Yintoni ozaziyo ngaphambi kokuba uye ekhaya
Ukukhutshwa kwi-Career Intensive Care isekelwe kwiimpawu eziphambili, kwaye umntwana osanda kuzalwa kufuneka ahlangabezane nale ndlela elandelayo ngaphambi kokuba ahambe ekhaya:
1. Vula ityala
Ingane yakho iya kuvela kwi-incubator okanye efudumeleyo emlilweni ovulekile ngokusekelwe kwiminyaka yobudala, ubunzima, kunye nekhono lomntwana lwakho lokulawula ukushisa komzimba.
Utshintsho luvame ukuhamba ngokukhawuleza, kodwa umntwana wakho angabuyiselwa kwindawo efudumalayo kwindawo yokuqala yokungakwazi ukugcina ubushushu. Ukugcina ubushushu bomzimba kubandakanya iikhalori kunye ne-oxygen. Amandla akho umntwana asetshenziselwa ukufudumala, ingaphantsi umntwana wakho uya kuba nokukhula kunye nokuphulukiswa. Kubalulekile ukugcina iliso elide lokushisa kwengane yakho ngeli xesha lokutshintsha.
Xa umntwana wakho esesidlangalaleni esivulekile, kubalulekile ukuba uqale ukulala ngokukhuselekileyo. Ngokuthintela ukukhusela umntwana oswele ngokukhawuleza (SIDS), umntwana wakho kufuneka ahlale elele emhlane. Isilwanyana somntwana wakho kufuneka sibe sisitapu, sikhululekile kumathoyizi, emithanjeni, emacaleni, emacaleni okanye e-blanket.
2. Ukuva iSkrini
Ngaphambi kokuba ulethe umntwana wakho ekhaya ukusuka kwi-NICU, umntwana wakho uya kufuneka abe nekrini yokuva. Uvavanyo olutsha olusandul 'ukuzalwa luvavanyo olungenangxamanga olubonisa izixa zengxaki zokuvalelwa kwiintsana ezisandul' ukuzalwa. Iintsana zokuqala kunye neentsana zentsuku ezifuna ukunakekelwa kwe-NICU zingengozini enkulu yokulahlekelwa kwindlebe ngenxa yezizathu ezininzi kubandakanya ukungena kwintsholongwane, ukuzala okuphantsi, i-jaundice, i-hemorrhage, imithi ethile kunye nezifo.
Kukho iimvavanyo ezimbini zokuhlola ezingasetyenziswa:
- Ukukhishwa kwama-Otoacoustic (OAE) - olu vavanyo lunegunya lokusasaza amaza agqityiweyo. Inkqubo encinci ifakwa ngaphakathi kwinqanaba lomngane lomntwana. Ilinganisa impendulo (echo) xa ukuchofoza okanye iitoni zidlalwa ezindlebeni zentsana.
- Ukuphendula kwe-Brainstem Response (AABR) ngokuzenzekelayo - olu vavanyo lusetyenziswa njani indlela inzwa yentsimbi ephendula ngayo isandi. Iintsholongwane ezintathu ezineeteksi zokuzibamba zifakwa kwiintsana: enye ebunzini eliphezulu, enye kwintsimbi yentamo, enye ibe ngasemva kwegxala elifanelekileyo. Izindlebe zeplastiki eziphantsi zifakwe kwiindlebe zentsana. Ngethuba lokuvavanya, ukuchithwa kuyadluliselwa kwi-earmuffs. Iimvakalelo ezibekwe elukhumbeni lolusana ziyabona impendulo yengqondo kwiintshi.
Iskrini sentsana yakho sinokuyenza xa umntwana wakho ekhona:
- Ukusondela ukukhupha.
- Esikhunjini esivulekile.
- Iiveki ezingama-34 zesigxina (esitshintshileyo okanye esona) okanye esidala.
- Ukufumana i-NO yinkqubo yesantya eshukumisayo. (Ezifana ne caffeine)
- Ukulala okanye kwindawo ekhululekile.
