela .
- Umntanami uyadonsa .
Uma ubheka ingane yakho, umbala wakhe ubukeka kahle, futhi ungabona noma uzizwa sengathi uphefumula, cishe i-alamu yamanga. Kodwa khumbula, noma ngabe uthola ama-alamu amaningi amanga, hlola njalo ingane. Awusoze wazi ukuthi elinye lalawo alamu lingase libe langempela.
Ama-alamu wangempela : Amanye ama-alamu wangempela azobukeka njengama-alamu amanga ngoba, ngesikhathi ugijimela umntwana, uzobe eseqalile ukuphefumula wedwa. Nje umsindo we-alamu yizo zonke ezinye izingane ezidinga ukuqeda isiqephu. Kodwa uma ufika kumntanakho futhi enesiqephu, zama ukuzola futhi umkhuthaze ukuba aphefumule. Ungamthinta ngobumnene izinyawo zakhe noma umhlane wakhe, noma ukhethe bese uphonsa emuva. Lokho kufanele kube ngokwanele ukuze umtholele umoya. Uma i-pink futhi iphefumula, ngakho konke kulungile. Gcina i-log yanoma yiziphi iziqephu umntwana ayenayo ukuze ubonise udokotela.
Izimo eziphuthumayo: Uma uphendula i-alamu bese uthola ingane yakho ibhekile noma iphendukile okwesibhakabhaka (ikakhulukazi emlonyeni wakhe) futhi ingaphefumuli noma ingaphenduli, qala i-CPR bese ushayele u-911 noma inombolo yakho ephuthumayo yendawo.
Ukulungiselela Izimo Eziphuthumayo
Ngisho noma unethemba lokuthi awusoze usebenzise uhlelo lwakho oluphuthumayo, kufanele uqhubeke unalo. Thatha isikhathi sokulungiselela isimo esiphuthumayo, sikhulume ngakho, futhi ufake bonke abantu abanakekela ingane yakho ohlelweni.
- Gcina izinombolo zocingo eziphuthumayo ziyatholakala. Beka eduze kwefoni yakho yasekhaya bese ubahlela kumakhalekhukhwini wakho.
- Thatha inkinobho ye-CPR encane, futhi ube nobani obuka ingane yakho ifunde i-CPR, futhi. Ungagcina umhlahlandlela we-CPR endaweni efinyeleleka kalula futhi ubeke iziyalezo eziyisisekelo endlini uma kwenzeka udinga ukubheka kubo. Mhlawumbe ngeke uphinde usebenzise, kodwa kubalulekile ukwazi ukuthi kwenzeka kanjani.
- Yazisa inkampani yamandla, inkampani yocingo, nezinsizakalo eziphuthumayo endaweni yakho ukuthi unomntwana onenkinga yezempilo. Uma kwenzeka ulahlekelwa amandla, noma kukhona ukuphazanyiswa kwesevisi edingekayo, lezi zinkampani zigcina uhlu lwamakhasimende adinga ukuba nezinsizakalo zibuyiselwe kuqala.
- Uma usuhlala ekhaya, gcina umlingo wokugada ungene ngemvume ngangokunokwenzeka ukuze ungaqhubeki emandleni ebhetri. Uma unamaphakheji ehlukile webhethri, ligcine likhokhiswe futhi lilungele ukuhamba uma kwenzeka ulidingayo ngokushesha.
- Gcina ibhande lesifuba spare, kanye nezinhla ezimbalwa ezengeziwe zokuhamba ngesandla, futhi.
Ukuqapha Ukuphepha
Abaqaphi be-cardiorespiratory basuke bephephile kakhulu. Kodwa kuneziqondiso ezimbalwa okufanele ulandele ukuvimbela izingozi ezingadingekile.
- Qaphela lapho ubhekana nezintambo zokuqapha. Uma ugqoka ingane yakho, ungafaki izintambo ze-electrode ngokusebenzisa phezulu (intamo) yokugqoka kwengane yakho. Izintambo ezungeze intanyane yengane yakho zingaba yingozi yokukhipha. Indlela ephephile yokugqoka ingane kulesi siqapha ukukhipha ngobumnene izintambo phansi kwe-onese noma ihembe lakhe.
- Nqamula njalo umntanami kusuka kumqapha ngaphambi kokugeza noma noma yimuphi omunye umsebenzi wamanzi ukuvimbela ukwethuka kagesi.
