IiNyunithi zeNonatal Care zibonelela ngononophelo olutsha okanye olugula kakhulu olutsha
Inqanaba le-3 iNICU, okanye inqanaba III iNICU, iyunithi yokunakekela abantwana abanomntwana onokukwazi ukunyamekela abantwana abancinane okanye abagulayo kakhulu. I-NICU yeNqanaba 3 ineentlobo ezahlukeneyo zabasebenzi kwisayithi, kubandakanywa i- neonatologists , abahlengikazi be-neonatal, kunye neengcali zokuphefumula ezifumaneka iiyure ezingama-24 ngosuku. Baya kuthiwawa ngamaziko okunakekelwa kwamagunya okanye i-NICUs subspecialty.
Ziziphi iibhinki ezithathwa kwiNqanaba III leNICU?
Iintsana ezizalwe ngaphantsi kweeveki ezingama-32 ubudala kunye nobukhulu obungaphantsi kwama-1500 amagremu (ama-ounces ama-53 okanye ama-3.3 iipounds), kwakunye neentsana ezizalwe ngokugulayo kwanoma yiyiphi iminyaka yobudala kunye nesisindo sokuzalwa, kufuneka sinyamekele kwiNqanaba III yeNICU.
Izifundo zibonise iziphumo ezingcono kwiintsana ezincinci zokuzala ezincinci kunye neentsana eziza kusengaphambili ezizalwe kumaziko e-III, ezikhokelela kwiingcebiso kubafazi abasemngciphekweni baya kuthunyelwa kumaziko ukuba bazalise.
Ziziphi iinjongo ezenza i-NICU iNqanaba III?
Inqanaba III i-NICU inokubonelela ngenkxaso ngokuqhubekayo yobomi kunye nokunakekelwa okubanzi. Baya kunika unonophelo olujongene nezobisi kunye nophando. Baya kunika umoya wokungenisa umoya kunye ne- high-frequency mechanical ventilation . I-III ye-NICU inokukwenza iinkqubo ezincinci zokuhlinzwa, ezifana nesithambiso sokukhupha iinqwelomoya kunye neendawo zokupasa zezilwanyana kwisayithi okanye zivalelwe ukugqiba ukuhlinzwa okukhulu, kubandakanywa ukuxilongwa kwe-PDA kunye nokuhlinzwa kwezilwanyana ukuphatha i-NEC.
Unokulindela ukuba iNqanaba III i-NICU inokufikelela kwiinkalo ezipheleleyo zabafundi bezonyango bezonyango bezilwanyana ukujongana neengxaki zintsholongwane kunye nabantwana abasweleyo. La maziko aqhubekele phambili ekucingeni kunye neengcali ukutolika izicatshulwa. I-retinopathy yangaphambi kokuqala yinkxalabo kwaye la maziko aya kuba nenkqubo yokubeka iliso nokunyanga le meko.
Eli candelo liza kulungelelanisa ukuthutha iintsana ezisemgangathweni kwinqanaba lezithili xa kufuneka utyando olunzima okanye ukuthutha kwisiseko esiphantsi kwimeko xa umntwana ephucula imeko.
Yintoni Abasebenzi abayenzayo kwiNqanaba III ye-NICU?
Njengoko kumgangatho we-NICU, uza kubona oogqirha njengabantwana bezibhedlele kunye neonatologists, kodwa nabo babone i-subspecialists kwimimandla eyahlukeneyo yeyeza zonyango, i-ophthalmologists yezilwanyana kunye namaqela aphambili okubandakanya ama-anesthhesiologists abantwana kunye nabagqirha bezilwanyana. Ungabona nabongikazi be-neonatal kunye nezinye iikhompyutheni ezibhalisiweyo ezibhalisiweyo. Abasebenzi baya kubandakanya abaphefumli bokuphefumula, abachwephesha bezobugcisa, abahlengikazi ababhalisiweyo, abachwephesha bezemisebenzi, abagqirha bezonyango, abathinteli bee-pharmacy, abacebisi bamacandelo, abasebenzi bezentlalo, abaqeqeshi, kunye nabasebenzi abaninzi ukuba banikele ngenkxaso kwiintsana kunye nosapho.
I-NICU Level 3c Itshintshe kwiNqanaba IV
I-American Academy ye-Pediatrics ihlaziye umgaqo-nkqubo wabo kwiimpawu zeenkonzo zokunakekelwa kwe-neonatal ngo-2012. Ngaphambi kokuhlaziywa kwakhona, iNqanaba III i-NICU yahlula yaba yimimandla emithathu. Ngezikhokelo ezintsha, ezi zinto zapheliswa kwaye inqanaba le-NICU le nqanaba lachazwa, ithatha indawo yezinga IIIC (inqanaba 3c) kwizikhokelo zangaphambili.
I-NICU yeNqanaba IV isoloko isibonelelo sengingqi kunye nokulungiswa kweso sikhundla sokungasebenzi kakubi. Baya kuzalisa utyando olunzima olufuna i-cardiopulmonary bypass.
> Umthombo
- > I-American Academy ye-Pediatrics Committee kwi-Fetus neNtsana. Amanqanaba okuNakekelwa kweNonatal. Pediatrics . 2012; 130 (3): 587-597. i-doi: 10.1542 / i-peds.2012-1999.