3. Uhlolo lweSihlalo seThuthi / uVavanyo
I-American Academy ye-Pediatrics incoma ukuhlolwa kwetrama yemoto, okanye inselele yokuhlala emotweni, kuzo zonke iintsana ezizalwe ngaphambi kweeveki ezingama-37 okanye i-2500 grams ngaphambi kokukhutshwa esibhedlele. Umngeni wokuhlala emotweni uyasetyenziswa njengendlela yokubona ukulungela umntwana kwakho ukuhamba kwisihlalo semoto nokubeka esweni ukukhupha i-apnea, i-bradycardia okanye i-deaturation ye-oksijini xa uhleli esihlalweni sayo ixesha elide.
Zonke iintsana ezidibana neyodwa migaqo elandelayo ngexesha lokukhutshwa kufuneka liphumelele kwiNgxaki yeSihlalo seCar:
- Iminyaka yobudala obungaphantsi kweeyure ezingama-37 okanye ngaphantsi kwama-2500 amagremu.
- Iintsana zidinga ukuxhaswa kwe-oksijini.
- Iintsana zithunyelwa ekhaya kwi-monitor ye-apnea.
- Ezinye iimeko zonyango ezenza umntwana usengozini enkulu yokuphala, i-bradycardia okanye i-oxygen deaturation.
Ngexesha lovavanyo:
- Ingane yakho iya kufakwa okanye ihlale kwimeko yokujonga i-cardiopulmonary nge-pulse oximetry ukuqhubeka ugcina imiqondiso yexinzelelo.
- Isihlalo somoto sakho somntwana kufuneka sitshintshwe kwi-degree-45 degree.
- Umntwana wakho kufuneka ahlale kwisihlalo semoto malunga neyonke imizuzu engama-90.
- I-harness clip kufuneka ibekwe kwindawo yesifuba.
Umngeni wokuhlala emotweni kufuneka uqhutywe iintsuku ezisixhenxe ngaphambi kokuya ekhaya. Uphando lubonisa ukuba ezinye iintsana, ngokukodwa ezo zizalwe ngaphantsi kwamaviki angama-37, zingaphantsi kweengqungquthela zesikhashana ze-bradycardia, i-apnea, kunye ne-oxygen deaturation xa zihamba kwisihlalo somgangatho wokukhusela imoto.
Ukuba umntwana wakho akadluli uvavanyo okokuqala, kufuneka aphindiwe emva kweentsuku ezimbalwa. Ukuba usana lwakho luyasilela ingxaki yesibini somqhubi wezimoto, ukuvavanywa kwibhedi yemoto kufuneka kwenziwe.
Ingane yakho iya kufuneka kwakhona:
- Ukwazi ukutya konke ukutya kwabo ngomlomo xa befumana inani elaneleyo leekhalori.
- Ukufumana ubunzima obaneleyo.
- Ukuphefumula ngokwabo. Uninzi lwabantwana lukhuphe i-oxygen xa lukhutshwa kwi-NICU, kodwa ezinye iintsana zingadinga i-oksijeni eyongezelelweyo ixesha elide kwaye iyakuthunyelwa ekhaya nale nyango.
- Awunayo "iziqephu" ze-apnea, (ikhefu lokuphefumla) kunye ne-bradycardia, (intliziyo ephantsi) okanye utshintshe umbala. Unokwazi ukuthatha umntwana wakho ekhaya kwisebe ukuba ngaba ziincwadana ezincinci zokuzixazulula izinto ezingafuneki nongenelelo.
Ekubeni zonke iintsana zihlukile, kwaye yonke indlela ye-NICU iya kuhluka, kunzima ukusho xa umntwana wakho uya kubetha zonke ezi zinto zibalulekileyo kwaye ulungele ukukhutshwa. Kungaba luncedo ukugcina ingqalelo inkqubela yengane yakho ngokuqala iphepha okanye uluhlu lokukhangela, kunye nokuzibhiyozela ezi zinto zibalulekileyo njengoko kwenzeka!
Imithombo
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