- Ungashiyi ingane yakho kuphela nezilwane ezifuywayo noma ezinye izingane. Izingane ezincane kanye nezilwane ezifuywayo zingathola ukuqapha nezintambo ezithakazelisayo. Qinisekisa ukuthi unake futhi ugcine umqaphi kanye nengane yakho endleleni yengozi.
- Ungavumeli, ulalele umculo ozwakalayo, ugqoke ama-headphones, noma ugeze uma usodwa nomntwana. Linda uze ube nomuntu onakho ukugcina iso ngaphambi kokuba wenze noma yini engase iphazamise ikhono lakho lokuzwa umqapha.
- Uma uhamba nomntanakho emotweni, gcina ingane emqapha bese uyibeka ngendlela efanele esihlalweni semoto ukuze akwazi ukuphefumula ngokukhululekile . Njengoba umlenze obuthakathaka, qiniseka ukuthi uwuvikele endaweni ephephile. Kungaba yingozi uma iphoswa endaweni engaphephile ngesikhathi sokuma kungazelelwe noma ingozi yemoto.
Izingane zakho zizodinga isikhathi eside kangakanani Ukuqapha I-Apnea yasekhaya
Asikho isikhathi esithile esinqunyiwe lapho ingane isebenzisa isilondolozi sasekhaya. Ingane yakho ihlala isikhathi esingakanani esimweni sokuqapha kuncike ekudleni kwayo. Udokotela wengane yakho uzokukwazisa uma iphephile ukukhipha isilondolozi noma ukuyeka ukuyisebenzisa ngokuphelele. Kungenzeka emva kwezinyanga ezimbalwa ngaphandle kweziqephu, lapho ingane yakho ifinyelela ezinyangeni eziyisithupha ubudala, noma uma udokotela ekholelwa ukuthi ingane yakho ayisayidingi. Kuhlukile kuzo zonke izingane ngoba zonke izingane zihlukile.
Izwi elivela ku-Verywell
Ngemuva komgwaqo omude ku-NICU noma ekamelweni lokunakekelwa okukhethekile , kuyajabulisa kakhulu ekugcineni ukuthatha ingane yakho ekhaya bese usuka esibhedlela ngemuva . Ukuya ekhaya kusuka ku-NICU nge-monitor ye-apnea kungase kube mkhulu, kodwa ngeke kuthathe isikhathi eside ukuthola i-hang yayo. Ngokuqinisekile, kungumthwalo owengeziwe ukugqekeza futhi usebenze, kepha uma usujwayele, akusikho okubi. Kungase kukusize nokulala kangcono ebusuku ngoba wazi ukuthi akudingeki uvuke ukuhlola njalo ingane. Khona-ke, ngaphambi kokuba wazi, ingane yakho izokhula futhi ivuthiwe, futhi udokotela uzosho ukuthi awudingi.
Uma ekugcineni uthole izindaba ukuthi yisikhathi sokususa umqapha, ungase ujabule. Kodwa kunguquko enkulu. Abazali abaningi bayesaba kakhulu ngakho, futhi. Eminye imindeni iyaqhubeka isebenzisa umlenze ngisho nangemva kokuba udokotela athi kulungile ukuyeka. Esikhundleni sokukunika konke ngesikhathi esisodwa, ungase ufune ukuzondla kuso. Ungasebenzisa lesi sondlo kancane kancane usuku lonke uze uqale uzizwe ukhululekile ngokuhamba ngaphandle kwalo.
> Imithombo:
> Bull MJ, Engle WA. Ukuhamba okuphephile kwesandulela kanye nesisindo esincane sokuzalwa kwezinsana ekukhishwe esibhedlela. Izingane zokwelapha. 2009 Meyi 1; 123 (5): 1424-9.
> Ikomidi le-Fetus ne-Newborn. I-apnea, isifo sokubeletha usana ngokungazelelwe, nokuqapha ekhaya. Izingane zokwelapha. 2003; 111 (4): 914-17. Iqinisekisiwe ngoMeyi 2007.
> Eichenwald EC. I-apnea ye-prematurity. Izingane zokwelapha. 2016 Jan 1; 137 (1): e20153757.
> I-Jefferies AL. Ukuya ekhaya: lula ukukhishwa kwengane ngaphambi kokuzalwa. I-Paediatrics nezempilo yengane. 2014 Jan 1; 19 (1): 31-6.
> Zenk KE. I-Neonatology: ukuphathwa, izinqubo, izinkinga ze-call, izifo, nezidakamizwa. I-Seventh Edition. I-Gomella TL, i-Cunningham MD, i-Eyal FG, abahleli. McGraw-Hill Medical Medical; 2013.